Video & Transcript Research : 'clinical interviewing'
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WA
Washington 2025-2026 Regular Session
House Civil Rights & Judiciary Dec 5th, 2025
Transcript Highlights:
- Eleven of our 13 clinics are dedicated and focused on public service and Washington state policy, and
- 84% of the clinical participants are engaged in one of those 11 clinics.
- When we look at hiring, our on-campus interview program includes multiple Washington state government
- Coupled with interview events, we also conduct a number of informational sessions and panels comprised
- I volunteered at KCBA family law clinics for over 10 years. Upward of 75% of my cases...
Summary:
The work session began with a discussion of expanding opportunities in the legal profession, especially in response to shortages of lawyers in rural Washington and in public service roles. Washington State Bar Executive Director Tara Nevitt described a slowly growing but aging attorney population, noted that younger attorneys have declined, and outlined efforts such as supervised practice pathways to bar admission, reduced admission-by-motion experience requirements, expanded law clerk capacity, rural job fairs and grants, and a pilot program allowing innovative legal service delivery models. Members asked about bar passage score changes, loan repayment assistance, and the former Limited License Legal Technician program; Nevitt said the bar is monitoring other states and remains in dialogue with the court about paraprofessional licensing. Law school representatives from UW, Seattle University, and Gonzaga emphasized public service pipelines, financial barriers, and rural legal deserts, citing LRAPs, scholarships, stipends, clinics, and hybrid or regional programs designed to recruit and retain students in Washington. Seattle U highlighted its FlexJD and hybrid hub partnerships in underserved areas, while Gonzaga and UW reported substantial shares of graduates entering public service, though most still cluster in urban regions. The committee also heard from the Washington Association of Prosecuting Attorneys and the Office of Public Defense, both of which described severe recruitment and retention problems in rural counties, with vacancies, low applicant pools, and the need for higher salaries, housing help, internships, and loan support. The Office of Public Defense said its internship and fellowship program, created by SB 5780, has already placed interns in rural counties and produced some commitments to return after graduation. The Washington State Bar’s law clerk program was also presented as a pathway that helps people train locally and remain in their communities, including by supporting succession for aging solo practitioners.
The committee then shifted to family law and guardianship issues. On Title 26 guardian ad litem practice, presenters from Northwest Justice Project and private family law practice said GALs can play an important role but that training, oversight, and consistency remain major concerns, especially in domestic violence cases. They described problems such as inadequate training, bias, inconsistent recommendations, high fees, and lack of accountability, and suggested stronger, standardized training, more use of mental health professionals for custody evaluations, and better oversight mechanisms. Members asked about county practices, including rotation systems for GAL appointments and whether King County’s family court assessors provide a useful model. The discussion then moved to minor guardianships under the Uniform Guardianship Act. A Superior Court judge said the 2021 changes increased the need for court visitors and appointed counsel, but courts are struggling to find qualified attorneys and visitors, especially in rural areas. A former commissioner said most of the bill under discussion was technical cleanup to align prior amendments, though it would add some fiscal burdens. Administrative Office of the Courts staff reported that the statewide reimbursement program for UGA implementation has repeatedly run out of money earlier each year, with minor guardianship costs making up most of the expense. The Office of Public Guardianship then described rapid growth in demand for adult guardianship and less restrictive alternatives, noting that referrals and caseloads have risen sharply, but that the office is constrained by a shortage of certified professional guardians and low compensation levels. Finally, the committee began an update on Blake implementation from the Office of Civil Legal Aid, which funds civil legal services related to the decision, before the transcript cut off.
AR
Arkansas 2026 Regular Session
ALC-HOSPITAL, MEDICAID, & DEVELOPMENTAL DISABILITIES STUDY SUBCOMMITTEE Feb 19th, 2026
ALC-HOSPITAL, MEDICAID, & DEVELOPMENTAL DISABILITIES STUDY SUBCOMMITTEE
Transcript Highlights:
- And we do that in the eligibility interview.
- So the eligibility interview is a requirement.
- We have to do that interview every time we take an application or a recertification.
- Well, they have to have an interview. It can be by phone. Okay. But they have to have an interview.
- How long of an interview and how long does that interview take?
Summary:
The subcommittee first recognized the Arkansas Community Colleges Leadership Institute and received a brief DHS update on the Living Choices Assisted Living Waiver reimbursement process, including that the new cost-reporting period began in January and provider/contractor calls are underway. The main presentation then focused on SNAP and TANF, with DHS describing federal changes under the One Big Beautiful Bill that tighten SNAP work requirements for adults ages 18 to 64 without certain exemptions, remove some prior exemptions, and add new federal definitions for Native American populations. DHS also reviewed SNAP Employment and Training providers, their service areas, projected budgets, participant characteristics, and outcomes, noting that the program is currently voluntary but will shift toward mandatory participation for those subject to the new rules.
Members asked detailed questions about how mandatory participation will be implemented, how referrals will be made, what other training options exist, how verification of work, volunteering, disability, and exemptions will be handled, and whether DHS has enough funding and provider capacity. DHS said it will conduct verbal and written notices during eligibility interviews, make direct referrals to providers, use six-month recertifications and documentation from employers or volunteer organizations, and apply sanctions for noncompliance after determining whether a good cause exists. Members also requested additional data, including age breakdowns of at-risk SNAP recipients, provider-level outcomes and costs, and information on other training programs such as WIOA.
The committee then moved to Medicaid community engagement requirements for ARHOME, which DHS said are also required by the same federal law and must be implemented by January 1, 2027. DHS said it is preparing policy, system changes, communications, and a customer-service/outbound verification vendor, and plans a soft launch beginning in July to help clients understand what would be required if the rule were already in effect. Members raised concerns about timing, local versus central decision-making, and how clients in rural areas will be notified and assisted. The meeting concluded with broader discussion of the committee’s workforce-development goals, the recently released Alliance for Opportunity audit, and interest in continuing the contract with that group to help guide future reforms.
NH
New Hampshire 2025 Regular Session
House Finance Division III (01/30/2025)
Transcript Highlights:
- They interviewed a cast of thousands in New Hampshire.
- They interviewed providers, they interviewed families, they interviewed bureaucrats like me, to say what's
- <00:48:50.520>
providers <00:48:51.079>they <00:48:51.200>interviewed interviewed - providers they interviewed interviewed providers they interviewed families<00:48:52.160>
they - <00:48:52.280>
interviewed <00:48:53.000>bureaucrats families they interviewed bureaucrats
Summary:
House Finance Division III held an informational hearing with the Department of Health and Human Services focused on child and family services, children’s behavioral health, DCF, juvenile justice, and adult mental health. Before the presentation, members discussed scheduling a future site visit to Waypoint, including possible dates, mileage reimbursement logistics, and whether to reschedule the department’s developmental disabilities and healthy aging presentation because the associate commissioner was out sick. The department then outlined that it would concentrate on children’s behavioral health, DCF residential care and the Sununu Youth Services Center/YDC new build, and adult mental health, while noting the broader DHHS structure and the value of keeping related services under one leadership.
The department emphasized an integrated “system of care” approach and said it was trying to shift resources toward earlier, lower-intensity interventions rather than relying mainly on high-cost residential and acute services. It cited youth risk data showing roughly four in ten New Hampshire high school students feeling sad or hopeless and about one in five considering suicide in the past year, and said these trends worsened during the pandemic, peaking in 2021 and easing somewhat by 2023. Members asked how New Hampshire compared with neighboring states and about pre-COVID trends; the department said it would follow up with more exact data. The presentation also described a long-term policy effort beginning with federal funding in 2012, the state’s 10-year mental health plan, and later legislation aimed at strengthening children’s behavioral health and transforming juvenile justice so that youth with behavioral health needs are not routed into punitive systems first.
Members raised questions about out-of-state residential placement oversight and the statutory basis for inspections and follow-up. The department said the General Court had funded more “boots on the ground” oversight, in coordination with the Office of the Child Advocate, and agreed to provide a longer follow-up presentation on that topic after the governor’s budget is released. The department also described evidence-based prevention efforts, including home visiting programs such as Healthy Families America and a DCF-connected home visiting cohort for families already touching the child welfare system, as examples of trying to keep children out of deeper system involvement.
HI
Transcript Highlights:
- > with position hold interviews come up with position hold interviews come up with three<01:46:20.199
- Students are committing to this career in clinical psychology.
- committing to this career in Clinical committing to this career in Clinical Psychology<02:54:21.080
- <02:59:43.960>
psychologist another licensed clinical psychologist another licensed clinical - <02:59:49.840>
psychologist cannot have one clinical psychologist cannot have one clinical
Summary:
The Committee on Public Safety met on January 31, 2025, and first heard House Bill 1062, a housekeeping measure relating to the Hawaii Air National Guard. Testimony in support came from representatives of the Adjutant General and other National Guard witnesses. A member raised a technical question about language allowing the Guard to hold the rank authorized by the Department of the Air Force, and the response was that the bill should not require additional HR language; no vote was taken.
The committee then heard House Bill 674, which would authorize allowances for TRICARE dental and vision coverage for Hawaii National Guard personnel ordered to active duty for more than 30 days. The Department of Defense supported the bill through Brigadier General Ross, Director of Joint Staff, and Terry Heiti also testified in support. There were no questions or action taken on the measure.
House Bill 652, relating to veterans’ rights and benefits and regulating compensation for advice or assistance on veterans’ benefits, drew the most discussion. The Veterans of Foreign Wars Department of Hawaii supported the bill, arguing it would protect veterans from illegal or exploitative practices and noting its own service to more than 2,000 veterans in fiscal year 2024. Opposition came from the National Association for Veterans Rights and Veteran Benefits Guide, which argued the bill would restrict access to needed services and that some for-profit providers operate legally and should not be barred. Committee members questioned the scope of the bill, accreditation requirements, and whether nonprofit or pro bono services would be affected. A Department of Defense veteran services official said veterans can be vulnerable to exploitation and that some legal fee arrangements can be abusive, while also noting pro bono options exist. The committee did not reach a decision on the bill during the excerpt.
The committee also began hearing House Bill 1058, which would create a veteran cemetery board within the Office of Veteran Services to help state veteran cemeteries comply with federal standards. The Office of Veteran Services and Terry Heiti testified in support. Members asked about the board’s membership, timeline, and consultant selection, and were told the working group was still in an organizational stage and no construction timeline had been set. The final measure discussed was House Bill 503, which would appropriate funds for a consultant to evaluate locations and designs for a Hawaii First Responders Memorial. The Department of Accounting and General Services supported the bill, and testimony in support was received from county and city officials, UPW Hawaii, and individuals. Members asked about the working group, timeline, and budget, and were told the project was still in early planning; no final action was taken in the portion provided.
MA
Massachusetts 2025-2026 Regular Session
Public Health Effects of Xylazine Jun 21st, 2026 at 10:00 am
Transcript Highlights:
- We did 40 interviews with people there.
- Two staff actually joined us for those interviews.
- At the Rhode Island Department of Corrections, we did interviews with 30 people who had been distributing
- And in my clinical world, patient-provider confidentiality prohibits me from then, like, calling BPD
- dog, cat, maybe rabbits or parakeets that people have as house pets and they bring to their local clinic
Summary:
The Special Commission on Xylazine convened its second meeting, approved the minutes from its June 23 meeting, and reviewed its timeline and working groups. The co-chairs said the commission’s final report is due to the House and Senate clerks by March 30, 2026, and outlined three working groups focused on regulation/oversight of xylazine, treatment and outreach for exposed patients, and education/training for first responders, clinicians, treatment providers, and people who use substances. Staff will schedule working group meetings, with group presentations planned for December 11, followed by commission meetings in February and March to review and finalize the draft report.
Public comment centered on research and practical responses to xylazine contamination in the drug supply. Dr. Tracy Green of Brandeis reviewed recent studies showing severe xylazine-related wounds and amputations in Philadelphia, withdrawal symptoms, the value of wound identification tools, and the usefulness of drug checking in detecting xylazine even when users did not suspect it was present. She urged expanded low-barrier wound care, more access to medications for opioid use disorder, overdose prevention sites, housing, and trauma-informed care, while cautioning that stricter controls could push the market toward other dangerous alpha-2 substances. Commissioners asked about early wound identification, dilution/cutting strategies, supplier engagement, and how to reduce stigma and improve treatment access.
Tia Johnson of Boston Medical Center and Boston Health Care for the Homeless testified that xylazine contamination still requires naloxone for overdose response, but sedation can last longer and may require low-dose naloxone, oxygen support, and low-threshold monitoring spaces. She emphasized that xylazine-associated wounds can heal with consistent care, but patients often lose access to services when sent to hospitals unnecessarily. Commissioners discussed reimbursement barriers, especially in MassHealth and behavioral health settings, and the need for wound care to be available within detox and treatment programs rather than requiring transfers. The meeting ended with agreement to continue working group planning and adjournment.
FL
Florida 2025 Regular Session
February 19, 2025 - 09:30 AM
Transcript Highlights:
- Are the students not getting enough clinicals?
- There still is a problem getting clinical sites.
- They go into the clinical setting and take care of patients. clinical practice, how do they, they go
- So that's where simulation, lab, and on-site clinical really helps.
- We didn't talk about clinical placements. Clinical placements is a struggle.
Summary:
The subcommittee met to examine Florida’s nursing education pipeline and the state’s persistently low NCLEX passage rates. Chair Tuck opened by noting the projected nurse shortage and Florida’s ranking near the bottom nationally for first-time NCLEX pass rates. The Department of Health explained the Board of Nursing’s approval process for nursing programs, including application requirements, probation standards, and termination for programs that repeatedly fail passage-rate benchmarks. The Florida Center for Nursing then presented statewide data showing Florida has more test takers than most states, but still trails the national average; the gap has narrowed in recent years, though Florida remains below average. Members focused heavily on why the state continues to underperform, with discussion of faculty shortages, clinical placement constraints, accreditation, student preparedness, and the large share of newer private for-profit programs among those placed on probation.
Committee members asked about how probation works, what happens when programs improve, and whether the board requires corrective plans. They also questioned the relationship between program type and outcomes, the effect of Operation Nightingale, and how many students fail and retest. The Florida Center for Nursing said first-attempt pass rates are the standard measure and that students who fail are expected to remediate and retest, though costs vary. The center also said Florida’s data shows accredited programs outperform approved or probationary ones, and that the state’s nursing workforce challenges are tied to broader issues such as faculty vacancies, clinical site competition, and student demographics, including many students balancing work, family, and language barriers.
A panel of nursing school leaders from public, private nonprofit, and private for-profit institutions then described strategies used to improve outcomes. These included transparent recruitment, early orientation, tutoring, success coaching, stronger faculty development, curriculum mapping to NCLEX standards, higher course benchmarks, mandatory remediation, simulation labs, and commercial NCLEX prep tools such as ATI, Kaplan, and HESI. Several panelists said their programs had improved after probation or had very high passage rates, and they emphasized that student success depends on academic preparation, clinical experience, and support services. Members also asked about tuition, program length, translation into other languages, and faculty recruitment; panelists said costs vary widely, faculty hiring is difficult because hospitals pay more, and some schools are considering medical Spanish and immersion options rather than full curriculum translation.
HI
Transcript Highlights:
- director of the legal clinic. director of the legal clinic.
- Our clinic, the Refugee and Immigration Law Clinic, is one of the clinical programs at the William S.
- :39:31.920>
of <00:39:32.640>the <00:39:32.880>clinical Law Clinic, is one of the - clinical Law Clinic, is one of the clinical programs<00:39:33.680>
at <00:39:33.839>the - Uh it's have an interview with you.
Summary:
The Judiciary Committee held an informational briefing on the impact and legality of federal immigration enforcement efforts in Hawaii, with Chair Carl Rhodes framing it as the sixth and final interim briefing in a series on the rule of law and local effects of federal actions. He said the discussion would focus on due process concerns, questioning and detention of citizens and lawful immigrants, free speech issues, and pressure on state and local law enforcement, and noted the issues may be revisited in the 2026 regular session. There was no public testimony or committee vote; only invited speakers presented.
Dr. Amy Agayani opened by arguing that immigrants are integral to Hawaii’s history, economy, and communities, and contrasted that with what she described as harmful narratives portraying immigrants as criminals. She cited figures that one in five Hawaii residents is foreign-born, that immigrants make up about 20% of the labor force and over 27% of entrepreneurs, and that roughly 40,000 people in Hawaii are undocumented, many of whom may have pathways to legal status but face language, information, and court barriers. She also said federal enforcement has expanded beyond undocumented immigrants to include citizens and lawful residents, and warned that attacks on birthright citizenship and visa categories could affect many families.
Matina Mock of the legal clinic emphasized the complexity of immigration law and the severe lack of legal representation, noting a nationwide backlog of 11.3 million immigration-related applications and 3.4 million court cases, plus about 1,400 pending immigration cases in Honolulu with only two immigration judges. She said Hawaii has only six or seven nonprofit immigration legal service providers, and that represented clients are far more likely to obtain relief. Mock described a recent case involving a lawful student visa holder who was transferred among multiple federal facilities before being brought to Honolulu without clear notice, which she said illustrated due process violations. She also said ICE activity in Hawaii has sharply increased, with about 150 arrests from January to July 2025, a 380% increase over the same period in 2024, and that many detainees have no criminal record.
Stephanie Haro Sevilla and another clinic fellow described 2025 enforcement as a major shift driven by a January executive order, the end of prior limits on arrests in sensitive locations, and arrest quotas they said require 3,000 arrests per day nationwide. They said this has led to arrests without warrants or probable cause, broader targeting of people with minor offenses or no criminal history, and the use of resources from other federal agencies and local law enforcement for civilian immigration enforcement. They also said the federal detention center in Honolulu is holding roughly 40 to 80 civilian detainees on any given day, often in conditions they characterized as prison-like, and warned that the current escalation could eventually affect lawful permanent residents and naturalized citizens. The speakers urged the public to support immigrant-rights advocates and local protective policies and funding measures.
MN
Minnesota 2025-2026 Regular Session
House Ways and Means Committee narrowly approves omnibus health finance bill 4/29/26
Transcript Highlights:
- which is a Representative Pete Johnson provision, which is allocating grant funding for forensic interview
- to be trained in this specialized interview process to make sure that they're not retraumatizing children
- Provision, which is allocating grant funding for forensic interview training scholarships.
- So, if we have an Align clinic that's supplying all this data, would they then have to pay to get access
- or or policy questions um just clinical or or policy questions um just require<00:26:18.800>
uh
Summary:
The committee took up House File 4466, the Health Finance and Policy bill, and first adopted the A8 amendment, described as a set of technical fixes. Members then considered a large A9 amendment that bundled a wide range of Children and Families provisions, including child care licensing modernization, crisis nursery licensing, SNAP/MFIT-related language, child care provider self-reporting, a physical abuse recognition poster, child protection and welfare provisions, funding for parent support outreach, and forensic interview training scholarships. Supporters described it as bipartisan work with relatively small fiscal impact, while opponents said it greatly expanded the bill and should be handled separately; after a roll call, the A9 amendment failed 7-14.
Representative Scott then offered the A11 amendment, raising concerns about new all-payer claims database language and whether it should have been heard in the Judiciary and Civil Law Committee. Department of Health staff explained the data-sharing safeguards, de-identification process, fee structure, and enforcement provisions, but Scott remained concerned about privacy and the scope of the program and withdrew the amendment. The committee then moved to final bill discussion.
Members and authors described HF 4466 as a lean health finance bill largely conforming Minnesota law to federal HR1 Medicaid-related changes, including work requirements, retroactive eligibility limits, cost-sharing, and home equity provisions. Supporters argued conformity was necessary to avoid major federal funding losses and noted a few additional member bills in the package; opponents criticized the federal changes as harmful, especially for vulnerable populations such as victims of trafficking and domestic violence. Fiscal staff said the bill would save just over $2 million in FY 2026-27 and almost $98 million in FY 2028-29. No final vote on the bill itself was taken in the portion provided.
KY
Kentucky 2025 Regular Session
Interim Joint Committee on Judiciary (11-6-25)
Transcript Highlights:
- In fiscal year 2024, 720 volunteers conducted nearly 20,000 interviews involving over 11,000 children
- We do a clinical assessment on them if they choose so.
- We do a clinical assessment on them if they choose so.
- Uh we do a clinical assessment activity.
- What will happen is a lot of times people will post bond prior to us interviewing them.
Keywords:
Meeting Start: 00:00:00
Roll Call: 00:00:09
State of the Judiciary: 00:02:33
The Corrections - KCTCS Reentry Program: 00:49:44
Update on 2022 RS SB 90: 01:27:49, 958, all
Summary:
The Interim Joint Committee on the Judiciary met on November 6, 2025, approved the minutes, and welcomed guests including Kentucky Specialty Courts manager Elizabeth Nichols and Boyle/Mercer Family Court Judge Bruce Petri. The committee then heard the Chief Justice of Kentucky, Deborah Lambert, deliver her state of the judiciary address, focused largely on judicial branch funding, facilities, technology, and specialty court programs.
Chief Justice Lambert said the branch is facing a projected $14.3 million shortfall for fiscal year 2026 and asked lawmakers for supplemental support, access to reserve funds, and higher base appropriations to cover inflation and nondiscretionary costs. She also requested a 15% across-the-board pay increase for judicial branch employees, citing salary gaps with other state workers and declining judicial compensation relative to national averages. She emphasized that the branch has received a clean FY 2025 audit and said the requests were intended to sustain current operations rather than expand them.
A major portion of her remarks covered court technology and facilities. She described the move to Chamberlain during Capitol renovations, the purchase of that building as a cost-saving measure, and the need to fund courtroom audio/video systems and a new statewide case management system. She also discussed courthouse maintenance, flood damage, mold issues, security system upgrades, and the $47 million asset preservation fund created last session, while asking for additional local facilities funding and one-time disaster-related support. Lambert highlighted specialty court and statewide program results, including foster care review boards, family recovery courts, court designated worker programs, drug and mental health courts, and the Judicial Commission on Mental Health. She thanked legislators for prior bills and support, including House Bill 1, Senate Bill 26, and the CES law, and said 2026 recommendations will focus on civil commitment reforms under KRS 202C.
During questions, Senator Wheeler asked whether some courthouses are being overbuilt; Lambert said most facilities are inadequate, though some may be larger than needed, and that future needs and population changes must be considered. She also noted that virtual hearings and technology have improved efficiency. No votes or formal committee actions were taken beyond approving the minutes and receiving the presentation.
NH
New Hampshire 2026 Regular Session
Fiscal Committee (06/19/2026)
Transcript Highlights:
- Observation number five recommends using federally required interview data to more effectively measure
- Although I do see that the certified community behavioral health clinics do provide mental health care
- Uh, certified community behavioral health clinics are relatively new to New Hampshire.
- I would say it's a well-established program that relies on evidence-based practices as well as clinical
- clinical practices that are recognized by our federal partners.
Summary:
The Fiscal Committee opened by approving the May 15 minutes and then recognized Pam Ellis for her long service with the Legislative Budget Assistant’s office and upcoming retirement. The committee adopted the consent calendar with two items removed for separate consideration, then approved transfers for the Administrative Office of the Courts and the Department of Environmental Services after questions about court benefit costs and dam project funding. The Department of Health and Human Services also received approval for a general fund transfer item.
A major portion of the meeting focused on the Youth Development Center settlement fund. New administrator Jared Boyle, joined by the Attorney General, described the fund’s remaining caseload, the payment matrix, and the need for additional funding to begin hearings in August. Members raised concerns about administrative costs, attorneys’ fees, payday loans, structured settlements, and the long-term fiscal impact on the state. Boyle requested $55 million, but the committee ultimately approved a reduced appropriation of $20 million, with members noting the possibility of returning for more funding later depending on revenues and the October revenue review.
The Department of Corrections then received approval for a smaller shortfall transfer and a larger overtime-related transfer, with officials citing a 52% corrections officer vacancy rate, ongoing recruitment, academy classes, and efforts to use civilian staff in some non-security roles. A late item from the Veterans Home was also approved to cover overtime, holiday pay, and indirect cost shortfalls within its existing budget.
The committee then heard an informational presentation on implementation of Senate Bill 134 and the new federal Medicaid work-requirement rule. DHHS said it plans to submit a state plan amendment, seek approval for hardship exceptions, start with one eligibility check cycle, and use existing federal grant funding to make system changes. Finally, the committee received a performance audit of the Doorway opioid treatment program, which found weak written procedures, incomplete data use, reimbursement delays, and problems with the Governor’s Commission on Addiction Treatment and Prevention. Members discussed follow-up reporting, and the next Fiscal Committee meeting was scheduled for August 21 at 11:00 a.m.
HI
Transcript Highlights:
- Clinical psychologists, the requirement is that they be licensed.
- Clinical psychologists, we've sent them 61 names.
- Clinical psychologists, we've sent them 61 names.
- Clinical psychologists, we've sent them 61 names.
- Clinical psychologists, we've sent them 61 names.
KY
Kentucky 2026 Regular Session
Government Contract Review Committee (6-9-26)
Transcript Highlights:
- Is that um clinical, or is that assistant to clinical supervisory ratios?
- to uh clinical or is that assistant to clinical<00:31:00.159>
supervisory clinical supervisory - Is it all clinical support? um ratios? Is it all clinical support?
- 00:44:46.960>
and are primarily clinically focused and are primarily clinically focused and clinically - for the clinical support. for the clinical support.
Summary:
The committee first approved the May 12 minutes, then deferred item 285 on the routine personal service contract green list for Western Kentucky University to the July 2026 meeting. It also noted that several deferred university contracts had been withdrawn by the institutions, and then approved the remaining agenda items without objection, including personal service contracts, amendments, memoranda of agreement, Kentucky Entertainment incentive agreements, deferred items, and corrections, except for items pulled for further review.
The main pulled item was a Kentucky Administrative Office of the Courts contract supporting Fayette District Court’s juvenile treatment court through Fayette County Public Schools. Court officials explained that the program, created under Supreme Court rules in 2022, serves court-connected juveniles with mental health and related needs, operates at the courthouse, and uses a school-employed program manager funded through a pass-through arrangement with Fayette County Public Schools and the Urban County Government. They said the program has had over 100 referrals, accepted about half, and had at least 25 successful graduates, with 11 high school graduates among participants. Members asked about who pays for drug screens, family involvement, and what counts as successful completion; the officials said the Urban County Government’s Division of Youth Services pays for drug screens and services, and that parents must participate in classes and support services. The committee then approved the contract review, with some members explaining their votes in support and one member emphasizing the committee’s role in reviewing contracts in the public interest.
The committee also reviewed two Auditor of Public Accounts contracts. The auditor’s representative said contract 11, with Vantage Point Solutions, will examine the Kentucky Communications Network Authority/Kentucky Wired network for $700,000, well below the $1.5 million appropriated, and that a report is expected before the 2027 regular session. Contract 12 funds a special examination of investment managers used by Kentucky’s retirement systems, prompted by a Legislative Oversight and Investigations request to assess whether investments tied to ESG factors are consistent with fiduciary duties; the representative said the retirement systems have been cooperative and that findings are expected on a similar timeline, with some flexibility built into the deadline. After questions about the Texas litigation referenced in the explanation, the committee approved both auditor contracts without objection.
NM
New Mexico 2025 Regular Session
IC - Legislative Health and Human Services Nov 5th, 2025
Legislative Health & Human Services Committee
Transcript Highlights:
- So, one is the clinical portal.
- Perhaps a behavioral health clinic has signed up.
- , or a MAT clinic that's also following that same patient.
- mental health clinics to select from.
- So those large clinics share data with us.
CA
California 2025-2026 Regular Session
Joint Hearing Assembly Business and Professions and Senate Business, Professions and Economic Development Mar 24th, 2025
Transcript Highlights:
- social workers, licensed professional clinical counselors, and licensed educational psychologists.
- social workers, licensed professional clinical counselors, and licensed educational psychologists.
- exam, because mostly we recognize the other clinical exams that are out there.
- They're in leadership, they're at the clinical level, and they're in education.
- They might interview a manager at a massage establishment. They work their cases.
Summary:
The joint sunset oversight hearing reviewed five regulatory entities: the Board of Behavioral Sciences, the Board of Psychology, the Physician Assistant Board, the Podiatric Medical Board, and the California Massage Therapy Council. Across the hearing, each entity described recent accomplishments, licensing and enforcement workload, workforce shortages, and efforts to modernize processes. Common themes included streamlining licensure, expanding access to care, addressing telehealth or emerging technology, and balancing consumer protection with workforce needs.
For the Board of Behavioral Sciences, members discussed workforce shortages in mental health, supervision barriers, telehealth confidentiality, AI in therapy, interstate compacts, school-based services, and military spouse licensure. The board said it has expanded outreach, improved licensing processes, and created temporary practice authority tracking, while also expressing concern about counseling compacts and emphasizing California-specific law, ethics, and cultural competency. Public commenters supported the board’s work and the possible move to a national MFT exam, while also urging more resources.
The Board of Psychology highlighted fee adjustments, streamlined licensure pathways, enforcement process improvements, new CPD requirements, and proposed changes including a psychotherapist-client privilege exception for investigations. Committee members and public witnesses focused heavily on that privilege proposal, with some members opposing it as too broad and privacy-invasive, while the board argued it is needed to obtain records in bias and sexual misconduct cases. The board also discussed workforce shortages, processing improvements, and the use of inactive status for psychological associates.
The Physician Assistant Board reported growth in the PA workforce and education programs, SB 697 implementation, and financial pressure from rising enforcement costs. The main policy debate centered on physician-to-PA ratios and practice agreements, with board representatives and many public commenters arguing that current restrictions limit access to care, especially in rural areas, while the California Medical Association defended the need for explicit ratios and agreements. The board also discussed AI, fee increases, and tracking temporary practice authority. The Podiatric Medical Board described licensing and renewal reforms, residency expansion, enforcement support, and budget constraints, while public testimony raised concerns about a proposed fee increase and about reimbursement parity and practice recognition for podiatrists. Finally, the California Massage Therapy Council defended the certification model over licensure, citing lower costs, local government collaboration, anti-trafficking work, and its role in vetting applications and disciplining bad actors; no formal votes or final actions were taken during this portion of the hearing.
AR
Transcript Highlights:
- One member who is a clinical geneticist appointed by UAMS.
- One member who is a clinical geneticist appointed by UAMS, apparently UAMS doesn't really have that role
- I think going from the trifecta to the bifecta, as we talk in our shorthand in clinic, going from the
- trifecta to the bifecta, as we talk in our shorthand in clinic, has helped tremendously.
- Because there are, we see this frequently in clinic, a child has already been...
Summary:
The Arkansas Legislative Autism Task Force approved the April 1, 2026 meeting minutes and discussed several vacant membership slots, including positions tied to the Arkansas Psychology Board, Arkansas Blue Cross Blue Shield, UAMS, and parent or guardian appointments. Members said they would try to fill the vacancies and, if not, include the issue in the legislative report and consider statutory changes in the next General Assembly.
The task force then heard from the Developmental Disabilities Provider Association and Civitan Services about DDPA’s role in supporting 80 provider organizations serving more than 13,000 children and adults with intellectual and developmental disabilities across 75 counties. They described services such as early intervention day programs, adult day programs, supported employment, intermediate care facilities, work activities, and community/residential waiver services, and said autism falls within the populations they serve. They also shared survey information on services used by older adults with IDD and offered contact information for providers.
Members also heard a proposal to amend Act 656 of 2021 to add licensed psychological practitioners as qualified providers for autism waiver-related evaluations. The presenter argued this would reduce wait times, avoid duplicate assessments, and help families access services sooner, while noting that Arkansas Medicaid already pays for some of these evaluations. Task force members and Dr. Scott discussed the roles of psychologists, speech-language pathologists, and the possibility of using training or board oversight to ensure evaluators are properly qualified, with some noting that speech pathologists’ inclusion has historical and clinical roots. The task force also said it still needs a future discussion on fraud, plans to invite the Attorney General’s office, and wants to identify priorities for the 2027 session before adjourning.
NM
New Mexico 2025 Regular Session
IC - Legislative Health and Human Services Oct 6th, 2025
Legislative Health & Human Services Committee
Transcript Highlights:
- Clinical research is also integrated into... this clinical working group.
- Another outpatient clinic, which is essential to our community, is our Truman Health Clinic.
- The clinic we are looking at will be one of our education clinics.
- Clinical practice, clinical care, and we are actually intentionally designing this program so that it
- and also public health clinics.
AR
Transcript Highlights:
- One member who is a clinical geneticist appointed by UAMS.
- One member who is a clinical geneticist appointed by UAMS.
- One member who is a clinical geneticist appointed by UAMS.
- We’ve been able to revamp a lot of our clinic processes, because some kids really do need three people
- Because we see this frequently in clinic: a child has already been through an evaluation, and they bring
Summary:
The Arkansas Legislative Autism Task Force approved the April 1, 2026 meeting minutes and then reviewed several vacant membership slots on the task force, including appointments from the Arkansas Psychology Board, Arkansas Blue Cross Blue Shield, UAMS, and parent or guardian positions. Members discussed trying to fill those vacancies before the next meeting, and noted that if they remain open they may be addressed in the task force’s legislative report and through possible statutory changes in the next General Assembly.
Representatives from the Developmental Disabilities Provider Association (DDPA) and Civitan Services presented on DDPA’s role serving children and adults with intellectual and developmental disabilities across Arkansas. They said DDPA now represents 80 providers serving more than 13,000 individuals in 75 counties, with services including early intervention, adult day programs, supported employment, intermediate care facilities, work activities, and community/residential waiver services. They also shared survey data on older clients and said these services remain available to seniors with IDD, including people with autism.
The task force then heard a proposal to amend Act 656 of 2021 to include licensed psychological practitioners as qualified providers for autism waiver-related evaluations. The presenter argued this would reduce wait times, avoid duplicate assessments, and help families access services sooner, while still maintaining quality standards. Members asked about training, licensure, and whether other professionals such as speech-language pathologists or audiologists should be included; Dr. Scott noted that current practice already relies on a two-provider model and that speech-language pathologists play a role because autism diagnosis considers communication, cognitive ability, and language. The discussion also touched on the need for proper testing standards and board oversight. No vote was taken on the amendment, and the meeting ended with plans to return to fraud-related discussion and to begin prioritizing recommendations for the 2027 session before adjourning.
AR
Transcript Highlights:
- They received a total of 10 proposals, and they interviewed four contractors, and the ultimate choice
- They received a number, a total of 10 proposals, and they interviewed four contractors, and the ultimate
- At that point, the department does the interviews and actually makes the selection.
- Number 19, DHS, DDS, with Marsh George Clinic, PA.
- Number 19, DHS, DDS, with Marsh George Clinic, PA.
Summary:
The subcommittee reviewed multiple methods of finance and construction items, including projects for Arkansas State University, Black River Technical College, UAMS, the University of Arkansas at Pine Bluff, and UCA. The UAPB Allied Health and Sciences Building appeared both as a method of finance and as an alternative delivery construction project, with East Harding Construction selected and AMR Architects as designer. Members approved the methods of finance, the alternative delivery project, and several discretionary grants, including Department of Health grants for a heart attack center designation and community health worker training, and DHS grants related to homeless services, behavioral health transition support, and an enabling technology pilot.
The committee then reviewed service contracts, including RFQs, construction-related contracts, intergovernmental agreements, and a large number of out-of-state and in-state contracts. Testimony focused heavily on DHS staffing and state hospital contracts, the Arkansas State Police seatbelt survey, AEDC’s lithium supply chain analysis, and Shared Administrative Services’ new SuccessFactors performance-management contract. Members asked detailed questions about contract nursing costs, turnover, hiring timelines, and whether some contracts were being renewed or amended beyond their original projected costs. DHS and Veterans Affairs officials explained staffing shortages, retention incentives, and the use of contract labor as a supplement to state employees.
Several contracts drew scrutiny and were held for further review. Representative Wardlaw raised concerns about projected costs and repeated amendments on the Department of Education security contract and on DHS staffing contracts, arguing that some had exceeded their original projected totals. The committee voted to hold contracts 5, 7, and 8 until Friday, while adopting the remaining contracts. The meeting ended after informational reports on service contract amendments without material change, executed contracts, and emergency procurements were presented, with no further business before adjournment.
AR
Transcript Highlights:
- They received a total of 10 proposals, and they interviewed four contractors, and the ultimate choice
- This is for financial and clinical archives for the state hospital electronic health records system.
- At that point, the department does the interviews and actually makes the selection.
- Number 19, DHS DDS, with Marsh George Clinic, PA.
- Number 19, DHS DDS, with Marsh George Clinic, PA.
MN
Minnesota 2025-2026 Regular Session
House Public Safety Finance and Policy Committee 3/18/26
Public Safety Finance and Policy
Transcript Highlights:
- investigation of crimes, interviewing investigation of crimes, interviewing criminal<00:42:35.240
- So, I mean, criminal defense attorneys interviewing suspects, the media interviewing someone suspected
- Let me ask this: are you trying to prohibit all those kinds of interviews, both investigative interviews
- doing interviews, employers sometimes are interviewing employees who have been suspected of engaging
- defense attorneys doing interviews, defense attorneys doing interviews,<00:54:06.400>
employers
Keywords:
fireworks, public safety, regulation, tax revenue, local government, sale, safety standards, fire safety, ethanol, fuel equipment, compatibility standards, law enforcement, peace officer, unauthorized practice, criminal justice, civics education, jail medication, correctional facility, detention, incarcerated persons