Video & Transcript : 'direct care' :
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WA
Washington 2025-2026 Regular Session
Senate Early Learning & K-12 Education Jan 15th, 2026 at 10:30 am
Early Learning & K-12 Education
Transcript Highlights:
- , whether it be in a child care center or in a family child care home.
- , whether it be in a child care center, whether it be in a family child care home.
- and providing high quality care and increasing access to that care.
- of areas regarding child care.
- of areas regarding child care.
Keywords:
physical education, school districts, student requirements, education policy, high school, early literacy, childhood literacy, book distribution, Imagination Library, Dolly Parton Imagination Library, preschool, pre-K, reading readiness, school readiness, birth to age five, young children, nonprofit contract, OSPI, Office of Superintendent of Public Instruction, DCYF
MN
Minnesota 2025-2026 Regular Session
House Human Services Finance and Policy Committee 2/24/26
Human Services Finance and Policy
Transcript Highlights:
- </c><00:02:54.640><c> act</c> Medicaid since the affordable care act Medicaid since the affordable care
- </c><00:03:56.560><c> Um,</c> health care coverage for people. Um, health care coverage for people.
- In the next graph, the bar is the long-term care waiver and home care service set of services.
- The traditional health care services, excluding long-term care, to that population.
- So state directed payments or SDPs are provider payment arrangements through managed care.
Bills:
HR1
WA
Washington 2025-2026 Regular Session
House Finance Jan 20th, 2026
Transcript Highlights:
- There is no direct impact on state revenues.
- There is no direct impact on state revenues.
- There is no direct impact on direct revenues.
- I think there is direction.
- They do not care about hosts. They do not care about guests.
Summary:
The House Finance Committee heard briefings and public testimony on several bills related to local tax authority and exemptions. HB 2559 would let cities and counties impose an additional 4% lodging/short-term rental excise tax starting in 2027, with revenues dedicated to affordable housing programs and up to 15% for administration. Staff explained existing lodging tax limits and estimated substantial local collections, while the prime sponsor and supporters argued it would give local governments a needed tool to address housing shortages caused in part by short-term rentals. Opponents, including short-term rental owners and hosts, said the tax would hurt tourism communities, reduce supplemental income for owners, and should not single out one lodging segment. The hearing on HB 2559 was suspended and later reopened for additional testimony; no vote was taken.
The committee also heard HB 2133, which would make permanent the property tax exemption for multipurpose nonprofit senior citizen centers. Staff said the exemption is currently set to expire in 2028 and that the bill would remove it from the automatic 10-year sunset. The sponsor and a veteran/senior center perspective emphasized that the exemption helps keep senior centers open and supports isolated older adults. A question was raised about whether a broader nonprofit community center with senior-focused space would qualify, and staff said they would follow up. The hearing on HB 2133 was then closed.
HB 2135 would increase and extend the adaptive housing sales and use tax remittance for disabled veterans, raising the individual lifetime cap from $2,500 to $5,000, increasing the statewide annual cap, and extending the program’s expiration to 2038. Staff said the fiscal impact would be minimal because use is low, and a veterans coalition representative supported the bill as a way to ensure more federal grant dollars go toward home modifications. The hearing on HB 2135 was closed.
The committee spent the most time on HB 2442, an eight-part local government tax and fund-flexibility bill. It would expand uses of existing REET revenues, allow cities to adopt an affordable-housing REET under certain conditions, authorize county public utility taxes with a low-income assistance set-aside, create a new local sales tax for children and family services, broaden housing-related sales tax uses, restructure mental health and veterans property tax levies, extend levy lid lift periods, and allow rental car tax revenues to be used for criminal justice purposes. Supporters from counties, cities, housing groups, and some local officials said the bill would provide needed fiscal flexibility and new tools to address housing, public safety, and service demands. Opponents from utilities, realtors, water and sewer districts, wireless carriers, auto dealers, and tax critics argued the bill would raise regressive costs, especially on housing and utility customers, and that some provisions lacked a sufficient nexus to the original taxes. The hearing on HB 2442 was closed after extensive testimony.
AZ
Transcript Highlights:
- I'm a former foster youth and currently work as direct care staff in a foster group home that I myself
- out of care.
- So she got placed in care and then back to family, placed in care and back to family.
- in and out of care so she got placed in care and then back to family placing care and back to family
- Find kinship care first.
Summary:
The special committee on government convened to discuss child welfare reform, with members framing the meeting as a response to Arizona Auditor General findings and broader concerns about the Department of Child Safety (DCS). The chair emphasized that the committee’s goal was to improve accountability, oversight, and child-centered practices rather than assign blame, and said bills advanced from the committee would move to the floor. Roll was taken, and the committee then heard testimony on several bills focused on foster care and DCS operations.
HB 2611 was heard first. The bill would require termination of a group foster home employee who tests positive on a drug screen, establish screening and safety requirements for group homes, expand foster youth rights, and include designated advocates on family/service teams. An amendment was adopted that changed the drug-testing language to require removal from child contact pending confirmatory review rather than automatic termination, and to require testing after certain incidents. Supporters, including foster youth and former foster youth, described unsafe conditions in group homes, bullying, drug use by staff, inadequate training, and the need for posted rights, mental health services, and stronger accountability. Some members raised questions about the amendment, drug-testing procedures, backup staffing, and contracting authority, but the amendment passed and HB 2611 was given a do pass recommendation by a 5-1-1 vote.
The committee next considered HB 2035, which would add extended family members to the search, notification, and placement process when a child enters custody and create a presumption that placement with relatives or significant adults is in the child’s best interest. Testimony strongly favored kinship placement, with speakers arguing that children do better with familiar caregivers and that current practice often fails to locate or prioritize relatives. Several witnesses described tragic cases, including the death of Zariah Finley Dodd, to argue that repeated placements and congregate care increase risk. Some members questioned whether the bill duplicated existing law and asked for clarification on differences from prior legislation; the sponsor said the bill strengthens existing policy and adds written documentation requirements. HB 2035 was ultimately given a do pass recommendation by a 4-2 vote.
Finally, the committee heard HB 4049, which would authorize DCS to employ legal counsel and incur legal expenses, along with an amendment that would require independent representation or review in certain cases involving credible allegations against DCS or its agents. The sponsor and several witnesses argued that the Attorney General’s office has a structural conflict when representing DCS, and that independent counsel would better ensure honesty and accountability in court proceedings. Others cautioned that keeping representation within the Attorney General’s office preserves consistency, oversight, and existing checks and balances. Discussion continued on the structure of legal representation for DCS, but the transcript ends before a final vote on HB 4049 is recorded.
US
US Federal 2025-2026 Regular Session
US House Floor Proceedings (Tuesday, June 23, 2026)
US Federal House Floor Meeting
Transcript Highlights:
- I've spent 35 years taking care of patients, and the amount of treachery in the health care industry
- That they cannot afford health care right now.
- I'll go after any entity in the health care industry regardless that is causing the cost of health care
- The insurance industry is destroying American health care.
- H.R. 8880 would direct the U.S.
CA
California 2025-2026 Regular Session
Senate Human Services Committee Jun 15th, 2026
Transcript Highlights:
- But too many families still cannot find care they can afford or find care at all.
- the true cost of care.
- You must support AB 1981, the True Cost of Care Act. AB 1981 is... The True Cost of Care Act.
- Fund the true cost of care, pass AB 1981, and stabilize California's child care workforce today.
- By pairing direct services with whole-family support, food, transportation, and child care, we've cut
Summary:
The committee heard several child welfare, food assistance, child care, and developmental services bills. AB 308 would require a statewide evaluation of regional center safety training and crisis-response services for people with intellectual and developmental disabilities; supporters said it would help reduce reliance on law enforcement and improve de-escalation and emergency preparedness. AB 1049 would remove sponsor deeming from the California Food Assistance Program, with supporters from food banks and legal aid arguing the rule creates confusion, chilling effects, and wrongful denials, while one member raised concerns about accountability and fraud. AB 1201 would narrow when a parent’s prior violent felony can bar reunification services, limiting the bypass to offenses involving a child or a child’s other parent/guardian; county and advocacy witnesses said the bill preserves judicial discretion and avoids automatic denials, though a member expressed concern about child safety in violent or criminal environments. AB 2379 would require family child care providers to be notified of constitutional rights and receive multilingual training regarding immigration enforcement; it drew broad support and no opposition. AB 2429 would make ACEs screening optional and reduce required classroom observations in the early childhood mental health consultation program, with supporters saying it would reduce administrative burdens and expand participation. AB 1755 would eliminate CalWORKs’ 100-hour monthly work penalty for two-parent families, and supporters said it would reduce poverty and administrative burden without changing income eligibility. AB 1981, presented later, would advance “true cost of care” child care rate reform, with providers describing the current reimbursement system as unsustainable. AB 2478 would create a streamlined kinship family approval pathway for foster care placements with relatives and other kin, and AB 1969 and AB 1996 would create statewide structures to coordinate cradle-to-career services and reduce child poverty, respectively; both were presented as data-driven, place-based efforts to align services and set measurable reduction goals.
Most bills received strong support from county agencies, advocacy organizations, and service providers, with little or no opposition testimony. Members generally praised the goals of the measures but asked questions about implementation, accountability, and child safety in the reunification and benefits bills. The committee took roll calls on the bills it heard, and the votes shown in the transcript were largely unanimous or near-unanimous, with several measures held on call after passing committee votes. AB 1049 was voted out 2-1, AB 1201 and AB 2379 were each voted out 3-0, AB 2429 and AB 1755 were voted out 2-0, and AB 2478, AB 1969, and AB 1996 were each voted out 2-0; the chair repeatedly noted that some bills would remain on call pending absent members. AB 1981 drew extensive support testimony from child care providers and allies, but the committee did not take a final vote in the portion of the transcript provided because no motion was available at that moment.
MA
Massachusetts 2025-2026 Regular Session
Joint Committee on Ways and Means Jun 21st, 2026 at 10:00 am
Joint Committee on Ways and Means
Transcript Highlights:
- Chelsea continues to exceed industry benchmarks in direct care staffing.
- Our direct care team delivers 6.11 hours of care per resident day, including 0.93 RN hours, 0.8 LPN hours
- Holyoke continues to exceed national long-term care benchmarks in direct care staffing.
- Our team delivers 6.99 hours of direct care per veteran day, including 1.48 RN hours, 0.79 LPN hours,
- And the direct support certificate program, which partners with community colleges to equip direct care
Summary:
The hearing was a FY27 budget session on Health and Human Services held in Mattapan, hosted by the Joint Committee on Ways and Means. Opening remarks from Senator Lydia Edwards, Representative Brandy Fluker-Reed, Representative Russell Holmes, and Boston Public Library President David Leonard emphasized the significance of holding the first Ways and Means hearing in Mattapan, the importance of community access, and the role of libraries as human services institutions. Committee members and attendees introduced themselves before agency testimony began.
MassAbility testified first, describing its mission to support people with disabilities through employment, independent living, and disability determination services. The agency highlighted federal funding uncertainty, a modest FY27 budget reduction, and a proposed reworking of its home care program, which it said is outdated and should better target those most in need. Members questioned the home care cut, staffing reductions, and federal coordination. MassAbility also shared a participant story about recovery and community support to illustrate the impact of its services.
The Massachusetts Commission for the Deaf and Hard of Hearing then presented its FY27 request, focusing on interpreter and captioning access, workforce development, emergency communication, aging-related hearing loss, and transition services for deaf and hard-of-hearing youth. Members asked about interpreter shortages, after-hours emergency coverage, ASL education, and community training; the commission said it is expanding mentorship and referral systems but still faces staffing and vendor challenges. The Massachusetts Commission for the Blind followed with a $30.8 million request, describing services for nearly 9,000 consumers, peer support groups, vocational rehabilitation, and Turning 22 services, while noting federal funding uncertainty and a 7% budget cut. Members raised concerns about maintaining services with fewer resources, and the commissioner said the agency had trimmed overhead and could manage the proposal.
The Office for Refugees and Immigrants closed the segment, outlining expanded legal, housing, workforce, citizenship, and financial literacy supports for immigrants and refugees, including Know Your Rights trainings, legal defense initiatives, and the Massachusetts Access to Counsel Initiative. Members discussed the effects of federal policy changes, the loss of refugee resettlement funding, and the need for state support to fill gaps. No votes were taken in the portion provided; the hearing consisted of agency presentations and committee questioning.
MN
Minnesota 2025-2026 Regular Session
Minnesota House health committee OKs omnibus finance bill that complies with Medicaid changes Apr 16th, 2026
Transcript Highlights:
- It directs the DHS commissioner to obtain and use information from certain sources like managed care
- to care.
- fertility with that care.
- </c> to managed care? to managed care? >> Mr.<00:38:12.560><c> Gildmeister.
- And they will need care, and that care will have to be paid for by somebody.
Summary:
The committee took up House File 4466, the sub health supplemental budget bill, and moved it to the Ways and Means Committee after a walkthrough of the fiscal spreadsheet and the DE1 amendment. Nonpartisan staff explained that the bill produces general fund savings of about $2.4 million in FY27 for the 2026-27 biennium and about $97.7 million in the next biennium, with most savings tied to HR1-related Medical Assistance changes affecting adults without children. The Department of Health provisions were described as largely cost-neutral, with some increases for implementation, data, and IT work.
Staff then reviewed the DE1, which combines several bills into four articles. The bill includes health licensing board changes, Department of Health provisions such as all-payer claims database fees, newborn screening fee exceptions, loan forgiveness and scholarship program extensions, workforce shortage grant changes, and reciprocal licensure and mortuary science provisions. The federal conformity article makes changes related to MA work and community engagement requirements, six-month renewals, retroactive eligibility limits, contact information updates, cost sharing for MA expansion enrollees, and related provider tax and disability-notice provisions. Article 4 and Article 5 were described as forecast adjustments for DHS and the Department of Children, Youth, and Families.
Public testimony focused largely on the federal conformity and eligibility provisions. Legal aid testified that the work requirements and retroactive eligibility changes would be confusing, could expand requirements beyond intended groups, and would increase uncompensated care. The Minnesota Hospital Association said shortening retroactive eligibility would increase uncompensated care and strain hospital finances, and Unidos Minnesota criticized the immigrant eligibility changes as harmful to lawfully present immigrants and Native communities. Blood Cancer United supported the all-payer claims database provisions and urged attention to fertility coverage. Representative Elkins offered an amendment to add $55,000 for the Department of Health to include denied-claims data in the all-payer claims database; Department of Health staff said the idea was useful and provided a one-time setup cost, but the amendment was not acted on in the portion of the transcript provided.
CA
California 2025-2026 Regular Session
Senate Revenue and Taxation Committee Apr 8th, 2026
Transcript Highlights:
- , her health care, and long-term care at her center.
- Let's take care of them. Let's honor them.
- We have a rural health care system currently on the ropes and federally qualified health care centers
- Be careful here.
- Be careful here.
Summary:
The committee heard Senate Bill 1277, which would create a California Cost of Living Tax Credit modeled on the 2022 middle-class tax refund to provide refundable relief to low- and middle-income Californians facing high housing, fuel, energy, and general living costs. Senator Grove and supporters, including the California Policy Center and some local government representatives, argued the bill would put direct relief into the hands of working families. Opposition came from the California Tax Reform Association and the California Teachers Association, which said California already has progressive tax credits and that the proposal would be costly to the General Fund and reduce money for schools and other services. After extended debate, the bill was not advanced; a roll call vote on a motion to pass it to Appropriations failed 1-4, and the bill was held/fails on the floor with a request for reconsideration noted.
The committee then heard SB 1287, which would create a capped tax credit to encourage private investment in short-line railroad infrastructure. The author and rail industry witnesses said the measure would improve safety, reliability, emissions, and freight movement, especially for rural communities and agriculture, and that it was a public-private partnership rather than a handout. Opposition from CTA and the California Tax Reform Association argued a direct grant program would be preferable to a tax credit. The bill was accepted with committee amendments and placed on call without a final vote in the transcript.
Members also considered SB 1407, which would fully exempt military retirement pay and surviving spouse benefits from state income tax, increasing the prior partial exemption. The author, State Treasurer Fiona Ma, and veterans’ groups said the change would help retain veterans in California, support local economies, and align California with most other states. CTA and CTRA opposed on General Fund grounds. The committee approved the bill on a due-pass-as-amended motion to the Committee on Military and Veterans Affairs, with the roll call showing support and the bill placed on call.
Later, the committee heard SB 1349, directing the Legislative Analyst’s Office to review major tax expenditures and evaluate their goals, beneficiaries, and effects on revenues and Proposition 98 funding. CTA, CTRA, and several local government and labor supporters backed the bill as a way to improve accountability for roughly $94 billion in annual tax expenditures. The bill was accepted with committee amendments and placed on call. The committee also heard SB 1078, authorizing Santa Cruz County to ask voters for a temporary half-cent sales tax to help fund health care and safety-net services amid federal cuts; it was placed on call. SB 1120, extending the California Competes Tax Credit through 2035 and making it refundable for certain strategic industries, received strong support from business and manufacturing groups and was passed on a due-pass-as-amended motion to Appropriations. Finally, SB 1275, which would replace the state sales tax on vehicle purchases with a vehicle license fee structure intended to increase federal deductibility for Californians, was passed 4-0 as amended to the Committee on Transportation.
NY
New York 2025-2026 Regular Session
New York State Senate Session - 06/03/2026
New York Senate Floor Meeting
Transcript Highlights:
- So yes, if you’d like a more direct answer.
- You don't care about democracy anymore.
- YOU DON'T CARE ABOUT DEMOCRACY ANY MORE.
- AND YOU DON'T CARE ABOUT IT.
- -APPROVED SKIN CARE PRODUCTS, THEY ARE ON THE MARKET.
Summary:
The Senate convened, approved the journal, and then moved through a large number of motions to discharge bills from committees and substitute identical Senate bills for third reading. The chamber also received and accepted a Finance Committee report on nominations for Kathleen Mosier as Commissioner of Parks, Recreation and Historic Preservation, Terrence O’Leary as Commissioner of Homeland Security and Emergency Services, and John Kagia as Executive Director of the Office of Cannabis Management. All three nominees were confirmed, with Mosier and O’Leary confirmed unanimously and Kagia confirmed 57-1, with Senator Walczyk voting no.
The Senate adopted previously approved resolutions recognizing June 2026 as LGBTQIA+ Pride Month and mourning the death of Susan Irene Wright of Harlem. Senators Brisport and Bottcher spoke at length in support of Pride Month, emphasizing LGBTQ+ history, resilience, and ongoing threats to the trans community. On the Susan Wright resolution, Senators Cleare, Bailey, and Bottcher praised her community leadership, philanthropy, and family legacy, and Assembly Member Jordan Wright was recognized in the chamber.
The body then considered and passed many bills on the calendar, including measures on insurance, environmental conservation, public health, education, business law, labor, social services, highway law, and local tax exemptions. Several bills drew brief explanations of vote, including a measure to end higher insurance premiums for widows, a bill to prohibit correctional facilities from denying visitation because of menstrual products or IUDs, and a Medicaid-related bill to expand access to blood pressure monitors for pregnant people. Most bills passed with broad support, though some had notable opposition from a small group of senators.
Late in the session, the Senate took up a proposed constitutional amendment on redistricting. Senator Stewart-Cousins sponsored the measure, and Senator Walczyk questioned it extensively, arguing voters had previously approved an independent redistricting process and objecting to changes that would remove the Legislature’s two-thirds map-approval requirement and alter the commission’s role. The sponsor said the changes were needed in response to aggressive partisan redistricting in other states and would still require voter ratification in future sessions. The transcript ends during that debate, with no final vote on the amendment shown.
ID
Idaho 2026 Regular Session
Agenda Jan 21st, 2026
Transcript Highlights:
- care first, and only if it's not needed to provide that health care can it drop into the discretionary
- care can it drop into the discretionary bucket.
- I’ll just address the Gov’s direct and not include any CEC adjustments.
- The first is, the school to take care of that.
- We are not designed for medical health or mental health care.
Summary:
The committee received a detailed JFAC presentation on the K-12 public school support budget from Legislative Services analyst Kellan McGurkin, followed by testimony from Superintendent Debbie Critchfield. McGurkin reviewed how Idaho’s school funding formula works, including support units, staff allowance, career ladder salary funding, discretionary funding, health insurance, transportation, facilities, and the Public Education Stabilization Fund. He explained the FY 2026 revised budget, including a reduction in projected support units and an ongoing $22.3 million general fund rescission, and then walked through the FY 2027 request and the Governor’s recommendation. Major FY 2027 items included health insurance adjustments, transportation growth, federal fund authority, and proposed one-time special education initiatives: a $5 million high-needs fund and a $1 million regional service model, both tied to interest or transfers from other funds. The Governor also recommended eliminating or reducing some items, including virtual school-related payments and a reduction to Idaho Digital Learning Academy funding, which would lower the general fund request compared with the agency proposal.
Critchfield framed the budget around enrollment trends, shifting student populations, and the need for flexibility in how districts use existing dollars. She highlighted gains in literacy, graduation rates, dual credit and career technical participation, and said the department wants more categorical flexibility for professional development, technology, and digital content funds so districts can redirect unused money to higher priorities such as literacy or special education. She also described the Idaho Career Ready Students grant as having created 170 new programs and said remaining funds are obligated. On special education, she said costs are growing faster than current funding and argued for a bridge solution while broader funding issues are addressed; she also said the department is pursuing a regional service-center model to help rural districts share hard-to-fill specialists. Critchfield additionally outlined planned federal waivers on assessments and flexibility, and said the state is seeking more control over education decisions.
Committee members focused heavily on funding mechanics, especially whether career ladder and health insurance money is distributed per teacher or through support units, how discretionary funds are used, why insurance amounts in the budget book differed from current projections, and whether districts can use leftover health insurance dollars for other purposes. Members also questioned the proposed special education funding, the use of interest earnings from dedicated funds to support the general fund, the size and use of school contingency balances, and whether the state should revisit the funding formula itself. No votes were taken during this portion of the meeting; the discussion remained in presentation and questioning, with several follow-up requests for data and clarification.
WA
Washington 2025-2026 Regular Session
Senate Floor Session Feb 27th, 2026 at 09:00 am
Washington Senate Floor Meeting
Transcript Highlights:
- It's simply saying, hey, we care.
- They are in our care.
- They are about to lose access to long-term care services and more will lose access to health care in
- long-term care services and more will lose access to health care in the coming months and years.
- Took care of us on wildfire, we're going to make sure we take care of you on floods.
Bills:
SB6061, SB6234, SB6170, SB6176, SB6182, SB6335, SB5647, SB6047, HB2367, HB2606, SB5998, SB6005, SB6003, SB6129, SB6225, SB6228, SB6231
Keywords:
tourism, self-supported assessment, funding, statewide promotion, economic development, sewage, grinder pumps, residential buildings, regulation, construction, contracting rules, state highway construction, procurement limits, state regulations, infrastructure funding, vehicle registration, enforcement, renewal, transportation, state law
Summary:
The Senate met on February 23, 2026, opened with the usual roll call, pledge, prayer, and approval of the previous journal. Members then adopted Senate Resolution 8698 recognizing piano teachers, with several senators sharing personal remarks about their own teachers and the role of music education in families and communities. Guests from the Washington State Music Teachers Association and the National Guild of Piano Teachers were recognized in the gallery.
The chamber then moved into budget debate, considering a series of amendments to the operating budget. Several proposals focused on housing costs, local planning, utility rates, and state spending restraint. Amendment 0772, which would have created a housing-related task force and increased funding, was rejected after debate over housing affordability and regulatory costs. Amendment 0785, restoring growth management planning funding for local governments, was also rejected. Amendment 0791, directing the Department of Commerce to study the effects of climate and clean energy laws on utility costs, and Amendment 0769, related to grid capacity and clean energy investments, were both adopted.
Other amendments drew sharper partisan debate. Amendment 0798, which would have reduced the Supreme Court from nine justices to five and redirected savings to public defense, failed. Amendments 0794 and 0795, seeking funding for ballot measure costs tied to initiatives, also failed. Amendment 0799, intended to redirect Pacific Tower lease savings to developmental disability services, was rejected after discussion of the building’s current public uses. Amendment 0773, capping state spending growth and tying it to median wage growth, failed on a roll call vote, while Amendment 0777, addressing concurrent use of paid family and medical leave and sick leave by state employees, also failed after extended debate. Later, Amendment 0776 on tort liability reporting was adopted, as were Amendment 0758 creating a DSHS work group on community-based services for people with intellectual and developmental disabilities, and Amendment 0786 was introduced to reduce cash and food assistance work-related funding, with debate beginning before the transcript ends.
ID
Idaho 2026 Regular Session
Agenda Feb 11th, 2026
Transcript Highlights:
- And I think generally the direction was correct.
- They're compelled to take care of these individuals.
- They're compelled to take care of these individuals.
- But it gives them the ability to take care of their own and also to take care of their own within their
- But it gives them the ability to take care of their own and also to take care of their own within their
Summary:
The Senate Health and Welfare Committee first considered a gubernatorial appointment and voted to send Juliet Sharon, nominated as director of the Department of Health and Welfare, to the floor with a recommendation for confirmation. The committee then took up Senate Bill 1264, which would create an Idaho Rural Health Transformation Fund and a bipartisan legislative oversight committee to manage federal rural health transformation money. Senator Cook and supporters said the committee was needed because the funding timeline is very short and Idaho needs legislative oversight over how the money is spent; opponents argued the bill adds bureaucracy, that the federal money is debt-financed, and that the executive branch or existing budget processes should handle it. After extensive debate and testimony from hospital, physician, and public witnesses, the committee passed the bill on a 5-4 roll call vote and sent it to the floor with a due pass recommendation.
The committee then quickly advanced Senate Bill 1254, a technical fix to Idaho’s chiropractic statute so chiropractors with clinical nutrition certification can “prescribe” certain limited items they are already authorized to administer, such as vitamins, minerals, fluids, and epinephrine. The sponsor said pharmacies had refused to dispense these items because the statute did not use the word “prescribe,” and the committee voted unanimously to send the bill to the floor with a due pass recommendation. Next, Senate Bill 1255 was heard, which would allow tribal health care facilities to serve as sites for initial holds in involuntary commitment cases and clarify that tribal police are included as peace officers for that section. Tribal and county law enforcement witnesses said the change would reduce confusion and help tribal members in mental health crisis receive quicker, more appropriate care; the committee unanimously sent the bill to the floor with a due pass recommendation.
Finally, Senate Bill 1256 was introduced as a cleanup measure identified through the committee’s DOGE review, removing outdated statutory language in the Blind and Visually Impaired Agency referral process. The sponsor said the agency itself identified the obsolete language, and the committee unanimously moved the bill to the floor with a due pass recommendation. The meeting ended with notice that the committee would meet again the next day.
NM
New Mexico 2026 Regular Session
IC - Legislative Finance Apr 27th, 2026
Transcript Highlights:
- and utilization in the Medicaid managed care program.
- Care services are being provided at higher costs.
- before are all of a sudden eligible for care.
- Create that crisis continuum of care in all communities.
- The Early Childhood Education and Care Department.
KY
Kentucky 2025 Regular Session
Senate Standing Committee on Appropriations and Revenue (3-12-25)
Transcript Highlights:
- It affects all 120 counties, every provider, every health care system.
- </c> Medicaid budget over time the directed Medicaid budget over time the directed payments<00:27:35.600
- So obviously there is a section 16 that talks about a study on managed care for long-term care reimbursement
- Anywhere you see managed care and long-term care, you never see improved quality and you never see lowered
- If you don't care, I'll start down here with Senator Richardson.
Keywords:
Meeting Start 00:00:00
Roll Call 00:00:10
HB 2 Discussion 00:01:00
HB 2 Vote 00:04:00
HB 544 Discussion 00:05:05
HB 544 Vote 00:06:15
HB 552 Discussion 00:07:00
HB 552 Vote 00:08:40
HB 605 Discussion 00:09:35
HB 605 Vote 00:11:35
HB 606 Discussion 00:12:10
HB 606 Vote 00:15:40
HB 695 Discussion 00:16:25
HB 695 Vote 00:34:05, 958, all
Summary:
The Appropriations and Revenue Committee took up several House bills and committee substitutes. House Bill 2, as amended by Senate Committee Substitute 1, was described by Rep. T.J. Roberts as restoring a tax exemption enacted in 2024 by providing refunds with interest to those improperly taxed and creating a cause of action; the substitute also aligned state filing deadlines for certain flood-disaster counties with the federal November 15 deadline. The committee adopted the substitute and then passed the bill with favorable expression. The committee also adopted a title amendment for House Bill 544, which Rep. Jason Petrie said was part of the state’s flood-relief discussion and would allow the guard cap to be used over the biennium rather than annually, effectively increasing the cap from $50 million per year to $100 million over two years; the measure passed with favorable expression.
House Bill 552, handled by Rep. Josh Bray after Rep. Kim King’s absence, was described as simplifying tourist commission appointments. The committee substitute added creation of the Kentucky-Ireland Trade Commission and changed marina licensing agreements by exempting private contractors from the model procurement code. The committee adopted the substitute, approved a title amendment, and passed the bill with favorable expression. House Bill 605, sponsored by Rep. Kim King, clarified which grants qualify for a grant program and allowed cities or counties to apply on behalf of water districts or other entities not directly affiliated with them; Rebecca Hearts of Grant Ready Kentucky said the program had matched $103 million of the $200 million allocation, generating about $469.98 million in total project value. The committee adopted the title amendment and passed the bill with favorable expression.
House Bill 606, by Rep. Wade Williams, added a capital-oversight reporting requirement for school district general obligation bonds that had been omitted from prior legislation. The committee substitute also made several budget and program adjustments, including moving Regional Training Center funds, accelerating funding for the Grand Lyric Theater, correcting water funding language, removing Odyssey Inc. language from a treatment-related item, fixing a double appropriation to LifeWorks Transition Academy, clarifying carry-forward language, allowing SRO reimbursements for public and non-public schools, and authorizing an additional $10 million in agency bonds for Western Kentucky University athletic facilities. The committee adopted the substitute, approved a title amendment, and passed the bill with favorable expression.
The committee then spent the most time on House Bill 695, a Medicaid-related bill. Rep. Adam Bowling said the bill was intended to stabilize Medicaid, create oversight and advisory mechanisms, and address growth in the program. Cabinet for Health and Family Services Secretary Eric Friedlander and Medicaid CFO Steve Beckle said they were generally supportive of the transparency and reporting changes but flagged risks, including federal compliance concerns, budget growth from changing the drug rebate treatment, administrative costs tied to MCO rebidding and a managed long-term services study, and some data-collection challenges. Representatives from the Kentucky Association of Healthcare Facilities opposed the section calling for a managed long-term care reimbursement study, arguing it would be costly, duplicative, and likely ineffective, and they warned against managed care models for long-term care. Despite the concerns, the committee adopted the committee substitute by voice vote and moved the bill forward with favorable expression.
CA
California 2025-2026 Regular Session
Senate Floor Session Feb 9th, 2026
California Senate Floor Meeting
Transcript Highlights:
- Abortion care is health care, full stop. Abortion care is very... Abortion care is health care.
- Abortion care is foundational women's health care.
- Abortion care is health care, full stop. Abortion care is very. abortions too.
- Abortion care is health care. Full stop. Abortion care is foundational women's health care.
- , or primary care, or prenatal care for pregnant moms. prenatal care for pregnant moms.
CA
California 2025-2026 Regular Session
Assembly Budget Subcommittee No. 7 on Accountability and Oversight Mar 11th, 2025
Transcript Highlights:
- And I left out that I've been involved with three different team of cares.
- I, like my colleagues, am very careful... To improve and get better results for all.
- County has, so the L.A. region includes all of the L.A. continuum of cares as well as L.A.
- And cities, mayors particularly, will drive outcome to that direction.
- There are other systems of care as well, the health care systems, criminal justice systems, that have
Summary:
The Assembly Budget Subcommittee on Accountability and Oversight held a hearing on California’s homelessness funding, focusing on the Homeless Housing Assistance and Prevention (HAP) Grant and the Encampment Resolution Grant Program. HCD described new accountability requirements, including regional action plans, stronger reporting and expenditure conditions, housing-element compliance, encampment response plans, and public dashboards that track fiscal spending, service outcomes, and encampment resolution status. Officials said the goal is to use the data to identify underperforming grantees, provide technical assistance, and, if needed, withhold or reallocate funds.
Local officials from San Diego, Fresno, and Santa Cruz said the programs have helped expand shelter, outreach, and permanent housing, and that state dollars have leveraged local and federal resources. Mayor Todd Gloria said San Diego has used HAP to expand shelter and safe sleeping options, reduce downtown encampments, and increase housing production, but argued the state’s new accountability website is too high-level and does not fully reflect countywide conditions, behavioral health outcomes, or the role of continuum-of-care partners. Fresno officials said HAP and other state funds helped the city add shelter beds and reduce homelessness, while Santa Cruz emphasized that state funding helped build local coordination and draw in federal vouchers.
Members pressed the panel on whether HAP is actually reducing homelessness, what the best success metrics should be, and whether the state is getting full, usable data from grantees and subcontractors. Several members asked for more granular jurisdiction-level reporting, better tracking of nonprofit spending, and clearer measures beyond point-in-time counts and “people served.” HCD said it is still improving HMIS participation and data quality, but can already show outcomes such as exits to permanent housing and returns to homelessness. The hearing ended with broad agreement that transparency is important, but disagreement remained over the best measures of success and how much emphasis should be placed on housing, prevention, shelter, and treatment.
MO
Missouri 2026 Regular Session
Conference Committee on Budget May 4th, 2026 at 01:00 pm
Conference Committee on Budget
Transcript Highlights:
- care.
- ... ...about kids in our state care.
- We have had child care, kids in foster care, and Springfield families reach out to me that have put their
- children back in foster care because they lost their child care subsidy spot because of decisions at
- Makes care of that one.
TX
Texas 89th Regular
Delivery of Government Efficiency Mar 26th, 2025
Delivery of Government Efficiency
Transcript Highlights:
- Get the care they need.
- Over 90 cents of every dollar are spent right back into direct patient care.
- I know it's going to be a biased answer, but I care about cost, I care about quality, and I care about
- or poor care, subpar care.
- We don't have a 340B relationship direct, but if the provider of care, whether it's a specialty pharmacy
Bills:
HB149, HB252, HB643, HB1442, HB1500, HB1672, HB1851, HB1893, HB2028, HB2768, HB2818, HB149, HB252
Keywords:
artificial intelligence, regulation, biometric data, ethical AI, consumer protection, AI governance, employment compensation, state agencies, salary payments, general appropriations, government efficiency, public works, contractors, payment bonds, government contracts, construction law, transparency, open meetings, government accountability, public access
ID
Idaho 2026 Regular Session
Agenda Mar 9th, 2026
Transcript Highlights:
- Vote no. care so they can speak, eat, and smile again. Vote no. Thank you.
- Careful, your chairman's in that group. Ms.
- I mean, we're direct competitors.
- The main reason is we were direct competitors.
- So I think that we are moving in that direction.
Summary:
The House Health and Welfare Committee first heard House Bill 495, which would consolidate the Board of Denturity under the Board of Dentistry, add a board seat for someone experienced in denturistry/prosthetics, define denturists’ scope of practice, and address the denturist board’s financial deficit. The sponsor and Department of Occupational and Professional Licenses argued the change would improve efficiency and reduce costs while preserving the profession. Denturists, interns, and association representatives opposed the bill, saying it could create conflicts of interest, leave their profession without a guaranteed denturist on the board, increase barriers to entry, and allow dentists to influence fees and rules. The Idaho State Dental Association supported the bill, saying it would maintain public safety, preserve licensure, and reduce government size. After testimony and committee discussion, the original motion to send the bill to the floor was withdrawn and the committee voted to send HB 495 to amending order for clarification, including possible language about a denturist board member.
The committee then took up RS 33-468, a proposal to repeal Medicaid expansion effective January 1, 2028. The sponsor said the measure was intended to refocus Medicaid on the most vulnerable, address budget pressures, and respond to concerns that expansion can discourage work. Several members opposed the idea, arguing that it would remove coverage from many Idahoans, harm providers, and likely cost the state money by losing federal funds and related tax revenue. Others supported it as a needed step to control spending and prioritize traditional Medicaid populations. After debate, a motion to return the RS to the sponsor failed on roll call, and the committee voted 10-6 to introduce RS 33-468. The meeting then adjourned.