Transcript Highlights:

• Today is a good day.
• But at the end of the day, I want people to know that for our caucus, and I know health care matters
• But at the end of the day, I want people to know that for our caucus, and I know health care matters
• But at the end of the day, I want people to know that for our caucus, and I know health care matters
• caring for them.

Keywords: 1183, house

Transcript Highlights:

• Can you just talk about real quick what it looks like in the day to day field because we've had some
• I'm with the Texas Women's Health Care Coalition.
• our counties are maternity care deserts.
• She loved playing with friends outside every single day.
• I almost lost my child that day and several other days for 15% chance of survival for 6 months and zero

Bills: HB46

Committee: House S/C on Disease Prevention & Women's & Children's Health

Keywords: local government spending cap, expenditure limit, political subdivision, property tax, ad valorem tax, budget cap, taxpayer protection, spending restraint, inflation adjustment, population growth, voter approval, supermajority vote, county budget, municipal budget, school district finance, junior college district, hospital district, special district, attorney general enforcement, local fiscal limits

Transcript Highlights:

• and the health care industries.
• So we see this every day and we get calls like this every day.
• So we see this every day and we get calls like this every day.
• At the end of the day, this is about patient care, and if we are going to create new roles in health
• care, we must do what's right.

Bills: HB2072 , HB2251 , HB2279 , HB2308 , HB2323 , HB2342 , HB2400 , HB2408 , HB2456 , HB2660 , HB2697 , HB2868 , HB2873 , HB2877 , HB2910 , HB2946 , HB2955 , HB2991 , HB4001 , HB4010

Committee: Senate Regulatory Affairs and Government Efficiency

Keywords: Cesar Chavez, public holiday, state law, holiday repeal, Arizona Revised Statutes, midwifery, medication administration, healthcare, patient safety, advisory committee, licensed midwives, river trips, liability, outfitter, Grand Canyon, negligence, risk management, contractual waiver, dental practice, business registration

Transcript Highlights:

• Operating room personnel are exposed to surgical smoke 8 to 12 hours a day, 7 days a week, and 52 weeks
• They're taking care of there. Thank you.
• child care to the children and families in our state.
• By increasing the number of days, the department can extend a license from 30 days to 90 days.
• By increasing the number of days, the department can extend a license from 30 days to 90 days.

Committee: Senate Appropriations Committee on Health and Human Services

Summary: The Health and Human Services Appropriations Committee met to review and advance the Senate’s fiscal year 2025-26 budget proposal for the committee’s portfolio. The presentation highlighted a $1.8 billion increase over the current base budget, including full funding for Medicaid and KidCare, investments in IT modernization, Medicaid provider rate increases, mental health and substance use services, opioid treatment, foster care and guardian assistance, elder care, veterans’ services, cancer research, school nurse staffing, and other public health initiatives. The committee adopted a motion allowing technical adjustments and then approved the budget proposal to be reported to the full Senate Appropriations Committee. The committee then heard and voted on several bills. SB 152 on surgical smoke protection required hospitals and ambulatory surgical centers to adopt smoke evacuation policies; nurses testified in support, citing workplace and patient safety risks, and the bill was reported favorably. CS/SB 958 on early detection of type 1 diabetes required the Department of Health to provide educational materials to schools and, by amendment, early learning coalitions; it was also reported favorably. CS/CS/SB 170 on nursing home oversight added consumer satisfaction surveys, reporting requirements, quality incentive changes, and financial reporting penalties, with an amendment exempting state-operated homes and directing a study of best practices; it passed after questions about dementia, language access, and retaliation protections. CS/SB 738 modernized child care regulation by streamlining DCF processes and reducing obsolete requirements, and was reported favorably without opposition. The committee also approved CS/SB 1356 creating the Florida Institute for Pediatric Rare Diseases at FSU and a Sunshine Genetics pilot to expand rare-disease screening and research, with support from members emphasizing early detection and data collection. SB 1370 separated ambulatory surgical centers into their own statute, with testimony that the change would better reflect the industry and help avoid burdensome regulation; it passed favorably. Finally, CS/CS/SB 1626 made a range of child welfare changes, including codifying DCF coordination with military installations, adjusting shelter certification, refining criminal-background exemptions, extending licensing compliance time, addressing room-and-board rate methodology, and clarifying missing-child procedures; after adopting three amendments and hearing both support and concerns, the bill was reported favorably. The committee also recorded a member’s affirmative vote on SB 958 before adjournment.

Transcript Highlights:

• ' electronic health record system to improve patient care outcomes, to improve access to health care
• Care clinics.
• home care clinics.
• HB 65 supports both children in foster care and the families who have stepped up to care for them.
• That's not trauma-informed care.

Committee: House House Health & Human Services

Keywords: 996, all

Transcript Highlights:

• And every additional year in extended foster care, in pre-year, in extended foster care, foster care.
• CARES is significantly different.
• in care.
• Adult and senior care, children's residential, child care, and home care services programs have each
• 90 days.

Summary: The Assembly Budget Subcommittee on Human Services heard an informational hearing on child welfare, foster care, community care licensing, child support, and related budget issues. CDSS described the Governor’s proposed child and family services budget, emphasized a family-centered and kin-first approach, and reported that foster care entries and congregate care placements have declined over the past decade. Witnesses also highlighted the importance of extended foster care to age 21, while noting persistent racial disparities for Native American and Black children and the need for stronger prevention, family finding, and community-based supports. A major focus was the proposed tiered rate structure (TRS), which CDSS said would shift funding from placement-based rates to child-centered supports, including care and supervision, strength-building dollars, and immediate needs funding paired with high-fidelity wraparound services. CDSS and county representatives said implementation is on track, with foundational policy guidance expected by the end of the year, CANS/CFT timeliness targeted by year-end, and the CWS CARES system nearing go-live in October 2026. Counties and providers raised concerns about whether the rate model and wraparound capacity will be sufficient, especially for higher-acuity youth, and asked for more data, clearer guidance, and continued collaboration. County Welfare Directors Association representatives also requested continued emergency response funding and an extension of flexible family supports, arguing both are needed to stabilize front-end child welfare work and bridge to TRS. Providers from FFAs and STRTPs warned that insurance costs, provider closures, and the transition to TRS could threaten service capacity unless the state addresses long-term insurance and reimbursement issues. LAO noted the Governor’s budget contains no new child welfare augmentations and said the main General Fund change reflects the expiration of one-time funding. No votes were taken; members instead asked for follow-up data, technical assistance, and possible future legislative or trailer bill solutions, including on insurance and implementation timelines.

Transcript Highlights:

• This budget cuts elder care programs and student financial aid, but it does give free health care to
• So whether it's elder care, vulnerable populations, feeding programs for kids and families, health care
• You're stealing money from health care in this budget. $2.3 billion stolen from health care to balance
• , and care for their loved ones.
• And so we are doing everything possible to protect health care for Californians, to make health care

Keywords: 988, house, all

Transcript Highlights:

• We take care of our people. Thank you.
• We're focused every day on driving down costs for housing, for health care, for energy.
• We took that down to 30 days. Thank you.
• You lose days, weeks, sometimes months of care.
• We care about our kids. We care about education.

Keywords: 1212, all

Transcript Highlights:

• Access approval within 24 days.
• It continues to this day.
• was dated the day I received it.
• The quality-of-care referral source is not tracked.
• appropriately or timely, even as Access relies on aggregated percentage-paid statistics that do not reflect the day-to-day

Committee: Senate Senate Health and Human Services COR

Summary: The committee continued its fourth hearing on fraud, waste, and abuse involving Arizona’s Medicaid and behavioral health systems, with a major focus on Access/ALTCS eligibility, behavioral health licensing, and payment delays. Senator Shamp presented findings alleging large gaps in ABD Medicaid asset verification, including that only a portion of enrollees were checked and that many with substantial liquid assets remained on the program. She argued the state’s waiver and lack of asset limits created a compliance and fiscal risk, and urged referrals to law enforcement, tighter verification, and broader reforms. Heather Dukes, representing behavioral health and sober living operators, testified that ADHS and Access have become overly punitive toward licensed providers, often sending technical paperwork violations straight to enforcement instead of allowing correction plans, and that zoning and licensing delays are harming legitimate businesses. Reva Stewart testified that patient brokering and fraudulent recruitment of vulnerable people into behavioral health and sober living settings remain ongoing, especially through social media, and called for stronger accountability and enforcement against bad actors. ADHS Deputy Assistant Director Tiffany Slater said the department has received more than a thousand complaints about unlicensed sober living operations, which has diverted staff from routine oversight of licensed facilities. She said ADHS has expanded enforcement tools for sober living homes, is using a new licensing system to flag repeat bad actors, and is trying to make the application process easier, while acknowledging that inspections can tip off unlicensed operators. Access Director Virginia Roundtree described steps the agency has taken since the prior hearing, including daily staff huddles, live dashboards, added project management support, an external claims vendor, and an independent review of the Division of Fee-for-Service Management. She said Access is trying to balance fraud prevention with support for legitimate providers, and committed to follow up on a specific provider payment dispute by early the next week. Committee members repeatedly pressed Access and ADHS on delayed claims processing, prepayment review, and whether the current system is driving providers out of business. Roundtable testimony from Access staff described the new Provider Resolution Roundtables, which are intended to work with a small number of providers facing the most claims and authorization problems. Members questioned why claims are being denied or held for long periods, why some providers are still waiting on payments from 2023 and 2024, and whether the agency’s actions are sustainable. Access also explained the Targeted Investment Program, saying it is a federally approved Medicaid initiative with large dollar amounts still being paid out on a delayed schedule, and agreed to provide more information on provider participation and payment timing. No formal votes or committee actions were taken in the portion provided, but the chair indicated the committee would continue reviewing the issue and requested additional reports and follow-up information from Access and ADHS.

Transcript Highlights:

• This bill also ensures health care professionals can put people, their health care needs, and their privacy
• Moving back to the dais. Any questions from the dais? Questions, comments? Very well.
• We’ll now turn it over to the dais.
• We'll now turn it over to the dais.
• And that's not even caring.

Summary: The committee heard AB 82, which would expand privacy and safety protections for patients and providers of reproductive and gender-affirming care. The author and supporters said the bill is needed because of rising harassment, doxing, and threats, and because sensitive health data could be used by hostile actors; opponents argued it would create constitutional problems, enable abuse of safe-at-home protections, and improperly shield providers and records from scrutiny. Public testimony was heavily divided, with many advocates in support and many privacy, civil liberties, and anti-trafficking or sex-based policy groups in opposition. The bill was moved on a due pass recommendation and remained on call. The committee then heard AB 331, which would clarify that county election certification is a ministerial duty, prohibit misleading ballot return envelopes, and require voter information guides to be delivered to jails in an acceptable format. The Department of Justice and several good-government groups supported the measure, the Secretary of State had no position after amendments, and a committee member noted ongoing concerns but supported it after the changes. The bill passed on a do pass recommendation to Appropriations and was placed on call. AB 1178 followed, proposing to protect undercover peace officers’ names, images, and likenesses in public records while preserving disclosure of sustained misconduct records. Law enforcement and public safety groups supported the bill as a needed safety measure, while journalists, transparency advocates, and civil liberties groups opposed it, saying existing law already protects officers and the new language could lead to overbroad withholding. After discussion about the scope of undercover status and the need for judicial discretion, the bill passed as amended to Appropriations. The committee also adopted a consent calendar. Later, AB 981 was heard, creating a five-county pilot program requiring intelligent speed assistance devices for certain reckless driving convictions. Supporters, including traffic safety advocates and crash victims, said the bill could reduce repeat speeding and save lives; opponents raised concerns about cost, installer oversight, liability for automakers, and the breadth of the pilot. The bill passed as amended to Appropriations. AB 22, which would repeal Proposition 57 and restrict release of sexually violent predators and certain sex offenders, drew strong opposition from youth justice, public defender, and civil liberties groups who said it would be unconstitutional and harmful; the chair recommended no, no motion was made, and the bill was held. Finally, AB 897, a squatter-removal bill, was presented with the author arguing it would protect property owners through a faster due-process process; the transcript cuts off during early support testimony and does not show a final action on that measure.

Transcript Highlights:

• care for our most vulnerable.
• care for our most vulnerable.
• health care not to take<02:15:31.239><c> Health</c><02:15:31.559><c> Care</c> take Health Care take
• for her every a home health aid to care for her every single<02:20:43.600><c> day</c><02:20:44.040><
• shall I do on this day?”

Keywords: U.S. House of Representatives Floor Proceedings on Wednesday, February 26, 2025, 1012, house, all

Transcript Highlights:

• reenter foster care.
• To linger in foster care and are less likely to re-enter foster care.
• That care plan needs to be agreed upon by the director of the facility, the staff care provider, the
• My question is, it looks like on page two, if the child care facility is caring for a child with special
• If the child care facility is caring for a child with special needs, then all staff members must receive

Committee: House Children and Families

Keywords: 959, house, all

Transcript Highlights:

• But when you don't spend all day, every day thinking about this stuff, it sounds like it could be.
• The rules are really aimed at increasing access to care.
• And so, for example, Health Care Authority administers our block grants for behavioral health care.
• And so, for example, Health Care Authority administers our block grants for behavioral health care.
• the 105-day session in 2027.

Summary: The committee first received an update on the effects of HR1 and related federal Medicaid and marketplace changes from Governor’s Office and Health Care Authority staff. Presenters said the most immediate coverage losses are expected in the individual market beginning in January, with premium increases and an estimated 80,000 people potentially unable to afford coverage. They warned that larger Medicaid impacts will follow over the next year and beyond, including tighter eligibility checks, work requirements, reduced retroactive coverage, limits on state-directed payments and provider taxes, new cost-sharing, and changes affecting certain non-citizen adults. They also said the state plans to seek a waiver or extension for work requirements and will continue to analyze impacts, including on rural providers and Planned Parenthood-related services. Members asked about the effect on nursing homes, rural hospitals, and how the state can help providers and enrollees navigate the new requirements; staff said timelines and a state-specific implementation chart are being developed. The committee then heard a report on the International Medical Graduate Work Group and Washington’s efforts to create pathways for internationally trained physicians. Testimony described the clinical experience license, the clinical evaluation assessment tool, grant funding for IMG support organizations, and a new hardship waiver process enacted this year. National presenters said many states have adopted similar pathways because of physician shortages, but Washington and Tennessee are among the few states that have actually issued licenses so far. They recommended clear guardrails, an employment offer before application, ECFMG certification, supervised practice, and data collection to avoid exploitation and protect patients. Members asked about state-to-state variation, retention of IMGs, and whether Washington should pursue dedicated residency or preceptorship options; presenters said the key next step is moving successful participants from supervised experience to a durable long-term license. The final topic was implementation of Washington’s Apple Health doula benefit and the statewide doula hub and referral system. Senator T’wina Nobles highlighted the state’s $3,500 per-birth Medicaid reimbursement rate for doulas and the importance of the hub for referrals, training, and billing. Health Care Authority staff said the benefit launched January 1, 2025, and covers prenatal intake, labor and delivery, postpartum visits, and telehealth-supported services. They reported 336 state-certified doulas, 134 enrolled in Apple Health, 287 unique clients served, and 641 claims paid so far. Testimony emphasized doulas’ role in improving birth outcomes, reducing unnecessary interventions, and addressing racial disparities in maternal health, while noting that implementation is still early and ongoing.

Transcript Highlights:

• Dovetailing into that, my favorite part of the bill is the adult day health care provision.
• care.
• Senator Harrell: Having adult day care is one of the key things we can do to expand veteran services.
• We're the most veteran-friendly state in the country, and to add adult day care to Senator Harrell: our
• Our first Adult Day Health Care is going to be in Senator Burgess: Senate Rule Chair Passidomo's district

Keywords: 998, house, all

Transcript Highlights:

• The Health Care Facilities and Systems Subcommittee will come to order.
• To take care of critically ill and injured children.
• Home care is vital care, ensuring that the child stays in the home in a loving family environment and
• She requires 24-7 care and supervision.
• Within that time, I began around-the-clock care and continued that same level of care to this day.

Summary: The Health Care Facilities and Systems Subcommittee met with a quorum present and took up five bills. The first, CS/HB 1119 on pediatric readiness in hospital emergency departments, would require hospitals with ERs to adopt evidence-based pediatric care policies, train staff, designate a pediatric emergency care coordinator, complete the National Pediatric Readiness Assessment, and meet minimum equipment and planning standards. Members discussed transport to the closest appropriate facility and implementation concerns, but the bill passed 16-0. The committee then approved HB 677, which would add standard fertility preservation services to the state group insurance program for employees undergoing chemotherapy, and CSHB 497, which would authorize nonprofit agricultural organization medical benefit plans for Florida Farm Bureau members, aimed at improving affordable coverage for farmers and ranchers. HB 677 passed 16-0, and CSHB 497 passed 18-0 after questions about membership, regulation, disclosures, and how the plan would compare with ACA coverage. The subcommittee also approved PCS/HB 791 on surrendered newborn infants, allowing infant safety devices at hospitals, EMS stations, and fire stations as an alternative safe-haven option. Members discussed alarms, unmanned stations, and whether churches should be included; the bill passed 18-0. Finally, HB 1529 on home health aides for medically fragile children was amended and passed 18-0. The bill seeks a federal waiver so compensation for parents serving as home health aides does not count against Medicaid eligibility, and the amendments added reporting of adverse incidents, set work-hour limits, and protected certain other benefits. The chair closed by emphasizing the committee’s role in implementation oversight and fixing problems after enactment.

Transcript Highlights:

• we have, and the fact that these days we also have a lot more complex health care issues with a lot of
• We also make a distinction with regard to care and specialty care, but it's not different as far as what's
• So it's revised to 30 days in the strike-all? So it's revised to 30 days in the strike-all?
• to 30 days, and there's some other conversations.
• I'm Denise Rock, the executive director of Florida Cares.

Committee: Senate Criminal Justice

Keywords: 999, senate, all

Transcript Highlights:

• And so, you know, you think about the PCA program, adult foster care, group adult foster care, adult
• day health, day hab.
• case management and care management support.
• We can't, we can't rely on that rainy day fund.
• We can't, we can't rely on that rainy day fund.

Keywords: 995, all

Summary: The subcommittee opened with roll call and approved the November 2025 minutes. Commissioner Charlie Carr then introduced Leslie Darcy, chief of LTSS at MassHealth, who provided an update on the PCA working group and on federal and state budget pressures affecting MassHealth and long-term services and supports. Darcy said the PCA working group had completed its work and submitted recommendations, including reinstating the 66-hour overtime cap, strengthening program integrity, and ending paid paperwork time for EVV users; she said those changes were implemented on 11/26 and were expected to save $7.4 million. She also described additional consensus recommendations to lower the overtime cap from 66 to 60 hours, create a seven-hour weekly meal-prep support limit, and continue exploring benchmarks, though the group could not reach consensus on a benchmark standard. Darcy warned that a federal bill enacted about six months earlier would significantly affect MassHealth, with an estimated $3.5 billion loss to the Commonwealth by 2028. She outlined upcoming changes including revised immigrant eligibility rules in October 2026, work requirements for certain non-disabled adults beginning in January 2027, six-month redeterminations for some adults, and shorter retroactive coverage periods. In response to questions, she said people with disabilities and Medicare beneficiaries would be exempt from the work and six-month redetermination requirements. She also explained that reduced federal ACA subsidies were being offset in Massachusetts by state spending, including $250 million in additional state support to keep premiums lower for middle-income families. Members raised concerns about community hospitals, the health safety net, and the impact of federal funding changes on provider rates and uncompensated care. Darcy said restrictions on provider taxes would limit MassHealth’s ability to use those revenues to support rates, and she noted a current $300 million shortfall in the health safety net. She said FY27 would likely include a rate freeze, targeted reductions, one-time budget measures, and further work groups to examine programs such as adult foster care, which she said had grown 40% in two years. Carr emphasized that the situation was serious but potentially fluid, and the meeting ended with no further business; the subcommittee agreed to adjourn before the next meeting and noted an upcoming February presentation from the Department of Public Health.

Transcript Highlights:

• </c> providing direct health care services. providing direct health care services.
• </c> care health community model. care health community model.
• </c><00:53:19.280><c> of</c> going to take care of the health care of going to take care of the health
• </c> overall health care costs go down. overall health care costs go down.
• , expand access, and lower health care costs across the health care system.

Keywords: 1. Call to Order and Roll Call – 00:00:00 2. Approval of Minutes – 00:01:32 3. Getting to Know the Foundation for a Healthy Kentucky – 00:02:26 4. Healthy Kids Clinic – 00:26:58 5. Pharmacy Payment Parity – 00:56:36 6. Ibogaine – 01:17:37 7. Consideration of Referred Administrative Regulations – 01:53:05 8. Adjournment – 01:53:19, 958, all

Summary: The committee first approved the prior meeting minutes and recognized Eric Clark for his service, noting this may be his last meeting before he leaves state government. The main presentation was from Allison Adams, president and CEO of the Foundation for a Healthy Kentucky, who described the organization’s history, nonpartisan mission, and focus on health equity, prevention, and upstream policy solutions. She said Kentucky’s poor rankings in chronic disease, preventable hospitalizations, and life expectancy show the need to shift resources toward prevention and community-driven strategies rather than relying mainly on treatment after people become sick. Adams emphasized leading health indicators, arguing that lawmakers should track actionable measures such as quit attempts and smoke-free policies instead of only lagging indicators like disease rates and mortality. In response to questions, she said accountability should be shared across communities and systems, with possible incentives and disincentives tied to outcomes, and she supported creating a public data utility or dashboard, ideally with university partners, to help legislators and communities monitor progress. She also cited examples of accountable health community models and said Kentucky could adapt similar approaches. The committee then heard from Meade County Schools Superintendent Mark Martin and district health coordinator Karen Kotche about the Healthy Kids Clinic partnership with Cumberland Health. They described a seven-year effort that led to full implementation in the district, which now has a nurse in every school and a nurse practitioner, allowing services such as sports physicals and other clinic functions to be provided on campus. They said the program has been a strong investment for students and the community and began explaining how the district built the partnership after earlier efforts and delays, including the pandemic.

Transcript Highlights:

• , or go without care altogether.
• The model would have appropriate licensed or certified staff available 24 hours a day to take care of
• Patients can receive a 90-day supply through PBM mail orders, but are often limited to a 30-day supply
• Gone should be the days where health care providers are faxing health records or they are on the phone
• For the last 95 days, yes, 95 days, my district... Just a moment, Mr. Gonzalez. Mr.

Summary: The Assembly convened, established a quorum after a roll call, observed a moment of silence for John Burton, and proceeded with the Pledge of Allegiance and routine procedural motions. Members approved a rule suspension to allow floor amendments on SB 271 and SB 67, and several committee notices and bill referrals were handled. The chamber then moved through a long third-reading file, with many bills passed and a number of items temporarily passed or retained on file. Among the major measures approved were bills on civil rights and public safety (SB 477, SB 19, SB 36, SB 571, SB 580), health care and coverage (SB 257 on pregnancy as a qualifying life event, SB 530 on Medi-Cal access standards, SB 660 on health data exchange, SB 754 on menstrual product contaminant disclosure), housing and disaster recovery (SB 610, SB 655), transportation and climate (SB 533 on EV charging payments, SB 30 on diesel locomotives, SB 71 on CEQA exemptions for transit, SB 263 on tariff impacts), and natural resources/energy (SB 283 on battery storage safety, SB 88 on biomass emissions, SB 427 extending the Habitat Conservation Fund). The Assembly also passed urgency measures including SB 864 on tribal gaming compacts, SB 663 on wildfire-related property tax relief, SB 471 expanding DDS ombudsman authority, and SB 497 on privacy protections for legally protected health services. Several bills drew notable debate. SB 41 on pharmacy benefit managers saw opposition over concerns about moving ahead before broader PBM data and licensing reforms take effect, but it still passed. AB 1340, a concurrence item on gig worker collective bargaining rights, prompted extended debate over labor rights, consumer costs, and union influence. Other concurrence items included AB 671 on restaurant permitting, which passed without opposition. The Assembly also took up SB 640 on direct admission to CSU, SB 702 on demographic reporting for appointees, SB 710 preserving a solar property tax exclusion, and SB 793 on counterfeit lighter safety, all of which passed. The session ended with the Assembly continuing through the file, including concurrence votes and additional bill actions, with most measures approved by substantial margins.

Transcript Highlights:

• The change from health care to mental health care, because I don't have another amendment on that.
• care system.
• the cost of medical care.
• </c> paliative care access to pallative care paliative care access to pallative care is<01:15:05.840>
• We can bang out seven in one day. No, no, no, no. You don't like those all-day ones.

Committee: Senate Health and Human Services

Keywords: 1191, senate, all