Video & Transcript Research : 'basic care'
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MN
Minnesota 2025-2026 Regular Session
Committee on Agriculture, Veterans, Broadband and Rural Development - 02/19/25
Agriculture, Veterans, Broadband, and Rural Development
Transcript Highlights:
- buyers modification, and then from Senator Gon, who will talk to us about Farm to School and early care
- Mine has a slightly different tweak to it, but basically, except for the little tweak, it is basically
- I was basically forced to step up and fill both of our positions.
- accountants were doing and taking care accountants were doing and taking care of<01:14:52.920>
<01:25:54.080>right yes basically right yes basically right yes<01:25:55.159>thank
CA
California 2025-2026 Regular Session
Assembly Human Services Committee Apr 8th, 2025
Transcript Highlights:
- Despite this demand, existing child care programs are struggling to care.
- Hi, Juliet Terry with Child Care Resource Center.
- We know how important child care is.
- In these times of crisis, families are focused on securing shelter, food, and health care, basic needs
- These day programs and adult facilities basically provide basic care and assistance to adults with developmental
Summary:
The Assembly Committee on Human Services heard a long agenda of bills focused largely on child welfare, foster care, child care, CalWORKs, mandated reporting, and public benefits. Early items included AB 890, which would ease county transfer rules for nonminor dependents in extended foster care; AB 461, which would replace punitive truancy-related penalties with supportive services for families; and AB 753, which would create an interim associate teacher pathway to help address the child care workforce shortage. Testimony on these bills emphasized barriers faced by foster youth, low-income families, and child care providers, and members expressed support for the general policy direction.
The committee also heard AB 926 on foster care visitation, AB 563 on early childhood planning and reporting, AB 601 on standardized mandated reporter training, AB 1074 on CalWORKs reunification aid, AB 822 extending the Commission on the State of Hate, AB 970 creating a Los Angeles County mandated reporter pilot, AB 1161 protecting public benefits during disasters, AB 1172 allowing trained staff to administer emergency seizure medication in community care settings, and AB 363 expanding CalWORKs student supports and work-study. Witnesses generally supported these measures as ways to reduce trauma, improve reunification, modernize reporting and training, and expand access to services. County welfare and child welfare groups, advocacy organizations, and providers largely testified in support, while some bills drew concerns from county representatives about implementation or needed amendments.
Several bills were voted out of committee, often unanimously and sometimes as amended, including AB 926, AB 563, AB 601, AB 1074, AB 822, AB 970, AB 1161, and AB 1172; AB 1172 was reported on call. The committee also took up consent items and later voted on subcommittee-held bills AB 461, AB 753, and AB 890, leaving them on call. At the end of the hearing, the committee heard AB 1211, which would protect CalFresh benefits from federal cuts and require a feasibility study on increasing benefits and eligibility; testimony stressed rising food insecurity and the economic importance of food assistance, but the transcript ends before a final vote on that bill.
FL
Florida 2026 Regular Session
FL House Floor Session - 2026-02-11 (4:00PM Session)
Florida House Floor Meeting
Transcript Highlights:
- And so we need to be really careful here.
- Basically for an elected superintendent, it's up to the school board. elected, basically for an elected
- This local bill enables child care home owners to expand responsibly and increases child care options
- This local bill enables child care home owners to expand responsibly and increases child care options
- We have to be careful of that.
Summary:
The House convened with prayer, moments of silence for former member Terry Fields and the Parkland victims, the Pledge of Allegiance, and recognition of guests and visitors. The chamber then adopted the Rules and Ethics Committee’s special order report setting the day’s calendar and debate times. The main measure taken up was HB 1119, relating to materials harmful to minors in public schools and charter schools, which the sponsor described as a clarification of existing law to keep pornographic or sexually explicit material away from minors and to give districts clearer standards for review and objection processes.
The bill drew extensive debate over constitutional concerns, local control, litigation risk, and the scope of the definition of “harmful to minors.” Members supporting the bill argued it was needed to close loopholes and protect children, while opponents warned it could lead to overbroad book removals, conflict with federal court rulings, and costly lawsuits. A series of amendments sought to narrow or redirect the bill: proposals by Gant, Aristide, Bartleman, Eskamani, Nixon, Rainer, Woodson, and Harris would have preserved literary value review, protected educational and abuse-prevention materials, exempted LGBTQ-inclusive books, limited objections, preserved funding for districts, or delayed enforcement during ongoing litigation. Supporters of the amendments framed them as protecting parental choice, academic value, student safety, and district finances; opponents said they would weaken the bill’s child-protection purpose. All of the amendments failed.
After the amendment process, the House waived rules, read HB 1119 a third time by title, and entered structured debate on final passage. Debate continued along the same lines, with opponents emphasizing book removals, First Amendment concerns, and the impact on students and schools, and supporters reiterating that the bill was intended to prevent minors from accessing obscene material. The transcript provided ends during structured debate and does not include the final vote on HB 1119.
MA
Massachusetts 2025-2026 Regular Session
Joint Committee on Public Health Jun 21st, 2026 at 09:00 am
Joint Committee on Public Health
Transcript Highlights:
- It is the standard of care for the industry.
- An even larger problem is the lack of medical care.
- for their health care system.
- In fact, primary care providers often request to have patients have RDMNT, In fact, primary care providers
- We are asking to breathe in clean air while we care for others.
Summary:
The Joint Committee on Public Health heard testimony on a wide range of bills focused on environmental health, disease prevention, and access to care. Major topics included restricting polystyrene use, creating a pancreatic cancer awareness and early-detection initiative, improving indoor air quality through a task force and new regulations, expanding access to epinephrine in public places, improving access to health care for people with long COVID, creating an OBGYN loan repayment program for underserved areas, expanding access to hygiene products, modernizing licensure for dietitians and nutritionists, updating school postural screening requirements, and restricting harmful diet pills and muscle-building supplements. Several legislators also testified in support of their own bills, including measures on menstrual product access and ingredient disclosure, and surgical smoke protections.
Testimony on the polystyrene bill emphasized local municipal bans and the need to reduce plastic pollution. Pancreatic cancer advocates and patients described the disease’s low survival rate, the difficulty of early diagnosis, and the need for an awareness campaign and implementation of commission recommendations. Indoor air quality supporters from environmental justice groups, public health organizations, and residents described asthma, mold, pollution, and the need for a task force with technical expertise; some witnesses urged adding remediation professionals to the task force. On epinephrine access, family members of a man who died after a bee sting and an allergy organization stressed that anaphylaxis can be sudden and fatal and that stock epinephrine in public venues could save lives. Long COVID advocates said the condition affects hundreds of thousands of residents and called for better surveillance and access to care, with a request to include MECFS in the bills’ scope.
Other testimony focused on workforce and equity issues. Supporters of the OBGYN loan repayment bill said it would help address maternal health disparities and provider shortages, especially in rural and underserved communities. Hope and Comfort described widespread hygiene insecurity and a long waiting list for basic products, urging a task force to study statewide solutions. Dietitians and nutritionists supported modernization of licensure to clarify standards for medical nutrition therapy while allowing broader wellness counseling. School nurses backed reducing mandatory postural screenings, arguing the current law is not evidence-based, is not reimbursed by MassHealth, and takes time from other student health needs. On the supplement bill, the industry trade group opposed restrictions as overbroad and burdensome, while a public health expert cited research linking weight-loss and muscle-building supplements to serious harms and urged passage. The committee also heard support for menstrual product access and surgical smoke protections, with legislators and advocates describing those bills as longstanding priorities.
AZ
Transcript Highlights:
- and a pretty comprehensive range of urgent care, health care services for their students.
- When I hear the word health care put with abortion, health care does not end in the murder of a human
- Abortion is health care.
- health care to all students, including providing information and referrals. ...for abortion care for
- So basically, would, first of all, you're saying that the continuum of care—how were those created?
KY
Kentucky 2026 Regular Session
Medicaid Oversight and Advisory Board. (3-9-26)
Transcript Highlights:
- there are a lot of home care challenges. there are a lot of home care challenges.
- we don't have enough patient care slots. we don't have enough patient care slots.
- healthc care doesn't exist in silo. healthc care doesn't exist in silo.
- Thank you. see and get care. Thank you. see and get care. Thank you.
- >
care.
Keywords:
00:00:00 - Call to Order/Roll Call
00:02:20 - Discussion of 26RS HB 689
00:13:13 - Discussion of 26RS SB 201
00:27:45 - Discussion of 26RS HB 583
00:46:37 - Discussion of 26RS HB 488
00:48:13 - Discussion of 26RS HB 2
01:14:34 - Discussion of Kentucky State Plan Amendment (SPA) 26:0001: School-based Medicaid Services Program
01:18:24 - Public Comment, 958, all
Summary:
The Medicaid Oversight Board met on March 9 with a quorum present and no minutes to approve. The chair reordered the agenda to hear House Bill 689 first. Representative Amy Neighbors presented HB 689, which would authorize Kentucky to seek CMS approval for a Medicaid state-directed payment program for physician and non-physician professional services delivered through qualifying hospital-affiliated groups, beginning January 1, 2026, with retroactive payments for that year. She said the bill is intended to improve access to care in rural and underserved areas, support workforce retention, and generate about $29 million annually in federal Medicaid funds without using general fund dollars. Representatives from Owensboro Health and St. Elizabeth Healthcare testified in support, describing staffing and subsidy pressures, lower Medicaid and Medicare reimbursement, and the importance of the program for maintaining access and quality in rural and safety-net settings. Committee members noted the bill had already passed the House Health Services Committee unanimously and discussed broader concerns about Kentucky’s low reimbursement rates and the need to consider other systems not covered by the proposal.
The board then heard Senate Bill 2011 from Senator Donald Douglas and Cody Hunt of the Kentucky Medical Association. The bill would address a Medicaid coding issue by ensuring that coverage limits do not reduce payment to fewer than two evaluation and management service units per provider, per patient, per day. Douglas argued the current one-visit, one-issue limitation forces multiple visits, increases no-shows, and prevents providers from treating the whole patient. Hunt explained that the bill is meant to correct a longstanding regulation that limited E&M services to one per physician per recipient per date of service, which can prevent providers from coding additional medically necessary work during the same visit. He said DMS has already filed a regulatory amendment to fix the problem, but a statutory change is still needed to prevent the issue from returning. He also said the bill is not intended to change reimbursement policy, only coding rules, and that MCO payment practices vary.
Members generally supported the concept. Senator Berg asked about fiscal impact and private-payer billing; Hunt said there should be no fiscal impact because the bill does not change payment policy, only coding. Representative Moore said the proposal could reduce costs and improve convenience by avoiding extra visits. Chairman Meredith said the bill illustrated problems with fee-for-service care and supported moving toward a more holistic delivery model. Dr. Schuster raised a drafting concern about the bill summary language, and Hunt responded that the regulatory amendment should address the issue generally for providers. No votes were taken on either bill during this portion of the meeting.
HI
Hawaii 2025 Regular Session
EDN Public Hearing - Tue Feb 4, 2025 @ 2:00 PM HST
Transcript Highlights:
- about incorporating child care about incorporating child care facilities<00:34:04.559>
at - <00:52:04.119>
minimum have in practice is the basic minimum have in practice is the basic - <00:52:35.880>
skills Content knowledge and then basic skills Content knowledge and then basic - is so I I think chair Woodson basically is so I I think chair Woodson basically what<00:57:03.000
- Okay, take care.
Summary:
The committee heard testimony on HB 627, which concerns Department of Education school safety funding and staffing. DOE said the bill would restore two positions and related funding that had been removed from the governor’s budget: a targeted violence prevention and threat assessment program manager and a security technology manager. DOE described ongoing work on school vulnerability assessments, fire suppression measures, security camera research, panic buttons, and active shooter prevention training. Testifiers from DOE, the Department of Law Enforcement, fire services, HSTA, and an individual witness all supported the bill, with the individual citing a past school shooting experience as a reason to increase school resource officers and safety measures. Members asked about the positions’ duties, how the request differed from existing security funding, and the status of active shooter training; DOE said it would provide more information on training statistics.
The committee then took up HB 249, relating to Executive Office on Early Learning family child interaction learning programs. The Early Learning Board, EOEL, Commit to Kids, Early Childhood Action Strategies, Partners in Development Foundation, and others testified in support. EOEL said it currently spends about $800,000 annually on FCI program contracts and supports expanding state funding for FCIL programs, including infant and early childhood mental health, if the appropriation covers the broader scope. Testifiers emphasized that FCIL programs are trauma-informed, evidence-based, and help families and children, with one provider sharing a long-term example of a parent and child benefiting from the program. Members asked how many programs are supported, whether FCIL exists on all islands, and whether the request was in the governor’s budget; EOEL said the expansion was requested by the office but not included in the governor’s budget.
HB 429, concerning pre-K expansion, drew broad support from the Lieutenant Governor, EOEL, HSTA, and community groups. Supporters said the Ready Keiki initiative has already opened more than 50 classrooms and would add another 50 over the next two years, including Hawaiian immersion classrooms. EOEL said it currently administers 72 public pre-K classrooms across 74 campuses and that the bill’s funding was included in the governor’s budget request. Testimony stressed kindergarten readiness, affordability for working families, equity across islands, and inclusion classrooms. Members asked about national quality benchmarks, with EOEL stating Hawaii meets 10 of 10 benchmarks and that only five states had done so at the time referenced. The Lieutenant Governor also described construction and delivery efforts, including refurbishing existing classrooms, modular options, possible use of state buildings, and even collaboration with libraries to expand child care access.
Finally, the committee heard HB 439 on J-1 teacher licensure. DOE supported the bill, while the Hawaii Teacher Standards Board opposed it, arguing licensure standards are not place-based and should remain rigorous and uniform for all educators. The Attorney General’s office offered technical comments, including replacing “educators” with “teacher” and clarifying the bill’s language on issuance and renewal conditions. Several organizations and individuals testified in support, including school, cultural, business, and educator groups. One witness, a teacher from the Philippines, said J-1 educators are highly qualified and described the rigor of teacher preparation in the Philippines. No votes were taken in the portion of the meeting provided.
OR
Oregon 2026 Regular Session
Joint Interim Committee On Transportation Oversight 06/16/2026 5:30 PM
Transcript Highlights:
- We can decide to protect the basic assets that we already have. But Mr.
- They're all basically a million dollars now, so they're 100% more.
- So what we're saying is that preservation of the basic road is really foundational.
- But we have to have the road to be able to have a basic system.
- When more money comes in, they treat it basically as free money.
Summary:
The committee first received an informational update on the Interstate Bridge Replacement Project from Carly Francis and Travis Brower. They described the project’s purpose as improving seismic resilience, safety, freight movement, transit, and bicycle/pedestrian access across the Columbia River, and said the updated cost estimate is $13.2 billion to $14.4 billion for the full corridor. They explained the increase from the 2022 estimate as driven by construction inflation, a more conservative inflation curve, schedule delays, more detailed engineering, and risk modeling. They also outlined the funding plan, including $2.1 billion in federal funds, $1 billion each from Oregon and Washington, and $1.5 billion in projected toll revenue, and said they are working to obligate federal funds by the end of September. The panel described a first funded phase that would include the bridge, highway connections, tolling infrastructure, bridge removal, and transit design, with light rail to Vancouver still intended but dependent on additional funding. Members questioned the risk of losing federal transit funds, whether bridge design decisions were being made with legislative input, and whether the space reserved for light rail could be used for buses if transit funding does not materialize.
The committee then heard testimony on maintaining Oregon’s existing roads and bridges from representatives of Knife River, the Asphalt Pavement Association of Oregon, and CRH. Witnesses said pavement and bridge preservation is severely underfunded, with ODOT needing about $400 million per year for pavement preservation but receiving roughly $100 million annually. They showed examples of deteriorating highways such as U.S. 97 and I-84 and argued that delaying maintenance leads to much higher reconstruction costs, more safety risks, and higher user costs. Knife River described layoffs and reduced work in Oregon because of limited preservation funding, while witnesses also said rising wages, equipment costs, fuel, and permitting delays are increasing project costs. Committee members asked about the role of prevailing wage, diesel equipment, hauling distances, and whether preservation work could be prioritized more effectively.
Finally, economist Joe Cortright presented on recent ODOT megaproject cost overruns. He said Oregon has experienced persistent overruns driven by overly optimistic revenue forecasts, heavy reliance on debt, consultant costs, inflation above forecast, and projects that have become much larger in scope than originally presented. He cited major increases in the Interstate Bridge, Rose Quarter, and Abernathy Bridge projects and argued that some designs are far wider and more expensive than necessary. Cortright said better accountability, clearer priorities, and more disciplined project sizing are needed, and committee members pressed him on why agencies proceed with larger designs even when consultants recommend narrower, less expensive alternatives.
TX
Transcript Highlights:
- The school only cared about protecting the so-called trans woman.
- Basically, yes.
- You raised us to care for everyone.
- And even though all of the students at our school we love and care for... ...care for everyone, I'm not
- Like you said, they basically didn't try to work with us as trustees.
Keywords:
biological sex, gender identity, public facilities, civil penalties, local government, EBT, electronic benefits transfer, food stamps, SNAP, Supplemental Nutrition Assistance Program, TANF, temporary assistance for needy families, welfare benefits, benefit card fraud, fraud hotline, card replacement, photo ID, recipient photograph, HHSC, Health and Human Services Commission
Summary:
The committee first heard Senate Bill 1183, by Senator Creighton, which would require Lone Star Cards used for SNAP and TANF benefits to display the recipient’s name and photo, add fraud-reporting information, and require HHSC to track replacement-card requests. Creighton argued the bill would reduce fraud and protect taxpayer dollars, citing Texas SNAP theft and overpayment data. HHSC testified that photo IDs on the card are technically possible and explained how authorized secondary users are added. Dr. Amber O’Connor of Every Texan testified against the bill, saying SNAP fraud is a small share of expenditures, that the proposal would be costly and ineffective, and that federal rules limit mandatory photo requirements. Public testimony closed and SB 1183 was left pending.
The committee then heard Senate Bill 1184, also by Senator Creighton, which would lower from 20 years to 10 years the minimum age of collectible wine that Texas collectors may sell to permitted restaurants. Supporters said the change would help Texas restaurants access desirable vintages, keep collectible wine in-state, and align with market demand; invited witnesses from the wine industry testified in favor. No opposition was heard, public testimony closed, and SB 1184 was left pending.
Next, Senator Birdwell laid out Senate Bill 2051 and Senate Joint Resolution 68, both aimed at revising Texas impeachment procedures in response to issues identified during the 2023 impeachment process. The measures would clarify constitutional and statutory impeachment authority, require sworn testimony, extend review periods for House members, address conflicts of interest and presiding officers, require cost reporting, and modify rules for impeaching the governor or lieutenant governor. A committee substitute added protections for the accused, longer review periods, and a fallback presiding-officer option. Witnesses generally supported stronger accountability but raised questions about whether the language should also cover retired or visiting judges. Both measures were left pending after testimony.
The committee also heard Senate Bill 1577, which would expand Texas Motor Speedway’s alcohol sales authority to include distilled spirits and remove certain event and concession limits; the Speedway’s representative supported the bill and it was left pending. Later, the committee heard Senate Concurrent Resolution 42 and Senate Bill 240, which would recognize only two sexes and restrict access to sex-designated private spaces in public facilities based on biological sex. Supporters argued the measures were needed to protect women’s privacy and safety, including in schools and shelters, while opponents warned about enforcement problems, privacy concerns, and impacts on transgender Texans and others who do not fit stereotypical sex traits. After extensive testimony, both measures were left pending. The committee then took up multiple pending bills and reported several favorably, including SB 511, SB 33, SB 510, SB 871, SB 2024, SB 2166, SJR 27, SJR 40, SB 1313, SB 1314, SB 1316, SB 1541, SB 2420, SB 1999, SB 2309, SB 1860, and SB 2429, with some also certified for the local and uncontested calendar.
CA
Transcript Highlights:
- That they're being monitored and that there is a minimum standard of care.
- Bernadino counties the delta in average per pupil funding between basic aid and non-basic aid districts
- This is $8,000 below the basic aid average for all school districts in California.
- to what a basic aid school district is able to receive.
- aid to non-basic aid and suddenly be eligible for this money.
MN
Minnesota 2025 1st Special Session
Committee on Commerce and Consumer Protection - 03/20/25
Commerce and Consumer Protection
Transcript Highlights:
- >
of <00:19:42.480>last basically what the carrier of last basically what the carrier of - important to uh clarify have basically important to uh clarify have basically just<00:41:58.160>
- <00:42:40.960>
reach point the consumer can basically reach point the consumer can basically - Minnesota could lose if Minnesota Care Minnesota could lose if Minnesota Care is<01:08:39.120>
drive down the cost of of health care. drive down the cost of of health care.
KY
Kentucky 2025 Regular Session
House Standing Committee on Health Services (3-14-25) -Upon Recess of House - 6PM
Transcript Highlights:
- That is basically it.
- I also got a text from a friend who works in rural health care.
- I also got a text from a friend who works in rural health care.
- I also got a text from a friend who works in rural health care.
- I also got a text from a friend who works in rural health care.
Keywords:
00:25 Call to Order/Roll Call
01:36 Discussion of 25RS SB 153
23:11 Roll Call Vote on 25RS SB 153
30:56 Adjournment, 958, all
Summary:
The House Standing Committee on Health Services met on March 14, 2025, and took up a committee substitute for Senate Bill 153. The substitute deleted the original bill language and replaced it with provisions from Senate Bill 14, aimed at prohibiting pharmaceutical manufacturers from discriminating against 340B covered entities and adding reporting requirements for those entities. The sponsor explained that the protections would sunset after one year, allowing lawmakers to review data by July 1, 2026, and that Kentucky would continue to follow any future federal changes to the 340B program.
Members asked several questions about the scope of the reporting, including what “total operating cost” means, how duplicate discounts are prevented, whether the reporting applies only to hospitals and not federally qualified health centers, and who would receive the data. The sponsor said the reporting is intended to help the Cabinet for Health and Family Services and the Office of Health Data Analytics at LRC assess how the program is working, including charity care and community benefits, while preserving protections for rural hospitals and allowing them to continue using contract pharmacies. A representative from LRC confirmed the data would come to the General Assembly through the Office of Health Data Analytics.
The committee expressed mixed views about the balance between transparency and potential burdens on hospitals, especially rural facilities. Several members said they were supportive but had reservations about the reporting requirements and the sunset structure, while others noted concerns about unintended consequences and the possibility of changes on the House floor. The committee ultimately adopted the committee substitute, approved a title amendment, and reported Senate Bill 153 with House Committee Substitute 2 favorably. The meeting then adjourned.
AL
Alabama 2026 Regular Session
Alabama Senate Finance and Taxation General Fund Committee Jan 21st, 2026
Finance and Taxation General Fund
Transcript Highlights:
- That's basically kind of like a third of the state population here.
- That's basically kind of like a third of the state population here.
- That's basically kind of like a third of the state population here.
- >
is Medicaid healthc care coverage is Medicaid healthc care coverage is critically<00:28:40.080 - And basically it requires that activity.
Keywords:
school psychologist, school psychology, interstate compact, licensure compact, license reciprocity, portable license, equivalent license, professional licensing, psychology board, school mental health, student services, educational services, interstate practice, reciprocal licensing, background check, continuing education, workforce shortage, military spouse, active duty military, compact commission
NH
New Hampshire 2025 Regular Session
House Commerce and Consumer Affairs (04/23/2025)
Transcript Highlights:
- I mean, that's the basic—it basically what it comes down to.
- I don't care. Just something very basic.
- I don't care. and you can use Tylenol. I don't care.
- Care is managed and costs managed care.
- for prepaid health care.
Summary:
The committee first heard Senate Bill 47, sponsored by Sen. Regina Birdsell at the request of the Insurance Department. The bill would codify the department’s interpretation that a birth mother’s health insurance is the primary coverage for a newborn, unless the mother has no insurance or coverage under an employer-sponsored plan. Birdsell and Insurance Commissioner DJ Benton Court said the measure is a clarification of existing practice and intended to protect vulnerable newborns; a question from Rep. Miles clarified that if a young woman is on her parents’ policy, the newborn would generally be covered under that family coverage. The hearing on SB 47 was then closed.
The committee then took up Senate Bill 121, introduced by Grant Bosi for Sen. Kevin Avard, which would require insurers to notify the Insurance Department when they stop writing an entire line of business or, in some cases, Medicare Advantage plans. Commissioner Benton Court said the bill arose from disruption in the Medicare Advantage market, where consumers, brokers, and the department were confused by carriers changing or ending offerings; he said the department wanted a simple notification requirement so it could better advise consumers. Members discussed network adequacy, county-based service areas, and the fact that the bill would make notice a condition of licensure, with possible fines or license action for noncompliance. Witness Paula Rogers of AHIP said her group supported the bill if amended, and the department indicated it would support a change from a 120-day notice period to 90 days to align with state rules; the committee planned to work on an amendment in subcommittee.
Finally, the committee heard Senate Bill 247, introduced by Rep. Brian Cole, which would prohibit network exclusion of pharmacies that refuse to dispense prescriptions when PBM reimbursement is below acquisition cost. Cole argued the bill is meant to stop pharmacies from being forced to sell drugs at a loss, describing PBMs as middlemen and saying the measure is a compromise that protects local pharmacies. Members questioned whether consumers would pay more and whether pharmacies voluntarily enter PBM contracts; Cole responded that the bill would let pharmacies refuse unprofitable fills while consumers could still obtain the drug through mail order or other channels. He also said the issue has changed over time because the practice now affects a much larger share of generics and is concentrated among a few PBMs. The hearing remained open as questions continued, with no vote taken in the excerpt.
KY
Kentucky 2025 Regular Session
Senate Standing Committee on Judiciary (2-13-25)
Transcript Highlights:
- harm to the inmate the healthc care harm to the inmate the healthc care provider<00:08:25.599>
<00:13:35.680>- All major medical associations agree that this is medically necessary care.
can access to medically necessary care can access to medically necessary care - situation uh and uh not getting the care situation uh and uh not getting the care that<00:35:47.040
- <00:38:30.680>
just uh it the bill last year basically just uh it the bill last year basically
Keywords:
Meeting Start: 00:00:00
Roll Call: 00:00:04
SB 02: 00:01:37
Discussion in Opposition to SB 02: 00:09:49
SB 84: 00:22:19
SB 111: 00:30:35, 958, all
Summary:
The committee first considered Senate Bill 2, sponsored by Senator Mike Wilson, which would prohibit incarcerated people from receiving cross-sex hormones or gender-affirming surgeries, while allowing a tapering period if stopping an existing treatment would cause physical harm. Wilson said the bill was needed to prevent the Department of Corrections from providing such care by memo or policy rather than statute, and he argued the care was elective and not medically necessary. Senators Thomas, Neal, Nemes, Styers, and others questioned whether any gender-affirming surgeries had actually occurred in Kentucky, whether the hormone treatments were physician-prescribed, and whether the bill would override medical judgment; Wilson said the department reported no surgeries, that 67 incarcerated people were receiving cross-sex hormone therapy, and that he would only support treatment if it fit the bill’s narrow medical-harm exception.
Public testimony on SB 2 was strongly opposed. Chris Hartman of the Fairness Campaign said the bill would deny medically necessary care, violate the Eighth Amendment, and target a very small and vulnerable incarcerated population. Dr. Jack Skilles testified that gender-affirming care is medically necessary and supported by major medical organizations, warning that denying it could worsen mental health and lead to suicidality. Hannah Callahan, a transgender woman, described being denied hormone therapy while incarcerated and said the interruption caused severe physical and mental harm, including suicidal thoughts. Emma Curtis, Lexington’s Fourth District councilwoman, also urged a no vote, framing the issue as a matter of compassion and religious duty.
The committee then voted on SB 2. Senator Neal explained his no vote by saying he was not medically trained and deferred to doctors; Senator Nemes said he wanted clarification that the bill would not stop ongoing treatment; and Senator Styers argued the bill was a poor priority and noted there was no fiscal note and that only 67 people were affected. Senator Wheeler moved the bill, Senator Reed seconded, and the committee reported Senate Bill 2 favorably. Afterward, the committee began hearing Senate Bill 84, sponsored by Senator Steve Rawlings, which would limit judicial deference to state agency interpretations and require courts, not agencies, to interpret ambiguous laws, citing the U.S. Supreme Court’s 2024 Loper Bright decision overturning Chevron deference.
WY
Wyoming 2026 Regular Session
Senate Labor, Health & Social Services Committee, February 25, 2026
Labor, Health & Social Services
Transcript Highlights:
- Ultimately, women are entitled to a basic standard of care from medical professionals, including the
- Ultimately, women are entitled to a basic standard of care from medical professionals, including the
- individual health care decisions. individual health care decisions.
- Life Choice Pregnancy Care Center. Life Choice Pregnancy Care Center.
- Abortion is not health care.
MN
Transcript Highlights:
- :43.520>
search <00:07:43.759>charge facing basically a 60% search charge facing basically - “Well, it’s basically your farm animals. I’m only kidding, Senator.
- workforce and ensuring access to health care all across Minnesota.
- health care all across health care all across Minnesota.<00:32:41.600>
And <00:32:42.080>uh - <00:35:31.680>
in identifying folks that provide care in identifying folks that provide care
NM
New Mexico 2025 Regular Session
House - Health and Human Services Oct 2nd, 2025
House Health & Human Services
Transcript Highlights:
- It's expanding the use of the Rural Health Care Delivery Fund.
- , to specialists that they need in long-term care.
- So under the Rural Health Care Fund that exists today, new health care services have been provided to
- to invest in primary care.
- So we are prioritizing primary care with that fund and that...
MN
Minnesota 2025-2026 Regular Session
House Republican Media Availability 3/17/25
Minnesota House Floor Meeting
Transcript Highlights:
- A lot of these are technical fixes and some of the most basic things, and you'll see those coming through
- There's mandates that are put all over, but we want to make sure that we're taking care of the taxpayers
- taking care of the taxpayers<00:02:49.480>
when <00:02:50.040>possible <00:02:51.040>- This is basically an answer back to Minnesotans.
- The $6 billion—so it's basically 95% of any monies that are not already 5% over what we need.
NM
New Mexico 2025 Regular Session
IC - Federal Funding Stabilization Subcommittee Aug 28th, 2025
Federal Funding Stabilization Subcommittee
Transcript Highlights:
- We are able to take care of our community members through health and education.
- That's why New Mexico can and should care, or does care, because our laws have also said, hopefully we
- So what that will do is that those individuals needing emergency dental care or regular routine care
- It's a 60-mile radius basically, with so many barriers.
- It's within that region and depending on the care that's needed as well.