Video & Transcript : 'Arizona Long Term Care System' :

Page 164 of 500
TX

Texas 89th Regular

Environmental Regulation Apr 24th, 2025

Environmental Regulation

Transcript Highlights:
  • flows, the cost of restoration involves engineering, wildlife rehabilitation, water treatment, and long-term
  • This is a closed-loop system that operates outside of state budgets.
  • Our organization supports stronger, more effective recycling systems.
  • The long-term sustainable circular economy, especially here in Texas.
  • Environmental conditions also suffer from long-term health disparities and are perpetuated by decisions
TX
Transcript Highlights:
  • Gulf Coast Protection District is asking again this session for additional support. funds looking long-term
  • I'll use the term subcontractor to PUC; that may not be the technical term, but to help them because
  • of the coastal barrier system.
  • We have been talking about this for a long time.
  • They don't care about color. You asked some very good questions.
AL

Alabama 2025 Regular Session

Alabama House Ways and Means General Fund Committee Feb 19th, 2025

Ways and Means General Fund

Transcript Highlights:
  • If you end up in a... ...whether it be Domestic Relations or a custody court, as long as a judge has
  • Yeah, you've got to put your kid on, you've got to take care of the kid and you take them off the state
  • But yeah, as long as you would not be forced off of Medicaid if you're at poverty.
  • Be careful with you, which—thank you all. Be careful with you, which—thank you all.
TX

Texas 89th Regular

Transportation Apr 23rd, 2025

Transportation

Transcript Highlights:
  • OK, it's an unusual situation, and Senator Zaffirini is making sure it gets taken care of.
  • These technologies include lane departure warning systems, video-based onboard safety monitoring systems
  • , automatic emergency braking systems.
  • Thank you. the system, the systems, including the tech, the training associated with them, that they
  • Uh, as long as it doesn't change the outcome, then it will. No objections, so ordered.
Summary: The Senate Committee on Transportation heard several bills, mostly local memorial highway designations and transportation-related regulatory measures. Senator Hinojosa presented SB 1351 to designate part of US 281 in Hidalgo County as the Jose Rodriguez Lua Memorial Highway in honor of a Border Patrol processing coordinator killed by a drunk driver; a family member testified emotionally in support, and the bill was left pending. The committee also heard and left pending SB 2245 on bonded titles for vehicles when a lienholder has gone out of business, SB 1568 on animal-friendly specialty license plates with a second “spay, neuter, adopt” plate, SB 2589 on handling closed county roads in Webb County, SB 1104 on allowing large retailers to use one fingerprinted employee of record across multiple Texas locations, SB 1423 naming the Bill Stout Parkway in Longview, and SB 1931 naming part of US 83 the Rodolfo Valdez Memorial Highway. Most of these bills drew supportive testimony or were presented as local measures with no opposition. The committee also took up broader policy bills. SB 215 would create a digital identification program for Texas driver’s licenses and certain other licenses, but the sponsor said he was mainly laying the bill out for discussion and study; testimony was limited and the bill was left pending. SB 2707 would clarify that government entities such as TxDOT and the military remain exempt from fees on oversized/overweight permit authority, though a county commissioner raised questions about road-use impacts and fee revenue. SB 2807 drew the most discussion: it would prevent a motor carrier’s use of safety technology, training, and related practices from being used as evidence that an independent contractor is actually an employee. Supporters said the bill would encourage adoption of safety tools like cameras and braking systems without increasing misclassification risk, while opponents from the trial lawyers’ side warned the wording could conflict with existing labor-code definitions and create litigation. The sponsor and committee members discussed possible clarifying floor amendments. After public testimony, the committee voted on the pending bills. All measures were reported favorably on 6-0 votes, with committee substitutes adopted where applicable. SB 1351, SB 1423, SB 1568, SB 1931, SB 2245, SB 2589, SB 2707, SB 2807, and SB 2841 were all sent to the full Senate, and several were recommended for the local and uncontested calendar. The committee recessed subject to the call of the chair after completing the votes.
MA

Massachusetts 2025-2026 Regular Session

Joint Committee on Health Care Financing Jan 15th, 2026

Joint Committee on Health Care Financing

Transcript Highlights:
  • The economic and social benefits of timely ASD intervention, including reduced long-term care costs and
  • of care for children with autism.
  • Connecticut, a long time. Maine, Pennsylvania, New York, New Jersey, long time.
  • and especially for direct care workers.
  • It improves long-term outcomes and reduces lifetime support costs, yet providers across Massachusetts
Summary: The Joint Committee on Health Care Financing held a public hearing on a range of health care financing bills focused largely on autism services and kidney disease coverage. Committee chairs John Lawn and Cindy Friedman outlined hearing procedures and noted that written testimony would continue to be accepted until each bill is acted upon. They said the day’s bills addressed affordability and access to behavioral health services, provider reimbursement, Medicare coverage for vulnerable patients, and MassHealth eligibility asset exemptions. A major portion of the hearing concerned House Bill 4623, which would recognize board-certified assistant behavior analysts (BCABAs) in the MassHealth reimbursement framework to help address long wait lists for autism spectrum disorder services. Representative Lisa Field and several providers testified that Massachusetts families face long delays for ABA services and that adding BCABAs would expand workforce capacity, reduce costs, and improve access. Wakely actuary Annie Tasman Ewing said a three-tier model could reduce MassHealth costs by up to 6% annually, while Dr. Sandra Beaton and others described severe wait lists and said the bill would allow more families to be served sooner. The committee also heard extensive testimony on House Bill 4425 and Senate Bill 2737, which would allow people under 65 with end-stage renal disease to purchase Medigap coverage. Representative Stanley, Senator Gomez, and advocates from the American Kidney Fund and Dialysis Patient Citizens argued that current law unfairly excludes these patients, leaves them with high out-of-pocket costs, and can delay transplant eligibility because many centers require secondary insurance. Testifiers said the change would help about 846 residents, could cost insurers only a small premium increase, and might reduce Medicaid spending by avoiding asset spend-downs. Committee members asked questions about the existing statutory carve-out and the practical effects on transplant access. The hearing also included testimony on House Bill 4353 and Senate Bill 2587, which would require regular Medicaid rate reviews for ABA services. Providers and clinicians said current MassHealth rates no longer reflect the cost of delivering care, especially with new 2026 policy requirements, workforce shortages, and accreditation obligations. They emphasized that the bills would not mandate a rate increase but would create a data-driven, transparent review process. At the end of the hearing, the chairs thanked participants, invited additional written testimony, and the committee voted unanimously to adjourn the hearing.
CA
Transcript Highlights:
  • So I'd like there to be a coming together of folks from education, folks from long-term care, folks from
  • So I'd like there to be a coming together of folks from education, folks from long-term care, folks from
  • Do you think this presents a concern for the long-term sustainability of your fund condition?
  • Do you think this presents a concern for the long-term. with a little over 1,000 naturopathic doctors
  • Do you think this presents a concern for the long-term sustainability of your fund condition?
Keywords: 988, house, all
CA
Transcript Highlights:
  • So I'd like there to be a coming together of folks from education, folks from long-term care, folks from
  • We welcome the while supporting a modern, well-functioning health care system.
  • Do you think this presents a concern for the long-term with a little over 1,000 naturopathic doctors.
  • Do you think this presents a concern for the long-term sustainability of your fund condition?
  • Do you think this presents a concern for the long-term sustainability of your fund condition?
Summary: The joint Assembly and Senate business committees held a sunset review hearing for five California regulatory entities: the Respiratory Care Board, the California Council for Interior Design Certification, the Speech-Language Pathology and Audiology and Hearing Aid Dispensers Board, the Board of Occupational Therapy, and the Board of Naturopathic Medicine. Each board or council described its licensing, enforcement, modernization, and consumer-protection work since the last review, and committee members focused on workforce access, transparency, fee authority, and whether current regulatory structures are appropriately tailored to public safety. For the Respiratory Care Board, the main issue was a proposal to move toward a bachelor’s degree requirement for licensure. Board representatives said the change would better align education with the complexity of care and could help the profession’s long-term status and reimbursement prospects, but Assembly Member Addis and others raised concerns about rural access, staffing shortages, and added barriers to entry. Public commenters, including respiratory therapists, families, and congregate living health facility operators, strongly opposed the degree mandate and urged continued use of LVNs for certain respiratory tasks in community settings. The board also discussed its ongoing work on LVN respiratory care issues, updated suctioning guidance, digitized licensing and enforcement systems, and fee cleanup language. The interior design item drew the most debate. CCIDC leaders defended the current title-act certification model, arguing it establishes competency without evidence of public harm and avoids the disruption a full licensure system could cause. Several committee members questioned the lack of enforcement authority, the private nonprofit structure, Bagley-Keene compliance, and whether certification meaningfully improves plan acceptance or public safety. Public testimony was split: supporters said the system works and preserves flexibility, while opponents argued the model lacks accountability, creates confusion, and does not reliably prevent plan-check denials or protect the public. The speech-language pathology/audiology board reported major modernization gains, including a new online licensure system, faster processing, continuing education audits, and updated supervision and advertising rules; it also received support for creating a new audiology assistant license category, while a consumer group urged more public members, proactive inspections, and faster discipline. The occupational therapy board reported growth, improved enforcement and licensing performance, and a need for additional fee authority to address rising costs, while public testimony supported reducing advanced practice hand therapy training hours. The final naturopathic medicine item began at the end of the transcript, but no substantive discussion was captured before the excerpt ended.
AZ

Arizona 2026 Regular Session

02/03/2026 - Senate Floor Session

Arizona Senate Floor Meeting

Transcript Highlights:
  • And so they traveled a long way, and I really appreciate that. ...your indulgence. Exactly.
  • SB 1564, electronic monitoring, long-term care. HHS. SB 1566, malicious delay enforcement penalty.
  • SB 1602, kinship foster care stipend increase. HHS and ATT, sorry. SB 1603.
  • SB 1620, Arizona Space Commission Board membership. MABS.
  • SB 1597, child care waiting list appropriation. HHS and ATT.
Keywords: 1182, all
US

US Federal 2025-2026 Regular Session

US House Floor Proceedings (Tuesday, June 9, 2026)

US Federal House Floor Meeting

Transcript Highlights:
  • At the same time, frontline officers and employees were left with long-term uncertainty.
  • employees<03:11:15.040><c> were</c><03:11:15.279><c> left</c><03:11:15.520><c> with</c><03:11:15.840><c> long-term
  • </c> employees were left with long-term employees were left with long-term uncertainty. uncertainty.
  • </c> care, ballrooms. care, ballrooms.
  • Fight to lower and fix our broken health care system. Fight to get ICE under control.
OK
Transcript Highlights:
  • Long before she specialized in hospice and intensive care.
  • It is this understanding that fuels her care.
  • of what they will and will not allow in terms of access.
  • them and take care of them.
  • Do you care to vote? Representative Ey votes yes.
OK
Transcript Highlights:
  • Long before she specialized in hospice and intensive care, she balanced the demanding roles of a single
  • It is this understanding that fuels her care.
  • Health care partners that I spoke to, yes, were okay with it. Thank you.
  • It's not about offering health care.
  • Representative Deck, do you care to vote? Representative Pae votes yes.
Summary: The House opened with prayer, the Pledge of Allegiance, and several introductions, including the Nurse of the Day and a guest pastor, on the National Day of Prayer. Members also made announcements about prayer activities in the Capitol and welcomed former Speaker Charles McCall to the gallery. The chamber then moved through a long floor calendar of Senate bills, joint resolutions, and a conference committee report, with several measures amended on the floor before final passage. Among the bills passed were SB 1090, a consumer protection measure aimed at giving homeowners time to cancel contracts with predatory door-knocking roofers and contractors; SJR 49, repealing a Wildlife Conservation Commission rule on surety for oil and gas leases; SB 633, a juvenile code measure described as protecting children from fentanyl poisoning; SB 650, a public utilities bill tied to transparency and accountability for state employee salary increases; SB 263, amended to include a “lemonade stand” provision; SB 122, a transportation-related bill on proof of insurance; and SB 1614, creating a teacher induction program, which also received emergency passage. SJR 52 and HJR 1101, both dealing with agency rules, also passed, as did SJR 53 on Oklahoma Medical Marijuana Authority rules. The most debated item was SB 1884, which would strengthen equal access for school employees to teacher professional organizations and related membership/dues procedures. Supporters argued it would clarify existing law, ensure fair access, and give teachers more choice and legal support; opponents said the problem was compliance with current law, not a need for new statute, and warned against duplicating existing protections. After extended debate, the bill failed 47-44. Members then took up SJR 50, a major Medicaid expansion-related resolution revising earlier trigger language; supporters said it preserved expansion unless federal funding changed and gave lawmakers flexibility, while opponents argued the state had not done enough fiscal analysis before proposing changes. SJR 50 passed 69-18. Finally, the House adopted a conference committee report on HB 3021, consolidating graduation requirements into the ICAP framework and clarifying related school rules, and the bill passed with emergency status.
CA
Transcript Highlights:
  • a 150% increase in licensing fees, with 50% dedicated specifically to cemetery rehabilitation and long-term
  • increase in licensing fees and with fifty percent dedicated specifically to cemetery rehabilitation and long-term
  • We aren't set up to absorb the long-term financial, legal, or emotional costs.
  • The existing law forces us into a system that was never meant for us.
  • This creates barriers to our effectiveness and to our long-term sustainability in multiple ways.
Summary: The Assembly Business and Professions Committee heard a lengthy agenda of Senate bills, with most measures ultimately advancing on party-line or broad bipartisan votes after substantial testimony and several amendments. Early in the hearing, SB 418 by Sen. Menjivar was presented as a health access bill to codify ACA nondiscrimination protections in state law and require coverage for up to a 12-month supply of medically approved hormone therapy; supporters framed it as protecting continuity of care amid federal threats, while there was no opposition testimony. The committee later also took up SB 456, which would exempt muralists from contractor licensing requirements for commissioned fine art murals; supporters said recent enforcement had chilled mural projects and harmed artists and communities, and the bill passed unanimously to Appropriations. SB 641, part of the wildfire response package, and SB 774, a sunset review bill for the Department of Real Estate and Bureau of Real Estate Appraisers, also advanced with support and no opposition. SB 775 and SB 776, sunset extensions for the behavioral sciences, psychology, and optometry boards, passed after witnesses described technical changes and the need to keep the boards operating. SB 777, dealing with abandoned cemeteries, drew testimony from local governments, industry, and counties; after amendments removed a local takeover mandate and shifted the bill toward a stakeholder working group and study process, opposition softened or was withdrawn and the bill moved forward to Local Government. SB 790, on interstate reciprocity for online higher education, generated the most debate, with supporters arguing California students and institutions need stronger consumer protections and access to the national reciprocity framework, while opponents said the bill’s terms conflicted with the existing compact; it passed as amended to Appropriations after committee members emphasized continued work on student protections. The consent calendar, including SB 389 and SB 861, was also approved, and the committee adjourned after additional vote changes were recorded.
NM

New Mexico 2026 Regular Session

Senate - Indian, Rural and Cultural Affairs Feb 10th, 2026 at 10:06 am

Senate Indian, Rural & Cultural Affairs

Transcript Highlights:
  • When I served on the National Association of Counties, I worked with Supervisor Lena Fowler from Arizona
  • From Arizona, we brought forward a bill to clean up all uranium mining tailings in Navajo Nation, and
  • I've been representing uranium mining companies for a long time.
  • Cleaning up four sites goes a very long way, even though people say it doesn't hardly matter.
  • This investment also helps ensure accountability and long-term action.
Bills: SB201, SB226, SB242, SB249
AZ

Arizona 2026 Regular Session

04/14/2026 - Senate Floor Session

Arizona Senate Floor Meeting

Transcript Highlights:
  • Yeah, it's a long one, Mr. Chairman. I'll pick the highlights here.
  • H.C.R. 2059, a concurrent resolution supporting the county shares of Arizona.
  • Dated this 14th day of April, '26, signed Mark Fincham, Arizona State Senator, LD 1.
  • The system is open, and the Senate will now proceed to vote. The system is open.
  • The system is closed. Secretary, record the vote.
Keywords: 1182, all
LA

Louisiana 2026 Regular Session

House of Representatives Jun 1st, 2026

Louisiana House Floor Meeting

Transcript Highlights:
  • not been spared very much in this state when it comes to natural disasters, but I will tell you it's long-term
  • And when you look back over some of our terms here, you've seen Cato and Claiborne as declared disaster
  • Jude Children's Research Hospital, where Bella continues to receive care.
  • With that comes our wanting to take care of the quality of water in the Mississippi.
  • comprehensive review of the MFP and develop a recommendation for a restructured formula that creates a long-term
Summary: The House convened with a quorum, opened with prayer, the pledge, and a national anthem performance, then moved through several personal privileges and recognitions. Members welcomed a student cancer survivor and entrepreneur, Bella of Brave Bella Bead Company, and also recognized a new legislative assistant, a page leaving for college, and a resolution honoring National Mississippi River Day. The chamber also received conference committee reports and enrollment reports, and returned some previously failed measures to the calendar, including H.R. 119 and H.B. 410. The main floor action centered on a series of Senate concurrent resolutions, most of which were adopted overwhelmingly. These included SCR 59 on re-evaluating flood maps and insurance rates tied to the Comite River Diversion Canal, SCR 61 urging higher reimbursement for behavioral health crisis centers, SCR 62 calling for review of school-zone safety and speed limits, SCR 68 creating a blockchain and digital innovation task force, SCR 69 encouraging continued research to reduce sugarcane burning, SCR 70 supporting the Major Richard Star Act for medically retired combat-wounded veterans, SCR 54 supporting the Mississippi River Basin Fishery Commission Act, SCR 55 designating the Peggy Martin Rose as the official state rose, SCR 64 creating a construction manager-at-risk task force, SCR 75 studying a Louisiana maneuvers museum and trail, and SCR 80 creating a task force on the minimum foundation program and long-term teacher pay funding. Most passed with little or no opposition, with SCR 84 on earthquake seismic activity in several parishes amended to adjust task force membership before final adoption. The House also heard a personal privilege statement honoring the late Ponder P.C. Clinton Jr., a noted Black farmer, cattleman, and community leader in Shreveport’s Cedar Grove neighborhood, and expressed condolences to his family. Later, members received a hurricane-season reminder from Rep. Jay Galle about disaster response procedures and the need to work through parish emergency offices. The transcript ends as the House moves into additional concurrent resolutions returned from the Senate with amendments.
LA

Louisiana 2026 Regular Session

House of Representatives Jun 1st, 2026

Louisiana House Floor Meeting

Transcript Highlights:
  • not been spared very much in this state when it comes to natural disasters, but I will tell you it’s long-term
  • comprehensive review of the MFP and develop a recommendation for a restructured formula that creates a long-term
  • A wise third-term member said to me last week that people have been complaining about DCFS since as long
  • of Louisiana, including differences affecting long-term participants.
  • visitation, parental rights, and such determinations directly affecting the safety, stability, and long-term
ID

Idaho 2026 Regular Session

Agenda Mar 26th, 2026

Transcript Highlights:
  • Again, this is a valuable service that doesn't impact access to care.
  • the three months because I want to make sure that the requirements that we're putting in are more long-term
  • , not just a short-term look.
  • I know, I don't need too long.
  • They're working through implementing managed care, which we told them to do last year.
Summary: The Senate Health and Welfare Committee first approved the March 4 and March 5, 2026 minutes, then heard House Bill 935, which would consolidate the Board of Denturity into the Board of Dentistry as part of occupational licensing reform. Senator Lakey said the merger would create efficiencies, reduce costs, and help address the denturist board’s ongoing deficit, while preserving separate scopes of practice and giving denturists a seat on the combined board. Supporters from the Idaho State Dental Association and DOPL-backed testimony said the change would maintain public protection and lower fees; denturists and their association opposed the bill, arguing it creates a conflict of interest, could allow competitors to influence education and licensing standards, and could threaten access and patient choice. After debate, the committee adopted a motion to send HB 935 to the floor with a due pass recommendation by a 4-3 roll call vote. The committee then took up House Bill 913, which would begin implementing the federal Medicaid work/community engagement requirements for able-bodied adults ahead of the January 1, 2027 deadline. The bill proposed a three-month look-back period and a process intended to give enrollees notice and time to comply before the federal requirement takes effect. The sponsor argued this would help the state prepare budgets, spread out redeterminations, and give people time to meet the requirements; supporters said it would encourage work and independence. Hospital, children’s advocacy, and other opponents warned that the three-month look-back would add administrative burden, increase costs, and risk erroneous coverage losses, with some urging a one-month look-back instead. After a failed substitute motion to send the bill to the 14th order for possible amendments, the committee voted to send HB 913 to the floor with a due pass recommendation and then adjourned.
WA

Washington 2025-2026 Regular Session

House Finance Jan 22nd, 2026

Transcript Highlights:
  • These taxes support the Paid Family and Medical Leave program, the long-term care insurance program,
  • popular capital gains tax and other progressive taxes considered this session will be critical for long-term
  • While the state may see short-term revenue, the long-term risk is losing jobs, investment, and competitiveness
  • Washington's long-term fiscal health depends on growing high-demand tech jobs.
  • I was a ...about to lose their long-term care. I am an immigrant. I was forced to leave Ukraine.
Summary: The committee held public hearings on several bills. HB 2140 would exempt land sold or transferred to a governmental entity from additional tax when removed from open space classification in certain circumstances. Staff explained the current use property tax system and said the bill would likely have minimal but indeterminate revenue effects, with about $30,000 in one-time Department of Revenue costs. Representative Lowe said the bill was intended to fix a niche problem where a farmer loses a small frontage strip to a county and is then charged back taxes despite no change in land use. FutureWise testified in support of the bill’s intent but asked for small language changes to ensure transferred land remains compatible with agricultural or open space use. The public hearing on HB 2140 was then closed. HB 2326 would allow a fire protection district that is partially overlapped by another district’s EMS levy to impose its own levy on the portion not already covered, subject to voter approval in the affected area. Staff said the bill would have no state general fund impact and about $28,000 in one-time Department of Revenue costs. Fire district and fire chief representatives testified in support, describing situations in Clark County and Kittitas County where most residents cannot vote on an EMS levy because a small overlapping area already has one. Opponents, including Washington Citizens Against Unfair Taxes, argued the bill would add to property tax burdens. The hearing on HB 2326 then closed. HB 2334 would require rounding of cash transactions to the nearest five cents as pennies are phased out of circulation, while leaving non-cash payments unchanged. Staff said the bill would apply to the final total after taxes and fees, with an indeterminate but minimal state revenue impact and significant Department of Revenue implementation costs. The prime sponsor said the bill was needed because the federal government ended penny production without giving states guidance. Retail and grocery groups generally supported the concept but requested amendments for clarity, consumer protection, SNAP compliance, and flexibility while pennies remain in circulation; one witness opposed the bill as another tax burden. The hearing on HB 2334 was then closed. The committee then heard HB 2100, a proposed statewide payroll expense tax on large operating companies to fund a new Well Washington Fund for higher education, health care, cash assistance, energy, and housing. Staff said the proposed substitute would apply to employers with at least 250 employees and $7 million in annual payroll, exclude certain public and health care entities, and generate substantial revenue, with the fiscal note estimating about $7.6 billion to the general fund and $4.2 billion to the new fund in the 2027–29 biennium under the revised threshold. Supporters, including poverty, housing, labor, education, disability, and faith advocates, said the bill would help offset federal cuts and protect vulnerable residents. Business, retail, hospitality, construction, and technology groups opposed it, warning of job losses, higher costs, reduced competitiveness, and broader impacts on consumers and employers. The prime sponsor said the bill was a response to federal divestment and that the state needed a progressive revenue source now; no vote was taken in the transcript.
NM

New Mexico 2026 Regular Session

House - Judiciary Jan 26th, 2026 at 01:47 pm

House Judiciary

Transcript Highlights:
  • health care here in New Mexico.
  • and gender-affirming care.
  • . ...reproductive care.
  • , abortion care, and gender-affirming care.
  • She also said it helps people coming from long-term care or skilled nursing facilities in rural communities
Keywords: 996, all
AZ

Arizona 2026 Regular Session

04/15/2026 - Senate Floor Session

Arizona Senate Floor Meeting

Transcript Highlights:
  • House Bill 2752, an act amending Section 41-5204, Arizona Revised Statutes, relating to the Arizona Commerce
  • House Bill 2932, an act amending Title 36, Chapter 29, Article 1, relating to the Arizona Health Care
  • Cost Containment System.
  • Health Care Cost Containment System.
  • The system is now open for the Senate to vote.
Keywords: 1182, all