Video & Transcript : 'direct care' :
Page 148 of 500
DE
Transcript Highlights:
- Directing the Department of Labor to study the creation of a small of a Delaware health care apprenticeship
- Care Apprenticeship Degree Program.
- This program would place aspiring health care professionals in paid clinical positions in health care
- Care Apprenticeship Degree Program.
- The program would place aspiring health care professionals in paid clinical positions in health care
Summary:
The committee met in hybrid format, approved the June 24 and June 25, 2026 minutes, and then heard several bills and a joint resolution. On House Bill 382 with House Amendment 2, Senator Hoffer explained the measure as a technical correction to prior rental-car and peer-to-peer car-sharing law that would clarify when loss-of-use damages may be recovered while preserving recovery for intentional, willful, or criminal conduct. Avis Budget Group and Enterprise Mobility supported the bill, saying it resolved ambiguity and restored limited common-law recovery, while Allstate and Toro opposed it, arguing the bill could reintroduce unfair and unpredictable fees and leave too much discretion to rental companies. No vote was taken in the transcript, and Senator Townsend said he still had questions about how the bill would operate.
The committee then considered House Bill 476, a Frederica charter change that would reduce town council meetings from twice monthly to monthly and make ordinances effective immediately unless otherwise stated. Representative Postles presented it as a simple, noncontroversial change, though members noted Senator Buckson, the Senate sponsor, was not present at the time. No public comment was offered on that bill. The committee also heard House Joint Resolution 13, which directs the Department of Labor to study a Delaware health care apprenticeship degree program and report recommendations; the Delaware Health Care Association supported the resolution and urged coordination with existing workforce efforts.
Finally, the committee heard House Bill 458 with House Amendment 1 on backflow devices in low-hazard buildings. Senator Pardee said the bill would exempt residences and office-type buildings from costly backflow retrofits until regulations are updated, and DHSS said the current regulations do not clearly define low hazard but that the bill’s list of exempted buildings would not raise immediate public health concerns. The Delaware Association of Realtors supported the bill, arguing the regulations were overbroad and costly, while the Delaware Rural Water Association opposed it, warning that weakening backflow protections could threaten drinking water and aquifers. The committee then adjourned without any recorded votes on the substantive bills in the transcript.
MN
Minnesota 2025-2026 Regular Session
Senate Floor Session - Part 2 - 05/19/25
Minnesota Senate Floor Meeting
Transcript Highlights:
- President, is that we have people like constituents I have waiting 100 days to get into a direct care
- </c><00:12:25.120><c> Care</c><00:12:25.360><c> and</c><00:12:25.519><c> Treatment,</c> Health, Direct
- Care and Treatment, Health, Direct Care and Treatment, Behavioral<00:12:26.560><c> Health,</c><00:12
- </c> regulations over long-term care regulations over long-term care providers<00:13:24.720><c> to</c
- </c> waiting a 100 days to get into a direct waiting a 100 days to get into a direct care<00:14:40.720
AZ
Arizona 2026 Regular Session
01/27/2026 - House Republican Caucus Calendar #2
Transcript Highlights:
- So if there's any questions about that, I would direct you to the rules attorneys.
- I see members from CARE in the room here.
- I think some people have a thought that that national CARE, as opposed to Arizona CARE, we have to draw
- It directs, since the FBI has a finding, it directs the Secretary of State and the Department of Treasury
- It caps at six acre-feet per year, per acre, per year, and it takes care of that issue.
Summary:
The caucus reviewed a long list of House bills, mostly on third-read consent calendars, covering appropriations, elections, education, public safety, water, taxation, and criminal justice. Early discussion included HB 2148, which would give the Legislature authority to appropriate non-custodial federal funds, described by the sponsor as a transparency measure. Other measures included HB 2091 on insurance assessment limits, HB 2122 on BTR reciprocity/endorsement clarifications, HB 2138 on firefighters’ workers’ compensation coverage, HB 2008 barring public school libraries from using public funds to pay certain professional associations, HB 2110 allowing prayer at public governing body meetings on request, and HB 2142 creating a School Safety Center at ADE with up to 10% of program funds for administration.
The caucus also heard several parental-rights and elections bills. HB 2249 would expand the parents’ bill of rights to require notice if school staff facilitate a minor’s social transitioning and to allow parents access to complete educational records, with penalties for interference. HB 2022 would conform Arizona election deadlines and the primary date to federal law changes affecting military and overseas voters, with sponsors saying it preserves the 2024 timeline and includes emergency and permanent fixes. HCM 2001 urged the President and Congress to designate the Muslim Brotherhood as a foreign terrorist organization, and HCM 2002 was discussed as a related measure concerning CARE and congressional review/designation efforts; members debated the legal differences between the two memorials.
A major portion of the meeting focused on HCR 2001, a proposed constitutional amendment on election rules. The sponsor said it would require U.S. citizenship to vote, government ID to register, prohibit foreign contributions, end early voting by the Friday before Election Day, and tighten ballot-return and polling-place rules, framing it as an Arizona Secure Elections Act modeled on Florida reforms. Members asked about ballot-return mechanics and the impact on voters who move, and the sponsor said the measure would require periodic address confirmation for early voters and earlier drop-off deadlines for certain ballots. The caucus also reviewed many water bills, including measures on snowpack augmentation, water conservation grant disclosures and eligible uses, stormwater recharge mapping, cesspool remediation, groundwater withdrawal limits in irrigation non-expansion areas, and a $1 million appropriation for Colorado River litigation.
Additional bills covered tax and property issues, criminal penalties, and other policy changes. These included HB 2016 eliminating late-filing penalties when no tax is owed, HB 2104 and HB 2105 protecting agricultural property owners from repeated reclassification and requiring notice before inspections, and HB 2289 updating truth-in-taxation pamphlet examples to reflect $100,000 and $400,000 home values instead of outdated figures. The caucus also heard bills on felony murder involving unborn children, disposal of dead bodies, unlawful flight penalties, weapons trafficking, fentanyl trafficking, child support during pregnancy, and a memorial for the Buffalo Soldiers. No formal votes were taken in the transcript excerpt; the meeting consisted primarily of bill presentations, sponsor explanations, and member questions, with several bills noted as removed from the consent calendar or awaiting further consideration.
HI
Hawaii 2025 Regular Session
CPC Public Hearing - Wed Jan 29, 2025 @ 2:00 PM HST
Consumer Protection & Commerce
Transcript Highlights:
- </c> District of Colombia allowed direct District of Colombia allowed direct shipments<00:11:22.120><
- </c> recently did an audit of their direct recently did an audit of their direct shipment<00:21:03.520
- </c><00:33:42.480><c> next</c> any questions thank you uh direct next any questions thank you uh direct
- I'm a non-smoker; it costs me through health care costs increased health care costs to cover those costs
- I'm a non-smoker; it costs me through health care costs increased health care costs to cover those costs
Summary:
The Committee on Consumer Protection and Commerce met on January 29, 2025, and heard testimony on HB 108, which concerns intoxicating liquor and would expand direct-to-consumer shipping for beer and spirits. Supporters included representatives of Koloa Rum Company, Maui Brewing Company, and Ola Brew, who argued the bill would modernize alcohol laws, help small local producers compete, support jobs and local agriculture, and give consumers more access to Hawaii-made products. They also said Hawaii already has experience regulating direct wine shipments, with age verification and carrier-based delivery systems in place, and that direct shipping could help businesses reach visitors after they return home and diversify beyond tourism.
Opposition came from the Hawaii Public Health Institute, whose representative said the bill could increase access for underage drinking, especially because liquor commissions do not currently conduct compliance checks on alcohol shipments and may lack capacity to do so. The group also raised tax-enforcement concerns, saying the existing three-tier system makes excise and sales tax collection easier, while direct shipping would require additional auditing. They urged the committee to oppose the bill or defer it until more research is done, and suggested a common carrier reporting requirement to help reconcile shipments.
Committee members questioned both sides about whether current law already allows some alcohol shipments, whether a Kentucky distiller could ship directly to Hawaii, and how reciprocity with other states would work. Supporters said the bill is modeled on wine-shipping language and could be amended to clarify reciprocity, while opponents said the bill lacks a common carrier reporting requirement and would place a burden on county liquor commissions. No vote or final action on HB 108 was taken during the portion of the meeting provided.
TX
Texas 89th 2nd C.S.
Senate Committee on Finance Jul 28th, 2026
Transcript Highlights:
- health care, and 18,000 child care providers.
- Child care and hospice.
- In January, Governor Abbott directed TWC to take additional steps to further enhance its child care anti-fraud
- , not just any care.
- For direct care providers like attendants and clinicians, by developing a unique identifier that follows
Summary:
The Senate Finance Committee met to hear interim charges on higher education transparency and on preventing fraud, waste, and abuse in state government. The chair emphasized accountability for taxpayer dollars and asked witnesses to address financial reporting, audit practices, and whether more frequent or comprehensive audits would improve oversight. Legislative Budget Board staff described how public university systems and most community colleges respond to requests about internal audit practices, noting that university systems generally follow a similar annual audit timeline and that community colleges use a more varied mix of internal and external audit arrangements. Members focused on gaps in reporting, especially Texas Southern University’s missing submissions for several years and Collin County Community College’s nonresponse to the LBB survey.
The State Auditor’s Office then outlined its higher education audit work, including mandatory statewide single audits, DEI compliance audits, HUB and State Use Program audits, benefits proportional audits, and discretionary audits based on risk. The auditor said the office has released 43 higher-ed audit reports since fiscal year 2021 and has two audits in progress, and explained that internal audit reports from institutions help guide future audit selection. Senators pressed the office on the lack of enforcement authority, the value of internal auditors at each institution, and whether community colleges should have more standardized reporting and audit requirements. The auditor and general counsel said the SAO can refer suspected fraud to law enforcement but cannot itself enforce findings, while several senators suggested stronger clawback authority and more robust internal audit structures.
The Texas Higher Education Coordinating Board explained that it collects annual financial reports, sources-and-uses data, and community college finance reports, and uses them for funding formulas and other reporting. It also trains governing board members and said it has limited regulatory authority, though community colleges must certify compliance annually and can lose eligibility for state funds if they do not. Members questioned the reliability of self-attested data, the adequacy of board training, and whether a single reporting structure would be more efficient. During public testimony, a ScholarShot representative argued for clearer, student-facing financial transparency so students can see total cost of attendance and the gap they must cover before enrolling.
CA
California 2025-2026 Regular Session
Senate Business, Professions and Economic Development Committee Jun 8th, 2026
Business, Professions and Economic Development
Transcript Highlights:
- care businesses to increase the child care slots in California by 12,013.
- Trust is the foundation of patient care.
- system and provide excellent patient care.
- As California faces widespread OB-GYN and primary care physician shortages, care provided by APCs is
- Those disparities are often due to substandard care. Well, that can Health care.
CA
California 2025-2026 Regular Session
Senate Health Committee Jun 24th, 2026
Transcript Highlights:
- And let me be clear, reproductive health care is essential health care.
- The bill means timely, affordable care. The bill means timely, affordable care.
- I'm talking about access to care, to medical care. How does it improve it?
- And value-based care.
- Current law directs the Department of Health Care Services to simply simplify and streamline access to
Summary:
The Senate Committee on Health heard a series of bills focused on access to care, insurance coverage, and public health. AB 387 on youth sports AED access drew support from the author and safety advocates, but opposition from school, park, city, and county groups over liability, cost, and access concerns. The author said he would continue working on amendments to shift the bill toward requiring access to existing AEDs rather than mandating facility procurement. Committee members emphasized the life-saving purpose of the bill while also raising affordability and access concerns for youth sports programs.
The committee also heard AB 1682, which would require health plans and insurers to cover FDA-cleared scalp cooling devices for chemotherapy patients. Supporters, including breast cancer survivors and health groups, described the emotional and quality-of-life benefits of preventing hair loss and said cost is the main barrier to access. There was no formal opposition, though one senator raised concerns about whether the mandate could exceed essential health benefits. The chair and members expressed support for the bill’s goals and said it would be taken up when quorum was established.
AB 2093, a follow-up to the 988 crisis line law, sought to clarify statewide leadership, improve coordination among 988, 911, and mobile crisis teams, and create a more sustainable funding structure. Behavioral health organizations and crisis center representatives supported the bill, saying implementation challenges and demand growth require statutory fixes. Committee members generally supported the concept but noted the bill was a gut-and-amend and that additional work was needed with county and behavioral health stakeholders.
The committee then heard AB 1843 on hepatitis C treatment, AB 1629 on dental assignment of benefits, AB 2540 on community college access to medication abortion services, and AB 1929 on disclosure of health plan investments. AB 1843 had broad support from medical and public health groups but opposition from health plans, which argued it conflicted with the prior-authorization framework in SB 306 and could raise drug costs. AB 1629 was supported by dental and patient advocates but opposed by dental plans and insurers over concerns about network participation and out-of-pocket costs. AB 2540 drew strong support from reproductive health advocates and student representatives, while community college health services and some others opposed or were neutral pending amendments; the author said the bill was about equity and accepted amendments to reduce burdens. AB 1929 was backed by labor and immigrant rights groups as a transparency measure, but opposed by health plans and insurers who said Covered California was not the right entity to administer the disclosures and that the information was already publicly available. Throughout the hearing, members repeatedly weighed public access and transparency against cost, administrative burden, and implementation concerns.
LA
Transcript Highlights:
- So they each had a piece that was kind of executive-directed and a piece that was legislative-directed
- So in here, I see a lot of... ...executive-directed and a piece that was legislative-directed.
- Care and Education Commission.
- And we have to be careful. And such, and we have to be careful where our role is.
- They knew I was in active labor and didn't care.
Summary:
The committee first heard HB 690 by Rep. Amedee, which would prohibit education agencies and vendors from contracting with foreign adversaries, foreign terrorist organizations, or their agents, and would apply to education service providers, vendors of educational products, and some schools. Supporters argued the bill would protect school tax dollars and prevent foreign influence, especially from the Chinese Communist Party, citing similar actions in Florida and Texas. Some members raised questions about due process, how ineligibility would be determined, and whether payments would stop before appeals were resolved. A technical amendment changing “terrorists” to “terrorist” was adopted, and HB 690 was reported as amended without objection.
The committee then took up HB 1078 by Rep. Freiberg, which would allow higher education institutions to offer standalone online courses, not just online programs tied to a degree, and to offer online programs even when there is no equivalent on-campus program. LSU officials said the bill would give flexibility for professional and workforce-related courses and certificates. Members asked about tuition-setting, prerequisites, and whether non-degree students could enroll. The bill was reported favorably without objection.
HB 113 by Rep. Phelps, which sought retroactive application of the uniform 10-point grading scale to students who were ninth graders in 2023-2024, drew significant concern. Members questioned fairness, inconsistency if only some districts could recalculate grades, and the fiscal impact of retroactivity. Phelps said he had intended to capture that cohort and was willing to work with the Department of Education, but after debate the committee voted 2-9 against reporting the bill, so the motion failed.
The committee also heard HB 632 by Rep. Spell on LA FIRST data sharing. The bill would streamline how student data is shared for the state’s longitudinal data system, and amendments were adopted to remove a five-year look-back and clarify data matching and de-identification. Members debated privacy, opt-out rights, and whether the bill should require or merely allow districts to participate; concerns were raised about sharing personally identifying information and the lack of clear opt-out protections. Rep. Carlson offered an amendment to change “shall” to “may,” but later withdrew it so the bill could be deferred for further discussion. Finally, HB 1132 by Rep. Carver, carried by Rep. Carlson, was introduced to expand lab school authorization within the University of Louisiana system; an amendment was offered to limit the change to new schools established after August 1, and discussion began on that amendment as the transcript ended.
LA
Transcript Highlights:
- So they each had a piece that was kind of executive-directed and a piece that was legislative-directed
- So in here, I see a lot of... ...executive-directed and a piece that was legislative-directed.
- Care and Education Commission.
- And we have to be careful. And such, and we have to be careful where our role is.
- They knew I was in active labor and didn't care.
Keywords:
grading scale, education reform, students, public schools, academic policy, special education, due process, local education agency, burden of proof, IEP, education law, data sharing, student information, privacy, education, LA FIRST, foreign adversaries, terrorism, contracting, school funding
ND
North Dakota 2026 1st Special Session
Budget Section Leadership Division Mar 18th, 2026 at 01:00 pm
Transcript Highlights:
- Health care is number one. Leader Hogue has a question. Mr.
- Health care, health care support is, again, short term and long term... ...health care, health care support
- Some of our, you know, TANF programs, child care.
- in a bill, for evaluation of child care programs.
- in a bill for evaluation of child care programs. so that's for evaluation of child care programs.
Summary:
The Leadership Division of the Budget Section approved the prior meeting minutes and then received an update from Senator Jonathan Sickler on the Cash Management Board’s interim work under House Bill 1278. He said the board has reviewed state cash, investments, and liquidity across agencies and concluded the state’s overall mix of long-term and short-term assets is appropriate, with about $35 billion in total liquid assets and investments and roughly 89% in longer-term investments. He highlighted process improvements already underway, including replacing more than 500 six-month CDs with a special-rate savings account to reduce administrative work, and said the board sees opportunities to improve forecasting, automation, and statewide coordination. Members asked about whether the CD change would increase returns, how the Legacy Fund transfer for the homestead tax relief bill affected earnings, and whether more state cash could be consolidated or better managed through BND; Sickler and BND staff said those issues are being studied and may lead to legislation for the 2027 session.
Representative Nathan Toman then updated the committee on the Task Force on Government Efficiency. He said the group has focused less on cutting dollars and more on defining metrics and asking how the legislature knows whether programs are working. The task force is pushing a standard set of questions for new or expanding programs—who is affected, expected outcomes, alternatives, how success will be measured, and full funding—and OMB has agreed to require those answers in future budget requests. Members discussed possible use of dashboards, program evaluators, AI tools, and possible rule or statutory changes to require performance measurement. Toman said the task force will continue meeting with agencies such as the courts, university system, auditor, HHS, Commerce, and ITD to identify workflow bottlenecks and potential efficiencies.
Phil Davis of Job Service North Dakota gave a workforce update, reporting that North Dakota’s unemployment rate is 2.5% and labor force participation is about 68.7%, both well above national performance. He described Job Service’s 15 workforce programs, including H-2A housing inspections for foreign agricultural workers, the job placement partnership program with DOCR, WOTC, and other federal and state workforce efforts. Davis said the agency served more than 11,000 individuals in 2025, operates nine workforce centers, and tracks outcomes through quarterly and annual reporting. In response to questions, he said job openings data reflect only positions in the system and may understate actual hiring needs, that child care and other assistance programs could be better tied to employment outcomes, and that the DOCR partnership has shown strong results with lower recidivism and higher earnings. He also said the H-2A inspection workload is growing quickly and additional staffing or less frequent federal inspection requirements could help.
Allen Knutson then presented S&P Global’s updated revenue forecast. He said oil prices have risen sharply since the prior month’s outlook, improving the state’s near-term revenue picture, though the economy remains volatile and agriculture is facing weaker commodity prices. Based on the updated forecast, total major tax revenues for the current biennium are projected to be about $89 million above the legislative forecast, and the next biennium could be about $500 million higher, though that estimate is preliminary and may change. He also walked through an alternate oil-price scenario showing significantly higher oil and gas collections and a larger Strategic Investment Fund balance if prices remain elevated. Members asked whether another forecast should be requested once oil markets stabilize and about tribal allocation changes in the alternative scenario; Knutson said additional updates are possible through OMB and future forecast cycles.
NV
Nevada 2025 Regular Session
Assembly Committee on Commerce and Labor May 31st, 2025 at 11:30 pm
Commerce and Labor
Transcript Highlights:
- It is going back into health care, and we know that.
- Section 23 deals with duty of care.
- And then fiduciary duty, with duty of care, fiduciary duty raises the standard of care.
- And then fiduciary duty with duty of care, fiduciary duty raises the standard of care.
- We have an obligation to take care of a project, to take care of our families, to get paid.
Keywords:
public employees, police officers, benefits, appropriation, law enforcement, medical debt, collection agency, healthcare, consumer protection, financial assistance, occupational safety, air quality, greenhouse gases, employee monitoring, safety program, hemp, hemp products, cannabidiol, CBD, cannabis
TX
Transcript Highlights:
- to take care of many immigrants, but also is there any benefit?
- To, you know, take care of people coming across. whether it was health care, whether it was housing,
- But OMB is the managerial agent that directs at the direction of the president.
- OMB directs, the cabinet agencies, so I expect.
- Would TDCJ be able to direct or compile information? from local jails.
Bills:
SB825
CA
California 2025-2026 Regular Session
Assembly Budget Subcommittee No. 3 on Education Finance Mar 17th, 2026
Transcript Highlights:
- As people lose their health care coverage, we anticipate that UC Health's uncompensated care costs will
- , specialty care, and inpatient care.
- In addition to our extensive health care services, UC operates one of the largest health care professional
- As people lose their health care coverage, we anticipate that UC Health's uncompensated care costs will
- , specialty care, and inpatient care.
Summary:
The Assembly Budget Subcommittee on Education Finance, chaired by Assemblymember Alvarez, held a hearing focused on University of California budget issues. The committee reviewed UC core operations funding, enrollment trends, federal funding threats, Title IX implementation, and basic needs support. Major themes included the end of the Governor’s multi-year UC compact, the state’s fiscal outlook, UC’s enrollment growth, and the potential impacts of federal policy changes on research, health care, and student aid.
On core funding, the Department of Finance described the Governor’s proposal to continue compact-related support, defer some payments, and authorize a cash-flow loan. The LAO recommended a smaller or no base increase, earmarking some funds for capital renewal, retiring deferrals when possible, avoiding new compact commitments, and funding UC annually rather than through compacts. UC argued that the compact has supported enrollment growth, student services, and operating costs, but said campuses face rising expenses, structural deficits, and limited reserves. Members questioned the effects of deferrals on students and discussed the need to prioritize less harmful reductions if cuts become necessary.
The enrollment panel focused on UC’s growth in California resident enrollment and the nonresident replacement plan at Berkeley, UCLA, and UC San Diego. The LAO recommended maintaining the current enrollment target, funding enrollment separately from base increases, pausing the nonresident replacement plan, and holding enrollment flat in 2027-28. UC said it has already met compact enrollment goals, grown California undergraduate enrollment by about 18,800 students, and that further growth depends on ongoing state support. The committee also discussed the cost of enrollment growth, possible differential nonresident tuition, and a reporting request for UC to analyze the nonresident replacement approach; the motion to adopt supplemental reporting language passed.
The hearing also covered federal funding risks, with the LAO and UC warning that federal changes could affect research grants, medical center reimbursement, and student financial aid. UC said research cancellations and suspensions are disrupting labs and graduate student support, while federal health policy changes could increase uncompensated care at UC hospitals. In the Title IX update, UC described its systemwide civil rights structure, annual student training, and campus support offices, and members praised the work while asking about ongoing concerns and intersegmental collaboration. The final basic-needs item began with Finance stating the Governor’s budget does not change ongoing support, but the transcript cuts off before further discussion or action.
ID
Idaho 2026 Regular Session
Agenda Jul 15th, 2026
Transcript Highlights:
- management, then you're going to pay less through urgent care.
- So we have the opportunity to use rural health funds in that direction.
- these funds to help support movement in that direction.
- These funds to help support movement in that direction.
- I’ll go to rural health care instead of my birthday.
Summary:
The Rural Health Transformation Committee approved the May 28 minutes and received a status update from DHW Director Juliet Sharon on the Rural Health Transformation Program. Sharon reviewed the committee’s expedited review process for solicitations and subgrants, explained where funding opportunities are posted, and noted a new email subscription feature for stakeholders. She said the department has focused first on administrative and contractor awards, with provider-oriented subgrants coming soon, and said the committee will receive information on applicants, scoring, and awards. Members raised concerns about process complexity, outreach, and whether smaller rural providers may be disadvantaged; Sharon said DHW is working to simplify applications and expand outreach. The committee also discussed the first maternal and child health solicitation, with Sharon saying she would follow up on the applicant pool and would bring any need to pivot back to the committee.
The committee then heard from the Idaho Military Division on its rural health priorities. Bureau Chief Wayne Denny said the division is partnering with DHW on modernizing the 911/emergency communications system, including next-generation 911 work with counties, relocating the backup state communications center, and coordinating exercises. He also described rural health extenders, including community health workers and community health EMS, and said the goal is to place at least one paid full-time EMS provider in every county and use prevention and chronic-care management to reduce emergency room use. Members asked about how the extenders would function, how the 911 work would be funded and implemented county by county, and how sustainability would work after the five-year grant period.
Jennifer White of the State Board of Education outlined higher education and workforce proposals, including mobile simulation training, shared statewide clinical infrastructure, learn-in-place programs, and targeted equipment and facilities for nursing and allied health. She said the board is also working on graduate medical education, with about $5 million of ready-to-launch projects and roughly $3 million still available, and proposed a strategic rural GME incubator and a rural training site network. A lengthy discussion followed about whether remaining funds should support GME, broader medical education, or undergraduate medical education, including a proposed University of Idaho/University of Utah partnership and possible satellite campus. Some members supported using funds to build Idaho’s medical pipeline and noted existing policy for UME expansion, while others warned against creating long-term state obligations without legislative approval. The committee also discussed outreach, the first federal progress report due at the end of August, and plans to create a governor-appointed rural health transformation task force with legislative and stakeholder representation. The meeting ended with plans for an additional committee meeting on August 18 and a later meeting in late September, with adjournment following.
FL
Florida 2026 Regular Session
FL House Floor Session - 2025-06-16 (7:00PM Session)
Florida House Floor Meeting
Transcript Highlights:
- for the elderly, and home care for the elderly?
- Those things are well taken care of.
- I can speak personally in my hometown how we've taken care of that.
- 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 convened on the final day of session, observed a moment of silence for the Minnesota House Speaker Melissa Hortman and her husband, and for Representative Rosenwald’s father, then swore in and seated new members Boyles and Hodgers. The Speaker also outlined the chamber’s end-of-session priorities, including action on the budget and related conforming bills. The House then took up H.J.R. 5019, a constitutional amendment to expand Florida’s budget stabilization fund by raising the cap, requiring annual transfers, and allowing withdrawals for critical state needs. After sponsor explanations and questions about what would qualify as a critical need and how the fund might respond to possible federal funding cuts, the House adopted an amendment that added more flexibility for suspending transfers and withdrawals. The joint resolution then passed on final passage.
Members next considered HB 7031, the tax package conference report. The bill repeals the business rent tax and aviation fuel tax, delays the natural gas fuel tax, creates or extends several sales tax exemptions and holidays, and makes changes affecting property taxes, local taxes, pari-mutuel taxes, and revenue distributions. Debate focused heavily on the new permanent exemption for ammunition and hunting-related items, the elimination of recurring housing trust fund and transit-related distributions, and the shift of some funding from recurring to nonrecurring status. Supporters argued the package provides tax relief and preserves annual budget flexibility, while opponents criticized the ammunition exemption and the reductions in recurring housing and transit support. The conference report was adopted and the bill passed.
The House then passed HB 5017, which creates a debt reduction program funded by a recurring transfer from general revenue to retire state bonds early, and HB 5015, the state group insurance conforming bill, which directs DMS to develop a formulary management plan and codifies the administrative health insurance assessment. Finally, the chamber began explanation and questions on the General Appropriations Act conference report for fiscal year 2025-26, described as a $115.1 billion budget that is down from the current year and includes more than $12 billion in reserves. Subcommittee chairs summarized major budget areas, including K-12 education, health care, transportation and economic development, agriculture and natural resources, higher education, state administration, justice, and information technology, highlighting funding for school choice, Medicaid, housing, transportation infrastructure, Everglades restoration, workforce programs, cybersecurity, and technology modernization.
NM
Transcript Highlights:
- Madam President, I'm directed to inform the Senate that the House has passed Senate Finance Committee
- I am directed to inform the Senate that the duly enrolled and engrossed copies of House Commerce and
- medical providers in delivering care.
- Finally, I just want to say on the health care side of things, Mr.
- Care Fund, so we can increase the amount of child care that we're providing in the state of New Mexico
KY
Kentucky 2026 Regular Session
Senate Legislative Session Day 15 (1-28-26)
Kentucky Senate Floor Meeting
Transcript Highlights:
- </c><00:09:00.399><c> state</c> medicine state and directing state medicine state and directing state
- </c><00:10:11.200><c> our</c> is medicine state and it directs our is medicine state and it directs our
- It aligns the state agencies around a clear direction: integrate nutrition into care and public health
- It aligns the state agencies around a clear direction: integrate nutrition into care and public health
- </c> strategic direction. strategic direction.
Summary:
The Senate convened with an invocation and Pledge of Allegiance, then established a quorum and approved the journal. The House clerk communicated that the House had passed House Bills 34 and 306 and requested concurrence. The State and Local Government Committee reported Senate Bills 20 and 68 favorably, and several new bills and resolutions were introduced, including measures on Kentucky-grown agricultural procurement, an endowed research fund, unemployment insurance, postsecondary education, wrongful conviction compensation, massage therapy, local fiscal reporting, and a resolution honoring John and Debbie Rogers.
The main floor action was on Senate Joint Resolution 23, as amended by Senate Committee Substitute 1, declaring Kentucky a “food is medicine” state and directing state agencies to advance food-as-medicine initiatives. The sponsor described the resolution as a statewide framework to connect nutrition, health care, agriculture, and local food systems, emphasizing partnerships with the Kentucky Hospital Association and the Kentucky Department of Agriculture, better health outcomes, and support for Kentucky farmers and rural communities. Senators from Taylor and Callaway spoke in support, citing local examples and the goal of building Kentucky-based solutions rather than importing them. The committee substitute was adopted by voice vote, and the resolution then passed 35-0.
The Senate also adopted Senate Resolution 56 honoring Elder Nathan Craig and Sister Amy Craig, and Senate Resolution 33 honoring Robert E. “Bob” Pernell, Sr. Senate Resolution 22, honoring Brian J. Hat, was likewise adopted. After the day’s business, the Senate recessed for meetings of the Rules Committee and the Committee on Committees. Later, the Committee on Committees referred Senate Bills 1-4 to Education, Senate Bill 48 to Judiciary, and Senate Bills 84 and 102 to Veterans, Military Affairs, and Public Protection. Several members made announcements about upcoming committee meetings and events, including the VMAP committee, Judiciary, the Kentucky Japan Caucus, the Kentucky Israel Caucus, and an American Cancer Society action day.
TX
Transcript Highlights:
- and health care providers.
- House Bill 1612 by Frank relating to direct payments for certain health care provided by a hospital.
- issuers and health care providers.
- issuers and health care providers.
- Texas Health Care Workforce Education Fund to help fix the health care workforce shortages in our great
Summary:
The House convened with a quorum, heard the invocation and pledges, and then took up a series of memorial resolutions and recognitions. Members adopted memorial resolutions honoring former President Jimmy Carter and Dr. Alice Gail Hudgens, with remarks highlighting their public service and community impact, and adopted resolutions recognizing Victoria College’s 100th anniversary and May 2025 as Mental Health Awareness Month. The chamber also recognized Texas A&M system interns and later granted permission for several committees to meet while the House was in session.
The House then moved through a long third-reading calendar, passing a number of bills on wide margins. Measures approved included SB 304 on municipal court jurisdiction over nuisance abatement ordinances, SB 608 on reporting evidence collection kits, SB 2312 creating a Texas Advisory Committee on Geopolitical Conflict, SB 494 creating a petroleum theft task force, SB 530 on postsecondary accreditation, HB 45 giving the Attorney General a role in prosecuting human trafficking cases, HB 35 on peer support for first responders, HB 47 and HB 3073 on sexual assault policy and prosecution, HB 318 and HB 3000 creating rural sheriff and ambulance grant programs, HB 554 on Juneteenth fireworks sales with county opt-in authority restored, HB 705 and HB 932 joining licensure compacts for cosmetology and occupational therapy, HB 849 allowing county park boards to meet by video conference, HB 1119 on mental health bed reporting, HB 3041 on students with nontraditional secondary education, HB 713 on maternal mortality review reporting, HB 3104 on Webb County bailiff appointments, HB 3970 on electricity planning for large loads, HB 4042 on Railroad Commission safety provisions for gas distribution pipelines, HB 4490 protecting next-of-kin information, HB 1731 on the physician assistant compact, HB 2607 on Walker County Hospital District governance, HB 3689 on Texas Windstorm Insurance Association funding, HB 1788 on continuing education for barbers and cosmetologists about abuse and trafficking, HB 1612 on hospital direct payments for uninsured patients, and HB 138 on health impact cost and coverage analysis.
Several bills drew extended debate or amendments. HB 353, creating a trespass offense near schools and daycares, prompted questions about constitutional concerns and property rights before passing. HB 3211 on optometrists in managed care plans received a perfecting amendment and a Medicaid-related amendment setting a minimum payment level. HB 1056 on gold and silver specie and a state-based currency prompted detailed questioning about its mechanics and fees, followed by a point of order challenging the caption. The House also adopted or postponed a number of items, including postponing HB 2520 and HB 1359 until later in the calendar before later passing both, and laying several bills on the table subject to call. Many measures passed overwhelmingly, while a few, including HB 3326 on loan forgiveness for adjunct professors and HB 3237 on energy consumption goals, passed with narrower margins.
TX
Transcript Highlights:
- For over 10 years, coercive federal policy has directed spending in the continuum of care in Texas, of
- of Care, The Continuum of Care acts as its own little fiefdom.
- Right Care is the original Texas MDRT model. Care in Dallas.
- really need that care.
- care, outpatient care, and even supportive housing.
ND
North Dakota 2026 1st Special Session
Budget Section Leadership Division Mar 18th, 2026
Transcript Highlights:
- Health care is number one. Leader Hogue has a question. Mr.
- Of course, what's driving some of that is our health care positions.
- Health care, health care support is, again, short term and long term, Health care, health care support
- And the second question would be, so we've invested in child care.
- in a bill, for evaluation of child care programs.
Summary:
The committee met with a quorum, approved the previous minutes, and then received an update from Senator Jonathan Sickler on the Cash Management Board’s work under House Bill 1278. He said the board has been reviewing statewide cash, liquidity, and investment practices, finding that the state generally manages money well but could improve forecasting, automation, and coordination across agencies. He highlighted that the state has about $35 billion in liquid assets and investments, with most in longer-term investments, and described a change already underway replacing more than 500 six-month CDs with a special-rate savings account to reduce administrative work. Members also discussed the impact of House Bill 1176 on Legacy Fund earnings and the possibility of future legislation to avoid losing investment returns when large transfers are made all at once. The board also noted that some agencies still hold funds outside the Bank of North Dakota system, and that this is being reviewed.
Representative Nathan Toman then updated the Task Force on Government Efficiency, saying the group has focused on how to measure whether programs are actually working. He said the task force has not yet proposed legislation, but the administration has agreed that new and expanding programs should answer five questions, including who is affected, what outcome is expected, whether there is another way to do it, and how success will be measured. Members discussed the need for dashboards, program evaluators, better data collection, and possible use of artificial intelligence to identify duplicate or outdated programs. Toman said the task force will continue reviewing agency workflows, with upcoming presentations from courts, the university system, the auditor, and other agencies, and that future legislation or rule changes may be needed to require performance metrics.
Phil Davis of Job Service North Dakota presented labor market and program updates. He reported that North Dakota’s unemployment rate is 2.5%, labor force participation is about 68.7%, and the state continues to rank near the top nationally. He reviewed job openings, in-demand occupations, and several workforce programs, including H-2A agricultural worker inspections, the Job Placement Partnership Program with DOCR, and virtual and in-person job fairs. Davis said the DOCR partnership has shown strong results, with lower recidivism and higher earnings for participants, and he emphasized that Job Service tracks outcomes and reports them to federal and state partners. Members asked about child care subsidies, workforce participation, agency coordination, and whether more staff are needed for H-2A inspections.
Finally, Allen Knutson presented the updated S&P Global revenue forecast. He said oil prices have risen sharply since the last update, making the revenue outlook more favorable but still volatile. S&P’s baseline forecast showed the current biennium’s four major tax collections about $89 million above the legislative forecast, and a much larger increase for the next biennium, though he cautioned that federal tax changes and oil market uncertainty could alter the numbers. In an alternate scenario using higher near-term oil prices, he estimated about $242 million more in oil and gas tax collections and roughly $120 million more for the Strategic Investment Fund. Members asked whether another forecast should be requested once oil markets stabilize and about changes in tribal oil production assumptions.