Video & Transcript Research : 'collaborative care model'
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KY
Kentucky 2025 Regular Session
Air Mobility & Aviation Economic Development Task Force (10-14-25)
Transcript Highlights:
- The next highlight their critical care The next highlight their critical care air<00:03:57.320><
- The next day you come in with a<00:09:51.560>
J <00:09:51.800>model a J model a J model - model. I'm a C-130 pilot by by trade. model. I'm a C-130 pilot by by trade.
- Louisville for advanced trauma care. Louisville for advanced trauma care.
- be care covered under workman's comp. be care covered under workman's comp.
Summary:
The task force met on October 14, confirmed a quorum, and adopted the September 16, 2025 minutes. Members then received a Kentucky Air National Guard 101 briefing from Brigadier General Bruce Bancroft, commander of the Kentucky Air National Guard, who described the Guard’s structure, missions, and statewide role. He emphasized that Kentucky is a single-wing state centered at Louisville’s 123rd Airlift Wing and highlighted several unique capabilities, including the Contingency Response Group, critical care air transport teams, medical detachment for chemical environments, explosive ordnance disposal, fatality search and recovery, and special tactics personnel.
General Bancroft also discussed staffing and readiness, saying the Guard has 1,273 authorized positions, with a mix of AGR, Title 32, and Title 5 personnel. He noted that AGR positions are funded at about 96 percent, while technician positions are funded at about 53 percent, leaving the organization to operate at roughly 75 percent of authorized manpower overall. He said the wing converted from the C-130H to the C-130J in 2021 and completed the transition in about 2.5 years, ahead of the original three-year timeline.
The briefing further covered the Guard’s operational tempo and community role. Bancroft said the unit has earned 21 Air Force Outstanding Unit Awards, has deployed about 500,000 days since 9/11 across 45 countries, and routinely supports federal and domestic missions. He described the C-130J’s tactical airlift, airdrop, and blacked-out operations as directly useful for disaster response in Kentucky, and he pointed to strong ties with UPS and other aviation employers. No votes or formal actions were taken beyond approval of the prior minutes.
CA
California 2025-2026 Regular Session
Senate Privacy, Digital Technologies, and Consumer Protection Committee Jun 15th, 2026
Privacy, Digital Technologies, and Consumer Protection
Transcript Highlights:
- We've also seen the rapid deployment of AI in health care, impending upheaval in our health care system
- AI makes them trust health care less. ...already say that AI makes them trust health care less.
- To exercise ordinary care.
- I think the three authors have worked so hard to work collaboratively with the model companies and with
- It truly is a collaborative effort, a bicameral collaborative effort, which doesn't happen that often
Summary:
The committee heard several bills focused on privacy, AI, consumer protection, and public safety. AB 1979 would require a licensed health care professional to retain final clinical judgment when using AI tools in health care and would limit chatbot access to medical records; supporters, including nurses and TechEquity, said it preserves human decision-making, while hospitals and industry groups opposed it unless amended, citing burdens and training concerns. The bill passed 6-1 and was placed on call. AB 2624 would expand the Safe at Home confidentiality program to immigrant service providers and workers facing harassment and doxing; supporters described threats against advocates and their families, while one senator raised concerns about a private right of action and penalties. The bill passed 4-1 and was placed on call for further committees. AB 2103 would make Engaged California a permanent statewide public engagement program; supporters said it broadens civic participation and transparency, while concerns were raised about partisan balance in topic selection. It passed 6-0 and was placed on call to Appropriations.
The committee also considered AB 2, which would set statutory damages and other financial accountability measures for large social media platforms when negligence causing harm to children is proven in court. The author and supporters, including a parent who lost her daughter and child-safety advocates, argued that stronger remedies are needed because social media design features are harming children and existing enforcement has been insufficient. Opponents, including TechNet, CCIA, CalChamber, and others, argued the bill blurs content and conduct, could increase litigation, and is unnecessary given existing lawsuits and verdicts. Several senators said the bill was a consumer-protection measure and supported it; it passed 5-0 and was placed on call.
AB 883, as amended, would use California’s Delete Act/DROP system to help elected officials and judges remove personal information from data brokers, while also shortening the deletion timeline for all Californians from 45 to 30 days. Supporters said the bill responds to rising threats against public servants and improves privacy tools broadly; some opponents removed or softened opposition after amendments, though CalChamber and CCIA remained opposed unless amended, largely over the private right of action. The bill passed 4-0 and was placed on call. The committee then recessed briefly before taking up AB 2023, a chatbot safety bill for children that would require age verification, safety audits, default protections, parental controls, crisis-response measures, and limits on targeted ads and data sharing. Supporters said it builds on prior AI and child-safety legislation and is needed to prevent harms like self-harm and manipulation; opponents raised concerns about vague harm standards, audit requirements, and liability. The hearing continued with testimony and committee discussion, but no final vote on AB 2023 was shown in the transcript.
CA
California 2025-2026 Regular Session
Assembly Committee on Economic Development, Growth, and Household Impact Jul 11th, 2025
Transcript Highlights:
- We don't have enough mental health care workers, and we've got to be innovative.
- The Innovation Hub where we're currently sitting is where cross-sector collaboration thrives.
- I happen to be in the San Diego region, and I think it is a model of that.
- model here in Southern California, then license this.
- We got it for free, which was actually a glowing report on our entire business model.
Summary:
The Assembly Committee on Economic Development, Growth, and Household Impact held an informational hearing in San Diego focused on “Making Sense of California’s Economy: Real Cost Pressures and Household Impacts Facing San Diego.” Chair Salas and Assemblymember Darshana Patel opened by emphasizing affordability, housing, and the importance of bringing state policy discussions into the community. The first panel featured leaders from Cal State San Marcos and the San Diego Regional Economic Development Corporation, who described the region’s innovation ecosystem, the university’s role in social mobility and workforce development, and the importance of partnerships with K-12 schools, community colleges, military installations, and industry. They also highlighted regional strengths in life sciences, aerospace and defense, advanced manufacturing, clean energy, and venture-backed innovation, while warning that housing costs, federal research cuts, permitting delays, and small-business fragility threaten growth and talent retention.
Committee members asked about collaboration among higher education institutions and what state policy changes could help. Panelists said the region’s universities are complementary rather than competitive and stressed the value of public-private partnerships, social innovation, and aligning academic programs with employer needs. On policy, they urged faster permitting, possible regulatory sandboxes, stronger research investment, support for cross-border trade and manufacturing, and more housing affordability to keep workers in the region. The second panel centered on small business and entrepreneurship, with testimony from Hydrostasis founder Dr. Debbie Chen, Amai co-founder Sven Davison, and Asian Business Association San Diego CEO Jason Pagal. Chen described building a hydration-monitoring wearable, the barriers women founders face in accessing capital, and the importance of SBDC, Stella Foundation, and university internship support. Davison described Amai’s edible cup business and how tariffs, supply-chain costs, and financing constraints forced the company to pivot manufacturing plans. Pagal presented survey data showing high relocation intent, difficulty hiring, and low confidence among businesses, and recommended expanded technical assistance, regional cost-of-living adjustments, and small-business affordability zones.
During questioning, members discussed targeted procurement and local incentive models, the role of SBDC and other support networks, and how to better tailor state programs to local conditions. Public comment came from the California Southern Small Business Development Corporation, which stressed that access to affordable capital remains a major challenge and noted the volume of loan guarantee requests coming from San Diego. No formal votes were taken; the hearing concluded with closing remarks from both members underscoring the need to use local testimony to shape future state policy and support California’s economy, families, and small businesses.
ND
North Dakota 2026 1st Special Session
Advanced Nuclear Energy Committee Apr 22nd, 2026 at 09:30 am
Advanced Nuclear Energy Committee
Transcript Highlights:
- We’ve got modeling and simulation capabilities.
- And it’s really been a fun model to work with.
- And here we've got you need 3,380 people in the 3D modeling world. 12,000 drawings across. 3D modeling
- As far as your application space, but those base models with the foundation models are generally running
- You say, Mitchell, who really cares about this?
WA
Washington 2025-2026 Regular Session
House Education Dec 4th, 2025
Transcript Highlights:
- Health care needs good quality staff.
- field, and then labor representatives as well that are health care.
- health care.
- So this is a replicable model that can be used for other boats.
- Thank you, Representative Stoneyer, for modeling that.
Summary:
The House Education Committee received status updates on career and technical education (CTE), including OSPI’s work under 2024 legislation on allied health pathways and a statewide CTE task force, an update from Core Plus Maritime, and findings from an Education Northwest longitudinal study of Washington CTE access and outcomes. OSPI described development of allied health guidance such as a home care aide to nursing assistant bridge, model curricula, updated course equivalency frameworks, and coordination with health agencies and employers. It also reviewed Core Plus framework work, task force expansion under later legislation, and the timeline for recommendations due in November 2026. Committee members asked about health profession outreach, equitable access for rural districts, data updates, and employer support for local programs; OSPI said it continues to work with agency and industry partners and that local labor-market alignment varies by region.
Core Plus Maritime presenters described expanding maritime career exploration into middle school through low-cost ROV curriculum, student visits to ferries and vessels, Sea Scouts partnerships, and ship-based safety and welding experiences. Industry representatives from the Northwest Marine Trade Association, American Seafoods, and Vigor Marine Group emphasized the maritime sector’s economic importance, aging workforce, and need for hands-on training to build the pipeline for family-wage jobs. A teacher from South Kitsap High School said the program gives students a clear pathway and has helped connect them to careers in shipyards, fishing, and related trades. Vigor also noted support for a student welding competition and equipment donations for a Rainier Beach shop.
Dr. Sam Riggs of Education Northwest presented a longitudinal study using state data from 2013-14 through 2023-24. The study found CTE access has been relatively steady statewide, but offerings vary by school size, locale, and income, with rural and lower-income schools generally offering fewer pathways. Participation is high: nearly all students earn at least some CTE credit, and more students are accumulating multiple credits over time, though fewer go deep within a single pathway. Students who earned more CTE credits, especially within pathways such as agriculture, manufacturing, transportation, and construction, were more likely to graduate on time and later had stronger postsecondary certificate attainment and earnings. Riggs recommended addressing local barriers to participation, considering whether the CTE graduation requirement should better encourage depth while preserving flexibility, and aligning offerings more closely with labor-market needs. Committee members asked about COVID-era trends, student motivation, early workforce entry, delivery settings such as skill centers, and how to interpret the comparison groups used in the analysis.
CA
Transcript Highlights:
- that flexibility would be hard to really pinpoint down if we're trying to look for a state unified model
- You know, we want kids to be healthy and happy and collaborative and have friends.
- We can do that through CDE, through the California Collaborative for Educational Excellence, through
- And so now you've got the school fee schedule that is really supposed to take care of this.
- Our schools have flexible instructional models that are able to adapt to what the intervention needs
NM
New Mexico 2025 Regular Session
IC - Legislative Finance Sep 24th, 2025
Transcript Highlights:
- You're taking care of paperwork.
- We need to find ways to collaborate and build models that achieve scale with business and industry through
- What I can say is if the state desires to have a single model approach, Model approach, there will be
- But you have a terrific model.
- our CTE model or CTEC model, are two-hour kids.
CA
California 2025-2026 Regular Session
Senate Budget and Fiscal Review Subcommittee No. 3 on Health and Human Services Apr 30th, 2026
Transcript Highlights:
- restorative care and exams.
- Traditional health care practices are exclusively offered through our Indian health care providers.
- Traditional health care practices are exclusively offered through our Indian health care providers.
- Traditional health care practices are exclusively offered through our Indian health care providers or
- The first care I got was in an ER.
Summary:
The subcommittee heard presentations from the Department of State Hospitals (DSH), the Commission for Behavioral Health, and the Department of Health Care Services (DHCS) on budget proposals and implementation updates. DSH outlined its proposed 2026-27 budget, including funding for patient operating expenses, IST solutions savings, conditional release program costs, LPS bed allocation changes, electrical infrastructure projects at Napa and Patton, SB 380 transitional housing feasibility work, and expanded dental services at Metropolitan and Patton. DSH also reported that it has met court-ordered IST treatment benchmarks in the Stiavedi v. Clinton case, with average time to initiate treatment down to about five days and pending placements reduced to roughly 250, while noting that Proposition 36 could increase referrals and SB 1323 may divert some individuals earlier into community-based treatment. Members asked about rising outside hospitalization costs, Medicare enrollment, the timing and structure of capital projects, and whether IST solution funds are being fully used; DSH said the savings reflect slower-than-expected ramp-up of community programs and that the Central California FACT replacement program is still on track for January 2027 activation.
The Commission for Behavioral Health described its role under the Behavioral Health Services Act (BHSA), including data, evaluation, grantmaking, technical assistance, and transparency work. It highlighted the new statewide Innovation Partnership Fund, a five-year, $20 million-per-year program with small and large grant categories; the first RFA drew strong interest, with more than 400 questions and over 1,000 bidders’ conference participants. The Commission also discussed a proposed extension to spend down about $4.1 million remaining for the Alcove Youth Drop-in Center grants so sites can finish implementation and Stanford can complete the final evaluation. Members asked about grant duration, whether projects can be renewed, what qualifies as innovation, and whether the fund could support service delivery rather than awareness campaigns or training; the Commission said awards are expected to be three-year contracts and that proposals must be new or meaningfully expanded approaches that support BHSA priority populations.
DHCS reviewed major behavioral health changes under CalAIM and BH Connect, including peer support, mobile crisis, contingency management, traditional health care practices for tribal members, updated specialty mental health access criteria, and new substance use treatment standards based on ASAM’s fourth edition. DHCS reported strong contingency management results, with more than 13,000 members served and 95% testing negative for stimulant use during treatment, and said 21 Indian health care providers have been approved to offer traditional health care practices. It also described BH Connect initiatives such as the $1.9 billion access reform and outcomes incentive program, workforce investments, evidence-based practice expansion, IMD participation by four counties, and transitional rent services. On BHSA implementation, DHCS said it is not tracking individual county contract cuts but is monitoring county plans and statewide outcomes, while stakeholders raised concerns about local prevention and service gaps. DHCS also outlined its H.R. 1 implementation strategy, including outreach, streamlined renewals, exemptions for disabled, substance use, and medically frail individuals, and proposed clinic navigator and outreach funding; it said it has not yet produced a focused estimate of H.R. 1 impacts on behavioral health populations. The discussion ended with DHCS noting that B-CHIP bond funding has supported 437 infrastructure projects, creating 546 new or expanded facilities and more than 9,500 residential beds across the state.
CA
California 2025-2026 Regular Session
Assembly Housing and Community Development Committee Jun 24th, 2026
Transcript Highlights:
- This is not a new model for Sacramento.
- With our continuum of care, we'll be finalizing the authority and the structure for this governance model
- Supportive housing is not going to take care of that.
- I don't think there's enough collaboration.
- A duty of care to the HOA board alone is not enough.
Summary:
The committee heard several housing-related bills, beginning with SB 1003, which would create pro-housing enhanced infrastructure financing districts to help local governments fund infrastructure needed for housing developments. The author and supporters argued that infrastructure costs often prevent projects from penciling out, while the chair expressed support and said the bill would be taken up later when quorum was available. SB 1014 followed, proposing new disclosure requirements for local jurisdictions to provide good-faith estimates of on-site and off-site improvements within 30 days of application, with supporters saying it would reduce late surprises and opposition from several cities citing implementation concerns with the 30-day timelines.
The committee then took up SB 802, a Sacramento-region bill requiring a joint powers authority to coordinate housing and homelessness services. Senator Ashby and former Mayor Darrell Steinberg argued that Sacramento’s fragmented system has failed for years and that a JPA would improve accountability, coordination, and use of state funds. The bill drew broad support from local officials, service providers, business groups, and advocates, while some county and city representatives registered opposition or neutral concerns about state-mandated local governance. Several committee members said they were persuaded by the need for regional coordination, though some raised concerns about local control; the chair noted the bill would be moved when quorum allowed.
The committee also heard SB 1092 and SB 1093, both focused on mobile home park residents after disasters or park sales. SB 1092 would give residents a right of first opportunity to match a sale offer for a park, with supporters saying it protects vulnerable seniors and preserves affordable housing, while park owners and their representatives argued it would devalue property and raise constitutional and financing concerns. SB 1093 would require more transparent communication, access to property, and consideration of rebuilding or closure after a disaster; supporters cited the long uncertainty faced by Palisades residents, while opponents warned about liability, safety, and burdensome review requirements. Members split along similar lines, with some emphasizing property rights and market impacts and others stressing the need to protect residents and preserve scarce affordable housing.
MA
Massachusetts 2025-2026 Regular Session
Combatting Antisemitism Jun 21st, 2026 at 11:00 am
Transcript Highlights:
- wording. more careful with the wording.
- It requires careful analysis. Or the Senate President Travaglini.
- It requires careful analysis.
- Now moving on to workplace and health care findings.
- I'd like to raise up the point made about interfaith collaboration.
Summary:
The Special Commission on Combating Antisemitism met to hear testimony from Chief James Hicks of the Natick Police Department, who chairs the Municipal Police Training Committee, and Chief Thomas Fowler of the Salisbury Police Department. They described the statewide civil-rights-officer model for hate-crime response, the HEART Unit, and MPTC training authority under POST, and urged the commission to recommend incorporating the IHRA definition of antisemitism into police training and to fund that effort. Commissioners asked about how law enforcement should handle antisemitic incidents that may not rise to crimes, the 2022 Mapping Project, masking during protests, and the role of HART; the chiefs said departments can update training quickly, that every department should have a trained civil-rights officer, and that HART’s expertise should be integrated statewide. The commission also approved the October 16, 2025 minutes after correcting an initial procedural error.
The rest of the meeting focused on the draft report, especially the prefatory statement and the definition section. Commissioners broadly praised the report’s scope and the chairs’ work, but offered many edits aimed at tightening language, reducing advocacy tone, and clarifying the “Massachusetts way” of combating antisemitism. Several members wanted stronger emphasis on Massachusetts values, education, moral leadership, and the distinction between hate incidents, hate crimes, and statutory offenses; others urged clearer references to constitutional protections, First Amendment limits, and Attorney General review of legal statements. There was also discussion of whether to keep or remove references to alternative definitions of antisemitism: some commissioners argued that only the IHRA definition should be centered, while others said acknowledging other definitions was factually important and would reflect the range of testimony.
Commissioners also raised specific substantive edits for later sections, including adding examples such as the 2022 Mapping Project, strengthening language on online intimidation, academic boycotts, and divestment campaigns, and clarifying that some conduct may be hateful even if lawful. In the higher education section, members praised recommendations on mandatory training, bystander intervention, trauma-informed responses, mental health supports, and campus climate surveys, while suggesting a few technical edits and additional best-practice examples. No final votes were taken on the draft report during this portion; the chairs said they would incorporate feedback into a revised draft before the remaining meetings and eventual vote.
MA
Massachusetts 2025-2026 Regular Session
Senate Committee on Post Audit and Oversight Jun 21st, 2026 at 01:00 pm
Senate Committee on Post Audit and Oversight
Transcript Highlights:
- But I'm deeply suspicious of that model.
- When we're talking about... ...deeply suspicious of that model.
- We collaborated on most things fishing and almost always agree.
- But as time went on, the equations or the model, they kept varying the models... ...the equations or
- the model, they kept varying the models, and they kept producing higher F maximum sustainable yields.
Summary:
The joint hearing focused on the Massachusetts sea scallop fishery, especially the economic importance of the industry, federal scallop management, and two policy questions: reopening the Northern Edge area on Georges Bank and allowing permit stacking/permit consolidation. Chairing senators emphasized their interest in hearing both sides, their frustration with federal bureaucracy, and their view that the issue should be guided by science while protecting the long-term resource and local communities.
Dr. Kate O’Keefe of the New England Fishery Management Council and Kevin Stokesbury of UMass Dartmouth described the Magnuson-Stevens framework, annual catch limits, rotational area management, and the role of industry-funded surveys and the research set-aside program. They said scallops remain the most lucrative council-managed commercial fishery on the East Coast, but recent changes include more small scallops, lower biomass in some areas, higher natural mortality, and shifting abundance toward Georges Bank. On the Northern Edge, they explained that the council previously considered opening the area through a framework/joint action with habitat management, but discontinued the action in 2024 because of conflicting objectives involving scallop yield, habitat protection, and other species. They said the issue could be revisited through future council priority-setting.
Representatives of the Sustainable Scalloping Fund argued that the fishery needs modernization to remain economically viable. They supported reopening the Northern Edge and strongly backed permit stacking, saying it would allow two permits on one vessel while keeping ownership caps in place, reducing costs, improving safety, and helping family-owned fleets avoid financial distress and outside investment. Port of New Bedford representative John Regan stressed the port’s central role in the state economy, the need to protect working waterfront infrastructure, and the importance of any permit changes preserving local ownership and participation. No votes were taken; the hearing was informational, and members asked that the witnesses keep the committee informed as the council and federal agencies consider next steps.
WA
Washington 2025-2026 Regular Session
House Labor & Workplace Standards Dec 5th, 2025
Transcript Highlights:
- There is a modeling study from the U.S.
- And we talk about access to care, and these are folks who give care or keep workplaces safe from chemical
- We did recently update our model on how... ...experience it differently.
- The solvency tax is actually triggered, is not triggered from our model.
- suggested. ...year and a half, two years earlier than what our older model suggested.
Summary:
The committee heard a report on the Underground Economy Task Force in Washington’s construction industry. Labor and Industries said the task force, created by a 2024 budget proviso, met 11 times and developed consensus recommendations to improve enforcement against worker misclassification, unregistered contractors, and unpaid taxes and premiums. Consensus items included defining and regulating construction labor providers, improving interagency data sharing, increasing penalties for repeat offenders, expanding L&I authority over successor accountability, reviewing agency penalty rules, and exploring tracking of cash payments. Majority-but-not-consensus ideas included posting subcontractor notices at job sites, setting an independent-contractor threshold that would trigger L&I review, holding direct contractors liable for unpaid wages owed by subcontractors, and reviewing reporting requirements. Testifiers from labor, business, and the Attorney General’s Office generally supported stronger enforcement and transparency, while business representatives cautioned against overregulation and said any new rules should avoid burdening legitimate contractors or restricting lawful cash payments and independent contracting. L&I said the final report would be distributed by December 31 and the task force work group would be reconvened.
The committee then reviewed the wage recovery work group report. L&I explained current wage complaint procedures and said the work group, made up of labor and business representatives, reached five consensus recommendations: allow L&I to prioritize wage complaints strategically, permit aggregation of related complaints, raise the minimum penalty under the Wage Payment Act from $1,000 to $1,500 and create a penalty matrix, improve employer awareness with materials for new hires, and establish a wage recovery fund. The fund would be seeded by penalties, would not require new employer assessments, and would allow limited early payments to eligible workers facing hardship, with a proposed cap of $2,500 and a later review of the program. Business and labor representatives both supported the overall framework, though business raised concerns about fraud safeguards and recovery of funds if a claim is later found invalid.
Members also received an overview of Washington’s apprenticeship system. L&I described the state’s apprenticeship agency structure, the Washington State Apprenticeship and Training Council, and the difference between Washington’s state apprenticeship standards and the federal Office of Apprenticeship system. The presentation highlighted current participation levels, program approval and objection processes, and strong post-completion outcomes, including median annual earnings above $100,000 and an estimated $7.80 return for every public dollar invested. Committee members asked about how apprentices apply, how sponsors work with L&I, and whether recurring objections could be addressed earlier in the process.
Finally, the committee heard updates on wildland firefighter respiratory protection, federal cuts to NIOSH, and economic and federal policy impacts on unemployment insurance and workforce services. L&I said wildland firefighters face significant smoke exposure and cancer risk, but current rules do not require respiratory protection for that work because of technical and operational challenges; the agency is watching efforts in other jurisdictions and at the federal level. On NIOSH, L&I warned that federal staffing and grant cuts could weaken occupational safety research, training pipelines, and programs affecting Washington workers, including firefighter cancer tracking and Hanford exposure assessments. ESD reported rising UI claims, a stable unemployment rate, and pressure on the trust fund, while also describing technology and process changes that have improved claims handling. ESD also said HR1 will significantly increase demand on WorkSource services through new work-search requirements for SNAP and Medicaid recipients, creating an unfunded mandate that the agency is preparing to implement with partner agencies.
NM
Transcript Highlights:
- And I got to know children in the foster care system.
- And so I know you all sitting here care very much about these issues.
- She will go to the end of the earth to fight for those she cares about.
- That our students are taken care of.
- I had very loving, caring foster parents. I had very loving, caring foster parents.
MA
Massachusetts 2025-2026 Regular Session
Joint Committee on Financial Services Jun 21st, 2026 at 10:00 am
Joint Committee on Financial Services
Transcript Highlights:
- However, this model isn't financially sustainable for most practices and risks delaying care.
- However, this model isn't financially sustainable for most practices and risks delaying care for many
- collaborative drug therapy management, or CDTM, and assist with patient care.
- These bills are part of a foundation for building a sustainable, patient-centered pharmacy care model
- collaborative practice agreements in primary care settings to offer individualized care ranging from
Summary:
The Joint Committee on Financial Services held a lengthy public hearing with testimony on a wide range of health insurance and access-to-care bills. Early testimony focused on prescription drug pricing and pharmacy reimbursement, with supporters of H. 1326 arguing that pharmacy benefit managers and MassHealth managed care arrangements reimburse independent pharmacies too little, contributing to pharmacy closures and “pharmacy deserts.” The committee also heard repeated support for H. 1151/S. 742 on cognitive rehabilitation for acquired brain injury, H. 1288/S. 716 on telehealth parity for nutrition counseling, H. 1309/S. 761 on full-spectrum pregnancy care without cost-sharing, H. 1312 on insurance coverage for doula services, H. 309 on prompt access to health care by removing deductibles for certain services, H. 809/H. 1227 on biomarker testing, H. 1162/S. 810 on reducing inequities in access to medical procedures by limiting insurer cuts tied to Modifier 25, and S. 726 on insurance coverage for mobile integrated health.
Testifiers included legislators, physicians, pharmacists, dietitians, emergency and rehabilitation clinicians, and patients and family members. Supporters of the brain injury bill said cognitive rehabilitation is medically necessary, improves long-term outcomes, and can reduce institutional care and public costs; they noted the bill has been heard repeatedly and has support from the Brain Injury Commission and prior favorable committee action. Supporters of the pregnancy care and doula bills described out-of-pocket costs as a barrier to maternal health and shared personal stories of high bills and unmet support needs. Biomarker testing advocates and cancer patients said coverage gaps deny patients access to precision treatment, can lead to avoidable suffering, and should be standardized across insurers; several speakers said insurers often deny claims despite clinical benefit. Dermatology witnesses said insurers’ use of Modifier 25 cuts reimbursement for same-day evaluation and procedure visits, forcing separate appointments and increasing patient burden. Mobile integrated health supporters described home-based care as a way to reduce emergency department use and hospital readmissions, especially for patients with transportation or mobility barriers. No votes or formal committee actions were taken during the hearing itself.
TX
Transcript Highlights:
- Do we understand that model? Yeah, I know you do.
- I think we've done that with this model and its thoughtful approach.
- The surrounding areas, it takes the federal model.
- I'm the Director of the National Security Collaboration Center.
- I'm talking about your National Security Collaboration. Yeah, we have.
Bills:
HB146, HB150, HB1500, HB1545, HB1562, HB2067, HB2520, HB2818, HB3214, HB3250, HB3466, HB3512, HB3623, HB4063, HB4395, HB4464, HB4668, HB4690, HB5331, HB3833
Keywords:
HB 146, Texas Capitol, State Capitol, State Preservation Board, Congress Avenue, Travis County, traffic lanes, lane closure, road closure, municipal authority, local control, Capitol area, downtown Austin, special events, construction traffic plan, pedestrian safety, public works, transportation policy, government code chapter 443, cybersecurity
Summary:
The committee took up several pending business items and reported a series of House bills out of committee, including HB 2467, HB 2468, HB 2518, HB 4310, HB 4386, HB 4490, HB 5323, and HB 149. Most of these were advanced on committee substitute motions and sent to the local and uncontested calendar or reported favorably to the full Senate. HB 2467 drew one nay vote, while the others were approved without opposition. HB 4310 and HB 4386 were described as committee-substitute versions with changes narrowing disclosure requirements and preserving attorney-client privilege in certain circumstances.
A major portion of the meeting focused on HB 149, an AI governance bill. The substitute was explained as addressing biometric identifier capture and storage, exempting certain AI uses for security and fraud prevention, clarifying definitions, restricting AI systems that simulate explicit child sexual content, adjusting Attorney General investigative authority, refining sandbox program waivers, reducing Texas AI Council powers and membership, and adding DIR coordination provisions. The committee adopted the substitute and reported the bill favorably.
The committee then heard extensive testimony on HB 1500, the DIR sunset bill. The author said the bill would continue DIR for 12 years, restructure its board, update advisory committees, require regular cybersecurity assessments and penetration testing for state agencies, improve IT procurement training, and transfer the e-grants program to the Comptroller. A Texas 2036 witness supported the bill as a way to strengthen governance, procurement, and cybersecurity. Members asked detailed questions about the bill’s structure and then left HB 1500 pending.
The committee also heard a lengthy presentation on HB 150, which would create the Texas Cyber Command as a component of the University of Texas System, administratively attached to UTSA and located in San Antonio. The author argued the command would centralize cyber threat intelligence, incident response, and digital forensics, and would be able to support state and local entities, with optional services for local governments. Members raised concerns about university mission drift, governance, security, chain of command, procurement authority, gifts and donations, and civil liberties implications of proactive cyber monitoring. Witnesses from UTSA/NSCC and SecurityScorecard testified in support, emphasizing the security of the downtown San Antonio facility, the existing cyber ecosystem there, and the need for a dedicated cyber capability. The bill remained under discussion with no final committee action announced in the excerpt.
FL
Florida 2026 Regular Session
Children, Families, and Elder Affairs Nov 18th, 2025
Children, Families, and Elder Affairs
Transcript Highlights:
- That doesn't mean they really care about you. It's because they're controlling you.
- But I do believe it's important that we have collaboration across the board.
- That model is a U.K.
- You know, I enjoy the collaboration that we have with everyone.
- I hate You know, I enjoy the collaboration that we have with everyone.
Summary:
The committee held a panel discussion on Florida’s domestic violence system, focusing on how state and federally funded services are coordinated, the role of the Florida Partnership to End Domestic Violence (FPEDV), the Florida Domestic Violence Collaborative, DCF, and certified domestic violence centers. Members reviewed the post-2020 restructuring after the dissolution of FCADV, the current hotline, legal services, training, and technical assistance contracts, and the Legislature’s recent work on lethality assessments under SB 1224. Panelists also described prevention, shelter, counseling, child advocacy, and legal support services, along with the statewide network of 41 certified centers serving all 67 counties.
Testimony highlighted both collaboration and tension. FPEDV and Women in Distress described overlapping training and technical assistance roles, but FPEDV said its relationship with DCF has been difficult and at times obstructive, while DCF said communication and coordination are ongoing. Women in Distress and other providers emphasized the importance of direct services, the statewide hotline, injunction assistance, child welfare co-located advocates, and prevention programs. Several members asked about funding flows, certification, and whether the current structure is sufficient for rural counties; witnesses said federal FVPSA funds are formula-based, DCF contracts directly with centers, and rural programs face staffing and fundraising challenges that limit beds and services.
A major portion of the discussion centered on the lethality assessment work group and implementation of the new statewide tool. FDLE explained that the work group concluded the Maryland model was copyrighted and costly to replicate exactly, so Florida adopted a statutory assessment that is not evidence-based in the same way, with training available online and 46 of about 400 law enforcement agencies having completed it so far. Senators raised concerns about multiple assessments, redacted police reports, and whether the tool will be useful without better coordination and data collection. Witnesses also discussed rising domestic violence, teen dating violence, and strangulation cases, with providers reporting increased demand, full shelters, and greater use of hotels and mobile crisis responses. No formal votes or actions were taken.
CA
California 2025-2026 Regular Session
Assembly Select Committee on California's Mental Health Crisis Dec 2nd, 2025
Transcript Highlights:
- We stand committed to improving the crisis care continuum.
- We stand committed to improving the crisis care continuum.
- There's also the matter of follow-up care and linkage.
- Because again, both are needed at various times to provide true whole-person care or crisis care on that
- So if we could redirect them to the right care or maybe even a safer level of care, but having clinicians
Summary:
The hearing focused on California’s 988 suicide and crisis lifeline and the broader crisis response system, with members and witnesses emphasizing both the system’s life-saving role and the risks posed by funding gaps, rising demand, and uneven local implementation. Opening remarks highlighted the personal impact of suicide and the need to strengthen crisis response so calls are answered quickly and linked to appropriate care rather than defaulting to 911, emergency rooms, or law enforcement. State officials described the AB 988 five-year implementation plan, which sets goals around public awareness, equitable access, high-quality call/chat/text response, and better integration with ongoing behavioral health services.
State agencies reported progress on infrastructure, coordination, and related behavioral health investments. CalHHS said California has expanded mobile crisis teams, crisis stabilization units, and youth behavioral health supports, and is preparing additional public awareness and grant programs tied to Proposition 1. DHCS explained that 988 is funded through a federal SAMHSA grant and the AB 988 surcharge, while Medi-Cal separately funds mobile crisis services; officials said the mobile crisis benefit is active in 53 counties and that statewide expansion remains a work in progress. Cal OES described the statewide technical buildout, including network infrastructure in all 11 crisis centers, interoperability with 911, and a pilot of next-generation routing and call-handling tools. The 988 California Consortium said call volume continues to rise sharply, missed calls remain a major concern, text/chat capacity is limited, and centers need more stable funding, better reimbursement, and stronger feedback loops with the state.
County and community witnesses stressed that local systems need more flexible, sustained support to match the demand. Lake County described a peer-led rural mobile crisis model that has reduced law enforcement holds and increased housing placements, but said county-run mobile crisis teams still cannot reliably access 988 surcharge dollars and face reimbursement problems from Medi-Cal and commercial plans. Santa Clara County reported strong performance metrics, rapid call answer times, and a broad continuum of mobile crisis services, but said staffing and funding are strained and commercial reimbursement remains slow. The Mental Health Association of San Francisco said the peer-run warm line complements 988 by offering non-emergency support and warm handoffs, but recent budget changes forced cuts to Spanish-language service, federation support, and hours. No formal votes or legislative actions were taken during the hearing; members mainly asked questions about surcharge levels, budget timing, coordination among agencies, data collection, and how to improve collaboration with frontline crisis centers.
TX
Transcript Highlights:
- Are you with us on the collaborative effort?
- We need to be able to do that and still maintain international collaboration.
- That's the model.
- model works?
- And he did feel like he had to be careful, very careful.
Keywords:
higher education, curriculum review, governing board, faculty council, ombudsman, faculty governance, decision-making, transparency, public meetings, department head, employment approval, public institutions, institutional oversight, education, funding, accountability, state budget, school performance, employment, Texas legislation
CA
California 2025-2026 Regular Session
Assembly Budget Subcommittee No. 3 on Education Finance and Education Committee Feb 25th, 2026
Transcript Highlights:
- I would love to collaborate with you.
- And so, but it is one reporting model. It comes into cabinet.
- And so, but it is one reporting model. It comes into cabinet.
- Parents care about what's happening at their school site.
- What do we care about most in this system?
Summary:
The joint hearing focused on coherence in California’s education planning and reporting systems, especially the Local Control and Accountability Plan (LCAP) and related grant plans. Committee chairs and members described widespread frustration with duplicative, lengthy, and sometimes conflicting reporting requirements, while emphasizing that the goal was not to reduce accountability but to make planning more useful, stable, and student-centered. State Superintendent Tony Thurmond also previewed the Governor’s education budget priorities, including expanded learning, community schools, universal transitional kindergarten, literacy supports, and concerns about the proposed Prop. 98 deferral.
Panelists from the State Board of Education, Fresno County Superintendent of Schools, and the Legislative Analyst’s Office said the LCAP was intended to balance local flexibility with statewide transparency, but has become overloaded by repeated revisions and additional requirements. They argued for fewer core reporting elements, more stability over time, better alignment of planning cycles, and integrated systems that reduce duplication. Fresno County staff described a multi-year calendar and support tools that help districts manage timelines, but said these tools only ease the burden rather than solve the underlying problem. The LAO noted that some newer plans, such as expanded learning and transportation plans, are narrative-heavy and often less informative than separate reporting requirements.
Local district leaders and county officials described the practical effects of the current system: staff time diverted from instruction, multiple portals and forms, audit risk aversion, and planning documents that can exceed 100 pages. Several superintendents said coherent systems work best when districts have clear priorities, stable governance, and aligned budgets, and when state requirements are predictable and tied to outcomes like literacy, attendance, and student achievement. The California Federation of Teachers added that coherence also depends on meaningful collaboration with educators, classified staff, parents, and communities. Committee members repeatedly asked whether the state should streamline reporting, create a uniform portal, or develop a more unified grant-reporting structure, and Thurmond said the department was piloting a simplified common form and was willing to work with the Legislature and districts on broader solutions.
NH
New Hampshire 2025 Regular Session
Senate Health and Human Services (02/18/2025)
Health and Human Services
Transcript Highlights:
- The CCRC model is structured to provide a continuum of care, allowing residents to transition seamlessly
- The CCRC model is structured to provide a continuum of care, allowing residents to transition seamlessly
- The CCRC model is structured to provide a continuum of care, allowing residents to transition seamlessly
- The CCRC model is structured to provide a continuum of care, allowing residents to transition seamlessly
- The CCRC model is structured to provide a continuum of care, allowing residents to transition seamlessly