Video & Transcript : 'direct care' :

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FL

Florida 2026 Regular Session

Senate in Session May 2nd, 2025

Florida Senate Floor Meeting

Transcript Highlights:
  • Father, it has been my greatest joy to yield my life and service to those whom you have placed in my care
  • The Honorable Ben Albritton, President: I am directed to inform the Senate that the Senate...
  • Members, Senator Burgess, who answer the direct question on the bill.
  • Committee Substitute for House Bill 1427, a bill to be entitled An act relating to health care.
  • Senator Harrell: But I think this is a step in the right direction.
Summary: The Senate convened with prayer, the Pledge of Allegiance, and several introductions, then moved into special order and returning messages. Early floor action included passage of HB 6503 (relief for Mandy Penny Lamon by Sarasota County), HB 1123 (sewer collection systems), HB 211 (farm products), and a joint resolution on ad valorem tax exemption for agricultural tangible personal property, all approved without opposition. Several other measures were temporarily postponed before the chamber recessed and later returned to messages from the House. The Senate then took up a series of House amendments and conference-style motions on major bills. SB 180 on emergency preparedness and response was amended and concurred in after debate over hurricane recovery, local government moratoriums, evacuation timing in the Keys, and property tax and redevelopment provisions; it passed 34-1. CS/HB 1609 on waste incineration and auxiliary containers was heavily debated over plastic and polystyrene preemption, local beach and park regulations, and landfill/incinerator provisions, then passed 26-10. CS/HB 1205 on citizen initiatives was amended to allow volunteers to carry up to 25 petitions without registration/training and passed 28-9. The Senate also refused to concur in a House amendment to SB 234 on offenses against law enforcement, and in SB 116 on veterans, seeking to restore funding for veteran suicide prevention. Later, the chamber approved or advanced several education and health-related bills. CS/HB 1255 on education was amended and passed, with changes to school readiness and other education provisions. CS/HB 875 on educator preparation passed after discussion of cognitive science, classroom management, teacher excellence programs, and the phaseout of the general knowledge test. CS/HB 1105, a large education package, passed after debate over charter school conversions, cell phone restrictions, and other school governance changes. In health care, CS/HB 1427 was introduced as a comprehensive package combining multiple health-related provisions, though the excerpt ends before final action on that bill. Throughout the day, the Senate also concurred or refused to concur in various House amendments on mental health, financial institutions, land development, brownfields, and out-of-network provider legislation, with votes generally recorded and several measures passing on divided but mostly favorable roll calls.
OR
Transcript Highlights:
  • Psychiatric care, medical care, psychosocial treatment, skill building, et cetera, with our population
  • Psychiatric care, medical care, psychosocial treatment, skill building, et cetera, with our population
  • I would also say, with respect to partnerships, in any hospital—I don't care if you're in an acute care
  • And at the end of this month, we will be launching for the first time a care care care.
  • Can we do it on the civil side where there's an actual health care outcome attached to that care?
Keywords: 907, all
Summary: The joint Senate and House Behavioral Health committee met for informational presentations on the Oregon State Hospital and civil commitment, followed by a planned tour of the hospital. Oregon Health Authority and Oregon State Hospital leaders reported that Sean Murphy will become the next permanent superintendent on July 13, with Sarah Castle to follow as permanent chief nursing officer on July 20. They described recent leadership turnover, a major organizational restructure, and efforts to build a culture of safety, transparency, and accountability. Officials said the hospital regained Joint Commission accreditation and CMS compliance, and they highlighted daily safety huddles, incident review processes, stronger escalation procedures, and improved management of seclusion and restraint. Committee members pressed hospital leaders on past prolonged seclusion practices, falls, staffing, and the need for better public reporting; OHA said it is building a public dashboard of key safety and workforce metrics. The committee then heard a civil commitment overview from the Oregon Judicial Department. The presenter explained that civil commitment is a separate legal process from criminal cases, usually beginning with a hospital hold, investigation, court review, appointed counsel, and a hearing within five days. She summarized changes made in House Bill 2005, including revised standards for danger to self, danger to others, and basic-needs commitments, plus a second 14-day diversion option. She cautioned that the new law has only been in effect since January and that it is too early to draw firm conclusions from the data, though there has been a recent uptick in commitments and a decrease in diversions. Testimony from NAMI Oregon and a forensic psychiatrist emphasized that Oregon still relies too heavily on jails and state hospitals because community services, housing, and outpatient supports are insufficient. They argued that the state needs more less-restrictive alternatives, including better use of assisted outpatient treatment or outpatient civil commitment, and more supported housing so people do not cycle between homelessness, incarceration, and hospitalization. A family member described a relative remaining psychotic in jail for more than 120 days before ending up back at the state hospital, urging faster intervention and better collaboration among courts, counties, hospitals, and state agencies. Committee members and witnesses also discussed workforce shortages, the expansion of secure residential treatment beds, and the need for broader system reforms beyond the hospital itself.
CA

California 2025-2026 Regular Session

Assembly Budget Committee Jun 11th, 2025

Transcript Highlights:
  • family planning, and abortion care coverage, ...funding for dental care, preserves funding for women's
  • health, family planning, and abortion care coverage, preserves direct access to hospice care, preserves
  • long-term care coverage, preserves programs for senior care, preserves health care for people with disabilities
  • a strong child care system.
  • He said taking money out of the health care system would impact access to care.
Summary: The Assembly Budget Committee heard opening remarks on the 2025 Budget Act, which will be amended into AB 101 and SB 101 for floor consideration. Committee leaders described the budget as a difficult compromise shaped by a $12 billion deficit, federal funding uncertainty, wildfire impacts, and rising out-year costs, while emphasizing a balance between compassion and fiscal responsibility. Each budget subcommittee chair then summarized major actions in their areas, including health care, human services, education, climate and transportation, housing and state administration, public safety, and oversight/transparency. Key policy items included delaying or narrowing some of the Governor’s proposed cuts, especially in Medi-Cal and other safety-net programs; preserving funding for dental care, women’s health, family planning, hospice, long-term care, IHSS, and services for undocumented Californians; and maintaining or expanding child care, foster care, food banks, and CalWORKs-related supports. Education actions included additional Proposition 98 settle-up, reduced deferrals, support for TK-12, teacher recruitment, literacy, mental health, preschool slots, and restored funding for UC and CSU. Other major items included housing and homelessness investments, wildfire and disaster response funding, transit loans and greenhouse gas reduction fund support, Proposition 36 and VOCA-related public safety funding, and oversight measures on federal impacts and state efficiency. Department of Finance and Legislative Analyst staff said the package makes some of the same savings moves as the May Revision but relies more on internal borrowing and fewer reductions, leaving a smaller reserve than the administration’s plan but still maintaining roughly $11 billion in the rainy day fund. Members from both parties largely supported the package while raising concerns about long-term sustainability, Medi-Cal costs, reserve use, and the need for future revenue and program review. The committee adopted the subcommittee actions by roll call, 18-6, with the roll held open for absent members and additional comments continuing after the vote.
ND

North Dakota 2026 1st Special Session

Budget Section Mar 18th, 2026 at 10:00 am

Transcript Highlights:
  • We surveyed health care facilities.
  • Child cares in particular.
  • That child care is particularly important.
  • So going direct would mean if we have a private markets program, we'd go direct to the GPs.
  • So I would describe anything that's going direct to select a manager, or going direct to select a general
Keywords: 908, all
Summary: The Budget Section met with a quorum, approved the December 10, 2025 minutes, and received a general fund and revenue update from the Office of Management and Budget. OMB reported the state was about $2 million ahead of forecast biennium-to-date, with an estimated ending general fund balance of about $397.5 million. Joe Morset also reviewed balances in major funds, oil tax revenues, interest income, federal grant reporting, fiscal irregularities, the voluntary separation incentive program, vacancy savings, and the FTE pool. Members asked about the higher-than-forecast interest income, the effective oil tax rate and stripper-well production, the impact of temporary pay adjustments and vacancy savings, and whether the voluntary separation program could reduce institutional knowledge or shift duties to remaining staff. The committee then approved four Emergency Commission requests: $5.26 million for DPI to support an AI-enabled tutoring platform, $105,000 from the general fund contingency for Corrections GPS monitoring, about $1.963 million for HHS SPACES eligibility system upgrades tied to Medicaid work requirements, and about $1.2 million for SNAP eligibility IT improvements. Legislative Council reported remaining interim spending authority after those approvals, and NDIT gave an update on digital accessibility compliance efforts, saying the state has made substantial progress on websites and PDFs but that applications will take longer to remediate. NDIT also reported on the Infinite Campus student information system rollout, noting data migration remains the biggest challenge and that a supplemental vendor is being brought in to help get districts ready for summer go-live. Greg Hoffman then gave a brief update on NDIT’s operational fund, saying cash remains negative in PeopleSoft but accounts receivable keeps the fund functioning within federal limits. The Supreme Court reported on its new and vacant FTE funding pool, saying it has filled 7 of 10 new positions and has realized some vacancy savings, and Legislative Council provided a similar report for the legislative branch along with a reminder that budget action reports are available online. The Department of Transportation presented its Flexible Transportation Fund, explaining the fund’s allocation formulas and ranking process, and sought Budget Section approval for two projects over the $10 million threshold: a Medora city streets and sidewalk project and a Cass County bridge replacement. Members questioned whether funding Medora streets could set a precedent for city street reconstruction and whether the bridge application process fully reflects statewide needs. DOT said the projects were scored competitively and that the bridge list does not capture all deficiencies statewide.
MA

Massachusetts 2025-2026 Regular Session

Joint Committee on Ways and Means Jun 21st, 2026 at 11:00 am

Joint Committee on Ways and Means

Transcript Highlights:
  • Reproductive care and gender-affirming care are fundamental components of health care.
  • delivery of reproductive care, prenatal care, and the care around the delivery of the child.
  • care deserts.
  • that care, and why they can receive that care.
  • Care out in the community under the direction of a hospital, in particular, usually an emergency room
Keywords: 995, all
Summary: The Joint Committee on Ways and Means held a Health and Human Services budget hearing in Clinton, with opening remarks from Chairs Meg Kilcoyne and Robin Kennedy, local officials, and many House and Senate members introducing themselves. The hearing focused on Governor Healey’s FY27 EOHHS and MassHealth budgets, with repeated themes of rising health care costs, federal funding uncertainty, workforce shortages, and access to care in underserved regions. Members also raised concerns about primary care shortages, rural and regional disparities, behavioral health access, maternal health, food insecurity, and the impact of federal policy changes on Massachusetts programs. EOHHS Secretary Kiame Mahaniah said the FY27 EOHHS budget totals $33.7 billion, reflecting mostly non-discretionary growth from health care costs, labor costs, caseload increases, and provider rate pressures. He highlighted targeted investments in foster care, family resource centers, maternal health, youth services, nutrition programs, immigrant legal services, and human service workforce rates, while warning that federal actions could strip roughly $3.5 billion annually from the state’s health care funding. In response to questions, he defended the administration’s cooperation with federal audits and program integrity efforts, discussed the primary care crisis, and said the state is trying to preserve core services while preparing for a more difficult FY28 budget cycle. MassHealth Undersecretary Mike Levine then described two major FY27 challenges: double-digit cost growth and the expected effects of the federal One Big Beautiful Bill Act. He said MassHealth’s proposed $22.7 billion gross budget includes a 7.5% increase and relies on a moratorium on new expansions plus targeted reductions, including a $1,000 annual adult dental cap, ending GLP-1 coverage for weight loss only, reducing care management to peer-state levels, and work groups to slow growth in PCA, adult foster care, and adult day health spending. Members questioned the impact on Boston Health Care for the Homeless, preventive care, and regional access; Levine said the changes are meant to preserve sustainability, that children and certain disabled populations remain protected, and that the administration will continue working with providers, advocates, and the Legislature on implementation and longer-term reforms.
MN
Transcript Highlights:
  • This will help strengthen our workforce and ensure Minnesota have access to care that they need.
  • We want to make sure that people landed a good jobs that pays and take care for their family members.
  • for grant making in the idea direction for grant making in the idea of<00:13:02.320><c> setting</c><
  • </c> ensure Minnesota have access to care ensure Minnesota have access to care that<00:13:40.160><c>
  • </c><00:14:21.440><c> for</c> good jobs that pays and take care for good jobs that pays and take care
Keywords: 919, house, all
Summary: The committee took up House File 3732, with the author moving both the bill and two separate amendments. The DE1 amendment would create a healthcare workforce grant program to let the Department of Employment and Economic Development identify and fund healthcare workforce shortage areas, while the A1 amendment would establish an Office of Community Investment to provide strategic grant management and help align grants with legislative priorities. Both amendments were adopted, and the bill was laid over for later consideration. The bill author explained that the healthcare workforce proposal is meant to address shortages that market forces alone have not solved, citing examples such as CNA training and rural oncologist recruitment. The Office of Community Investment was described as a way to improve grant oversight, set clearer goals, and strengthen collaboration between agencies and the legislature, drawing on the model of the Office of Justice Programs. Testimony from the Mong American Partnership strongly supported the healthcare workforce grant program, describing successful CNA and phlebotomy pathways, but also noting long waitlists and the need for flexible funding. Members discussed the importance of locating training opportunities in greater Minnesota and in communities with workforce gaps, so distance and travel barriers do not limit access. Several legislators said the proposal would help create good-paying jobs, strengthen healthcare access, and support overworked healthcare workers. The bill’s sponsors also emphasized that codifying grant programs can speed up future funding decisions and improve accountability, and they said the measures would return for further consideration in a few days.
NH
Transcript Highlights:
  • We've been prioritizing our direct care to ensure direct care, meaning child protective service workers
  • What we know is that growing the direct care workforce is going to be even more vital as we saw that
  • We're going to have a greater demand on the direct care workforce. growing the direct care workforce.
  • growing the direct care workforce.
  • So, direct care workforce.
Keywords: 928, house, all
Summary: The committee first handled routine business, approving the prior meeting minutes with one abstention from a member who had been absent. It then received an update from DHHS Commissioner Lori Weaver on the department’s rural health transformation grant submission. Weaver said the grant was submitted ahead of the deadline, reflected input from communities and providers statewide, and would now enter a CMS review and negotiation phase. She explained that the governor’s office will oversee the grant with DHHS, that some proposals may be limited by federal parameters, and that the department may need to hire some staff to administer the grant, within the grant’s administrative cap. Members also discussed DHHS budget pressures and staffing. The department’s CFO, Nathan White, reviewed the agency’s budget mix, noting that DHHS accounts for a large share of the state’s operating and general fund budgets, and explained projected general fund lapse estimates, which he said are currently just under $20 million for the department. He also described why lapse projections are difficult to predict in DHHS because many costs are driven by utilization and because some funds are statutorily non-lapsing. White reported that vacancy rates have risen, citing about 400 unfunded positions in the current biennium and the department’s hiring freeze, while emphasizing that direct-care positions are being prioritized. Committee members raised concerns that back-of-the-budget cuts and weak revenue collections could affect the department’s ability to manage lapse projections. The committee then heard from Division of Public Health Director Ian Watt on vaccine policy and federal changes. Watt said New Hampshire continues to support access to safe and effective vaccines, including through the universal purchase program and seasonal respiratory virus guidance. He explained a recent CDC change regarding the MMRV vaccine, which now discourages the combined shot for the first dose in children under four because of febrile seizure risk, while still allowing it for the second dose. Watt said New Hampshire’s school and child care vaccine mandates remain stable, with nine vaccines required for schoolchildren and 10 for child care, and that the state continues to review federal recommendations cautiously. He also said there have been no supply or funding disruptions affecting vaccine access, and that childhood vaccine funding through commercial insurers remains intact. Finally, the Permanent Subcommittee on Alzheimer’s Disease and Other Related Dementias presented its annual report. The subcommittee said it met about six times, heard presentations on state services, silver alerts, brain health awareness, and palliative/hospice care, and began work on updating the state’s Alzheimer’s plan, which had last been updated in 2015-2016. To gather more direct input, the subcommittee formed a needs-assessment work group to develop a survey for people living with dementia, caregivers, and service providers. It recommended integrating Alzheimer’s and dementia materials into chronic disease, aging, and public health outreach; embedding cognitive health into systems of care and the state health improvement plan; adding cognitive health measures to BRFSS; and continuing partnerships with aging and advocacy organizations. Members praised the report and suggested it should clearly identify the subcommittee and include page numbers in future versions.
CA
Transcript Highlights:
  • As you can see, child care, health care, and housing.
  • Foreign direct investment: we are one of the primary states for foreign direct investment.
  • Myers and kind of the piece around foreign direct investment, obviously this has a direct tie into that
  • We are hoping that the world moves in that direction and we can move in advance of that direction, but
  • Access to child care is essential for working families and for a functioning economy, but child care
Keywords: 988, house, all
MN

Minnesota 2025-2026 Regular Session

Committee on Human Services - 07/01/26

Human Services

Transcript Highlights:
  • We care about you.
  • We care about you.
  • We care about you.
  • Nobody cares. to a different company. Nobody cares.
  • Nobody cares. know that. Just let it go. Nobody cares.
Keywords: 1187, senate, all
NM
Transcript Highlights:
  • The Health Care Affordability Fund was built to use money generated within the health care system and
  • Hospitals have uncompensated care.
  • So we'd probably just see it keep going in that direction. Mr.
  • And yes, medical care is very, very important. I understand that.
  • Yes, this bill creates the Foster Care Plus pilot project, directing CYFD and the Health Care Authority
Summary: The committee first heard House Bill 7, the Apprenticeship Assistance Act, which would keep apprenticeship trust fund distributions at $2.5 million rather than reducing them and remove a reference to the tobacco settlement permanent fund. Labor, construction, business, and environmental groups testified in support, emphasizing workforce development, retention of workers in New Mexico, and expansion of apprenticeship opportunities. The bill was moved and adopted without opposition. Members then considered House Bill 66, as amended, to increase funding for health professional loan repayment and related workforce supports. The amendment struck an appropriation because the funding was already included in House Bill 2. Testimony from health care providers, chambers of commerce, social workers, and physical therapy advocates supported the bill as a way to address provider shortages and improve recruitment and retention. After questions about eligibility, repayment terms, and overlap with similar Senate bills, the committee voted to do pass the bill as amended. House Bill 96, creating a working group to study a possible New Mexico Space Commission, was also amended to strike an appropriation. Support came from the chamber, Virgin Galactic, and aerospace advocates, who said a commission could help coordinate economic development and workforce efforts in the space sector. Members asked about other states’ commissions, workforce pathways, and the working group’s timeline, and the sponsor agreed to add clearer dissolution language later. The committee then passed the bill as amended. The committee then took up House Bill 80, a committee substitute to redirect more of the oil and gas conservation tax to the reclamation fund for orphan well plugging and site remediation. Supporters from industry, environmental groups, tribal advocates, and chambers said the bill would better align the tax with its original purpose and provide stable funding for cleanup, while an opponent argued the bill shifts costs from industry to the public and should instead raise the tax or bonding requirements. After discussion of backlog, phase-in timing, and procurement reforms, the committee voted do pass. The committee also heard House Bill 4, as amended, which phases in a larger share of premium surtax revenue to the Health Care Affordability Fund over three years. Supporters said it would sustain BeWell enrollment and affordability programs, while opponents questioned the burden on private payers and the size of the general fund impact. The committee adopted the substitute and then passed it on a 10-7 vote. Finally, the committee approved House Bill 65, as amended, creating a Foster Care Plus pilot project for children in CYFD custody, with testimony both supporting the need for better services and cautioning that implementation should respect tribal law, cultural practices, and family reunification. The committee also tabled House Bill 68 at the sponsor’s request. The transcript then began discussion of House Bill 88, which would make minor changes to the land grant assistance fund, including capturing reverted payments that currently go back to the general fund.
MO

Missouri 2026 Regular Session

Conference Committee on Budget May 4th, 2026

Conference Committee on Budget

Transcript Highlights:
  • Okay, 2.030 Child Care Grants.
  • care.
  • We have had child care, kids in foster care and Springfield families reach out to me that have put their
  • children back in foster care because they lost their child care subsidy spot because of decisions that
  • Makes care of that one. Makes care of that one. Judiciary, page 68.
Summary: The conference committee spent most of the meeting working through House Bill 2, the education budget, with repeated debate over how to close the remaining gap in the foundation formula. Members discussed fund swaps involving the blind pension fund, capital commission fund, lottery proceeds, state school money, and classroom trust funds, with several senators arguing the committee should fully fund the formula if possible and warning against leaving schools with a shortfall. The committee also reviewed child care subsidies, Parents as Teachers language, school safety and assessment-related items, Title I reallocation language, and a compromise on flexibility percentages for certain education lines. Several members raised concerns about language restricting virtual Parents as Teachers visits and about child care subsidy language tied to enrollment-based payment and prospective payment, while others defended the compromise as a way to balance provider concerns and budget limits. House Bill 3, covering higher education, was also reviewed. The committee largely accepted Senate positions on appropriations, with a compromise on the St. Louis Community College nursing program and a new proposal directing the Department of Higher Education to develop a new funding model by December 1, 2026. That language drew concern from some members, who said the timeline was too aggressive and asked for more flexibility, but supporters said prior work on performance funding justified the deadline. The committee then moved through House Bill 2004, transportation, agreeing to a mix of Senate positions and compromises on items such as safety operations, low-volume roads, port funding, and road improvements, including a larger-than-expected appropriation for Clarendon Road tied to a State Fair relocation plan. House Bill 5, general administration and IT, generated the most controversy over new language directing a plan for state IT modernization and cloud migration; several members objected that it was too prescriptive, resembled a resolution, and could favor a specific vendor, but the chair said the goal was accountability and oversight. The committee left some House Bill 5 items open for further negotiation, then later returned to finalize several dollar amounts and a shorter conference proposal on the IT language. The committee also worked through House Bills 7, 8, and 9, mostly adopting Senate positions with a few compromises. House Bill 7 covered economic development and tourism items, including Main Street, Missouri One Start, broadband, Juneteenth, and the Great American State Fair, with some items set aside for later or moved to other bills. House Bill 8 focused on public safety and veterans’ funding, including school safety apps, fentanyl testing, crime lab workload, DNA testing, veterans’ programs, and Highway Patrol fleet and fuel items; members debated whether to keep fleet and fuel funding separated or rolled together, and several items were set at compromise levels. House Bill 9, covering mental health and corrections, was handled more briefly, with most items following Senate positions and a few compromises, including probation and parole funding and a reduction on one appropriation. The committee then recessed and later resumed with House Bill 2010, beginning work on another budget bill with a mix of Senate, House, and compromise positions on early line items, but the transcript cuts off before that bill is completed.
CA

California 2025-2026 Regular Session

Senate Education Committee Apr 8th, 2026

Transcript Highlights:
  • Really appreciate the authors and the sponsors' care and careful design choices in trying to make this
  • So let's take care of those teachers, number one.
  • But, my God, take care of these teachers, take care of them so they can take care of the students, give
  • health care.
  • So I think this is among many other arguments, taking care of a good majority of the Taking care of a
Summary: The committee heard several education-related bills. SB 1154 would let community college districts use best-value procurement for public works over $1 million. The author and community college supporters argued it would improve project quality and reduce delays and change orders, while contractor groups opposed it, saying the bill’s skilled-and-trained workforce and safety provisions would narrow competition and add subjectivity. The bill passed the committee on a 4-2 vote and was placed on call. SB 1347, a cleanup bill clarifying that stock albuterol may be kept in all public schools, including preschool programs, drew support from school nurses, respiratory care advocates, and a physician who said it would help schools respond to asthma emergencies. With no opposition, it passed unanimously and was placed on call. SB 1222 would create a pilot program designating a lead county office to help regions improve career technical education implementation; supporters said it would expand access and build regional capacity, while Senator Cabaldon questioned the need for another pilot and urged more direct funding instead. The bill passed and was placed on call. The committee also considered SB 1378, which would create a California Excellence in Service Learning designation for schools and districts. Supporters said it would recognize and encourage service-learning programs without mandating curriculum changes, while some members raised concerns about adding more state designations and administrative work. It passed and was placed on call. SB 1048 would create a Seal of Climate Literacy for high school students; supporters said it would recognize climate-related learning and connect students to green careers, while members cautioned against using seals to influence curriculum and noted equity and implementation concerns. It also passed and was placed on call. Finally, SB 1101 would require higher education institutions to notify students, faculty, and staff when their personal information is shared with federal agencies in OCR-related investigations or subpoenas. Supporters framed it as a privacy and free-speech protection in response to recent federal requests for campus information, while the author said the bill would not block lawful subpoenas but would require notice and limit voluntary disclosures. The committee discussed legal and constitutional issues, but no vote was taken in the portion provided.
MN

Minnesota 2025-2026 Regular Session

Committee on Human Services - 02/17/25

Human Services

Transcript Highlights:
  • And then lastly, I'm going to go over very quickly our proposals around direct care and treatment.
  • </c><00:36:23.160><c> Care</c><00:36:23.359><c> and</c> proposals around Direct Care and proposals around
  • Direct Care and treatment<00:36:25.200><c> we</c><00:36:25.319><c> have</c><00:36:25.520><c> three</
  • </c><00:36:39.280><c> care</c><00:36:39.440><c> and</c> operating adjustment to direct care and operating
  • </c><00:37:43.319><c> during</c><00:37:43.599><c> the</c> direct care and treatment so during the direct
Keywords: 1187, senate, all
FL

Florida 2025 Regular Session

House in Session Apr 9th, 2025

Florida House Floor Meeting

Transcript Highlights:
  • provided in compliance with the applicable standard of care, including but not limited to care related
  • Representative, are you speaking about negligent medical care or non-negligent medical care?
  • for negligent medical care.
  • This will help reduce delays for experienced foster parents, ensuring care for children in foster care
  • CS for HB 57 addresses a critical gap in care by allowing direct support professionals to administer
WA
Transcript Highlights:
  • Pool 174 by Representative Penner defines dependence in foster care to include dependent children as
  • Pool 174 by Representative Penner defines dependence in foster care to include dependent children as
  • It would clarify that foster care, dependents in foster care, including dependent children, are defined
  • Clarify that foster care, dependents in foster care, including dependent children, are defined as they
  • In an environment, we just have to be very careful when we're instituting new programs.
Summary: The Technology, Economic Development, and Veterans Committee first met in executive session on House Bills 2157, 2351, 2365, 2357, and 2446. Staff briefed proposed substitutes and amendments for each bill. HB 2157, concerning high-risk AI systems, was amended to exempt activities regulated by the Fair Credit Reporting Act and covered entities under HIPAA; members discussed balancing consumer protections with flexibility for developers and deployers. HB 2351, addressing protections for emergency responders and emergency operations, was described as clarifying definitions and procedures, including a mental health crisis defense and changes to emergency operation zone notifications; some members raised concerns about deconfliction and implementation details. HB 2365, on digital equity, was amended with several definitional and data-sharing proposals, though some amendments were rejected over fiscal concerns. HB 2357, creating the Washington Division of Civil Air Patrol within the Military Department, passed without amendment. HB 2446, on developing a quantum technology industry strategy, was amended to extend the strategy deadline, broaden who Commerce may contract with, and correct terminology; members noted concerns about industry involvement in the strategic plan and fiscal impacts. All five bills were reported out of committee with do pass recommendations, with recorded votes of 8-5 on HB 2157, HB 2351, and HB 2365, unanimous support for HB 2357, and 12-1 for HB 2446. The committee then held a public hearing on HB 2523, which would make the community reinvestment program ongoing, require periodic updates and reporting, and direct a study of fund distribution and use. Testifiers from workforce boards, tribal programs, reentry services, community organizations, and Commerce described successful uses of the program for job training, reentry, small business support, legal services, and economic mobility, and urged the bill’s passage. Some suggested strengthening accountability, reporting, and access for new organizations. Commerce staff said the program has served more than 190,000 people and supported over 400 organizations, and asked for technical adjustments to keep administrative costs low. The bill was then closed for hearing. The committee also heard HB 2606, which would revise the Office of Privacy and Data Protection’s duties and performance measures, remove some reporting requirements, and add review of agency AI projects. The prime sponsor described it as a “stay-in-your-lane” cleanup bill responding to JLARC recommendations, and the state chief privacy officer testified in support, saying the office could implement the changes within existing resources. After questions about local government support and public resources, the hearing on HB 2606 was closed and the committee adjourned.
NH
Transcript Highlights:
  • care to ensure direct care, meaning child protective service workers or New Hampshire Hospital staff
  • It is one of our priorities to grow the direct care workforce, but I also think that folks are retiring
  • It is one of our priorities to grow the direct care workforce, but I also think that folks are retiring
  • What we know is that growing the direct care workforce is going to be even more vital as we saw that
  • </c><01:14:37.360><c> care</c> we know is that growing the direct care we know is that growing the direct
Keywords: 928, house, all
Summary: The committee first handled routine business, including roll call and approval of the prior meeting minutes, with one member abstaining because of absence and one member opposing. The main informational items were a Department of Health and Human Services update on the rural health transformation grant and a public health briefing on vaccines, followed by a quarterly budget and staffing update and an annual report from the Permanent Subcommittee on Alzheimer’s Disease and Other Related Dementias. Commissioner Lori Weaver reported that the department submitted the rural health transformation grant application on November 4, described it as reflecting input from communities and providers statewide, and said CMS review and budget negotiations would follow before final approval on December 31. She said the grant could support hiring as long as administrative costs stay within the 10% cap, and that the governor’s office will oversee administration with HHS. Ian Watt then testified that New Hampshire remains committed to vaccine access, including through the universal purchase program and annual respiratory virus guidance for flu, RSV, and COVID-19. He said the state continues to use evidence-based review for vaccine policy, noted the CDC’s change regarding the combined MMRV vaccine for the first dose in young children, and said New Hampshire’s school vaccine mandates remain at nine for schoolchildren and 10 for child care, with statutory exemptions still in place. Department staff also said there have been no supply or funding problems affecting childhood vaccine access. Nathan White, the department’s CFO, reviewed the DHHS budget and vacancy trends. He said DHHS makes up a large share of the state budget, that about 31% of its budget is general funds subject to lapse, and that lapse projections are difficult because much of the budget is driven by utilization rather than personnel. He reported current projected general fund lapse of just under $20 million, compared with about $39 million in the statewide surplus statement, and explained that only about a third of DHHS general funds can actually lapse because of statutory restrictions. He also said the department has about 400 unfunded positions, contributing to roughly a $30 million general fund reduction across the biennium, and that the hiring freeze has pushed vacancy trends upward while critical direct-care positions are being prioritized. The Alzheimer’s subcommittee reported six meetings this year, presentations on state services, silver alerts, brain health awareness, and palliative/hospice care, and work toward a new state Alzheimer’s plan. The subcommittee is developing a needs-assessment survey for people living with dementia, caregivers, and service providers, with the goal of using the results and other data sources to inform the plan. Its recommendations focus on integrating Alzheimer’s and dementia materials into chronic disease and aging outreach, embedding brain health into systems of care, adding cognitive health measures to BRFSS, and continuing partnerships with statewide organizations. Members also discussed recent research and prevention efforts, and the committee noted that a separate bill is being pursued to include Alzheimer’s and dementia in existing public health awareness campaigns.
MO

Missouri 2026 Regular Session

Joint Committee on Administrative Rules Jun 12th, 2026 at 10:00 am

Joint Committee on Administrative Rules

Transcript Highlights:
  • Well, part of clinical care, routine clinical care.
  • But with care coordination, it makes perfect sense. And it's directed at one person, the patient.
  • But with care coordination, it makes perfect sense. And it's directed at one person, the patient.
  • to help coordinate care beyond behavioral health care.
  • to help coordinate care beyond behavioral health care.
Keywords: 959, house, all
CA
Transcript Highlights:
  • And every additional year in extended foster care, in pre-year, in extended foster care, foster care.
  • CARES is significantly different.
  • kids in our care, the tiered rates are an increase for the caregiver themselves in terms of the care
  • They help place children in family settings and provide residential care when youth need additional care
  • Adult and senior care, children's residential, child care, and home care services programs have each
Summary: The Assembly Budget Subcommittee on Human Services heard an informational hearing on child welfare, foster care, community care licensing, child support, and related budget issues. CDSS described the Governor’s proposed child and family services budget, emphasized a family-centered and kin-first approach, and reported that foster care entries and congregate care placements have declined over the past decade. Witnesses also highlighted the importance of extended foster care to age 21, while noting persistent racial disparities for Native American and Black children and the need for stronger prevention, family finding, and community-based supports. A major focus was the proposed tiered rate structure (TRS), which CDSS said would shift funding from placement-based rates to child-centered supports, including care and supervision, strength-building dollars, and immediate needs funding paired with high-fidelity wraparound services. CDSS and county representatives said implementation is on track, with foundational policy guidance expected by the end of the year, CANS/CFT timeliness targeted by year-end, and the CWS CARES system nearing go-live in October 2026. Counties and providers raised concerns about whether the rate model and wraparound capacity will be sufficient, especially for higher-acuity youth, and asked for more data, clearer guidance, and continued collaboration. County Welfare Directors Association representatives also requested continued emergency response funding and an extension of flexible family supports, arguing both are needed to stabilize front-end child welfare work and bridge to TRS. Providers from FFAs and STRTPs warned that insurance costs, provider closures, and the transition to TRS could threaten service capacity unless the state addresses long-term insurance and reimbursement issues. LAO noted the Governor’s budget contains no new child welfare augmentations and said the main General Fund change reflects the expiration of one-time funding. No votes were taken; members instead asked for follow-up data, technical assistance, and possible future legislative or trailer bill solutions, including on insurance and implementation timelines.
US

US Federal 2025-2026 Regular Session

US House Floor Proceedings (Monday, March 31, 2025)

US Federal House Floor Meeting

Transcript Highlights:
  • TO QUOTE HIM -- AMERICAN PEOPLE CARE EITHER.
  • Do we care? Does this place care enough to do the hard things, to do the math?
  • DO WE CARE? DOES THIS PLACE CARE ENOUGH TO DO THE HARD THINGS TO DO THE MATH.
  • They calculated $9.1 trillion of health care spending and how we deliver health care, and maybe the concept
  • THEY CALCULATED 9.1 TRILLION OF HEALTH CARE SPENDING AND HOW WE DELIVER HEALTH CARE AND MAYBE THE CONCEPT
MN

Minnesota 2025-2026 Regular Session

House Floor Session 5/19/25 - Part 2

Minnesota House Floor Meeting

Transcript Highlights:
  • of the state workers and also take care of Minnesota.
  • of the state workers and also take care of Minnesota.
  • of the state workers and also take care of Minnesota.
  • </c><00:58:59.599><c> of</c> sergeant-at-arms under the direction of sergeant-at-arms under the direction
  • The sergeant-at-arms is directed 2026.
Keywords: 1183, house