Video & Transcript : 'uncompensated care' :
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ND
North Dakota 2026 1st Special Session
Budget Section Mar 18th, 2026 at 10:00 am
Transcript Highlights:
- And so we really talked to health care workforce.
- We surveyed health care facilities.
- Child cares in particular.
- That child care is particularly important.
- CARES, survivor outreach, and military youth camps.
Summary:
The Budget Section met with a quorum, approved the December 10, 2025 minutes, and received a general fund and revenue update from the Office of Management and Budget. OMB reported the state was about $2 million ahead of forecast biennium-to-date, with an estimated ending general fund balance of about $397.5 million. Joe Morset also reviewed balances in major funds, oil tax revenues, interest income, federal grant reporting, fiscal irregularities, the voluntary separation incentive program, vacancy savings, and the FTE pool. Members asked about the higher-than-forecast interest income, the effective oil tax rate and stripper-well production, the impact of temporary pay adjustments and vacancy savings, and whether the voluntary separation program could reduce institutional knowledge or shift duties to remaining staff.
The committee then approved four Emergency Commission requests: $5.26 million for DPI to support an AI-enabled tutoring platform, $105,000 from the general fund contingency for Corrections GPS monitoring, about $1.963 million for HHS SPACES eligibility system upgrades tied to Medicaid work requirements, and about $1.2 million for SNAP eligibility IT improvements. Legislative Council reported remaining interim spending authority after those approvals, and NDIT gave an update on digital accessibility compliance efforts, saying the state has made substantial progress on websites and PDFs but that applications will take longer to remediate. NDIT also reported on the Infinite Campus student information system rollout, noting data migration remains the biggest challenge and that a supplemental vendor is being brought in to help get districts ready for summer go-live. Greg Hoffman then gave a brief update on NDIT’s operational fund, saying cash remains negative in PeopleSoft but accounts receivable keeps the fund functioning within federal limits.
The Supreme Court reported on its new and vacant FTE funding pool, saying it has filled 7 of 10 new positions and has realized some vacancy savings, and Legislative Council provided a similar report for the legislative branch along with a reminder that budget action reports are available online. The Department of Transportation presented its Flexible Transportation Fund, explaining the fund’s allocation formulas and ranking process, and sought Budget Section approval for two projects over the $10 million threshold: a Medora city streets and sidewalk project and a Cass County bridge replacement. Members questioned whether funding Medora streets could set a precedent for city street reconstruction and whether the bridge application process fully reflects statewide needs. DOT said the projects were scored competitively and that the bridge list does not capture all deficiencies statewide.
TX
Texas 89th Regular
Senate Committee on Health and Human Services (Part II) May 21st, 2025
Health & Human Services
Transcript Highlights:
- Texans care about their neighbors, and Texas is better than House Bill 1586.
- Nobody cared. Why is that all of a sudden?
- If you care about the mental health of children, I ask you to vote against this bill.
- The threat of an investigation caused providers, including mental health care providers, to cease caring
- We need a resolve to accept and care for all.
Bills:
HB 1106 , HB3284 , HB541 , HB713 , HB1403 , HB1586 , HB1942 , HB2070 , HB2844 , HB2851 , HB3151 , HB3749 , HB3940 , HB3963 , HB4454 , HB4466 , HB4795 , HB5154 , HB5394 , SB1357 , HB 1052 , HB4099 , HB4638 , HB5147
Committee:
Senate Health & Human Services
FL
Florida 2026 Regular Session
FL House Floor Session - 2025-05-01 (11:00AM Session)
Florida House Floor Meeting
Transcript Highlights:
- of what they need to take care of.
- I just feel that this process, They're going to take care of what they need to take care of.
- You talked about the Guardian program now with our child care facilities.
- Then you look at specialty care. This is even more devastating.
- And that is where social Specialty care. This is even more devastating.
Summary:
The Senate opened with prayer, the Pledge of Allegiance, and a series of introductions recognizing interns, pages, a retiring sergeant-at-arms employee, and advocates visiting for a Prader-Willi Syndrome awareness resolution. Leaders also noted ongoing budget talks with the House and said senators should not plan to be in next week while negotiations continue.
The main floor debate centered on Committee Substitute for House Bill 12.5, a citizen-initiative elections bill. Sponsors said it was intended to address petition fraud and protect the integrity of the constitutional amendment process, citing investigations, arrests, and fraudulent petition activity tied to recent initiatives. Opponents argued the bill would make it much harder and more expensive for citizens to place amendments on the ballot, chill volunteer participation, and effectively favor wealthy or corporate interests. After extensive debate, the bill passed 28-10.
The Senate then moved through a series of education bills, including measures on Bright Futures, Gold Seal, Florida ABLE, dual enrollment, educator preparation, and broader education policy, all of which passed unanimously. After a recess, the chamber took up House messages and concurred in amendments to bills on stem cell therapy, student athlete ECGs, cardiac emergency response plans, and school safety. Those measures also passed with broad support, with the school safety bill drawing some questions about the Guardian program and child care facilities.
US
US Federal 2025-2026 Regular Session
Hearings to examine the nomination of Martin Makary, of Virginia, to be Commissioner of Food and Drugs, Department of Health and Human Services. Mar 6th, 2025 at 09:00 am
Health, Education, Labor, and Pensions Committee
Transcript Highlights:
- more transparency in health care.
- We now have a generational opportunity in American health care.
- and miscarriage care.
- And that's why we've got to address health care spending.
- You mentioned in your testimony that health care has become too fragile.
Keywords:
nominations, labor, health, veterans, Social Security, Elon Musk, transparency, government accountability
Summary:
The meeting primarily focused on various executive nominations and their implications on labor and health affairs. Significant discussions surrounded the nomination of Mr. Sonderling as the Deputy Secretary of Labor, with members expressing concerns about workforce cuts affecting veterans and Social Security employees. There was also a debate led by a member regarding the authority and influence of private individuals, specifically citing Elon Musk's involvement in government decisions. Such discussions raised questions about transparency and accountability within governmental agencies, leading to a proposal for Mr. Musk to provide testimony before the committee.
TX
Texas 89th Regular
Senate Committee on Business and Commerce (Part II) Feb 27th, 2025
Business & Commerce
Transcript Highlights:
- and those... is trying to provide that care.
- I think I was in the house about MCOs, managed care organizations.
- Be careful. Be careful.
- What you just described, wouldn't the bill take care of that?
- Decision to wholly or partly deny, delay, or modify health care.
Committee:
Senate Business & Commerce
NH
New Hampshire 2026 Regular Session
JLCAR Administrative Rules (05/15/2026)
Transcript Highlights:
- level of care that need nursing facility level of care in<00:15:10.640><c> their</c><00:15:10.760><c
- Um, and case managers create care.
- , the delivery of care.
- </c> continuous care, the delivery of care. continuous care, the delivery of care.
- </c> permanent care. permanent care.
Summary:
The committee first handled routine business, approving the minutes and consent calendar, then moved to the regular calendar of administrative rules. Department of Energy rule 25-220 was postponed until June at the sponsor’s request so stakeholders would have more time to review revised language. Several Department of Health and Human Services Medicaid-related rules were then considered, including 25-240, 25-265, and 26-33, each of which drew staff comments mainly about expired rule provisions and the agencies’ reliance on federal law, the Medicaid state plan, or other manuals. The committee approved those rules after brief questions, with the agencies stating they were already operating under the relevant federal or state-plan authority and, in one case, that rulemaking was underway to update an expired citation.
The most extended discussion was on HHS Bureau of Aging rule 25-304, which had an amended conditional approval request. Staff explained the amendments clarified how case management agencies accept or deny cases, how telehealth participation is evaluated, and that the department sets the timing for accepting or denying cases under its existing authority. Staff also noted a separate issue about whether reimbursement rates must be in rule, but said the agency had long interpreted the statute to allow its approach and that any change would likely require legislation rather than committee objection.
A provider representative testified against parts of the rule, arguing the case management agencies should not be required to accept referrals before contacting the participant, that telehealth decisions for other providers should remain with those providers, and that the quality-management section was duplicative and burdensome. Committee members questioned whether the telehealth language merely allowed case managers to say a service fit the client’s plan or instead gave them authority over another provider’s delivery method. The agency responded that case managers may determine what services an individual needs, but should not control how another licensed provider delivers those services. The discussion continued with no final action shown in the excerpt.
ID
Transcript Highlights:
- hundreds of people meeting and talking about how to provide good support and resources and respite care
- And you can see as they... ...resources and respite care and so forth to the caregivers in our state.
- We know that kinship care refers to the care and protection of a child by relatives, members of their
- Over 10,000 grandparents are... ...children in foster care being raised by kin.
- Senator Adams, would you care to? No? Not biting? Okay. All right.
Committee:
Senate State Affairs
CO
Colorado 2026 Regular Session
Colorado House 2026 Legislative Day 001 Jan 15th, 2026
Colorado House Floor Meeting
Transcript Highlights:
- They simply do not care about the noise or performative outrage. They care about results.
- When Congress let the premium health care tax credits, darn it, when Congress let health care premiums
- ><c> housing</c><01:09:01.359><c> represent</c> that health care and housing represent that health care
- We do care about affordability.
- </c><01:26:44.400><c> After</c> We care about the environment. After We care about the environment.
CA
California 2025-2026 Regular Session
Assembly Floor Session May 11th, 2026
California House Floor Meeting
Transcript Highlights:
- Children in the foster care system face many unique struggles.
- on legislation to improve our state's foster care system.
- It's really hard for me to think about foster care without thinking about my mom.
- And on behalf of the 43,000 foster care children Madam Speaker, and on behalf of the 43,000 foster care
- This project will expand access to high-quality care, strengthen our health care workforce, and ensure
Summary:
The Assembly met in session after a quorum call and opened with prayer, the Pledge of Allegiance, and a ceremonial observance for Asian American and Pacific Islander Heritage Month. Members from multiple caucuses spoke in support of House Resolution 107, which designates May as AAPI Heritage Month, emphasizing the community’s contributions, resilience, and the need to confront discrimination and hate. The resolution was adopted, and the chamber then recognized 13 honorees for the 2026 AAPI Heritage Month celebration, highlighting leaders in education, business, labor, media, cultural preservation, and public service.
After guest introductions, the Assembly took up a series of bills. Measures discussed included HOA reserve funding for common interest developments (AB 2050), professional review requirements for lawsuits against design professionals (AB 2106), direct home delivery of enteral formula (AB 1794), expanded CalWORKs-related support for student parents (AB 1829), longer insurance moratoriums for wildfire survivors (AB 2038), election cybersecurity (AB 2281), medical privacy protections for reproductive and gender-affirming care (AB 2448), water district board compensation (AB 2568), county public contract change-order authority (AB 1658), and several other education, health, and licensing bills. Most measures passed with broad support; AB 2050 passed 44-6, AB 2038 passed 45-8, AB 2448 passed 49-13, and AB 1658 passed 61-2, while several others passed unanimously or near-unanimously.
The Assembly also adopted AJR 29, a resolution opposing a federal executive order affecting vote-by-mail and affirming California’s mail voting system. The resolution prompted extended debate over election integrity, voter access, and federal versus state authority, with supporters arguing mail voting is secure and accessible and opponents calling for stronger voter list maintenance and verification. The resolution passed 47-13. In addition, ACR 141 and ACR 123 were adopted by voice vote after co-author roll calls, and the chamber continued or passed on numerous other file items as it worked through the daily file.
NM
New Mexico 2026 Regular Session
House - Appropriations and Finance Jan 22nd, 2026 at 02:01 pm
House Appropriations & Finance
Transcript Highlights:
- You look at our direct care staffing levels, just direct care, it's roughly running about 63% agency,
- You look at our direct care staffing levels, just direct care, it's roughly running about 63% agency,
- So we're seeking that $2 million at the— —level of care.
- One care navigator per county? Mr. Chair, Representative… One care navigator per county? Mr.
- The other is $1 million for health care sharing ministries.
Bills:
HB1
Committee:
House House Appropriations & Finance
OK
Transcript Highlights:
- Senator Hicks, do you care to vote? Senator Mann, do you care to vote? Senator Daniels? Aye.
- Specifically about child care.
- So child care certification programs, if you're aligning that with the Child care certification programs
- high-need fields like teaching, child care, health care, public safety.
- I think talking to some of these students about, hey, with some child care and health care, yes, there's
Bills:
HB2210 , HB2398 , HB2959 , HB3006 , HB3026 , HB3151 , HB3315 , HB3372 , HB3467 , HB3590 , HB4268 , HB4359 , HB4427
Committee:
Senate Education
Summary:
The Senate Education Committee considered a long agenda of education-related bills, including school calendar changes, scholarship and tax credit cleanup, charter school facilities, apprenticeship expansion, testing windows, and teacher staffing rules. Several measures were framed as technical or clarifying changes, while others drew more substantial debate over accountability, eligibility, and funding. The committee also heard a bill to extend the sunset of the Oklahoma Advisory Council on Indian Education and another to allow certain military dependents to start kindergarten based on their home-country age rules.
Among the more debated bills, House Bill 3590 updated the Opportunity Scholarship Fund Act by changing reporting and income-verification language; senators questioned whether the bill effectively expanded eligibility or added accountability, but the author said it was a cleanup measure and the title was struck before passage. House Bill 3151 would raise the minimum school year from 166 to 173 days beginning in 2027-28, contingent on an additional $175 million in common education funding; supporters argued Oklahoma students need more time in front of teachers, while opponents questioned the evidence and fiscal impact. House Bill 4359 moved statewide assessments to the last four weeks of the school year, with an amendment changing the window from three to four weeks, and House Bill 4427, as amended, continued limits on adjunct teachers in early grades while clarifying qualifications and timelines for existing adjuncts.
The committee also advanced House Bill 2398, which would create “credentials of value” to help students and families evaluate postsecondary programs based on workforce demand and economic return, and House Bill 3372, which would create a charter school facilities fund and loan/collateral mechanisms; the latter passed on a narrower vote after questions about asset disposition and state control. Other bills passed with little or no opposition, including a 24-hour reporting requirement for school abuse to outside law enforcement, an expansion of youth apprenticeship eligibility, adoption-related maternity leave, and a pilot for teacher growth metrics and NBCT funding. Most measures were reported out favorably, with several title-stricken amendments adopted along the way.
WA
Transcript Highlights:
- fix the vape tax revenue filling the Foundational Public Health Services account and the Andy Hill Care
- wholesaler, and reselling the drugs to persons selling at retail or to hospitals, clinics, health care
- Second, we were trying not to create new definitions in law by referencing the health care authorities
- Their care fund receives funding from two sources.
- This generates much needed revenue and prevents future health care costs.
Committee:
House Finance
FL
Transcript Highlights:
- long-term care eligibility screenings used by aging and disability resource centers.
- Senators, we will now take up tab 15, C.S. for SB 1404 on memory care by Senator Burton.
- memory care unit.
- This bill is intended to provide clarity for Floridians seeking care for their loved one.
- in an ALF without that ALF obtaining a memory care services license.
Committee:
Senate Fiscal Policy
Summary:
The Committee on Fiscal Policy considered a long agenda of bills covering education, health, criminal justice, aging services, labor, and commemorative measures. Among the measures reported favorably were CS/SB 1062 creating Florida Speech and Debate Week and the Florida Debate Initiative; CS/SB 196 and CS/SB 864 establishing and protecting a Uterine Fibroid Research Database; CS/SB 432, as amended, adding restrictions on xylazine and nitrous oxide sales; CS/SB 1630 modernizing aging and disability services and guardianship oversight; SB 1112 on labor pool placement fees and registration; CS/SB 524 revising FDLE and medical examiner provisions; CS/SB 530 updating lottery operations; CS/SB 646 narrowing drug paraphernalia testing equipment exemptions to fentanyl, analogs, and xylazine; SB 676 strengthening animal cruelty penalties and the animal abuser database; CS/SB 1180 creating a recall process for community development district board members; CS/SB 800 increasing penalties for unlicensed engineering practice; CS/SB 1404 creating a memory care specialty license for assisted living facilities; SB 1072 creating an anti-Semitism task force; and CS/SB 1684 and CS/SB 1686 establishing and exempting records for a Parkinson’s Disease Registry.
The committee also took up several high-profile commemorative bills. CS/SB 194, designating October 14 as Charlie Kirk Day of Remembrance, drew extensive public testimony both for and against, with supporters emphasizing civic engagement and free speech and opponents criticizing Kirk’s rhetoric and the appropriateness of a state honor. The bill was reported favorably after a recorded vote. SB 174, designating Charlie Kirk Memorial Avenue in Miami-Dade County, also drew significant opposition testimony on similar grounds and was reported favorably. A late-file amendment to a related remembrance measure was withdrawn after discussion. Other bills, including the speech and debate, fibroid research, aging services, labor pool, animal cruelty, engineering, memory care, anti-Semitism, and Parkinson’s registry measures, were generally supported by agency, advocacy, or stakeholder testimony and advanced without major opposition.
Several bills were amended before passage, including substitute or delete-all amendments on SB 432, SB 524, SB 646, SB 676, SB 1180, SB 800, and SB 1404. The committee repeatedly adopted amendments by voice vote and then reported the bills favorably by recorded roll call. The meeting ended with members requesting to be recorded on specific bills, followed by adjournment.
CA
California 2025-2026 Regular Session
Assembly Budget Subcommittee No. 7 on Accountability and Oversight Apr 23rd, 2025
Transcript Highlights:
- Research, support for our students, and patient care.
- These changes may put millions of Californians at risk of losing health care coverage and the care that
- So we are not, you know, a heavy private care provider, we are a heavy public care provider.
- You want an unequal health care system. You want people to be excluded.
- We must meet it head on with care.
CA
California 2025-2026 Regular Session
Assembly Budget Committee, First Extraordinary Session Jan 22nd, 2025
Budget
Transcript Highlights:
- There's work and things that need to get done to take care of that.
- Before you, in terms of numbers, 323 child care facilities have been impacted.
- And that means 262 centers and 61 family child care homes.
- Wesley and urge you to keep child care providers in mind.
- providers, health care providers, child care providers, and in-home supportive providers, and just uplift
Committee:
Assembly Budget
KY
Kentucky 2025 Regular Session
Make America Healthy Again Kentucky Task Force (8-20-25)
Transcript Highlights:
- It's refreshing to hear somebody who wants to do health care and not sick care.
- Complete dental care and right?
- Okay, we need to shift from sick care to root cause care, integrative medicine. Thank you, Dr.
- Incentivize good preventive care.
- I think there may be a third pillar here, and that being no care. No care.
Summary:
The task force met for its third meeting, approved the minutes, and heard testimony from Dr. Jack on behalf of the American Beverage Association and Kentucky Beverage Association. Dr. Jack argued that the “totality of the science” supports low- and no-calorie sweeteners as safe and useful tools for reducing sugar and calories, citing FDA and other domestic and international reviews, clinical trials, and the FDA’s recent healthy-label rule. He also described the industry’s transparency efforts, including a “Good to Know” database compiling ingredient and safety information, and said the beverage industry has voluntarily worked to offer more choices with less sugar.
Members questioned him about whether beverage ingredients are restricted in other countries, possible health effects beyond weight and cancer, concerns about metabolic issues and gut microbiome effects, whether sweeteners are addictive, and why companies do not simply remove sweeteners. Dr. Jack responded that most ingredients are permitted in many jurisdictions, that broad food-safety reviews have looked at multiple endpoints and found the ingredients safe, that the gut microbiome is still being studied, and that recent clinical evidence does not show increased sweetness preference. He also said business decisions about formulations are up to companies and noted that cane sugar and high-fructose corn syrup are metabolically similar.
The committee also discussed consumer apps and ingredient-scoring tools; Dr. Jack said the industry’s website presents facts without interpretation and is based on food-safety agency assessments. At the end of his testimony, the chair accepted additional fact sheets for the committee. The meeting then moved on to introduce Dr. Gary Huber, who began testimony by emphasizing integrative medicine, metabolic syndrome, and the role of diet, exercise, sleep, and stress in health, but his full presentation was not included in the excerpt.
MN
Minnesota 2025-2026 Regular Session
House Children and Families Finance and Policy Committee 3/25/25
Children and Families Finance and Policy
Transcript Highlights:
- Today, I have with me Tim Hera from Care Portal, the organization that has created its own care sharing
- ><c> to</c><00:07:46.560><c> care</c> Care portal provides training to care Care portal provides training
- </c> and dental care. and dental care.
- </c> wrap-around care. wrap-around care.
- </c><01:43:28.960><c> care</c> Um but one thing like a family care care Um but one thing like a family
WA
Washington 2025-2026 Regular Session
Legislative Democratic Leaders Media Availability Mar 12th, 2026 at 08:30 pm
Transcript Highlights:
- And I'll add access to health care.
- Does that include revisiting the charity care bill that was introduced?
- to get access to health care in the state of Washington.
- And it's really sad, because in a sense, we're creating health care refugees.
- They can access health care in their own state.
Summary:
Legislative leaders from the Washington Senate and House reflected on the end of the 60-day session, saying they were relieved to adjourn on time despite last-minute negotiations and a fire alarm evacuation. They described the session’s main goals as protecting Washington from federal actions and improving affordability, and said they made progress on both fronts. Among the measures highlighted were bills related to masking for law enforcement, election data security, joining the West Coast Health Collaborative, using science in vaccine and health-care recommendations, protecting immigrant rights, prohibiting impersonation of law enforcement, setting uniform standards for law enforcement, and the Flock camera bill.
They also emphasized affordability and budget actions, including the “millionaires tax,” which they said would help fund tax relief on items such as diapers, over-the-counter medicines, and hygiene products, along with free school lunches and an expanded senior and disabled property tax credit. Leaders said all three budgets were completed, and credited unusually strong collaboration among House, Senate, and governor’s staff for getting the operating, transportation, and capital budgets across the finish line. They also noted a bill expanding energy assistance for low-income residents.
In response to questions, leaders said the data center tax break bill fell short because it lacked votes in Ways and Means, with labor concerns and the pace of regulation cited as major issues. They said the Mosquito Fleet bill did not advance because the House and Senate could not reconcile differences in time. Looking ahead, they said juvenile rehabilitation, jobs in response to federal tariffs, data center regulation, education funding, health-care access and hospital support, charity care, public defense funding, and AI regulation are likely to be priorities next session. They also said their relationship with the governor improved significantly this year because of more regular communication and alignment.
WA
Washington 2025-2026 Regular Session
Legislative Democratic Leaders Media Availability Mar 12th, 2026
Transcript Highlights:
- And I'll add access to health care.
- Does that include revisiting the charity care bill that was introduced?
- are coming across... ...the border to get access to health care in the state of Washington.
- And it's really sad, because in a sense, we're creating health care refugees.
- They can access health care in their own state.
Summary:
Legislative leaders from the Senate and House gave a session wrap-up focused on the major priorities they said were accomplished in the 60-day session: protecting Washington from federal actions, improving affordability, and passing the state budgets on time. They highlighted bills on masking for law enforcement, election data security, joining the West Coast Health Collaborative, using science in vaccine and health-care decisions, protecting immigrant rights, prohibiting impersonation of law enforcement, setting uniform standards for law enforcement, and a Flock camera bill. On affordability, they pointed to the “millionaires tax” package, which they said will eliminate sales tax on certain hygiene products, over-the-counter medicines, and diapers, expand school meals, and help fund investments in state services. They also cited a larger senior and disabled property tax credit and energy assistance for low-income residents.
The leaders said the House and Senate budget teams worked closely together, especially after the final revenue forecast, to complete the operating, capital, and transportation budgets despite concerns about the state’s fiscal outlook. They described the governor’s relationship with legislative leaders as stronger this year, with more regular communication and coordination. They also noted that some bills did not make it through, including the Mosquito Fleet bill, which stalled because the House and Senate could not agree on changes, and a data center tax break bill, which did not have enough votes in Ways and Means and drew significant concern from labor and construction trades about job impacts.
Looking ahead, they said juvenile rehabilitation, public defense funding, data center regulation, education funding, health-care access, and a possible jobs package will likely be priorities next session. They also said the new AI bill provides a starting point for future regulation. No formal votes were taken in the exchange itself; the discussion was a press availability summarizing session outcomes and unfinished business.
ID
Transcript Highlights:
- Child care is another top concern of our members.
- 95%, ultimately providing high-quality care to airmen and their families.
- , housing, employment, child care, and education.
- They care for our airmen and their families as if they were their own.
- , including mental health and specialty care services.
Committee:
House Transportation and Defense