Video & Transcript Research : 'Type A'
Page 121 of 500
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:
- Meaning that it's not unusual for a case manager to be unable to get a response from a health plan for
- I saw a 33-year-old male with type 1 diabetes who had uncontrolled blood sugars on his current medications
- Well, so, you know, a lot, I'm not a, I'm not a medical provider.
- This is a simple change that can make a huge impact.
- I'm in a rhythm. And then you hit a brick wall with a prior authorization.
Summary:
The committee held a hearing on several health care access and insurance-related bills, with most testimony focused on H.1136 to improve the prior authorization process. The Massachusetts Medical Society, Massachusetts Health and Hospital Association, Health Care for All, the Leukemia & Lymphoma Society, physicians, and hospital representatives all supported the bill, arguing that prior authorization delays care, increases administrative burden, contributes to clinician burnout, and can worsen patient outcomes. Witnesses described examples involving delayed cancer treatment, diabetes care, COPD medication, shingles pain treatment, and hospital discharge delays. They said the bill would preserve prior authorization but add guardrails such as longer validity periods, continuity-of-care protections, faster responses for urgent care, clearer lists of services requiring authorization, and more transparency and standardization.
The committee also heard testimony on H.1142/S.783 regarding equitable reimbursement for certified registered nurse anesthetists (CRNAs), with Senator Lovely and CRNA advocates supporting parity with physician anesthesiologists. They said CRNAs provide the same services at the same standard of care, but private insurers sometimes reimburse them at lower rates than physicians, which they argued is inconsistent with federal and state policy and harms access. Senator Keenan testified in support of a bill addressing claim denials and appeals, saying insurers should provide clearer explanations, time to resubmit claims, and timely appeal responses. Dr. Lorraine Schratz supported H.1126 to align state patient disclosure requirements with federal No Surprises Act rules, and Dr. Michael Trimbley supported H.1120 to recognize direct primary care as not being insurance and to encourage primary care participation.
The committee also heard testimony on H.1140/S.801 to remove barriers to patient care by updating insurance statutes to reflect nurse practitioners’ full practice authority, and on H.1168/S.A.18 to eliminate the PCP referral requirement for specialty gynecological care. Witnesses on those bills described delays and denials affecting autism diagnosis, nutrition coverage, and endometriosis care, and said the proposals would reduce unnecessary barriers and improve timely access. After testimony and a few member questions, the chair closed the hearing; no votes were taken during the session.
NM
Transcript Highlights:
- It's a 30-day session.
- Part of that decrease has been that we haven't really gotten to a point as a state where we have a really
- They do a variety of different types of internships.
- A closer look.
- We know, obviously, they don't have a facility. There is some type of savings with facilities.
ND
North Dakota 2025-2026 Regular Session
House Appropriations - Human Resources Division Apr 8th, 2025 at 03:00 pm
Appropriations - Human Resources Division
Transcript Highlights:
- We have a quorum.
- A lot of states will use kind of a minimum occupancy threshold to moderate that so that a facility isn't
- Wait a minute. Representative Berger, did you have a question? No, not a question.
- And this is kind of a bit of a different question.
- Okay, I would move a $500 a day.
Summary:
The committee first took up Senate Bill 2399, concerning therapeutic leave days for psychiatric residential treatment facilities (PRTFs). Sarah Aker from the Department of Health and Human Services explained the current Medicaid rate-setting methodology, how occupancy affects rates, and why paying the full rate for leave days would create additional fiscal impact. Members debated whether the bill should pay the full Medicaid rate, a flat reduced rate, or a tiered rate, and discussed whether a cap or department authorization should be used to control use of leave days. The department said it was not supporting the change as it was not in the governor’s budget, though it supported family engagement in care.
After discussion, the committee settled on a compromise motion to set therapeutic leave days at a $500 daily rate and require department authorization of the number of leave days. The motion passed 6-2, with Representative Anderson voting no and the rest of the recorded members voting yes. The committee then moved on to Department of Corrections and Rehabilitation budget materials, where Michelle Zander walked through detailed population and rate calculations for women’s and men’s facilities, county holds, deferred admissions, transitional facilities, work release, and proposed reentry, man camp, and Grand Forks-related costs. Members asked about the county jail reimbursement rates and the overall pool of funds, and Zander explained the calculations and noted the proposal was roughly break-even depending on assumptions.
The committee also heard an overview of DOCR IT requests from Amy and NDIT staff, including data processing, medical modules, a new client management system, body scanners, data management tools, facility management software, medical software upgrades, college solutions, and body cameras/tasers. Staff explained that the new client management system would likely be a multi-phase project with a wide cost range based on vendor selection and scope, and that the current request was for phase one. Members emphasized the importance of better data tracking, staff safety tools, and information that could help explain programming and release outcomes to the public. The committee planned to continue with Veterans Affairs the next day and then return to Senate Bill 2015.
TX
Transcript Highlights:
- young men and women a real love of nursing and, and understand that it's a, it's a, it's a, uh, an occupation
- of insurance by taking on a risk of caring for a patient for a flat fee.
- So in 2008, uh, a very large insurance company in the state of Texas, uh, tried to roll out a, uh, a
- tiered, uh, network and a, a, a, a program to, Um, basically rank physicians.
- complicated bond process because a, a bond typically you've got to have a lot of input data for your
Bills:
HB139
FL
Transcript Highlights:
- IF A CHILD HAS A DISABILITY OF NOT AGE REMOVAL.
- I CAN'T REMEMBER A TIME WHEN A POLITICAL PARTY OR TYPE OF QUESTION WAS IN THE SURVEYS.
- POLICE OFFICER, BECOME A FIREFIGHTER, ENTER INTO A BINDING CONTRACT OR FILE A LAWSUIT.
- THIS IS A BILL IN SEARCH OF A PROBLEM.
- WE HAVE OTHER AVENUES IF A CHILD IS HAVING ANY TYPE OF MISTREATMENT THEY CAN GO TO USE.
CA
Transcript Highlights:
- by a What I ended up leaning on actually was the aggregation of a really good set of data by a great
- 24 hours a day, seven days a week, 365 days a year.
- So a local jurisdiction, for example, has to request this type of training so you guys can provide, you
- Is there a way to say, like, this is a level one?
- It's these types of nuances that make a one-size-fits-all approach nearly impossible in our state.
Summary:
The joint informational hearing focused on California’s emergency alert and warning systems, especially in light of recent Southern California wildfires and the January 9 evacuation alert that was mistakenly sent to millions of residents. Opening remarks emphasized the loss of life, the strain on first responders, the importance of timely warnings, and concerns that public trust in alerts has been undermined by delays, confusion, and over-alerting. Members repeatedly raised questions about how to improve speed, accuracy, coordination across jurisdictions, and public understanding of the difference between evacuation warnings and orders.
Cal OES staff described the state’s alert and warning framework, including SEMS, the State Warning Center, IPAWS, WEA, and EAS, and said local governments retain primary responsibility for issuing alerts because they know local roads, shelters, and hazards best. They said Cal OES supports local agencies with training, technical assistance, testing, and backup alerting help when requested, and that local alerting authorities must test their systems every 30 days and complete FEMA-required training. Members pressed Cal OES on gaps in smaller or under-resourced jurisdictions, the lack of a statewide unified system, compliance monitoring, redundancy for people without reliable technology, and whether the state should take a more active role. Cal OES said it could assist smaller jurisdictions and step in during emergencies, but that a statewide system would require further analysis and funding.
Sheriff Eric Taylor of San Benito County emphasized that local control is essential because counties differ widely in structure, geography, and alerting responsibilities, and he described the challenges of rural areas, limited cell coverage, and multiple platforms such as Nixle, Reverse 911, and social media. Nick Russell of Watch Duty said the nonprofit fills gaps by providing fast, geospatially detailed wildfire information from volunteers and public data, and argued that context and redundancy are critical because official alerts often arrive too late or lack enough detail. Members praised Watch Duty’s usefulness and asked about incorporating similar capabilities into state systems. Public commenters also raised the need for broader redundancy, including earthquake-warning partnerships, and wildfire survivors urged the committee to address the confusing patchwork of alerts and to honor prior compensation commitments to PG&E fire survivors. No votes were taken; the hearing was informational only and adjourned after member questions and public comment.
TX
Transcript Highlights:
- before a GRO can open or expand in a community.
- Regarding any concerns that they have as a public, any kind of impact to the community, any type of impact
- Okay, so it could be a foster care agency that gets a lease for a residential house in a neighborhood
- When a health center hires a new provider or opens a new clinic.
- This is a claim by the insurance, not a claim by the insurance company, but a...
Bills:
HB1531, HB2667, HB2809, HB2865, HB3589, HB3151, HB3748, HB3750, HB4419, HB4643, HB3597, HB4129, HB4130, HB4131
Keywords:
workplace violence prevention, health and safety code, Chapter 331, facility definition, home and community support services agency, home health agency, home health care, nursing staff, registered nurses, health care workplace safety, hospital, nursing facility, ambulatory surgical center, freestanding emergency medical care facility, mental hospital, Texas health care regulation, provider compliance, occupational safety, senior living, referral agencies
NM
New Mexico 2025 Regular Session
Senate - Health and Public Affairs Feb 3rd, 2025
Senate Health & Public Affairs
Transcript Highlights:
- OK, there's a motion and a second.
- I'm a limited government type of guy, and I really want to let the regional offices work and do their
- Are they going to put this on a website? Is there going to be some type of legal notice?
- I move a do pass. There's a motion for a do pass.
- a lot of uptake for those types of crisis response units.
NM
New Mexico 2026 Regular Session
House - Appropriations and Finance Jan 13th, 2026 at 01:31 pm
House Appropriations & Finance
Transcript Highlights:
- sufficient resources, perhaps in a rural area, childcare, or ability to pay. for gas, those types of
- So, Madam Chair, even if they're a registered nurse or CMP, if they're a nurse midwife Or a midwife of
- A family. We have a nurse practitioner certification as well as a nurse midwife.
- It takes about a year to learn 13 different types of APRNs, two different types of CRNAs, and different
- To find a retired person to work in a Law enforcement capacity is a different, you know, story.
CA
Transcript Highlights:
- I'll entertain a motion. Thank you. I have a motion. I have a motion by Senator Jones.
- If you have a department of attorneys looking for these type of violations, that would be concerning.
- And so we've done a lot in place of putting internal controls in place to hopefully stop that type of
- And so we've done a lot in place of putting internal controls in place to hopefully stop that type of
- And my focus is ensuring ways that we don’t even get into a Girardi-type situation.
Summary:
The Senate Committee on Rules first took up several governor’s appointments not required to appear, including Rick Simpson to the Commission on Teacher Credentialing and Trinidad Solis, M.D., and Gerald Talbert, M.D., to the Medical Board of California. The committee also approved reference of bills to committees and floor acknowledgments, with roll calls on each item showing unanimous support from members present and the items left open for additional votes before final tallying.
The main public business was the confirmation hearing for George Cardona, J.D., for a second term as Chief Trial Counsel of the State Bar of California. Cardona described reforms made since taking office, including new conflict-of-interest and gift rules, stronger investigative requirements, efforts to reduce backlog and improve efficiency, and monitoring of discipline disparities identified in prior studies. Senators questioned him about safeguards after the Girardi matter, the John Eastman discipline case, racial and ethnic disparities in attorney discipline, unauthorized practice of law by notarios, staffing shortages, and the use of AI in filings. Public witnesses from the State Bar, SEIU Local 1000, and others spoke in support. The committee voted 3-0 to advance Cardona’s appointment to the full Senate.
The committee then heard Laura Enderton Speed, J.D., for Executive Director of the State Bar. She said her priorities would be restoring public trust, improving the discipline system, addressing the February 2025 bar exam problems, and strengthening fiscal stability and internal controls. Members asked about the State Bar’s structural budget deficit, the remote administration failures in the February exam, safeguards against undisclosed gifts and conflicts, and the status of audits and investigations. Supporters from the State Bar, the civil defense bar, SEIU Local 1000, and a longtime colleague testified in favor. The committee approved her appointment 5-0 to move to the full Senate. At the end of the meeting, members also approved the remaining governor’s appointments and procedural items, and the chair thanked Senator Jones for his service on the committee before adjourning the public portion.
TX
Transcript Highlights:
- Imagine a scenario where a chiropractor is practicing outside of their scope and they're doing a procedure
- Is there a, is there a hierarchy or isn't there?
- not a residency.
- Texas does have a postdoc. There's a lot of these states that are licensing without a postdoc.
- So right now I'm a senior. I go to try to get a real ID.
FL
Florida 2025 Regular Session
Appropriations Committee on Higher Education Mar 11th, 2025
Transcript Highlights:
- I have a a very a special niche are career a long-term career field that's needed for the university.
- If we can have a caller relief valve on some of these things such as employee cost it and those types
- pension or health costs of those types of things, that that is what I look at is a kind of relief out
- Yes, we have a question from a member. Senator Calatayud.
- We're a value in state and we're a value out of state.
CA
California 2025-2026 Regular Session
Assembly Budget Subcommittee No. 5 on State Administration Mar 18th, 2025
Transcript Highlights:
- I think a couple of things.
- We've also done a lot of research about these types of fragmented and siloed approaches, as well as investments
- ride-along or do some type of experience that way sometimes it's a match and other times it's not. in
- As I said before, as a class of 2017, I'm very proud to be a part of this.
- And just a reminder.
TX
Transcript Highlights:
- perhaps do a solicitation for those type of projects, for these programs, these populations. population
- The big cities don't have any type of of a resource of this nature, at least not the dollar volumes that
- That's a good question.
- So we're doing a pretty good job. But there's, you know, it's a constant effort.
- IBWC holds a tremendous amount of tools, but they have nothing outside of a consensus with a Mexican
CA
California 2025-2026 Regular Session
Senate Local Government Committee Jun 23rd, 2026
Local Government
Transcript Highlights:
- It is a board. If a board believes more oversight is needed, it already has a board.
- And to sort of throw a project out at that point is wasting a ton of money, a ton of resources, a ton
- And to sort of throw a project out at that point is wasting a ton of money, a ton of resources, a ton
- And to sort of throw a project out at that point is wasting a ton of money, a ton of resources, a ton
- And so, regardless of disaster type, AB 2385 does provide a flexible but valuable tool that would support
MN
Minnesota 2025-2026 Regular Session
House Public Safety Finance and Policy Committee 3/18/25
Public Safety Finance and Policy
Transcript Highlights:
- It expands the types of crimes where a prosecutor must notify a victim when they decide to decline to
- /c><00:10:38.040>
person any type of crime that impacts a person any type of crime that impacts - involving a death uh a death of a child involving a death uh a death of a child and<01:10:49.320
- A prior testifier talked a bit about children's advocacy centers and the type of services we have, but
- , as a supervisor, as a manager.
Keywords:
public safety, law enforcement, mental health, domestic violence, appropriations, criminal justice, Minnesota corrections, victim services, task force, personal safety, Independent Use of Force Investigations Unit, criminal sexual conduct, sexual assault, peace officers, law enforcement oversight, Minnesota National Guard, U.S. armed forces, military installation, armory, air base
MN
Minnesota 2025-2026 Regular Session
Committee on State and Local Government - 03/27/25
State and Local Government
Transcript Highlights:
- think it's tough to give a a a sort of I think it's tough to give a a a sort of black<01:04:23.079><
- Is there a specific, like, when you apply for a license for a business, is massage services a type, or
- do you just say, like, I'm opening a business and here's the type?
- ...when you apply for a license for a business, is massage services a type, or do you just say, like,
- I'm opening a business and here's the type?
ND
North Dakota 2026 1st Special Session
Special Education Funding Committee May 6th, 2026 at 09:00 am
Special Education Funding Committee
Transcript Highlights:
- in a typical year-to-year situation on these types of assessments with this many students, you don't
- So I think that would be a component of almost merging the concept of the high cost with a reimbursement-type
- So I think that would be a component of almost merging the concept of the high cost with a reimbursement-type
- So would that type of a factor get us a little bit closer?
- So would that type of a factor get us a little bit closer?
MN
Minnesota 2025 1st Special Session
Conference Committee on HF2432 5/8/25
Transcript Highlights:
- <00:26:24.000>
of they have a lot of priorities, a lot of they have a lot of priorities, a - Uh, so yes, any type of fire is going to bring about, uh, a lot of emotion, and it's both, um, specifically
- a court and get a search warrant. a court and get a search warrant.
- to get a judge to issue a a search warrant?
- Can we just get a a more motion?
MN
Minnesota 2025 1st Special Session
House Human Services Finance and Policy Committee 3/13/25
Human Services Finance and Policy
Transcript Highlights:
- She touched on a lot of my points. I'll just be a little bit more brief.
- /c><00:03:00.760>
little a lot of my points I'll just be a little a lot of my points I'll just - 01:02:40.839>
a conversation you know a medicine to a conversation you know a medicine to a pharmacy - /c> Curran thank you chair um and sort of a Curran thank you chair um and sort of a a<01:03:34.799>
- >
a <01:09:47.000>doctor's example of scheduling a doctor's example of scheduling a doctor's - >
Keywords:
veterans, veterans affairs, State Soldiers Assistance Program, Veterans Stable Housing Initiative, MAXIS, human services data, data sharing, eligibility verification, informed consent, private data, benefits coordination, veteran housing, veteran assistance, Department of Human Services, Children Youth and Families, state benefits, federal benefits, privacy, public assistance, human services