Video & Transcript Research : 'basic care'
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OK
Transcript Highlights:
- Um, then we had a residential level of care if kids couldn't stay in this partial level of care.
- Then you have residential level of care, where your kids who just need a little bit more long-term care
- Basically doesn't exist anymore. You have then acute care, which is 3 days.
- In acute care because they can't stay very long.
- So they're getting anywhere from 6 to 12 hours of care a week.
Summary:
The committee held an interim study on how to educate and support students with severe violent or disruptive behavior while protecting classmates, teachers, and school staff. Members framed the issue as one involving students who have often experienced trauma and may be removed from class through suspension, expulsion, or juvenile placement, but who still need a meaningful path back to school. Several legislators shared personal experiences as former educators or administrators and emphasized that schools need clearer criteria for removal and return, along with stronger support for families and staff.
Dr. Michelle Butler, an alternative education director, testified that Oklahoma’s current alternative education system is not designed to serve students removed for major discipline issues because placement is generally voluntary and programs are built around students who need a different learning environment, not punitive removal. She argued for early intervention, stronger attendance enforcement, trauma screening, teacher training, and a regional or cooperative model that would combine credentialed educators, social workers, therapists, and family counselors. She also described existing programs such as Trace Academy, Rogers County Youth Services diversion programs, and the limitations of virtual-only models and current funding, saying the system lacks sufficient resources and staffing.
Representatives and senators asked about funding, staffing, credentials, and whether statutes should be changed to prevent alternative education dollars from going to programs that do not provide direct services. Other testimony came from Family and Children’s Services and Mid-Del Youth and Family Services, both of which described embedded school-based mental health, crisis response, intensive outpatient services, family engagement, and juvenile diversion programs. Witnesses stressed that wraparound services, school-community partnerships, and a bridge back to the home school are essential, and that many students and families need mandatory or strongly supported participation rather than purely voluntary help. The study concluded with members noting possible next steps, including expanding or supplementing alternative education, improving early intervention, and examining participation requirements and transition supports; no votes were taken, and the committee adjourned after the presentations.
KY
Kentucky 2025 Regular Session
Budget Review Subcommittee on Health and Family Service (10-15-25)
Transcript Highlights:
- <00:31:34.880>
of <00:31:35.039>the care of the adults who take care of the care of - integrated care as you've already heard. integrated care as you've already heard.
- We took care of kids in state custody who needed 24/7 care.
- We took care of kids caring institution.
- in states custody who needed 247 care. in states custody who needed 247 care.
Summary:
The meeting opened with roll call, approval of the September 17 minutes, and an introduction of Sarah Rome to the committee. The chair also noted that the committee would stay on schedule and then moved to presentations. Representative Amy Neighbors and Taylor Williams of the Kentucky Pharmacists Association presented a refiled “pharmacy parity” proposal, formerly House Bill 3, to require Medicaid reimbursement for pharmacist clinical services already authorized under current scope of practice. They said the bill would not expand Medicaid or pharmacist scope, but would align Medicaid with commercial insurance, improve access and outcomes, and likely save money; they cited a Cabinet report under Senate Joint Resolution 26, which found similar laws in other states were producing savings or trending toward savings and would require only modest administrative updates. No member questions were raised after that presentation.
The committee then heard an update on the Kentucky Colon Cancer Screening Program from Senator Stephen Meredith, Dr. Whitney Jones, Melissa Carrier, and Representative Neighbors. They described the program’s goals of increasing screening, reducing deaths through earlier detection, and preventing cancers by finding polyps, saying it has produced substantial savings and improved outcomes. Speakers emphasized Kentucky’s high colorectal cancer burden, especially in younger adults, and said the program helps uninsured and underinsured Kentuckians access stool-based screening and follow-up colonoscopies through a network of partners including the Department for Public Health, Kentucky Cancer Link, and university cancer programs. They requested an increase in funding from $500,000 to $1.25 million annually, or $2.5 million over the biennium, to expand services, fill geographic gaps, and support education and navigation.
Members asked whether the colon cancer screening was already covered by Medicaid, and the presenters replied that Medicaid does cover it, but the program serves people who are not on Medicaid or who fall into a separate eligibility category based on income and insurance status. A member also clarified the requested funding increase. The committee then moved on to the next agenda item, an update from the Children’s Home of Northern Kentucky, where board member Sal Santoro and CHNK Behavioral Health leaders began a presentation describing the organization’s broader behavioral health work and its request, but the transcript cuts off before that presentation concludes or any action is taken.
MA
Massachusetts 2025-2026 Regular Session
Joint Committee on Consumer Protection and Professional Licensure Jun 21st, 2026 at 10:00 am
Joint Committee on Consumer Protection and Professional Licensure
Transcript Highlights:
- I do want to highlight, though, it also allows continuity of care for consumers involved in foster care
- So please, all we ask is to be licensed to increase access to care, affordable access to care.
- So please, all we ask is to be licensed to increase access to care, affordable access to care.
- My question is the care.
- My question is the care.
Summary:
The committee opened a hearing of the Joint Committee on Consumer Protection and Professional Licensure focused on health care and human services, reviewed testimony logistics, and then heard a long series of witnesses on several bills. Much of the testimony centered on interstate licensure compacts for dentistry, social work, and occupational therapy, with supporters arguing these compacts would improve workforce mobility, continuity of care, and access while preserving state oversight and public protection. Dental witnesses were split on H.455/S.257, with supporters backing the AADB dental compact for its hands-on exam, background checks, and disciplinary safeguards, while opponents argued a competing compact would better promote portability and avoid conflicts tied to proprietary testing and outside commissions. Social work witnesses strongly supported H.380/S.252, emphasizing continuity of care for clients who move across state lines, reduced costs and delays for practitioners, and the compact’s public-protection features; occupational therapy witnesses similarly supported H.427/S.256, citing access, telehealth, military families, and maintained standards.
The committee also heard testimony on S.242, which would expand licensure for lactation care providers. Supporters, including lactation counselors and health center staff, said adding certified lactation counselors and related credentials would expand access, improve breastfeeding support, and allow reimbursement for services now often provided without billing. They described the training required and said the bill would help families, especially in underserved communities. Representative James O’Day also testified in support of the social work compact, and a Council of State Governments witness provided background on compact mechanics and state participation.
Another major topic was H.419/S.214 on medical debt. Physicians and researchers testified that cancer patients experience long-lasting medical debt and collections burdens, and they supported limits on the sale and collection of medical debt, bans on reporting it to credit bureaus, and related consumer protections. The hearing also included H.465 on a pathway to special licensure for certain long-term limited-registration dentists serving MassHealth patients, which Representative Senna supported as a way to allow immigrant dentists to practice independently. Finally, the committee heard sharply divided testimony on H.444/S.284, which would allow trained dental hygienists to administer Botox and dermal fillers: supporters framed it as a safe, preventive, and access-expanding tool for TMJ, bruxism, and pain management, while dermatologists opposed it as outside hygienists’ training and a patient-safety risk. No votes or formal actions were taken during the hearing.
MA
Massachusetts 2025-2026 Regular Session
Joint Committee on the Judiciary Jun 21st, 2026 at 01:00 pm
Joint Committee on the Judiciary
Transcript Highlights:
- We were able to work with this care team to identify new care assistants who understood that they could
- I needed care and compassion. But lucky is the word.
- Once in the system, it becomes even harder to access health care, child care, or public benefits.
- Once in the system, it becomes even harder to access health care, child care, or public benefits.
- psychiatric care.
Summary:
The Joint Committee on the Judiciary heard testimony on a wide range of bills, with much of the discussion focused on housing stability and maternal mental health. On H. 1924/S. 1171, supporters including Sen. Joan Lovely, Rep. Jim O’Day, physicians, advocates, and people with lived experience urged the committee to create legal protections and treatment pathways for defendants who experienced postpartum psychosis or other perinatal mood disorders within 12 months of giving birth. Testimony emphasized that these conditions are rare but severe, often treatable, and can lead to tragic outcomes if criminalized rather than addressed through screening, expert evaluation, treatment, and, in some cases, resentencing or mitigation. Committee members asked about diagnosis years after the fact and how the Illinois law has worked; witnesses said retrospective diagnosis is possible and that the Illinois model has led to some successful resentencing petitions and broader awareness.
Housing-related bills drew substantial testimony. On H. 1983/S. 1071, witnesses described “zombie” subordinate mortgages that were sold years after borrowers believed they had been resolved, then resurfaced with large balances and foreclosure threats. Supporters said the bill would require disclosures and court review to prevent unlawful servicing and foreclosure practices. On H. 1952, advocates from the Massachusetts Law Reform Institute, tenants, and legal services providers backed a permanent statewide right to counsel in eviction cases, citing data showing strong tenant outcomes and the importance of quality control, multilingual outreach, and full representation. On H. 1895/S. 1184, testimony supported codifying a two-tier summary process in eviction court and prohibiting defaults at the initial case-management stage. On H. 1883, a small property owner supported rent escrow as a way to protect landlords from bad-faith nonpayment while preserving tenant rights.
The committee also heard testimony on bills addressing discriminatory housing covenants, tenant oversight, and homelessness. On H. 1762/S. 1080, a housing advocate supported removing void restrictive covenants from deeds, describing the Dirty Deeds Project and the lingering harm of racist language in property records. On H. 1814, tenants and advocates described harassment, retaliation, security problems, and lack of accountability in subsidized housing, arguing for an Office of the Tenant Advocate within the Attorney General’s Office. On S. 1120, multiple witnesses supported a bill of rights for people experiencing homelessness, saying it would affirm the right to rest and seek shelter, reduce criminalization, and extend anti-discrimination protections. No votes or final actions were taken during the hearing; the committee primarily received testimony and questions on the bills.
TX
Transcript Highlights:
- Right now, basically what they've done is they've just kind of borrowed staff within TEA.
- So I started trying to get them financial literacy-type classes, just basic ones. Correct.
- This bill does that, which would take care of that issue, but it doesn't do everything.
- It's our safety care team.
- of a baby from conception. up until basically the birth of the baby.
Keywords:
fetal development, health curriculum, public schools, middle school health education, grade 7, grade 8, State Board of Education, school health advisory council, Texas Education Code, pregnancy, reproductive health, infertility, birth defects, prenatal development, unborn child, trimester, medically accurate instruction, age-appropriate instruction, drug and alcohol effects, lead exposure
HI
Hawaii 2025 Regular Session
HSH Public Hearing - Tue Mar 11, 2025 @ 10:00 AM HST
Human Services & Homelessness
Transcript Highlights:
- Instead, they care for the children.
- deprived of food, water, basic deprived of food, water, basic necessities,<00:24:08.000>
beaten - <01:36:25.360>
provider number and type of child care provider number and type of child care - <01:37:46.320>
um their children into affordable care um their children into affordable care - 45:08.320>
repaying <01:45:08.719>a basically um recognizing that repaying a basically
Summary:
The committee heard testimony on SB 281 SD1, which would define and prohibit torture as a Class A felony. The Honolulu Prosecutor’s Office, HPD investigators, and other supporters said the bill is needed because existing laws do not adequately capture torture, especially cases involving children and vulnerable persons. Several testifiers emphasized that starvation is a common method of torture that often leaves little visible evidence, and they urged the committee to restore the original starvation language removed from the measure. The Office of the Public Defender said it did not oppose the bill’s purpose but raised concerns that the language was too broad and could create trial issues, particularly around minors and vulnerable people, and suggested narrowing amendments. The chair indicated the testimony had made a strong impression and said the committee would try to move the bill forward.
The committee then heard SB 292 SD1, relating to sexual exploitation and safe harbor protections for survivors seeking medical or law enforcement help. The Honolulu Prosecutor’s Office supported the measure, noting that a prior version raised equal protection concerns that were no longer present, and said survivors should be able to seek help without fear of prosecution. Written support was also noted from several advocacy and state groups. Testimony in support focused on retaliation fears, trafficking, and the need for manpower and resources to address exploitation and related crimes.
Finally, the committee took up SB 295 SD1, which would increase penalties for violating temporary restraining orders and orders for protection and treat a violation of one as a second offense for the other. The Public Defender’s Office objected to the mandatory jail component, arguing judges should retain discretion and that there was no clear evidence mandatory jail deters violations. The transcript cuts off before any final committee action or vote on SB 295 was recorded.
ND
North Dakota 2025-2026 Regular Session
Senate Appropriations - Human Resources Division Apr 9th, 2025 at 09:30 am
Appropriations - Human Resources Division
Transcript Highlights:
- So it's not going to hurt the basic care at all, no.
- They're trying to improve the system and the quality of care and their work with the Long-Term Care Association
- I mean, that would be more valuable to me in trying to make sure those basic care units are cash flowing
- So I think when we get to medical services, that's where the $5 a day for basic care would apply, and
- This is a form of care that is needed, and if this form of care is not provided, the next layer up goes
Bills:
SB2399
Keywords:
mental health, psychiatric treatment, reimbursement, medical assistance, legislative report, 908, all
Summary:
The Senate Appropriations HR Division met to work through amendments and budget items in House Bill 2012/HB 1004, focusing first on long-term care, disability services, and behavioral health. Members discussed competing approaches to a four-plex for medically complex individuals, a value-based care payment withhold for nursing facilities, accreditation requirements for providers, a study of developmental disability services, and funding for Family Voices and Ann Carlson-related services. Several amendments were accepted or set aside after discussion, including a study amendment for disability services and a Family Voices grant amendment that was adjusted to remove “one-time” language so it could continue as an ongoing grant. The committee also agreed to keep or defer some items for conference committee, including the youth crisis stabilization pilot and other long-term care proposals.
A major discussion centered on the state hospital project. Members debated whether the $330 million project should remain in the DHS budget or be moved to the OMB budget for construction management. After discussion of costs, alternates, and the role of a steering committee and BND loan language, the committee agreed to remove the state hospital funding and related loan language from the DHS budget while leaving the steering committee language in place. The committee also considered a proposed Altru grant for additional beds and settled on a smaller planning-focused approach, with a $1 million grant and a line of credit concept to be refined later.
The committee then turned to behavioral health items, including QRTP funding, nursing home behavioral health training, and a youth crisis stabilization pilot. Members generally supported keeping the QRTP funding level, but were divided on the nursing home behavioral health training and the crisis stabilization pilot, with some preferring to leave those issues for conference committee. The division also reviewed the HHS block grant and underfunding structure, with Donna Ackland explaining salary, vacancy, and flexibility calculations; the committee discussed adjusting the underfund and revenue assumptions but did not finalize every number before moving on.
Finally, the committee took up House Bill 1577 on wastewater treatment grants. Senator Davison moved to hoghouse the bill into a study-focused version using the proposed amendment language, and the motion passed. The committee then moved HB 1577 as amended with a do pass recommendation; the roll call passed with Senators Cleary, Davison, Dever, and Mathern voting yes, and Senator Magrum not recorded as voting. The meeting adjourned with plans to return later in the day to continue budget work.
NH
New Hampshire 2025 Regular Session
Senate Executive Departments and Administration (04/02/2025)
Executive Departments and Administration
Transcript Highlights:
- patient care records so what<01:42:30.040>
we're <01:42:30.199>basically <01:42:30.599> - facilities we have exactly one care facilities we have exactly one tertiary<01:44:35.560>
care - So not really, because you never transfer care without giving a couple of basic things.
- higher level of care.
- a couple of basic thing not basic giving a couple of basic thing not basic things<01:46:05.199>
you
TX
Transcript Highlights:
- If it's disruptive behavior, my basic...
- And basically, that child can come back into the classroom.
- We've basically gone from zero tolerance to zero consequences.
- And there's a common care for that student.
- Everyone should be treated with respect and care. Bottom line.
Bills:
SB27, SB226, SB326, SB570, SB605, SB870, SB991, SB1871, SB1872, SB1873, SB1874, SB1924, SB1925
Keywords:
residency, public schools, child safety placement, enrollment, education code, antisemitism, student conduct, education, disciplinary actions, Texas Education Code, truancy, attendance policy, chronic absenteeism, school attendance, student absence notifications, parent notification, home visit, attendance officer, truancy court, school district
MA
Massachusetts 2025-2026 Regular Session
Joint Committee on the Judiciary Jun 21st, 2026 at 01:00 pm
Joint Committee on the Judiciary
Transcript Highlights:
- human dignity: the right to medical care, ...about preventing tragedy and upholding the most basic human
- The act to study the delivery of care.
- people he cared for superbly.
- Medical care.
- Timely medical care is a basic human right.
Summary:
The Judiciary Committee heard testimony on a wide range of criminal justice, victim services, and records-sealing bills. Early testimony focused on H.1811, the Clean Slate automated record-sealing bill, with supporters arguing that automatic sealing after existing waiting periods would remove barriers to jobs, housing, and education without changing eligibility rules. Advocates from legal aid, business, and housing organizations said the current petition-based system is underused, burdensome, and costly, while opponents of expanding surveillance-related laws urged the committee to preserve privacy protections. The committee also heard testimony on H.1693, which would immediately seal records in cases ending without conviction and clarify the presumption of innocence, with speakers describing how dismissed cases still create lasting collateral consequences and prevent people from moving forward. No votes were taken during the hearing.
Several bills centered on victim safety and domestic violence. Senator Michael Moore testified for S.1201, which would keep child-protective orders in effect even if the parent or guardian who filed them dies, and for S.1204, which would update the wiretap statute. Multiple survivors and advocates supported S.1215 and S.1222, arguing for a narrow wiretap defense for recordings made to document threats or abuse and for making GPS tampering a separate felony offense. Testifiers described situations in which GPS devices were cut off or disabled and said current law leaves victims at risk and gives abusers too much leeway. The committee also heard emotional testimony on H.1685/S.1238, a bill prompted by the suicide of Stavri Yanka in custody, with the sponsor, his mother, and the sheriff describing the need for better information-sharing so suicide-risk information follows a person into custody.
Law enforcement and prosecutors supported several due-process and dangerousness-related bills. MassCOP, the Boston Police Patrolmen’s Association, and the State Police Association backed H.1828/S.1039/S.1235, which would require de novo Superior Court review for POST Commission suspensions over two weeks or decertifications, arguing officers need a meaningful appeal beyond administrative review. The committee also heard support for H.1691, expanding the dangerousness statute to additional offenses; Bristol County District Attorney Quinn said the changes would let prosecutors seek detention in serious cases such as child rape and manslaughter when facts warrant it. In contrast, the Committee for Public Counsel Services opposed expanding dangerousness detention, warning that pretrial detention causes serious harms and disproportionately affects Black and Hispanic defendants. The hearing also included testimony on H.1654/S.1063 to enhance victims’ rights and H.1525, which would rename and expand community corrections into community justice programs, with supporters emphasizing reentry, reduced stigma, and broader service access.
NH
New Hampshire 2025 Regular Session
House Environment and Agriculture (02/19/2025)
Transcript Highlights:
- a blanket St statement uh basically a blanket St statement uh basically creates<00:15:03.000>
- sheet and I'd like to close the caring sheet and I'd like to close the caring on<00:46:57.200>
there are basic there are basic manufacturer<02:34:11.640>I'm <02:34:11.800>assuming< - for livestock care.
- <05:03:08.040>
and <05:03:08.520>uh of care fund for livestock care and uh of care
Summary:
The committee first held a work session on HB 505, which would allow the sale of freeze-dried foods produced in homestead food operations. Members raised concerns about the bill’s broad language, especially the provision stating freeze-dried food would not be considered potentially hazardous. Several suggested narrowing the bill to specific products such as processed foods, berries, fruit, dairy products, ice cream, or vegetables, and requiring use of commercial freeze-drying equipment rather than dehydrators. There was also discussion of oxygen absorbers, moisture control, sanitation, and whether the issue should be handled in statute or rules. By the end of the discussion, members generally agreed the topic should be treated in a separate section of law rather than folded into the existing homestead food license, and the chair said the matter would be sent to the food safety subcommittee, with the possibility of a study committee if more time was needed.
The committee then moved to HB 277, a technical correction to the animal cruelty statutes. Representative Bixby explained that current law refers to a “colt,” which applies only to male baby horses, leaving fillies unaddressed; the bill would replace “colt” with “foal” and make related wording changes so the restriction applies to any horse under 90 days old not being nursed by its dam. The New Hampshire Farm Bureau testified in support, saying the change was requested to clarify and modernize the statute and that the issue had been identified during work on related animal cruelty legislation.
No votes were taken in the portion provided. The chair recessed the work session until 11:00 a.m. and announced that Representative Ktoa would take over the hearing on HB 277.
FL
Florida 2026 5th Special Session
FL House Floor Session - 2025-04-25 (10:00AM Session)
Florida House Floor Meeting
Transcript Highlights:
- It's basically just your TDT revenue, 100% of it, basically after you pay what you have owed in debt
- And also, we want to benefit the environment, which I know you care about and I care about as well.
- If CRAs are using, you ...you care about, and I care about as well.
- So they're going to see people who maybe never had health care and who desperately need dental care,
- I want you to feel comfortable because I care about your mental. I care about your physical.
Summary:
The House opened with prayer, a moment of silence for fallen Oviedo Officer Jimmy Serrano-Torres, the Pledge of Allegiance, and recognition of Chief Joseph Tuminelli as law enforcement officer of the day. The Rules and Ethics Committee report setting the special order calendar was adopted, and the Speaker announced schedule changes for the following week, including canceling the floor session on Monday and starting Tuesday at 10:30 a.m.
The main floor action centered on CS/HB 7033, the House tax package. Sponsor Rep. Duggan described broad tax changes, including reducing the state sales tax rate from 6% to 5.25%, exempting certain bullion sales, repealing the aviation fuel tax, delaying the natural gas fuel tax, changing corporate income tax treatment for charitable trusts, reducing the pari-mutuel tax on card rooms, and major changes to tourist development tax (TDT) use. The bill would redirect most TDT revenue toward property tax relief, dissolve tourist development councils, and include related property tax and local tax administration changes. Several amendments were debated: a Driscoll amendment to preserve local TDT flexibility failed; Duggan’s amendment giving local governments 25% discretion over TDT revenues was adopted; Eskamani’s combined-reporting amendment failed; and a Duggan amendment requiring audit certification of compliance with the TDT/property tax relief provisions was adopted. After debate, CS/HB 7033 passed 78-29.
The House then took up CS/CS/HB 1221 on local option taxes, which was presented as a companion-style measure to give local governments more flexibility while redirecting TDT revenues toward property tax relief. Supporters argued the bill would provide immediate relief to property owners and restore accountability in local tax use, while opponents warned it would undermine tourism funding, infrastructure, and local services. An amendment allowing local governments to retain 25% of TDT revenues for general purposes was adopted, and the bill passed 62-45 after floor debate.
The final item shown was the reading of CS/CS/HJR 1257, a proposed constitutional amendment related to property tax exemptions and assessment limits, but the transcript cuts off before debate or action on that measure.
TX
Texas 89th 2nd C.S.
Press Conference: Legislative Update May 1st, 2025
Transcript Highlights:
- We are also trying to prohibit discrimination in medical care.
- Informed consent, one of the fundamental tenets of medical care is informed consent, the understanding
- that patients have a basic human right to weigh the risks and benefits of any procedure medically.
- Look, one of the most basic principles that we have in Texas is our responsibility as legislators to
- Like this is, this is basic. This is, these are not extreme measures.
TX
Texas 89th Regular
Press Conference: TEA Audit Mar 19th, 2025 at 12:00 pm
Transcript Highlights:
- am proud to stand here with these parents and these community members in support of going back to basics
- , taking care of our kids' real needs, ...of going back to basics, taking care of our kids' real needs
- class ...bill, I support it because it gets back to the basics, and that's exactly what we need to do
- So I'm encouraging us to support this bill so that we can get back to the basics.
- An increase in the basic allotment is the tide that raises all ships, right?
Keywords:
education funding, House Bill 5419, zero-based budgeting, public testimony, school safety, special education
Summary:
State Representative Gina Hinojosa and a group of parents and education advocates testified in support of House Bill 5419, a zero-based budgeting proposal aimed at reviewing Texas Education Agency spending and redirecting more public education dollars to classrooms. Hinojosa argued that public schools are being weakened by chronic underfunding, teacher shortages, delayed special education services, and inadequate school safety funding, and said the bill would help cut bureaucracy, vendor contracts, and other non-classroom spending in favor of teacher pay, safety, and special education.
Several witnesses, including self-identified Republicans and former GOP officials, backed the bill as a good-government measure and said they were crossing party lines because public schools need more direct investment. They criticized TEA growth, vendor contracts, public-private partnerships, and what they described as unfunded mandates from the state, including school safety requirements. One witness said rural districts are being forced into four-day school weeks, while others cited campus closures, deferred maintenance, and local tax increases tied to state funding shortfalls and recapture payments.
The discussion also focused on the need for a systematic review of TEA spending and the lack of a sunset review for the agency since before 2005. Hinojosa and others said increasing the basic allotment would help districts, reduce recapture pressures, and prevent local tax hikes. The exchange was primarily a public hearing and advocacy session; no vote or formal committee action was described in the transcript.
FL
Florida 2025 Regular Session
February 4, 2025 - 12:30 PM
Transcript Highlights:
- of them, at least do our best to take care of them.
- But we also need to be taking care of our customers while we're doing that.
- And we are right now basically charging actuarially unsound rates.
- One of them is taking care of the customer. We want a great, healthy, vibrant private market.
- One of them is taking care of the customer.
Summary:
The Insurance and Banking Subcommittee received a lengthy presentation from Citizens Property Insurance Corporation CEO Tim Serio, with Insurance Commissioner Michael Yaworski also answering questions. Serio reviewed Citizens’ role as Florida’s insurer of last resort, its statutory funding structure, eligibility rules, depopulation program, reinsurance obligations, and the surcharge/emergency assessment mechanisms that can be used if Citizens runs a deficit. He emphasized that recent legislative reforms, combined with lower litigation and improved market conditions, have helped the private market recover and reduced Citizens’ policy count from a peak of about 1.41 million in 2023 to 936,182 at the end of 2024, with a projected drop to about 771,000 by the end of 2025. He also said the reforms reduced Citizens’ rate need and helped avoid an emergency assessment after the 2024 storms.
Members asked about Citizens’ rate increases, why Citizens still seeks higher rates despite lower litigation, how the 20% eligibility threshold works, whether Citizens should be wind-only, and whether the state or federal government could help with deficits. Serio explained that Citizens is still charging below actuarially sound rates in most areas, that rate filings reflect reduced litigation and lower reinsurance exposure, and that assessments on all Florida property policyholders are the reason Citizens tries to build surplus and depopulate. He said the depopulation program is working better than in the past, with less than 2% of takeout policies returning to Citizens, and that the Office of Insurance Regulation has been vetting takeout companies more carefully.
A substantial portion of the discussion focused on claims handling after Debby, Helene, and Milton, including flood-versus-wind disputes and Citizens’ use of the Division of Administrative Hearings for some claim disputes. Serio said Citizens had received 76,625 claims from the three storms and had paid nearly $823 million in indemnity and expenses as of January 7, 2025. He said many closed-without-payment claims were either below deductible, withdrawn, duplicate, or flood-only, and that Citizens had asked its internal audit function to independently review the claims data and denials. He also described Citizens’ storm outreach, catastrophe response centers, managed-repair program, and claim review process, and said the corporation remains focused on paying valid claims while minimizing the risk of assessments on the broader Florida market.
CA
Transcript Highlights:
- for consistent services to child care providers.
- Student preparedness and basic math and English is at an all-time low.
- Many of basic middle school levels of skills in math and writing.
- These kids are not disengaging because they don't care.
- The bill is careful. It is limited. It is accountable.
Summary:
The committee heard SB 1067, which would require annual math screening for kindergarten through second grade students beginning in 2028-29 to identify early numeracy difficulties and connect students to evidence-based supports. Senator Weber and supporters, including EdVoice, UC Davis researcher Charles Wilkes, and several education and community advocates, argued that California’s math performance is too low and that early screening would help close gaps before they widen. Opponents, including the California Mathematics Council, county superintendents, and the CTA, said the bill could narrow instruction, overemphasize deficit-based measures, and should instead be paired with stronger investments in teacher training and implementation of the California Mathematics Framework. Committee members generally expressed support for the bill’s goals while discussing how the screener would work and what kinds of follow-up supports would be needed.
The committee also heard SB 1110 on child care subsidy administration, which would restructure funding for alternative payment programs and core contracts as the state moves to enrollment-based funding. Supporters said the bill would stabilize child care providers, improve payment timelines, and better reflect the administrative work of enrolling families and managing services; there was no opposition testimony. SB 1374, supported by the CSU and UC systems, would allow public higher education institutions to seek temporary restraining orders when credible threats are directed at a campus rather than a specific person. Supporters described recent campus threats that created safety concerns but did not fit current restraining-order law; there was no opposition.
Senator Nilo presented SB 1321, which would direct the State Auditor to review remedial course use and student preparedness at selected UC and CSU campuses after a UC San Diego report showed a sharp decline in incoming students’ math readiness. Supporters argued the audit would help identify gaps in college readiness and the effects of K-12 changes, while some members raised concerns about bypassing the usual legislative audit process; the bill was held on call. The committee then took up SB 1086 on microschools, which would define microschools and direct model ordinances for local land-use regulation. Supporters said it would create a clearer path for small, individualized learning communities, but several members questioned whether the concept was sufficiently defined and whether the state had enough information to draft model ordinances; the bill was also placed on call after a quorum was established. Finally, SB 1181 was presented as a limited pilot program in Central Valley counties to connect schools with regional threat assessment centers when credible safety concerns arise. The author and supporters, including the mother of a student killed in a shooting and several students, said it would improve early intervention and communication; committee members raised privacy and federal-sharing concerns but indicated support, and the bill was moved forward on a vote once quorum was present.
AR
Arkansas 2026 Regular Session
ALC-HOSPITAL, MEDICAID, & DEVELOPMENTAL DISABILITIES STUDY SUBCOMMITTEE Mar 16th, 2026
ALC-HOSPITAL, MEDICAID, & DEVELOPMENTAL DISABILITIES STUDY SUBCOMMITTEE
Transcript Highlights:
- We also have an organized care model called the PASS program.
- Its uncompensated care cost has been reduced.
- We cut uncompensated care costs, yes. Are there other costs besides uncompensated care?
- It's health care heroes with servant hearts taking care of our patients.
- You know, health care financing is a patchwork quilt.
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:
- to post-acute care settings.
- to post-acute care. problem in timely discharges from acute care to post-acute care settings.
- 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.
- 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.
FL
Florida 2026 5th Special Session
Banking and Insurance Jan 13th, 2026
Transcript Highlights:
- In my 25 years in health care sharing, I've seen the rise of bad actors periodically.
- If any care is covered, members can wait years for partial reimbursement.
- If any care is covered, members can wait years for partial reimbursement.
- And George Fajou, Christian Care Ministry. Thank you, and George Fajou, Christian Care Ministry.
- I want a little bit more assurance in my health care.
Summary:
The Committee on Banking and Insurance met with a quorum present and took up several bills, beginning with SB 834 on health care sharing ministries and insurance agents. Senator Yarbrough presented the bill to repeal a recent restriction on licensed insurance agents marketing or selling faith-based health care sharing programs. Supporters argued the change restores free speech and consumer education while preserving existing consumer protections; opponents said the bill was unnecessary and could increase confusion or misuse of agents and brokers. The committee adopted a title amendment and then reported the bill favorably after debate, with Senator Pizzo raising concerns about consumer reliance and lack of guaranteed coverage.
The committee then approved SB 642 on foreign and alien bail bond insurers, SB 394 on reinsurance intermediary managers, and SB 266 on public adjuster contracts. SB 266 would let vulnerable adults rescind public adjuster contracts at any time without penalty; it drew support from consumer and industry groups, with some discussion about estimates and claim work product. The committee also passed SB 832 on residential property insurance transparency, which requires rate transparency reports and a consumer resource center at OIR, and adds a provision excluding land value from homeowners coverage calculations in most cases. Testimony on SB 832 was generally supportive of the transparency goal, though insurers said some of the required cost breakdowns may be difficult to produce as written.
The committee next considered SB 1028 on Citizens Property Insurance Corporation, which would create a commercial lines clearinghouse to move eligible policyholders into the private market and reduce Citizens’ commercial exposure. Supporters said it would lower taxpayer risk and improve competition; a speaker suggested additional changes to deductibles, water-damage caps, and repair practices. The bill was reported favorably after a delete-all amendment and supportive debate from Senator Boyd. Finally, the committee passed SB 540 on the Office of Financial Regulation, which adds cybersecurity requirements for certain licensees, updates oversight of investment advisers and money service businesses, adjusts some charter and meeting rules for financial institutions and credit unions, and includes amendments clarifying repossession/deficiency claims, family office exemptions, and virtual credit union meetings. The meeting ended with all of the considered bills reported favorably and the committee adjourned.
NH