Video & Transcript Research : 'collaborative care model'

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TX

Texas 89th Regular

Senate Session May 31st, 2025

Texas Senate Floor Meeting

Transcript Highlights:
  • Child care. Child care. Okay. $100 million. Child care.
  • And provisions of the jail model, task force model, and warrant service model are in constant stages
  • And provisions of the jail model, task force model, and warrant service model are in constant stages
  • Whether it is the jail model or the task force model or the warrant service model, two of the three or
  • model.
Summary: The Senate opened with an invocation and then took up several conference committee matters and resolutions. It granted the House request for a conference committee on House Bill 46 and adopted a conference report on Senate Bill 37, which was described as higher education governance reform, including stronger board authority, changes to faculty senates, general education requirements, and a new ombudsman office. Senators also adopted a large package of resolutions and HCRs by voice vote. A major focus was Senate Bill 12, the “Parental Bill of Rights,” whose conference report was adopted after extended questioning. The bill was described as giving parents more access to school materials and grievance procedures, requiring parental consent for student clubs, and restricting school district employees from assisting with social transitioning or related gender-identity instruction. Senators raised concerns about effects on students already socially transitioned and on parental rights in medical or psychological decisions; the author said the House language was retained in key areas and that districts would need policies and parent notification. The report passed 20-11. The Senate then adopted a resolution allowing the conference committee on Senate Bill 1, the state budget for fiscal years 2026-2027, to go outside the bounds, and later adopted the budget conference report. Senators highlighted major funding for public education, property tax relief, public safety, health and human services, child care, water and transportation infrastructure, and the Texas Energy Fund. The budget discussion also covered higher education, mental health facilities, community attendant wages, rural hospitals, DFPS case management, child care assistance, and a study rider on TRS. The report passed unanimously, 30-0. Finally, the Senate suspended rules to take up Senate Bill 8 and adopted its conference report. The bill requires counties with jails or jail contracts to participate in the federal 287(g) immigration enforcement program, with sheriffs choosing among available models and counties receiving tiered grants to help cover costs. Supporters framed it as a public safety measure targeting criminal illegal aliens, while opponents questioned whether it would divert local resources and increase fear in immigrant communities. The report was adopted after debate.
MA

Massachusetts 2025-2026 Regular Session

Joint Committee on Public Health Jun 21st, 2026 at 09:00 am

Joint Committee on Public Health

Transcript Highlights:
  • They work collaboratively with community-based organizations and health care providers, and they embody
  • And knowing that MassHealth actually is a model of care and coverage that our private insurers actually
  • care.
  • The psychiatric collaborative care model is an evidence-based model of integrating behavioral health
  • The collaborative care model has been shown to reduce total health care costs by going upstream, preventing
Keywords: 995, all
Summary: The Joint Committee on Public Health held an introductory informational hearing for the new session, with Chairs Marjorie Decker and Senator Michael Driscoll outlining the committee’s scope and emphasizing the impact of the federal landscape on Massachusetts public health. They noted the hearing would focus on testimony from agencies and advocates, with short testimony limits due to the hybrid format. No votes were taken; the meeting was for briefing and discussion of priorities. Commissioner Robbie Goldstein of the Department of Public Health described the department’s budget and federal funding, warning that recent CDC grant terminations could cut nearly $100 million and affect lab testing, surveillance, vaccines, and community engagement. He highlighted DPH priorities including racial equity, maternal health, substance use and child welfare coordination, emergency preparedness, data transparency, and public hospital quality. MassHealth Assistant Secretary Michael Levine discussed MassHealth’s role covering about 2 million residents and its priorities in health equity, behavioral health, primary care, member independence, and customer service, while noting the agency relies heavily on federal Medicaid dollars and would face major strain from federal cuts. Several advocacy and provider groups focused on reproductive health and maternal health. Planned Parenthood warned of threats to Title X, 340B savings, and other federal funding, and supported a bill to eliminate parental consent and judicial bypass for abortion care for young people. Reproductive Equity Now urged stronger shield-law protections and changes to Massachusetts’ later-abortion framework. Dr. Indyamaka Anugaka called for full implementation of the maternal health law, better reimbursement for doulas and midwives, stronger data collection, and support for full-spectrum pregnancy care coverage. The Health Policy Commission said new maternal health and primary care task forces would begin work soon. Mental health and health system access were also major themes. The Mass Medical Society urged action on vaccine hesitancy, removal of non-medical school vaccine exemptions, and primary care reform. The Massachusetts Association for Mental Health and the Children’s Mental Health Campaign opposed proposed cuts to DMH and substance use services, called for more school-based supports, and raised concerns about inpatient capacity, including a unit serving LGBTQ youth. The Massachusetts Nurses Association and 1199 SEIU warned that staffing shortages, low wages, workplace violence, hospital closures, and possible Medicaid cuts threaten patient care and the health care workforce. The Betsy Lehman Center also urged investment in automated patient-safety monitoring to reduce harm and costs.
CA
Transcript Highlights:
  • So those are choices that the models are making.
  • So those are choices that the models are making.
  • Those are things that do not have to be in the model and are choices that are made on models.
  • And they were delivering real working models.
  • This is why we stress our technology collaboration.
Summary: The Assembly Committee on Higher Education and the Assembly Privacy and Consumer Protection Committee held an oversight hearing on the California State University’s AI-empowered initiative, including the systemwide rollout of ChatGPT EDU and broader AI integration across CSU campuses. Opening remarks emphasized both the promise of AI for student success, workforce preparation, and access, and the need to address risks such as bias, privacy, misinformation, environmental impacts, and mental health harms. CSU representatives said the initiative grew out of Academic Senate recommendations and a systemwide generative AI committee, and that the goal was to provide equitable access, training, governance, and workforce alignment across the 23-campus system. CSU officials described systemwide contracts for AI tools, the AI Commons training hub, and faculty grant programs supporting AI-related curriculum innovation. They said more than 93,000 ChatGPT EDU accounts had been activated, over 4,300 faculty had taken voluntary training, and $3 million had been awarded to 63 faculty-led projects from more than 400 submissions. San Jose State University highlighted its own AI-focused programs, courses, orientation training, faculty fellows, student ambassadors, and interdisciplinary efforts to build AI literacy and responsible use into instruction and co-curricular programs. CSU also said it was tracking metrics on adoption, academic outcomes, workforce outcomes, and environmental impacts. Faculty, staff, and student representatives welcomed the educational potential of AI but raised concerns about the rollout, saying it had moved quickly and without enough consultation or consistent systemwide policy. They urged stronger protections for academic freedom, intellectual property, privacy, equity, and worker input, and warned about bias, surveillance, job displacement, and the environmental cost of AI. Legislators pressed CSU and OpenAI representatives on training requirements, data privacy, bias reporting, discipline for misuse, liability, sycophancy, and safeguards against harmful uses such as non-consensual imagery or self-harm-related interactions. CSU said interactions in the licensed tool are private, data are not used to train models, and campuses retain their own conduct processes; members also asked CSU to follow up on systemwide training, policy consistency, and additional safeguards.
LA

Louisiana 2026 Regular Session

Senate May 20th, 2026

Louisiana Senate Floor Meeting

Transcript Highlights:
  • across obstetric, there you go, and gynecologic care to patients across our state.
  • Next bill, please. ...licensed facilities provide for hospice care.
  • Next bill, please. ...licensed facilities provide for hospice care.
  • The amendment is to include health care professions in the list of workforce needs in the future.
  • and education, to provide relative to the Early Childhood Care and Education Commission.
Bills: SR130, SR131, SR132, SR133, SCR74, SCR12, HB582, HB221, HCR74, HCR58, HB71, HB79, HB158, HB160, HB169, HB227, HB251, HB289, HB330, HB394, HB410, HB429, HB769, HB1017, HB1234, HB712, SCR3, SB54, SB72, SB129, SB164, SB232, SB287, SB322, SB374, SB375, SB386, SB409, SB447, SB458, SB78, SB112, SB124, SB125, SB174, SB190, SB201, SB208, SB236, SB273, SB307, SB347, SB357, SB385, SB387, SB393, SB401, SB415, SB426, SB435, SB487, SB488, SB523, SB222, SCR9, SCR58, SB480, SB514, SB35, SB65, SB215, SB246, SB249, SB269, SB282, SB296, SB323, SB363, SB369, SB474, SB490, SB492, SB500, HCR31, HCR47, HB362, HB363, HB368, HB377, HB380, HB382, HB386, HB392, HB406, HB431, HB441, HB466, HB503, HB533, HB559, HB575, HB590, HB593, HB618, HB655, HB664, HB685, HB692, HB707, HB715, HB732, HB738, HB741, HB748, HB776, HB807, HB822, HB856, HB860, HB868, HB887, HB888, HB905, HB908, HB961, HB980, HB990, HB992, HB999, HB1000, HB1010, HB1146, HB1157, HB1233, HB1243, HB54, HB137, HB180, HB192, HB310, HB321, HB396, HB512, HB552, HB578, HB638, HB663, HB708, HB717, HB718, HB1009, HB1082, HB1104, HB1107, HB1198, HB1246, HB27, HB143, HB205, HB259, HB267, HB288, HB308, HB403, HB405, HB414, HB417, HB478, HB546, HB548, HB555, HB557, HB609, HB670, HB672, HB740, HB779, HB786, HB796, HB812, HB848, HB915, HB917, HB921, HB930, HB933, HB1095, HB1096, HB1103, HB1129, HB1154, HB1166, HB1187, HB1195, HB1230, HB316, HB511, HB514, HB799, HB1039, HB17, HB36, HB41, HB47, HB73, HB126, HB133, HB140, HB159, HB166, HB211, HB226, HB271, HB324, HB337, HB351, HB399, HB571, HB723, HB726, HB750, HB759, HB844, HB966, HB1006, HB1018, HB1036, SB29, SB42, SB43, SB217, SB274, SB300, SB379, SB382, SB441, SB449, HB134, HB258, HB359, HB782, SB149
Summary: The Senate convened with 29 members present, opened with prayer by Oren Connor, the Pledge of Allegiance, and a musical performance by the Chuck Wagon Gang. The chamber also recognized several guests and observances, including birthdays for Senators Seabaugh, Fesi, and Price, White Coat Wednesday participants, Tourism Day, the Louisiana Oil Marketers Association, Chenault International Airport’s 40th anniversary, and visiting fair queens from Washington and Tangipahoa parishes. The Senate dispensed with reading the journal and received numerous House and Senate messages, committee reports, and resolutions. Several Senate resolutions were taken up and adopted, including commendations for Isaac Herzenberg, condolences for Kathleen Sessomson and former Senator Louis Lambert Jr., recognition of White Coat Wednesday and Tourism Day, and a study resolution on transfer-on-death and payable-on-death accounts. The Senate also adopted a conference committee report on House Bill 782, which concerned vapor and alternative nicotine products and was described as giving the state more tools to combat illegal vapes. A number of Senate bills returned from the House with amendments were either concurred in or rejected, including SB 54, SB 72, SB 129, SB 164, SB 232, SB 287, SB 374, SB 375, SB 386, SB 409, SB 112, SB 124, SB 125, SB 174, SB 190, SB 207, SB 236, SB 307, SB 357, SB 385, SB 387, SB 458, SB 477, SB 590, SB 593, SB 618, SB 655, SB 692, SB 707, SB 732, SB 738, SB 748, SB 776, SB 807, SB 860, SB 868, SB 887, SB 888, SB 905, and SB 961, with votes generally passing by wide margins. The chamber also considered several House bills on final passage. Among those approved were measures on local security districts, budget review authority, school activity access for virtual students, electronic bid forms, brake equipment and trailer safety, construction management at risk contracts, temporary registration plates, the Louisiana Maritime Academy name change, OMV fee and ID issues, ferry operations, group purchasing for local governments, the Green Envelope Program for drivers with disabilities, OMV field office fees, LED fee updates, port development priorities, workforce instructor capacity, and a campus disciplinary process bill tied to hazing prevention. Some House bills were passed after amendments, while others were passed over or rejected for later conference, including bills on virtual school participation, historic preservation, civil service, suicide prevention, local government training, and economic development districts. The Senate also rejected House amendments on SB 78 and SB 208, and rejected amendments on SB 387, sending those matters toward further negotiation.
FL

Florida 2025 Regular Session

March 5, 2025 - 10:15 AM

Transcript Highlights:
  • Developing an advanced language model, like our latest model ChatGPT 4.5, involves two key steps.
  • Users can ask our language models to analyze or write text or code, ask our image models to draw images
  • You know, the Agency for Health Care Administration, they've developed an internal AI model to do Medicaid
  • That model, that what we call base model output, is not actually ready for public consumption.
  • Lee, care to chime in on that?
Summary: The subcommittee met to hear a panel discussion on artificial intelligence and automation in Florida government. Panelists from Worldwide Technology, OpenAI, the James Madison Institute, and the Florida Digital Service described AI as a tool to improve efficiency, constituent services, fraud detection, translation, HR workflows, public safety, and regulatory review, while emphasizing that AI should supplement rather than replace workers. They also stressed the importance of data readiness, workforce training, governance, and having existing technology systems and policies in place before broader deployment. Members asked about public records concerns, vendor vetting, model integrity, and how to balance innovation with privacy and security. Chief Schoonover said agencies are already using or exploring AI in areas such as Medicaid analysis, environmental data, emergency management, tax forms, and child support, and noted that the Digital Service publishes prohibited vendor and application lists. OpenAI discussed its red teaming, safety evaluations, privacy controls, and government products such as ChatGPT Gov, and said it does not train on personal data or target users with ads. The committee also discussed concrete examples of efficiency gains, including reduced call times, faster translation turnaround, and streamlined HR classification work, as well as concerns about job disruption and constituent access. In closing, members raised data center infrastructure and energy needs, with panelists noting that AI depends on substantial compute, power, cooling, and utility capacity. The chair concluded by encouraging continued dialogue and noting that future AI legislation should be targeted to specific problems rather than overly broad.
MA
Transcript Highlights:
  • Continuing Care Retirement Communities, CCRCs, are a really incredible model, I think, provide tremendous
  • But your care cost would increase if you need health care down the road.
  • And so they prefer the life care model.
  • And so they prefer the life care model. Some, you know, again, the affordability is most important.
  • and assisted care.
Keywords: 995, all
Summary: The Joint Committee on Aging and Independence commission meeting focused on continuing care retirement communities (CCRCs), with members and presenters discussing how the model works, consumer protections, and areas for future review. After member introductions, Jennifer Fuller summarized survey results showing the top priorities as financial viability and affordability, consumer protections and rights, and regulation/monitoring standards. The commission said those issues would guide its work plan, while also keeping staffing, definitions, and federal support on the radar. Alyssa Sherman of LeadingAge Massachusetts and Jim Freiling of Brookhaven at Lexington gave a detailed overview of CCRCs, explaining that they combine housing with health-related services under long-term contracts and typically require entrance fees plus monthly fees. They described the three common contract types: Type A/life care, where costs stay relatively stable if residents need more care; Type B, which offers some included or discounted care with higher costs later; and Type C, fee-for-service, with lower entrance fees but higher costs if care needs increase. They also discussed nonprofit governance, resident involvement, and the role of state and Attorney General disclosure requirements. Several members raised concerns about affordability, refund timing, and the need to distinguish true CCRCs from other senior housing marketed similarly; presenters said refunds are often tied to reoccupancy and that their organizations are collecting data on refund timelines and contract terms. The discussion also covered resident rights and governance, including whether residents should have seats on nonprofit boards. Christine Griffin said her community lacks resident board representation and urged the commission to consider a state requirement, while others said resident associations and direct engagement with boards can be more effective than mandatory board seats. Members also discussed transparency around monthly fee increases, financial screening before admission, and the importance of clear marketing so consumers understand what they are buying. No votes were taken. The meeting ended with logistical updates, including a tentative public hearing date of June 3, 2025, a note that the next meeting would focus on regulation and monitoring standards, and a reminder that the commission would continue refining its work plan based on survey feedback.
MN

Minnesota 2025-2026 Regular Session

House Human Services Finance and Policy Committee 2/19/25

Human Services Finance and Policy

Transcript Highlights:
  • across model that integrates care across model that integrates care across Medicare<00:03:08.360
  • to develop a model of care that provides for the foundation of plan quality, care management, and care
  • to develop a model of care that provides for the foundation of plan quality, care management, and care
  • idea<00:56:03.200> is Coordinated Care model right the idea is Coordinated Care model right
  • <01:26:42.600> for collaboration to produce that model for collaboration to produce that model
Keywords: 1183, house
LA

Louisiana 2026 Regular Session

House of Representatives Mar 23rd, 2026

Louisiana House Floor Meeting

TX

Texas 89th Regular

89th Legislative Session May 22nd, 2025

Texas House Floor Meeting

Transcript Highlights:
  • I certainly don't think I need to pray to avoid starting any wars. and I care for my family, I care for
  • I'd rather talk about funding schools, expanding health care, and lowering the cost of child care.
  • Rather than improving patient care or data integrity, this section may deter health care professionals
  • If they ask me that, I just think that gender-affirming care is gender-affirming care and if I'm forced
  • Instead of fully funding schools, expanding access to health care, and lowering costs of child care,
FL

Florida 2025 Regular Session

November 5, 2025 - 01:30 PM

Transcript Highlights:
  • , pregnancy-related care, preventive care.
  • Well, child care and mental and behavioral health care.
  • long-term care programs.
  • So the shared care plan with primary care practitioner.
  • A collaborative pip across the plan's focus on improving timeliness of prenatal care and postpartum care
US
Transcript Highlights:
  • I think anything is possible if you don't care who gets the credit.
  • With respect to health care, I want to know what role you believe AI has in our health care systems,
  • , from drug discovery to the way that we operate our health care institutions.
  • So I just say, look, there's certainly models in that direction.
  • Kratios, how do you... you plan to collaborate with the private sector to ensure that our AI models have
Summary: The meeting of the Senate Committee on Commerce, Science, and Transportation featured significant discussions regarding technological advancements and their implications for the future. Notably, nominations were made for key positions in the White House's Office of Science and Technology Policy and the Federal Trade Commission. Committee members expressed the importance of leading in emerging technologies like artificial intelligence and quantum computing, emphasizing that the pace of innovation is crucial for maintaining the United States' global position as a leader in technology. The discussions also highlighted the role of the FTC in protecting consumers from deceptive business practices and ensuring fair competition in the marketplace. Attendees underscored the urgency of advancing research and development in areas such as quantum computing, as evidenced by a demonstration of a new quantum chip anticipated to redefine computing capabilities across industries. Various members engaged in vibrant exchanges, showing support for initiatives aimed at bolstering innovation through public and private collaboration. Overall, the meeting set a strong agenda for pursuing future science and technology policies that ensure the U.S. remains at the forefront of global advancements.
AR

Arkansas 2026 1st Special Session

ALC-HOSPITAL, MEDICAID, & DEVELOPMENTAL DISABILITIES STUDY SUBCOMMITTEE Jun 15th, 2026

ALC-HOSPITAL, MEDICAID, & DEVELOPMENTAL DISABILITIES STUDY SUBCOMMITTEE

Transcript Highlights:
  • You know, again, it's more like a franchise model.
  • Well, and I think that's part of this model, right?
  • She could have that child care cost subsidized by our agency.
  • So this woman is working in health care.
  • and not just nursing, but other forms of health care as well.
Keywords: 1204, all
KY

Kentucky 2026 Regular Session

House Standing Committee on Families and Children. (2-5-26)

Families & Children

Transcript Highlights:
  • in foster care.
  • <00:01:09.119> And out of home care uh in foster care.
  • And out of home care uh in foster care.
  • family law, and that's a a collaborative family law, and that's a a negotiation<00:04:41.040> model
  • collaborative or mediation?" collaborative or mediation?"
Summary: The House Families and Children Committee met in the 2026 regular session and heard House Bill 109, which would amend Kentucky divorce law to waive the current 60-day waiting period for couples with minor children when the parties have already completed mediation or collaborative family law and are ready to finalize their decree. The bill sponsor, Representative Deetsz, argued the measure would reward families who have already done the work to resolve custody, parenting time, and property issues outside of court, and said it would not affect traditional litigation cases. She also explained that delays can be especially burdensome when retirement-account division requires a QDRO after the decree. Committee members discussed how long collaborative cases typically take, with the sponsor estimating about six months on average and longer in complex cases, and noted that some judges already require parenting classes or allow reconciliation conferences in certain circuits. David Walls of the Family Foundation testified in opposition, saying the bill would make divorce easier for parents with children and move Kentucky in the wrong direction. He argued waiting periods can encourage reconciliation, protect marriage commitments, and reduce harms to children and public costs associated with family fragmentation. He urged lawmakers to preserve or even lengthen the waiting period rather than eliminate it, and framed the issue as protecting children and strengthening marriage. During questions, Representative Bojanowski strongly objected to Mr. Walls’ characterization of divorce, saying her own divorce was necessary for her children’s well-being and that the bill simply shortens the process after mediation. Representative Elliott asked about typical timelines in collaborative cases and noted that some courts require parental education. Representative Moser asked whether counseling is required; the sponsor said it is not, though reconciliation conferences may be requested at a judge’s discretion. The transcript ends after discussion of the bill and before any recorded vote or final committee action.
KY
Transcript Highlights:
  • from co so um we have a hybrid model from co so um we have a hybrid model where<00:08:53.200>
  • Handle with Care uh July the 31st. Handle with Care uh July the 31st.
  • <00:47:50.160> crisis Handle with Care is a crisis Handle with Care is a crisis intervention
  • unique needs of every juvenile in care unique needs of every juvenile in care and<00:47:55.520><
  • we can collaborate uh continue the<01:05:28.000> excellent<01:05:28.400> collaboration
Summary: The Juvenile Justice Oversight Council approved the minutes from its November 8, 2024 meeting and welcomed new member Representative Nick Wilson. The council also heard an update from the Administrative Office of the Courts on a school attendance awareness campaign aimed at reducing truancy referrals to court, and a member requested a future, more detailed presentation on truancy trends. The council then received an update from the Juvenile Justice Advisory Board from Dr. David Frink and Elsie Berger. They described the board’s membership, meeting schedule, public access, annual report and three-year plan, and its role in helping Kentucky remain compliant with federal juvenile justice requirements so the state can receive Title II funding. They said the board reviews grant applications for community-based services, substance use, and early intervention programs, with about $584,000 in federal funds this year and a little over $600,000 expected next year. Members asked about participation, board vacancies, and how to engage with the board, and the presenters emphasized the importance of statewide representation and community input. The Department of Juvenile Justice then provided a broader update through Commissioner Randy White and Deputy Secretary Mona Wamik. White said DJJ is under an ongoing U.S. Department of Justice investigation focused on conditions in detention facilities, including use of force, isolation, abuse, mental health care, and special education, and said the department has cooperated with repeated information requests and site visits. He also reviewed recent legislative and administrative changes, including 2023 Senate Bill 162, regional detention planning, facility segregation requirements, staffing and salary investments, improved staffing levels, reduced mental health vacancies, and training efforts related to security threat groups. He said DJJ has made progress but continues to work on staffing, safety, and facility improvements.
CA
Transcript Highlights:
  • For the cost-of-care model to truly work, real numbers must reflect what family child care providers
  • For the cost of care model, for labor that no one sees.
  • For the cost of care model to truly work, real numbers must be reflective of what family child care providers
  • be stable in our jobs and run our programs, the cost-of-care models and our rates based on this must
  • Well, we could look at To strengthening the child care system? Well, we can look at other models.
Summary: The Assembly Select Committee on Child Care Costs held its third hearing, focused on how transitional kindergarten (TK) fits into California’s mixed-delivery early learning system, with an emphasis on the Central Valley. Opening remarks stressed that TK and child care should complement each other, not compete, and that families need both part-day school-based options and full-day, year-round care. Committee members outlined hearing goals around aligning TK with existing programs, understanding family needs, and examining the economic impact of early learning on workforce participation and local economies. Panelists from the Legislative Analyst’s Office, Every Child California, Early Edge, Children Now, and others described TK’s rapid expansion to all four-year-olds, the growth in enrollment, and related changes to state preschool and after-school programs. Witnesses generally supported TK but warned that its expansion has shifted enrollment away from community-based providers, especially centers and family child care homes, creating financial strain, vacant classrooms, and staffing challenges. They urged stronger partnerships between school districts and community providers, more flexible licensing and facilities support, higher and more uniform reimbursement rates, permanent authority for state preschool to serve two-year-olds, and better compensation and training for educators across settings. Parents and providers testified about the importance of trusted, culturally and linguistically responsive care, the need for infant-toddler and home-based options, and the difficulty of affording child care when TK is not full-day or does not fit family schedules. Several speakers emphasized that many families still face long waits for subsidies and that reimbursement and payment delays threaten provider stability. Public comment echoed these concerns, with providers calling for true cost-of-care rates, more vouchers, support for transportation and nontraditional hours, and protection from insurance and facility costs that can force programs to close. State education officials said California’s UPK system works best when TK, state preschool, Head Start, and community-based providers are treated as a shared system, and noted that planning and implementation grants and local coordination efforts have helped build mixed-delivery partnerships. The hearing ended without formal votes or actions, but committee members indicated they would continue gathering input to inform future policy and budget decisions.
TX

Texas 89th 2nd C.S.

Public Health Jun 4th, 2026

Public Health

Transcript Highlights:
  • We'll talk about one example: Texas A&M and Texas Tech collaborating on an access to care model.
  • One of the models we discussed a year or two ago is a direct primary care model.
  • This is not a theoretical model. It is a proven clinical care model.
  • as an extension of the local team, creating a collaborative model that elevates the quality of care
  • How much is a care station? It's a subscription model.
Keywords: 1184, house, all
KY
Transcript Highlights:
  • encourages collaboration encourages collaboration in<00:03:00.519> order<00:03:00.720>
  • model.
  • model.
  • model.
  • model.
Keywords: 958, all
Summary: The Senate Standing Committee on Licensing and Occupations met with a quorum and first heard Senate Bill 20, sponsored by Senator Matt Nunn, which would bar state agencies from adopting administrative regulations with implementation and compliance costs above $500,000 over a two-year period unless an exception applies. Nunn said the bill is intended to increase legislative oversight, reduce burdensome regulation, and preserve agency authority for routine rules, with exceptions for emergency actions, loss of federal funds, express legislative authorization, and health facility/service matters. Senators asked about the definition of “major economic impact,” whether broader societal costs were considered, and how the legislature could respond quickly to year-round agency rulemaking; Nunn said the bill is meant to force those larger policy choices into the legislative process. Several members voiced concern that the threshold was too low and could tie agencies’ hands, while others supported the bill as a check on regulation. The committee voted to report SB 20 favorably, with some members voting no or passing. The committee then took up Senate Bill 127, sponsored by Senator Shelley Frommeyer, concerning real estate license reciprocity. Frommeyer and representatives from Perry Real Estate College explained that the bill would codify Kentucky’s current education and licensing standards for out-of-state real estate licensees, rather than relying on bilateral agreements that can be terminated by other states. They said the measure was prompted by the end of reciprocal agreements with states such as Ohio and West Virginia, which left students and licensees uncertain, and argued that codifying the standards would provide stability, help military spouses, and support Kentucky’s real estate industry. Senators questioned whether a compact would be better, whether the bill would disadvantage Kentucky licensees seeking to practice elsewhere, and whether it would weaken Kentucky’s leverage in future negotiations. Supporters said the bill only fixes Kentucky’s side of the process and could encourage other states to adopt similar standards; opponents worried it was unilateral and might not produce reciprocity from other states. The committee ultimately reported SB 127 favorably, with several members explaining yes, no, or pass votes, and then adjourned.
FL
Transcript Highlights:
  • PACE IS ALL INCLUSIVE CARE FOR THE ELDERLY AND THE PACE ORGANIZATION PROVIDES PRIMARY CARE, SOCIAL, RESTORATIVE
  • IT'S NOT OFFERED BY THE MANAGED CARE PLANS AND IT'S AN ALTERNATIVE MODEL AND PROGRAM THAT THEY CAN CHOOSE
  • HEALTHCARE CARE, HOSPITAL CARE, AND REALLY A BROAD PACKAGE OF SERVICES.
  • AND SERVICES AND DELIVER CONFERENCE OF CARE.
  • IT SOUNDS LIKE YOU'RE ASKING ABOUT THE LONG TERM CARE THE STATEWIDE MANAGED CARE PROGRAM.
Keywords: 999, senate, all
KY

Kentucky 2026 Regular Session

House Standing Committee on Families and Children. (2-12-26)

Families & Children

Transcript Highlights:
  • list of faith-based care providers, transparency and child care funding and spending, child care assistance
  • the Kentucky Collaborative on Child Care<00:03:44.959> came<00:03:45.120> together<00:
  • So things like third shift care, drop-in care, rural child care, and support public-private partnerships
  • So the micro centers are not, don't fit squarely within the family child care home model, which is kind
  • So the employee child care assistance program is a tri-share model.
Summary: The committee heard House Bill 6, as amended by a committee substitute, which was described as a broad child care reform package developed through a multi-stakeholder collaborative. The substitute added a two-year pilot program for off-base child care at Fort Campbell and Fort Knox, beginning July 1, 2026, and making the bill an emergency measure for that purpose. Sponsors said the bill focuses on long-term reforms to affordability, quality, and access, including modernization of the All Stars quality rating system, creation of micro centers, support for children with special needs, child care data and transparency measures, CCAP improvements, and changes to the employee child care assistance partnership (ECAP). Testimony explained that micro centers are intended to fill gaps such as rural, third-shift, drop-in, and partnership-based care, would initially be limited to 10 statewide with no more than two per county, and could serve 4 to 24 children under a more flexible regulatory framework. Members also discussed whether family child care homes like the “Miss Barbara” model fit the bill; sponsors said they are not micro centers, but the bill includes other provisions to support family child care homes. Questions also focused on ECAP, which was described as a tri-share model in which employers contribute, the state matches for eligible employees, and the employee pays the remainder; sponsors said the bill privatizes ECAP first before considering expansion to teachers or public employees. House Bill 6 passed favorably by a vote of 12-0-1, and the title amendment passed. The committee then took up House Joint Resolution 50, also sponsored by Representative Heavrin. The resolution asks the Kentucky Auditor’s office to study the administrative regulations, statutes, agency policies, and processes affecting the opening and operation of licensed and certified child care services, with particular attention to the All Stars program. The sponsor said the goal is to identify opportunities for change through a thorough third-party review, noting that the All Stars system has been in place for about 10 years and that many child care rules are tied to federal funding and cannot be changed quickly. The resolution passed unanimously by a vote of 13-0. The meeting concluded with notice of the next committee meeting and adjournment.
FL

Florida 2025 Regular Session

Education Pre-K - 12 Feb 4th, 2025

Transcript Highlights:
  • But the most important thing we do is we collaborate.
  • The was going to be adequate enough to take care.
  • Sometimes it's sometimes it's care and sometimes it's a stick.
  • But they cared was whether they were there on time Pothier.
  • If we would have we, we couldn't of the standard economic model.
Keywords: 999, senate, all