Video & Transcript Research : 'basic care'
Page 169 of 500
FL
Florida 2025 Regular Session
February 11, 2025 - 03:30 PM
Transcript Highlights:
- level of care.
- level of care. individual's health care needs and their level of care.
- care.
- Care.
- You're more, you know, greater risk for care and cost to care." "You're recognized.
Summary:
The Health and Human Services Committee received an overview of Florida’s intellectual and developmental disabilities (IDD) managed care pilot, created by legislation in 2023 to test whether a managed care model could integrate Medicaid medical services with iBudget waiver home- and community-based services for adults in pre-enrollment categories. AHCA explained the existing system, the pilot’s scope in Regions D and I, and the rollout timeline, including federal approval, contract execution with Florida Community Care, and the October 2024 go-live. Officials reported that, as of early February, 370 individuals had been sent for onboarding and 168 more were in queue, with about $35.8 million of the appropriation remaining. APD also clarified the difference between the pre-enrollment categories and the waiver waitlist, and noted that crisis cases can be enrolled more quickly depending on eligibility and funding.
Florida Community Care described the pilot as a comprehensive managed care model offering medical, long-term care, and iBudget services, plus enhanced benefits such as bed-hold days, caregiver transportation, and help with legal guardianship costs. The plan said it uses one care coordinator, a 1:18 coordinator ratio, a face-to-face assessment within five days of enrollment, and 180 days of continuity of care for existing providers. The company emphasized that it is recruiting providers by offering higher rates than some iBudget rates, lower administrative burden, and network adequacy incentives, while APD said it continues to monitor provider supply and demand and recruit across service types and regions. Members repeatedly questioned whether the pilot’s costs, provider rates, and service levels were truly comparable to the iBudget system, and AHCA and APD said it was too early to draw firm conclusions because claims data are still lagging.
Committee members also raised concerns about communication, enrollment delays, provider shortages, and whether the pilot could scale statewide. APD said it has used letters, phone calls, texts, emails, and community meetings to reach eligible individuals, and that some delays stem from required assessments, Medicaid eligibility checks, and level-of-care determinations. Several members asked for more detailed comparisons of costs and provider reimbursement between the pilot and iBudget, and APD said it would provide additional data. Public testimony at the end was strongly critical of managed care, with a participant and his mother describing poor service, transportation failures, and loss of control under prior managed care arrangements, and urging the committee not to expand such a model without safeguards. No votes or formal committee action were taken before adjournment.
TX
Transcript Highlights:
- And this time, it's an attack on our freedom, our representation, and our care.
- We've seen health care coverage taken from millions of...
- Their friends take care of their donors and all this stuff. Yes, they continuously do that.
- In 1965, they at least pretended to care about it.
- This is about the 15 million Americans that are about to lose their health care.
FL
Florida 2026 4th Special Session
January 28, 2026 - 08:00 AM
Transcript Highlights:
- So then let's take care of you.
- This bill is basically about fairness and accountability.
- I'm concerned about the quality of care.
- So are there any concerns about the quality of health care?
- provide the best health care that they can.
NM
New Mexico 2025 Regular Session
Legislative Finance Sub Committee Oct 15th, 2025
Transcript Highlights:
- Do you all take care of all those supplies plus this money? How does that work? Mr.
- The DD waiver pays for the caretakers and care providers separately.
- They might pick the care providers that come into their home, the care manager, the care therapist, and
- Chairman, this is a 25-bed acute care center and long-term care center up in Raton.
- There were changes, slight modifications, basically flat in the personnel category.
MN
Transcript Highlights:
- And so it was the thought that, you know, if it works in health care settings, health care institutions
- And so it was the thought that, you know, if it works in health care settings, health care institutions
- we need to take care of all these folks. we need to take care of all these folks.
- The benefit is very basic.
- We'll take care of our own.
NH
New Hampshire 2025 Regular Session
House Finance Division III (02/18/2025)
Transcript Highlights:
- <00:38:24.280>
almost City that have been basically almost City that have been basically almost - note but I don't I want to be careful note but I don't I want to be careful not<00:39:30.200>
- <00:39:43.800>
um no you you basically um no you you basically um clarified<00:39:45.880>< - <01:33:46.920>
uh that the use of contracts basically uh that the use of contracts basically - <02:22:23.800>
be not includ so we'd have to basically be not includ so we'd have to basically
Summary:
The meeting began as a Division 3 work session on HB 71, but much of the early discussion focused on whether a previously discussed non-germane amendment could be considered or voted on that day. Members and the chair debated process and notice requirements, and the clerk’s guidance was that the amendment needed a separate public hearing before the full Finance Committee. The amendment was described as requiring DHHS contracts and addenda to include compliance with the Patient Bill of Rights, with a repeal date so the requirement would expire on November 30, 2026. The motion to move OTP on HB 71 with the amendment was withdrawn, and the committee agreed the amendment would be scheduled for a future full Finance hearing instead.
The committee then turned to HB 71 itself and heard testimony from DHHS representatives John Williams and Jenny O’Higgins on the fiscal note and policy implications. Members questioned the estimate that the bill could put $12 million to $18 million per year in federal funding at risk, including HUD and Office of Refugee Resettlement funds. DHHS explained that the estimate was based on a broad reading of the bill’s term “specified alien,” which they said was not clearly defined in the bill, so they analyzed it using the federal definition of “alien” and assumed the bill could affect lawfully present non-citizens as well as undocumented individuals. They said the figure represented a worst-case scenario and that they were not claiming the loss was certain.
Members also pressed DHHS on whether the bill could affect emergency sheltering in schools, public academies, or institutions of higher learning during disasters. DHHS said the language could create conflicts with federal funding conditions because emergency shelter programs generally cannot impose barriers on who may be sheltered, and they warned that excluding certain people could affect refugee-related and HUD funding. Questions were raised about whether the bill’s language would apply to private institutions as well as public ones, and whether the state could still use schools in short-term emergencies. DHHS said the language was broad, that they could not answer every legal question definitively, and that they would need input from public health and legal staff. No final vote on HB 71 was taken in the portion provided; the committee remained in discussion/work session mode after the amendment motion was withdrawn.
NH
WA
Washington 2025-2026 Regular Session
Joint Legislative-Executive Committee on Budget Transparency and Fiscal Sustainability Jul 20th, 2026
Joint Legislative-Executive Committee on Budget Transparency and Fiscal Sustainability
Transcript Highlights:
- Chair, and the CFO for the Health Care Authority.
- , in-home care, or TANF—would be in this area.
- So these are changes that are new, basically.
- But the health care inflation or projected health care inflation is not included.
- And CBAs include health care. Correct. Yeah. Yeah.
Summary:
The committee held its first meeting, with co-chairs and members introducing themselves and staff outlining the committee’s statutory mandate under the 2025-27 supplemental operating budget. Staff explained that the Joint Legislative-Executive Committee on Budget Transparency and Fiscal Sustainability will receive technical assistance from a nonpartisan organization, with work split into two phases: first on revenue growth, spending assumptions, and cost drivers in the four-year outlook, and later on staffing, overhead, performance management, and public reporting. Members broadly said they hoped the committee would build a shared factual understanding of the state’s fiscal situation, structural deficits, and budget processes, and identify a sustainable path forward for the operating budget.
Staff then gave a detailed presentation on operating budget basics. They reviewed the size and composition of the operating budget, noting that most spending is concentrated in grants/client services and salaries/benefits, with K-12, DSHS, HCA, DCYF, DOC, and higher education making up most NGFO spending. They explained the distinction between constitutional, federal, statutory, and discretionary spending, using examples such as K-12, Medicaid, collective bargaining agreements, court-driven obligations like McCleary and Trueblood, and one-time appropriations. They also walked through how the state uses incremental budgeting, carry-forward and maintenance-level calculations, caseload and per-capita forecasting, and the four-year balanced budget outlook, including reserve calculations and the budget stabilization account.
Members asked extensive questions about what is and is not included in the outlook, especially future collective bargaining agreements, health care and compensation growth, tort and other liabilities, and whether the state could better distinguish mandatory from discretionary spending. Staff explained that current CBAs and other already-enacted obligations are included, but future CBAs are not; some liabilities are reflected as expenditures when appropriated, while broader long-term liabilities are not fully captured in the outlook because they depend on future policy choices. Staff also noted that the legislature and ERFC can adopt assumptions such as reversions and growth factors, and that an outlook accuracy report is produced every five years to compare projected and actual maintenance-level spending. The committee agreed to follow up on some of the more complex liability and assumption questions.
After a short break, Josh Goodman of the Pew Charitable Trusts began a presentation on Pew’s role and approach to state fiscal sustainability. He described Pew as a nonpartisan organization with long-standing state fiscal research, emphasizing its 50-state comparative data, interviews with state officials and experts, and focus on long-term sustainability, reserve policies, and recession preparedness. The presentation was ongoing when the transcript ended.
ND
North Dakota 2025-2026 Regular Session
Senate Appropriations - Human Resources Division Apr 9th, 2025 at 02:00 pm
Appropriations - Human Resources Division
Transcript Highlights:
- That was part of the funding that we were picking up for the early child care.
- Chairman, if you remember yesterday, we put the foster care, foster care adopt, we reduced that from
- It's basically a Medicaid waiver that helps with behavioral health.
- That a couple million dollars if we care, if we want to.
- So again, I don't really care about the shall consider study in there.
Bills:
SB2399
Keywords:
mental health, psychiatric treatment, reimbursement, medical assistance, legislative report, 908, all
Summary:
The committee reconvened and first reconsidered House Bill 1612, the aerospace medical and mental health support center bill. Senator Cleary offered an amendment to reduce the general fund appropriation from $500,000 to $250,000 and require the university or project sponsors to find the remaining funding from other sources. The amendment passed, and the bill was then recommended do pass as amended, with members citing concerns about university funding, but others supporting the project as a one-time seed investment. The committee also discussed a possible future FMAP increase beginning October 1, 2026, which could reduce general fund costs by roughly $9 million, though members noted the figures were still preliminary and could be addressed later if needed.
The committee then returned to Human Services budget items, including early childhood and child care funding, a community cultural center grant, and several other adjustments. Members discussed reducing the “best in class” amount, changes to child care grants and quality/infrastructure funding, and clarifying that prior child care assistance appropriations were in fact being spent. They also agreed to reduce the 1915(i) Medicaid waiver line by $2 million, with the understanding that the entitlement would still be funded as needed. The committee also considered taking guardianship funding out of House Bill 1012 because a separate bill, Senate Bill 2029, would move that funding elsewhere; members agreed that removing it from the budget could help the overall bill and could be restored if the separate bill failed.
Several study amendments were discussed. Senator Cleary proposed adding a maternal health study related to prenatal services, doulas, midwives, and Medicaid, and members expressed support. The committee also discussed a software/case-management study proposal, but the department said it had not requested it and would not support it as presented, so members leaned against advancing it unless the department first evaluated it. Another amendment would authorize the department to work with the city of Grafton on a long-term plan for the LSTC campus and require a report back to the legislature; members supported that as legislative intent. The committee also agreed to remove a truancy study section for later conference discussion, and it reviewed other possible study ideas, including assistive technology, before adjourning to await updated long sheets and bill text.
NH
Transcript Highlights:
- in for kids who are in the foster care in for kids who are in the foster care system<01:41:33.119
- >> Yeah, obviously we took care of the >> Yeah, obviously we took care of the bill.<02:06
- Um, I think that's basically what it is. Um, I think that's basically what it is.
- If you can't afford adequate health care or your parents don't have adequate health care, you're not
- <04:28:50.880>
health <04:28:51.120>care, parents don't have adequate health care,
LA
Louisiana 2026 Regular Session
Municipal, Parochial and Cultural Affairs May 7th, 2026
Transcript Highlights:
- That's basically what the bill does. And I'm happy to answer any questions.
- That's basically what the bill does. And I'm happy to answer any questions.
- Others have commissions that take care of a small area.
- And the test, you swallow basically a camera. It's nothing fun to do.
- So thank you for taking care of our family. Yes, ma'am.
Summary:
The House Municipal, Parochial, and Cultural Affairs Committee heard and advanced a series of local and statewide measures. SB 430 would renew, every 12 years by voter approval, the Shreveport-Bossier hotel occupancy tax that supports tourism and sports-related entities; SB 286 updates the New Orleans Downtown Development District statute by clarifying its status as a political subdivision, streamlining tax collection, removing staggered board terms, and clarifying bond-election boundaries; SB 198 requires government projects in historic districts to follow local historic district guidelines for new construction; and SB 172 expands a planning-commission provision so smaller municipalities can waive certain subdivision formalities and costly studies in limited family land-split situations. Each of these bills was described as largely technical or permissive, with supporters emphasizing efficiency, local control, or reduced costs.
The committee also advanced SB 439 to add pre-screening for esophageal/Barrett’s esophageal cancer for firefighters and fire service employees, with firefighters’ representatives explaining the test can detect pre-cancerous cells and prevent later, more serious cancer. SB 458 would allow a local tax for a proposed St. Tammany Parish Inspector General/ethics entity to be allocated and, if excess remains, transferred to the district attorney’s office; members discussed the parish-wide referendum process and the connection to state-required funding obligations. SB 447 changes Bossier City Police Department promotional seniority and civil service classification from competitive seniority to promotional seniority, and SB 281 expands the Baker Economic Development District boundary to include additional commercial areas near the airport and support blight removal and growth.
Additional measures moved favorably included SB 385, which changes appointments to the New Orleans City Park Improvement Association board and allows City Park to opt out of certain state insurance coverage because it carries private insurance; HR 84, which urges Shreveport to create an interest-free loan program for TSA agents at the regional airport during federal shutdowns; and SB 417, which adds two members to the St. Mary Parish Consolidated Gravity Drainage District No. 2A board. In each case, the committee heard brief testimony from sponsors and local officials or advocates, asked clarifying questions, and then approved the bills without objection. One member, Representative Murray, recused himself from the City Park bill because of his board membership. The committee then took a short recess, noting a few remaining bills would be deferred if sponsors did not appear.
MS
Mississippi 2026 Regular Session
MS Senate Floor - 10 February, 2026; 10:00 AM
Mississippi Senate Floor Meeting
Transcript Highlights:
- young people aging out of foster care. young people aging out of foster care.
- just And basically, it is just And basically, it is just uh uh uh I<01:07:45.960>
mean, <01 - nonprofit act constitutes um basically nonprofit act constitutes um basically for<01:54:55.760><
- dental care goes. dental care goes.
- Um this<03:53:46.360>
bill <03:53:46.640>basically, this bill basically, this bill basically
Summary:
The Senate convened with a quorum present, received an invocation from Dr. Denise Pope, and led the pledge of allegiance. The body then dispensed with the reading of the journal, committee reports, and bill titles. Several guests were introduced, including the doctor of the day, student pages, Carthage Christian Academy, Mississippi Valley State University visitors, the University of Southern Mississippi’s DuBard School and related programs, and members of the Mississippi Association of Nurse Anesthetists.
The Senate took up Senate Bill 2896, which revises the Department of Public Safety salary schedule for MHP and MBN officers. Senator Hopson explained it as the vehicle for possible pay raises for troopers, NBI, and MBN officers, and the chamber adopted the committee substitute and passed the bill by morning roll call. The Senate also passed Senate Bill 2917, a recurring appropriations cleanup measure; its main change would allow Mississippi Valley State University to use previously designated dormitory funds for repair and renovation instead. A reverse repealer amendment was adopted before final passage by morning roll call.
Senate Bill 2825, the Mississippi Health Care Industry Zone Act, was then considered. Senator Harkins said the bill extends the repealer for the health care industry zone incentive program to 2028 and noted the program has generated significant investment and jobs statewide. An amendment requested by the Mississippi Development Authority was adopted to revise eligibility language, including replacing a CON requirement with a requirement that a hospital have at least 25 acute care beds and deleting a section under current law. The bill then passed by morning roll call.
Finally, the Senate considered Senate Bill 2894 on local improvement projects and the return of unexpended funds and earned interest. Senator Harkins explained that the bill would require older local improvement project funds to be returned if projects were not moving forward, require reporting to DFA and the Legislative Budget Office, allow audits, and permit limited extensions, while also withholding a portion of other state distributions for noncompliance. Senators raised concerns about projects that are already obligated or delayed by workforce and engineering constraints, and Harkins said the bill would be refined with a reverse repealer to work with LBO and avoid disrupting active projects. The bill was discussed but not finally disposed of in the portion of the transcript provided.
MN
Minnesota 2025 1st Special Session
Committee on Judiciary and Public Safety - Part 1 - 03/21/25
Judiciary and Public Safety
HI
Hawaii 2025 Regular Session
HSH Info Briefing - Fri Nov 7, 2025 @ 1:30 PM HST
Hawaii House Floor Meeting
Transcript Highlights:
- are committed to health care are committed to health care organizations<00:20:09.360>
and - We employ and continuity of care.
- basic numbers.
- care.
- uncompensated care within the hospitals. uncompensated care within the hospitals.
Summary:
The House Committee on Human Services held an informational briefing on the impacts of federal funding cuts, inflation, labor shortages, and chronic underfunding on Hawaii’s nonprofit social safety net. Hawaii Community Foundation opened with a story about a federal worker family relying on food pantry support, then described a “perfect storm” facing human services nonprofits: historically high demand, rising costs, staffing challenges, federal cuts, and state and county contracts that do not cover true service costs. The foundation said it has reactivated its Hawaii Resilience Fund, launched strengthened service grants, and is tracking policy changes and data to help nonprofits respond.
Trey Gordner of UHERO presented research on the vulnerability of Hawaii’s nonprofit sector, explaining a framework that assessed political, financial, and structural risk. He said about 8,200 501(c)(3) nonprofits are active in Hawaii, but only about 200 receive direct federal funds; 74 grants to 59 organizations were flagged as politically at risk, totaling about $126 million in unpaid obligations. He said about 68 of the direct-funding recipients rely on federal funds for more than 20% of annual revenue, and that human services nonprofits are among the most exposed subsectors because they serve vulnerable populations and depend heavily on federal support.
Catholic Charities Hawaii and the Hawaii True Cost Coalition said community-based organizations were already under strain before the current crisis, with most contracts not covering full costs and many groups depending on private philanthropy to fill gaps. They reported that half of surveyed organizations expect to reduce programs, more than a third may decline future contracts, and some are waiting months for reimbursements. Examples included reduced shelter admissions, fewer case management hours, and cutbacks in kūpuna services. The coalition urged higher contract rates, regular inflation and cost-of-living reviews, and timely reimbursement; no votes or formal actions were taken.
Partners in Development Foundation described the loss of Native Hawaiian education funding as especially damaging, saying the federal Department of Education has zeroed out support that creates a roughly $46 million gap, including about $20 million for early childhood programs. The speaker shared a family story from the Nā Pono program to illustrate how early learning services support both children and parents, and warned that the organization’s federal funds make up 72% of its budget. The briefing ended with a call for continued emergency funding and longer-term structural changes to sustain nonprofits statewide.
TX
Texas 89th 2nd C.S.
Pensions, Investments & Financial Services Mar 24th, 2025
Pensions, Investments & Financial Services
Transcript Highlights:
- and often other kinds of care, burn care to that entity.
- It's not kind of a clinic that we, that we have certain kinds of care that we want to put in there.
- Basically, this is circumventing our voters and it's, it's confusing our voters.
- Looked like you'd have to do some pretty careful.
- Such as retail, hospitality, and medical care professionals.
WY
Wyoming 2026 Regular Session
Select Committee on Gaming, May 14, 2026 - PM
Select Committee on Gaming
Transcript Highlights:
- take care of that. take care of that. Um<00:12:27.200>
Mr. - <00:20:19.800>
It's basically however they see fit. It's basically however they see fit. - <01:28:27.240>
health <01:28:27.600>care <01:28:28.000>intervention health care - health care intervention health care health care intervention folks.<01:28:29.400>
Uh Uh Uh Uh - put on there for their health care put on there for their health care expertise. expertise. expertise
NM
Transcript Highlights:
- The basic program for schools, how we fund every school district in the state, is based primarily on
- And so the basic characteristic of a student is what grade are they in?
- So for the basic program, as long as.
- For this, school districts would receive an additional $79.8 million for the basic program.
- And I don't want to, and I want to be very careful.
US
US Federal 2025-2026 Regular Session
US House Floor Proceedings (Tuesday, March 25, 2025)
US Federal House Floor Meeting
Transcript Highlights:
- ,<00:26:57.200>
benefits, they receive the care, benefits, they receive the care, benefits - <02:12:00.719>
professionals, caregivers, health care professionals, caregivers, health care - that my constituents care that my constituents care about.<02:41:09.600>
Commercial <02:41 - us, and they don't care how they do it. us, and they don't care how they do it.
- Are we saying we're not caring?
ND
North Dakota 2025-2026 Regular Session
Senate Floor Session Apr 10th, 2025 at 12:30 pm
North Dakota Senate Floor Meeting
Transcript Highlights:
- care facility, any intermediate care facility, and a psychiatric residential treatment facility by $15
- Currently, our rates are $100 for nursing homes and slightly higher for basic care, $135 per month.
- Currently, our rates are $100 for nursing homes and slightly higher for basic care, $135 per month.
- I think every one of us care deeply about any abuse against children.
- Because he's the one that takes care of me. The conversation stopped there.
Summary:
The Senate opened with prayer, the Pledge of Allegiance, and a quorum call, then approved journal corrections and moved to elect Senator Kyle Davison as President Pro Tem. Davison was nominated, elected by unanimous ballot, escorted to the rostrum, sworn in, and gave remarks thanking his family, colleagues, and faith, emphasizing relationships, service, and stewardship. The chamber also recognized National Public Health Week with a floor statement honoring public health workers and training programs, and that statement was ordered printed in the journal.
The Senate then considered several House bills, beginning with HB 1485, which increases the personal needs allowance for Medicaid residents in certain facilities by $15 per month and indexes it to inflation; the amendment was adopted and the bill passed 46-1. HB 1018, the State Historical Society budget, was amended to adjust one-time and ongoing funding for museum exhibits, repatriation compliance, archives storage, local historic grants, and the military gallery project, then passed 42-0 with one senator excused from voting due to a conflict. HB 1181, defining gender in state code as an individual’s sex and removing a broader application section, passed 41-6. HB 1144, adding a penalty and enforcement mechanism related to transgender student accommodations and restroom use in public schools, passed 40-7 with its emergency clause.
The Senate also passed HB 1600, creating an immigration law clinic at the University of North Dakota School of Law and shifting its funding to the strategic investment and improvements fund, by 34-13. HB 1019, the Parks and Recreation budget, was amended to fund deferred maintenance, technology, sewer work, matching grants, and other park projects, add language requiring legislative approval for new or renamed state parks, and clarify use of the Teddy Roosevelt Presidential Library line of credit; a proposed amendment to remove funding for the International Peace Gardens cactus conservatory failed 20-27, and the bill then passed 39-8. HB 1417, dealing with parole/probation violations, court fees, and a study of criminal justice fees, passed 40-7 after amendments.
The most extensive debate centered on HB 1450, which would require parent or guardian access to a minor’s medical exam room and notice of questions asked of the minor, with exceptions for emancipation and suspected abuse or trafficking. Supporters framed it as a parental rights and transparency measure, while opponents warned it could hinder screening for abuse, neglect, mental health concerns, and confidential care; multiple senators shared personal experiences on both sides. A proposed amendment to narrow the bill failed 21-26, and the transcript ends amid continued debate on the bill itself, with no final vote shown in the excerpt.
CA
California 2025-2026 Regular Session
Senate Labor, Public Employment and Retirement Committee Jun 17th, 2026
Labor, Public Employment and Retirement
Transcript Highlights:
- Hello, Lorraine Freas, Department of Health Care Services.
- Supervisor, Department of Health Care Services. RTO is killing morale.
- In neonatal care, acuity and volume shift abruptly.
- Burn care requires intensive, resource-heavy interventions.
- And also, what does universal basic income pay for?