Video & Transcript : 'collaborative practice' :
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NM
New Mexico 2025 Regular Session
IC - Legislative Education Study Nov 19th, 2025
Transcript Highlights:
- Several suggested creating regional bilingual hubs or communities of practice where educators could collaborate
- are poor practices.
- Some of the poor practices.
- We have to watch out for poor practices.
- Another poor practice is decision making by non-bilingual experts.
KY
Kentucky 2026 Regular Session
Senate Standing Committee on Licensing and Occupations. (3-24-26)
Licensing & Occupations
Transcript Highlights:
- <00:01:50.079><c> agreement</c><00:01:50.560><c> between</c> collaborative agreement between collaborative
- So, a person practicing between states.
- </c> modernization of the dental practices modernization of the dental practices act.<00:10:33.360><c
- And then we had House Bill 776, relating to the practice of dentistry. >> All right.
- </c> practice of dentistry. practice of dentistry. >> All<00:20:28.000><c> right.
KY
Kentucky 2025 Regular Session
House Standing Committee on Health Services (3-12-25)
Transcript Highlights:
- .<00:04:54.960><c> So,</c> practice.
- So, practice.
- </c><01:04:53.920><c> with</c> their patients, practice with their patients, practice with excellence
- When we look at private practice, although money was a big deal, the bottom line in private practice
- </c> patients and the practice of medicine. patients and the practice of medicine.
Keywords:
00:00:00 Call to Order/Roll Call
00:01:10 Discussion of 25RS HB 414
00:44:26 Roll Call Vote on 25RS HB 414
00:50:25 Discussion of 25RS SB 27
00:53:44 Roll Call Vote on 25RS SB 27
00:55:49 Discussion of 25RS SB 93
00:57:57 Roll Call Vote on 25RS SB 93
00:59:29 Discussion of 25RS SB 132
01:37:39 Roll Call Vote on 25RS SB 132
01:40:55 Discussion of 25RS SB 153
01:42:05 Roll Call Vote on 25RS SB 153
01:43:46 Adjournment, 958, all
Summary:
The Health Services Committee met with a quorum and took up House Bill 414 with a committee substitute. The bill, described by sponsors and supporters as a continuation of prior maternal-health legislation, was framed as a clarification of medical standards and an effort to improve care for women and families facing complicated pregnancies. Representative Tate, Representative Nemes, Adair Wushar of Kentucky Right to Life, and Dr. Jeff Goldberg of ACOG Kentucky all testified in support, saying the substitute was developed collaboratively to reduce confusion in the law and help physicians provide evidence-based care without fear of criminal penalties.
Supporters said the committee substitute was intended to define what is not an abortion under Kentucky law and to spell out medical treatments for conditions such as miscarriage, ectopic pregnancy, molar pregnancy, sepsis, hemorrhage, preeclampsia, premature rupture of membranes, and fetal demise. Dr. Goldberg said current statutes contain significant ambiguity and have created unintended barriers to treating pregnancy complications, including emergency situations, and he gave examples of patients who were delayed or harmed because physicians were uncertain about what the law allowed. Representative Nemes said the measure was the result of unusual cooperation among groups that do not usually agree and described it as a first step toward fixing a discrete problem.
Representative Wilner raised concerns that the language could effectively require a patient to be in severe distress before treatment is clearly permitted and that it was too prescriptive about how physicians should manage miscarriages. In response, Dr. Goldberg and the sponsors said the substitute was not perfect, was meant as a short-term solution, and was designed to give doctors more confidence in providing routine, medically necessary care for pregnancy complications. The transcript indicates the committee substitute was adopted, but no final vote on the bill itself is shown in the excerpt.
CA
California 2025-2026 Regular Session
Assembly Budget Subcommittee No. 3 on Education Finance Mar 17th, 2026
Transcript Highlights:
- We have hundreds of faculty practice primary care clinics throughout the state.
- How much time do we want to be collaborative with UC?
- Student feedback has influenced the best practices and any policy updates there? Sure.
- Thank you so much for that collaboration.
- Intersegmental working groups have enhanced collaboration and shared best practices.
MN
Minnesota 2025-2026 Regular Session
Committee on Environment, Climate and Legacy - 02/27/25
Environment, Climate, and Legacy
Transcript Highlights:
- It requires commitment and collaboration across a diverse and broad range of partners.
- It requires commitment and collaboration across a diverse and broad range of partners.
- </c> confident that this collaborative confident that this collaborative interdivisional<00:05:13.039
- That is a good business practice. I appreciate it.
- </c><01:47:53.239><c> to</c> locations and practi practices to locations and practi practices to improve
HI
Hawaii 2026 Regular Session
AGR Public Hearing - Wed Mar 18, 2026 @ 9:30 AM HST
Agriculture & Food Systems
Transcript Highlights:
- </c><00:08:18.479><c> and</c> this bill based on practicality and this bill based on practicality and
- </c> with the expectation of collaborative with the expectation of collaborative communication<00:28:
- And as our communities face practices.
- They're the same handling practice game.
- </c> failures and having a collaborative failures and having a collaborative effort<01:15:37.679><c>
Bills:
SB2885, SB2174, SB2925, SB2798, SB2320, SB2800, SB1230, SB2706, SB3233, SB2405, SB2350, SB2169, SB3320
Keywords:
coconut rhinoceros beetle, invasive species, biosecurity, green waste, environmental management, agriculture, quarantine, pest control, transport regulations, Hawaii Revised Statutes, coconut trees, tax credit, natural management, Hawaii, environment, agricultural enforcement, agricultural theft, farm theft, crop theft, commodity theft
Summary:
The committee heard testimony on SB 2885 SD1, which would create mandatory handling and storage rules for commercial and residential coconut rhinoceros beetle host material beginning in 2027, with penalties and an effective date. Support came from the Department of Agriculture and Biosecurity, DLNR, Maui County Department of Agriculture, the Hawaii Farm Bureau, Hawaii Farmers Union, and the Office of Hawaiian Affairs. Testifiers generally said the bill would help reduce CRB spread, though some urged additional science-backed methods, better coordination, and technical or cost-share support for smaller operations. Hawaiian Earth Recycling recommended amendments to align the bill with existing Department of Health/EPA composting rules, add other materials that can harbor CRB, allow future approved treatment methods, and replace the bill’s 60-day turning requirement with existing pathogen-reduction standards. One individual supported the goal but argued the state’s CRB strategy has lacked community and cultural consultation and should include a cultural advisement role. Department witnesses said enforcement would rely on inspection and an educate-before-regulate approach, and they noted the challenge of creating enough drop-off sites, especially in rural areas.
The committee then took up SB 2174 SD2, which would authorize the Department of Agriculture and Biosecurity to declare an emergency quarantine, halt operations in affected areas for 96 hours with possible extension, quarantine suspected pest areas, issue notices and compensation to affected farmers, and adopt interim transportation rules for materials that may harbor high-impact invasive species. The department and DLNR supported the measure, emphasizing the need for fast action in the first hours of an invasion. Hawaii Farmers Union supported the compensation provisions but asked for stronger communication with producers and a post-action report to the Board of Agriculture after about 90 days to evaluate effectiveness and economic impacts. In response to questions, department staff said the bill would be a short-term, department-only quarantine authority distinct from the governor-declared biosecurity emergency authority enacted previously, and that it could serve as an intermediate step. They also said outreach would need to be done through farm organizations such as Farmers Union, Farm Bureau, and Cattlemen’s groups.
The final measure discussed was SB 2925 SD1, relating to coconut trees. The bill would recognize coconut trees as a source of food and water and a cultural treasure, require rules for coconut tree seed banks, require signage identifying landscape palms where applicable, set labeling standards for non-consumable landscape palms, and create an income tax credit for consumable coconut trees maintained through natural management practices. The transcript ended before testimony or action on this bill was completed, and no vote was taken on any of the measures discussed in the portion provided.
HI
Hawaii 2025 Regular Session
FIN Info Briefing - Wed Jan 8, 2025 @ 9:00 AM HST
Hawaii House Floor Meeting
Transcript Highlights:
- </c><00:17:43.600><c> that</c> describe the extreme collaboration that describe the extreme collaboration
- Those collaborations are going to be in place soon.
- Those collaborations are going to be in place soon.
- Those collaborations are going to be in place soon.
- Those collaborations are going to be in place soon.
Summary:
The Committee on Finance held an informational briefing with the Department of Labor and Industrial Relations on its budget, staffing, and operations. The director reviewed department leadership and reported on recruitment and retention efforts, including a 14% vacancy rate, a 10.5% workforce increase from filling 189 positions, and the Hela Imua internship program, which has placed 516 interns since inception and led to 62 permanent hires. The department also described modernization efforts, including the UI Huakai project and the Disability Compensation Division’s electronic case management system, and said the unemployment compensation trust fund exceeded $71.5 million, triggering Schedule C for calendar year 2025.
The department’s main budget requests included $2.9 million for fiscal year 2026 to support maintenance and operations of the electronic case management system, plus restoration of two enforcement specialist positions. Officials said those positions are needed to address a decline in investigators from 11 to six since 2009, improve compliance, and handle Hawaii Compliance Express certificate work. Additional requests included two human resources specialists to address recruitment backlogs, two labor enforcement specialists to reduce a backlog of Chapter 104 prevailing wage and wage cases, and two positions for the Office of Community Services to expand immigrant services and access centers. The department also discussed federal funding for unemployment insurance and workforce programs, including National Dislocated Worker Grants and Workforce Innovation and Opportunity Act funds, and said some funding is received in increments and may require extensions.
Members asked about Kauai inspection coverage, federal funding uncertainty, the size of the special unemployment insurance fund, and whether the department could ramp up staffing during a future crisis. Officials said Kauai is currently served by inspectors from Honolulu and there are no plans to open a permanent island position because of staffing constraints. They said the department is meeting federal guidelines and is not in jeopardy, and that the special unemployment insurance fund has about $10 million, with current UI operations funded at a little over $15 million, meaning the fund may need to cover roughly $5 million if federal support declines. The director said the department would use the special fund to supplement shortfalls, but noted that federal funding cuts and the loss of ARPA support have already affected operations.
MA
Massachusetts 2025-2026 Regular Session
Joint Committee on Ways and Means Jun 21st, 2026 at 10:00 am
Joint Committee on Ways and Means
Transcript Highlights:
- And so we appreciated that collaboration as we navigated through it.
- Thank you for your support, your patience, and your continued collaboration.
- "So we share a lot of ideas and best practices, if you will.
- Again, that's still dependent on the geographic area and the practice area.
- Again, that's still dependent on the geographic area and the practice area.
Summary:
The Joint Committee on Ways and Means held its sixth public hearing on the Governor’s H-2 budget proposal for fiscal year 2026, focused on public safety and judiciary agencies, at the Foxborough Community Center. After opening remarks and local welcomes, the committee heard first from the Executive Office of Public Safety and Security, led by Secretary Gina Kwan, who outlined a $1.72 billion budget, up $69.8 million from FY26. She said the proposal emphasizes core operations, readiness, and partnerships with municipalities, and highlighted work on firearms-law implementation, State Police reform, DOC reentry efforts, hate-crimes prevention, emergency response, and planning for major events including the World Cup. Members also raised concerns about DNA backlog reporting, State Police academy boxing and training standards, ICE communication, disaster relief funding, crime lab staffing, EMS placement, and diversity in public safety leadership.
Several exchanges focused on specific operational issues. Secretary Kwan and her team said the State Police are tracking the influx of forensic work from local sheriffs, that the boxing program remains suspended pending an IACP review and likely will not return in its prior form, and that EOPS has no direct communication with ICE but supports law-enforcement coordination where appropriate. On disaster preparedness, officials said the new disaster relief fund is being developed with MEMA and A&F, currently capitalized at $14 million with another $14 million expected, though members urged a more permanent funding source. On the crime lab, staff said the roughly $4.5 million increase is intended to cover core operations and a structural funding gap rather than expand services. The secretary also said EOPS is not ready to absorb OEMS from DPH at this time, though she would keep an open mind.
The committee then heard from district attorneys, led by Suffolk County DA Kevin Hayden, who said the Massachusetts District Attorneys Association is seeking a 10% increase in operating budgets, including about $16.7 million for staffing salaries, to recruit and retain prosecutors, advocates, and support staff. He said the request reflects rising workload and the need to keep the criminal justice system functioning efficiently and fairly. The hearing was recessed briefly after the district attorneys’ opening remarks, with additional testimony expected to continue afterward.
WA
Transcript Highlights:
- Education, transparency, and collaboration highlight the industry's commitment to professionalism and
- This bill offers a practical, collaborative solution to one of the most significant challenges in transportation
- Another reason to repeal the original legislation is that it's highly unworkable in practice.
- This is a practical issue.
- And it provides the state some assurances that whoever they're collaborating with—and imagine in the
Keywords:
luxury aircraft tax, tax reduction, economic impact, business aviation, state revenue, HB2410, commercial truck safety, commercial vehicle safety, trucking industry, truck driver training, driver education, highway safety, traffic safety commission, Washington State, commercial motor vehicles, vehicle registration fee, IRP fee, state patrol highway account, safety enforcement fee, public-private partnership
FL
Florida 2025 Regular Session
March 25, 2025 - 09:00 AM
Transcript Highlights:
- It's not my practice to stand at the podium and malign any of our partners.
- It's not my practice to stand at the podium and malign any of our partners.
- We're still trying to digest it and what that means practically if you're trying to develop a utility
- And collaborative manner. So I ask for your support in this amendment to the amendment.
- with various agencies and veteran programs. ...adults by establishing a framework for collaboration
Summary:
The Economic Infrastructure Subcommittee heard several transportation and infrastructure bills. HB 1239, Energy Infrastructure Investment, would let the Public Service Commission create a mechanism for utilities to recover costs for renewable natural gas infrastructure; supporters said it could diversify energy supply and help agriculture, while members raised concerns about consumer rates and asked whether savings from RIN credits should be passed to customers. The bill drew supportive public testimony and was reported favorably after debate, with members noting the PSC would set costs and that the sponsor was open to further discussion on consumer protections.
The committee then took up HB 313, which exempts Purple Heart recipients from paying Florida tolls. With no questions or opposition, it passed unanimously. The committee also considered HB 567, a broad transportation omnibus/strike-all bill covering EV tax revenue for roads, airport and MPO changes, workforce funding, traffic signal modernization, speed limits, and a pilot to streamline airport permitting. A major amendment added utility right-of-way notice, response, and incentive/penalty provisions, and another amendment authorized local governments to set age and ID rules for e-bikes, scooters, and other micromobility devices after testimony about a fatal crash. The bill was reported favorably after extensive debate and public testimony from transportation and utility stakeholders.
HB 112, dealing with municipal sewer collection systems, would allow cities to use sewer revenues to expand wastewater infrastructure. Sponsors said it was aimed at helping cities like Hollywood reduce septic use and improve water quality; testimony supported the measure as a way to unlock funding for sewer expansion, and the bill passed unanimously. The committee also approved HB 7009, preserving public records and meeting exemptions for 911 and public safety radio communications systems and expanding them to next-generation 911. Finally, PCS for HB 1397, a large transportation package addressing airport, seaport, spaceport, and workforce issues, was amended and passed 14-1 after questions about federal testing notifications, removal of certain business preference language, and a provision redirecting some transit funds to highway projects if not timely used.
CA
California 2025-2026 Regular Session
Assembly Privacy and Consumer Protection Committee Jul 1st, 2026
Privacy and Consumer Protection
Transcript Highlights:
- I've, in my own practice, seen hallucinations.
- I appreciate the collaboration.
- If this is the foundation for future bills, it being collaborative between the two houses, being collaborative
- Usama Koff, partner and co-chair of the Privacy, Cyber, and AI Practices...
- SB 969 makes targeted, practical reforms.
CA
California 2025-2026 Regular Session
Assembly Select Committee on Electric Vehicles and Charging Infrastructure Nov 20th, 2025
Transcript Highlights:
- We're doing a best practices study.
- This is done in collaboration with CalETC, in collaboration with the state, in collaboration with the
- But through the collaboration with the state and the support of various But through the collaboration
- This is done in collaboration with Cal ETC, in collaboration with the state, in collaboration with the
- We had a wonderful collaboration on that project. It is...
Summary:
The joint informational hearing of the Select Committee on Electric Vehicles and Charging Infrastructure focused on California’s EV market, charging infrastructure, and the effects of recent federal actions. The chair opened by emphasizing California’s progress on EV adoption and charging reliability, but also noted ongoing challenges with affordability, access, interoperability, heavy-duty electrification, and federal headwinds. She highlighted interest in technologies such as inductive charging and thanked host organizations and staff before moving to the first panel.
State agency witnesses from Go-Biz, CARB, and the California Energy Commission described current programs and priorities. Go-Biz outlined its role in coordinating agencies, supporting permitting, and advancing the state’s ZEV market development strategy and equity action plan. CARB discussed federal attacks on its clean vehicle regulations, litigation to defend waiver authority, and the importance of incentives and regulatory programs such as Advanced Clean Trucks, Advanced Clean Fleets, Clean Truck Check, HVIP, and Clean Cars for All. The CEC detailed its funding and regulatory work on charging and fueling infrastructure, charger reliability, payment methods, roaming, and statewide planning, while stressing the need for more charging in multifamily housing and more public DC fast charging. All three agencies said federal rollbacks and permitting delays are major obstacles, but that California remains committed to expanding ZEV adoption.
The second panel featured advocates, local government, utility, and research perspectives. CalETC urged continuous state funding through the Greenhouse Gas Reduction Fund and emphasized the low-carbon fuel standard, multifamily charging, and managed charging. An EV advocacy group proposed a conquest-style state incentive for new and used EV buyers and argued that multifamily housing is a major untapped market, while also favoring Level 2 charging over Level 1 for most home and apartment settings. Los Angeles County and LADWP described large-scale local deployment of chargers, fleet electrification, workforce training, and the need for sustained funding, agency coordination, and streamlined permitting and grid interconnection. UCS recommended prioritizing replacement of older high-emitting vehicles, using fuel policy revenues to support cleaner cars, and expanding bidirectional charging. The chair closed by asking for more discussion on Level 1 versus Level 2 charging and noted the importance of education, affordability, and practical deployment strategies.
CA
California 2025-2026 Regular Session
Assembly Elections Committee Mar 26th, 2025
Transcript Highlights:
- I'm the chair of the California Fair Political Practices Commission.
- So one of the things that we do is, We work collaboratively with school districts like LAUSD.
- We will work with them collaboratively.
- We don't want to displace students or Work with them collaboratively.
- We would want to work with the schools collaboratively.
Summary:
The Assembly Elections Committee met on March 26, 2025, adopted its 2025-26 committee rules, and approved a five-bill consent calendar. The committee then heard several election-related measures focused on transparency, accessibility, and election administration. AB 775 (Fong) would modernize behested payment reporting by extending filing deadlines, requiring direct filing with the FPPC in most cases, and improving online public access; the FPPC chair testified in strong support, and the bill drew no opposition. AB 287 (Lackey) would require vote centers and polling places to provide accessible parking and curbside voting accommodations for voters with disabilities; Los Angeles County election officials and Disability Rights California supported the bill, while LAUSD raised concerns about parking shortages and storage costs and requested amendments. AB 331 (Pellerin) would clarify that certification of election results is a ministerial duty, address misleading ballot return envelopes, and ensure voter information guides reach incarcerated voters in a usable format; the Attorney General’s office sponsored the bill, while the Secretary of State expressed concerns about the feasibility of a state takeover of county canvassing and said it was working on a solution with the author.
The committee members generally supported the bills, emphasizing transparency, voter access, and election integrity. AB 775 and AB 287 both received favorable votes after brief discussion, with members noting the importance of transparency in campaign-related reporting and accessibility for voters with disabilities. AB 331 also passed, though the Secretary of State’s office flagged implementation concerns about the proposed certification backstop and the lack of state equipment and staff to canvass ballots. The chair indicated she would continue working with the Secretary of State and other stakeholders on amendments or a workable remedy.
All items ultimately passed out of committee. AB 775 was approved 5-0 and re-referred to Appropriations, AB 287 passed 6-0, and AB 331 passed 6-0 and was re-referred to Public Safety. The committee also later confirmed the votes of absent members and adjourned after all agenda items were disposed of.
CA
Transcript Highlights:
- This idea may not work in practice as we're thinking.
- And I'm just pleased that they've been working collaboratively with our board.
- Tribes are unable to perform safe cultural practices.
- We collaborate so well together.
- We collaborate so well together.
ID
Idaho 2026 Regular Session
Agenda Mar 6th, 2026
Transcript Highlights:
- This represents some collaboration between the insurance...
- This represents some collaboration between the insurance industry, the medical providers, hospitals,
- and even collaboration with our own Department of Insurance.
- So this will deal with some modernization and guardrails on the practice of prior authorizations, and
- I will go into as much detail... ...on the practice of prior authorizations.
Summary:
The House Ways and Means Committee met briefly and considered two requests for introduction. Representative Josh Wheeler presented RS 33-576, described as a negotiated update to prior authorization rules developed with input from the insurance industry, medical providers, hospitals, and the Department of Insurance. He said it would add modernization and guardrails to prior authorization practices. Representative Kareen moved to introduce the RS, and the committee approved the motion by voice vote.
Representative Clint Hostetler then presented RS 33-594, a joint memorial urging Congress to prohibit unauthorized solar geoengineering over Idaho without state approval, public disclosure, or transparency. He explained that the measure had been redrafted to address concerns about distinguishing solar geoengineering from weather modification and cloud seeding. Representative Crane moved to introduce the RS, and the committee again approved by voice vote.
No substantive debate or testimony occurred beyond the sponsors’ explanations. The chair noted the committee had moved through the agenda quickly and that the next meeting would likely be early the following week, though that was not yet confirmed.
CA
California 2025-2026 Regular Session
Senate Budget and Fiscal Review Subcommittee No. 3 on Health and Human Services Apr 9th, 2026
Transcript Highlights:
- They're practicing without being licensed? There... the... when there's facilities.
- So are they practicing without our license? Sorry?
- Are they practicing without our license if they're slipping through the cracks?
- CDPH also collaborates with FDA to uphold federal standards and good manufacturing practices.
- It's more intentional around collaboration.
Summary:
The hearing began with a stakeholder presentation from Let California Kids Hear urging coverage of pediatric hearing aids for children in the large group market. Advocates described the issue as a long-running developmental emergency, argued that existing state efforts have been inefficient, and said the new proposal would cover about 70% to 80% of affected children without new spending by redirecting existing dollars. Public commenters, including parents, audiologists, and children’s advocates, strongly supported the proposal and emphasized the need for timely access to sound. The chair thanked the group and noted hope for a future fix, including continued work on the exchange market.
The Department of Finance then gave a broad budget warning about the state’s more than $20 billion structural deficit and said new investments must be weighed against out-year shortfalls. HCAI followed with an overview of its programs, including CalRx insulin and naloxone, reproductive health grants, the Office of Health Care Affordability, seismic hospital compliance, workforce programs, and the Data Exchange Framework. Members asked about geographic targeting of workforce funds, behavioral health pipeline programs, the status of the 21st Century Nursing Initiative, and future CalRx products such as EpiPens and GLP-1s. HCAI also described its enforcement approach for health care spending targets, saying the board would not change the targets in response to H.R. 1, and outlined the diaper access initiative, which will distribute diapers through hospitals in higher-need areas.
Several HCAI budget items were discussed and held open, including additional expenditure authority, the transfer of the Data Exchange Framework and Office of the Patient Advocate, long-term care payment transparency staffing, and reporting on health care worker waiting periods. The department also presented its Behavioral Health Services Act workforce initiative and a proposed $100 million General Fund offset, which both the LAO and the chair questioned as unclear and potentially one-time in nature. HCAI said the final workforce plan would be adjusted after stakeholder consultation if the offset proceeds. The department also described the Rural Health Transformation Program, saying California received $233.6 million in federal funds, had to revise its proposal to satisfy CMS, and must obligate the money by October 30; the program will fund rural care models, workforce development, and technology, with grants rolled out on a phased basis.
The Department of Managed Health Care then presented its budget and three legislative implementation requests: SB 41 on PBM reform, SB 306 on prior authorization transparency, and AB 1041 on provider credentialing timelines. Finally, the administration outlined a menopause care proposal requiring coverage and education for menopause-related services, provider training, and an outreach campaign, with DMHC requesting staffing and funding to implement and enforce the new requirements. Throughout the hearing, most items were held open for later action, and no final votes were taken in the portion provided.
MA
Massachusetts 2025-2026 Regular Session
Continuing Care Retirement Communities Jun 21st, 2026 at 10:00 am
Transcript Highlights:
- And our goal is to communicate and collaborate with each other and with what's happening on the state
- So we all share best practices. We get training from LeadingAge.
- We want to understand what works best, what best practices are out there.
- Is it standard practice to do a disclosure?
- So we're going to get a better understanding on exactly what the practices are around that.
Summary:
The Joint Committee on Aging and Independence commission meeting focused on continuing care retirement communities (CCRCs), with members and presenters discussing how the model works, consumer protections, and areas for future review. After member introductions, Jennifer Fuller summarized survey results showing the top priorities as financial viability and affordability, consumer protections and rights, and regulation/monitoring standards. The commission said those issues would guide its work plan, while also keeping staffing, definitions, and federal support on the radar.
Alyssa Sherman of LeadingAge Massachusetts and Jim Freiling of Brookhaven at Lexington gave a detailed overview of CCRCs, explaining that they combine housing with health-related services under long-term contracts and typically require entrance fees plus monthly fees. They described the three common contract types: Type A/life care, where costs stay relatively stable if residents need more care; Type B, which offers some included or discounted care with higher costs later; and Type C, fee-for-service, with lower entrance fees but higher costs if care needs increase. They also discussed nonprofit governance, resident involvement, and the role of state and Attorney General disclosure requirements. Several members raised concerns about affordability, refund timing, and the need to distinguish true CCRCs from other senior housing marketed similarly; presenters said refunds are often tied to reoccupancy and that their organizations are collecting data on refund timelines and contract terms.
The discussion also covered resident rights and governance, including whether residents should have seats on nonprofit boards. Christine Griffin said her community lacks resident board representation and urged the commission to consider a state requirement, while others said resident associations and direct engagement with boards can be more effective than mandatory board seats. Members also discussed transparency around monthly fee increases, financial screening before admission, and the importance of clear marketing so consumers understand what they are buying. No votes were taken. The meeting ended with logistical updates, including a tentative public hearing date of June 3, 2025, a note that the next meeting would focus on regulation and monitoring standards, and a reminder that the commission would continue refining its work plan based on survey feedback.
WA
Washington 2025-2026 Regular Session
House Education Jan 27th, 2026
Transcript Highlights:
- It clarifies and modernizes the language so that enrollment practices reflect the original intent of
- Providing additional review time supports that practice and collaboration.
- Providing additional review time supports that practice and collaboration.
- This proposal is good practice for partnering effectively with our families who have students on IEPs
- This proposal is good practice for partnering effectively with our families who have students on IEP.
Summary:
The committee first took executive action on House Bill 1662, which would require the State Board of Education, the Professional Educator Standards Board, the Financial Education Public-Private Partnership, and the Washington State Charter School Commission to make separate administrative arrangements and operate independently. Staff explained a proposed third substitute that delays implementation to July 1, 2027, clarifies independent agency status, and directs OFM and OSPI to support the transition. The prime sponsor and another member spoke in favor, emphasizing agency independence and better use of funds. The committee approved the bill 19-0 and reported the proposed third substitute out with a due pass recommendation.
The committee then acted on House Bill 1683, which sets minimum numbers of school directors elected by director district for certain school districts. The substitute changed the enrollment thresholds, clarified the effective date, and removed intent language. Supporters argued it would improve parent and student representation; opponents said it would create an unfunded mandate and micromanage local districts. The committee passed the substitute 11-8 and reported it out with a due pass recommendation.
In public hearing, House Bill 2534 was heard first. The bill would expand enrollment flexibility and record-transfer protections for military-connected students, including allowing enrollment before arrival, extending proof-of-residence timelines, and adding protections for students with IEPs or 504 plans. District, military, and advocacy witnesses generally supported the bill as promoting stability, though some asked for changes to a proposed 30-day reevaluation timeline and noted possible compact-related issues. The hearing then moved to House Bill 2557, which would require school districts to provide special education evaluation reports to parents at least five school days before eligibility meetings. Supporters said this would help families prepare and participate meaningfully; district and special education staff warned it could shorten already tight evaluation timelines and create implementation challenges. The committee suspended and later closed the hearing on that bill after time ran out, with the chair noting it could be eligible for executive action the following week.
The final public hearing was on House Bill 2594, which would codify McKinney-Vento homeless student protections into state law, assign related duties to OSPI and school districts, and require periodic state reporting. The sponsor and numerous advocates, school district staff, PTA representatives, and individuals with lived experience testified in support, saying it would improve stability, accountability, and access to education for homeless students. One witness asked that grant funding explicitly include community-based organizations. The hearing closed after a large number of pro and some con sign-ins, and the chair also closed the hearing on House Bill 2557, noting amendment deadlines and that the bills could be eligible for executive action the next week.
MN
Transcript Highlights:
- The Minnesota Multi-Tiered Systems of Support is a piece of this collaboration and is a very important
- Is, again, increasing the use of data-driven practices, increasing support to teachers, so it's that
- So currently, we have communities of practice going on for all the districts.
- District literacy leads participate in a community practice, as well as the regional literacy network
- It's hard to collaborate when we're chasing. Chasing all over.
NH
New Hampshire 2025 Regular Session
House Executive Departments and Administration (01/23/2025)
Transcript Highlights:
- </c><00:03:52.640><c> of</c> local anesthesia and the practice of local anesthesia and the practice of
- </c> name is Lori Rosado I'm a practicing name is Lori Rosado I'm a practicing dentist<00:04:55.919><
- by hygienist as a profession practiced by hygienist as a profession practice<00:05:25.840><c> safely
- optometric practices.
- and optometric practices.
Summary:
The committee held public hearings on House Bill 144 and House Bill 145, both related to professional licensing for dietitians and dental hygienists. HB 144 was described as a technical fix to align statute with existing Board of Dental Examiners rules allowing dental hygienists to administer nitrous oxide and local anesthesia, with supporters saying the bill would add needed training and examination requirements to statute. A dentist and dental society representative testified that the practice is already being done safely within scope, and committee members discussed whether nitrous oxide is still used and whether the bill was mainly to keep the paperwork and law consistent. The committee moved HB 144 forward on a 12-0 vote and placed it on consent.
HB 145 would join New Hampshire to a dietitian licensure compact and add a criminal history check for initial licensure to match compact language. The sponsor and board witnesses said the compact would improve portability, support telehealth, help military families and spouses, and maintain public safety by ensuring qualified practitioners and information-sharing among member states. Committee members asked about withdrawal from the compact, the difference between single-state and compact licensure, and why a background check was included; the witness said the compact is not yet active, with four states enacted and seven needed, and that the background check is required by the compact language. Additional testimony from a private-practice dietitian supported the bill, citing continuity of care, rural access, and workforce mobility, while some members raised concerns about telehealth across state lines and the practical effect of the background check.