Transcript Highlights:

• The idea about expanding freestanding emergency departments was to enhance access to medical care.
• care providers for injuries or deaths, the claimant.
• Uh, among our providers of emergency care. Thank you very much. Alright, thank you, Mr. Portis.
• And then, and they never like directed that. Or told them to do that or anything like that.
• It's the direct relationship that is important. Yes, ma'am.

Transcript Highlights:

• So, issue that we need to take care of.
• :58.000><c> and</c><00:22:58.440><c> this</c> care system is broken, and this care system is broken,
• </c><00:23:26.680><c> you</c> money to pay for the medical care you money to pay for the medical care
• You're upset with the current direction, and somehow this new direction is going to provide something
• </c> about what it will do our health care about what it will do our health care costs<01:01:34.640><

Keywords: 1187, senate, all

Transcript Highlights:

• We provide respite care to families via our camp.
• It was the move from Medicaid to managed care Medicaid.
• Us some additional directions.
• And take care of the things.
• So, it really helps take care of that extra $20 million.

Keywords: 914, all

Transcript Highlights:

• year and aided health care employers across the state to ensure over 619,000 people they hire to care
• Which direction?
• Third is our long-term care ombudsman.
• It can be self-direction or consumer-directed services, where the participant is responsible for hiring
• , training, and directing their personal care attendant, or the other model is the agency model, or..

Keywords: 959, house, all

Summary: The committee heard the Department of Health and Senior Services’ FY 2027 budget presentation from Director Sarah Wilson and budget director Maddie Starns, followed by testimony from division directors. Wilson framed the budget as one shaped by fiscal pressure, federal funding dependence, and the need to preserve core public health and senior services while reducing spending. She emphasized the department’s role in outbreak response, newborn screening, cannabis regulation, senior services, licensure, and administration, and said priorities include workforce capacity, data modernization, and protecting essential functions. Members repeatedly praised the department for being responsive and for working to identify savings and reallocate funds carefully. A major focus was the shift in substance use disorder funding. The department explained that the governor’s budget reduces DHSS’s direct SUD grant authority from the Health Reinvestment Fund while proposing transfer authority to the Department of Mental Health and the Department of Corrections for related initiatives. Several members pressed for clarity on whether this represented real cuts or a transfer of the same adult-use marijuana revenue, and staff said some line items were reductions while others would be picked up in other departments’ budgets. The committee also discussed tobacco prevention and cessation reductions, local public health agency support, and the department’s use of federal versus general revenue, with members urging the department to spend federal and other funds before GR whenever possible. Members asked detailed questions about lapses, vacant FTEs, donated funds, loan repayment defaults, rural health programs, CHIP vaccine costs, nutrition services, and the J-1 visa waiver program. DHSS said many lapses were due to federal timing, pandemic-related funds, or program realignment, and that some excess authority was being reduced to better match actual spending. The department reported low default rates in its loan repayment programs and noted that Missouri’s J-1 waiver recommendations are capped federally at 30. There were also questions about local health department incentive payments, minority health activities, and the extended women’s health program, which the governor proposed transferring out of DHSS. The committee also reviewed community and public health programs including communicable disease control, environmental health, maternal and infant mortality review, vital records, and COVID/ARPA cleanup reductions. DHSS said the fetal and infant mortality review program is now operating statewide, though some members raised concerns about a pause during the transition from local NGOs to the new statewide model. The hearing concluded with the state public health laboratory budget, where staff explained funding needs for newborn screening, cannabis reference testing, safe drinking water testing, and courier services, and said some authority increases were needed to match growing program activity.

Transcript Highlights:

• There are also changes to state financing mechanisms or health care provider taxes and state-directed
• It's also a direct threat to public hospitals' financing structure that supports care for these vulnerable
• It's also a direct threat to public hospitals' financing structure that supports care for these vulnerable
• It's also a direct threat to public hospitals' financing structure that supports care for these vulnerable
• and home care.

Summary: The Budget Subcommittee on Health and Human Services heard an overview of the expected California budget and program impacts from H.R. 1, including changes to Medi-Cal and CalFresh eligibility, redeterminations, work requirements, immigration-related coverage rules, retroactive coverage limits, and reductions in federal matching for certain services and provider financing mechanisms. DHCS and CDSS described implementation plans focused on automation, data matching, clearer communications, county training, and outreach, while noting that many federal details are still pending. The Legislative Analyst’s Office also reviewed how H.R. 1 could increase pressure on county indigent care systems, explaining the history of county responsibility under Section 17000, 1991 realignment, and AB 85, and warning that counties may face large increases in uninsured residents seeking care without corresponding funding flexibility. An independent policy expert urged consideration of a more standardized statewide approach to indigent care and raised questions about governance, benefits, and financing. Department witnesses estimated substantial coverage losses and fiscal effects: DHCS projected major Medi-Cal disenrollment tied to work requirements, six-month renewals, narrowed immigrant eligibility, and reduced retroactive coverage, while CDSS estimated large CalFresh benefit losses and a significant increase in administrative workload and payment accuracy pressure. Members questioned how exemptions would work for older adults, people experiencing homelessness, undocumented residents, and cash workers, and asked about the effect on the CalFresh Minimum Nutrition Benefit Pilot and on county administrative funding. Officials said they would use available data and self-attestation where possible, but acknowledged that many cases would require manual screening and that the county workload estimates remain in dispute. They also said the state is still evaluating the impact of H.R. 1 on provider taxes and state-directed payments, which could create additional budget pressure. County representatives from Los Angeles, Santa Clara, Tulare, and San Bernardino described major local consequences if H.R. 1 is implemented as written. They warned of higher uninsured rates, more strain on emergency rooms and public hospitals, increased homelessness and food insecurity, and a likely need to rebuild or expand county indigent care programs that were largely scaled back after the ACA. Counties said they are already freezing hiring, cutting positions, reducing overtime, deferring spending, and launching outreach and coordination efforts with managed care plans and community partners, but argued that these steps are not enough without additional state support. Several counties backed the California County Welfare Directors Association’s request for $373 million in General Fund support for eligibility work and asked for a CalFresh match waiver to soften the new county share of administrative costs; Los Angeles and Santa Clara also emphasized that their local revenue measures would not close the projected gaps. No votes or formal actions were taken in the portion provided.

Transcript Highlights:

• services, primary health care services, For contracted health care services, primary health care services
• Todd, direct primary care arrangements. Senator Todd. Well, well, well, Madam President.
• The first one deals with direct primary care arrangements.
• They're going to have a direct relationship with a primary care physician.
• Pharmaceutical costs reflect the price of a drug rather than a direct investment in primary care clinician

Summary: The Senate first considered several amendments to a primary care/health care bill. Amendment 1, on artificial intelligence in health care and mental health services, was withdrawn by unanimous consent. Amendment 37, which would have required a rate band for outpatient primary care reimbursement, was debated and then defeated on a roll call, 5-33. Amendment 39, on direct primary care arrangements and deductible credits, was also defeated 5-33. The chamber then took up and passed the conference report for An Act Relative to Teachers Preparation and Student Literacy (H. 5511), with senators emphasizing the need for evidence-based literacy instruction, universal screening, dyslexia screening, teacher training, and implementation funding; the bill was enacted and sent to the Governor after a 39-0 roll call. The Senate then returned to Amendment 60 on the primary care bill, which would have created a “safety valve” allowing alternative payment systems to be proposed to the Health Policy Commission. After debate over whether the bill already allowed flexibility, the amendment was defeated 5-33. Amendment 50, requiring stronger health equity reporting, was adopted. Amendment 66, a technical fix setting commercial payment rates for community health centers at the MassHealth PPS rate, was adopted. Amendment 24, excluding pharmaceutical spending from the primary care spending baseline and target, was adopted. Amendment 45, a study on expanding the role of allied health professionals, was withdrawn. Amendment 48, a group purchasing cooperative pilot, and amendments 53, 61, and 63 were also withdrawn. The Senate adopted Amendment 64, which prohibits prior authorization from delaying FDA-approved medications for serious mental illness, and rejected Amendment 68 on reporting private equity investment in primary and specialty care, as well as Amendments 71 and 72 on scope of practice and ownership disclosure. Amendment 62, a technical change modernizing the definition of primary care and clarifying the care team, was adopted. Amendment 21, the Senate Ways and Means amendment, was then adopted, the bill was ordered to a third reading, and the Senate passed An Act relative to primary care for you (S. 3116) to be engrossed on a 35-4 roll call. The Senate then adjourned to a later date, with memorial references at adjournment.

Transcript Highlights:

• services, primary health care services, ...for contracted health care services, primary health care
• Todd, direct primary care arrangements. Senator Todd: Well, well, well, Madam President.
• The first one deals with direct primary care arrangements.
• They're going to have a direct relationship with a primary care physician.
• Pharmaceutical costs reflect the price of a drug rather than a direct investment in primary care clinician

Keywords: 995, all

Summary: The Senate considered a series of amendments to a primary care health care bill and also took up a separate literacy bill. Several amendments were withdrawn, including one on artificial intelligence in health care and others related to cost controls, direct primary care, and provider studies. The Senate adopted amendments on preserving access to treatment for serious mental illness, modernizing the definition of primary care, clarifying payment rates for community health centers, excluding pharmaceutical spending from primary care expenditure calculations, and strengthening health equity reporting. Other amendments on rate bands, alternative payment systems, private equity reporting, scope of practice, and ownership disclosure were rejected. The Senate then approved the Ways and Means amendment and ordered the primary care bill to a third reading. The chamber also took up final passage of An Act Relative to Teachers Preparation and Student Literacy, with senators describing it as a long-awaited compromise focused on improving early reading outcomes. Supporters said the bill requires evidence-based K-3 literacy curricula, regular student screening and family notification, dyslexia screening protocols, professional development for teachers, and a free state-developed curriculum option. Senators emphasized the need to address declining third-grade reading proficiency and equity gaps. The bill passed to be enacted by a unanimous roll call and was sent to the Governor. After the literacy bill, the Senate returned to the primary care bill, where senators again debated cost containment, innovation, and access. The final version included the adopted amendments and was passed to be engrossed by a roll call vote of 35-4. The Senate then adopted an adjournment order and recessed, adjourning in memory of Henry Thomas III, former Representative Ben Swan, and Mr. Dennis Frane.

Transcript Highlights:

• </c> duty nursing and not home care agencies. duty nursing and not home care agencies.
• There's not direct supervision.
• by the health care provider.
• administered as directed by the health<01:36:37.600><c> care</c><01:36:37.920><c> provider.
• </c> health care provider. health care provider. Thank<01:36:40.880><c> you.

Keywords: 910, house, all

Summary: The joint hearing opened with SB 1442, which would update the statute governing the Child and Adolescent Mental Health Division and clarify its role as the state Medicaid provider of intensive mental health services for children and adolescents with serious emotional disturbance. The Department of Health testified in strong support, saying the current statute is outdated and warning against any unfunded mandate because the division relies on federal funding and faces uncertainty about future resources. Written testimony from several organizations also supported the bill. The committees took no immediate action and said they would hold decision-making until later. The hearing then moved to SB 479 on ABLE savings accounts. The Hawaii State Council on Developmental Disabilities and the Hawaii Disability Rights Center supported the measure, arguing that ABLE accounts help people with disabilities save money without losing benefits and that the state needs more outreach and staffing to expand participation. A testifier with a disability said the bill would help people keep Social Security and housing stability. The chair indicated an intention to move the bill forward, and asked about funding; the discussion settled on a requested appropriation of about $75,000 for incentives. Next, SB 1245 on reimbursement of pharmacists drew broad support from the Hawaii Pharmacists Association, rural pharmacies, the Hawaii Primary Care Association, and others, who said the bill would improve access to care, especially on neighbor islands and in rural communities, and help pharmacies participate in 340B-related services. The Insurance Division and HMSA raised concerns about bill language, saying it could be read to cover pharmacists outside an insurer’s network and that the scope of reimbursable services needed clarification; the pharmacists’ association said the bill is intended to apply only to in-network pharmacists and should continue to reference existing scope-of-practice law. The hearing also took up SB 1279, which would allow pharmacists to authorize medications via telehealth under certain circumstances. The State Board of Pharmacy opposed the bill, citing patient safety, a pilot project with reported errors, concerns about controlled substances and unregulated technicians, and the view that in-person pharmacist services are safer and already available on the affected islands. Several pharmacies and health care groups supported the measure as a way to preserve 340B access and improve service on Lānaʻi and Molokaʻi, while some local pharmacies said they already provide in-person service and opposed remote dispensing. No votes were taken in the portion of the hearing provided.

Transcript Highlights:

• Psychiatric care, medical care, psychosocial treatment, skill building, et cetera, with our population
• I would also say, with respect to partnerships, in any hospital—I don't care if you're in an acute care
• And at the end of this month, we will be launching for the first time a care care care. Thank you.
• And at the end of this month, we will be launching for the first time and a care care care.
• Can we do it on the civil side where there's an actual health care outcome attached to that care?

Keywords: 907, all

Summary: The joint Senate and House Behavioral Health committees held an informational meeting focused first on the Oregon State Hospital (OSH). OHA Director Sajal Hathi introduced the hospital’s incoming permanent superintendent, Sean Murphy, and praised interim superintendent Jim Deagle for stabilizing operations, restoring CMS compliance, and helping drive a culture change centered on safety, accountability, and transparency. Deagle and Chief Medical Officer Dr. Amit Bavon described OSH’s role as the state’s highest-level forensic psychiatric hospital, the patient populations it serves, its partnerships with courts, counties, jails, hospitals, and advocates, and recent leadership changes across the hospital. They also reported improved accreditation and regulatory status, including Joint Commission accreditation and CMS compliance, and said the hospital is now using daily safety huddles, incident review meetings, stronger escalation procedures, and revised seclusion/restraint practices to reduce risk and improve oversight. Members pressed hospital leaders on past seclusion practices, asking how prolonged seclusions could have occurred under federal standards. Leaders said they could not explain past decisions but emphasized that current leadership has changed processes, training, reporting, and oversight so that seclusion and restraint are reviewed in real time and cannot be normalized. Questions also covered staffing, falls, and future planning. OSH said it is generally staffed to budget, though it still has RN and mental health technician vacancies and is working on recruitment, training, and better staffing distribution. Hathi said the hospital is building a public dashboard with key performance and safety metrics, including workforce data, and described the long-term goal as a consistently safe, disciplined, high-functioning institution that responds quickly to mistakes and remains accountable to the public. The committee then shifted to an informational overview of civil commitment. Oregon Judicial Department representative Chanah Newell explained the civil commitment process, including who can initiate it, the role of community mental health providers and courts, the five-day timeline to hearing, and the standards for danger to self, danger to others, and inability to meet basic needs. She summarized changes made in House Bill 2005, including revised statutory language and new provisions allowing a second diversion period, but cautioned that the data are too early to show clear trends. Testimony from NAMI Oregon’s Chris Bonif and psychiatrist Dr. Stephanie Lopez argued that Oregon still relies too heavily on jails and state hospital commitments because the broader community system lacks enough treatment, housing, and less restrictive alternatives. They urged the legislature to focus on upstream services, supported housing, and possible outpatient commitment tools so people can receive treatment before reaching crisis. The meeting ended with acknowledgment that additional reports and follow-up discussions are expected, including on residential treatment capacity and related behavioral health system reforms.

Transcript Highlights:

• You were very directive.
• You built a wonderful family that loves you, that cares for you; you care for each other.
• care.
• Moving them to direct dispense also means they're losing access to their health care and access to their
• We care for people. And these people in this particular population care for people.

Keywords: 998, house, all

Transcript Highlights:

• care.
• But it is direct cash for a housing purpose.
• Health care, child care, and all of the issues that we heard about today really impact people's food
• Billion of which are direct payments.
• response related to community care facilities.

Keywords: 988, house, all

Transcript Highlights:

• expenses that exceeds the amount of the federal child care and dependent care credit.
• And that's why we put it in the child care tax credit.
• And so the two child care credits that we did... ...child care tax credit.
• “Madam Whip, Chairman, could you go back over the child care credit?
• “Child care costs, right, child care deduction we don’t have in Arizona.

Summary: The caucus focused on HB 2153, a tax conformity bill that would align Arizona tax law with the Internal Revenue Code as of January 1, 2026, including retroactive provisions for tax year 2025. Staff explained that the bill excludes three federal provisions: the additional $6,000 senior deduction, the higher SALT deduction, and the deduction for interest on new car loans. It also adds several Arizona-specific changes, including a $6,000 deduction for certain retirement distributions for taxpayers 65 and older, a $6,000 deduction for Roth IRA contributions, an increase in the dependent tax credit from $100 to $125, and a deduction for child and dependent care expenses above the federal credit. JLBC estimated a negative fiscal impact of $441.3 million in the first year, declining over the next two years. Chairman Livingston argued the bill was needed immediately because the Department of Revenue had already issued tentative forms assuming full conformity, creating confusion for taxpayers and businesses. He said the governor’s earlier direction and the department’s forms were not coordinated with the legislature’s approach, and warned taxpayers and businesses not to file until the issue was resolved. He also said the bill would help small businesses by preventing mismatched state and federal rules, especially on deductions and vehicle expensing, and emphasized that many Arizona businesses would otherwise face two sets of books. Members asked about the practical impact on small businesses and the department’s forms. Livingston and staff said Arizona has about 700,000 small businesses, most with 19 or fewer employees, and that the department’s forms largely reflected full conformity except for a worksheet tied to the governor’s requested changes. Staff explained the difference between “simple conformity” and “full conformity,” noting that some federal provisions occur “below the line” and require explicit state law. The committee also discussed the child care provisions as a new Arizona deduction and a separate increase in the child care credit. No vote was taken, and the meeting adjourned before floor session.

Transcript Highlights:

• health care-related laws.
• The acute hospital care at home program directed the agency to seek federal approval necessary to implement
• The acute hospital care at home program directed the agency to seek federal approval necessary to implement
• centers or primary care offices, which may be a Medicare-certified or federally qualified health care
• The legislation directed the Agency for Health Care Administration to seek federal authority to draw

Summary: The Senate Health Policy Committee received updates from the Agency for Health Care Administration and the Department of Health on implementation of 2024 health care laws. AHCA reviewed progress on workforce and reimbursement measures in Senate Bill 7016 and related bills, including FRAME and TEACH funding, graduate medical education reporting, behavioral health teaching hospitals, acute hospital care at home, advanced birth centers, non-emergent care access plans, and rural emergency hospitals. Agency officials said several programs are already operational or have begun payments, while others are still in rulemaking, federal approval, or report-preparation stages. Senators asked about timing, funding reversion concerns, and whether appropriated dollars would be spent on schedule, especially for behavioral health teaching hospitals and the new birth center category. The Department of Health then reported on practitioner licensure and public health programs. MQA described implementation of the Interstate Medical Licensure Compact, the Mobile Act licensure pathway, massage therapy enforcement changes, background screening expansion, liposuction safety requirements, pharmacist HIV post-exposure prophylaxis authority, and chiropractic dry needling. Public health staff updated the committee on FRAME and dental loan repayment, the Sinati screening grant program, the cancer research and innovation changes, the health care innovation council and loan program, the pediatric rare disease grant program, telehealth maternity care expansion, newborn screening for congenital CMV, the sickle cell registry and grants, and the swimming lesson voucher program. Members focused questions on how practitioners were being recruited to underserved areas, the pace of licensure approvals, and whether new programs were on track to use appropriated funds. The committee also heard a lengthy update from the Office of Medical Marijuana Use. The director reported more than 900,000 qualified patients, real-time seed-to-sale tracking now integrated across most dispensaries and labs, and ongoing compliance work on product testing, advertising, diversion, and patient safety. Senators questioned the decline in qualified physicians, how THC potency is labeled and verified, and what the agency can do about diversion to non-patients. The director said the office relies on complaints, inspections, lab audits, and coordination with law enforcement, and that patients can be suspended if violations are confirmed.

Transcript Highlights:

• We all care about our veterans. I grew up in a military family.
• Folks who would not affect the provision of health care and benefits.
• I mean, I care greatly about veteran employment.
• Have any direct experience? Have you ever received health care from the VA? No, I have not.
• When's the last time you were in a VA health care facility?

Keywords: veterans affairs, VA modernization, employee layoffs, mental health, suicide prevention, transparency, senate committee, bipartisan support, oversight

Summary: The meeting involved detailed discussions on various veterans' issues, particularly focusing on the challenges faced by the Department of Veterans Affairs (VA) amidst a backdrop of significant staffing changes. Members expressed deep concerns over the recent layoffs of over 1,000 VA employees, emphasizing the crucial nature of these positions in the context of mental health support for veterans, particularly amid rising suicide rates. Senators articulated the need for transparency and effective communication between the VA and Congress to avoid further breakdowns in services. The session also spotlighted the ongoing modernization of VA systems and the urgent need to streamline processes to benefit veterans effectively.

Transcript Highlights:

• </c> my conversation for you all on Direct my conversation for you all on Direct Care<00:03:14.120><c
• </c><00:07:48.039><c> your</c> our Direct Care andat I appreciate your our Direct Care andat I appreciate
• </c><00:48:18.520><c> Care</c><00:48:18.920><c> staff</c> Revenue to Direct Care staff Revenue to Direct
• </c><00:53:38.480><c> Care</c><00:53:38.680><c> and</c> agency Direct Care and agency Direct Care and
• </c><01:37:19.000><c> conference</c> direct care and treatment and conference direct care and treatment

Keywords: 1187, senate, all

Transcript Highlights:

• I'm the legislative director for Direct Care and Treatment.
• </c><00:26:19.919><c> chair</c><00:26:20.399><c> and</c> direct care and treatment uh chair and direct
• Care and treatment coming into Direct Care and treatment who<00:41:41.040><c> maybe</c><00:41:41.240
• </c><01:44:26.719><c> Care</c> big needs and Investments at Direct Care big needs and Investments at
• c> but</c><01:45:06.560><c> I</c> side of direct care and treatment but I side of direct care and treatment

Keywords: 1187, senate, all

Transcript Highlights:

• </c><00:03:36.080><c> was</c> materials and this directive was materials and this directive was effective
• </c> the definition of who deserves care the definition of who deserves care Jesus's<01:02:09.160><c>
• </c> traveler makes clear that showing care traveler makes clear that showing care is<01:02:13.680><c
• </c> veterans programs provide direct veterans programs provide direct Financial<01:25:51.040><c> um<
• </c> question for me this is a direct question for me this is a direct question<01:28:17.400><c> help

Bills: HF10

Keywords: undocumented immigrants, state funding, MinnesotaCare, scholarship ineligibility, state assistance, 1183, house

Transcript Highlights:

• The story is the same, unfortunately, that we're dealing with our direct care workforce crisis.
• We are providing direct care to individuals, and so if we aren't passing through that increase to the
• care worker, and so you were able to draw down more money that was going to your direct care workforce
• Chairman, Senator Epstein, but I think we are on our own incentivized to provide it to our direct care
• We're about two to five percent over minimum wage for our direct care workforce.

Summary: The committee first took up SB 1114, which would appropriate $1 million to the Maricopa County Attorney’s Office to investigate patient brokering in behavioral health and substance abuse treatment. Sponsor Sen. Werner described patient brokering as a continuing abuse tied to the state’s Medicaid fraud crisis, especially affecting Native Americans, and said the county attorney had the capacity to handle statewide oversight. The bill was moved and received a do pass recommendation on a 9-0-1 vote. The committee then considered SB 1111, as amended by a strike-everything amendment, to create statewide rules for automated license plate readers. Supporters from law enforcement said ALPRs are important for investigations, missing persons, stolen vehicles, and violent crimes, and argued the bill adds needed guardrails and training requirements. Opponents, including the ACLU, Institute for Justice, and private citizens, warned the systems enable mass surveillance, can be inaccurate, and raise Fourth Amendment and privacy concerns; they also objected to broad terms like “legitimate” law enforcement purposes and the lack of a clear retention limit. The committee adopted the amendment and then gave SB 1111, as amended, a do pass recommendation by a 7-2-1 vote. Next, SB 1116, as amended, was heard to require behavioral health claim denials and appeals at AHCCCS to be reviewed by someone with relevant clinical experience. Sen. Werner said the bill responds to improper denials and appeals handled by staff without behavioral health expertise; AHCCCS was neutral but said the bill could create compliance and staffing issues because “relevant clinical experience” is not well defined. The committee adopted the amendment and passed the bill 10-0. SB 1122, also as amended, would bar AHCCCS from requiring prior authorization or 100% prepayment review for certain behavioral health services under the American Indian Health Plan unless a provider is on a corrective action plan; Werner said it was aimed at ensuring providers are paid and reducing patient brokering. The committee adopted the amendment and passed SB 1122 10-0. Finally, the committee heard SB 1072, which would appropriate ongoing state and Medicaid funds to DES for rate increases for home- and community-based services and room-and-board services for individuals with intellectual and developmental disabilities, with reporting on workforce outcomes. Supporters from APAD and providers said the direct care workforce is in crisis, with large numbers of vacancies, overtime costs, and unassigned authorizations, and argued the funding is needed to retain staff and maintain care. Members discussed wage disparities, whether funds would reach caregivers, and the limits of legislative control over private provider pay, but no vote on SB 1072 was reached before the transcript ended.

Transcript Highlights:

• </c> health care systems in the world. health care systems in the world.
• </c> Preventive care is being delayed. Preventive care is being delayed.
• </c> care for them tomorrow. care for them tomorrow.
• in care.
• </c> direction and support. direction and support.

Keywords: 1187, senate, all

Transcript Highlights:

• </c> managed care, and HCBS. managed care, and HCBS.
• This is the proposal for the direct care and treatment folks. um members, uh that way you're going to
• I'm the legislative director for Direct Care and Treatment.
• </c> care home care nursing workforce care home care nursing workforce shortage<01:25:21.520><c> in</
• care.

Keywords: 1187, senate, all