Video & Transcript Research : 'direct care'
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WA
Washington 2025-2026 Regular Session
House Finance Jan 22nd, 2026
Transcript Highlights:
- A large operating company does not include a health care facility, a health care provider, or a health
- You're going to touch upon health care providers, which would make health care costs higher as well.
- , and our health care, and more.
- I was a with no care at all.
- Care is essential.
Summary:
The committee held public hearings on several bills. HB 2140 would exempt land sold or transferred to a governmental entity from additional tax when removed from open space classification in certain circumstances. Staff explained the current use property tax system and said the bill would likely have minimal but indeterminate revenue effects, with about $30,000 in one-time Department of Revenue costs. Representative Lowe said the bill was intended to fix a niche problem where a farmer loses a small frontage strip to a county and is then charged back taxes despite no change in land use. FutureWise testified in support of the bill’s intent but asked for small language changes to ensure transferred land remains compatible with agricultural or open space use. The public hearing on HB 2140 was then closed.
HB 2326 would allow a fire protection district that is partially overlapped by another district’s EMS levy to impose its own levy on the portion not already covered, subject to voter approval in the affected area. Staff said the bill would have no state general fund impact and about $28,000 in one-time Department of Revenue costs. Fire district and fire chief representatives testified in support, describing situations in Clark County and Kittitas County where most residents cannot vote on an EMS levy because a small overlapping area already has one. Opponents, including Washington Citizens Against Unfair Taxes, argued the bill would add to property tax burdens. The hearing on HB 2326 then closed.
HB 2334 would require rounding of cash transactions to the nearest five cents as pennies are phased out of circulation, while leaving non-cash payments unchanged. Staff said the bill would apply to the final total after taxes and fees, with an indeterminate but minimal state revenue impact and significant Department of Revenue implementation costs. The prime sponsor said the bill was needed because the federal government ended penny production without giving states guidance. Retail and grocery groups generally supported the concept but requested amendments for clarity, consumer protection, SNAP compliance, and flexibility while pennies remain in circulation; one witness opposed the bill as another tax burden. The hearing on HB 2334 was then closed.
The committee then heard HB 2100, a proposed statewide payroll expense tax on large operating companies to fund a new Well Washington Fund for higher education, health care, cash assistance, energy, and housing. Staff said the proposed substitute would apply to employers with at least 250 employees and $7 million in annual payroll, exclude certain public and health care entities, and generate substantial revenue, with the fiscal note estimating about $7.6 billion to the general fund and $4.2 billion to the new fund in the 2027–29 biennium under the revised threshold. Supporters, including poverty, housing, labor, education, disability, and faith advocates, said the bill would help offset federal cuts and protect vulnerable residents. Business, retail, hospitality, construction, and technology groups opposed it, warning of job losses, higher costs, reduced competitiveness, and broader impacts on consumers and employers. The prime sponsor said the bill was a response to federal divestment and that the state needed a progressive revenue source now; no vote was taken in the transcript.
MN
Minnesota 2025-2026 Regular Session
House Human Services Finance and Policy Committee 2/13/25
Human Services Finance and Policy
Transcript Highlights:
- c> programs</c> our Direct Care and treatment programs our Direct Care and treatment programs will<00
- for them now that uh we have um sud care for them now that uh we have direct<00:59:32.440><c> access
- Okay, moving into Direct Care and Treatment, we have three proposals that I'll briefly go over.
- of people, um, in DHS and DCT because Direct Care and Treatment had not yet, um, shifted out of our
- And a portion of, sorry, um, there's a small portion of Direct Care and Treatment, um, Department of
MN
Transcript Highlights:
- The chair directed the discussion to nonpartisan staff while they were waiting.
- </c> happening and so I would like to direct happening and so I would like to direct your<00:30:50.039
- </c> protections including time off to care protections including time off to care for<01:15:21.040><
- We can't delay having to take care of a sick parent.
- </c> school leaders um they have a direct school leaders um they have a direct impact<01:20:38.520><c
Keywords:
education, literacy, science of reading, school performance, funding flexibility, innovation zones, equity and inclusion, HF52, New Germany, wastewater treatment, wastewater facility, sewer infrastructure, capital investment, bonding bill, state bonds, Public Facilities Authority, municipal infrastructure, water quality, sanitation, sewage treatment
NH
Transcript Highlights:
- , and mental health care.
- and mental health um long-term care and mental health care. care. care.
- </c> incurring uncompensated care costs. incurring uncompensated care costs.
- </c> that people are protected and cared for. that people are protected and cared for.
- </c> to make sure these patients got care. to make sure these patients got care.
TX
Transcript Highlights:
- , acute care, child care.
- The Texas Child Mental Health Care.
- care. services for children in foster care, and I'll explain a little bit more about that.
- And then also, the rate methodology really aligns the cost of care. care to quality foster care services
- Initial intake as opposed to being in care and then switching the type of care. Yeah, it's both.
Keywords:
budget, House Bill 1, public education, healthcare, border security, federal funding, spending limits
Summary:
The meeting primarily focused on reviewing the proposed budget for the upcoming biennium, with substantial discussions around House Bill 1 and its implications for public education, healthcare, and border security. The Comptroller presented a revenue overview indicating a total of $194.6 billion available for general purpose spending, which reflects a slight decrease compared to previous years due to fluctuating economic conditions. Members raised questions regarding spending limits and the impact of federal funding on state programs, highlighting concerns about the sustainability of funding in light of potential changes at the federal level.
FL
Transcript Highlights:
- Today, Hunter Girdner is being released from the intensive care unit at Walter Reed National Military
- And history teaches us to be very careful when government documents begin to mark people in ways that
- The bill updates the Early Steps program by aligning Neonatal intensive care services.
- and access to care with patient safety.
- Definition of careful and prudent matter for a right turns on. from the Senate bill, definition of careful
Summary:
The Senate opened with prayer, the Pledge of Allegiance, and a series of recognitions for interns, staff, and guests. Members also honored retiring Senate staffer Susan Miller and recognized a veteran injured in combat. After routine announcements, the chamber moved to returning messages from the House and began taking up bills and amendments.
The Senate concurred in House amendments and passed SB 118 on RV park assessments and SB 572 on ethics for public officers and employees, both by 38-0 votes. It then took up the elections bill, CS/CS/HB 991, which drew extensive debate. Supporters said it would strengthen election integrity by tightening citizenship verification and ID rules; opponents argued it would burden eligible voters, especially students, seniors, disabled voters, and others without the newly required documents. The bill passed 27-12. The chamber also passed the education package SB 182 after adopting a Senate amendment to the House amendment, and approved SB 474 on military affairs, SB 425 on historic cemeteries, HB 929 on local regulation of chickees, and HB 35/SB 1370 on habitual traffic offender designation, all with unanimous or near-unanimous votes.
The Senate then considered SB 902/ HB 733, the Department of Health package. Members adopted an amendment and amendment-to-amendment that preserved most Senate provisions while modifying or removing several House additions, including some early steps and medical marijuana-related changes, and the bill passed 37-0. The chamber also began work on HB 905, the foreign influence bill, with a strike-all amendment offered to expand restrictions on foreign influence, sister-city agreements, linkage institutes, and related activities, but the debate on that measure was still underway when the transcript ended. Several other returning messages and bills were temporarily postponed, and the Senate recessed briefly before resuming business.
WA
Washington 2025-2026 Regular Session
House Appropriations Jan 14th, 2026
Transcript Highlights:
- So that is not a directive. But more a request.
- The stakes for health care are high.
- We can't turn our backs on health care. It's not optional.
- We can't turn our backs on health care. It's not optional.
- Face-to-face care coordination helps people manage multiple chronic health care problems, which reduces
Summary:
The House Appropriations Committee continued its public hearing on House Bill 2289, the fiscal biennial supplemental operating budget appropriations bill. The chair and vice chair explained the hearing process, limited testimony to one minute per person, and then heard extensive public comment from a wide range of advocates, local officials, service providers, and residents. No committee vote was taken during the hearing.
Much of the testimony focused on opposition to proposed budget shifts involving Climate Commitment Act revenue, especially the proposed diversion of $569 million to other uses, including the Working Families Tax Credit. Environmental, public health, and local government witnesses argued those funds should remain dedicated to climate pollution reduction, wildfire resilience, clean transportation, natural climate solutions, and affordability programs. Several speakers also urged full funding for wildfire response and forest health, including the HB 1168 commitment, and opposed transfers from the Public Works Assistance Account.
Other major topics included Medicaid and long-term care rates, with nursing home and assisted living providers warning that freezing or delaying rate rebasing would worsen staffing shortages and threaten access to care. Public health and health care advocates opposed cuts to foundational public health services, Apple Health expansion, and pharmacy benefit changes, while oral health advocates asked to preserve Medicaid dental funding and support Dentist Link. Testimony also supported or opposed funding for K-12 programs such as special education, the Ninth Grade Success Initiative, and homeless student stability; early learning and child care subsidies; disability services; public defense; housing and homelessness prevention; food assistance; higher education; and immigrant legal services. The committee concluded the hearing and adjourned after public testimony ended.
TX
Transcript Highlights:
- No, that's providing medical care; there is a medical care exception. Perfect. Okay.
- areas that are not providing direct medical care, such as registration staff?
- It's technically research, not direct patient care. Is this covered by SB 8 as well?
- He doesn't care about Texas women.
- We care about her, and we also care about her mom.
Bills:
SB 8, SB 1, SB 2, SB 5, SB 10, HB27, HB7, HB17, HB1, SB 9, SB 7, SB 17, SB 4, HB20, HB18, HB7, HB17, HB1, HB20, HB18, SB9, SB7, SB17, SB4, SB1, SR85, SR87, SB8, SB5, SB2, SB10, HB27
Keywords:
sex designation, restroom access, civil penalties, private civil right of action, women's privacy, campground safety, youth camp regulations, flood safety, emergency evacuation, health and safety standards, disaster relief, flood preparedness, emergency funding, local government support, meteorological forecasting, abortion, healthcare, jurisdiction, civil action, qui tam
NH
Transcript Highlights:
- What I was referring to by primary care were direct primary care arrangements, which don't qualify for
- What I was referring to by primary care were direct primary care arrangements, which don't qualify for
- What I was referring to by primary care were direct primary care arrangements, which don't qualify for
- What I was referring to by primary care were direct primary care arrangements, which don't qualify for
- What I was referring to by primary care were direct primary care arrangements, which don't qualify for
LA
Transcript Highlights:
- This clarifies and takes care of it. The board is clear.
- the nurturing, education, care, and control of their children.
- Parents have a fundamental right to direct the upbringing, education, care, and control of their children
- That means a fundamental right, the right to direct the care of one's child, can be overridden without
- This amendment would preserve the careful balance.
Summary:
The committee first took up House Bill 718, which would limit liability for landowners who allow free use of private property for aeronautical activities at non-public airports. The author said the bill was modeled on Arkansas law and was intended to help private airstrips. After brief questions about fees and the effective date, the bill was reported favorably without objection. House Bill 134, dealing with material harmful to minors online, was then amended to clarify that interactive computer services may not deliver harmful material to minor accounts they created, while removing algorithm restrictions and cure language; it was reported as amended.
House Bill 410, which would require notification before recording direct in-person conversations, drew substantial testimony. The author said the bill was aimed at privacy concerns raised by wearable AI devices and hidden recording tools, and the adopted amendments changed the measure from consent to notification and added exceptions for first responders, evidence preservation, civil or administrative proceedings, criminal matters, and recordings in one’s own residence. Supporters said the bill protected ordinary people from secret recordings, while opponents warned it could chill family-law recordings, citizen journalism, HOA disputes, and other legitimate uses. The bill was ultimately reported as amended. House Bill 318, which would reduce the presumption of paternity period from 300 days to 150 days, was heavily criticized by family-law practitioners and a law professor who said the current 300-day rule tracks gestation and that shortening it would shift burdens onto mothers; the author then voluntarily deferred the bill. A companion study resolution, HCR 19, directing the Louisiana State Law Institute to study the presumption of parentage, was reported favorably.
The committee also heard House Bill 970 on competing custody orders. The author described cases where different courts issued conflicting custody rulings for the same child, but judges and attorneys raised concerns about the bill’s “earliest order controls” rule, its effect on out-of-state orders, protective orders, and the lack of a clear mechanism for judges to discover prior orders. After testimony from judges and committee discussion about possible fixes and a unified filing system, the bill was voluntarily deferred. House Bill 163, another private-airstrip liability bill, was reported favorably, and House Bill 170 and House Bill 194, both dealing with construction/design professional contracts and preemptive periods, were reported as amended or favorably after testimony that they would align design-professional rules with contractor rules and keep Louisiana projects under Louisiana law. House Bill 254, limiting acts of donation of motor vehicles to certain relatives and charities, was reported as amended after discussion about tax treatment and possible loopholes.
Finally, the committee began House Bill 485, a proposed constitutional amendment declaring parental rights fundamental and subjecting government restrictions to strict scrutiny. Supporters argued it would protect parents’ authority over children’s upbringing, education, care, and control, while opponents said the language was overly broad and could complicate child welfare, public health, and school safety measures. The author said the amendment would not protect abuse or neglect and was meant to ensure government interference meets strict scrutiny, but the transcript cuts off before final action on the measure.
FL
Transcript Highlights:
- child care.
- technical assistance offered by DCF to child care providers.
- child care.
- SB 1736 addresses a critical gap in care by allowing direct support professionals and relatives to administer
- SB 1736 addresses a critical gap in care by allowing direct support professionals and relatives to administer
Summary:
The Senate opened with prayer, the Pledge of Allegiance, and several introductions recognizing guests, students, advocates, and a resolution honoring the late USF men’s basketball coach Amir Abdur-Rahim. Senators also observed moments of silence for victims of recent campus violence and for former FSU President John Thrasher. The chamber then moved to special order bills, with several members explaining measures and, in some cases, substituting House companions before final passage.
Among the bills passed were measures updating child care and early learning provider regulation; strengthening penalties and cost recovery for false reporting and swatting; extending protections against extraordinary medical debt collection; expanding hazardous walking condition criteria for schoolchildren; creating young adult housing support for foster and homeless students; and requiring private schools participating in the Family Empowerment Scholarship Program to disclose which accommodations they will provide. The Senate also passed a bill adjusting interest rules for trust accounts funding legal aid, after extended debate over the impact on legal aid funding and banking practices, and a transportation package that was heavily amended to address issues such as school bus camera hearings, beach vehicle use for equipment removal, flooded-street wake restrictions, expectant mother parking permits, micromobility regulation, and traffic signal modernization.
The chamber also approved public-records exemptions for Agency for Health Care Administration investigators, Judicial Qualifications Commission employees, and appellate court clerks; a municipal water and sewer rate bill affecting Miami-Dade residents near a plant; motor vehicle offenses involving impersonating law enforcement and obscured license plates; trespass penalties at law-enforcement-controlled locations and large ticketed venues; refund requirements for patient overpayments; stem cell therapy authorization with source and consent limits; and insulin administration authority for direct support professionals and relatives in group homes. Several bills were temporarily postponed, including cardiac emergencies, chemicals and consumer products, and motor vehicle manufacturer/franchise dealer legislation. Most measures passed with strong bipartisan support, though the trust fund interest bill drew notable opposition and passed 28-10, and the Family Empowerment Scholarship bill passed 37-1.
MN
Transcript Highlights:
- </c><00:02:50.640><c> to</c> co-chair Stevenson, would you care to co-chair Stevenson, would you care
- And what the letter says is that writing to chairs directs us to avoid direct appropriations to private
- </c> um some long-standing direct um some long-standing direct appropriations<00:31:20.399><c> to</c>
- </c> not a instruction or a direction. not a instruction or a direction.
- We also directed larger amounts of money to competitive grant programs rather than direct appropriations
Keywords:
agriculture finance, broadband development, Department of Agriculture, Board of Animal Health, Agricultural Utilization Research Institute, Office of Broadband Development, food safety, food handler license, cottage food, home processed food, livestock dealer, meat packing company, milk marketer, milk marketing license, grain buyer, grain storage, beginning farmer, emerging farmer, farm down payment assistance, livestock investment grant
KY
Kentucky 2025 Regular Session
House Standing Committee BR Sub. on Health & Family Services (2-19-25)
Transcript Highlights:
- </c> acquired brain injury for long-term care acquired brain injury for long-term care a<00:05:01.800
- care workers.
- also</c><00:13:26.279><c> in</c> to their direct care workers and also in to their direct care workers
- So in order to be qualified, they would have to definitely meet long-term care level of care.
- ><c> long-term</c><00:25:52.440><c> care</c><00:25:52.880><c> the</c> level of care for long-term care
Summary:
The Budget Review Subcommittee on Health and Family Services met with a quorum still coming together and first handled roll call and minutes. The main presentation came from the Department for Medicaid Services, with Commissioner Lisa Lee and CFO Steve Beckle giving an overview of Kentucky Medicaid, its federal-state financing structure, and the department’s 1915(c) home- and community-based waiver programs. They explained FMAP funding levels for traditional Medicaid, administration, IT, expansion adults, and CHIP, and noted the size of the program, including more than 600,000 Kentucky children eligible for Medicaid or CHIP, about 485,000 expansion adults, over 69,000 enrolled providers, and $18.5 billion in 2024 expenditures.
A major focus was the waiver system, including the acquired brain injury waivers, model waiver, independence waiver, Michelle P. waiver, and Supports for Community Living waiver. The department said these waivers are intended to keep people with physical or developmental disabilities in home and community settings rather than facilities, and that many services are not covered by Medicare or commercial insurance. Officials described participant-directed services, interagency administration, and eligibility rules, including that some waiver programs use the child’s income only rather than family income. They also reported an unduplicated waiver wait list of 13,930 people and said the General Assembly had added waiver slots in the last budget, including 650 ABI slots and 1,275 more to be allocated July 1, 2025.
The department also discussed a waiver rate study conducted by Guidehouse, explaining that CMS requires a defensible rate methodology because there is no Medicare or commercial benchmark for many waiver services. They said the study used cost and wage surveys, provider and stakeholder input, and aimed to improve transparency, provider stability, and rate parity. Officials reviewed prior COVID-era Appendix K rate increases and budget-driven increases, and said the budget ultimately funded rates at about 70% of the benchmark study, while preserving higher existing rates where needed so no provider would be cut. They highlighted larger differences in behavioral support and case management rates, and said a public report is available.
Members asked several questions about the potential impact of federal FMAP changes, especially possible reductions in the enhanced match for expansion adults and Medicaid IT/admin activities. DMS said any FMAP reduction would require more state general fund dollars, estimating about $75 million for each 1% drop in the expansion match, while impacts on administrative IT funding would depend on the systems being built or implemented in a given year. Members also pressed for clarification on waiver wait-list procedures, funded versus filled slots, and what happens when someone on the wait list is later found ineligible. DMS said people on the wait list may not yet have been assessed, can be reevaluated if conditions change, and are still eligible for regular Medicaid state-plan services if they qualify, even if they are waiting for waiver services.
CA
California 2025-2026 Regular Session
Assembly Human Services Committee Apr 23rd, 2026
Transcript Highlights:
- going to find child care.
- a separate child care plan.
- We should also be including child care. Child care needs work as a region.
- We help families access care so parents can go to work because quality child care impacts everything
- care.
Summary:
The committee heard a series of child and family services bills, with testimony from authors, county officials, advocates, and members of the public. AB 2083 would authorize a regional child care special district for Marina Valley and Paris; there was no public opposition, but a vice chair raised concerns about lack of outreach to Riverside County and possible added fees for residents. The bill was held pending quorum and later noted as enjoying a due pass recommendation, though no final roll was taken in the excerpt.
AB 1579, which expands the Children’s Crisis Continuum Pilot Program to allow additional CDSS-approved residential models, drew strong support from San Francisco County, Seneca Family of Agencies, and several counties and advocacy groups, who argued the current crisis residential model is financially and operationally unworkable and leaves youth in hospitals or emergency departments. The Youth Law Center and allied organizations opposed the bill, saying it departs from the original small, community-based crisis model and could lead to more institutional care. The committee passed the bill 6-0 to Appropriations.
AB 1628 would extend California’s safe surrender window for newborns from 72 hours to 30 days. The author and fire service supporters said the change would better reflect postpartum recovery and help prevent unsafe abandonment; there was no opposition, and the bill passed 6-0. AB 1634, dealing with the “Kids” specialty license plate program, sought to raise plate fees and revise distribution formulas to generate more revenue for child safety and child care programs. Supporters said the update would modernize outdated 1992 pricing and expand county access, while a committee member objected that the bill would reallocate funds away from state agencies and private nonprofits; the bill was moved on a 5-0 vote with some members not voting.
AB 1643 would streamline child support enrollment by having courts transmit support orders directly to child support agencies unless a custodial parent opts out. Supporters said automatic enrollment would reduce poverty and remove paperwork barriers, while opponents warned it could undermine parent choice and create problems for families with sensitive circumstances. The committee passed the bill 6-0. AB 1708 would require regions receiving HHAP homelessness funds to more meaningfully engage smaller cities; many city officials supported it as a way to include jurisdictions that are doing local homelessness work, while Los Angeles’ mayor’s office opposed it. The bill passed 5-0. AB 2395 would standardize access to the child support debt reduction program; supporters described it as a way to help low-income obligors escape uncollectible government-owed debt, while receiving parents and child support agencies warned it could reduce money owed to families and needs more work. The bill passed 4-0. The committee then began AB 1914, which would require local governments to plan for child care in general plans; supporters framed child care as essential infrastructure, while at least one member raised concerns about state mandates on local jurisdictions, and the excerpt ends before any vote.
AR
Arkansas 2026 Regular Session
ALC-STATE INSURANCE PROGRAMS OVERSIGHT SUBCOMMITTEE Mar 18th, 2026
ALC-STATE INSURANCE PROGRAMS OVERSIGHT SUBCOMMITTEE
Transcript Highlights:
- You can state your name for the record, and then I'd like to hear that update on United Care and their
- We have asked United Health Care to go and start moving. We continue to look at that.
- To get a feel for the size of the direct subsidy before and after: in 2023, it was about a $2 direct
- They've just shifted and moved a lot of money into this direct subsidy.
- One is a direct subsidy.
MN
Minnesota 2025-2026 Regular Session
How will federal law affect Medicaid in Minnesota? 2/24/26
Minnesota House Floor Meeting
Transcript Highlights:
- Um, in the next bar is the long-term care waiver and home care service set of services.
- And these are the traditional health care services excluding long-term care to that population.
- the long-term care waiver and home<00:04:19.519><c> care</c><00:04:20.079><c> service.
- </c><00:20:04.400><c> It</c> care for hospitals and providers. It care for hospitals and providers.
- State directed payments, or SDPs, are provider payment arrangements through managed care.
WA
Washington 2025-2026 Regular Session
House Postsecondary Education & Workforce Jan 20th, 2026
Transcript Highlights:
- Long-term care workers must become certified as home care aides by the Department of Health unless an
- Long-term care workers must become certified as home care aides by the Department of Health unless an
- in providing the very best care that they can for their one loved one who they care for.
- I think that those dollars should be spent for direct care, direct services.
- Consumer Direct Washington is who they outsourced to take care of all the training or the hiring and
Summary:
The committee held a public hearing on HB 2337, which would repeal the planned 2027 requirement that certain family-member long-term care providers complete annual continuing education. Rep. Barnard said the bill was intended to reduce burdens on relatives caring for one loved one and to avoid forcing them into courses that are often not relevant to the person they support. Supportive testimony from family providers and disability advocates emphasized that family caregivers already receive individualized training from doctors and therapists, that the available course library is often geared toward aging-related care rather than developmental disabilities, and that mandatory CE could create compliance barriers and risk losing caregivers. Opponents, including SEIU 775 representatives and family caregivers who support the current system, argued that continuing education improves care quality, helps caregivers stay prepared as needs change, and should remain mandatory; they also said the state had already responded to prior concerns by expanding the course catalog and allowing repeat courses for credit. No action was taken on HB 2337.
The committee then heard HB 2311, a technical bill making administrative changes to the Workforce Education Investment and Accountability and Oversight Board. The bill would extend co-chair terms, allow more than four meetings per year, shift consultation on workforce investment effectiveness to the Student Achievement Council, and eliminate the requirement for a public data dashboard. The bill sponsor and supporters from WASAC, Microsoft, and the United Faculty of Washington State said the changes would improve board operations and oversight, while also raising broader concerns that WEA funds have been used to supplant general fund support for higher education. Testimony noted the dashboard had not been funded and that WASAC already tracks related metrics through other tools. No vote was taken on HB 2311 during the hearing.
The committee then moved to executive action on HB 2132, which limits disclosure and retention of personally identifying information in WASFA records. An amendment by Rep. Levitt was adopted to allow the Student Achievement Council to share applicant information with entities beyond higher education institutions under binding data-sharing agreements. The committee then adopted the amended substitute bill and voted it out of committee. The final roll call was 9-8 in favor, and Substitute HB 2132 was reported out with a do pass recommendation. The committee also announced that executive action on HB 288 and HB 2148 would be delayed and that no action would be taken on those bills that day.
FL
Transcript Highlights:
- So I want to be careful.
- To be clear, naturopathic care was never instead of any physician's care.
- For this type of care and that Floridians have safe alternatives to traditional medical care, and this
- So in these two minutes, let's get direct about direct bilirubin testing for newborns.
- They're used primarily for wound care.
CT
Connecticut 2026 Regular Session
Transforming Children's Behavioral Health Policy and Planning Committee May 13th Meeting May 13th, 2026
Transcript Highlights:
- For the substance use levels of care. You can go to the next slide.
- the lower levels of care up near the top of the screen and the higher levels of care, the more intense
- on the left to higher level of care on the right.
- , which is the IOP level of care.
- That's just continuity of care. Melissa. Thank you.
Summary:
The meeting opened with approval of the April minutes and brief administrative updates, including notice that House Bill 5447 had passed both chambers of the General Assembly. Speakers reflected on the bill’s key provisions, which include eating-disorder working groups, an evidence-based screening requirement for school-based health centers beginning July 1, 2027, and a DSS-led feasibility process to explore an inpatient psychiatric facility for young adults ages 14 to 21. New staff introductions were also made for the Behavioral Health Advocate’s office and the TCB team.
A major portion of the meeting focused on marketing and outreach for urgent crisis centers (UCCs) and the broader youth crisis continuum. Daydream Communications presented research showing low public awareness of UCCs but strong interest once families learn about them, with parents wanting specialized, compassionate care, clear expectations, insurance clarity, and bilingual support. United Way described its parallel work on a statewide crisis continuum marketing toolkit, using the SAMHSA framework of “someone to talk to, someone to respond, and somewhere safe to go,” and outlined plans to distribute consistent messaging through websites, social media, flyers, and community venues. Members emphasized coordinating with existing platforms and ensuring the marketing reflects the actual experience at UCC sites.
DCF then presented on adolescent substance use services, citing data showing high need and low treatment access among Connecticut youth. The department reviewed its ASAM-based continuum, SBIRT efforts in outpatient psychiatric clinics, medication-assisted treatment access, and statewide services such as MST, MST emerging adults, STRIDE, multidimensional family therapy, youth recovery supports, and the AIM matching tool. A new young people peer support program was highlighted, with referrals accepted from families, hospitals, community providers, DCF, youth diversion, and the judicial branch. Questions addressed parent consent, peer matching, and whether the AIM tool could be linked through 211.
The meeting concluded with an update from the Connecticut Suicide Advisory Board and its regional boards and grant-funded initiatives. Presenters reviewed the state suicide prevention plan, regional coalition work, postvention response, lethal means safety efforts, and the 988 capacity improvement grant that supports Connecticut’s centralized 988 contact center at United Way. They also shared youth suicide risk data from the Connecticut Youth Risk Behavior Survey, noting recent declines in reported suicidal ideation and attempts, and provided resources for training and materials. No formal votes were taken beyond the approval of the April minutes.
TX
Transcript Highlights:
- You see, you got to be a little careful about that. Sure, but I'd want to consider that.
- at the direction..."
- "OMB is the managerial agent that directs at the direction of the president.
- OMB directs the cabinet agencies.
- Would TDCJ be able to direct or compile information from local jails?
Bills:
SB825
Keywords:
illegal immigration, economic impact, environmental impact, financial impact, annual study, Texas, government report
Summary:
The Senate Committee on Border Security heard testimony on Senate Bill 825 by Senator Middleton, as substituted, which would require an annual or biennial study of the economic, environmental, and financial impacts of illegal immigration in Texas. Middleton said the bill is intended to provide lawmakers with comprehensive data on costs to law enforcement, health care, education, infrastructure, and taxpayers, and to support possible federal reimbursement claims. Several senators, including Hinojosa and Eckhardt, agreed that a study is needed but raised concerns about bias, the scope of the study, and whether the Comptroller’s Office rather than the governor’s office should conduct it. Middleton argued the governor’s office was the best coordinating entity because it could direct multiple agencies to provide data, while Hinojosa and others emphasized the Comptroller’s expertise and prior 2006 study.
Public testimony was generally supportive of the idea of a study but critical of the bill’s framing. Sarah Cruz of the ACLU of Texas said the study should be a full cost-benefit analysis and warned that focusing only on costs could create an anti-immigrant narrative. Danny Woodward of the Texas Civil Rights Project also supported the concept but recommended moving the study to the Comptroller or, alternatively, creating a neutral commission. Jaime Pointe of Every Texan likewise supported updating the 2006 analysis and said state agencies should be able to cooperate with a governor-led study.
Resource witnesses from the governor’s office, HHSC, TEA, OCA, TDCJ, and DPS explained that data collection would be uneven across agencies. HHSC and TEA said they often do not collect immigration status and, in TEA’s case, federal law limits schools from requesting such information; OCA and TDCJ said they could provide only partial or indirect data unless new reporting requirements were added. DPS said it already has Operation Lone Star data but would need to collect additional information if tasked with the broader study. The chair asked the governor’s office to provide a follow-up answer on separation-of-powers and related authority questions by the following Tuesday, and the committee recessed subject to the call of the chair without taking a vote on the bill.