Video & Transcript : 'direct care services' :

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TX
Transcript Highlights:
  • We aim to make recommendations, if any, to emergency services to improve access to care while maintaining
  • Services, including medical care.
  • We’ve got to be careful. Very careful before we go through and change the structure of health care.
  • It is said over and over again that rural areas really need more medical services. ...services, and I
  • I urge you to keep our services focused on care and vote no on SB 2446. Thank you. Thank you, Mr.
TX
Transcript Highlights:
  • Thank you for your service and your sacrifices, very inspirational service, testimony.
  • First, the committee substitute aligns the definitions of direct care in the spending ratio.
  • It redefines the direct care ratio as a patient care expense. ratio.
  • , including the salaries of direct care staff, laboratory testing, dietary services and medical. equipment
  • Finally, it repeals the Nursing Facility Direct Care Staff Rate Enhancement Program which we have talked
TX

Texas 89th Regular

Health and Human Services Apr 1st, 2025

Health & Human Services

Transcript Highlights:
  • Many Texans may not know this, but health care service prices tend to drastically fluctuate based on
  • And the thing about it, it hurts patient care and patient access because when you service these areas
  • care?
  • CCRCs are including new lines of service such as memory care, hospice, and home and community-based services
  • to provide an itemized bill when requesting payment from a patient for health care services or supplies
Summary: The committee heard testimony on Senate Bill 883, which would protect physicians’ ability to prescribe off-label medications and treatments, framed by the author as a “Right to Treat” measure tied to COVID-19 care. Supporters, including physicians and patient-choice advocates, said the bill would safeguard the doctor-patient relationship and prevent interference by boards, pharmacies, or hospitals. Several witnesses described using hydroxychloroquine, ivermectin, budesonide, antibiotics, steroids, and monoclonal antibodies during the pandemic, and said they faced complaints, board scrutiny, or pharmacy refusals for those prescriptions. The bill was left pending after public testimony closed. The committee then took up Senate Bill 331, which would extend hospital price-transparency requirements to additional health care facilities such as freestanding ERs, urgent care and retail clinics, ambulatory surgical centers, outpatient clinics, and birthing centers. Proponents argued that broader disclosure of prices for shoppable services would help consumers compare costs and reduce surprise billing, while opponents from ambulatory surgery centers said the bill would impose costly compliance burdens on small providers and that insurers or the state already have much of the needed data. The bill was also left pending. Senate Bill 2422 would expunge Texas Medical Board records and impose reparations for disciplinary actions tied to COVID-era treatment decisions, including references to ivermectin, hydroxychloroquine, budesonide, and masks. The author and supporters argued that doctors were unfairly targeted for trying to save patients and should be made whole; the Texas Medical Board representative said most pandemic complaints were dismissed, that actions generally involved broader issues such as privileges, documentation, or informed consent, and that no physician was disciplined solely for prescribing off-label COVID medications. The bill was left pending. Finally, the committee heard Senate Bill 2207, which would loosen Texas Medical Board rules on physicians advertising themselves as board certified, especially by reducing barriers tied to maintenance of certification requirements. Supporters said the current rule is overly restrictive, inconsistent, and costly, and that it drives physicians out of practice; they also said Texas is one of only a few states with such a rule. Witnesses described hospitals using the rule against physicians and said the change would improve transparency and competition. The bill remained pending after testimony.
AL

Alabama 2025 Regular Session

Alabama House Ways and Means General Fund Committee Apr 1st, 2025

Ways and Means General Fund

Transcript Highlights:
  • . ...Department of Rehabilitation Services and the Department of Youth Services, again for the total
  • Services, Medicaid waiver.
  • They are used to maintain and service workspace and capital complexes.
  • It is funded through rent payments and no direct appropriations.
  • When I look at the senior services for kinship care, we find the number of our young people, young children
Bills: HB186 , HB185 , HB184 , HB183 , HB181 , HB312 , HB405 , HB182 , HB460
WA

Washington 2025-2026 Regular Session

House Finance Jan 20th, 2026 at 08:00 am

Finance

Transcript Highlights:
  • These services would include child care, perinatal support services, before-school and after-school services
  • These services would include child care, perinatal support services, before-school and after-school services
  • I think there is direction.
  • They do not care about hosts. They do not care about guests.
  • They do not care about hosts. They do not care about guests.
Bills: HB2559 , HB2135 , HB2133 , HB2442
Committee: House Finance
OK

Oklahoma 2026 Regular Session

Appropriations and Budget REVISED: Agenda added Apr 6th, 2026

Appropriations and Budget

Transcript Highlights:
  • Leader West, would you care to vote? Leader West, would you care to vote? Declared the vote.
  • Bill 1290 strengthens the 211 hotline system and clarifies oversight and coordinates the improved service
  • Ford and Munson, do you care to vote? Newton? Newton, aye. Declare the vote. Newton, aye.
  • Shriver, Caldwell, would you care to vote? Declare the vote.
  • Senate Bill 1377 will require DHS to provide duffel bags to all children in foster care.
Bills: SB169 , SB201 , SB1290 , SB1377 , SB1991 , SB2060
Summary: The committee took up several Senate bills and adopted multiple amendments, including a contested amendment process on Senate Bill 201. An objection was raised that an amendment had not been filed by the prior-day deadline under Rule 76C, but the chair ruled the objection not well taken, citing the chair’s authority to waive the timing requirement. The amendment to the amendment, offered by Speaker Hilbert, deleted Section 2 of the bill, removing statutory language that tied the teacher-pay measure to House Bill 3705 and the broader budget agreement. Members discussed that the underlying agreement still linked the measures politically, including a $25 million increase to the Parental Choice Tax Credit and a $2,000 increase to the minimum salary schedule for teachers. After clarification that the bill applied to certified personnel except for positions listed in the amendment, SB 201 passed the committee 29-0. The committee then approved Senate Bill 1290, which strengthens the 211 hotline system by clarifying oversight, improving coordination and service delivery, addressing access gaps, and supporting better funding and emergency responsiveness. Senate Bill 169 also passed after amendment; it increases longevity pay for state employees by 50% for designated years of service beginning in fiscal year 2027. Senate Bill 1377, which requires DHS to provide duffel bags to children in foster care as part of the budget, passed after members asked whether the bags would remain the child’s property and whether the bags would be standardized; the sponsor said the bags would belong to the child but did not know the procurement details. Finally, the committee heard Senate Bill 1991, described as an OMES/Oklahoma cleanup bill that consolidates existing functionality and revenues under a common umbrella without changing the substantive sources or purposes of the funds. After a question confirming it was only a cleanup measure, the bill passed 29-0. Senate Bill 2060 was laid over until the next day, and the meeting adjourned.
OK

Oklahoma 2026 Regular Session

Administrative Rules May 4th, 2026

Administrative Rules

Transcript Highlights:
  • H.J.R. 1099 is a direct result of H.B. 1576, which was passed by the legislature last year regarding
  • rules with the Oklahoma Health Care Authority.
  • H.J.R. 1100 is dealing with the rule through the Oklahoma Management and Enterprise Services that we
Summary: The committee considered three resolutions, all presented by Chairman Kendrick with full PCS substitutes. H.J.R. 1096 approved a medical marijuana rule that had originally been treated as a major rule but was later determined not to be one; members asked no questions and the resolution was adopted unanimously. H.J.R. 1099 was described as a direct result of H.B. 1576 from the prior session concerning Oklahoma Health Care Authority rules; it also drew no questions and passed unanimously. H.J.R. 1100 addressed a rule from the Oklahoma Management and Enterprise Services that was discovered late to be a major rule; after brief discussion and no substantive questions, it too passed unanimously. During the meeting, members voted on each resolution after motions for adoption and do pass. The recorded votes were unanimous in favor on all three measures, with no nay votes. After H.J.R. 1100 passed, Chairman Kendrick noted there would be one more committee meeting the next morning at 9 a.m. to address a late-arriving resolution, and he offered to discuss the late major-rule issue with Representative Chapman after adjournment.
OK

Oklahoma 2026 Regular Session

Appropriations 2ND REVISED Mar 4th, 2026 at 02:30 pm

Appropriations

Transcript Highlights:
  • of Human Services to voluntarily remain in care till the age of 21.
  • Want, and the certified agencies want the majority of this money going to direct services for those victims
  • So I'm just trying to understand why we landed on 15% when we really want that direct service to victims
  • So, if that occurs, do we potentially leave vulnerable people or victims that are receiving direct services
  • And so, I look at the other side of the equation that 85% of any grant money will go to direct services
OK

Oklahoma 2026 Regular Session

Appropriations 2ND REVISED Mar 4th, 2026

Appropriations

Transcript Highlights:
  • Department of Human Services to voluntarily remain in care until the age of 21.
  • We want, and the certified agencies want, the majority of this money going to direct services for those
  • So I'm just trying to understand why we landed on 15% when we really want that direct service to victims
  • So if that occurs, do we potentially leave vulnerable people or victims that are receiving direct services
  • And so I look at the other side of the equation: that 85% of any grant money will go to direct services
Summary: The committee heard and advanced a long series of Senate bills covering criminal justice, courts, education, health, water infrastructure, economic development, and social services. Early measures included SB 1584, which shortens the timeline for submitting sexual assault evidence kits for forensic testing, and SB 1386, a courtroom transparency bill creating a pilot program for audio/video recording in certain courtrooms; SB 1386 drew the most extended debate, with concerns raised about privacy, selective editing, political use of footage, and impacts on victims, witnesses, jurors, and attorneys. The author said the bill was intended to improve the accuracy and context of the record, not to add live streaming or AI transcripts, and both bills advanced. Several education and justice-related bills also moved forward. SB 1381 would require arrested persons to be brought before a judge within 48 to 72 hours and establishes a pilot in Oklahoma County; SB 201 raises each step of the minimum teacher salary schedule by $2,500; and SB 1778 revises the Strong Readers Act by directing a single state-paid screening instrument, adding early intervention and transitional/pull-out reading support, and phasing in changes beginning in 2027. SB 1836, requiring a board-approved mental health screener in routine primary care visits, passed after debate over its costs and implementation. SB 1806, allowing some young adults to remain in or re-enter DHS care until age 21, and SB 1428, creating an Alzheimer’s and dementia coordination office at the Health Department with private funding, also advanced. The committee approved multiple public health and human services funding and coordination measures, including SB 1369 creating a revolving fund for the 988 crisis line, SB 1290 creating a 2-1-1 hotline revolving fund, SB 1794 establishing a statewide real-time behavioral health bed/capacity registry, and SB 1379 creating a two-year private grant program for certified human trafficking service providers. Members questioned fiscal impacts, administrative overhead, and service continuity, but the bills moved on. Other bills passed included SB 1696 to fund local recruitment incentives for new residents in rural and mid-sized communities, SB 1332 creating zero-interest water infrastructure loans for housing-related projects, SB 175 creating a reimbursement fund for abandoned uninsured commercial vehicles, and SB 1390 extending the gross production tax sunset to July 1, 2032.
AZ

Arizona 2026 Regular Session

02/04/2026 - Senate Health and Human Services

Health and Human Services

Transcript Highlights:
  • The Committee on Health and Human Services is called to order.
  • system and to contribute to the greater health care environment.
  • Currently, the Department of Health Services licenses and monitors health care institutions, while Access
  • service.
  • and capabilities, non-medical care and support services, and the needs of the patients.
OK

Oklahoma 2026 Regular Session

Joint Committee on Appropriations and Budget Apr 20th, 2026 at 04:30 pm

Joint Committee on Appropriations and Budget

Transcript Highlights:
  • This is regarding the Health Care Workforce Training Commission and closing out their ARPA projects,
  • Would you care to vote? Blant said, 'I declare the vote 28 to 0.
  • And then also under the youth services agency, we covered 12 different counties.
  • More, Ii Kanei West, West, Madam Whip, would you care to vote? Declare the vote.
  • Represented Blanett, do you care to vote? Declare the vote.
OK

Oklahoma 2026 Regular Session

Joint Committee on Appropriations and Budget 2nd Revised Apr 20th, 2026 at 04:30 pm

Joint Committee on Appropriations and Budget

Transcript Highlights:
  • appropriates up to $2 Million in interest funds to the Office of Juvenile Affairs to address gaps in youth services
  • to $1 million in interest funds to the Oklahoma Department of Mental Health and Substance Abuse Services
  • When in August of 2021, when the Health and Human Services working group had the first meeting...
  • It states that no such memorandum shall require or include as an option or condition that direct or practical
OK

Oklahoma 2026 Regular Session

Joint Committee on Appropriations and Budget 2nd Revised Apr 20th, 2026

Joint Committee on Appropriations and Budget

Transcript Highlights:
  • I'm assuming you were talking about the Health Care Authority.
  • This has nothing to do with the Health Care Authority. Any other questions on the bill?
  • Members, House Bill 474 allows the Health Care Workforce Training Commission to House Bill 474 allows
  • And, you know, this investment has produced thousands of additional licensed and trained health care
  • Licensed and trained health care workers, and HWTC was allocated funds to administer these programs,
Summary: The Joint Committee on Appropriations and Budget met and first took up House Bill 4063, adopting a committee substitute over objection by a 17-4 roll call vote. The bill, as explained by the Pro Tem, moves the election dates for House Bill 4440 and Joint Resolution 1024 to August 25, 2026. Members debated whether the measure violated the single-subject rule or was an attempt to revisit proposals that had previously failed, but the committee advanced it and it passed 16-6 after debate. The committee then considered a series of appropriations and reappropriations, largely involving ARPA and interest funds. These included Senate Bills 1130 through 1134 and 1142, which redirected funds to the University Hospital Authority and Trust, the Office of Juvenile Affairs, the State Department of Health for rural hospital rebuild efforts, the Department of Mental Health and Substance Abuse Services for Griffin Memorial Hospital capacity, and DHS-related projects including Boys & Girls Club and YWCA funding. All of these bills passed, with most receiving broad support and only a few dissenting votes. Members also advanced several House bills: HB 4029 appropriated funds to the State Department of Health and the ALS fund; HB 4074 gave the Health Care Workforce Training Commission flexibility to close out ARPA projects and transfer funds among nursing-related programs; HB 4075 reappropriated water and wastewater funds within OWRB; HB 476 provided rural economic impact grant funding for water, wastewater, sewer, air park, industrial park, and broadband-related projects; HB 477 funded emergency response and relief grants with standard administrative language; HB 478 covered ARPA closeout costs for consultants and the grants management office; HB 428 extended a qualified equity investment tax deduction sunset; and HB 473 and HB 4073 pulled back ARPA funds for reappropriation and closeout. Most measures passed on strong roll-call votes, and the committee adjourned after HB 4073 passed 21-0.
OK

Oklahoma 2026 Regular Session

Joint Committee on Appropriations and Budget Apr 20th, 2026

Joint Committee on Appropriations and Budget

Transcript Highlights:
  • Blancett, would you care to vote? Blancett, aye.
  • And then also under the youth services agency, we covered 32 different counties.
  • Representative Newton, would you care to vote? Newton, aye. Ford, aye. Sterling, aye.
  • Madam Whip, would you care to vote? Madam Whip, would you care to vote?
  • And these are issues that the people vote on and care about. Minority Leader Munson. Mr.
Summary: The committee considered a series of bills largely focused on reappropriating and closing out ARPA-related funds, transferring interest earnings, and filling funding gaps in existing state projects. Measures included funding for the Health Care Workforce Training Commission, juvenile services in Rogers County, rural hospital rebuild projects, DHS-related projects for Boys and Girls Clubs and the YWCA, water and wastewater projects through the OWRB, ALS grant limits for OSDH, pandemic relief accounting, administrative costs for ARPA projects, pediatric cardiology and OSU-related projects, rural industrial park and port water/wastewater gaps, and emergency response grants through the Department of Emergency Management. Most of these bills were presented by Rep. Newton, Chairman Caldwell, Speaker Hilbert, Rep. Osborne, Rep. Hill, and others, with committee substitutes adopted without objection where noted. One bill, House Bill 4028, drew the most discussion. It would extend the sunset on the qualified equity investment deduction for venture capital investments. Members questioned the lack of program-specific evaluation data, including return on investment, jobs created, and how much of the tax deduction had actually been used. The sponsor said the program had helped grow Oklahoma venture capital and that he would seek better data, but argued the sunset should be extended for now. The bill passed 23-6. Another extended exchange centered on House Bill 4063, which combined measures related to placing state questions on the August ballot, including HJR 1024 and a bill tied to House Bill 1440. Members raised concerns about single-subject issues, ballot timing, voter turnout, and whether combining the measures limited legislators’ options. The Speaker defended the approach as election-related and noted prior precedent. The bill passed 23-6. The remaining bills were approved overwhelmingly, generally by votes of 27-0, 28-0, or 29-0, and were reported out with due pass recommendations before the meeting adjourned.
MN

Minnesota 2025-2026 Regular Session

House Health Finance and Policy Committee 4/13/26

Health Finance and Policy

Transcript Highlights:
  • the data only goes as recent as 2023, but we are not just on fee-for-service; the managed care organizations
  • the data only goes as recent as 2023, but we are not just on fee-for-service; the managed care organizations
  • </c> care, just concerned with dental care. care, just concerned with dental care.
  • differential so that care providers wouldn't go back to the fee-for-service rate. >> [clears throat]
  • </c> improving access to care. improving access to care.
TX
Transcript Highlights:
  • services. medical services to Medicaid-eligible special education students in the school environment
  • An example would be through personal care services.
  • Personal care services are those where you receive help with an activity of daily living.
  • (DFPS) to provide the community-based care (CBC) model of care. foster care.
  • We've had a lot of conversations about taking care of the elderly and taking care of the frail.
NM

New Mexico 2026 Regular Session

Senate - Finance Feb 4th, 2026

House Appropriations & Finance

Transcript Highlights:
  • The Health Care Delivery and Access Act was created during legislative...
  • Hospitals are required to reinvest this funding in health care workforce and quality-of-care initiatives
  • services in our communities, with rural communities the hardest hit.
  • in treatment, workforce, and quality of care.
  • for health care provision to our state.
Bills: SB101 , SB58 , SB55
Summary: The committee first heard Senate Bill 101, which would repeal the July 1, 2030 sunset on the Health Care Delivery and Access Act and make the hospital provider-tax program permanent. The sponsor, the Health Care Authority secretary, and the New Mexico Hospital Association said the program has generated substantial federal Medicaid matching funds and has supported hospital workforce, quality, and infrastructure investments, especially in rural areas. Members asked why the sunset existed originally and whether federal changes under H.R. 1 would phase the program down; the secretary explained the sunset was meant as a review point, but that federal law now prevents creating a new similar program if this one expires. The committee heard support from hospital and business representatives, no opposition, and voted due pass 7-0. The committee then considered Senate Bill 58, as amended, which extends the property tax abatement period for metropolitan redevelopment areas from a fixed seven years to up to 14 years. The sponsor and Albuquerque redevelopment officials said the change would give local governments more flexibility to structure projects based on financial need, while still preserving current tax payments and encouraging redevelopment of blighted or underused areas. Several supporters, including realtors and the Greater Albuquerque Chamber, argued the longer window would improve certainty for developers and help spur housing and other reinvestment. Some members raised concerns about lost revenue for schools and whether the tool could be overused, but were told the program applies only in designated redevelopment areas and is intended to leverage future higher assessments. The committee adopted the amendment and then passed the bill as amended 7-0. Finally, the committee heard Senate Bill 55, which increases New Mexico’s state solar tax credit from 10% to 30% after the federal credit was reduced, and raises the individual cap from $6,000 to $15,000 while keeping the overall annual program cap at $30 million. The sponsor and numerous solar industry, business, and clean-energy advocates said the change is needed to prevent layoffs, stabilize the rooftop solar market, support local jobs, and preserve grid and affordability benefits for customers. Members asked about permitting, certification, consumer protection, and whether battery storage was included; the sponsor said the bill covers rooftop solar only, the credit is refundable, and EMNRD certifies systems before credits are issued. The committee heard broad support, no opposition, and voted due pass 7-0 before adjourning.
TX
Transcript Highlights:
  • There's a strong interest and great support in the community to do work in the area of memory care.
  • So basically, this would be to try to collect grants for brain and memory care services for the residents
  • We think this bill takes a step in the right direction to give those cities an additional...
  • The show-up chairman, that's service, right? It's fast. Okay. It's impressive.
  • This is the Wood County Hospital. district, brain and memory care that does not cost any money except
OK

Oklahoma 2026 Regular Session

Health and Human Services REVISED Apr 13th, 2026 at 02:00 pm

Health and Human Services

Transcript Highlights:
  • Welcome to Senate Health and Human Services.
  • This family has a long line of service, not only in the pharmacy community but also in this area of Oklahoma
  • I wanted to go back and take care of my people.
  • It improves access to care while maintaining strong safety standards.
  • Would do anything to help get people their care and mainly because I want people to get Restoration services