Video & Transcript Research : 'collaborative care model'
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CA
California 2025-2026 Regular Session
Joint Hearing Budget Subcommittee No. 3 on Education Finance and Higher Education Dec 8th, 2025
Transcript Highlights:
- We are collaborating on marketing and working on degree pathways in health care and other high-need majors
- We're building a matrix leadership model designed to foster collaboration, transparency, and shared purpose
- Our academic alignment has progressed with care and intention.
- We're building a matrix leadership model designed to foster collaboration, transparency, and shared purpose
- I do want to thank the collaboration and the staff.
Summary:
The joint Assembly Higher Education and Budget Subcommittee hearing focused on the future of the California State University system, with opening remarks emphasizing CSU’s major role in California’s economy, workforce, and degree production. Chairs and members said the hearing was intended to inform 2026 budget decisions and to examine three main issues: declining enrollment at some campuses, cost controls and possible consolidation, and oversight of recent state investments at campuses such as Humboldt and Sonoma. The meeting was briefly delayed by microphone and sound problems before reconvening.
The first panel featured CSU Academic Senate Chair Dr. Elizabeth Boyd and Cal State Student Association Vice President Katie Karam. Boyd urged the Legislature to protect academic freedom, strengthen faculty governance, provide stable ongoing funding, end unfunded mandates, support student food and housing security, fund flexible course schedules, improve transfer systems such as ASSIST, avoid over-centralizing academic programs, protect immigrant students, and expand intersegmental collaboration. Karam said students are feeling the effects of budget shortfalls through fewer course sections, reduced advising and services, longer time to degree, and tuition pressure, and she called for transparency, meaningful student involvement in budget decisions, and sustained state investment rather than cuts that harm the student experience.
The second panel covered enrollment management and included CSU Chancellor’s Office and campus administrators from Chico State, Cal State L.A., and San Diego State. Dr. Delcy Perez said CSU Forward and the new systemwide enrollment plan are aimed at expanding access, aligning programs with workforce needs, and increasing resident enrollment; she reported systemwide enrollment gains and strong application numbers, including a direct-admissions pilot that expanded from Riverside to more campuses. Campus representatives described local recruitment and retention strategies, including early outreach to high school students, community college partnerships, guaranteed admission programs, and expanded advising and student support. San Diego State highlighted record enrollment and high demand, while Cal State L.A. described efforts to recover from impaction and rebuild enrollment.
Members pressed CSU officials on the accuracy of enrollment data, the gap between funded targets and actual enrollment, and the system’s reallocation formula. CSU staff explained that campuses below target will see a 5% ongoing reallocation beginning in 2026-27, with one-time reserve funding also being directed to campuses that can grow, and that fiscal health reviews have been completed for 21 of 22 campuses. Legislators also asked about turnaround plans required by the budget act; CSU said those plans are being developed and will be shared in the spring after campus consultation. No formal votes were taken.
ND
North Dakota 2026 1st Special Session
Human Services Committee Feb 11th, 2026 at 09:00 am
Human Services
Transcript Highlights:
- It also looked at family support and care coordination models.
- Is Child Care Aware still doing some of that new business model? Yes.
- Basic care, on the other hand, is a mandated care model.
- And so I think that's where, you know, we've created in North Dakota this basic care model, which is
- We then discussed adult residential care and how the payment model is different.
Summary:
The Human Services Committee met in interim session and first approved the previous meeting minutes before receiving a series of presentations on homelessness and housing stability. Jennifer Henderson of the North Dakota Housing Finance Agency updated members on the new Interagency Council on Homelessness, describing its executive-order mandate to review resources, gather input from stakeholders, identify gaps, and develop recommendations. She said the council’s first work is building a statewide program matrix of existing homeless services and funding sources, with attention to youth, tribal communities, and other vulnerable populations. Members raised concerns about youth homelessness, homeless veterans, and how the council will stay focused on a practical framework rather than getting lost in details. The committee also discussed possible connections to the rural health transformation grant and agreed to continue the topic later in the spring.
Beth Olson of Presentation Partners in Housing described the organization’s housing-first model in Cass County and Clay County, including homeless prevention/diversion, housing navigation, and Cooper House, a 42-unit permanent supportive housing building in Fargo. She said the organization focuses on people with long-term and chronic homelessness, many with mental health, addiction, health, domestic violence, and Indigenous identity-related barriers, and reported strong outcomes: 85 of 86 people housed in 2025, 91% still housed after one year, and major reductions in emergency room use, ambulance rides, jail stays, detox days, and shelter use. She also explained that state funding has grown from a small share of the budget to about $1.1 million in state-connected funding for fiscal 2026, largely through contracts tied to supportive services. Members asked about vouchers, rent contributions at Cooper House, length of stay, and whether similar projects could be expanded elsewhere.
Andrea Olson of the Community Action Partnership of North Dakota outlined statewide homeless and housing-related services delivered through six community action agencies in all 53 counties. She explained the Community Services Block Grant structure, said housing was identified as the top need in the most recent statewide needs assessment, and described programs including Supportive Services for Veteran Families, North Dakota Homeless Grant services, and Home ARP supportive services. She emphasized that the end of North Dakota Rent Help has increased pressure on the system, that the current $2 million annual homeless grant is far smaller than prior rent-help assistance, and that community action is using case management and financial assistance to move households toward self-sufficiency. Members asked about funding formulas, rural service delivery, and coordination with Presentation Partners to avoid duplication. YouthWorks then began a presentation on youth homelessness, describing services for ages 12 to 24, the special needs of youth and former foster youth, and the organization’s use of federal and state funds to support transitional housing, emergency shelter, maternity housing, and diversion services.
FL
Florida 2026 Regular Session
Appropriations Committee on Health and Human Services Jan 14th, 2026
Appropriations Committee on Health and Human Services
Transcript Highlights:
- as those in managed care, especially those requiring 24-7 nursing. ...can get the same level of care
- care support, helping Florida's families care for their loved ones at home for as long as possible.
- For years, I owned a home health care agency; that's how we met.
- that some of the managed care patients had.
- Madam Secretary, we've dealt with the Kids Care program.
Summary:
The Appropriations Committee on Health and Human Services heard presentations on the governor’s proposed fiscal year 2026-2027 budget for the health and human services agencies. Kendall Kelly outlined the overall HHS budget at $48.5 billion, with AHCA accounting for the largest share, and agency heads then highlighted major proposals for Medicaid behavioral health redesign, APD waiver enrollment and facility needs, DCF child welfare, opioid, and mental health investments, DOEA funding for Alzheimer’s, home care, and community services, DOH funding for cancer research, public health initiatives, and lab capacity, and VA funding for facility improvements, cybersecurity, and medication management.
Several members praised specific proposals, including increased reimbursement for private duty nursing, Alzheimer’s supports, and the Florida FIRST blood-in-ambulance initiative. Senators also questioned the proposed changes to the AIDS Drug Assistance Program (ADAP), with the Surgeon General explaining that the department expects a reduction in covered patients from about 30,000 to about 20,000 because of funding pressures tied to rebates, federal changes, and premium tax credit issues. Public testimony strongly criticized the ADAP changes, citing lack of transparency and warning that many patients could lose access to medications.
Other questions focused on the Office of Minority Health and Health Equity, DCF’s substance abuse and mental health data dashboard, Kids Care/CHIP expansion implementation, APD bed and facility planning, and the FX Medicaid technology project. DCF said about $7 million is set aside for the dashboard system, and AHCA said the governor’s budget includes $124.4 million for FX maintenance and continued module development, with $13.5 million to begin claims processing work. The committee did not take a substantive vote on the budget presentations and adjourned after questions and public testimony.
NH
New Hampshire 2026 Regular Session
House Executive Departments and Administration (04/15/2026)
Executive Departments and Administration
NM
New Mexico 2025 Regular Session
IC - Legislative Health and Human Services Oct 9th, 2025
Legislative Health & Human Services Committee
Transcript Highlights:
- I think that we can all agree that New Mexicans care and we can all agree that New Mexicans care and
- We want to work collaboratively.
- Hopefully, this is a quick question or quick answer. model, that we went from being a national model
- But not because I didn't care.
- Through this collaborative model, SWIFT helps facilitate true transformation, where students are engaged
WA
Washington 2025-2026 Regular Session
House Community Safety Oct 29th, 2025
Transcript Highlights:
- the crisis care continuum.
- The filter-funnel model of the Sequential Intercept Model is my favorite illustration because what it
- I've heard from others on this call that that's a model that works, and a model that people are looking
- Our collaboration and response, and his true care for the community, has been really, really humbling
- Our collaboration and response, and his true care for the community, has been really, really humbling
Summary:
The Community Safety Committee held an interim work session on crisis response, with members and witnesses discussing how Washington can better integrate 911, 988, mobile crisis, co-response, and alternative response models for behavioral health crises in public spaces. Travis Parker opened with an overview of the Sequential Intercept Model and the crisis care continuum, emphasizing early intervention, 988 access, regional coordination, navigators and peer support, and the need for sustainable braided funding. Several Washington witnesses then described current programs and system gaps, including the growth of co-response teams, the importance of integrating 911 and 988 rather than treating them as competing systems, and the need to reduce unnecessary emergency room use and improve first responder wellness and training.
City, fire, and crisis-system representatives described local challenges and reforms. Kim Hendrickson of Poulsbo said most crisis calls still come through 911 and urged better coordination among field-based teams, more behavioral health training for fire/EMS, and more alternatives to ER transport. Laura Pippen, a designated crisis responder, described a strained involuntary treatment system, fewer DCRs statewide, difficulty getting law enforcement support for transports, and limited facility capacity, especially for substance use disorder. Jennifer Stuber and South County Fire’s Keith Sharp highlighted workforce training, a crisis responder certificate program, and first responder wellness efforts. Research witnesses Evan Lauder and James Pine said the evidence is still developing but generally supports on-scene resolution, reduced ED transport and detention in some models, and the importance of clear dispatch protocols, coordination, and ongoing evaluation.
Dispatch and program operators then gave examples of how systems are working in practice. Katie Myers of Washington APCO/NENA said 911 remains essential, but needs evidence-based triage protocols, liability protections, and additional funding if it is expected to take on more crisis-response responsibilities. Whatcom County described embedding a “community connector” in the 911 center to coordinate alternative response, while ValleyCom reported that its 988 diversion pilot transferred 2,165 calls with 98% resolved through 988/211 without returning to 911. National examples included Denver’s STAR program, Albuquerque’s Community Safety Department, and Atlanta’s PAD initiative, each showing different ways to route low-acuity or behavioral-health-related calls away from police and toward clinicians, peers, or civilian responders. The session ended with Washington examples continuing, including Whatcom County’s alternative response team, underscoring the committee’s interest in refining and expanding integrated crisis response systems in the next session.
KY
Kentucky 2026 Regular Session
Senate Standing Committee on Health Service (3-25-26)
Transcript Highlights:
- Uh, 178 House Bill 178 is a psychiatric collaborative care model.
- House Bill 178 is a psychiatric collaborative care model.
- this model of care.
- Collaborative care is a model where there's a partnering psychiatrist that works with multiple primary
- c> model<00:02:27.360>
where Collaborative care is a model where Collaborative care is a model
Summary:
The committee met with a quorum and took up a series of health-related measures. House Bill 178, on the psychiatric collaborative care model, was presented by Rep. Kim Mosher and psychiatrist Arthur Oliva. They said the bill would let primary care providers address mental health needs more quickly with psychiatrist consultation, reduce long wait times, and save money. Members voiced support, and the bill passed 7-0 with favorable expression and consent.
House Bill 387, presented by Speaker Pro Tem David Meade, would keep veterinarians excluded from KASPER reporting requirements and instead add two veterinarians to the Controlled Substance Council. Meade argued that veterinary prescribing is difficult to track by animal, that prior efforts created complications, and that rural Kentucky needs the flexibility. A senator asked about possible diversion of veterinary opioids to humans; Meade said there was no substantial evidence of widespread abuse. The bill passed 9-0 with favorable expression and consent.
House Bill 676, by Rep. Rebecca Raymer, was amended from creating a health data utility to directing LRC to study best practices for one during the interim, with a report due December 1, 2026. Members said the state needs a coordinated way to use health data. The amended bill passed 9-0 with favorable expression and consent. House Bill 689, presented by Rep. Amy Neighbors and Dr. Heidi Marley, would authorize a Medicaid state-directed payment program for qualifying hospital-affiliated physician and non-physician services, pending federal approval, with supporters saying it would improve access in underserved areas, support provider retention, and bring in about $29 million annually in federal funds without using state dollars. It also passed 9-0 with favorable expression and consent.
Finally, House Joint Resolution 24, presented by Rep. Kim Fleming, would direct the administration to withdraw a previously required community engagement waiver request because it is no longer needed. The resolution passed 9-0 with favorable expression and consent. The chair noted the next meeting might be April 1, though no bills were currently scheduled, and the committee adjourned.
MN
Minnesota 2025-2026 Regular Session
Committee on Health and Human Services - 03/05/25
Health and Human Services
Transcript Highlights:
- options to the MCO managed care model, including proposals similar to this plan.
- The managed care model provides several significant benefits to the state, but most importantly it improves
- <00:17:56.679>
model affirmed no the Managed Care model affirmed no the Managed Care model - <00:26:55.200>
delivery Senator Marty said that 256-9631, the Alternative Care delivery models - This work group will help create a much-needed space for the health care interpreting profession to collaborate
ND
North Dakota 2026 1st Special Session
Human Services Committee May 27th, 2026
Human Services Committee
Transcript Highlights:
- A Child Care Services Advisory Committee and child care providers.
- to eligible children who are enrolled for care at participating child care centers and child care homes
- Our recommended model is an annual global budget, not an episode-based model or a model at the individual
- So it's the non-child care assistance providers could be also caring for child care and not child care
- Strengthening care coordination across systems and levels of care.
Summary:
The committee first approved the February 11, 2026 minutes and then received an update from the North Dakota Housing Finance Agency on the interagency council on homelessness and continuum of care funding. Testimony described rising homelessness tied to tight housing markets, low incomes, aging homelessness, barriers to rental assistance and public benefits, and limited shelter and case-management capacity. Members discussed the need for more affordable housing, continued one-time funding for the North Dakota Homeless Grant and Housing Incentive Fund, better coordination with Health and Human Services on economic assistance and human service zones, landlord engagement, recovery housing, and reentry housing. The committee also heard that federal continuum of care funding remains uncertain, with possible shifts away from permanent supportive housing and housing-first models; members asked for a future update on the impact if federal rules reduce the share available for permanent housing.
The committee then took testimony on accessibility of government services for people who are blind or visually impaired. Paul Olson of North Dakota Vision Services School for the Blind described current screening and service delivery, including infant referrals, regional staff, short-term programs, and collaboration with vocational rehabilitation. He said the targeted screening system is working, recommended maintaining the current model, and noted ongoing challenges with staffing, public awareness, and accessible state websites and documents. Public testimony from a visually impaired resident and a deaf resident emphasized barriers such as CAPTCHAs, inaccessible PDFs, employment forms that screen out applicants based on driver’s license status, shortages of interpreters, and the need for video remote interpreting and video relay services, along with training for users and agencies.
Finally, the committee heard a final report on the study of child care provider licensing from HHS Early Childhood Director Kay Larson. The report summarized provider input and committee discussion on simplifying North Dakota’s child care licensing structure, reducing administrative burden, and balancing that with health and safety standards. Key topics included licensing categories, child care assistance eligibility, food program sponsorship, staff qualifications, training requirements, ratios and group size, age bands, and preschool exemptions. The committee’s recommendations included streamlining to three provider types plus a preschool designation, revising ratio and age-band rules, and carrying forward certain preschool outdoor-space exemptions. Larson noted that any changes would require statutory changes, rulemaking, and a transition period before new licensing rules could take effect.
FL
Florida 2025 Regular Session
Children, Families, and Elder Affairs Jan 14th, 2025
Transcript Highlights:
- A new state, a funding model for a community based care lead agencies.
- The funding model is really about children, keeping children in care and making sure that services to
- So that doesn't have much to do right with entering care with this model.
- The final thing, the model, the model does contain what did rate for groups of care.
- So it's not just one model that the great why do we care about that?
TX
Transcript Highlights:
- We are dedicated to transforming health care through innovation and collaboration in our communities.
- Our Rural Cancer Collaborative will bring... ...prevention resources and cancer care closer to home by
- Primary care is about finding role models so that physician trainees want to be primary care physicians
- So, we try very hard to put in front of our trainees primary care role models so they can be trained
- Research and Combat Casualty Care Collaborative.
MN
Transcript Highlights:
- The leaders that I've collaborated with are really excited about this model, as it is a workforce strategy
- The leaders that I've collaborated with are really excited about this model, as it is a workforce strategy
- The leaders that I've collaborated with are really excited about this model, as it is a workforce strategy
- The leaders that I've collaborated with are really excited about this model, as it is a workforce strategy
- The leaders that I've collaborated with are really excited about this model, as it is a workforce strategy
Keywords:
education, special education, apprenticeship, funding, grants, intermediate school districts, teacher apprenticeship, registered apprenticeship, teacher licensure, teacher shortage, workforce development, education finance, K-12 education, higher education, Professional Educator Licensing and Standards Board, PELSB, Tier 3 license, teacher preparation, mentor teacher, school district
MA
Massachusetts 2025-2026 Regular Session
Joint Committee on Public Safety and Homeland Security Jun 21st, 2026 at 11:30 am
Joint Committee on Public Safety and Homeland Security
Transcript Highlights:
- The members of 1199 SEIU provide care across the spectrum of care in our Commonwealth.
- Our members provide care regardless of race, color, or creed, and our members care that our patients
- fully to care for themselves and their families.
- care institutions.
- nicious type of 287 contract, the so-called task force model.
Summary:
The hearing focused on the Safe Communities Act, House 2580 and Senate 1681, along with related proposals to limit local and state cooperation with federal immigration enforcement, prohibit 287(g) agreements, and expand legal defense for immigrants. Most testimony came from advocates, attorneys, labor leaders, health care professionals, educators, and community members who argued that fear of ICE discourages immigrants from reporting crimes, seeking medical care, attending school, or cooperating with courts, and that a clear statewide policy would improve public safety, due process, and trust in institutions. Several speakers described personal or client experiences involving domestic violence, trafficking, workplace abuse, or children affected by deportation, and many emphasized economic harms to workers, families, and small businesses.
Health care witnesses said immigration enforcement is causing patients to miss appointments, avoid emergency rooms, and delay preventive care, with resulting public health consequences. Labor and education representatives said immigrant workers and students are increasingly fearful, and that the state should not allow local police to act as ICE agents or enter 287(g) agreements. ACLU and coalition witnesses cited examples they said showed existing or recent collaboration between local agencies and ICE, including courthouse alerts, vehicle stops, and use of municipal spaces, while also arguing that the bill would still allow cooperation on criminal matters and public safety emergencies. One witness opposed the bill, arguing that serious criminal offenders should be deported and defending ICE’s role.
Committee members asked several questions about whether the harms described were widespread or anecdotal, and about the distinction between assisting ICE in civil immigration arrests versus responding to violent or public safety emergencies. Witnesses said the bill was aimed at civil immigration enforcement, not criminal investigations or emergency situations. At the end of the hearing, a committee member requested a study on immigration enforcement’s effect on emergency room wait times, and the committee then adjourned without taking a vote on the legislation.
TX
Transcript Highlights:
- Tarleton State is uniquely positioned to respond to the primary care and rural health care shortages
- Access to health care, particularly access to a primary care physician, should not be aspirational.
- Well, in rural health care, we are master collaborators.
- We don't just talk about ecosystems... health care. We are master collaborators.
- It's the need for perpetual care. And so having the physicians in place to provide... ...care.
Keywords:
special prosecutor, state law, criminal justice, accountability, law enforcement, stormwater management, counties, regulation, environment, water quality
Summary:
The Committee on Higher Education met to hear several bills and first corrected the minutes from its April 1, 2025 meeting to reflect that a committee substitute for HB 271 had been adopted before the bill was reported favorably. The committee then heard HB 3326, which would help Texas higher education employees, especially adjunct faculty, qualify for federal Public Service Loan Forgiveness by counting classroom hours toward full-time status, requiring institutions to verify employment within 60 days, and requiring annual notice to eligible employees. No witnesses testified against the bill, and it was left pending.
Members then heard HB 2853, authorizing UTEP to phase in a student union fee increase to fund demolition and reconstruction of its aging student union. Representative Perez and UTEP student and university witnesses said the current facility is outdated and insufficient for a campus of more than 25,000 students, while some members raised concerns about the size of the fee increase and its impact on low-income students. UTEP representatives said most students receive aid, the fee would be phased in over time, and the project was student-approved; the bill was left pending. The committee also heard HB 4066, a one-line bill to abolish the Texas Research Incentive Program after the state cleared its backlog of matching obligations, with the author saying the program was no longer needed in light of newer research funding approaches. The bill was left pending.
The committee spent substantial time on HB 125, which would create the Tarleton State University College of Osteopathic Medicine. Supporters, including Tarleton leadership, the founding dean, a rural hospital CEO, and a feasibility consultant, argued the school would address severe rural physician shortages by recruiting Texas and rural students, training them in rural settings, and developing new residency slots rather than competing for existing ones. Members asked about affordability, residency placement, and whether the school would draw students from rural Texas; Tarleton said it would seek to keep tuition and debt low, had already raised private donations, and would request $25 million in state support over the biennium. The bill was left pending.
Finally, the committee heard HB 42, which would increase the annual Higher Education Fund appropriation and adjust its allocation methodology. The chair and university witnesses described rising deferred maintenance, inflation, cybersecurity needs, and enrollment growth at HEAF-eligible institutions, with witnesses from Texas Tech, Sam Houston State, and UNT saying the additional funding would help address aging facilities and technology needs. After testimony, the committee left HB 42 pending and recessed.
MN
MN
Minnesota 2025-2026 Regular Session
House Higher Education Finance and Policy Committee 2/25/25
Higher Education Finance and Policy
Transcript Highlights:
- /c><00:17:47.760>
the <00:17:47.919>Healthcare model of Care Third under the Healthcare - lack timely, essential services through direct care education and collaboration with local providers
- models for high-need conditions, determined in collaboration with the state.
- models for high-need conditions, determined in collaboration with the state.
- models for high-need conditions, determined in collaboration with the state.
MN
Minnesota 2025-2026 Regular Session
House Workforce, Labor, and Economic Development Finance and Policy Committee 3/17/26
Workforce, Labor, and Economic Development Finance and Policy
Transcript Highlights:
- > because<00:08:18.720>
the collaborative across sectors because the collaborative across - <00:14:48.160>
and help build a strong collaborative and help build a strong collaborative - spin-off new startups and collaborative spin-off new startups and collaborative ideas<00:19:53.600
- interests to create these huge models. interests to create these huge models.
- <01:04:25.599>
uh just think we need to be careful uh just think we need to be careful uh
Keywords:
HF1316, child support, new hire reporting, centralized work reporting system, independent contractors, payors, employers, payor of funds, withholding orders, income withholding, child support enforcement, Minnesota Department of Children, Youth, and Families, gig economy, rideshare drivers, delivery drivers, 1099, W-9, W-4, newly hired workers, rehired employees
CA
California 2025-2026 Regular Session
Joint Hearing Assembly Business and Professions and Senate Business, Professions and Economic Development Mar 24th, 2025
Transcript Highlights:
- who improve access to care and enhanced care delivery.
- The PA profession continues to improve access to care, improve continuity of care, and health care delivery
- This also optimizes patient care and collaboration between the care team.
- Giving people care that need care, right?
- They're a great part of the team, as you know, and health care is a collaborative team effort.
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.
MA
Massachusetts 2025-2026 Regular Session
Correctional Consolidation and Collaboration Jun 21st, 2026 at 11:00 am
Transcript Highlights:
- , to a population of individuals in our care that require hospital-level care.
- So moving into the health care...
- care, substance use treatment.
- I mean, we're a health care provider, right? That's bottom line. We're a health care provider.
- That’s—no, no, that would be under the health care. So this is distinct from the health care.
Summary:
The commission met with a new member from Prisoners’ Legal Services and approved the July 11 minutes. The main presentation came from Department of Correction Commissioner Sean Jenkins and Deputy Commissioner Mitzie Peterson, who gave an overview of DOC facilities, population trends, and the department’s broad mission, including sentenced prisoners, pretrial detainees, civil commitments, Bridgewater State Hospital, and the Section 35 program. They noted the custody population has fallen from about 10,000 in 2016 to roughly 6,000–6,600, while the share serving first- or second-degree sentences has increased. They also reviewed the department’s facility footprint, including Souza-Baranowski, MCI Norfolk, MCI Framingham, Bridgewater, and the planned transfer of the Section 35 program to Health and Human Services by the end of 2026.
A large portion of the discussion focused on programming, education, health care, and reentry. DOC described tablet access for all incarcerated people, free phone calls, email, and more than 330,000 hours of educational, vocational, and reentry use. They highlighted partnerships with colleges and universities such as Tufts, Boston College, Emerson, and others, along with HiSET completion, vocational training, and programs like The Last Mile and Persevere. Health care spending was discussed in detail, including a total annual health-related contract cost of about $300 million, with separate contracts for prison health care, Bridgewater State Hospital, MassAQC, and MAT services. DOC said it has nearly eradicated Hep C and MRSA and now offers all three FDA-approved MAT medications, including long-acting injectables when clinically indicated.
Commissioners also asked about specialized programming, language and disability access on tablets, and how programming is distributed across facilities. DOC explained that nothing is mandatory, but program participation is encouraged and can affect parole consideration. Staff described assessments using COMPAS, criminal thinking interventions, trauma-related treatment, and specialized units for emerging adults, mental health, and substance use. The department said programming costs were about $101 million in fiscal year 2025, or roughly 12% of the operating budget, excluding health care. Members praised the elimination of restrictive housing and the rollout of body-worn cameras, while DOC said the cameras required new policy and union negotiations but are now used for training, accountability, and de-escalation. The meeting ended with a plan for DOC to return in September with more detailed information on SAUs, programming statistics, and facility structure, and the commission voted to adjourn.
CA
California 2025-2026 Regular Session
Assembly Budget Subcommittee No. 3 on Education Finance Apr 29th, 2026
Transcript Highlights:
- As highlighted by the California Collaborative, the differentiated assistance, or DA, model and proposed
- Growing our health care and mental health care workforce presents a pragmatic and principled strategy
- Our state also has gaps in eye care.
- The demand for eye care is rising, but the workforce supply is... ...care.
- The model is proven. The need is documented. The model is proven.
Summary:
The Assembly Budget Subcommittee on Education Finance heard testimony and took up three main budget areas: the Expanded Learning Opportunities Program (ELOP), differentiated assistance and the statewide system of support, and universal school meals with kitchen infrastructure grants. Public commenters and agency witnesses generally supported continued or increased funding for ELOP, with several groups urging stabilization of Tier 2 rates, more support for older youth, and preservation of equity guardrails and local flexibility. On school meals and kitchen infrastructure, testimony broadly supported universal meals and additional kitchen funding, while the LAO questioned the need for a fourth round of kitchen grants and recommended rejecting it until clearer unmet-need data are available.
For ELOP, the Department of Finance described the Governor’s proposal to provide $4.7 billion ongoing for the program and $62.4 million ongoing to set a minimum Tier 2 rate of $1,800 per pupil. The LAO recommended instead fixing the Tier 2 rate at $1,579 and tying future changes to program requirements. CDE said the program is showing positive results in attendance and math, but data on enrollment patterns, TK participation, and some overlap with other programs are still being collected. Members raised concerns about possible double-funding with ACEs and 21st Century programs, the lack of site-specific data, and whether the current structure best targets students most in need; the issue was left open.
For differentiated assistance, CCEE outlined the current statewide system of support and the Governor’s proposal to shift to universal and targeted assistance with a three-year cycle. Finance said the proposal would provide more stable county office funding, broaden universal supports, and give the State Board more flexibility to revise eligibility criteria; it also proposed $131.9 million ongoing for universal and targeted assistance. The LAO objected to changing the system before the State Board finalizes the new performance criteria and recommended revisiting the proposal later, while several members worried that a three-year entry window and broader board authority could weaken subgroup-based equity protections. The committee also discussed school meal funding, with Finance proposing $1.8 billion for universal meals and $100 million ongoing plus $100 million one-time for kitchen infrastructure, while CDE emphasized ongoing needs, deferred maintenance, and the importance of flexibility for innovative strategies such as food pantries. The committee held the issues open and invited additional public comment before moving on.