Video & Transcript : 'direct care' :
Page 133 of 500
US
US Federal 2025-2026 Regular Session
Hearings to examine the nomination of Paul Lawrence, of Virginia, to be Deputy Secretary of Veterans Affairs. Feb 19th, 2025 at 08:30 am
Senate Veterans' Affairs
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.
MN
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
MN
Minnesota 2025-2026 Regular Session
House State Government Finance and Policy Committee 3/4/25
State Government Finance and Policy
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
AZ
Arizona 2026 Regular Session
02/10/2026 - Senate Appropriations, Transportation and Technology
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.
MN
Minnesota 2025-2026 Regular Session
Committee on Health and Human Services - 02/19/26
Health and Human Services
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.
MN
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.
MN
Minnesota 2025-2026 Regular Session
Committee on Human Services - 02/19/25
Health and Human Services
Transcript Highlights:
- We represent over 55,000 workers in hospitals, clinics, nursing homes, and self-directed home care.
- I'm here today to support the funding increases for frontline staff in direct care and treatment and
- Investing in the frontline workforce of direct care and treatment is a matter of staff safety.
- </c><01:36:23.040><c> for</c> that care will be near finding care for that care will be near finding
- </c><01:42:54.880><c> I</c> Memory Care Home care and hospice I Memory Care Home care and hospice I appreciate
MN
Transcript Highlights:
- </c> 75% do a direct 75% do a direct deposit<00:04:16.560><c> uh</c><00:04:16.880><c> as</c><00:04:17.040
- direct direct deposit<00:05:09.759><c> uh</c><00:05:09.919><c> so</c><00:05:10.360><c> I</c><00:05:10.440
- </c><01:11:09.239><c> and</c> that I really appreciate the care and that I really appreciate the care
- </c> authorized $5 million to look at direct authorized $5 million to look at direct file<01:32:02.360
- </c><01:37:21.159><c> of</c><01:37:21.800><c> now</c> care of the Count's being care of now care of the
WA
Transcript Highlights:
- A large operating company does not include a health care facility, a health care provider, or a health
- So if you care about student loans or food stamps, if you care about Medicaid, you probably want to see
- You're going to touch upon health care providers, which would make health care costs higher as well.
- , and our health care, and more.
- Care is essential.
Keywords:
cash transactions, pennies, currency adjustment, economic impact, consumer protection, tax exemption, governmental transfer, agriculture, land use, property tax, emergency medical services, levies, healthcare funding, local government, taxation, excise tax, large companies, payroll expenses, minimum wage, Well Washington fund
US
US Federal 2025-2026 Regular Session
Hearings to examine the nominations of Troy Meink, of Virginia, to be Secretary of the Air Force, Michael Duffey, of Virginia, to be Under Secretary for Acquisition and Sustainment, Emil Michael, of Florida, to be Under Secretary for Research and Eng Mar 27th, 2025 at 08:30 am
Senate Armed Services Subcommittee on Personnel
Transcript Highlights:
- before continuing to support the VA health care system as a civilian.
- readiness and set new standards in casualty care.
- , to mental health care.
- and it's a delicate balance between going to the direct care system and the MTFs and then to the private
- for our troops, and they're getting world-class care.
Keywords:
Air Force modernization, fighter aircraft, autonomous systems, air superiority, national security, recapitalization
Summary:
The meeting primarily focused on military procurement and modernization, with significant discussions surrounding the Air Force's capabilities and strategic needs. Key topics included the urgent need for recapitalization of the Air Force's fighter squadrons, as well as the importance of integrating new technologies like autonomous systems to bolster military effectiveness. Several senators raised concerns about the current resources available to the Air National Guard and the potential loss of skilled service members if recapitalization plans are not swiftly developed. There were also discussions on the importance of maintaining air superiority in light of evolving threats, particularly from adversaries like China.
NH
New Hampshire 2026 Regular Session
House Health, Human Services and Elderly Affairs (01/28/2026)
Health, Human Services and Elderly Affairs
Transcript Highlights:
- ambulatory</c> your direct primary care an ambulatory your direct primary care an ambulatory center.<
- New Hampshire already has this model for primary care. It’s called direct primary care, or DPC.
- pay</c> category of care which is direct pay category of care which is direct pay healthcare<04:46:03.360
- We've heard direct primary care or DPC.
- 47:14.320><c> care</c><04:47:14.638><c> clinics</c> have direct pay specialty care clinics have direct
CA
Transcript Highlights:
- There are three legal tools for communicating one's care preferences: advanced health care directives
- Advanced health care directives allow a person to designate someone to make medical decisions on their
- However, an advanced health care directive expresses preferences. These are not medical orders.
- Existing law already allows recognition of advanced health care directives from other states, and we
- I'm also a care petitioner, a family care petitioner.
Summary:
The Senate Judiciary Committee heard several bills focused on health care planning, mental health court participation, homeowners association governance, groundwater enforcement, pet-policy disclosure in rentals, and post-disaster property speculation. SB 1088 would update California’s POLST and DNR laws by renaming POLST to Portable Orders for Life-Sustaining Treatment, allowing electronic signatures, clarifying who may sign on a patient’s behalf, and making clear that these forms are voluntary; it drew support from the Coalition for Compassionate Care and no opposition. SB 1242 would let original family petitioners participate in CARE Court for care coordination and information-sharing, while preserving judicial discretion to exclude them if harmful; supporters said it would improve treatment coordination, while Disability Rights California opposed it as coercive and a removal of patient consent. The committee advanced SB 1242 on a 7-0 vote, with the bill placed on call.
The committee also considered SB 1007, which would require more HOA budget transparency, disclosure of evidence for violations, and a lower cap on regular assessment increases without a homeowner vote. Supporters argued it would improve accountability and protect homeowners from steep fee hikes, while HOA industry groups warned it could undermine funding for insurance, maintenance, and other operating costs. Members raised concerns about the cap and the need for flexibility for large expenses; the bill passed 6-1 and was placed on call. SB 1364, as amended, would prevent a person convicted of sexual assault from obtaining custody or visitation of a child conceived from that assault, while preserving the possibility of voluntary co-parenting and aiming to qualify California for federal grant funding; it passed 8-0 and was placed on call.
Later, SB 997 would give the North Fork Kings Groundwater Sustainability Agency lien authority to enforce fees and its groundwater sustainability plan, addressing an enforcement gap for a GSA created by special legislation rather than a joint powers agreement. It drew support from agricultural and county groups and passed 9-0, placed on call. SB 1296 would require landlords to disclose pet policies up front on applications, websites, and ads, and allow refund of an application fee if disclosure was not provided before payment; supporters said it would reduce wasted application costs and pet relinquishment, while rental housing groups said the ad disclosure requirements were impractical. The bill passed 8-0 and was placed on call. The final bill, SB 1090, was introduced to prohibit large property owners from making unsolicited purchase offers for five years in wildfire-disaster areas, responding to investor activity after the Eaton and Palisades fires; the author and a SAGE witness described it as a protection against disaster capitalism and predatory low offers to displaced residents.
FL
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.
Summary:
The Senate first handled a large batch of executive appointments reported by the Ethics and Elections Committee. Senators debated several nominees, with some members objecting to particular appointees over their views or past conduct. The report on the first group of appointments was adopted 31-0, and Jeffrey Aaron’s separate confirmation to the Public Employee Relations Commission was approved 26-10 after extended debate centered on his role as counsel to the Hope Florida Foundation and allegations that he helped facilitate the transfer of Medicaid settlement funds into political activity.
The chamber then considered Chavon Harris as Secretary of the Agency for Health Care Administration. Supporters praised her work on Medicaid directed payments and hospital funding, while opponents criticized her prior tenure at the Department of Children and Families, citing problems with Medicaid redeterminations, postpartum coverage, Hope Florida oversight, and a women’s shelter case. The Senate adopted her confirmation report 32-5. Next, Taylor Hatch’s confirmation as Secretary of the Department of Children and Families was taken up; the committee report noted ongoing concerns about SNAP/EBT compliance, child welfare practices, audits, and Hope Florida, but recommended confirmation based on her stated commitments to reform. After debate over DCF’s performance and accountability, the Senate adopted her confirmation report 33-4.
After a brief recess, the Senate held a recognition ceremony for outgoing President Kathleen Passidomo. Senators from both parties offered lengthy remarks praising her leadership, diligence, humor, and support for members, often recalling personal interactions and her role in shaping legislation and mentoring newer senators. The ceremony emphasized her service as Senate President and continued leadership as Rules Chair, and included a presentation of a handmade keepsake box filled with letters and mementos from staff and colleagues.
MN
Minnesota 2025-2026 Regular Session
Committee on Health and Human Services - 04/09/25
Health and Human Services
Transcript Highlights:
- </c><00:22:05.440><c> MA</c> forecast payments for managed care MA forecast payments for managed care
- This is the one that has increases for MA provider rates and related direction to increase managed care
- </c> direction um to increase managed care direction um to increase managed care payments<00:24:25.279
- from a higher level of care.
- </c> benchmarks for value based care. benchmarks for value based care.
NH
New Hampshire 2026 Regular Session
House Health, Human Services and Elderly Affairs (03/04/2026)
Health, Human Services and Elderly Affairs
Transcript Highlights:
- </c> arrangements for child care. arrangements for child care.
- Health care providers will experience financial whiplash between the state directives and the implementation
- Health care providers will experience financial whiplash between the state directives and the implementation
- Health care providers will experience financial whiplash between the state directives and the implementation
- Health care providers will experience financial whiplash between the state directives and the implementation
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:
- We are a direct primary care practice.
- So this bill would actually encourage more primary care physicians to do direct primary care.
- It basically says, you know, direct primary care is not insurance.
- So this bill would actually encourage more primary care physicians to do direct primary care.
- It basically says, you know, direct primary care is not insurance.
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.
MN
Transcript Highlights:
- Another proposal, also from the governor, establishes direct care staffing documentation requirements
- Another proposal, also from the governor, establishes direct care staffing documentation requirements
- Another proposal, also from the governor, establishes direct care staffing documentation requirements
- Another proposal, also from the governor, establishes direct care staffing documentation requirements
- Another proposal, also from the governor, establishes direct care staffing documentation requirements
CA
Transcript Highlights:
- There are three legal tools for communicating one's care preferences: advance health care directives,
- Advance health care directives allow a person to designate someone to make medical decisions on their
- However, an advance health care directive expresses preferences; these are not medical orders.
- Existing law allows recognition of advance health care directives from other states.
- In this role, I provide direct care to patients, overseeing and mentoring clinical nurse specialists,
Summary:
The committee heard SB 1422, which would restore Medi-Cal access for income-eligible undocumented adults beginning January 1, 2027. Senator Durazo and county, labor, health, immigrant-rights, and provider supporters argued the current enrollment freeze shifts costs to counties and hospitals, worsens preventive care, and increases expensive emergency treatment. No opposition testified. Several senators voiced support but also raised concerns about funding and the need for new revenue sources; the chair said she supported the concept and would continue working on financing, but the bill was not voted on because quorum was lost.
The committee also heard SB 1023 on PrEP access, SB 1071 on amending death certificates after a homicide finding, SB 1057 on conviction-history review for CNA and home health aide certification, and SB 1088 on advance care planning and POLST/DNR updates. SB 1023’s author and supporters said requiring pharmacy-benefit coverage for injectable PrEP would reduce administrative barriers and improve access, while health plans opposed it as an improper benefit-design mandate; members sought clarification about how the billing pathway would work. SB 1071 drew strong support from victims’ families, law enforcement, and prosecutors who said death certificates should reflect later legal homicide findings, while coroners opposed it as blurring medical and legal determinations and risking data integrity. SB 1057 was presented as a fair-chance workforce measure to expand caregiving jobs for rehabilitated people with records, with no opposition heard. SB 1088 would modernize POLST/DNR rules, including electronic signatures, out-of-state recognition, and clearer signer authority; supporters backed the changes, while clinical nurse specialists opposed the bill for not including them as authorized signers.
After quorum was established, the committee took up SB 869, which would require large chain restaurants to display an added-sugar icon next to beverages exceeding half the daily recommended sugar limit. Senator Weber Pierson and supporters from the American Diabetes Association and American Heart Association framed the bill as a transparency measure to help consumers make informed choices and reduce chronic disease risk. The senator responded to opposition concerns by saying existing nutrition information is often hard to find and that the icon would not unduly crowd menus. The hearing continued with testimony on the bill after quorum was reached, but no final vote is reflected in the transcript excerpt.
CA
Transcript Highlights:
- There are three legal tools for communicating one's care preferences: advance health care directives,
- Advance health care directives allow a person to designate someone to make medical decisions on their
- However, an advance health care directive expresses preferences. These are not medical orders.
- Existing law allows recognition of advance health care directives from other states.
- In this role, I provide direct care to patients, overseeing and mentoring clinical nurse specialists,
ID
Idaho 2026 Regular Session
Agenda Mar 13th, 2026
Transcript Highlights:
- , the Idaho Home Learning Academy, and the direct care workforce.
- I'm going to turn it... ...residential care, the Idaho Home Learning Academy, and the Direct Care Workforce
- We'll need a motion for the Home Learning Academy and the direct care workforce. Thank you, Mr.
- Langrell said that some folks raised some discussion points about the direct care workforce.
- So there's a motion to do a follow-up study of the 2023 direct care workforce study.
Summary:
The committee approved minutes from September 25 and December 2, 2025, then heard seven topic requests for possible Office of Performance Evaluations studies. Topics included the impacts of growth on agriculture and infrastructure, Medicaid hospital billing, Your Health Idaho plan selection, fund balance management for boards and commissions under DOPL, the Board of Community Guardians, sexual assault in women’s prisons, and drivers of prison population growth. Requesters emphasized issues such as conversion of farmland to development, possible Medicaid billing upcoding, uninsured Idahoans’ costs, uneven board fund balances after consolidation, gaps in guardianship services, prison safety and oversight, and factors driving incarceration growth. OPE staff said all were feasible, with some smaller, medium, or larger in scope depending on the topic.
After a secret ballot, the committee selected four studies for OPE: the Board of Community Guardians, drivers of prison population growth, impacts of growth on agriculture and infrastructure, and oversight of sexual assault in women’s correctional facilities. Members noted the remaining topics received fewer votes, but the director said the office could potentially take on additional work later if capacity allowed. The committee also agreed to follow up on the Idaho Home Learning Academy report and the 2023 direct care workforce report, with follow-up timing suggested for December and June, respectively.
The committee then received a follow-up report on Idaho’s 911 system. OPE said the system faces four major pressures: insufficient funding, staffing shortages, too many centers relative to call demand, and weak statewide data and oversight. The report recommended evolving the Idaho Public Safety Communications Commission into a statewide program with authority to oversee the system, collect standardized financial data, set performance standards, and clarify cost responsibilities. The committee heard responses from the IPSCC chairman, the Military Division, and others, who generally agreed with the need for better data and coordination but stressed local control, outdated radio infrastructure, and the lack of a clear funding estimate. The committee discussed whether to pursue a follow-up focused on funding gaps and system costs, and OPE said it could do additional background work with the commission and Military Division to see what data are available.