Video & Transcript Research : 'shared services'
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MN
Minnesota 2025-2026 Regular Session
House Human Services Finance and Policy Committee 3/10/26
Human Services Finance and Policy
Transcript Highlights:
- Shared services do impose extra administrative work for the FMS providers.
- <00:17:42.880>
services <00:17:43.679>when on this bill about shared services when - shared services are already happening. shared services are already happening.
- that person is reflected in the shared that person is reflected in the shared services.
- Is that correct about shared services?
Keywords:
long-term care, insurance policy, healthcare, partnership policy, Minnesota, human services, wage increase, support workers, shared services, community first services, medical assistance, sanctions, healthcare services, monetary recovery, government accountability, assisted living, training, unlicensed personnel, resident rights, safety regulations
KY
Kentucky 2026 Regular Session
Budget Review Subcommittee on Heath and Family Service. (6-3-26)
Transcript Highlights:
- So our model is a shared services model.
- So our model is a shared services model.
- ownership with with crisp shared ownership with with crisp shared services.<00:03:21.760>
The - Um and model is a shared services model.
- So it's very much a shared services model.
Keywords:
Meeting Start 00:00:00
Attendance Roll Call 00:00:20
CRISP Shared Services 00:01:39
Rural Health Transformation Plan 00:30:55, 958, all
Summary:
The Budget Review Subcommittee on Health and Family Services opened its first meeting of the 2026 interim session, took roll, and moved directly into presentations. The main presentation was from Ryan Bramble of Crisp Shared Services, who described the organization’s health information exchange and health data utility model in Kentucky and other states. He emphasized that Crisp is a nonprofit, that data ownership remains with providers, and that governance is local. He also outlined the technical infrastructure, including a master patient index, cloud-based data lake, support for modern standards like FHIR and USCDI as well as older formats, and data quality tools used to normalize and standardize information. Bramble said the model is intended to reduce duplication, lower costs, and support rural providers and future use cases such as reporting, analytics, and AI-enabled decision support.
Members asked how the state can ensure the data is actually used and who should drive priorities for health care improvement. Bramble said Crisp can provide tools, expertise, and examples from other states, but local teams such as KHI and state stakeholders must tailor and lead utilization efforts. In response to questions about ownership and coordination, he stressed that successful HIE governance requires a multistakeholder body that includes hospitals, health plans, government, and other interests, with a unified approach rather than multiple competing directives. He also said the Commonwealth has an opportunity to convene those stakeholders and set clear priorities.
A senator raised concerns that responsibility for Medicaid and broader health policy has become fragmented and suggested a stronger central role for the state, possibly through the Department of Public Health, to coordinate health priorities. Bramble agreed that a single convening authority and multistakeholder governance are important, and noted that local governance should determine what data is shared and how it is used. No votes or formal actions were taken during this portion of the meeting. After Bramble’s presentation and questions, the committee was told that Secretary Stack from the cabinet would testify next on the rural health transformation plan.
OK
Oklahoma 2026 Regular Session
Retirement and Government Resources 2ND REVISED Apr 7th, 2026 at 10:30 am
Retirement and Government Resources
Transcript Highlights:
- Keep our priorities on our services within the state. With that, I would yield for questions.
- They can still render services to any person that walks in their doors.
- It's a redirection Of our state agencies to redirect directly into services, not getting caught up in
- There again, when we're talking about autism, we're not in that session or rendering that service as
- They want us to spend it on services, but they're not.
Keywords:
state government, vendor contracts, subcontracting, public database, contract assessment, transparency, retirement, law enforcement, Oklahoma Law Enforcement Retirement System, school resource officers, public safety, public finance, contract management, service-driven contracts, state accounting, intangible assets, Oklahoma Police Pension, disability benefits, mental health, retirement system
WY
Transcript Highlights:
- America to pass a strong shared America to pass a strong shared parenting<00:21:43.120>
law. - Kentucky which which moved for shared Kentucky which which moved for shared parenting<00:37:19.280
- Shared parenting deescalates backlog. Shared parenting deescalates the<00:37:31.839>
war. - municipal services every day. Mr. municipal services every day. Mr.
- Imperial services runoff impact.
AL
Alabama 2026 1st Special Session
Alabama House Fiscal Responsibility Committee Feb 11th, 2026
Fiscal Responsibility
Transcript Highlights:
- The funds can be used for tuition, fees, special needs services, tutoring, books, and supplies.
Keywords:
religious instruction, elective credit, released time, public education, school policy, tax credit, scholarship, education funding, financial aid, federal participation, HB168, Alabama, emergency management, local emergency management organization, mutual aid, mutual aid agreement, disaster response, public safety, public health, state emergency management plan
WY
Wyoming 2026 Regular Session
House Labor, Health & Social Services Committee, March 2, 2026
Labor, Health & Social Services
Transcript Highlights:
- It's number six shared parenting day.
- America to pass a strong shared America to pass a strong shared parenting<00:03:22.560>
law. - than medical services. than medical services.
- . are local pharmacy services.
- <01:21:40.800>
shall the Department of Family Services shall the Department of Family Services
Keywords:
medical necessity, insurance, healthcare policy, independent review, claim processing, shared parenting, family law, joint custody, child well-being, parental rights, pharmacy, collaborative care, healthcare, prescriptions, patient safety, Wyoming Pharmacy Act, welfare, Medicaid, employment, eligibility verification
WY
Wyoming 2026 Regular Session
Senate Labor, Health & Social Services Committee, March 2, 2026
Labor, Health & Social Services
Keywords:
medical necessity, insurance, healthcare policy, independent review, claim processing, shared parenting, family law, joint custody, child well-being, parental rights, pharmacy, collaborative care, healthcare, prescriptions, patient safety, Wyoming Pharmacy Act, welfare, Medicaid, employment, eligibility verification
OK
Oklahoma 2026 Regular Session
Retirement and Government Resources REVISED Feb 17th, 2026 at 10:30 am
Retirement and Government Resources
Transcript Highlights:
- So, a new member comes in with credited service, then they become a liability on the system, but you're
- It's purely based on years of service.
- The checks are given out on their anniversary date, so it's based purely on years of service.
- We're seeking to raise that to $10 per month per year of service.
- They have to pay into the system when you're trying to buy back your years of Service.
Bills:
SB134, SB1356, SB1407, SB1611, SB1639, SB169, SB1722, SB182, SB1870, SB2039, SB432, SB609, SB715, SB716
Keywords:
retirement, public employees, reemployment, benefit adjustment, Oklahoma Public Employees Retirement System, state government, OMES, Office of Management and Enterprise Services, Department of Labor, Department of Veterans Affairs, Department of Rehabilitation Services, civil service, human capital management, state employee disputes, whistleblower, veterans employment, veterans placement, fleet management, state fleet, motor vehicles
AL
Alabama 2026 1st Special Session
Alabama House Commerce and Small Business Committee Feb 3rd, 2026
Commerce and Small Business
Transcript Highlights:
- Um, peer-to-peer car sharing industry is basically like a BBO or an Airbnb for your car.
- So, this bill will make it to where there's more definition of what peer-to-peer car sharing is.
- <00:03:12.879>
Um, <00:03:13.760>peer-to-peer Peer-to-peer car sharing industry is - So, this bill will make it to where there's more definition of what peer-to-peer car sharing is. >> And
- This bill will make it to where there's more definition of what peer-to-peer car sharing is. >> And that
Keywords:
ad valorem tax, road funding, local government, referendum, Choctaw County, Tuskegee University, education funding, Alabama Education Trust Fund, appropriation, agricultural research, data privacy, consumer rights, personal data, data protection, Alabama Personal Data Protection Act, peer-to-peer car sharing, vehicle insurance, liability, shared vehicles, taxation
OK
Transcript Highlights:
- So this allows for alternate terms of service so that we have a continuity within that board.
- that could fall under their directors and not under this bill, just for those certain emergency services
- done, whether the job is complete or ongoing, whether the job was to augment staffing or provide a service
- Contract is service-based or for staff augmentation.
- This child has gone to their parent, who is a state employee of the state of Oklahoma and has shared
Keywords:
2030 census, complete count committee, census outreach, decennial census, enumeration, population count, hard-to-count populations, hard-to-enumerate areas, State Data Center, Oklahoma Census, multilingual campaign, public outreach, school-based outreach, community organizations, minority groups, ethnic minorities, language minorities, self-response rate, census awareness, federal census
MN
Minnesota 2025 1st Special Session
House Transportation Finance and Policy Committee 2/17/25
Transportation Finance and Policy
Transcript Highlights:
- our operational efficiency and service our operational efficiency and service reliability<00:37:
- operators to meet our growing service operators to meet our growing service demands<00:37:51.480
- smart currently has suspended service smart currently has suspended service and<00:39:42.760>
- Thank you, Chair and committee. increase Transit service and it'll be um increase Transit service and
- vehicle services operating account to vehicle services operating account to support<01:17:35.239>
Keywords:
HF198, shared time pupils, shared-time enrollment, nonpublic school, private school, public school, career and technical education, CTE, secondary credit, school funding, state aid, education finance, Minnesota Statutes 126C.01, compulsory attendance, school district, education policy, HF269, Spicer, Minnesota bonding bill, capital investment
TX
Texas 89th Regular
Senate Committee on Health and Human Services May 13th, 2025
Health & Human Services
Transcript Highlights:
- The Senate Committee on Health and Human Services will come to order.
- Oh yeah, Texas Engineering Extension Service, through Texas A&M.
- I know TEEX has first responders, Forest Service, and some other agency partners.
- Sets prices for services, even with the most complex accounting systems.
- It's very hard to actually compare the quality and price for shoppable healthcare services.
Bills:
HB35, HB138, HB754, HB1314, HB1612, HB2254, HB2510, HB2789, HB3560, HB3597, HB4224, HB4273, HB4643, HB4783, HB138
Keywords:
peer support, first responders, mental health, confidentiality, emergency services, health impact analysis, cost analysis, coverage mandates, health insurance, legislative analysis, health care data, human trafficking, trafficking prevention, medical assistant training, health care facilities, hospital compliance, clinic compliance, anti-retaliation, whistleblower protection, employee reporting
MN
Transcript Highlights:
- <00:03:01.160>
with venture of government services with venture of government services with - quality services that our residents quality services that our residents deserve. deserve. deserve.
- We anticipate the FAA likely will fund their 90% share of this project.
- He can share a little bit Independence.
- ensuring safe, reliable water service ensuring safe, reliable water service for<01:12:37.960>
Bills:
HF4156, HF3835, HF3995, HF4383, HF4091, HF4084, HF4311, HF198, HF4486, HF4302, HF4309, HF4032, HF3855, HF3673, HF4265, HF4012, HF4339, HF4298, HF3852
Keywords:
infrastructure, wastewater, stormwater, Buhl, state bonds, appropriations, economic development, water infrastructure, grants, capital investment, funding, state regulation, Frazee, North River Drive, infrastructure improvements, HF4383, Minnesota capital investment, bonding bill, Department of Natural Resources, DNR
AZ
Transcript Highlights:
- is found in violation, the bill requires the AG to instruct the state treasurer to withhold state-shared
- is found in violation, the bill requires the AG to instruct the state treasurer to withhold state-shared
- harmless, revenues have reached record levels. ...urban revenue sharing in 2021 from 15% to 18% to hold
- That's nearly a tripling of shared income tax revenue over the last decade.
- or intergovernmental agreements for the continuation of outlined services.
Bills:
SB1433, SB1434, SB1435, SB1567, SB1571, SB1686, SB1745, SCR1024, SCR1025, HB2671, HB2676, HCR2044
Keywords:
county boundaries, Maricopa, Gila, Pinal, Yavapai, Yuma, La Paz, local governance, Arizona Revised Statutes, Maricopa county, county division, new counties, intergovernmental agreements, special election, shared use agreements, education, explicit material, parental consent, student protection, library access
Summary:
The committee approved the February 4, 2026 minutes and held SB 1571 until the following week. It then heard and advanced several measures, beginning with SB 1745, which would cap transaction privilege/excise tax rates in the state’s largest cities at 2.5% per classification unless approved by voters, and would allow enforcement through the attorney general and state-shared revenue withholding. Supporters argued it would protect taxpayers and restrain municipal tax increases; the bill received a technical amendment and a due pass recommendation. The committee also advanced SB 1686, renaming Wesley Bolin Memorial Plaza as the Wesley Bolin and Charlie Kirk Freedom Plaza and authorizing memorial placements for Don Bowles and Charlie Kirk, after brief supportive discussion and no substantive opposition testimony.
The committee spent substantial time on SB 1567 and SB 1435, both aimed at restricting public entities, schools, and libraries from exposing minors to sexually explicit materials and from using public facilities for sexually explicit filming or access. Supporters framed the bills as child-protection measures and cited examples of explicit books and materials in libraries and schools; opponents, including the ACLU, warned the definitions were broad, could chill speech, and could criminalize librarians and educators for handling constitutionally protected literature or sex-education materials. Both bills were amended and passed on 4-3 votes, with supporters emphasizing existing obscenity standards and opponents stressing First Amendment concerns and implementation problems.
The committee also advanced SB 1433 and SB 1434, which would redraw Maricopa County boundaries and, in the latter bill, create three new counties with a transition board and staggered elections. The sponsor argued Maricopa County had become too large and politically dominant, making government less representative and less responsive; opponents called the proposals expensive, disruptive, and politically motivated, citing concerns about debt division, duplicated county systems, and fiscal impacts. Both bills received due pass recommendations on 4-3 votes. Finally, the committee approved SCR 1024, requiring legislators to live in their district for one year before election, and SCR 1025, moving the legislative session start date from the second Monday to the fourth Monday in January; both resolutions passed unanimously or near-unanimously after sponsor testimony that they would modernize outdated rules and improve use of time.
MN
Minnesota 2025-2026 Regular Session
House Children and Families Finance and Policy Committee 3/17/26
Children and Families Finance and Policy
Transcript Highlights:
- yet untapped to support children services.
- Minnesota must expand available services Minnesota must expand available services by<00:20:59.680
- support children services. support children services.
- Thank you for sharing the See none.
- <02:02:41.560>
their families who have come to share their families who have come to share
Keywords:
child care, child care center, day care, licensed child care, video security cameras, surveillance, security cameras, maltreatment, child abuse, child safety, public and shared areas, camera mandate, child care assistance program, CCAP, Great Start Compensation Support, early learning scholarships, licensed provider, Minnesota Statutes 142B.68, Harvey's Law, privacy
HI
Hawaii 2026 Regular Session
EIG DEFER Public Hearing 04-21-2026
Energy and Intergovernmental Affairs
Transcript Highlights:
- c> Thank The next resolution is HCR 154, requesting the County of Hawaii to expand the Heleon shared
- from transmission and distribution services.
- and services from transmission and distribution<00:04:57.720>
services. - <00:04:58.720>
We <00:04:58.880>also <00:04:59.160>agreed distribution services - We also agreed distribution services.
Keywords:
pedestrian safety, raised crosswalks, Honolulu, traffic infrastructure, school zone, HCR154, Hele-On, Hele-On Shared Ride Program, County of Hawaii, Hawaii County, Mass Transit Agency, shared ride, paratransit, accessible transportation, ADA, mobility devices, wheelchair accessible, kupuna, seniors, elderly
Summary:
The Committee on Energy and Intergovernmental Affairs reconvened on April 21 and took up a series of House Concurrent Resolutions, with no public testimony. Members first approved HCR 43, urging raised crosswalks near Ala Wai Elementary at University Avenue, Malkiki Street, and Kamoku Street to improve student safety, and HCR 154, asking Hawaii County to expand the Heleon shared ride program islandwide, including rural and underserved areas. They also passed HCR 165, calling for permanent pickleball nets and court lighting at Kamilo Iki Community Park, and HCR 186, urging the U.S. Department of Defense and Defense Health Agency to extend health care authorization renewals for people affected by the Red Hill water contamination crisis.
The committee then approved HCR 200, which urges the Department of Defense to reassess prior CERCLA-related closure decisions in light of evolving PFAS science. Members said the measure was intended to help keep PFAS out of the water system. HCR 202, establishing a legislative task force on Hawaii’s future energy pathways, was amended before passage to expand the task force’s scope to include separation of generation from transmission and distribution, add Senate leadership representation, and include representatives from the Agricultural Development Corporation and the Farm Bureau. Several members supported the amended version with reservations, expressing concern about possible cost impacts from separating generation and distribution.
Finally, the committee passed HCR 206 HD1, which requests the Hawaii State Energy Office to convene a working group to study the impacts of large data centers on utilities, ratepayers, natural resources, and climate goals. All measures were adopted by the committee, with HCR 202 passing with amendments and the others passing unamended. The meeting then adjourned.
MN
Minnesota 2025-2026 Regular Session
House Human Services Finance and Policy Committee 3/3/26
Human Services Finance and Policy
Transcript Highlights:
- Many of us share the goal of increased access to home care services that allow older Minnesotans and
- service.
- of an essential service. of an essential service.
- intensive service. intensive service.
- the 14 services. the 14 services.
Keywords:
home care, licensing, fines, advisory council, grant program, client safety, healthcare regulation, HF3375, Minnesota disability waiver, waiver rate system, human services, individualized home supports, individualized home supports with training, individualized home supports with family training, positive support services, employment support services, employment development services, employment exploration services, billing limits, service authorization year
MN
Minnesota 2025-2026 Regular Session
House Human Services Finance and Policy Committee 3/4/26
Human Services Finance and Policy
Transcript Highlights:
- public service agencies.
- service response. service response.
- <00:19:06.240>
Um, service. It's it's a safety element. Um, service. - The bill was shared with the Minnesota Department of Human Services, and DHS technical assistance has
- those services. those services.
Keywords:
pediatric care, hospital discharge, home care, healthcare accessibility, nursing services, family support, mental health, crisis services, Dakota County, mobile crisis response, public safety, treatment services, rehabilitation, behavioral health fund, client eligibility, home and community-based services, case management, waiver services, county services, disability advocacy
LA
Bills:
HCR6, HCR19, HB81, HB134, HB154, HB163, HB170, HB194, HB254, HB318, HB410, HB473, HB485, HB718, HB970
Keywords:
HCR 6, House Concurrent Resolution 6, successions, intestate succession, testate succession, disinheritance, disinherison, forced heirship, forced heir, legitime, estranged heir, estranged child, inheritance, estate planning, wills, testaments, Civil Code Article 1617, Civil Code Article 1618, Civil Code Article 1619, Civil Code Article 1620
AZ
Transcript Highlights:
- , so they might get rid of the services that cost them money: pediatrics, OB, others.
- We've shared some language related to that.
- We've shared some language related to that. Thank you for that.
- Chairman, Representative Gress, thanks for sharing that concern with me.
- Chairman, Representative Gress, thanks for sharing that concern with me.
Bills:
HB4138, HB4139, HB4140, HB4141, HB4142, HB4143, HB4144, HB4145, HB4146, HB4147, HB4148, HB4149, HB4150, HB4151, HB4152, HB4153, SB1831, SB1832, SB1833, SB1834, SB1835, SB1836, SB1837, SB1838, SB1839, SB1840, SB1841, SB1842, SB1843, SB1844, SB1845, SB1846
Keywords:
appropriations, education funding, health care, general fund, state budget, local funding, gaming, pari-mutuel, horse racing, regulatory assessment, first-time starters, budget implementation, federal funds, government services, budget stabilization, financial reporting, capital outlay, infrastructure, veterans services, highway construction
Summary:
The committee met in a special joint appropriations session to review the FY 2027 budget package, including House Bill 4138 and Senate Bill 1831, the general appropriations or “feed” bills. Staff described the budget as including a one-time transfer of state funds, a 5% lump-sum reduction to most agencies’ discretionary general-fund budgets, continued funding for the state health insurance plan and school facilities, and various one-time restorations or reversions of prior appropriations. Members spent much of the meeting clarifying how the 5% reductions would work, noting that formula and mandatory funding such as K-12 basic aid are excluded, while the governor’s executive branch would decide how to implement the cuts within agencies. The chair repeatedly emphasized that the committee was not specifying line-item cuts and that agencies would have discretion over implementation.
A large portion of the discussion focused on the practical effects of the budget on universities, public safety, health care, rural programs, and fund sweeps. Arizona Board of Regents and university representatives said the proposed reductions would amount to more than $85 million statewide and could affect programs such as the Arizona Promise Program, Teachers Academy, and tuition freezes, though no specific program cuts were written into the bill. Other testimony raised concerns about fund sweeps from encumbered balances, including university research funds, housing trust funds, utility regulation funds, and ADOT-related accounts, with some members warning about possible impacts on rural infrastructure and federal matching dollars. The committee also discussed the state employee health plan, including a $228 million general-fund infusion and proposed employee premium increases over three years, as well as questions about corrections, forestry and fire management, and rural critical access hospitals.
Public testimony was largely opposed to the budget. Speakers from Opportunity Arizona, the Arizona Board of Regents, health care, and local government argued that the package would reduce support for education, housing, SNAP, health care access, and rural communities while preserving tax benefits for data centers and wealthy taxpayers. A mayor from Globe described severe flood damage and asked for state help for a flood relief fund, while a motorcycle safety advocate questioned a proposed transfer from the motorcycle safety fund. Committee members debated whether the budget’s effects should be described as speculative or as likely consequences of the broad cuts, and several exchanges became contentious over comparisons to the Great Recession and references to federal tax policy. The meeting ended with continued public testimony and no final vote taken in the portion provided, though leadership had earlier said the committee planned a mass roll-call vote on all the bills at the end.