Video & Transcript Research : 'trauma screening'

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MN

Minnesota 2025-2026 Regular Session

Expanding exceptions to gift-giving ban 2/23/26

Minnesota House Floor Meeting

Transcript Highlights:
  • trauma before it<00:03:18.800> compounds.
  • <00:04:47.520> recovery wellness retreat, or a trauma recovery wellness retreat, or a trauma
  • Our job is high trauma.
  • Our job is high trauma. challenges. Our job is high trauma.
  • These are all traumas that we all share together. These are all traumas that we all share together.
Keywords: 1183, house
MN

Minnesota 2025-2026 Regular Session

Taxes Committee Meeting - 2026-05-05

Taxes

Transcript Highlights:
  • I went on to serve many years as a trauma and critical care surgeon at HCMC.
  • and critical care surgeon at trauma and critical care surgeon at HCMC.
  • They are driven by trauma systems, trauma readiness, teaching requirements, and patient acuity.
  • one trauma adult and children.<00:52:42.800> Secondly, children.
  • <01:04:08.040> surgery,<01:04:08.480> neurosurgery, trauma surgery, neurosurgery, trauma
MN

Minnesota 2025-2026 Regular Session

House Human Services Finance and Policy Committee 3/27/25

Human Services Finance and Policy

Transcript Highlights:
  • Wasteful hearings cost state money and trauma and hardship to the people using the system.
  • cost<01:01:33.400> State<01:01:33.640> money<01:01:34.280> and<01:01:34.480> Trauma
  • <01:01:34.880> and<01:01:35.079> hardship cost State money and Trauma and hardship
  • cost State money and Trauma and hardship to<01:01:35.680> the<01:01:35.799> people<01:01
  • African community members through educating, relating to dementia, offering memory screens, and supporting
KY

Kentucky 2026 Regular Session

House Standing Committee on Postsecondary Education (3-24-26)

Postsecondary Education

Transcript Highlights:
  • Uh, for assistance in 24-hour coverage in trauma.
  • And one of the things that we are being asked to do is to set up the trauma network this year.
  • And one of the things that we trauma.
  • <00:05:55.240> So,<00:05:55.880> this trauma network this year.
  • So, this trauma network this year.
Keywords: 958, all
NM
Transcript Highlights:
  • Severe trauma and starvation and abandonment and attachment disorders and the list goes on.
  • aware, uh, teaching children of trauma is different.
  • But for now, we're infusing trauma training into the classes uh that we teach on our campus.
  • And for some, uh, what we consider trauma is not what others consider trauma, and that's one of the things
  • about trauma.
MI

Michigan 2025-2026 Regular Session

Civil Rights, Judiciary, and Public Safety 26-06-18

Civil Rights, Judiciary, and Public Safety

Transcript Highlights:
  • So I've seen the impact of the trauma. I've seen the impact... ...delicate journey together.
  • So I've seen the impact of the trauma, I've seen the impact of the investment, and I've seen the growth
  • our trauma centers are going to be re-injured within two to five years.
  • It keeps young people alive, and it helps neighborhoods avoid repeated trauma.
  • We didn't have, specifically for myself, I didn't have the capacity to take the trauma in places.
Summary: The Senate Committee on Civil Rights, Judiciary, and Public Safety met with a quorum and adopted the June 4, 2026 minutes. The committee first took up Senate Bill 712, adopting the S-2 substitute, which expands residency requirements to include adjoining districts and removes a provision allowing a district to appoint someone employed by the district. The committee then reported SB 712 to the floor. It also considered House Bills 4025 and 4026, described as safe storage tax exemption bills; the committee heard one supportive written card and reported both bills to the floor, each on a 5-1 vote. The committee next heard testimony on Senate Bill 885, which would create a statewide Parent and Child Legal Representation Commission and Office within LARA to address child protective legal representation. Senator Singh and Alicia Moon of the Michigan Supreme Court described the current county-by-county system as uneven, with attorney shortages, inconsistent pay, and limited specialized training. They said the bill would set standards for training, caseloads, client contact, and compensation, while requiring public comment and future appropriations before implementation. Testimony and written cards from a broad range of organizations and judges supported the measure, and the committee reported SB 885 to the floor on a 6-0 vote. The committee then heard extensive testimony on Senate Bills 1015 and 1016, which would create an Office of Community Violence Intervention and Prevention within MDHHS and establish a grant program to support community violence intervention efforts statewide. Sponsors and witnesses from Force Detroit, D-Live, Seize the Smoke, Advance Peace, public health, law enforcement, and advocacy groups described CVI as a public health and public safety strategy that reduces shootings, supports survivors, and saves public costs. Several witnesses cited local data showing reductions in shootings and homicides in Detroit and Lansing, while one witness from the Michigan Sheriff's Association opposed the bills as written. The committee voted to report both SB 1015 and SB 1016 to the floor, each on a 5-0 vote with one pass, and then adjourned after additional testimony and reading of support cards.
NH

New Hampshire 2025 Regular Session

House Judiciary (02/19/2025)

Transcript Highlights:
  • Prisons for trans women especially have historically been a place of violence and trauma outside the
  • historically been a place of violence historically been a place of violence and<02:30:31.200> Trauma
  • outside the public eye and and Trauma outside the public eye and Consciousness<02:30:34.080> putting
  • them we work with law them we screen them we work with law enforcement<04:12:51.720> to<04:12
  • to screen that and determine<04:14:35.760> whether<04:14:35.960> or<04:14:36.080> not
Keywords: 928, house, all
Summary: The House Judiciary Committee opened a hearing on House Bill 148, which Rep. Jim Kofalt said is the same language as last year’s HB 396, vetoed by the governor. He described the bill as allowing, but not requiring, separation by biological sex in three areas: bathrooms and locker rooms, houses of correction, and certain athletic competitions. Kofalt argued the bill would give local school boards and other policymakers discretion to set practical rules, citing concerns about safety, privacy, and a Milford incident involving a biological male in girls’ locker rooms. Committee members pressed him on the lack of a definition of “biological sex,” and he said he did not think one was necessary because males and females are commonly understood. He also said the bill was meant to address situations where outside groups threaten lawsuits and leave local boards with no latitude. Testimony then split sharply. Supporters, including Executive Counselor Karen Hill and several others, said HB 148 would roll back anti-discrimination protections, contradict New Hampshire’s “Live Free or Die” values, and harm transgender and non-binary people. Opponents described the bill as discriminatory and unnecessary, arguing that existing bathroom and sports policies already work and that the bill would invite harassment, invasive enforcement, and legal conflict. Several speakers, including trans residents and parents of trans children, said they had used public restrooms without incident and warned that enforcement would be impractical or abusive. One supporter argued the bill was needed to protect girls’ privacy and safety and cited school sports disputes and a concern about a sex offender at a game as examples of why sex-segregated rules should be restored. Committee members asked questions about how biological sex would be defined, whether the bill was responding to real incidents in New Hampshire, and how any restrictions would be enforced. Kofalt said he was aware of issues in several school districts and at the State House, but did not have detailed documentation for every case. No vote or final action was taken in the portion of the hearing provided; the chair instead moved through public testimony under a strict two-minute limit and noted that follow-up questions would be limited so the committee could hear multiple bills that day.
MN

Minnesota 2025-2026 Regular Session

House Taxes Committee 3/18/26

Taxes

Transcript Highlights:
  • trauma and specialty hubs. trauma and specialty hubs.
  • replacement, trauma care disappears. replacement, trauma care disappears.
  • <01:10:40.320> and being unable to care for trauma and being unable to care for trauma and
  • Everybody thinks trauma care is profitable. That’s the most profitable part of trauma care.
  • the most profitable part of trauma care. the most profitable part of trauma care.
Bills: HF4343
CA

California 2025-2026 Regular Session

Assembly Public Safety Committee Oct 15th, 2025

Transcript Highlights:
  • They don't create the wound, but they certainly deepen it, replacing one trauma with another, disguised
  • They don't create the wound, but they certainly deepen it, replacing one trauma for another, disguised
  • To truly help survivors, we must invest in what we actually need, long-term housing, trauma-informed
  • And finally, we must address the systems that perpetuate this trauma.
  • And prosecutions in a trauma-informed manner. Last is the human trafficking coordinator.
Summary: The Assembly Standing Committee on Public Safety held an informational hearing in Pomona on sex work-related crimes and efforts to combat human trafficking. The chair and Assembly Member Michelle Rodriguez framed the issue as a major public safety and victim-protection concern, referencing the repeal of the loitering law in SB 357 and the recent enactment of AB 379, which targets buyers of sex rather than sex workers. The hearing was organized into three panels: data and research, policing and anti-trafficking efforts, and courtroom/prosecution impacts. In the first panel, the California Department of Justice presented arrest and conviction data for the repealed loitering statute, noting overall declines from 2019 to 2022 but also explaining that the data did not distinguish clearly between people selling sex, people loitering to sell, and people purchasing sex. USC law professor Hannah Gary summarized a 2021 report finding that law enforcement stings and raids often lack transparency, disproportionately harm Black women, minors, LGBTQ+ people, and undocumented migrants, and rarely achieve the stated goals of protecting victims, prosecuting traffickers, or preventing trafficking. The ACLU of Southern California argued that criminalization of sex work is discriminatory and historically used to police women and people of color, and that laws aimed at buyers still harm sex workers and can increase immigration consequences. Committee members asked about data collection, racial disparities, and whether the new law could worsen profiling; the panelists urged public health approaches, better data, and more survivor services. The second panel featured the California DOJ human trafficking coordinator, Pomona Police Chief Mike Ellis, and survivor advocate Jess Torres of Rising Worldwide. DOJ described its regional trafficking teams, task forces, victim services, and prosecutions, emphasizing a victim-centered and trauma-informed approach. Chief Ellis said SB 357 limited police intervention and contributed to visible open-air prostitution near schools and other sensitive locations, citing complaints from residents and a reported drop in juvenile rescues in Pomona after the law changed; he supported AB 63-style enforcement with safeguards and service referrals. Torres, speaking as a survivor, argued that anti-trafficking policy must be survivor-led, that many youth in the sex trade are boys or LGBTQ youth, and that criminalization and street enforcement often worsen harm and displacement rather than solving the underlying problems. In the final panel, a Riverside County deputy district attorney said AB 63 could help law enforcement make earlier contact with potential victims and identify traffickers, while stressing the need for training, documentation, and oversight. A Los Angeles County public defender argued that prosecuting trafficked people reinforces traffickers’ control, creates lifelong barriers, and retraumatizes survivors, and pointed to diversion programs as a better model. The Coalition to Abolish Slavery and Trafficking began its testimony by describing its survivor services and crisis response work. The hearing ended without any vote or formal action, but with committee members and witnesses continuing to debate the balance between enforcement, data collection, and survivor-centered services.
MA

Massachusetts 2025-2026 Regular Session

Joint Committee on Education Jun 21st, 2026 at 01:00 pm

Joint Committee on Education

Transcript Highlights:
  • Currently, the average eight- to 12-year-old spends between four to six hours a day on screens.
  • important book on teen mental health crisis and cited that the recommended amount of recreational screen
  • Currently, the average eight to 12 year old spends between four to six hours a day on screens. author
  • of The Anxious Generation Six hours a day on screens.
  • We've seen the injuries, trauma, forfeited games, missed seasons, and girls left behind.
Keywords: 995, all
Summary: The Joint Committee on Education held a very full public hearing on the first Education Committee hearing of the session, with testimony taken on a large slate of bills, especially H. 650/S. 436 and related measures. The chairs explained the hearing rules, including two-minute testimony limits, live streaming, written testimony, and accommodations for interpreters and disabilities. The committee first heard extensive testimony on H. 460/S. 436 and later H. 650/S. 436, bills to affirm and maintain equal access to public education for all children, including immigrant students, English learners, and students with disabilities. Witnesses included parents, advocates, educators, attorneys, and state officials, many of whom described fears caused by federal policy changes and argued that Massachusetts should codify protections for school enrollment, special education, interpreter services, and due process in discipline cases. The Attorney General’s office, Mass Advocates for Children, Lawyers for Civil Rights, MIRA, the Children’s Law Center, the Disability Law/advocacy community, and others all urged favorable action, while committee members asked questions about Plyler v. Doe, manifestation determinations, interpreter qualifications, and how the bill would mirror or preserve existing federal protections at the state level. The committee also heard testimony on H. 702/S. 460, establishing an elementary and secondary school robotics grant program, which was supported as a way to expand STEM opportunities and help schools fund robotics programs. Representative Sweeney also testified on H. 713, a bill to support student participation in 4-H programming by allowing excused absences similar to those for athletics and other sanctioned activities; members noted bipartisan support and the bill’s long history. The hearing then moved to H. 543/S. 417, a recess bill requiring at least 30 minutes of free-play recess for K-8 students. Supporters included the Massachusetts Teachers Association, the League of Women Voters, educators, and parents, who emphasized recess as important for physical health, social-emotional development, attention, and academic performance, and noted that unequal local policies create disparities across districts. Several witnesses also tied recess to broader concerns about student well-being and screen time. No votes were taken during the hearing; the committee simply received testimony and closed testimony on the bills as it moved through the agenda.
NM

New Mexico 2025 Regular Session

Senate - Finance Mar 20th, 2025

Senate Finance

Transcript Highlights:
  • decreasing violence, gun violence, alcohol and substance abuse, gang activity, criminal mentality, trauma
  • In fact, if they were being abused at home, they got more trauma. We did nothing.
  • I don't think that six months probation is enough for a child who not only has gone through the trauma
  • the trauma of murder on another person, right?
  • I don't know how anyone overcomes whatever trauma got them to the point to murder and... then the trauma
HI

Hawaii 2025 Regular Session

GVO Public Hearing 03-25-2025

Government Operations

Transcript Highlights:
  • <00:15:27.199> It becoming a trauma-informed state. It becoming a trauma-informed state.
  • I serve as a member of the Hawaii Trauma-Informed Care Task Force.
  • This resolution will move Hawaii closer to its goal of becoming a trauma-informed state.
  • This resolution will move Hawaii closer to its goal of becoming a trauma-informed state.
  • <00:21:15.280> care really big part of trauma-informed care really big part of trauma-informed
Keywords: 912, senate, all
Summary: The Government Operations Committee heard Governor’s Message 663, reappointing Corey Schaefer to the 911 Board for a term ending June 30, 2026. Schaefer described his telecommunications background and five years of service on the board, including recent election as chair. There was no opposition, and the committee recommended advise and consent; the recommendation was adopted with one member excused. The committee then took up a resolution asking the Comptroller and DAGS to work with the Hawaii State Public Library System to identify rural and underserved communities needing better telecommunications access for participation in the legislative process. Testimony from library and disability advocates supported the goal, but members raised concerns that the measure was too broad and unclear about the actual problem, whether libraries already had sufficient broadband and equipment, and whether the focus should be on public access and education rather than DAGS. The committee deferred the measure to Thursday for a revised draft. Members also heard a resolution urging all state departments to partner with the Office of Wellness and Resilience on data-sharing agreements. The office and several advocacy groups supported the measure as part of trauma-informed state efforts, but members expressed strong privacy and HIPAA concerns and questioned what data would be shared, for what purpose, and how it would be protected. The committee deferred that measure as well so the office could work with the chair on narrower language. Finally, the committee considered a resolution urging boards and commissions to conduct annual performance reviews of executive directors or equivalent exempt positions. With only one individual testifying in support, the committee recommended a Senate draft to clarify that the measure applies to civil service exempt positions, and the recommendation was adopted.
NH

New Hampshire 2026 Regular Session

House Education Policy and Administration (04/13/2026)

Education Policy and Administration

Transcript Highlights:
  • the hearing on proposed non-germane amendment 2026-1351H to SB 429, relative to the placement of trauma
  • Therefore, this amendment would require the placement of trauma kits in public schools and makes an appropriation
  • the hearing on proposed non-germane amendment 2026-1351H to SB 429, relative to the placement of trauma
  • What are they looking for or looking to screen? It feels like a slippery slope to discrimination.
  • What are they looking for or looking to screen?
Keywords: 1189, house, all
MN

Minnesota 2025 1st Special Session

Committee on Human Services - 04/02/25

Health and Human Services

Transcript Highlights:
  • Our model is data-informed and trauma-informed.
  • 00:41:29.079> data<00:41:29.520> informed<00:41:30.160> and<00:41:30.400> Trauma
  • model is data informed and Trauma model is data informed and Trauma informed<00:41:32.079> we
  • These sections also modify the 10-day timeline to provide certain mental health diagnostic screenings
  • > to provide certain mental health to provide certain mental health diagnostic<00:55:44.480> screenings
Keywords: 1187, senate, all
CA
Transcript Highlights:
  • And environmental trauma, all of which we feel require sustained and targeted support to ensure that
  • In terms of mental health, the trauma experienced by the community, families, and children is huge.
  • services not only to the children and families, but also to the child care providers impacted by trauma
  • The state should expand training tools on civil protections, immigrants' rights, and trauma-informed
  • At 44, I have traumas that I suffered as a child.
Summary: The hearing focused first on how wildfires and other disasters affect child care providers, families, and early education infrastructure. State officials from the Department of Social Services and Department of Education described disaster response and preparedness efforts, including shelter coordination, licensing outreach, emergency waivers, distribution of supplies, and the statewide child care disaster plan. Testimony from providers and advocates emphasized major gaps in recovery funding, insurance coverage, rebuilding support, mental health services, and coordination with local rebuild plans. Several witnesses urged more dedicated disaster-recovery funding for child care facilities and suggested statutory changes, including allowing greater flexibility for rebuilding costs and requiring early childhood programs to be included in local disaster planning. The second panel addressed immigration enforcement and its impact on child care. Advocates from the Children's Partnership, Every Child California, and CHIRLA said enforcement activity is causing families to keep children home, disrupting continuity of care, reducing enrollment, and creating fear and trauma for children and providers. They argued that immigrant and mixed-status families need clearer protections, privacy safeguards, legal support, trauma-informed guidance, and safe-haven policies for child care settings. Speakers also stressed that the child care workforce is heavily immigrant and that recent state laws such as AB 49 and AB 495 will require funding, training, and technical assistance to implement effectively. Public commenters, including child care providers, described personal experiences with fire damage, displacement, permit delays, lost income, and the emotional toll of serving families during crises. Others described how immigration enforcement has made parents afraid to attend events, drop off children, or remain connected to providers. Committee members repeatedly noted that child care is often overlooked in emergencies and asked state officials how child care systems are being integrated into disaster planning and how local and state agencies can better coordinate. No formal votes were taken during the hearing.
MN

Minnesota 2025-2026 Regular Session

House Health Finance and Policy Committee 3/2/26

Health Finance and Policy

Transcript Highlights:
  • The trauma ripples outward, embedding itself in the families and communities.
  • The trauma ripples outward, bullet.
  • No one should have to endure the trauma of a life cut short by violence.
  • The trauma doesn't end when the hospital door closes.
  • The trauma doesn't end when the hospital door closes.
Bills: HF3668, HF2779, HF2771
Summary: The House Finance and Policy Committee met on March 2 with a quorum present and heard House File 3668, which would create a state Office of Gun Violence Prevention. The bill author argued the office would treat gun violence as a public health crisis, improve research and coordination, and help reduce deaths and trauma, especially among children. Several supporters testified, including representatives from the Minnesota Medical Association, Protect Minnesota, family medicine, public health, and obstetrics/gynecology, all emphasizing firearm injury and suicide as major public health problems and urging a coordinated, data-driven response. Multiple testifiers shared personal accounts of shootings and their effects on children and families, including the Annunciation shooting, and said the office could help align prevention efforts across health care, law enforcement, and community organizations. Opposition came from the Minnesota Gun Owners Caucus, which argued the bill would create a permanent taxpayer-funded bureaucracy that could be used to shape firearm policy and restrict a constitutional right. The group said Minnesota should focus instead on enforcing existing laws, prosecuting violent offenders, and providing direct victim services. During committee discussion, Vice Chair Nadeau offered an A2 amendment to move the proposed office from the Department of Health to the Department of Public Safety, citing data-sharing, accountability, and examples from other cities and states; after discussion with the bill author, he withdrew the amendment. Chair Becker then noted existing state and local spending on violence prevention and public safety programs and raised concerns about duplication of effort.
NM

New Mexico 2026 Regular Session

Senate - Health and Public Affairs Feb 1st, 2026 at 01:15 pm

Senate Health & Public Affairs

Transcript Highlights:
  • The law expected me to process trauma and come forward within a timeline that does not reflect how trauma
  • They can't even fully remember it properly. until they've dealt with the trauma.
  • Trauma, unfortunately, does not operate on a legal timeline.
  • I'm very sorry for the trauma that you've gone through in your life.
  • A lot of us have gone through some of that trauma.
Bills: SB41, SB33, SB32, SB30
MA

Massachusetts 2025-2026 Regular Session

Joint Committee on Health Care Financing Jun 21st, 2026 at 11:00 am

Joint Committee on Health Care Financing

Transcript Highlights:
  • dying, and domestic violence program leadership who help protect patients who share their deepest traumas
  • last session addressing coverage for prescription drugs, maternal health, breast cancer diagnostic screenings
Keywords: 995, all
Summary: The Joint Committee on Health Care Financing held a public hearing on a broad set of health care bills focused on cost, market oversight, pharmaceutical access, transparency, hospital closures, and pharmacy access. Chairs John Lawn and Cindy Friedman opened by emphasizing recent health care reforms and the need for further action on the drug supply chain, PBMs, private equity, and affordability. The committee heard testimony on several measures, including a Betsy Lehman Center bill to make technical changes and create a permanent trust account for federal and private funding, and bills on hospital profits and fairness, hospital closures and health planning, pharmacy deserts, and health care market oversight and pharmaceutical access. No votes were taken during the hearing. On the hospital profits bill, physicians and labor advocates strongly supported capping hospital CEO compensation at 50 times the lowest-paid worker, requiring greater financial transparency, and directing penalties from high-margin public hospitals into a Medicaid reimbursement fund. Testifiers argued that executive pay is excessive while frontline staff and safety-net services are under strain. Committee members raised concerns about unintended consequences, including whether hospitals might shift workers to contract status or lose executive talent, and whether the bill would actually direct money to the safety net. Supporters responded that the measure is one piece of a larger effort and that the bill’s Medicaid reimbursement provisions would help underserved hospitals. Testimony on market oversight and pharmaceutical access centered on rising health care and drug costs, PBM practices, and the proposal to give the Health Policy Commission authority to set upper payment limits for certain drugs. Consumer advocates, disability advocates, an independent pharmacist, the Attorney General’s office, and others supported stronger oversight, citing premium increases, affordability problems, and the impact of high drug prices on patients and community pharmacies. Pharma and some industry witnesses opposed parts of the bill, warning that upper payment limits could disrupt access, create legal issues, and fail to address the broader supply chain. The committee also heard support for stronger hospital closure notice and public hearing requirements, and for a pharmacy deserts bill aimed at identifying and addressing closures like the one in Roxbury that affected thousands of patients.
CA
Transcript Highlights:
  • The following are effective January 2027 requires states to implement quarterly screening to review the
  • We're only 6% of hospitals but the public hospital system constitutes 50% of all burn and trauma center
Keywords: 988, house, all
WA

Washington 2025-2026 Regular Session

Senate Health & Long-Term Care Jul 22nd, 2025

Transcript Highlights:
  • And we do, I believe, have additional panelists joining us virtually as well, so we'll look to the screen
  • a new step, and just knowing that we needed access to our mentors, to grief circles for secondary trauma
Summary: The committee first received an update on the effects of HR1 and related federal Medicaid and marketplace changes from Governor’s Office and Health Care Authority staff. Presenters said the most immediate coverage losses are expected in the individual market beginning in January, with premium increases and an estimated 80,000 people potentially unable to afford coverage. They warned that larger Medicaid impacts will follow over the next year and beyond, including tighter eligibility checks, work requirements, reduced retroactive coverage, limits on state-directed payments and provider taxes, new cost-sharing, and changes affecting certain non-citizen adults. They also said the state plans to seek a waiver or extension for work requirements and will continue to analyze impacts, including on rural providers and Planned Parenthood-related services. Members asked about the effect on nursing homes, rural hospitals, and how the state can help providers and enrollees navigate the new requirements; staff said timelines and a state-specific implementation chart are being developed. The committee then heard a report on the International Medical Graduate Work Group and Washington’s efforts to create pathways for internationally trained physicians. Testimony described the clinical experience license, the clinical evaluation assessment tool, grant funding for IMG support organizations, and a new hardship waiver process enacted this year. National presenters said many states have adopted similar pathways because of physician shortages, but Washington and Tennessee are among the few states that have actually issued licenses so far. They recommended clear guardrails, an employment offer before application, ECFMG certification, supervised practice, and data collection to avoid exploitation and protect patients. Members asked about state-to-state variation, retention of IMGs, and whether Washington should pursue dedicated residency or preceptorship options; presenters said the key next step is moving successful participants from supervised experience to a durable long-term license. The final topic was implementation of Washington’s Apple Health doula benefit and the statewide doula hub and referral system. Senator T’wina Nobles highlighted the state’s $3,500 per-birth Medicaid reimbursement rate for doulas and the importance of the hub for referrals, training, and billing. Health Care Authority staff said the benefit launched January 1, 2025, and covers prenatal intake, labor and delivery, postpartum visits, and telehealth-supported services. They reported 336 state-certified doulas, 134 enrolled in Apple Health, 287 unique clients served, and 641 claims paid so far. Testimony emphasized doulas’ role in improving birth outcomes, reducing unnecessary interventions, and addressing racial disparities in maternal health, while noting that implementation is still early and ongoing.