Video & Transcript Research : 'outreach programs'
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ND
North Dakota 2026 1st Special Session
Joint Appropriations Jan 21st, 2026 at 10:30 am
Appropriations
Transcript Highlights:
- year of that program.
- year of that program.
- And this is the first year of that program. So with that, Mr.
- And if we need to step up programs that are more specific, we can.
- And to have programs then that takes me to Make North Dakota Healthy Again, to have actual programs in
Bills:
HB1623
Keywords:
HB 1623, North Dakota, rural health, rural health transformation program, medical facility infrastructure loan fund, medical facility infrastructure loan program, rural health loan program, Bank of North Dakota, Department of Health and Human Services, HHS, federal grant, health care infrastructure, rural hospitals, critical access hospitals, nonprofit health care providers, gap financing, loan fund, public health funding, healthcare financing, Medicaid
Summary:
The committee heard House Bill 1623, the appropriations bill tied to North Dakota’s Rural Health Transformation Program, which is funded through a new federal rural health care grant. Senator Bekkedahl explained the bill’s background, the interim committee process that developed it, and the federal conditions attached to the award, including spending deadlines, administrative cost limits, and restrictions on uses such as new construction, supplanting existing funding, and certain other costs. Legislative staff then walked through the seven sections of the bill, including appropriation authority, transfer authority, contingent appropriations for pass-through grants, procurement and public improvement exemptions, recipient reporting, legislative reporting, and immediate effective date.
Commissioner Traynor and HHS staff described how the department plans to implement the program, emphasizing that the funding is intended to improve rural access, workforce recruitment and retention, technology and data connectivity, and community health initiatives. They said the department will rely on local applications, technical assistance, templates, listening sessions, and partnerships with providers, schools, public health units, tribal entities, and other community groups. Members asked about reimbursement timing, upfront costs, administrative expenses, sustainability after the five-year grant period, and whether CTE centers, public health units, gyms, grocery stores, and other community partners could participate; the department said yes, within program rules and with a focus on measurable outcomes and sustainability.
Several supporters testified in favor. Mental Health America of North Dakota and the Mental Health Advocacy Network supported the bill and urged investment in community-based mental health, crisis response, children’s services, peer support, and mobile crisis teams. HIA Health described the grant as a chance to expand home-based and hospice care, noting that rural providers already have workable models but need funding to scale them. A cybersecurity representative also supported the bill, warning that the large amount of health data and AI-related tools will require strong data protection and professional support. The hearing was closed with no opposition testimony, and the committee announced it would return later in the day for further work on the bill and other measures.
MN
Transcript Highlights:
- he reported that the required Outreach he reported that the required Outreach and<00:06:52.800><
- Program that can tell students, like, hey, college is affordable, and we have programs like the North
- <01:20:49.560>
but again can vary across the program but again can vary across the program - losses with that program we creating losses with that program we train<01:36:21.800>
dnp <01:36 - Thank you so much. state um through uh their programs um state um through uh their programs um that<01
NM
New Mexico 2025 Regular Session
Legislative Finance Sub Committee Sep 24th, 2025
Transcript Highlights:
- division within the CYFD program.
- Then the outreach family outreach group...
- They're pre-K programs. Program requires a home visit. They all have multiple screenings.
- , and deal with the family infant-toddler program.
- Some of the programs are able to fund...
TX
Transcript Highlights:
- Of all the programs that we have at the fair, our livestock program best ties together all three pillars
- And we've launched a new program called the Norman Borlaug Youth and Ag Program, a partnership between
- I know that there's a lot of great programming.
- That, you know, we have education, and the Young Masters Program sounds like a really great program.
- a smaller program that is not completely incorporated into the Main Street program but aims to help
FL
Florida 2025 Regular Session
Education Postsecondary Feb 18th, 2025
Transcript Highlights:
- OUR PROGRAM WAS SELECTED IN THE TOP FIVE.
- ONE OF THOSE PROGRAMS IS THE TECH PROGRAM WHICH IS IN AKRON FOR THE ENGINEERING CANDIDATE.
- IN ADDITION TO THE ENGINEER PROGRAM, WE HAVE DESIGNED AND IMPLEMENTED A 17 WEEK PROGRAM FROM MARINE ENGINEERS
- WE HAVE ALSO IMPLEMENTED A TRAINING PIPELINE TO PROVIDE THE NECESSARY PROGRAM TO MAKE ELIGIBLE PROGRAMS
- ESPECIALLY IN THE MILITARY PROGRAM.
AZ
Arizona 2026 Regular Session
03/11/2026 - Senate Health and Human Services
Health and Human Services
Transcript Highlights:
- program that is currently actually free.
- the program, to participate in the program, and to make it a priority for them to be in the program
- program that is currently actually free.
- know about the program, to participate in the program, and to make it a priority for them to be in the
- program and for the health systems to make it a priority as well.
Keywords:
radiologic technologist, radiologist assistant, radiology, imaging, x-ray, diagnostic x-ray, fluoroscopy, mammography, computed tomography, CT technologist, nuclear medicine technologist, bone densitometry, radiation safety, radiation licensing, scope of practice, health workforce, rural health care, critical access hospital, supervision, telehealth
Summary:
The committee approved the minutes and then heard House Bill 2050, which updates Department of Health Services rules for radiologic technologists and radiologic assistants. The bill changes school accreditation and training requirements, reduces clinical hours, revises supervision and scope-of-practice rules, adjusts fees, and removes radiologic technologists from the telehealth health care provider definition. Testimony from a radiologic technologist supported the bill as an update to outdated standards and a response to workforce shortages, while a nurse practitioner supported the section allowing NPs to use diagnostic x-ray machines under nursing board standards. HB 2050 passed 7-0 with a do-pass recommendation.
The committee then considered House Bill 2082, which creates a Childhood Cancer and Rare Childhood Disease Research Commission and expands the research fund to include appropriations, gifts, donations, and federal grants. An amendment shifted grant-awarding authority to the DHS director, required the commission to set criteria and review applications, and added public meeting requirements; it also tied funding to at least $5 million in available resources and removed the return-on-investment reporting requirement. Supporters said the bill would strengthen pediatric cancer research and leverage an underused funding source, though members raised concerns about oversight. The bill was amended and then passed 7-0.
House Bill 2176 and House Bill 2195 both dealt with DHS licensing and complaint-investigation procedures for health care institutions and nursing care institutions. HB 2176 allows DHS to deny licenses or ownership changes based on serious prior licensing problems or safety risks, and it sets notice, investigation, and deficiency-statement rules; speakers from public health and hospital groups supported it as improving transparency and preventing bad actors from cycling through ownership. HB 2195 limits DHS access to certain personnel records, requires deficiency statements within 10 business days, and bars investigations of incidents older than 12 months; an amendment delayed implementation to July 1, 2027 and added corrective-plan and off-site review provisions. Both bills passed 7-0 as amended.
The committee also approved House Bill 2202, which appropriates $300,000 annually for a dementia care tele-mentoring program to train providers statewide, especially in rural and underserved areas. The Alzheimer’s Association and a patient with younger-onset Alzheimer’s testified that the program would improve early diagnosis and care, though one senator opposed state funding on the view that medical schools should teach the material. HB 2202 passed 6-1. Finally, House Bill 2307, addressing placement for dangerous, incompetent, non-restorable defendants when secure state hospital beds are unavailable, drew the most debate. An amendment replaced out-of-state placement with a temporary, limited-use solution involving up to three beds at the Arizona State Hospital forensic campus, created a study committee, and shifted some non-psychiatric costs to counties; counties and hospital stakeholders opposed the county-cost language, while sponsors and DHS said the measure was an emergency stopgap. The amended bill passed 4-3. The committee then passed House Bill 2584 4-3, which prohibits public funds from being used for genetic sequencing equipment from foreign adversary countries or entities; supporters framed it as a national security measure, and opponents voted no. The committee then adjourned.
TX
Texas 89th 2nd C.S.
Senate Committee on Health and Human Services Jul 7th, 2026
Health & Human Services
MN
Minnesota 2025-2026 Regular Session
House Human Services Finance and Policy Committee 2/24/26
Human Services Finance and Policy
Transcript Highlights:
- in administering the Medicaid program. in administering the Medicaid program.
- They could do work program participation for not less than 80 hours in a month, including any program
- They could do work program participation for not less than 80 hours in a month, including any program
- They could do work program participation for not less than 80 hours in a month, including any program
- on our accuracy and program integrity. on our accuracy and program integrity.
Bills:
HR1
NM
Transcript Highlights:
- So it's not only a situation in which our football program or our basketball program, but all of our
- Mexico program.
- And my daughter-in-law is... ...a pretty good program in West Texas, a New Mexico program.
- That Division I program.
- It does not mandate new programs.
Keywords:
foster children, school transportation, education funding, public education, child welfare, New Mexico Highlands University, soccer field, women's sports, infrastructure improvement, funding allocation, student athletes, appropriation, New Mexico State University, nutrition, travel support, funding, education, university support, financial assistance, parenting students
MN
Minnesota 2025-2026 Regular Session
Agriculture Committee Meeting - 2025-03-26
Agriculture Finance and Policy
Transcript Highlights:
- As we all heard previously, that federal program is in jeopardy.
- You're taking four million dollars from the dairy program.
- specifically. ...increase in the program.
- immediately. ...program immediately.
- For some of the, we set up two grant programs: one is an AgriWorks grant program and one is Agri-Support
Keywords:
beginning farmers, agriculture, loans, economic opportunity, farmers' equity, agriculture appropriations, farm to school, early care, child care food program, school lunch program, local food, Minnesota agriculture, food access, farm-to-institution, limited market access, county fairs, biofuels, E25, ethanol, meat processing
MN
Transcript Highlights:
- Uh with<00:56:44.360>
their <00:56:44.560>outreach <00:56:45.040>to <00:56:45.160 - To get an outreach to moms and babies who, you know, weren't given a, you know, here's your blueprint
- First, we partnered with Family Spirit, a Native American maternal childhood program.
- And I was all in programming.
- And it was so I loved doing programming. And it was so I loved doing my<01:05:08.280>
job.
MN
Minnesota 2025-2026 Regular Session
Vets Committee Meeting - 2025-03-26
Veterans and Military Affairs Division
Transcript Highlights:
- Since we enacted this program, it has been widely successful.
- The program really needs to be maintained over time.
- So we're doing our best to continue to push that program forward.
- , which stands for Casework, Outreach, Referral, and Education.
- The Meals on Wheels program is a very honorable program, but my fear with that—and I believe I spoke
HI
Transcript Highlights:
- Uh information about the state programs Uh information about the state programs was<00:18:21.120
- about the state learned more programs about the state programs<00:18:37.840>
from <00:18:38.080 - Uh so Hawaii programs from the app.
- social workers included in this program. social workers included in this program.
- health monitoring pilot program. health monitoring pilot program.
Keywords:
accessible parking, disability, kupuna, public accommodations, small business exemptions, Hawaii Revised Statutes, parking permit, blind, deaf, accessibility, deafness, traffic safety, law enforcement, vehicle registration, communication, emergency services, commercial driver's license, first responders, public safety, authorized emergency vehicle
Summary:
The committee heard testimony on several health-related bills. HB 1871, establishing a maternal health monitoring pilot program, drew support from the Department of Health, the Hawaii State Commission on Status of Women, and the Hawaii affiliate of the American College of Nurse Midwives, with testimony urging provider-neutral language so midwives and other qualified providers would not be excluded. HB 1977, requiring a maternal and infant health information mobile app, received support from ACNM and Philips, which said similar apps in other states improved awareness of services and helped families navigate care; a member asked the Department of Health about implementation time. HB 1858, relating to certificates of fetal deaths, was supported by the Department of Health and clinicians, who said the current statute is outdated and inconsistent with CDC guidance; the department and a physician testified that the bill should shift documentation responsibilities to physicians and APRNs, and members discussed optional versus mandatory issuance language and whether the bill would improve data on home births and transfers.
The committee also heard HB 1591, expanding definitions for preceptor and volunteer-based clinical training to improve income tax credits. The Department of Health supported the measure but preferred a similar, broader bill; Taxation suggested clarifying terms; the University of Hawaii and the State Center for Nursing supported it. ACNM asked that midwifery preceptors and Hawaii-based students enrolled in mainland programs be included, while the Hawaii Public Health Institute supported expansion of the program as a workforce solution. HB 1574, on the health care education loan repayment program, also drew broad support, including from the governor, SHPDA, OHA, and health organizations, but ACNM raised concerns that the bill’s 30% Medicaid-client threshold could exclude many providers and limit participation.
For HB 1575, creating a feasibility committee on Parkinson’s patient air transport, the Department of Health supported the intent but said transportation is more likely an insurance or benefit issue and suggested redirecting funds to Parkinson’s research; the Michael J. Fox Foundation and the Hawaii Parkinson Association supported the bill, citing inter-island travel barriers and high costs for patients and caregivers. HB 1854, establishing certification of community behavioral health clinics, was supported by the Department of Health and DHS, which said certification would help clinics qualify for enhanced Medicaid reimbursement and expand access; the Attorney General’s office raised a legal concern about the special fund language and recommended a purpose section, and the committee discussed whether the fund would be self-sustaining and noted a possible amendment to change membership language and reduce the board size if the amendment moved forward.
NM
New Mexico 2026 Regular Session
House - Labor, Veterans and Military Affairs Feb 5th, 2026 at 02:57 pm
Transcript Highlights:
- for example, with MFA, our Mortgage Finance Administration, being very intentional about how we outreach
- , but not just outreach—how do we collaborate in partnership more... ...but not just outreach—how do
- First of all, I will tell you that we are working very closely with the VIC on the transition programs
Summary:
The House Labor, Veterans and Military Affairs Committee began by rolling House Bill 132 at the sponsor’s request because amendment language was still being worked on. The committee then proceeded without quorum as a subcommittee until additional members arrived. House Bill 285, as amended, was heard first. The bill was described as a cleanup measure to clarify New Mexico’s disabled veterans property tax exemption, including that it applies to a veteran’s primary residence and how it works for properties with multiple owners. Testimony from New Mexico counties, the Tax and Revenue Department, and the Department of Veterans Services supported the bill, saying it would reduce confusion for assessors and help veterans access the exemption. One member raised broader concerns about housing insecurity among unhoused and renting veterans and asked for interim data on how many veterans would actually benefit, but the committee noted those issues were outside the bill’s scope. The committee adopted the amendment and then passed HB 285 as amended with a do pass recommendation.
The committee then heard House Bill 128, which updates the state’s occupational disease and disablement law for firefighters by expanding the list of covered cancers and related conditions, aligning the state law with newer research and recent federal changes, and standardizing the employment period to five years. The sponsor and supporters said the bill reflects current science, removes outdated age limits for some cancers, and makes it easier for firefighters to receive workers’ compensation without having to prove causation case by case. Firefighters and union representatives gave emotional testimony about personal cancer diagnoses and the burden of fighting insurers while undergoing treatment. The Workers’ Compensation Administration, labor groups, and trial lawyers all supported the measure. Committee members asked about the federal model, the five-year threshold, the impact on rural jurisdictions, and why women’s cancers were not previously included; witnesses explained that the changes reflect updated data and the underrepresentation of women in the fire service. Dr. Dan Wu, speaking online, said firefighter cancer is an epidemic and argued the science supports the bill. The committee then adopted the motion and passed HB 128 with a do pass recommendation before adjourning.
FL
Florida 2026 5th Special Session
Banking and Insurance Jan 28th, 2026
Transcript Highlights:
- officer and firefighter recruitment bonus payment program, thereby expanding the program to include
- newly employed firefighters in that program.
- , and program development in support of first-responder behavioral health.
- Our only path to securing the care that he needed was through the NICA program.
- That context matters because NICA is not just an administrative program.
Summary:
The Senate Committee on Banking and Insurance met with a quorum present and took up a full agenda of bills, beginning with SB 1286 by Sen. Wright. That bill expanded the state recruitment bonus program to include newly employed firefighters, created a DFS grant review panel, and established a PTSD institute within DFS for first-responder behavioral health. Fire chiefs, the Florida League of Cities, and others supported the measure, and the committee reported it favorably.
The committee then considered SB 198 on virtual currency kiosks by Sen. Rousan. A substitute amendment was adopted that clarified daily transaction limits, registration requirements, expiration rules, and OFR authority to deny registrations. Testimony focused on protecting seniors from crypto-ATM scams while giving the industry regulatory certainty. The committee also favorably reported CS/SB 198. Members next approved CS/SB 772, which allows portable electronics limited licensees to sell eyewear insurance, and CS/SB 1504, which updates insurance customer representative licensing pathways by allowing a high school insurance and personal finance course to count toward pre-licensure education.
The committee also favorably reported Sen. Gruters’ CS/SB 1038 and CS/SB 1040, which together create the Florida Strategic Cryptocurrency Reserve and its trust fund framework, and CS/SB 1440, which expands public records exemptions and cybersecurity-related protections for financial institutions, loan originators, money service businesses, and credit unions. Sen. Burton’s SB 1668 on the NICA program drew extensive testimony from a NICA board member and family advocate, who urged stronger funding to preserve lifelong care for catastrophically injured children; the bill was reported favorably despite concerns from the Florida Justice Association about benefit restrictions and retroactivity. Finally, the committee approved CS/SB 570, creating a DFS task force on payment scams, after an amendment reduced FDLE’s required representation. At the end of the meeting, Sen. Burton requested to be recorded in the affirmative on SB 1286, and Sen. Passidomo requested affirmative votes on tabs 3, 5, and 9; the committee then adjourned.
MN
Transcript Highlights:
- Um, for your strong history of innovative programming and outreach as library patrons and library workers
- programming and outreach as library programming and outreach as library patrons<00:05:04.080>
- specialist meant no library programming specialist meant no library programming in<00:25:55.600>
- <01:21:17.360>
That early literacy programming. That early literacy programming. - That includes a Champions program.
MA
Massachusetts 2025-2026 Regular Session
Status of Persons with Disabilities Jun 21st, 2026 at 11:00 am
Transcript Highlights:
- The Disability Employment Subcommittee deepened outreach to employers and co-hosted with the Workforce
- The program strengthened support, connecting young workers with disabilities, job coaches, and inclusive
- The Disability Employment Subcommittee deepened outreach to employers and co-hosted with the Workforce
- The program strengthened support, connecting young workers with disabilities, job coaches, and inclusive
Summary:
The Permanent Commission on the Status of Persons with Disabilities met virtually to review and gather feedback on its annual report covering July 2024 through June 2025. The chair summarized the report’s main themes: five public meetings on employment data, benefit cliffs, developmental services priorities, health care, civil rights, and workforce stability; active work by the Disability Employment, Workforce Support, and new Long-Term Services and Supports/Health Equity subcommittees; and the second annual National Disability Employment Awareness Month celebration with more than 300 participants. Commissioners praised the report and suggested improvements, including shortening it with an appendix, adding charts/graphs, including dates and raw data alongside percentages, and producing a more visual slide deck or presentation version after submission.
Commissioners also discussed the need for clearer outcome-focused goals and strategic planning, especially given limited staff capacity. The chair responded that the annual report is a statutory requirement and that a separate strategic planning effort is underway through the executive board. She said the team would continue refining the report, incorporate feedback, and prepare both a text version and a more visual hard-copy version with photos and alternative text. The report was described as due to appointing authorities by October 30, and the commission planned to continue collaborating on presentation materials.
Before adjourning, members briefly discussed the 2025 Paul Spooner Generational Leadership Summit, which was described as successful but still in need of funding for future years. The chair also previewed the commission’s first community event on November 4, a hybrid community listening session and resource fair, with about 170 registered participants and roughly 35 in-person organizations. The meeting ended with a motion and second to adjourn.
MA
Massachusetts 2025-2026 Regular Session
Joint Committee on the Judiciary Jun 21st, 2026 at 01:00 pm
Joint Committee on the Judiciary
Transcript Highlights:
- These courts are peer diversion programs.
- These courts are peer diversion programs, a different program for first-time juvenile offenders, juveniles
- I'm the Women's Program Assistant and Outreach Director. Gun Owners' Action League.
- I'm the Women's Program Assistant and Outreach Director.
- The whole program in and of itself is... The whole program in and of itself is very trusting.
Summary:
The hearing covered a wide range of Judiciary Committee bills, with much of the testimony focused on criminal justice, public safety, and civil asset forfeiture reform. Several lawmakers and advocates supported bills to increase penalties or create new offenses related to assaults on sports officials, assaults on transit workers, reckless discharge of firearms, fires and explosives, pill press machines, and drug-induced homicide. Testifiers described rising harassment and violence against youth sports officials and transit workers, as well as the fentanyl overdose crisis and the need for stronger tools to prosecute dealers whose conduct leads to death. Supporters of the sports-official and transit-worker bills emphasized declining referee availability and repeated assaults on commuter rail and MBTA workers. District attorneys also backed bills on reckless firearm discharge and fires/explosives, saying current law does not adequately address dangerous conduct that endangers bystanders.
The committee also heard testimony on several proposals related to youth diversion and prison mitigation. Supporters of the youth court justice fund bill said youth courts are peer-led diversion programs with strong compliance and low recidivism, and argued for a stable funding source rather than annual earmarks. A representative from Bridgewater supported a prison mitigation fund for municipalities that host state prisons, saying the costs of public safety and emergency services are not fully covered. On gun policy, testimony split between supporters of a bill to ban in-state manufacture of assault-style rifles for civilian sale and opponents or skeptics of other firearm-related measures, including a bill on collateralizing firearms and a bill to increase penalties for drug trafficking combined with illegal firearm offenses.
A major portion of the hearing was devoted to civil asset forfeiture reform. Advocates from the ACLU, CPCS, the Boston Bar Association, the Institute for Justice, and others supported bills to increase the burden of proof, improve transparency and reporting, require counsel, and limit or eliminate the current practice of directing forfeiture proceeds to law enforcement. They argued the current system creates perverse incentives, lacks adequate due process, and is insufficiently transparent. District Attorney Paul Tucker defended current forfeiture practices, saying his office has reporting and oversight, uses the funds for investigations and community programs, and warned that reducing forfeiture revenue would hinder crime fighting. No votes or final committee actions were taken during the hearing; the chairs repeatedly thanked witnesses and indicated the bills would remain under consideration.
AR
Transcript Highlights:
- Those programs are provided in group settings, so they're not individual education programs.
- the farmers market program.
- That is for Our Kids B program. It is for our CHIP program, Children's Health Insurance.
- So this is actually diversion programs that juvenile programs...
- Nuclear One program.
CA
California 2025-2026 Regular Session
Assembly Budget Subcommittee No. 1 on Health May 4th, 2026
Transcript Highlights:
- No first-episode psychosis programs, no peers, no outreach and engagement to make sure individuals are
- However, so many of the programs and services that do work, like specialty courts, diversion, outreach
- Schedule program.
- or a TK program, or where there is a preschool program on campus, we are supporting those programs as
- And these are not just programs. They are not social media programs.
Summary:
The hearing focused first on behavioral health, especially hard-to-treat serious mental illness through the lens of anosognosia, and the impact of potential federal Medi-Cal reductions under H.R. 1. A family member, Dawn Marie Anderson, described her son’s long cycle of psychosis, homelessness, arrests, jail-based stabilization, and repeated relapse when treatment ended, arguing that anosognosia is a symptom of illness rather than refusal of care. She and other witnesses urged more consistent, long-term treatment, family involvement, medication support, and stronger county and state coordination. County and provider representatives said the current system still relies too heavily on crisis response and leaves people with serious mental illness falling through gaps between managed care, county specialty care, housing, and justice systems.
Testimony from the California Behavioral Health Association, Santa Barbara County Behavioral Health, and the County Behavioral Health Directors Association emphasized that people with anosognosia often cannot self-navigate care, making a “no wrong door” system essential. They said H.R. 1 could destabilize coverage and shift costs to counties, while existing private insurance coverage is inadequate for early psychosis and related services. Witnesses highlighted CalAIM, jail in-reach, assertive community treatment, mobile crisis, supportive housing, and LEAP-style family training as promising tools, but said counties still need more resources and that the state should strengthen both Medi-Cal and private insurance behavioral health coverage. A public commenter from Lake County said private insurers denied most claims, especially for unlicensed staff providing case management and mobile crisis services.
The committee then heard an update on the Children and Youth Behavioral Health Initiative, including the virtual services platforms BrightLife Kids and Soluna and the CYBHI fee schedule program. DHCS reported strong growth in app registrations, coaching sessions, referrals, and positive user outcomes, and said the platforms are serving children and youth statewide, including many who had never previously accessed care. For the fee schedule, DHCS said 72% of school districts and 50 of 58 county offices of education are participating across six cohorts, with $9.6 million reimbursed to date and 41,556 students represented in claims. Members pressed the department on the program’s roughly $69.3 million administrative cost, the slow pace of reimbursement relative to the investment, and the late delivery of requested data. DHCS responded that many claims are still being submitted, most denials are correctable, and local implementation is still scaling up through technical assistance and capacity grants.