Video & Transcript : 'direct care' :
Page 146 of 500
AR
Transcript Highlights:
- Health Professions, as the name indicates, we prepare students for careers in education and health care
- , about 350 faculty and staff members, very proud of the work that they are doing, training these caring
- professionals, and improving education and health care in Arkansas.
- So the CES, while I was taking care of that, what would I wish for?
- So. system for people with more complex care needs.
Summary:
The committee heard presentations on three Arkansas programs serving students and adults with autism and other developmental disabilities. University of Arkansas representatives described the Empower Program, a non-degree, four-year inclusive postsecondary program for young adults with mild intellectual disabilities, and the Autism Support Program, which provides intensive academic, peer, and career coaching for degree-seeking students with autism. They explained the programs’ person-centered planning, residential and employment supports, fee structure of $5,000 per semester for each program, and scholarship/fundraising efforts to offset costs. Members asked about dorm arrangements, mentoring, individualized plans, and how students move in and out of support services, and the presenters emphasized independence, integrated campus life, and transition planning.
Pulaski Technical College staff then presented the 3D program, a three-year transition program in culinary, baking, and hospitality for students with intellectual and developmental disabilities. They outlined integrated classes, internships, job placement outcomes, and data showing strong completion and employment retention rates. Questions focused on how success is measured, tuition and financial aid, and the challenge of securing community partners for practicum and employment sites. The presenters said the program uses rubrics that include technical and professional skills, charges $5,700 per semester, and is pursuing accreditation through the Inclusive Higher Education Accreditation Council.
The final presentation was from SLS Community, a Fayetteville nonprofit serving neurodivergent adults through residential supports, supported employment, and community initiatives. Leaders described their vision for a future mixed-use “live-work-play” development at Cato Springs, current residential and vocational services, and community events such as a 5K and a neurodiversity health care conference. Family members testified about the need for adult services, trained direct support professionals, and better reimbursement and behavioral health supports after age 21. No formal votes were taken beyond approving the prior meeting minutes, and members also announced upcoming autism-related events and requested future discussion on task force appointments and ABA-related issues.
FL
Transcript Highlights:
- care setting or maybe in urgent care as well.
- Those were things that you may want to go to your primary care physician for are seek an urgent care
- With that managed care plan to ensure that that applicable plan assigns them an in-network primary care
- areas, urgent cares, or federally qualified health care centers, but actually where there might be some
- I know you said you're working with Medicaid managed care on making sure that non-emergent care needs
Summary:
The committee opened with roll call, welcomed members back for the first committee weeks, and heard brief personal updates from several senators before moving into agency implementation updates on recently enacted health care laws. The Agency for Health Care Administration reported on Senate Bill 64 creating rural emergency hospitals, explaining that AHCA adopted the required rules effective June 1, 2025, but that no hospitals have yet been designated. Members asked about possible hospital conversions, accreditation and survey responsibilities, and whether Florida would apply for federal rural health transformation funding; AHCA said it intends to apply and has already been working on the issue with federal officials.
AHCA also reviewed the non-emergent care access plan requirement under Senate Bill 7016. The agency said hospitals with emergency departments must submit plans that help redirect non-emergent patients to appropriate care settings while complying with EMTALA, and that 83 plans had been received and 63 approved as of September 30. Members asked about data collection, managed care coordination, and the state’s health information exchange; AHCA said it has moved to a new HIE vendor and will continue monitoring implementation and possible care gaps. AHCA then updated the committee on the TEACH program, saying $6.8 million was spent in 2024-25 across 59 parent organizations and 229 facilities, with more than 1,800 students and nearly 380,000 clinical hours reimbursed. The agency said rulemaking is nearly complete, a new nursing student category and expanded facility eligibility were added, and a federal 1115 workforce waiver remains stalled after CMS signaled it will not approve new workforce demonstrations. AHCA also reviewed House Bill 121 on KidCare eligibility, explaining that implementation of the 300% poverty-level expansion remains blocked by federal litigation and waiver issues tied to premium nonpayment rules; members and public speakers urged action to close the coverage gap.
Public testimony on AHCA’s presentation came from representatives of health centers and advocacy groups, who said the non-emergent care access plan has improved hospital-health center coordination and reduced repeat emergency use, and who urged implementation of KidCare expansion for children in the coverage gap. The Department of Health then presented updates on FRAM, the Sanadi screening grant program, the Health Care Innovation Revolving Loan Program, telehealth maternity care, swimming lesson vouchers, and House Bill 159 on pharmacist dispensing of HIV post-exposure prophylaxis. DOH reported strong participation in FRAM and the telehealth maternity program, 24 Sanadi grant awards in 42 counties, 4,945 swimming lesson vouchers issued last year and 2,371 so far this year, and three approved certification courses with five pharmacist certifications issued under HB 159. Committee members asked about recruitment of dentists and other providers, telehealth maternity outcomes, and why participation in the maternity program remains below expected levels; DOH said outreach and regional referral networks are expanding and more detailed outcome data will be included in the upcoming legislative report.
CA
California 2025-2026 Regular Session
Senate Budget and Fiscal Review Committee Jun 17th, 2026
Transcript Highlights:
- , primary care, and maternity care that were previously approved in 2024.
- I don't care who answers it.
- into health care?
- care.
- The sales tax proposal reflects a new and direct cost to California's health care safety net providers
Summary:
The Senate Budget and Fiscal Review subcommittee heard four budget trailer bills: AB 110, AB 122, AB 125, and AB 177. AB 110 was described as a budget bill junior identifying budget-related legislation. AB 122 would extend sales tax to electronically delivered or remotely accessed prewritten software, extend and later limit business tax credits, reduce the annual LLC/LLP/LP tax for first-year businesses for three years, and impose a 100% tax on certain federal anti-weaponization fund settlements. AB 125 would renew the managed care organization (MCO) tax for three years beginning in 2027 to support Medi-Cal and targeted provider rate increases. AB 177 would require the Department of Finance to return by March 1, 2027 with options for assessing large employers for the Medi-Cal costs of employees enrolled in the program, including at least one employer-paid premium option for firms with 250 or more employees, and would appropriate $1,000 General Fund for implementation.
Administration witnesses said AB 122 modernizes the tax system and helps create general fund revenue, while AB 125 is needed to preserve Medi-Cal financing and targeted rate increases under new federal constraints from H.R. 1 and to avoid a budget hole if the MCO tax expires. On AB 177, Finance said the bill is only a study and does not itself impose a tax, but would direct the administration to develop options for future consideration. Supportive members argued the package is part of a balanced approach to address the structural deficit, protect health care and other safety-net programs, and ensure large corporations pay more of their share. They also said AB 177 is a necessary step toward asking large employers to help cover public health care costs for workers who rely on Medi-Cal.
Opponents, led by Vice Chair Niello and several other Republicans, argued the state does not have a revenue shortage but a spending problem, warning that the proposals would raise costs on consumers and businesses, discourage innovation, and expand taxes beyond their intended scope. They criticized AB 122 as potentially taxing labor-like services and limiting research and development credits, and said AB 125 would increase premiums for commercial enrollees and employers. On AB 177, they questioned the lack of definitions and specifics, saying the bill is too vague and could eventually burden employers, including hospitals and part-time workers, without clear standards. No votes were taken in the portion of the hearing provided; the committee heard testimony and questions before public comment and later action.
AZ
Arizona 2026 Regular Session
02/18/2026 - House Federalism, Military Affairs & Elections
House Federalism, Military Affairs & Elections Committee of Reference
Transcript Highlights:
- about ballot initiatives and we care about direct democracy, and I think that's a uniquely Arizona characteristic
- , the power of direct democracy.
- We fill bed spaces, we feel managed care is managed care. They're the ones making the money.
- We fill bed spaces, we feel managed care is managed care. They're the ones making the money.
- But it is just the managed care model that the state's always had.
Summary:
The committee met with all members present, temporarily replacing Vice Chair Keshel with Representative Taylor, and held HB 4014 at the sponsor’s request. It then heard HB 415, which would extend existing state rules on paid petition circulators and initiative/referendum disclosures to municipal and county measures, require paid circulators to display identifying information, and require local measures to disclose expenditures and revenue sources. The sponsor and supporters, including the Arizona Chamber of Commerce, argued the bill would improve transparency and keep initiatives driven by Arizona residents; the bill passed 5-2. The committee also heard the mirror resolution, HCR 2051, which passed 4-3.
The committee next considered HCM 2010, urging Congress to propose a constitutional amendment repealing the Seventeenth Amendment and returning selection of U.S. senators to state legislatures. The sponsor argued it would restore state sovereignty and accountability, while opponents raised concerns about direct democracy and the practical problems that led to the Seventeenth Amendment. The motion initially appeared to pass 4-3, but after a vote correction and a present vote, the measure ultimately failed. The committee then took up HB 2940, a complex AHCCCS/DES bill aimed at tightening eligibility verification, expanding competition in managed care contracting, and creating a unified eligibility rules engine. The sponsor said it would improve fiscal discipline and competition; AHCCCS and health plan representatives said many verification steps already exist, some provisions would add cost or duplicate federal/state processes, and the bill would significantly alter the managed care model. Despite those concerns, HB 2940 passed 4-3.
Later, HB 2874 passed unanimously 7-0. That bill would ease termination requirements and penalties for candidate committees, PACs, or parties that never received contributions and later file termination statements. The committee then heard HB 467, which would require county recorders to display certain voter status information in precinct registers, signature rosters, or electronic poll books; after testimony from county officials and the Association of Counties, the committee adopted a verbal amendment changing “shall” to “may” and passed the bill 5-2. Finally, HB 2775, as amended, passed 4-3. The bill would bar state and local governments from using state resources to implement or enforce rules or policies of international organizations, and the amendment added restrictions on Arizona public universities’ dealings with certain foreign entities, with ABOR given review authority. Supporters framed it as a sovereignty and anti-foreign-influence measure, while the amendment’s removal of rulemaking authority was cited as important to the vote in favor.
FL
Florida 2026 5th Special Session
FL House Floor Session - 2025-04-23 (10:00AM Session)
Florida House Floor Meeting
Transcript Highlights:
- Senator Boyd, and Brianna Care, a Plantation, sponsored by Senator Polsky.
- use of technical assistance offered by DCF to child care providers.
- to confirm foster care status, establishing that colleges and universities are ...of Continuing Care
- SB 1736 addresses a critical gap in care by allowing direct support professionals and relatives to administer
- Governor Graham started the progress toward hospice care in America.
Summary:
The Senate opened with prayer, the Pledge of Allegiance, and several introductions and moments of silence, including tributes related to the FSU campus shooting, Coach Amir Abdur-Rahim, John Thrasher, the Florida Wildlife Corridor, and visiting student and community groups. The chamber then moved into special order bills and adopted a resolution honoring Coach Abdur-Rahim. A number of measures were taken up and passed, including child care and early learning provider regulation updates, false reporting/swatting penalties, health care billing and collection protections, hazardous walking conditions for schoolchildren, young adult housing support for foster and homeless students, the Family Empowerment Scholarship Program, trust fund interest rules for IOTA accounts, transportation-related changes, public records exemptions for AHCA investigators, JQC employees, and appellate court clerks, municipal water and sewer utility rates in Miami-Dade, motor vehicle offenses involving obscured plates and impersonating law enforcement, trespass at large-scale ticketed events, refund of patient overpayments, stem cell therapy standards, insulin administration by direct support professionals and relatives, pre-arranged transportation services, and the Uniform Commercial Code update for digital assets.
Several bills were amended before passage, often by substituting House companions and adopting late-filed amendments. The transportation bill was significantly revised to remove speed-limit increases and utility-related provisions while adding beach equipment removal, flood-wake enforcement, expectant mother parking permits, and local regulation of micromobility devices; it passed 37-0. The trust fund interest bill drew the most debate, with supporters arguing it right-sized a volatile funding stream for legal aid and opponents warning it would sharply reduce support for legal aid organizations; it passed 28-10. The municipal water and sewer rate bill also prompted extended debate over fairness, fiscal impact, and accusations of racism, but passed 36-2. Public records exemption bills for AHCA investigators, JQC employees, and appellate clerks passed with varying margins, with supporters emphasizing safety and anti-doxing protections. One bill on cardiac emergencies and another on education were temporarily postponed.
Most measures were adopted by wide margins, often unanimously, after brief sponsor explanations and little or no debate. The Senate also adopted a resolution honoring the late USF coach Amir Abdur-Rahim and recognized several visiting groups in the gallery. After completing the day’s special order calendar, the Senate recessed for lunch until 1:30 p.m. or on call of the President.
US
US Federal 2025-2026 Regular Session
US House Floor Proceedings (Monday, June 23, 2025)
US Federal House Floor Meeting
Transcript Highlights:
- Why do we care about SRS for secure rural schools? Why do we care about PILT?
- Why do we care secure rural schools? Why do we care about<00:31:48.960><c> PILT?
- I urge equitable access to the care they need. equitable access to the care they need.
- </c> care unit, Shandra unfortunately died. care unit, Shandra unfortunately died.
- </c> bill is a step in the right direction. bill is a step in the right direction.
FL
Florida 2026 Regular Session
Children, Families, and Elder Affairs Jan 27th, 2026
Children, Families, and Elder Affairs
CA
California 2025-2026 Regular Session
Assembly Budget Subcommittee No. 6 on Public Safety Mar 16th, 2026
Transcript Highlights:
- When survivors receive comprehensive trauma-informed care early, we reduce long-term health care costs
- So I draw a direct correlation between that news reporting and the pause.
- These are just a few of the things that we need to be taken care of.
- These are just a few of the things that we need to be taken care of.
- Thanks. things that we need to be taken care of.
MN
Minnesota 2025-2026 Regular Session
House Floor Session 5/5/25 - Part 2
Minnesota House Floor Meeting
Transcript Highlights:
- </c><00:45:47.040><c> care</c><00:45:47.200><c> and</c> article 7, that is the direct care and article
- for direct care for the one person<01:45:05.119><c> that</c><01:45:05.440><c> has</c><01:45:05.679><
- We can call it removing a factor, but the end result is a direct reduction in the daily rate to care
- ,</c><02:40:38.880><c> the</c> direct care and treatment places, the direct care and treatment places
- </c><02:40:53.760><c> that's</c> direct care and treatment because that's direct care and treatment because
CA
California 2025-2026 Regular Session
Assembly Budget Subcommittee No. 7 on Accountability and Oversight Feb 20th, 2025
Transcript Highlights:
- But much of this money is then directed to other entities around the state.
- Patient care, research, and student financial aid.
- California cares about its residents.
- California understands that when we care about one person, we care about all of us.
- expensive health care problems later on in life.
VA
Virginia 2026 Regular Session
Disability Commission Jun 18th, 2026
Transcript Highlights:
- This directs DMAS to amend its, I apologize, this is the health care category.
- Direct support professional.
- And that really is sort of the context, right, for the direct service personnel.
- They're a very important part of our care system, and we want everybody in our care system to be highly
- So I think it fits right into our health care meeting. Exactly. So thank you. Thank you.
MN
Transcript Highlights:
- The governor's plan also includes $19 million for direct care and treatment in St.
- c> in</c> million for direct care and treatment in million for direct care and treatment in St.<00:15
- </c> operations, direct care, and treatment. operations, direct care, and treatment.
- </c><00:30:52.799><c> care</c><00:30:52.960><c> and</c><00:30:53.120><c> treatment,</c> affairs, direct
- care and treatment, affairs, direct care and treatment, statemies<00:30:54.399><c> and</c><00:30:54.559
US
US Federal 2025-2026 Regular Session
An oversight hearing to examine Native communities' priorities for the 119th Congress. Feb 12th, 2025 at 01:30 pm
Indian Affairs Committee
Transcript Highlights:
- As a function of our health equity, we know how to take care of our own.
- We proved that in Alaska with COVID, when we took care of the whole village.
- Instead of just taking care of specific people. Invest in equity resources and funding.
- I want to direct a couple of questions to you, Mr. Butler, with NFOA.
- We see it within our schools, we see it within the health care, we see it in all aspects.
Keywords:
tribal sovereignty, healthcare, education, public safety, Economic Development, Tax Parity Act, PROTECT Act, trust obligations, bipartisan support, Indian Health Services
Summary:
The committee meeting focused on crucial issues facing tribal nations, particularly emphasizing the federal government's trust and treaty obligations. The discussions highlighted ongoing challenges such as disparities in healthcare, education, and public safety within Native communities. Chair Murkowski underscored the importance of listening to Native leaders and aligning congressional efforts with community needs, advocating for legislative actions that support tribal sovereignty and economic development. Various initiatives, including the Tax Parity Act and the PROTECT Act, aimed at addressing jurisdictional and financial disparities, were discussed in detail. A call for bipartisan support to alleviate the funding shortages affecting Indian Health Services was made several times during the meeting. Testimonies from tribal leaders and representatives emphasized the dire need for legislative support to enhance infrastructure, healthcare access, and public safety initiatives in tribal communities.
MS
Mississippi 2026 Regular Session
Appropriations - Room 409, 28 January, 2026; 10:30 A.M.
Appropriations
Transcript Highlights:
- And they don't care. They obviously don't care. We're complaint driven.
- And they don't care. They obviously don't care. We're complaint driven.
- And they don't care. They obviously don't care. We're complaint driven.
- </c> don't care. They obviously don't care. don't care. They obviously don't care.
- </c> care. Child care is extremely important. care. Child care is extremely important.
FL
Florida 2026 5th Special Session
FL House Floor Session - 2025-06-16 (7:00PM Session)
Florida House Floor Meeting
Transcript Highlights:
- Members, the overall health care budget proposal totals $47.6 billion.
- The overall health care budget proposal totals $47.6 billion.
- for the elderly, and home care for the elderly?
- Those things are well taken care of.
- How are they going to take care of security? How are they going to take care of maintenance?
Summary:
The House met on the final day of session, swore in Representatives Boyles and Hodgers, and observed a moment of silence for the Minnesota House Speaker Melissa Hortman and her husband, as well as for Representative Rosenwald’s father. The chamber then moved into final budget work, with leaders outlining the plan to take up H.J.R. 5019, HB 7031, HB 5017, HB 5015, and then the general appropriations act once the Senate transmitted it. H.J.R. 5019, a proposed constitutional amendment to expand the budget stabilization fund, was explained and amended to raise the rainy day fund cap, require annual deposits, and allow withdrawals for critical state needs by a two-thirds vote; it passed 100-1.
The House then adopted the conference report on HB 7031, the tax package. The bill repeals the business rent tax and aviation fuel tax, delays the natural gas fuel tax, creates or expands several sales tax holidays and exemptions, including permanent exemptions for disaster-preparedness items, hunting/fishing/camping items, and ammunition and firearms-related purchases, and makes changes to property, corporate income, local tax, and economic development provisions. Members debated the removal of recurring housing trust fund and transit-related revenue streams, the new ammunition exemption, and the data center tax changes; supporters argued the package reduces taxes and preserves annual budget flexibility, while opponents raised concerns about housing, transportation, and gun violence. The conference report passed 93-7.
HB 5017, creating a debt reduction program funded by a recurring transfer to retire state bonds early, passed unanimously. HB 5015, the state group insurance conforming bill, which directs DMS to develop a formulary management plan and codifies the administrative health insurance assessment, also passed. The House then began explanation and questions on the fiscal year 2025-26 general appropriations act, described as a $115.1 billion budget that is down $3.8 billion from the current year and includes more than $12 billion in reserves. Subcommittee chairs summarized major spending areas, including pre-K-12 funding increases, health care funding for Medicaid, KidCare, nursing homes, opioid treatment, and mental health, transportation and economic development funding, environmental and water projects, higher education, state administration, justice, and information technology. Questions focused on school vouchers, inflationary pressures on school districts, and the adequacy of funding for housing, transportation, and other priorities.
MA
Massachusetts 2025-2026 Regular Session
Joint Committee on Transportation Jun 21st, 2026 at 01:00 pm
Joint Committee on Transportation
Transcript Highlights:
- This bill also directs MassDOT to identify a way to incentivize private fleet electrification.
- It's about linking regional economic clusters with direct high-capacity transit.
- It's about linking regional economic clusters with direct high-capacity transit.
- I care a lot about Massachusetts taking action on climate.
- I'll take care of this time. I'll take care of this time. Nice to see you. How are you doing?
Summary:
The committee heard testimony on a wide range of transportation bills focused on rural microtransit, commuter rail fares and service, rail electrification, climate alignment, and safety. Several speakers supported H. 4054 and related microtransit proposals, arguing that rural communities need stable, permanent funding for services like the Tri-Town Connector and Quaboag Connector, which have strong ridership, high satisfaction, and measurable economic and health benefits. Testimony also supported a commission bill to study microtransit funding and definitions, with witnesses emphasizing that current grant programs are helpful but short-term and insufficient for long-term service planning.
A major theme was commuter rail equity and expansion. Boston-area officials and advocates backed bills to make all Boston commuter rail stations Zone 1A, citing large fare disparities between nearby stations in Hyde Park, Roslindale, and Readville. Related testimony supported studying an Orange Line extension from Forest Hills to Roslindale Square and expanding The Ride to Foxborough, as well as restoring commuter rail service to Cape Cod via Middleborough to Buzzards Bay and beyond. Speakers said these projects would improve access, reduce car dependence, and better serve neighborhoods and regions that currently face limited rapid transit options.
Multiple panels urged action on electrification and climate-focused transportation planning, including H. 3726, the Freedom to Move Act, and bills to electrify commuter rail, buses, school buses, and public fleets. Advocates from environmental, transit, and public health groups said transportation is the state’s largest emissions source and argued that statutory goals, coordinated planning, and streamlined permitting are needed to speed decarbonization while improving safety, affordability, and reliability. The committee also heard support for a bill to streamline rail electrification permitting, a bill to exempt certain transit projects from MEPA review, and a bill to improve commuter rail pedestrian safety with gates, fencing, and warning devices at at-grade crossings. No votes were taken during the hearing.
WA
Washington 2025-2026 Regular Session
House Appropriations Mar 2nd, 2026
Transcript Highlights:
- against their cost of care the department's current foster care per capita forecast practices factor
- against their cost of care."
- This amendment requires a 65% response per child care, per the seven child care regions. ...from per
- So these rules that have put child care out of business in rural communities has had a direct influence
- This bill provides a pathway for that to expand care in care deserts, asking for a yes.
Summary:
The committee heard public testimony on Substitute Senate Bill 5828, which would restore and adjust Washington College Grant and College Bound Scholarship award levels for students attending private, not-for-profit four-year institutions. Staff explained the bill would set the awards at 90 percent of the regional and state college rate rather than 50 percent of the research rate, with an estimated fiscal impact of $3.3 million in fiscal year 2027 and $18.6 million over four years. Testimony was largely in support from private college presidents, students, and school counselors, who said the bill would help low-income and first-generation students and preserve access and enrollment choices; some public college student representatives said they did not oppose the bill but argued that cuts to public-school aid should be restored first.
The committee also heard Substitute Senate Bill 5911, which would prohibit DCYF from using benefits or funds of youth in extended foster care as reimbursement for their cost of care beginning in 2027, while requiring support for benefit management and payee arrangements and allowing protected accounts such as ABLE accounts. Staff estimated a net fiscal impact of $608,000 in fiscal year 2027 and $2.2 million per biennium thereafter. Testimony in support said the bill would end the practice of withholding SSI and other benefits from youth in care and better support disabled youth transitioning to adulthood. Members asked questions about fiduciary responsibility and representative payee arrangements.
In executive session, the committee adopted amendments and advanced several bills. It adopted Amendment Clark 350 to House Bill 2689, raising the required provider response rate for the child care market rate survey to 65 percent, and then reported the bill out with a due pass recommendation by a vote of 18-11, with two excused. It adopted Amendment H-3743.1 to Engrossed Second Substitute Senate Bill 5395 on retrospective prior authorization denials and reported that bill out unanimously. It also adopted Amendment Pool 272 to Senate Bill 5420 and reported that bill out unanimously. For Engrossed Second Substitute Senate Bill 5496, the committee adopted several amendments clarifying scope and penalties but rejected amendments that would have delayed the bill or replaced it with a study; the bill was then reported out with a due pass recommendation. The committee also heard amendment briefings on other bills, including 5981, 6026, 6160, 6184, and 6211, but deferred action on some items heard that morning.
AR
Transcript Highlights:
- First of all, we absolutely want to employ only state employees in our nursing and direct care facilities
- Over the years, we run in the mid-30s to mid-40% state employee rate in the direct care.
- Obviously, we make up the difference with contract agency direct care personnel.
- We run in the high 30s to low 40% state employee rate, direct care, in our two facilities.
- We run in the high 30s to low 40% state employee rate, direct care, in our two facilities.
MN
Transcript Highlights:
- Hi, my name is Nancy Freeman, and I'm the Operations Services Chief Operating Officer for Direct Care
- </c> Officer for Direct Care and Treatment. Officer for Direct Care and Treatment.
- </c><00:04:47.520><c> Care</c><00:04:47.680><c> and</c> will be operated by Direct Care and will be operated
- Direct<00:05:00.560><c> Direct</c><00:05:00.840><c> Care</c><00:05:01.000><c> and</c><00:05:01.120><c
- > Treatment</c><00:05:01.600><c> is</c> Direct Direct Care and Treatment is Direct Direct Care and Treatment
NM
New Mexico 2026 Regular Session
House - Appropriations and Finance Feb 17th, 2026
Transcript Highlights:
- So we're absolutely moving in the right direction.
- Direction you'd like. Mr.
- And then you add health care, $73 million a year.
- Is any of that directed towards compensation for those caring for vulnerable populations? Mr.
- Infrastructure versus online, page 187, the $12 million for primary care in Taos, primary care facility
Summary:
The committee first heard Senate Bill 152, which would create a low-income telecommunications assistance program and continue support for rural broadband operations and maintenance through the State Rural Universal Service Fund. Senator Padilla and Office of Broadband Access and Expansion Director Jeff Lopez said the bill responds to the loss of federal affordability support and would help low-income households pay for broadband, while also preserving funding for rural carriers and maintenance. Supporters included the Greater Albuquerque Chamber of Commerce, the New Mexico Exchange Carrier Group, tribal telecom representatives, and several rural providers, who said affordability is the main barrier to service and that the bill would help families, students, and rural communities. A few witnesses opposed parts of the bill, arguing that the ARS funding should be redirected entirely to broadband affordability and that legacy POTS-line support should sunset. Committee members asked about ETC requirements, satellite and wireless options, rural density, and the sunset provision; the sponsor said the sunset on ARS would be removed and that stakeholder discussions would continue in the interim. The committee voted due pass on the Senate Finance Committee substitute for SB 152.
The committee then took up Senate Rules Committee substitute for Senate Bill 132, which would add software planning and replacement to the state’s equipment replacement fund. The sponsor and expert said state agencies now rely heavily on software for core services and that planning for software alongside hardware would improve efficiency, security, and long-term sustainability. There was no opposition, and the committee voted due pass on the substitute.
The meeting then shifted to a lengthy discussion of Senate changes to House Bill 2, the budget bill. Senate Finance staff described roughly 300 changes, including additional funding for fire response, early childhood, housing, health care, quantum initiatives, public safety, courts, transportation, education, and several social service programs. Members questioned cuts or reallocations affecting state employee pay, public school capital outlay, the state fair redevelopment, CARA, personal care services, the Office of Child Advocate, and other items. The presenters repeatedly defended the Senate’s use of funds as a way to preserve reserves while prioritizing health care, housing, education, and other recurring needs, and said reserves would remain above the target level even with the changes discussed.