Video & Transcript : 'direct care' :
Page 161 of 500
KY
Kentucky 2025 Regular Session
Senate Standing Committee on Health Services (3-3-25)
Transcript Highlights:
- </c> they agree with about their health care they agree with about their health care and<00:04:18.919
- </c> patients had no other access to care patients had no other access to care this<00:18:31.200><c>
- </c><00:18:55.640><c> this</c> she could not have received care this she could not have received care
- to care for a patient.
- </c> system of care where the level of care system of care where the level of care patient<00:25:59.279
Summary:
The committee heard testimony on Senate Bill 132, a health care conscience-protection measure. Supporters said the bill would protect health care professionals from being forced to participate in procedures or services that violate sincerely held religious or ethical beliefs, while explicitly excluding emergency care. They argued it would help recruit and retain providers, preserve ethical integrity in medicine, and has worked in several other states. Supporters also emphasized that the bill is aimed at procedures or services, not at denying care based on who a patient is, and noted that the bill includes a civil cause of action to give it enforcement teeth.
Several supporters described personal experiences. A nurse said lack of conscience protections affected her career choices and limited her path into women’s health. Dr. Warman said he had requested not to perform anesthesia for abortions and later chose non-narcotic pain management because he objected to heavy opioid prescribing, saying conscience protections allow professionals to practice responsibly. Senators asked about examples, the bill’s scope, whether it could be used to discriminate, and which states have similar laws; Mississippi, Florida, Montana, Ohio, South Carolina, and Arkansas were named. Questions also focused on the bill’s civil enforcement provisions and whether it could be used against patients based on identity or religion.
Opponents warned the bill was overly broad and could allow refusals of care by a wide range of health workers, including clerks, ambulance drivers, pharmacists, nurses, and physicians. Dr. Karen Abrams said it could lead to denial of birth control, Plan B, blood transfusions, and other care, especially in rural areas with few alternatives, and could worsen Kentucky’s provider shortages. David Conway said the bill lacked patient protections, could increase delays and discrimination, and could prevent reassignment of objecting staff. The chair noted there were seven people signed up in opposition, limited testimony to two minutes each, and said the committee would return to the bill after hearing additional opposition and other pending bills.
US
US Federal 2025-2026 Regular Session
US House Floor Proceedings (Tuesday, May 19, 2026)
US Federal House Floor Meeting
Transcript Highlights:
- </c><00:06:48.080><c> in</c> CBD will become dependent on care in CBD will become dependent on care in
- The bill also requires that VA use this technology to view VA's direct care appointments as well as community
- </c><04:15:11.680><c> care</c> technology to view VA's direct care technology to view VA's direct care
- </c> work for expanding healthc care access. work for expanding healthc care access.
- </c> care from a nonVA medical facility. Mr. care from a nonVA medical facility. Mr.
MN
Transcript Highlights:
- When this one begins, child care, our annual cost will be over $37,000, and that's just part-time care
- , and that's just part-time care $37,000, and that's just part-time care thanks<00:21:34.559><c> to</
- In addition to child care, family.
- They even say that funding child care, um, that they support funding child care, but in the next breath
- As a child care provider, I hear from legislators that they want to support child care, but I am told
CA
California 2025-2026 Regular Session
Senate Budget and Fiscal Review Subcommittee No. 5 on Corrections, Public Safety, Judiciary, Labor and Transportation Apr 9th, 2026
Transcript Highlights:
- The managed care plans are still bringing on new enhanced care managers.
- need care at all prisons for broken legs and diagnostic and... primary care.
- And then there's really this health care overhead, and essentially that is non-direct patient care labor
- patient care.
- Really non-direct patient care, and essentially as your direct costs go up, this group of people contribute
Summary:
The Senate Budget Subcommittee heard presentations from the Office of the Inspector General (OIG), California Correctional Health Care Services (CCHCS), the California Advancing and Innovating Medi-Cal (CalAIM) program, and the Coleman mental health receivership. The hearing focused on correctional health care, reentry, aging incarcerated populations, and the state’s progress toward compliance in the Plata and Coleman receiverships. Members also discussed the OIG’s intake complaint workload and medical inspection findings, as well as broader questions about staffing, vacancies, and the cost of court oversight.
The OIG requested $275,000 General Fund for two permanent positions in its intake processing unit, citing a sharp rise in complaints from 3,200 in 2022 to 7,860 in 2025. OIG officials said complaints are categorized by issue and prison, prioritized by urgency, and generally responded to within 30 days, but they do not track complaint “validity” rates. The medical inspection unit reported that in cycle seven, case review performance was generally adequate while policy compliance was often inadequate; the lowest-scoring areas included emergency services, medication management, and health care environment. Members asked for more detailed reporting on complaint types, priority levels, and systemic issues.
CCHCS described rising health care costs driven by an aging prison population, staffing vacancies, and contract medical expenses. Officials said more than 80% of the budget is personal services, and they are using hiring events, social media outreach, and expanded classifications to reduce vacancies. CalAIM officials reported early implementation success in pre-release and reentry services, including 89% Medi-Cal activation at release, 87% assigned managed care plans, 88% reentry care plans, and 59% warm handoffs, with about 169,000 claims submitted and $14.7 million reimbursed. The LAO noted that the Plata medical receivership has increased per-person costs and that the state should continue oversight while seeking ways to reduce vacancies and expand federal reimbursement opportunities.
For the Coleman mental health receivership, the receiver’s office requested $33.9 million from the Mental Health Special Deposit Fund, including $8.2 million for receiver office staffing and $25.3 million to make court-ordered bonus payments permanent. The LAO supported continued oversight but recommended additional steps to address vacancies, including greater out-of-state recruitment, expanded telemental health, and possible consolidation of mental health services. The LAO also recommended reducing the telemental health staffing request and monitoring its effects. Members questioned the long-term cost of receiverships, the pace of compliance, and whether more detailed benchmarks and staffing data should be provided. No formal votes were taken during the portion of the hearing provided.
MN
Minnesota 2025-2026 Regular Session
Committee on Judiciary and Public Safety - 03/05/25
Judiciary and Public Safety
Transcript Highlights:
- Survivors would have to drive over an hour to receive care.
- </c><00:26:22.840><c> from</c> uh it's under a mandatory direction from uh it's under a mandatory direction
- <00:37:50.560><c> in</c><00:37:50.680><c> the</c> directed in the directed in the statute<00:37:53.240
- </c> 98% of the increase would go to direct 98% of the increase would go to direct civil<00:42:55.680
- </c> um last year we provided direct um last year we provided direct representation<01:37:27.199><c>
CA
California 2025-2026 Regular Session
Senate Budget and Fiscal Review Committee Jun 17th, 2026
Budget and Fiscal Review
FL
Florida 2026 5th Special Session
FL House Floor Session - 2026-03-11 (10:00AM Session)
Florida House Floor Meeting
Transcript Highlights:
- They don't care about it. They don't want it.
- I don't care whether you're Democrat or Republican.
- With regard to emergency authority and continuity of care, it authorizes DOEA to provide temporary direct
- With regard to home care for the elderly, it explicitly also...
- He didn't care who you served as long as you were serving God.
Summary:
The Florida Senate convened with a quorum, heard an opening prayer and the Pledge of Allegiance, and then moved through a series of introductions recognizing guests, interns, public servants, and a Senate resolution honoring Indiana University quarterback Fernando Mendoza for winning the Heisman Trophy. The chamber then proceeded to the special order calendar, with several measures temporarily postponed before debate began on the day’s bills.
The Senate passed CS/CS/HB 355 on health care patient protection, requiring hospitals with emergency departments to adopt pediatric emergency care policies, training, coordinators, and readiness assessments for children. It also passed CS/HB 1113 on public records, which narrows and clarifies confidentiality protections for victims and law enforcement officers who become victims, and CS/CS/HB 1085 on local government cybersecurity, creating a state-administered program through Florida Digital Service to help local governments obtain cybersecurity services and data-sharing support. The chamber also approved CS/HB 925 on clerks of court, allowing clerks to retain all revenue above annual projections and revising related fee distributions, and CS/HB 679 modernizing trademark registration by moving to the federal classification system and creating an online filing portal.
The Senate also passed CS/CS/CS/HB 589 on septic system permits, aligning the bill with Senate language and clarifying liability if construction begins before a permit is issued. CS/HB 679 and the other noncontroversial measures passed unanimously or with broad support, while CS/HB 1113 passed 33-4 and CS/HB 1085 passed 37-0 after amendments. Several bills were temporarily postponed, including measures on land use and clerks of court.
The most extensive debate came on the elections bill, CS/CS/HB 991, which would use DHSMV Real ID data to verify citizenship, change candidate-qualifying rules, alter acceptable photo IDs, and revise election administration procedures. Numerous amendments were offered and rejected, including proposals to protect voters who cannot afford citizenship documents, exempt older long-time voters, preserve student and retirement-center IDs, and delay the effective date. The Senate adopted an amendment that retained the citizenship-verification framework and added provisions on candidate disclosures, but the bill remained under debate at the end of the transcript, with senators arguing over voter access, fraud prevention, and the practical impact on students and seniors.
AZ
Transcript Highlights:
- I care very much about my children, and I care very much about all the children of this state.
- And in the Air Force, I care very much. And I care very much about all the children of this state.
- The people of Arizona care about children. The people of Arizona care about our veterans.
- The people of Arizona care about children. The people of Arizona care about our veterans.
- direct instructional expenses.
Summary:
The House convened, completed roll call, approved the journal, and took up several Senate bills and one Senate concurrent resolution through motions to reconsider, return bills for reconsideration, and refer measures to additional Committee of the Whole sessions for further amendment. Early actions included returning SB 1175 and SB 1198 to the Senate for reconsideration, rescinding passage of SB 1336 so it could be reconsidered, and referring SB 1111 and SB 152 to an additional COW. The House also recognized Representative Travers for a personal privilege statement honoring National Women Veterans Recognition Day and recorded attendance.
In Committee of the Whole, members adopted floor amendments and recommended passage for SB 1511, SB 1552, SB 1198, SB 1110, SB 1618, SB 1431, and SCR 1004, with some debate on SB 1110’s home-confinement/reentry program, SB 1618’s Military Affairs Commission changes, and SB 1431’s city and town authority over residential project standards and streetscapes. The House later adopted the COW reports and moved the measures to engrossing or third reading as appropriate. SB 1336 and SB 1519 were also advanced from committee, while SB 1004 was reconsidered and ultimately failed on reconsideration.
On third or final reading, the House passed SB 1127, SB 1180, SB 1428, SB 1198, SB 1336, SB 1511, SCR 1004, SB 1552, HB 2104, HB 2105, HB 2114, HB 2311, HB 2729, and HB 4117. SB 1687, SB 1004, SB 1519, and SB 1502 failed. Members explained votes on several measures, including support for tax administration clarity in SB 1180, objections and support for the May primary proposal in SB 1687, concerns about sex offender monitoring in SB 1004, support for the Arizona Beef Council in SB 1198, and debate over the photo enforcement referral in SCR 1004. The session also included recesses for caucuses, lunch, and dinner, plus a brief technical outage of the live stream.
TX
Texas 89th Regular
Appropriations - S/C on Articles I, IV, & V Feb 26th, 2025
Appropriations - S/C on Articles I, IV, & V
Transcript Highlights:
- We don't need to go back that direction. We need to go the other direction. And yes, sir.
- The $19.3 million for salary increases for our direct care staff and the $26.8 million for increases
- We've been able to increase our number of JCOs which is our primary and direct care staff by 200 employees
- I do think that there are youth in my care and custody that exceed my care.
- our people in the right direction.
NM
New Mexico 2026 Regular Session
House - Appropriations and Finance Feb 16th, 2026
Transcript Highlights:
- the care, what is the structure of the different child care programs: family child care, registered
- The early child care workforce is the infrastructure behind universal child care.
- The amendment adds tribal care facilities to the list of approved child care facilities authorized to
- child care facilities.
- Some care is 23 hours a day.
Summary:
The committee met late in the evening and announced that Senate Bill 132 would be rolled until the next day. The only bill heard was Senate Finance Committee substitute for Senate Bill 241, which would codify New Mexico’s Child Care Assistance Program in statute, establish eligibility, payment, wait-list, and co-payment rules, require reporting and transparency, and tie reimbursement rates to a cost-estimation model and wage scale/career lattice. The sponsor and administration described the bill as creating a durable framework for universal child care, with protections for program integrity, inclusion of children with developmental needs, and requirements to maximize state and federal child care tax benefits. Public testimony was largely supportive of the bill’s child care expansion goals, with endorsements from State Police, firefighters, early childhood advocates, and women’s policy groups, but many providers and educators said they could not support it without stronger wage and career-ladder protections and clearer guarantees that funding would reach staff salaries rather than owners or institutions.
The committee adopted Vice Chair Dixon’s amendment, which lowered the proposed transfer from the Early Childhood Education and Care Trust Fund from $1 billion to $700 million and added reporting requirements on the wait list, consultation requirements for rate-setting, additional facility reporting, a prohibition on supplanting certain public education funds, tribal facility participation, and food program reporting. A separate amendment from Representative Duncan to require first-come, first-served enrollment was debated at length but was tabled by a 9-7 vote after the sponsor and secretary said it conflicted with federal prioritization rules and the bill’s targeted access goals. Members also questioned how the bill would affect public entities, nontraditional-hour providers, co-pay triggers, and whether the wage scale would adequately compensate educators.
After debate, the committee voted 10-7 to give the amended bill a do-pass recommendation. Supporters said the bill would strengthen workforce stability, improve access for working families, and help sustain New Mexico’s universal child care system; opponents warned about the long-term fiscal impact, the potential growth of the program, and whether the bill sufficiently protected early childhood educators’ wages and other state priorities. The meeting adjourned with notice that the committee would reconvene at 8 a.m. the next day to hear the Senate’s actions on House Bill 2.
MN
Minnesota 2025-2026 Regular Session
Committee on Commerce and Consumer Protection - 03/06/25
Commerce and Consumer Protection
Transcript Highlights:
- </c> they increase the costs of health care they increase the costs of health care for<00:00:39.840><
- There are many components of the cost of health care that are outside the direct control of the legislature
- </c> every mother get the appropriate care every mother get the appropriate care that<01:18:13.560><c
- </c> original bill it was maybe a directive original bill it was maybe a directive to<01:23:53.280><c
- In the legislature in the health care space, both health care insurance and otherwise.
CA
California 2025-2026 Regular Session
Assembly Health Committee Jun 23rd, 2026
Transcript Highlights:
- It creates a pathway to help dismissed Care Court respondents needing a higher level of care get other
- of personal service requirements in Care Court, and codifies Governor Newsom's Care Court ICU and Care
- SB 28 moves us in the wrong direction.
- This bill would increase access to direct care worker jobs for people with past records by aligning the
- care workforce shortage.
Summary:
The Assembly Health Committee heard a series of bills focused on behavioral health, cancer screening, provider reimbursement, research funding, workforce licensing, and tobacco regulation. SB 16 would require counties to maintain procedures for designating and training professionals authorized to perform 5150 evaluations and initiate involuntary holds; supporters said it would expand the pool of qualified clinicians and reduce reliance on law enforcement, while opponents raised concerns about local control and implementation. SB 1124 would require CDPH to create and post lung cancer screening eligibility signage at tobacco point-of-sale locations; supporters emphasized low screening awareness and early detection, and the bill was advanced with amendments. SB 28, a CARE Court cleanup bill, proposed an ombudsperson, reporting, electronic petitions, remote participation, and other changes to improve accountability and access; it drew both strong support and significant opposition over concerns about coercion, scope, and whether the program is working as intended, but it passed the committee as amended to Judiciary.
The committee also heard SB 874, which would strengthen oversight of Medi-Cal behavioral health treatment services, including background checks for providers and a stakeholder workgroup to develop standards; it passed to Public Safety. SB 1049 would let providers resubmit corrected claims within 90 days after a plan’s denial or recoupment action when the original claim had a correctable technical defect; supporters described delayed and withheld payments harming practices, while insurers argued the bill could duplicate existing dispute processes. The bill passed to Appropriations on call. SB 1224 would create a state framework to compete for federal ARPA-H funding for emerging therapies research, with testimony from a UC Davis psychiatrist and veterans’ advocates supporting expanded research into treatments for PTSD, depression, and other conditions; it passed to Military and Veterans Affairs.
Later, SB 1057 would change how the Department of Public Health evaluates conviction history for certified nurse assistants and home health aides, shifting from automatic denial toward individualized assessment based on the offense, time elapsed, and rehabilitation; it passed to Appropriations with some no votes. Finally, SB 1314, a tobacco-related bill, sought to create a 600-foot buffer around schools and day care centers for certain tobacco retailers and address related issues such as cigar lounge definitions and nitrous oxide sales; several local government and public safety groups supported it, while health organizations and business groups opposed it unless amended. The chair announced that committee amendments were being set aside for now and the bill would move forward to Business and Professions with a commitment to continue working on the language; it passed out of committee.
WA
Washington 2025-2026 Regular Session
House Postsecondary Education & Workforce Jan 27th, 2026
Transcript Highlights:
- We all know that we have health care workforce challenges across our state.
- care.
- care in Washington State.
- capacity is a shortage of qualified child care professionals.
- access to care across Washington State.
Summary:
The Postsecondary Education and Workforce Committee met on January 27 and first took executive action on three bills. House Bill 2311, which makes administrative changes to the Workforce Education Investment Accountability and Oversight Board, was reported out with a do pass recommendation after the Leavitt amendment was withdrawn; supporters emphasized transparency, accountability, and student success metrics, while one member opposed moving it forward and urged more interim work. House Bill 2324, which extends tuition waiver access for children of eligible veterans when a disability determination occurs after age 18, passed unanimously. House Bill 288, the Dietitian Licensure Compact, was amended to delay implementation until July 1, 2028 and then passed unanimously as a substitute bill; members cited workforce shortages and the value of broader licensure portability.
The committee then held public hearings on several bills. House Bill 2422 would shift private security guard licensing fees from individual guards to their employers, eliminate transfer fees, and penalize companies that require reimbursement; the sponsor and workers testified that the current system burdens low-wage guards and contributes to high turnover, while some members asked about whether fees could instead be lowered or eliminated. House Bill 2438 would create the SEEDS scholarship for early childhood education students using up to $10 million from the GET account if it remains sufficiently funded; the sponsor described it as a targeted test of surplus GET funds to address early learning workforce shortages, and testimony from educators, providers, and advocacy groups strongly supported it, while WASAC said the bill may need technical changes to avoid conflicts with existing 529 rules.
The committee also heard House Bill 2525, which would create a WSU heritage orchard program and registry for old or rare apple varieties; the sponsor and industry witnesses said it would preserve agricultural history, support research, and aid future breeding and education. Finally, House Bill 2586 would align Passport to Careers with federal financial aid formulas and automatically deem Passport-eligible youth financially needy for the Washington College Grant; the sponsor and WASAC said it would help foster youth and homeless students access aid earlier and more predictably, and multiple students and advocates testified in strong support. No final action was taken on the bills heard in public testimony during this portion of the meeting.
NH
Transcript Highlights:
- . care. care.
- </c> impact on not only our system of care impact on not only our system of care when<00:22:09.600><c
- </c> appreciates the cost of long-term care. appreciates the cost of long-term care.
- </c> long-term care pedium um lease level. long-term care pedium um lease level.
- and</c><01:54:12.080><c> the</c><01:54:12.320><c> direction</c> direction we're going and the direction
CA
California 2025-2026 Regular Session
Assembly Business and Professions Committee Apr 14th, 2026
Business and Professions
Transcript Highlights:
- Oh, the third provision was a direct recommendation from the industry.
- remain involved, informed, and in direct communication with the patient.
- , but are medically fragile and need ongoing specialized care, such as the care of enteral nutrition.
- Such as the care of enteral nutrition.
- At the same time, access to veterinary care has declined.
CA
California 2025-2026 Regular Session
Assembly Human Services Committee Jun 30th, 2026
Human Services
Transcript Highlights:
- So we want to allow, should an at-home family care provider have the capacity to care for more infants
- still child care deserts.
- Le Petit Papillon provides care for my middle child, and after-school care for my eldest.
- I don't care for an office. I don't care for the space. I don't care to decorate.
- I don't care for an office. I don't care for the space. I don't care to decorate.
AZ
Arizona 2026 Regular Session
02/09/2026 - House Public Safety & Law Enforcement
Public Safety & Law Enforcement
Transcript Highlights:
- Classification to include the intentional use of directed communication, whether verbally, written, or
- Developmentally, teenagers are hardwired to care more about the opinion of others than anything else.
- You were here speaking for a health care crisis and sovereignty against gun violence.
- And then I see over in subpart E, health care providers, health care facilities, yada, yada, yada, shall
- I too like the direction. I heard the concerns that Representative Collenden raised.
Keywords:
manslaughter, suicide encouragement, assisted suicide, online harassment, social media, text messaging, directed communication, minor suicide, youth suicide prevention, criminal liability for speech, online bullying, free speech, homicide, class 2 felony, Cade's Law, Arizona criminal law, sovereignty, border security, health crisis, drug cartels
CA
California 2025-2026 Regular Session
Assembly Higher Education Committee Mar 17th, 2026
Transcript Highlights:
- As you came into the meeting room today, the sergeant directed your attention to the rules for public
- housing, food, clothing, diapers, technology, child care services, and mental health services.
- , and child care.
- Programs like CalWORKs work study and direct aid are not just helpful. They are essential.
- That additional direct aid for benefits, for employment opportunities.
Summary:
The Assembly Higher Education Committee met for a policy hearing on several higher education bills. AB 1534 (Irwin) would create a California approval process for short-term workforce Pell Grant programs; supporters said it would expand access to job training with consumer protections, while a neutral witness urged more work on implementation. Members raised concerns about the bill’s $4,000 tuition cap, but the measure passed 5-1 with an urgency clause and was sent to Labor and Employment.
AB 1831 (Irwin) would cap compensation for certain CSU administrators, bar raises in years when tuition rises, and repeal a 2025 executive pay resolution; the author said she would amend the bill to remove retroactive repeal, narrow the scope, and clarify that it applies to base salary and non-represented managers. CFA, students, and labor groups supported the bill as an accountability measure, while CSU opposed it, arguing the cap would hurt recruitment and retention. The committee approved the bill 4-1-3 and sent it to Appropriations.
The committee also advanced AB 1555 (Hadwick), which would allow up to 200 students to qualify for in-state tuition at College of the Siskiyous under a cross-border regional arrangement; it passed unanimously to Appropriations. AB 1552 (Jackson), requiring the community colleges and CSU and requesting UC to report recommendations on civic engagement and democracy education, also passed to Appropriations after some members objected that such programs could be used for partisan activity. AB 1829, which expands CalWORKs student-parent support by allowing more direct aid and waiving a 25% work-study employer match at the colleges’ discretion, passed 8-1 and was re-referred to Human Services. The committee later added on consent items and adjourned after announcing its next hearing date.
WA
Transcript Highlights:
- And the current secretary, when she was a representative, sponsored a bill that directed WSIPP to look
- at outcomes related to extended foster care.
- , child welfare, direct cash assistance, and the work that we did on HEN and ABD.
- We don't need more restrictions; we need more care.
- We mean more care.
US
US Federal 2025-2026 Regular Session
US House Floor Proceedings (Tuesday, December 2, 2025)
US Federal House Floor Meeting
Transcript Highlights:
- It is up the cost of health care.
- And so we lay before you all our cares and believe that you care for us.
- </c> care for us. care for us.
- But these guys don't care. They don't care. They just go along to get along.
- </c> control the rising cost of health care. control the rising cost of health care.