Video & Transcript : 'direct care' :
Page 160 of 500
NH
New Hampshire 2026 Regular Session
House Executive Departments and Administration (04/29/2026)
Executive Departments and Administration
Transcript Highlights:
- And so by health care professional.
- </c> kids are able to get care. kids are able to get care.
- </c> where there's no other access to care. where there's no other access to care.
- </c> and under the and maybe under the direct and under the and maybe under the direct supervision<03
- Health care.
MO
Missouri 2026 Regular Session
Veterans and Armed Forces Apr 7th, 2026 at 11:00 am
Veterans and Armed Forces
Transcript Highlights:
- I'm going to take this in a different direction.
- And it's just direct pay.
- That seems like a better direction.
- We need to take care of veterans. We need to take care of our law enforcement.
- We need to take care of veterans. We need to take care of our law enforcement.
TX
Transcript Highlights:
- Said, well, there's the CARES, there's what do we call the other one, CARES Act and ARPA, okay?
- You'll find additional information on TRS Care, active care, and historical funding on page two.
- Page 5 is an informational item on TRS CARE, the retiree health care program.
- TRS Active Care.
- TRS Care, and we are in favor.
WY
Wyoming 2026 Regular Session
Joint Agriculture, State and Public Lands & Water Resources Committee, June 11, 2026 - PM
Agriculture, State and Public Lands & Water Resources
Transcript Highlights:
- , disposition, and care of all those lands granted to the state, subject to direction of the legislature
- control, disposition, and direction, control, disposition, and care<00:22:47.440><c> of</c><00:22:47.679
- the</c> state subject to direction of the state subject to direction of the legislature<00:22:51.760>
- </c><01:25:45.679><c> to</c> in this very well and were careful to in this very well and were careful
- </c><01:31:19.040><c> revenues</c> negative impact on the direct revenues negative impact on the direct
AZ
Arizona 2026 Regular Session
01/29/2026 - Senate Health and Human Services
Senate Health and Human Services COR
Transcript Highlights:
- The pendulum has swung far, like too far in either direction.
- The pendulum has swung far, like too far in either direction.
- Sober living homes are essentially the lowest level of care that we license.
- Which providers are being terminated for fraud versus quality-of-care concerns?
- The quality-of-care referral source is not tracked.
Summary:
The committee continued its fourth hearing on fraud, waste, and abuse involving Arizona’s Medicaid and behavioral health systems, with a major focus on Access/ALTCS eligibility, behavioral health licensing, and payment delays. Senator Shamp presented findings alleging large gaps in ABD Medicaid asset verification, including that only a portion of enrollees were checked and that many with substantial liquid assets remained on the program. She argued the state’s waiver and lack of asset limits created a compliance and fiscal risk, and urged referrals to law enforcement, tighter verification, and broader reforms. Heather Dukes, representing behavioral health and sober living operators, testified that ADHS and Access have become overly punitive toward licensed providers, often sending technical paperwork violations straight to enforcement instead of allowing correction plans, and that zoning and licensing delays are harming legitimate businesses. Reva Stewart testified that patient brokering and fraudulent recruitment of vulnerable people into behavioral health and sober living settings remain ongoing, especially through social media, and called for stronger accountability and enforcement against bad actors.
ADHS Deputy Assistant Director Tiffany Slater said the department has received more than a thousand complaints about unlicensed sober living operations, which has diverted staff from routine oversight of licensed facilities. She said ADHS has expanded enforcement tools for sober living homes, is using a new licensing system to flag repeat bad actors, and is trying to make the application process easier, while acknowledging that inspections can tip off unlicensed operators. Access Director Virginia Roundtree described steps the agency has taken since the prior hearing, including daily staff huddles, live dashboards, added project management support, an external claims vendor, and an independent review of the Division of Fee-for-Service Management. She said Access is trying to balance fraud prevention with support for legitimate providers, and committed to follow up on a specific provider payment dispute by early the next week.
Committee members repeatedly pressed Access and ADHS on delayed claims processing, prepayment review, and whether the current system is driving providers out of business. Roundtable testimony from Access staff described the new Provider Resolution Roundtables, which are intended to work with a small number of providers facing the most claims and authorization problems. Members questioned why claims are being denied or held for long periods, why some providers are still waiting on payments from 2023 and 2024, and whether the agency’s actions are sustainable. Access also explained the Targeted Investment Program, saying it is a federally approved Medicaid initiative with large dollar amounts still being paid out on a delayed schedule, and agreed to provide more information on provider participation and payment timing. No formal votes or committee actions were taken in the portion provided, but the chair indicated the committee would continue reviewing the issue and requested additional reports and follow-up information from Access and ADHS.
NH
New Hampshire 2026 Regular Session
House Health, Human Services and Elderly Affairs (02/18/2026)
Health, Human Services and Elderly Affairs
Transcript Highlights:
- </c> healthc care landscape. healthc care landscape.
- Those include primary care, prenatal care, pediatric care, emergency care, except for non-emergency care
- :19:55.440><c> care,</c> include primary care, prenatal care, include primary care, prenatal care, pediatric
- > except</c> pediatric care, emergency care, except pediatric care, emergency care, except for<00:19:
- direction? direction?
MN
Minnesota 2025-2026 Regular Session
Omnibus budget for health, children and families passes House floor 5/12/25
Minnesota House Floor Meeting
Transcript Highlights:
- </c> in our care. in our care.
- </c> care for their own children. care for their own children.
- Um, state directed payments are not new. Um, state directed payments are not new.
- We do need Minnesota Care. next week. We do need Minnesota Care.
- The stress on our health care care care system.<03:40:19.439><c> Representative</c><03:40:20.080><c>
ID
Idaho 2026 Regular Session
Agenda Feb 2nd, 2026
Transcript Highlights:
- to the executive agencies directing them to go and find an additional 1 to 2% in cuts, both for the
- The counties of the state will get billed for their care.
- direct you to an article written by J.D.
- Without Medicaid, she'll be unable to care for her son. Without medical care, her son might die.
- And I believe that the whole, careful thought about income and history.
Summary:
The House Revenue and Taxation Committee heard House Bill 559, which would conform Idaho tax law to portions of the federal “One Big Beautiful Bill,” including changes affecting individual tax cuts, senior deductions, overtime and tips, and business research and experimentation expensing. Representative Jeff Ehlers, the sponsor, argued the bill is primarily a tax cut for Idahoans, said the fiscal note of about $155 million was reasonable, and emphasized that the bill does not conform to bonus depreciation. He also said the bill spreads some corporate impacts over time and that the measure is about tax conformity rather than budgeting.
Committee members questioned the sponsor closely about the research and experimentation provisions, the timing of deductions, and whether the bill would affect the current budget year or require cuts elsewhere. Ehlers said some business tax effects would “wash out” because of timing, that some taxpayers may have underpaid in anticipation of conformity, and that any budget decisions would be handled by JFAC rather than this committee. He also said interest and penalties would apply to underpayments like any other tax liability. During closing, he reiterated that the bill’s revenue impact was already reflected in the fiscal note and that the measure benefits individuals more than businesses overall.
Public testimony was sharply divided. Supporters such as Ron Nate, Ken McClure, Mark Wynn, and Miguel Legoretta urged conformity for simplicity, filing clarity, and tax competitiveness, though some of them criticized the bill for not fully conforming on the business side or for eliminating the state R&D credit. Opponents, including seniors, taxpayers, disability advocates, mental health advocates, and faith-based speakers, argued the bill’s cost was uncertain, could worsen budget pressures, and could lead to cuts to Medicaid, education, and other services. After testimony and debate, Representative Monks moved HB 559 to the floor with a due pass recommendation; the motion was debated by several members, with concerns raised about uncertain fiscal impacts and possible service cuts.
US
US Federal 2025-2026 Regular Session
US House Floor Proceedings (Tuesday, March 24, 2026)
US Federal House Floor Meeting
Transcript Highlights:
- </c> American health care is sicker. American health care is sicker.
- </c> affordable care in this country. affordable care in this country.
- He's a human and he cares.
- We are watching Black women stripped of our health care, maternal care.
- </c> Care Act, which turned 16 yesterday. Care Act, which turned 16 yesterday.
CA
California 2025-2026 Regular Session
Assembly Budget Subcommittee No. 2 on Human Services Mar 11th, 2026
Transcript Highlights:
- foster care system.
- 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
- Adult and senior care, children's residential, child care, and home care services programs have each
MN
Minnesota 2025-2026 Regular Session
Committee on State and Local Government - 03/03/26
State and Local Government
Transcript Highlights:
- This is the wrong direction, members.
- So, be very careful in who you call extreme.
- </c> communities that we should all care communities that we should all care about,<00:57:31.839><c>
- Uh he said that we're going in the wrong direction.
- </c><01:00:16.799><c> We're</c> going in the wrong direction. We're going in the wrong direction.
MN
Transcript Highlights:
- </c> skipping school because they don't care skipping school because they don't care about<00:12:57.000
- </c><00:32:27.240><c> that</c> actually have access to the care that actually have access to the care
- </c> you get to go program direct you get to go program direct admissions<01:05:10.760><c> um</c><01:
- </c><01:21:38.280><c> about</c> it hasn't let's be very careful about it hasn't let's be very careful
- We need to be careful.
CA
California 2025-2026 Regular Session
Senate Education Committee Apr 22nd, 2026
Transcript Highlights:
- resources for consistent services to child care providers.
- I'm the president of the Child Care Resource Center and a co-sponsor of SB 1110.
- Importantly, the threats were not always directed at a specific student or employee; they were directed
- These kids are not disengaging because they don't care.
- For others, it is direct entry into the workforce.
Summary:
The committee heard testimony on SB 1067, which would require annual early math screening for K-2 students beginning in 2028-29 to identify learning gaps and connect students to evidence-based support. Senator Weber and supporters, including EdVoice and UC Davis researcher Dr. Charles Wilkes, argued that California’s low math performance and persistent achievement gaps justify early identification and intervention. Opponents, including the California Mathematics Council, county superintendents, and CTA, said the bill could create a new mandate, encourage narrow skill-based instruction, and divert attention from implementing the California Mathematics Framework and investing in teacher training and coaching. Committee members discussed how the screener would work, whether it would identify disabilities or simply flag students needing further evaluation, and cited examples of districts already using early screening tools. No vote was taken because quorum had not yet been established at that point.
SB 1110, a child care subsidy administration bill, was presented next. Senator Becker and co-sponsors from the Child Care Resource Center and EveryChild California said the measure would stabilize the child care system as the state moves to enrollment-based funding by clarifying funding for administrative and family-service functions and helping providers maintain staffing, payment timelines, and compliance. There was support from several child care and education organizations and no opposition testimony. The bill was not voted on because the committee still lacked quorum.
After recess, the committee heard SB 1374, which would allow public higher education institutions to seek temporary restraining orders on their own behalf when they face credible threats of violence. The CSU Chancellor’s Office and San Diego State police described incidents where threats were directed at campuses broadly rather than specific individuals, leaving institutions without a legal remedy under current law. UC and independent colleges supported the bill, and there was no opposition. The bill was held on call pending quorum. The committee then took up SB 1321, which would direct the State Auditor to review remedial course use and student preparedness at selected UC and CSU campuses. Senator Nila and supporters argued that recent UC San Diego data show severe gaps in incoming students’ math preparation and that the audit would help assess admissions and placement practices; there was no opposition testimony. Members raised concerns about the scope and timing of the audit request, and the bill was held on call.
The committee also heard SB 1086 on microschools, which would define microschools in statute and direct model ordinances for local land use regulation. Supporters said microschools are growing but face inconsistent zoning treatment, while some members questioned whether the Legislature had enough information to define the model or direct state guidance without more study. After quorum was established, the committee voted SB 1086 out on a 4-1 vote to the Senate Appropriations Committee, with Senator Perez voting aye, Senator Ochoa Bogh aye, and Senator Cabaldon no; the remaining votes were not fully recorded in the transcript. Finally, SB 1181 was presented as a voluntary pilot program in Central Valley counties to allow schools to share credible safety concerns with regional threat assessment centers. Senator Hurtado and supporters, including the mother of a student killed in a shooting and Corcoran High School students, said the bill would improve early intervention and communication around threats. Members expressed support while also raising privacy and federal-sharing concerns about fusion centers; the bill was discussed but no vote was taken in the excerpt.
CA
Transcript Highlights:
- for consistent services to child care providers.
- Importantly, the threats were not always directed at a specific student or employee; they were directed
- These kids are not disengaging because they don't care.
- The bill is careful. It is limited. It is accountable.
- For others, it is direct entry into the workforce.
CA
California 2025-2026 Regular Session
Assembly Budget Subcommittee No. 1 on Health Apr 20th, 2026
Transcript Highlights:
- Care that's coming.
- care.
- So funds may not be used for routine operating subsidies, direct patient care reimbursement, or to supplant
- and OBGYN providers on best practices for care, including current clinical care guidelines." "...and
- for menopause care.
Summary:
The Assembly Budget Subcommittee on Health heard updates on five health-related budget items. First, members reviewed state support for distressed hospitals and health facilities. The California Health Facilities Financing Authority and HCAI described the Distressed Hospital Loan Program as a lifeline for 16 hospitals, many of which remain financially strained and are expected to seek loan forgiveness rather than repayment. Speakers cited reduced contract labor, new service lines, strategic partnerships, and the reopening of Madera Hospital as signs of progress, but also warned that federal policy changes under H.R. 1 will likely increase uncompensated care and pressure emergency departments. Public commenters from hospital, dental, and consumer groups supported additional funding, including a request to refresh the program with another $300 million.
The committee then heard HCAI’s update on the California Rural Health Transformation Program, a five-year federal initiative funded at $233.6 million for California. HCAI said the program will focus on rural care models, workforce development, and health technology, with grants to be rolled out on a fast timeline and all funds obligated by October 30, 2026. Members raised concerns about rural provider capacity to apply for grants, and HCAI said it will use a third-party administrator, a technical assistance center, webinars, and other supports to help applicants. HCAI also presented its budget request for the health care payments database, seeking ongoing non-General Fund support to continue operations and expand data, including pharmacy benefit manager data.
The Emergency Medical Services Authority presented three budget change proposals: funding to replace disaster medical services fleet vehicles, funding for IT security work, and additional positions for HR, enforcement, and legal workload. A member also raised concern that EMSA has not yet completed the annual ambulance rate reporting required by AB 716, and EMSA said it remains committed to the requirement but lost prior funding through later budget reductions. Covered California reported that it is still finalizing its own budget, but expects a lower operating budget due to efforts to reduce baseline costs and align spending with actual expenditures; it also projected enrollment declines tied to the expiration of enhanced premium tax credits, H.R. 1, and federal rule changes, while noting that revenues may still rise because premiums are expected to increase. Finally, the Department of Managed Health Care outlined budget proposals tied to menopause coverage and education, PBM licensure and enforcement under AB 116 and SB 41, credentialing reforms under AB 1041, and prior authorization reporting under SB 306. Public testimony generally supported the menopause and PBM proposals, while also urging clearer language and attention to Medi-Cal parity. The hearing concluded after public comment, including additional advocacy for sickle cell services and rural health workforce funding.
MN
Minnesota 2025-2026 Regular Session
Lowering the High Cost of Healthcare | Senator Matt Klein May 1st, 2026
Minnesota Senate Floor Meeting
Transcript Highlights:
- If you're an independent purchaser of the health care market, like a farmer or a small business owner
- Health care in little more aggressively.
- Uh we give good care and I think it's one of the best aspects of who we are as Minnesotans.
- Uh we give good care and doctors there.
- </c> essential to who we are and and caring essential to who we are and and caring for<00:04:46.080><
CA
California 2025-2026 Regular Session
Senate Floor Session May 19th, 2026
California Senate Floor Meeting
Transcript Highlights:
- California's recall process is an important tool of direct democracy.
- Importantly, the care itself was never questioned.
- This is by design and threatens the health care of Californians and the stability of our health care
- Income and background that determines whether or not you get care.
- It's a health care system that we need to address.
AZ
Arizona 2026 Regular Session
03/31/2026 - House Republican Caucus Calendar #15 & #16
Transcript Highlights:
- that if a teacher removes a student from a classroom, a principal or designated administrator may direct
- Madam Wippant, Member, Senate Bill 1327 directs the Arizona Board of Regents to require universities
- Madam Member, Senate Bill 1015 makes health care professionals personally and strictly liable...
- Madam Witt, members, Senate Bill 1015 makes health care professionals personally and strictly liable
- The Committee on Government adopted a strike-everything amendment to Senate Bill 1620 that directs a
Summary:
The committee reviewed a long agenda of Senate bills across campaign finance, commerce, education, government, health and human services, judiciary, rural development, transportation, and ways and means. Many measures were described as consent items or strike-everything amendments, including bills on campaign finance termination statements and late-report penalties, AI provenance data, insurance and contractor conduct during emergencies, continuation of various boards and commissions, school safety and communication systems, DCS and child welfare procedures, public records fees, utility submetering, foreign adversary restrictions, and multiple health care licensing and reimbursement provisions. Several members asked for clarification on a number of bills, including school discipline communication, DCS photo documentation, and utility billing changes.
A few bills drew more extended discussion. SB 1074, concerning teacher-initiated classroom removals and principal certification of return and discipline, prompted questions about parental notification and the purpose of the bill. SB 1175, requiring DCS caseworkers to photograph children at each interaction, led to concerns about privacy and the scope of documentation, with supporters saying it would improve continuity and child protection. SB 1751, which would expand execution methods to include firing squad, generated strong opposition from one member and support from another, with debate focused on the morality of execution methods and the implications for those carrying them out. SB 1336, continuing the State Land Department and creating an oversight board, was pulled from the consent calendar.
The committee also heard brief comments in support of bills on hyperbaric oxygen therapy in assisted living, research security at universities, and EMS licensure compacts. Toward the end, members reviewed bills on virtual currency investments and payments, telecommunications infrastructure, tax lien and revenue administration changes, and retirement system investment limits. No floor votes were taken in the transcript; the meeting primarily consisted of bill presentations, questions, and a few items being removed or pulled from consent calendars.
WA
Washington 2025-2026 Regular Session
Senate Law & Justice Jan 22nd, 2026
Transcript Highlights:
- I think 1%... ...important in bringing this in the right direction.
- Which, in effect, would be free medical care paid for by the state.
- You know, your proposed sub really moves in the right direction.
- I do believe we're working in the right direction.
- She cared for the community around her.
Summary:
The Law and Justice Committee heard multiple Senate bills and took executive action on several of them. Bills discussed included SB 5837 on guardianship and conservatorship, SB 6011, SB 6009 on consent language in proceedings, SB 5868, SB 5974 on sheriffs and related law enforcement volunteers, SB 5720 on consumer debt default judgments, SB 5833 on leaving engines running to protect pets, SB 5936 on human trafficking remedies, SB 5993 on medical debt interest, SB 6070 on missing persons alerts and investigative tools, and SB 6002 on driver privacy and ALPR data. Staff summarized proposed substitutes and amendments for each, with members raising concerns about scope, constitutionality, consumer protections, law enforcement authority, privacy, and debt collection practices. Several amendments were adopted, withdrawn, or rejected during the discussion.
In executive session, the committee adopted proposed substitutes or amendments for SB 5837, SB 6009, SB 5974, SB 5720, SB 5833, SB 5936, SB 5993, SB 6070, and SB 6002. SB 6011 also received a due pass recommendation. SB 5974, after debate over sheriff certification and recall provisions, was advanced to Ways and Means. SB 5993, dealing with medical debt interest, drew multiple proposed amendments that were withdrawn, and the committee ultimately advanced the bill with the substitute. SB 6002 on ALPR privacy was advanced after discussion of retention periods, ownership of data, and evidentiary use.
The committee then held a public hearing on SB 6086, which would strengthen security protections for judicial officers and court personnel by expanding who may request removal of personal information, broadening Address Confidentiality Program eligibility, and allowing AOC security consultants to conduct threat assessments. Proponents, including judges, clerks, and court officials, described rising threats and the need for stronger protections; county officials and prosecutors raised implementation, constitutional, and records-management concerns. The committee also heard Senate Joint Memorial 8014, requesting a U.S.-led investigation into the killing of Washingtonian Aishanur Esgi Yegi. The memorial drew extensive testimony from family members, advocates, academics, and community groups in support, while a few opponents argued the memorial was factually incomplete or politically selective. No final action was taken on SB 6086 or SJM 8014 during the hearing, and the committee closed after noting very large numbers of signed-in supporters and opponents for the memorial.
MN
Minnesota 2025-2026 Regular Session
House Agriculture Finance and Policy Committee 4/7/25
Agriculture Finance and Policy
Transcript Highlights:
- Uh, a couple things just direction that we had.
- We things just direction that we had.
- So, direct appropriations to nonprofits.
- It's early childhood child care program.
- Paragraph A is for county... school and early care program writer school and early care program writer
Bills:
HF2446
Keywords:
agriculture finance, broadband development, Department of Agriculture, Board of Animal Health, Agricultural Utilization Research Institute, Office of Broadband Development, food safety, food handler license, cottage food, home processed food, livestock dealer, meat packing company, milk marketer, milk marketing license, grain buyer, grain storage, beginning farmer, emerging farmer, farm down payment assistance, livestock investment grant