Video & Transcript : 'direct care services' :

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WA

Washington 2025-2026 Regular Session

Senate Human Services Jan 14th, 2026

Transcript Highlights:
  • in foster care or extended foster care.
  • Foster care represents the greatest number of young people exiting systems of care.
  • of any system of care... ...homelessness at one year upon an exit of any system of care, foster care
  • The goal is that we're doing for services of care grants.
  • While I have no direct experience with foster care, I have a lot of experience with the overrepresentation
Summary: The Senate Human Services Committee held a work session focused on housing and services for youth and young adults, especially those exiting public systems of care. DCYF Assistant Secretary Vicki Ibarra described existing supports, including family reconciliation services and the youth and young adult housing response team, which coordinates with other agencies to help young people ages 12 to 24 avoid homelessness. Office of Homeless Youth Director Casey Hannawer Sutton outlined the office’s role in reducing youth homelessness, citing a 40% reduction since 2016, expansion of services to 37 counties, and ongoing work on prevention and “functional zero” efforts. Treehouse and the Mockingbird Society testified about education, transition, and housing barriers for foster youth and young adults, including funding cuts to Treehouse’s Graduation Success program, eligibility gaps, and the need for peer supports, financial literacy, and housing stability. A health impact review from the State Board of Health on a prior version of the extended foster care housing proposal found the bill would likely improve housing stability, health outcomes, and equity for some young adults in extended foster care. The committee then heard public testimony on Senate Bill 5911, which would stop DCYF from using Social Security benefits of young adults in extended foster care to reimburse the state for care costs. Sponsor Sen. Emily Alvarado said the bill would protect federal benefits that belong to the young person and help them meet basic needs; supporters from Partners for Our Children, TeamChild, Mockingbird Society, and a former foster youth testified that the current practice harms housing, education, and stability and urged the state to end it. Members discussed the need for financial literacy and the federal government’s recent direction discouraging the practice. The committee also heard Senate Bill 5940, a two-year extended foster care housing pilot that would provide rental assistance for up to 50 eligible youth in extended foster care who are homeless or at risk of homelessness, with transition planning required before age 21. Sen. Wilson said the bill is intended to keep young people in care from having to choose between foster care support and housing assistance. Testimony from Mockingbird Society, current and former foster youth, and Communities in Schools supported the bill as a way to reduce homelessness and improve educational and health outcomes. The committee briefly heard Senate Bill 5942, which would rename the DCYF Oversight Board as the DCYF Accountability Board and shift its reporting structure while keeping its oversight role, and Senate Bill 5957, which would expand the Office of Homeless Youth Advisory Committee to include additional members with lived experience and representation from disproportionately affected communities.
MN

Minnesota 2025-2026 Regular Session

Committee on Human Services - 04/02/25

Health and Human Services

Transcript Highlights:
  • </c><00:07:48.039><c> your</c> our Direct Care andat I appreciate your our Direct Care andat I appreciate
  • </c><00:48:18.520><c> Care</c><00:48:18.920><c> staff</c> Revenue to Direct Care staff Revenue to Direct
  • </c><00:53:38.480><c> Care</c><00:53:38.680><c> and</c> agency Direct Care and agency Direct Care and
  • </c><01:37:19.000><c> conference</c> direct care and treatment and conference direct care and treatment
  • </c> nursing care or Assisted Living Services nursing care or Assisted Living Services and<01:59:34.360
Keywords: 1187, senate, all
CA

California 2025-2026 Regular Session

Assembly Human Services Committee Apr 23rd, 2026

Transcript Highlights:
  • At the same time, AB 1634 ensures the Department of Social Services Child Care Licensing Division and
  • At the same time, AB 1634 ensures the Department of Social Services Child Care Licensing Division and
  • This means that 1.8 million children who are eligible are not receiving child care services.
  • like THP, SILP, and other extended foster care services.
  • AB 2765 directs the California State Department of Social Services to seek a waiver for the able-bodied
Summary: The committee heard a series of child and family services bills, with testimony from authors, county officials, advocates, and members of the public. AB 2083 would authorize a regional child care special district for Marina Valley and Paris; there was no public opposition, but a vice chair raised concerns about lack of outreach to Riverside County and possible added fees for residents. The bill was held pending quorum and later noted as enjoying a due pass recommendation, though no final roll was taken in the excerpt. AB 1579, which expands the Children’s Crisis Continuum Pilot Program to allow additional CDSS-approved residential models, drew strong support from San Francisco County, Seneca Family of Agencies, and several counties and advocacy groups, who argued the current crisis residential model is financially and operationally unworkable and leaves youth in hospitals or emergency departments. The Youth Law Center and allied organizations opposed the bill, saying it departs from the original small, community-based crisis model and could lead to more institutional care. The committee passed the bill 6-0 to Appropriations. AB 1628 would extend California’s safe surrender window for newborns from 72 hours to 30 days. The author and fire service supporters said the change would better reflect postpartum recovery and help prevent unsafe abandonment; there was no opposition, and the bill passed 6-0. AB 1634, dealing with the “Kids” specialty license plate program, sought to raise plate fees and revise distribution formulas to generate more revenue for child safety and child care programs. Supporters said the update would modernize outdated 1992 pricing and expand county access, while a committee member objected that the bill would reallocate funds away from state agencies and private nonprofits; the bill was moved on a 5-0 vote with some members not voting. AB 1643 would streamline child support enrollment by having courts transmit support orders directly to child support agencies unless a custodial parent opts out. Supporters said automatic enrollment would reduce poverty and remove paperwork barriers, while opponents warned it could undermine parent choice and create problems for families with sensitive circumstances. The committee passed the bill 6-0. AB 1708 would require regions receiving HHAP homelessness funds to more meaningfully engage smaller cities; many city officials supported it as a way to include jurisdictions that are doing local homelessness work, while Los Angeles’ mayor’s office opposed it. The bill passed 5-0. AB 2395 would standardize access to the child support debt reduction program; supporters described it as a way to help low-income obligors escape uncollectible government-owed debt, while receiving parents and child support agencies warned it could reduce money owed to families and needs more work. The bill passed 4-0. The committee then began AB 1914, which would require local governments to plan for child care in general plans; supporters framed child care as essential infrastructure, while at least one member raised concerns about state mandates on local jurisdictions, and the excerpt ends before any vote.
NJ

New Jersey 2026-2027 Regular Session

Senate Session Jun 30th, 2026

New Jersey Senate Floor Meeting

Transcript Highlights:
  • Domestic violence services, services for the developmentally disabled, broad-based health services, property
  • I direct the Secretary to close the machine for tally.
  • Direct the Secretary to close the machine for a tally.
  • You can direct the question to the chair.
  • I direct the Secretary... I direct the Secretary to close the machine for a tally.
Keywords: 1146, all
WA

Washington 2025-2026 Regular Session

Senate Ways & Means Oct 16th, 2025

Transcript Highlights:
  • delivery methods: fee-for-service and managed care.
  • So, clients can access DD and long-term care services via three different pathways.
  • The waiver services overall, though, represent about 20% of the services that long-term care delivers
  • If they receive developmental disability or long-term care services through the ACA, which personal care
  • , personal care in your home, personal care in an adult family home, services in a skilled nursing facility
Summary: The Ways and Means Committee held a work session to review how H.R. 1 (the One Big Beautiful Bill Act) could affect Washington’s Medicaid, long-term care, developmental disabilities, and food assistance programs, with a focus on implementation challenges, fiscal impacts, and likely coverage losses. Staff and agency officials explained Washington’s Medicaid financing structure, eligibility categories, caseload trends, and the role of the Health Care Authority and DSHS in administering Apple Health and related services. They also described how Medicaid expansion increased access to behavioral health services and how H.R. 1’s provisions are expected to affect the expansion population most directly. Health Care Authority and DSHS officials outlined several major H.R. 1 changes: new work and community engagement requirements for the Medicaid expansion population, six-month redeterminations instead of annual renewals, changes to immigrant eligibility, limits on provider taxes and state-directed payments, new cost-sharing requirements, reduced retroactive coverage, and changes affecting long-term care eligibility. They said Washington is still awaiting federal guidance on many details, but estimated that about 620,000 Apple Health expansion enrollees could be subject to work requirements, that roughly 30,000 immigrants could lose Medicaid eligibility under the new definition of qualified alien, and that some long-term care and developmental disability clients could be indirectly affected. Officials also said the state is working with other agencies to build shared verification systems and may seek a delay waiver, though they do not expect broad federal flexibility. The committee also heard that H.R. 1 immediately blocks Medicaid reimbursement for Planned Parenthood services for one year, with the state planning to backfill about $11 million to preserve access. In addition, officials warned that the law could reduce federal Medicaid revenue by billions over time and strain hospitals and emergency rooms as more people become uninsured. They noted that Washington’s rural health transformation grant application is due November 5 and could bring some funding, but not to offset coverage losses. No votes were taken; the session was informational only. The committee then heard a separate presentation on food assistance, where staff and DSHS described H.R. 1’s SNAP changes, including expanded work requirements, immigrant eligibility restrictions, higher state administrative costs, and a possible future state share of benefit costs tied to payment error rates. DSHS estimated a four-year fiscal impact of about $750 million for food assistance changes and said the state is working on system and policy changes across agencies before the new requirements take effect.
CA
Transcript Highlights:
  • services.
  • These changes may put millions of Californians at risk of losing health care coverage and the care that
  • So we're not, you know, a heavy private care provider. We're a heavy public care provider.
  • We're a heavy public care provider.
  • today can continue to provide those services.
Summary: The Assembly Budget Subcommittee on Accountability and Transparency held a hearing focused on three issues: federal funding cuts and delays, possible state revenue impacts from reduced IRS enforcement, and the fiscal effects of AB 218 on local governments. The Franchise Tax Board described how state and federal tax systems are closely linked, how most returns are filed electronically through software, and how FTB relies on IRS information sharing for compliance, fraud prevention, offsets, and nonfiler work. Members raised concerns that federal staffing cuts at the IRS could weaken audits of large corporations and reduce California revenue, and asked about VITA and ITIN filers; FTB said it was not aware of VITA reductions, noted ITIN returns are processed the same as other returns, and said ITIN filing appeared slightly down this year. The Department of Finance said it is monitoring federal developments, summarized the continuing resolution and reconciliation process, and noted that California lost nearly $940 million in earmarked federal projects under the CR, while major federal budget decisions remain uncertain until the President’s budget and later congressional action. The University of California reported substantial federal pressure on research, student aid, and health care. UC said hundreds of millions of dollars in federal awards have already been canceled, with additional threats to NIH and DOE facilities-and-administration rates, graduate fellowships, student loan repayment plans, international student visas, Pell Grants, and Medicaid/Medi-Cal funding. Committee members pressed UC on the effects of DEIA-related federal restrictions, the loss of clinical trials and research staff, and the impact on low-income students and patients. UC said it is pursuing litigation with the Attorney General and other institutions, but emphasized that court action is only a temporary solution and that sustained state and private support may be needed. The second panel addressed the fiscal consequences of AB 218, which extended the statute of limitations for childhood sexual abuse claims against public agencies. FCMAT presented a report with 22 recommendations, including better statewide data collection, financing mechanisms, a possible victims compensation fund, and prevention measures. Los Angeles County described a tentative $4 billion settlement tied to AB 218 claims, saying it will require reserves, borrowing, and long-term annual payments through 2050, while also forcing curtailments and cuts to vacant positions to preserve services. Members discussed insurance pools, retroactive premiums, unidentified future claims, and the need for a compensation fund or other financing tools. No formal votes were taken; the hearing concluded with public comment, including testimony from local health officials about nearly $400 million in terminated federal public health grants and the resulting layoffs and service impacts.
ID

Idaho 2026 Regular Session

Agenda Jan 29th, 2026

Transcript Highlights:
  • Shared purchasing, bookkeeping support, and access to services like telehealth and preventative care
  • Shared services models like the Children's Bridge matter because they stabilize the child care system
  • I actually was able to benefit from a shared services model as a child care director in another state
  • Luke's Children's at Risk Services through St. Luke's CARES, in Boise and Twin Falls.
  • Luke's, the Children's at Risk Services, through St. Luke's cares, both in Bois, through St.
Keywords: 989, all
Summary: The committee met to hear presentations on possible uses of temporary Millennium Fund dollars for youth- and family-focused prevention programs. Members first approved the prior meeting minutes, then heard from the Idaho Children’s Trust Fund, which requested $682,000 for mid-sized grants to community organizations for child abuse prevention, parenting support, family resource centers, and school-based programs. The presenter emphasized the link between adverse childhood experiences and later substance use, and described the fund’s statewide grant-making process and current projects. Committee members asked about grant selection, funding sources, and how families are identified for services. The committee also heard from Children’s Bridge, which requested $3.5 million over four years to build a shared-services infrastructure for child care providers. The proposal focused on helping providers stabilize their businesses through software, coaching, shared purchasing, bookkeeping, and access to benefits such as health insurance and retirement plans. The presenter argued that child care is part of Idaho’s prevention infrastructure and said the model would transition toward earned income and employer support over time. Members asked about similar programs, infrastructure, and how the model would be sustained after 2029. Idaho Safety Assessment Centers requested $1 million to support 12 youth assessment centers that divert youth from court, ERs, and school discipline into screening, counseling, and family support. The presenter cited individual success stories and said the centers served more than 12,000 youth in a year, with an estimated return of more than $3 in benefits for every dollar invested. The committee also heard from the Idaho Network of Children’s Advocacy Centers, which requested $3 million in one-time bridge funding for 10 centers that conduct forensic interviews and coordinate child abuse investigations; members asked about coordination with state agencies and sustainability. Ross Edmunds of the Department of Health and Welfare requested $150,000 for a 10th recovery community center in Kamiah, explaining that the department already oversees nine centers through quarterly payments and reporting requirements. Finally, Representative Jordan Redman proposed a $5 million statewide drug-use awareness campaign using research, surveys, and targeted media buys; he said the campaign would be evaluated through impressions, reach, and frequency. No decisions were made, and the chair said the committee would return later to continue reviewing the requests, noting the fund is one-time money and that the governor’s recommendations and a $25 million request reduce the amount available.
MN

Minnesota 2025-2026 Regular Session

Floor debate on automatically returning future budget surpluses to taxpayers 3/17/25

Minnesota House Floor Meeting

Transcript Highlights:
  • </c><00:33:53.320><c> access</c> will backfill the healthc care access will backfill the healthc care
  • development block grants Ma Care development block grants Ma Minnesota<00:35:28.480><c> care</c><00:
  • </c><00:43:27.119><c> directed</c><00:43:27.640><c> to</c> would be direct directed to would be direct
  • ." to uh go the direction of tax cuts or to uh go the direction of tax cuts or rebates<01:11:05.960><
  • The services that they need and count on could be negatively impacted by this: Education, Health Care
Keywords: 1183, house
ID

Idaho 2026 Regular Session

Agenda Feb 10th, 2026

Transcript Highlights:
  • So I would just say that I think public service and being in health care and in kind of a caretaking
  • States can also recover on other additional, so like... ...care services.
  • As part of House Bill 345, we were directed to pursue maximum allowable cost sharing for Medicaid services
  • As part of House Bill 345, we were directed to pursue maximum allowable cost sharing for Medicaid services
  • If they have long-term care services that the state is covering, then yes, that program or that function
Summary: The Senate Health and Welfare Committee approved the January 26 and January 27, 2026 minutes, then took up the gubernatorial appointment of Juliet Sharon as director of the Idaho Department of Health and Welfare. Sharon described her background in public health and Medicaid administration in Arizona, Texas, and Idaho, and outlined her priorities if confirmed: program integrity, efficient operations, clearer outcome measures, child welfare, disability services, and resolving long-running class action lawsuits. Senators asked about measurable goals, balancing compassion with fiscal responsibility, audit findings, and collaboration with the disability community. Sharon said she expects to more than double program integrity recoveries, that audit findings are being addressed through corrective action plans rather than firings, and that disability collaboration should be embedded in daily operations. Committee members also discussed Idaho’s influence on federal policy and Medicaid administration. No vote on the appointment was taken in the portion provided. The committee then heard a lengthy Medicaid budget presentation focused on the Department’s supplemental request for state fiscal year 2026 and line-item requests for 2027. Sharon and Deputy Director/State Medicaid Director Sasha O’Connell explained that the supplemental request was driven by caseload growth, especially in traditional Medicaid, adult disability services, and youth/adult behavioral health, along with federally required rate and system changes. They also reviewed the impact of the governor-directed 4% provider rate reduction and the ending of some adult behavioral health services, saying the department had already been tracking budget sustainability before the executive order. O’Connell said the rate cuts drew the most public comment the agency has ever received, especially from home- and community-based providers, and that access monitoring is being developed to track whether services remain available. For 2027, the department requested funding for MMIS procurement, estate recovery, additional procurement staff, Medicaid admin reductions, and population forecast adjustments. Sharon said the MMIS modernization is on pause because of litigation over a major contract award, but other modules are moving forward. She also said estate recovery is underperforming and could bring in more general funds with contractor support. The committee discussed pharmacy costs and a possible Medicaid copay under House Bill 345, with Sharon saying implementation is underway and O’Connell noting savings estimates are still being developed. Senators also asked about expansion Medicaid growth and whether it affects other eligibility groups; Sharon said expansion growth is leveling off and that recovery rules apply to any Medicaid member receiving long-term care services. The meeting ended without any budget votes in the excerpt provided.
AZ

Arizona 2026 Regular Session

03/19/2026 - Senate Health and Human Services

Senate Health and Human Services COR

Transcript Highlights:
  • So it was a direct contract.
  • This is a state-directed payment, meaning the money has to flow through the managed care organizations
  • The uniqueness of AIHP and our fee-for-service members is that they are able to access care from anyone
  • In addition, they also have the ability to transition from fee-for-service to managed care if they wanted
  • direct care that they may need, from your everyday type of service to very specific, like DBT, which
Summary: The Committee on Health and Human Services held another oversight hearing on Access, focusing on fee-for-service behavioral health management, prior authorization and claims processing, the Targeted Investment Program (TIP), and network adequacy. The chair criticized Access for implementing a covered behavioral health services guide without public comment and for failing to produce records such as decision-making documentation, work group minutes, and public/tribal feedback. Members also raised concerns about ARPA compliance, the reduction of intensive outpatient reimbursement to a $157 per diem, and the impact of these actions on providers and Native American communities. Interim Director Roberta Harrison said Access had improved fraud controls and operations after the sober living fraud crisis, including tripling prior authorization speed, reducing denial codes by 64%, cutting claims processing to under 30 days, and adding dashboards and staffing. She said the agency is modernizing outdated systems and invited fraud referrals. On questions about claims and prior authorizations, Access reported average processing times of six days overall and 17 days for behavioral health prior authorizations, and said it had hired Constellation under a direct procurement to help with claims backlog. Harrison acknowledged that a proposal language suggesting higher ROI from denying more claims was not part of the contract scope. The committee also pressed Access on TIP delays. Staff explained that TIP payments depend on provider documentation, programmatic review, and allocation across many sites, and said year one of TIP 2.0 had been paid while years two and three had not yet been distributed. The chair requested a formal plan within 30 days to pay the delayed year two and year three TIP funds, estimated at about $122 million, along with all CMS-related TIP 2.0 documentation. On network adequacy, Access described its standards and annual MCO reporting process, but acknowledged gaps in tracking and said it would follow up on whether a fiscal year 2025 report was submitted to CMS. Members cited a federal ghost network report finding 28% of providers in Santa Cruz County inactive or unavailable, and requested unredacted network adequacy reports and further information on CMS engagement. The hearing ended with the chair noting some improvements but saying more oversight may follow, and the committee adjourned.
MO

Missouri 2026 Regular Session

Budget Feb 10th, 2026 at 08:15 am

Budget

Transcript Highlights:
  • The first service is individual directed goods and service. This is a relatively small cut.
  • sit on the rate range compared to other services and the direct support wage that is being paid for
  • I don't know. $7 pay reduction for staff who are serving under self-directed services.
  • care through the SDS model and developmental disability services as well.
  • That act requires states to implement EVV for all personal care services and home health care services
Committee: House Budget
Keywords: 959, house, all
NH

New Hampshire 2025 Regular Session

House Finance Division III (02/26/2025)

Transcript Highlights:
  • and I'd like Health and Human Services and I'd like to<00:07:53.479><c> direct</c><00:07:53.800><c>
  • And through this service, we're seeing that voluntary foster care to 21 is available, uh, for kids who
  • , but these both residential and foster care are essential services to our service array to ensure that
  • ><c> to</c> Foster Care are essential services to Foster Care are essential services to our<02:23:49.319
  • But you can't keep funding the obscenely high price tag of institutional care. Based Services.
Keywords: 1189, house, all
Summary: The Division 3 House Finance Committee opened a work session and announced scheduling updates, including a second Medicaid work session on March 5 at 9:00 a.m. and a reminder that recommendations or budget amendments must be moved to the full finance committee by the end of March. Members were told no motions, roll calls, or votes would be taken, and the chair also reviewed upcoming meeting dates and weather-related cancellation procedures. The day’s presentation was a budget work session on the Division for Children, Youth and Families (DCYF), with officials Marie Nunan and Nathan White introducing the agency’s budget materials and mission. DCYF’s presentation focused on its core mandates and recent operational changes. Officials described child protective services, juvenile justice services, and the Sununu Youth Services Center, then highlighted workforce improvements, including reduced vacancy rates for assessment caseworkers, juvenile justice officers, and youth counselors. They attributed the staffing gains to legislative pay raises, mass recruitment posting changes, a more stable and trauma-informed model at SYC, and broader flexibility after prior budget cuts and hiring freezes. Members asked about full-time versus part-time staffing, and DCYF said most positions discussed were full-time, with some harder-to-fill part-time youth counselor roles at SYC. The committee also discussed DCYF’s emphasis on serving families earlier through its Community Navigator hotline referrals and community-based voluntary services, which are intended to connect families to supports before abuse or neglect escalates. Officials said the Community Navigator program had received 807 referrals since August 2023. On juvenile justice, DCYF described its assessment and diversion process and said it had reduced juvenile probation involvement by 30% from 2019 to 2023; members were directed to slide 17 for 2024 data, and officials said the trend continued toward fewer in-home juvenile justice cases. The agency also reported progress in kinship care, saying initial out-of-home placements with kin now occur 74% of the time and that kinship placements are associated with more reunification. Officials said kinship caregivers are being licensed and paid similarly to foster parents, and that the legislature’s kinship law has helped. Finally, DCYF outlined transition-age youth supports, including the HOPE program, Youth Villages LifeSet, and housing vouchers. No votes or formal actions were taken.
FL

Florida 2026 Regular Session

Health Policy Feb 4th, 2025

Health Policy

Transcript Highlights:
  • Section 13 and 24 of Senate Bill 76 directed the agency to seek federal approval for these services and
  • The acute hospital care at home program directed the agency to seek federal approval necessary to implement
  • So rural emergency hospitals will provide rural emergency services and other care that do not require
  • The legislation directed the Agency for Health Care Administration to seek federal authority to draw
  • the Board of Pharmacy to ensure patients have access to primary care services.
Summary: The Senate Health Policy Committee received updates from the Agency for Health Care Administration and the Department of Health on implementation of 2024 health care laws. AHCA reviewed progress on workforce and reimbursement measures in Senate Bill 7016 and related bills, including FRAME and TEACH funding, graduate medical education reporting, behavioral health teaching hospitals, acute hospital care at home, advanced birth centers, non-emergent care access plans, and rural emergency hospitals. Agency officials said several programs are already operational or have begun payments, while others are still in rulemaking, federal approval, or report-preparation stages. Senators asked about timing, funding reversion concerns, and whether appropriated dollars would be spent on schedule, especially for behavioral health teaching hospitals and the new birth center category. The Department of Health then reported on practitioner licensure and public health programs. MQA described implementation of the Interstate Medical Licensure Compact, the Mobile Act licensure pathway, massage therapy enforcement changes, background screening expansion, liposuction safety requirements, pharmacist HIV post-exposure prophylaxis authority, and chiropractic dry needling. Public health staff updated the committee on FRAME and dental loan repayment, the Sinati screening grant program, the cancer research and innovation changes, the health care innovation council and loan program, the pediatric rare disease grant program, telehealth maternity care expansion, newborn screening for congenital CMV, the sickle cell registry and grants, and the swimming lesson voucher program. Members focused questions on how practitioners were being recruited to underserved areas, the pace of licensure approvals, and whether new programs were on track to use appropriated funds. The committee also heard a lengthy update from the Office of Medical Marijuana Use. The director reported more than 900,000 qualified patients, real-time seed-to-sale tracking now integrated across most dispensaries and labs, and ongoing compliance work on product testing, advertising, diversion, and patient safety. Senators questioned the decline in qualified physicians, how THC potency is labeled and verified, and what the agency can do about diversion to non-patients. The director said the office relies on complaints, inspections, lab audits, and coordination with law enforcement, and that patients can be suspended if violations are confirmed.
FL

Florida 2025 Regular Session

October 15, 2025 - 08:00 AM

Transcript Highlights:
  • SERVICES.
  • A GROUP OF CARE IS A WAY TO CATEGORIZE SIMILAR SERVICES OR ACTIVITIES THAT HAVE AN EXPENDITURE OUTCOME
  • GROUPS OF CARE WERE REFINED.
  • THE CBC'S AREN'T OPERATIONS AND THEY ARE DIRECT PAYMENTS AND DIRECT SERVICE.
  • IT IS NOT THAT THIS IS INCORRECT BUT WHEN YOU DO IT YOU LOSE VISIBILITY ON A DIRECT SERVICE PAYMENT THAT
MN

Minnesota 2025-2026 Regular Session

Committee on Health and Human Services - 02/06/25

Health and Human Services

Transcript Highlights:
  • /c><00:14:12.480><c> in</c><00:14:12.680><c> addition</c> Services the fire service um in addition Services
  • primary service area ambulance services primary service area with<00:18:40.039><c> entities</c><00:18
  • </c> to direct people to the appropriate care to direct people to the appropriate care emergeny<01:07
  • </c> service um providing the uh great care service um providing the uh great care you<01:08:35.159><
  • service licenses they should<01:13:17.120><c> direct</c><01:13:17.360><c> the</c><01:13:17.480><c> emsrb
Keywords: 1187, senate, all
FL

Florida 2026 5th Special Session

FL House Floor Session - 2025-04-09 (1:00PM Session)

Florida House Floor Meeting

Transcript Highlights:
  • Why did you name that specific technology, and do you expect additional health care service to be impacted
  • medical care?
  • services to those that she was giving foster care to.
  • services to those that she was giving foster care to.
  • H.B. 1567 addresses a critical gap in care by allowing direct support professionals and relatives to
Summary: The House convened with prayer, the pledge, quorum call, and several recognitions, including guests for Education and Sharing Day, law enforcement officer of the day Detective Miata Anderson, and later FAMU Day at the Capitol and other visiting groups. The chamber adopted the special order report and then moved through a series of budget-related bills and conforming measures, with debate focused largely on recurring funding, environmental programs, housing, insurance reserves, and tax policy. Members approved HB 5011/SB 2506, which conform environmental resource funding to the proposed budget by shifting Seminole Gaming Compact-related dollars from recurring to nonrecurring funding; supporters said this preserves annual legislative review, while opponents warned it would reduce funding for the Resilient Florida program, wildlife corridor protection, invasive species removal, and other conservation efforts. The House then passed HB 5013, reducing state-funded property reinsurance reserves by lowering the RAP program and repealing FORA funding, and HB 5501, which redirects documentary stamp tax revenues from housing and transportation trust funds to general revenue; Democrats argued the housing changes would reduce affordable housing support, while Republicans said the move was needed to control recurring spending. The chamber also passed HB 5015 on state group insurance, HB 5201 on Florida PALM accounting conforming changes, HB 5203 on Capitol Center tenancy and utilities control, and HB 5009 creating a Florida Accountability Office and revising audit and budgeting functions. The most extended debate came on HB 7031, which permanently reduces the state sales tax rate from 6% to 5.25% and also lowers several related tax rates. Supporters described it as broad-based, immediate tax relief for Floridians, while opponents said property tax relief would be more targeted and that sales tax cuts also benefit tourists and out-of-state visitors. The bill passed 112-0. The House then took up the main budget bill, HB 501, and subcommittee chairs outlined the proposed $112.9 billion budget, including education, health care, transportation, agriculture and natural resources, higher education, state administration, justice, and IT spending. Members began questioning the pre-K-12 budget on school funding, vouchers, proration, mental health and safety allocations, and inflation, with the discussion continuing beyond the excerpt provided.
CA
Transcript Highlights:
  • My name is Genevieve Valentine, and I'm San Joaquin County's Health Care Services Director.
  • My name is Genevieve Valentine and I'm San Joaquin County's Health Care Services Director.
  • The 988 call center is integrated so that there can be bi-directional referral from 988 into services
  • And so under health care services in our county, I actually oversee correctional health, behavior.
  • Hirsch Mental Health Services, Ashley Mills, Vice President of the Crisis Care, D.D.
Keywords: 988, house, all
US

US Federal 2025-2026 Regular Session

US House Floor Proceedings (Tuesday, January 20, 2026)

US Federal House Floor Meeting

Transcript Highlights:
  • system and reduce health care costs for all Americans.
  • system and reduce health care costs for all Americans.
  • system and reduce health care costs for all Americans.
  • CHOOSE BETWEEN HEALTH CARE, RENT AND GROCERIES.
  • It continues in how we care for them, how we honor their service, and how seriously we take the responsibility
FL

Florida 2026 5th Special Session

Senate in Session Mar 10th, 2026

Florida Senate Floor Meeting

Transcript Highlights:
  • The Hope Florida Foundation, which was established in 2023 as DCF's direct service organization, was
  • You know, what I think about service is service is just love.
  • care.
  • care.
  • Moving them to direct dispense also means they're losing access to their health care and access to their
Summary: The Senate convened with a quorum, opening prayer, Pledge of Allegiance, page introductions, and recognition of guests, including a state champion Crossroads Academy basketball team and a student intern. The chamber then took up executive appointment reports from the Ethics and Elections Committee and related committees, which covered a large slate of gubernatorial appointees to state boards and commissions. Senators were given the opportunity to separate nominees for individual votes, and several members spoke in support of or opposition to specific appointees based on qualifications, ideology, and prior public service. The first major confirmation vote covered most of the 186 appointments on the report, with debate centered on three nominees highlighted by Senator Polsky: Ilya Shapiro, Thomas Zachary Smith, and Dr. John Lattell. The report was adopted 31-0 after those objections, and Jeffrey Aaron was then considered separately for the Public Employee Relations Commission. Senators Smith and Polsky opposed Aaron’s confirmation, citing his role as legal counsel to the Hope Florida Foundation and alleged involvement in the transfer of Medicaid settlement funds to political entities; Chair Gates defended Aaron as a lawyer representing a client and noted no disciplinary or law-enforcement action against him. Aaron was confirmed 26-10. The Senate next confirmed Chavon Harris as Secretary of the Agency for Health Care Administration after debate focused on her prior leadership at the Department of Children and Families, Medicaid redeterminations, postpartum coverage issues, Hope Florida-related concerns, and a women’s shelter inspection dispute. Supporters emphasized her work stabilizing Medicaid funding and her responsiveness to agency problems, while opponents argued she had overseen serious failures and lacked suitability. The confirmation passed 32-5. Taylor Hatch was then confirmed as Secretary of the Department of Children and Families after committee members noted serious operational concerns at DCF, including SNAP/EBT compliance, child welfare practices, forensic audit issues, and questions about Hope Florida, but also cited her commitment to child welfare and willingness to address problems; the vote was 33-4. After the confirmations, the Senate recessed and later returned for a lengthy tribute to outgoing Senate President Kathleen Pasadomo. Senators from both parties offered personal remarks praising her leadership, diligence, toughness in committee, mentorship, and resilience after personal loss, while also joking about her reputation as a strict rules chair and “bill killer.” The session concluded with the recognition of her service and presentation of a handmade keepsake box filled with letters and mementos from staff and colleagues.
NM

New Mexico 2026 Regular Session

House - Appropriations and Finance Jan 21st, 2026

House Appropriations & Finance

Transcript Highlights:
  • Because there could be some contracts that are direct services, right?
  • Members of the Committee, so LLC's best estimate in the current operating year for direct services is
  • So a big Portion of it is going out to the committee and direct services.
  • . ...24-hour child care service.
  • And what is really important and critical to understand is that providers are giving service to care
Bills: SB2