Video & Transcript : 'port visit' :

Page 184 of 500
MA

Massachusetts 2025-2026 Regular Session

Joint Committee on Children, Families and Persons with Disabilities Jun 21st, 2026 at 01:00 pm

Joint Committee on Children, Families and Persons with Disabilities

Transcript Highlights:
  • Last year, he was accused of acting out toward a staff member after being upset that a family visit was
  • He felt rushed throughout his visits, unable to share his story or understand what was being discussed
  • At his most recent visit to the doctor, Ned, for the first time in his life, was able to tolerate an
  • He loves being active and visiting parks, theaters, museums, and other public spaces in the community
  • One time I visited the Lynn Emergency Shelter, very close to the Mass Coalition for the Homeless, and
Keywords: 995, all
Summary: The Joint Committee on Children, Families and Persons with Disabilities held a hybrid hearing focused largely on DDS-related bills, with chairs Kennedy and Livingstone outlining strict time limits, accessibility procedures, and a 5 p.m. stop to preserve ASL and CART services. The committee heard testimony on several measures, including a bill from Sen. Mike Moore to create a centralized electronic education records system for students in out-of-home placements, which supporters said would improve communication, preserve IEP continuity, and reduce missed services. Paul DePaulo also testified in support, describing the educational and justice-system harms that can follow when foster youth do not receive coordinated records and supports. A major portion of the hearing centered on H. 242/S. 149, a bill to enhance standards of care for people with autism and intellectual and developmental disabilities. Rep. Garballey and many advocates, parents, clinicians, and disability leaders supported the bill, saying it would require provider training, statewide standards, and better emergency department practices to reduce misdiagnosis, trauma, and unnecessary ER boarding. Testimony described sensory and communication barriers in medical settings, lack of provider training, and the need for continuing education and license-related requirements. Related testimony also supported H. 213/S. 111, which would improve access to behavioral health services for children involved with state agencies by requiring better discharge planning, coordination with hospitals and agencies, and more appropriate post-hospital placements. The committee also heard strong support for H. 256/S. 102, requiring universal changing stations in public buildings, from parents, advocates, and the Massachusetts Developmental Disabilities Council. Witnesses said current restroom accommodations often force unsafe or undignified changes on floors, in cars, or in inaccessible spaces, and argued the cost of adding changing stations to new or renovated buildings would be modest compared with the benefits to dignity, safety, and community access. Another major topic was H. 261/S. 155 on supported decision-making agreements for certain adults, which supporters described as a less restrictive alternative to guardianship that preserves autonomy while providing trusted support. Finally, testimony on Tommy’s bill (S. 168/H. 282) described a preventable death after a hospital discharge and urged clearer communication and training requirements for residential staff handling life-sustaining equipment; the bill was presented as a safeguard for people with disabilities relying on such equipment.
KY

Kentucky 2026 Regular Session

Senate Legislative Session Day 48 (3-17-26)

Kentucky Senate Floor Meeting

Transcript Highlights:
  • Senate Bill 281, an act relating to grandparent visitation. Senator Girdler. Senator from Taylor.
  • And this is what the grandparents that I've talked to that's had trouble getting visitation rights or
  • It just is for visitation rights.
  • It just is for visitation rights.
  • And so, I think we can to visitation.
Keywords: 958, all
Summary: The Senate convened with prayer, the Pledge of Allegiance, and a roll call establishing a quorum. The chamber approved the prior journal, excused absent senators, and received a House message noting passage of several House bills, including House Bill 1 despite the governor’s veto. The clerk also reported committee recommendations on a number of House bills, which were placed on the calendar, and new resolutions were introduced recognizing Chloe Yates, student wellness and physical activity in schools, and the Kentucky State Long-Term Care Ombudsman program. The main floor action centered on House Bill 1, which implements the Federal Education Opportunity Program in Kentucky. Supporters argued the measure would bring federal tax-credit dollars into Kentucky to expand educational opportunities for students and families at no cost to the state budget, while opponents urged sustaining the governor’s veto and raised concerns about accountability and the bill’s structure. After debate, the Senate voted 31-5 to override the veto, and House Bill 1 was finally passed notwithstanding the governor’s veto. The Senate then took up Senate Bill 183 on proxy advisory services. The House committee substitute exempted certain nonprofits with less than $500,000 in annual gross revenue from proxy advisor services from the bill’s cause-of-action provisions while preserving attorney general enforcement authority. The chamber concurred with the House substitute and then passed the bill as amended. Senators also passed Senate Bill 263, the School of Innovation cleanup bill, which makes technical changes, requires KDE support for waiver applications, and creates a pilot project for three schools of innovation with proposed matching grants. Senate Bill 281 on grandparent visitation was also adopted with committee substitute and passed unanimously after discussion focused on balancing grandparents’ access with parental rights and existing case law. Later, the Senate began consideration of Senate Bill 324 on the film industry credit, with the sponsor describing technical changes and expanded provisions to support film, video, gaming, and related production activity in Kentucky.
MN

Minnesota 2025-2026 Regular Session

House Veterans and Military Affairs Division 2/18/26

Veterans and Military Affairs Division

Transcript Highlights:
  • I'm really excited to visit in September. Thank you, Representative. Representative Bennett.
  • You can visit our website, mnvetmuseum.org.
  • </c> really excited um to visit in September. really excited um to visit in September.
  • Uh, you can visit our &gt;&gt; Yes, absolutely.
  • > mnvet</c><00:42:35.359><c> museum.org,</c> So, visit our website, mnvet museum.org, So, visit our website
Keywords: 1183, house
AZ

Arizona 2026 Regular Session

02/18/2026 - Senate Regulatory Affairs and Government Efficiency

Regulatory Affairs and Government Efficiency

Transcript Highlights:
  • Are we getting into a situation where we're going to do things in a 10-minute visit?
  • Would you take your animal in, or would Linda take an animal in that we get a 10-minute visit?
  • the in-person visit, I would agree, because it's something I said to Dr.
  • I don't understand 10-minute visits. I don't understand. Can't get the scripts on time.
  • I would take my pet to the vet and have an in-person visit.
AL

Alabama 2026 Regular Session

Alabama House Public Safety and Homeland Security Committee Feb 4th, 2026

Public Safety and Homeland Security

Transcript Highlights:
  • I'm visiting. You come visit and you jump up and we're going to be all right.
  • I'm visiting. visiting. visiting.
  • &gt;&gt; You<00:36:48.800><c> come</c><00:36:49.040><c> visit</c><00:36:49.280><c> and</c><00:36:49.440
  • and you jump up and we're &gt;&gt; You come visit and you jump up and we're going<00:36:50.880><c> to
  • and it's clear that they were visiting and it's clear that they were there<00:40:45.280><c> to</c><00
Bills: HB88 , HB314 , SB46 , HB332 , HB86 , HB363 , HB88 , HB314 , SB46 , HB332 , HB86 , HB363
KY
Transcript Highlights:
  • We had a site visit conducted by staff. We had 12 development program closed out.
  • We had a site visit conducted by staff. We had 12 development program closed out.
  • We had a site visit conducted by staff. We had 12 development program closed out.
  • We had a site visit conducted by staff. We had 12 development program closed out.
  • We had a site visit conducted in July. We had a site visit conducted by<00:09:20.640><c> staff.
Summary: The committee met on September 18, 2025, approved the July 10 minutes, and received Brandon Reid’s monthly report on Kentucky agriculture development and finance activity for July and August. Reid emphasized the long-running structure created under House Bill 611 and Senate Bill 28, the role of county agriculture development councils in all 120 counties, and the importance of the program as a national model for supporting Kentucky agriculture. He also introduced new staff and interns, including a new loan programs manager, Rachel Coward, and project manager Kylie Davis. For July, the development board reported $3.4 million invested in agriculture and the finance corporation reported $3.1 million in loans. Highlights included 11 county council meetings, site visits, program reviews, and 18 project reports. July approvals included county agriculture incentive programs, deceased farm animal removal programs, youth incentive programs, county/state projects, infrastructure loans, an agriculture processing loan, and beginning farmer loans. Staff also noted that all 120 counties had submitted their required five-year comprehensive plans on schedule. Bill McCloskey then highlighted several funded projects, including Dino’s Farm LLC in Jefferson County, which received support to purchase a meat processing facility and equipment, with the goal of creating market opportunities for goat, sheep, and cattle producers and establishing Kentucky’s first halal meat processing facility. Other projects included a veterinarian facility project to address large animal vet shortages and Grow Appalachia at Berea College, which provides technical assistance and market support for small-scale and eastern Kentucky producers. Members discussed the need for programs such as high tunnels and other small-scale opportunities in rural areas, and staff noted related resources such as CAPE and NRCS funding. For August, the board reported $500,000 in development board investments and just over $3 million in finance corporation loans, along with fewer staff activities than July but continued county council, site visit, and project review work. August approvals included county agriculture incentive programs, deceased animal removal programs, youth incentive programs, county/state projects, agriculture infrastructure loans, beginning farmer loans, and a horticulture incentives loan. Additional project updates included another veterinary equipment purchase, emergency safety equipment in Graves County, and a food safety and efficiency incentive for Jared Cornet.
AK
Transcript Highlights:
  • Yes, the unannounced—this is the employee’s voice—unannounced visits are so important because everyone
  • The unannounced visits in this bill are so important.
  • natural disaster like Typhoon Halong, or making sure that a parent doesn&#039;t have to do multiple visits
  • This bill will save hundreds of dollars per visit for thousands of Alaska families.
  • </span> <span marker="111" data-time="2775">This bill will save hundreds of dollars per visit for thousands
Keywords: 905, all
Summary: The Alaska Legislature met in joint session to consider gubernatorial vetoes of five bills. Members first took up House Bill 52 on minors and psychiatric hospitals, with supporters arguing it would improve transparency, family communication, oversight, and reporting around seclusion and restraint in psychiatric facilities. Opponents of the veto cited DOJ findings and media reports about abuses at a North Star facility. The override failed, 36-24, falling short of the 40 votes needed. The joint session then considered Senate Bill 41 on mental health education. Supporters said it would help develop age-appropriate mental health curriculum and could aid suicide prevention, while critics argued it was mischaracterized and did not impose a state takeover of local schools. The veto override failed, 38-22. Members next considered House Bill 314 on architects, engineers, surveyors, and interior designers, focusing on the AELS Board’s continuation and the need for professional oversight during major infrastructure work. That override passed, 45-15. The legislature then voted on Senate Bill 21, the Alaska Work and Save Program, which supporters said would expand retirement savings access for workers and small businesses, including an option to direct PFD funds into retirement accounts. The override failed, 39-21. Finally, House Bill 195 on pharmacists and physician assistants was debated as a health care access measure that would let pharmacists provide more services under a standard-of-care model; supporters said it would reduce costs and improve access, while some members raised concerns about scope and abortion-related issues. The veto override passed, 43-17. The joint session then adjourned.
ID

Idaho 2026 Regular Session

Agenda Jan 29th, 2026

Education

Transcript Highlights:
  • Additionally, reach out to us and say you want to come visit a school with us.
  • I actually happened to visit with them in my homeschool in Oakley Elementary, and that was a treat to
  • And you can visit another teacher's classroom, and what a wonderful place to be.
  • talking about, if education's not your thing and you're up in front of a classroom and, frankly, to visit
  • Visit an eighth-grade classroom that things aren't going well. That's horrible.
Committee: House Education
Keywords: 989, all
HI

Hawaii 2026 Regular Session

House Chamber - Tue Feb 24, 2026, 12:00PM HST - Day 21

Hawaii House Floor Meeting

Transcript Highlights:
  • Uh colleagues at the gallery today, we have Edgar Ruiz, if you could please stand, and Will Keys visiting
  • stand, and Ruiz, if you could please stand, and Will<00:15:06.320><c> Keys</c> Will Keys Will Keys visiting
  • 00:15:11.199><c> CSG</c><00:15:12.000><c> West</c><00:15:12.320><c> is</c><00:15:12.480><c> a</c> visiting
  • CSG West is a visiting from CSG West.
Keywords: 910, house, all
MN

Minnesota 2025-2026 Regular Session

Judiciary Committee Meeting - 2026-04-14

Judiciary Finance and Civil Law

Transcript Highlights:
  • and interviewing staff as well as conducting visits at court locations.
  • The office visits at court locations.
  • c> congregate</c><01:10:11.360><c> care</c> visiting of primarily congregate care visiting of primarily
  • And in the world of sort of site visit.
  • So if you visit is incredibly important.
Bills: HF3901 , HF962 , HF4428 , HF4478 , HF1775
MN

Minnesota 2025-2026 Regular Session

House Ways and Means Committee 5/5/26

Ways and Means

Transcript Highlights:
  • ,</c> authority to conduct site visits, authority to conduct site visits, require<00:05:45.680><c> background
  • Chair, we're also doing uh the electronic visit verification to make sure that individuals get the care
  • Chair, we're also doing uh the electronic visit verification to make sure that individuals get the care
  • Chair, we're also doing uh the electronic visit verification to make sure that individuals get the care
  • Chair, we're also doing uh the electronic visit verification to make sure that individuals get the care
Keywords: 1183, house
AL

Alabama 2026 Regular Session

Alabama House Education Policy Committee Mar 18th, 2026

Education Policy

Transcript Highlights:
  • We have some guests with us today that are visiting. They are um student voices from A+.
  • I'm going to ask since our senator is here if the... with us today that are visiting.
  • They with us today that are visiting.
  • If they are on par, he said, they will take official visits and do the things they need to do.
  • If they are on par, they will take official visits and do what they need to do.
Bills: HF3714 , HF4399 , HF4176 , HF2544 , HF60 , HF4231 , HF4232
CA
Transcript Highlights:
  • And let's turn to our panel, beginning with Lindsay Gallagher, the CEO of Visit Napa Valley.
  • Napa Valley as a destination on the world stage as part of the California dream and the work that Visit
  • But I appreciate the opportunity this afternoon to talk about visitation to Napa Valley and how that
  • But I appreciate the opportunity this afternoon to talk about visitation to Napa Valley and how that
  • Not only on the wine side, but for potential reduced visitation.
Summary: The Senate Select Committee on California’s Wine Industry held its first meeting at Napa Valley College, with opening remarks from Chair Senator Christopher Cabaldon and Assembly Majority Leader Cecilia Aguiar-Curry emphasizing the industry’s importance to California’s economy and communities. The chair said the hearing was intended to gather information and ideas, not to vote on legislation, and to inform future policy, budget, and oversight work. The first panel focused on research and trends, with speakers from Sonoma State, UC Davis, and Terrain describing the industry as facing structural change rather than a temporary downturn. Panelists said California wine is confronting falling consumption, rising costs, labor shortages, housing pressures, tariffs, and competition from imports. Dr. Damien Wilson argued the industry has relied too heavily on premiumization and must focus on attracting new consumers, especially younger generations, through more accessible products, better marketing, and evidence-based decision-making. UC Davis’s Ben Mumpeteet said grapevine disease, extreme weather, and water shortages require long-term research investment and stronger university-industry-state partnerships. Chris Bitter, a wine economist, reported that California wine sales are down about 25% since 2019, that large amounts of grapes have gone unpicked, and that vineyard removals and falling vineyard values reflect a severe supply-demand imbalance; he urged regulatory review, trade competitiveness analysis, and transition support for growers. The committee then heard from industry representatives. Michael Miller of the California Association of Wine Grape Growers described a crisis in which growers can produce high-quality fruit but have no buyers, leading to abandoned or removed vineyards, lost farm revenue, and pressure to restore market balance. Honor Comfort of the Wine Institute presented the Share Wine Co-Lab, an open-access marketing platform designed to help wineries better reach younger consumers through data-driven, collaborative outreach. Jane Lisa Tamayo of Family Winemakers of California discussed the burden on smaller wineries and growers, including regulatory and market challenges. Members and witnesses also discussed changing consumer preferences, the need to adapt to younger drinkers, and concerns about tariffs and trade policy, with the chair warning that broad tariff calls had harmed export markets such as Canada. A final panel addressed tourism, farmworker impacts, and water regulation. Visit Napa Valley’s Lindsay Gallagher said tourism remains strong in Napa but is increasingly dependent on broader destination marketing beyond wine, while international visitation has declined. Sonia DeLuca of the Napa Valley Farmworker Foundation said declining sales and rising costs reduce hours and income for farmworkers and urged targeted relief, wage-loss support, and continued bilingual training. State Water Board official Annalisa Kihar outlined the 2021 Winery General Order for winery process water, saying it was designed to streamline permitting, improve consistency, and reduce burdens on small wineries while protecting water quality; she reported 56 wineries enrolled and 122 under review, and said the board is working with industry partners on technical support and sustainability-based compliance pathways.
WA

Washington 2025-2026 Regular Session

Senate Health & Long-Term Care Feb 19th, 2026

Transcript Highlights:
  • And he was able to connect with his son, who came to visit him every day after school.
  • Oversight includes at least one annual in-person visit following an initial in-person examination of
  • Once that valid VCPR is established through that in-person visit, then telemedicine can be employed.
  • Similar to human medicine, many people face barriers to accessing in-person veterinary visits.
  • Expanded telemedicine options will help improve access to care, reduce unnecessary emergency visits,
Summary: The Senate Health and Long-Term Care Committee held public hearings on several House bills and later took executive action on two others. The committee heard testimony on House Bill 2242, which would let the Department of Health issue immunization recommendations and tie preventive-service coverage to federal recommendations as of June 30, 2025, while preserving access to vaccines and other preventive services. Supporters, including the Governor’s office and the Insurance Commissioner, said the bill would protect access, affordability, and stable vaccine purchasing; opponents argued it politicizes vaccine policy and gives too much influence to state agencies and outside groups. The committee also heard testimony on House Bill 2152, allowing terminally ill patients in hospitals, nursing homes, and hospice facilities to use medical cannabis under facility policies, with supporters emphasizing dignity, symptom relief, and safeguards, and House Bill 2088, joining the dietitian licensure compact, which supporters said would help military spouses, telehealth, and workforce shortages. House Bill 2110, on ambulance inter-facility specialty care transports, drew support from rural hospitals seeking more staffing flexibility and opposition from nurses and EMS personnel concerned about training, accountability, and patient safety. House Bill 2247, on veterinarian-client-patient relationships and telemedicine, drew support from the sponsor and some stakeholders as a workforce and access measure, but also criticism from the state veterinarian and others who said it could conflict with federal VCPR requirements and public health protections. House Bill 2340, expanding substance use disorder monitoring program eligibility to nursing assistants and stipend support, was presented as a way to help low-wage health workers stay in the workforce; there were no in-person testifiers against it. In executive session, the committee considered House Bill 2155, concerning the use of nursing titles, and House Bill 2531, aligning the ambulance transport fund quality assurance fee with federal regulations. Both bills received do-pass recommendations and were sent to the Rules Committee. For the public hearings, no final committee votes were taken on the other bills in this transcript, and testimony concluded on each measure after the committee heard from sponsors, agency officials, advocates, and opponents.
AZ

Arizona 2026 Regular Session

02/18/2026 - House Judiciary

Judiciary

Transcript Highlights:
  • She mentioned a lot of good things and I would encourage you to visit with her because I think she could
  • Supervised visitation was ordered to protect our daughter.
  • They are simply there to supervise a visit, not control anyone’s life.
  • Supervised visitation is ordered because the court has determined a child needs protection, but without
  • I respect... ...to ensure that supervised visitation actually means child safety.
Committee: House Judiciary
MA

Massachusetts 2025-2026 Regular Session

Joint Committee on State Administration and Regulatory Oversight Feb 12th, 2026

Joint Committee on State Administration and Regulatory Oversight

Transcript Highlights:
  • In 2019, Norwood Hospital treated 126,000 patients with 43,000 emergency room visits.
  • While we tend to focus on emergency care, we can... 3,000 emergency room visits.
  • So I got to visit on many occasions. So it's a wonderful area.
  • The hospital also saw over 40,000 ER visits a year.
  • Over 40,000 ER visits a year. This information is based on publicly available state data.
Summary: The committee heard testimony on H. 3599, a bill concerning access to landlocked Indian lands in Massachusetts. Witnesses, including members of the Mashpee Wampanoag and Herring Pond communities, described long-standing family land access problems, tax assessments they said treated inaccessible parcels as buildable, and a 2016 Supreme Judicial Court ruling that denied easements by necessity on the basis of tribal custom. They said the bill would restore equal treatment under the law and noted support from the Mashpee Wampanoag Tribe and conditional support from the Aquinnah Wampanoag Tribe, with possible language changes still under discussion. Members asked about the tax impacts and the status of tribal support, and the chair said the committee would review the conditions and written letters before proceeding. The committee then took up H. 5047, authorizing the Commonwealth to take the Norwood Hospital property by eminent domain so the site can be restored as a hospital. Sponsors Rep. Rogers, Sen. Rush, and Rep. Lynch argued that the closure of Norwood Hospital after the 2020 flood and Steward bankruptcy left a regional medical gap affecting more than a dozen towns, major venues, and emergency responders. They said the site should be returned to a not-for-profit operator, that the state would not be asked to fund the hospital itself, and that eminent domain would allow an independent valuation and move the project forward. Several committee members voiced support, while Rep. Davis asked about timing, cost, and whether negotiations with the current owner could still resolve the issue; sponsors said the private owner had delayed too long and that the state needed a contingency path. Testimony from local officials, chamber representatives, nurses, firefighters, EMS leaders, and residents emphasized the hospital’s regional role, the strain on ambulance and emergency room capacity, longer transport times, boarding at other hospitals, and added costs to towns for ambulances and staffing. Speakers also described personal experiences with delayed care and said the hospital had been profitable before the flood. The Massachusetts Nurses Association and the Professional Fire Fighters of Massachusetts supported the bill, stressing the need for inpatient beds, emergency preparedness, and a stable regional health care system. The committee also briefly heard and accepted testimony on S. 2922, an Eversource-backed bill authorizing an underground easement at Magazine Beach in Cambridge for the Greater Cambridge Energy Project, before returning to the Norwood Hospital bill; no votes were taken during the hearing.
TX

Texas 89th Regular

Criminal Jurisprudence Mar 4th, 2025

Criminal Jurisprudence

Transcript Highlights:
  • witnesses today would not only Well, I would not only be willing but would welcome the opportunity to visit
  • September 1st through February 24th, 2005, the OIO has conducted a total of 186... 46 site visits, 43
  • Same visit, I had another. another youth in a general population, end up trying to get behind me.
  • I've requested our ombudsman to be in the facilities more when they're doing the state visits to add
  • We're happy to facilitate that visit. And I would also share, because you had mentioned.
Keywords: 1184, house, all
FL

Florida 2025 Regular Session

January 14, 2025 - 03:30 PM

Transcript Highlights:
  • It's much like yours, beautiful country place to visit. Come on out. Hi there.
  • It's a vast and beautiful district, and I hope you visit.
  • Don't come visit. I'm going to stay home. I'm going to stay home.
  • Is there something we can do as we visit school boards?
  • Get There, and you can actually visit our website, get thereFL.com.
Summary: The Higher Education Budget Subcommittee met for an introductory overview of the higher education programs under its jurisdiction. After roll call and member introductions, Chair Busatta outlined that the subcommittee oversees programs in the Department of Education and the State University System, including vocational rehabilitation, blind services, private postsecondary licensure, student financial aid, career and adult education, the Florida College System, and the Board of Governors. The chair and staff also noted that these areas represent roughly $9 billion in current-year funding. Officials from the Department of Education presented on several programs. Vocational Rehabilitation Director Kelly Rogers described services for adults and youth with disabilities, including pre-employment transition services, job coaching, assistive technology, and employer support; she said the program served more than 55,000 people last year, has no wait list, and reported a return of $7.61 to the economy for every $1 invested. Division of Blind Services Director Robert Doyle explained services from birth through older adulthood, including early intervention, school-age support, vocational rehabilitation, independent living, the Business Enterprise Program for blind vendors, and the Braille and Talking Book Library; he said the division serves about 12,000 people annually and also has no wait list, though some community rehab providers may have one. Tiffany Hurst of the Commission for Independent Education described licensure and consumer protection for independent postsecondary institutions, reporting oversight of about 1,100 institutions and 721 non-degree schools, along with enforcement actions against unlicensed operators. Sean Haskin of Student Financial Assistance reviewed 22 scholarship and grant programs totaling about $1 billion for more than 200,000 students, including Bright Futures, Benacquisto, need-based grants, EASE, EASE Plus, veterans’ scholarships, dual enrollment reimbursement, first responder scholarships, and the Ocoee and Rosewood scholarships. Members asked about surplus funds, marketing, Bright Futures eligibility requirements, and whether EASE awards had changed; Haskin said any unused funds are reverted to the Legislature, that the department markets through schools and the Florida Lottery, and that EASE remained at $3,500 per FTE for the last two fiscal years. Several members raised concerns that students and parents may not learn about aid programs early enough, especially in economically disadvantaged communities. Chancellor Kevin O’Farrell then presented on Career and Adult Education, highlighting record participation in career and technical education, adult education, and apprenticeship. He said about 800,000 secondary students and 480,000 postsecondary students are in CTE, adult education serves about 183,000 learners, and apprenticeship/pre-apprenticeship programs include more than 22,000 participants. He also described the workforce development fund, Perkins, WIOA Title II, the Pathways to Career Opportunities Grant, workforce capitalization grants, CAPE performance funding, and the Pipeline nursing initiative, noting strong NCLEX outcomes and expanded outreach through the Get There, Your Way, Future of Work Florida, and Zello platforms. Kathy Hebda began the Florida College System presentation by emphasizing open access, workforce preparation, statewide reach, and strong enrollment and completion growth, including more than 672,000 students, over 131,000 degrees and certificates, and significant dual enrollment savings for students and families.
CA
Transcript Highlights:
  • And, you know, I've visited recently.
  • You get primary care visits at about $60 a visit, and we'll follow up with a benefit design.
  • But it's the highest primary care cost for a visit.
  • It's at about $60 a visit, and we'll follow up with a benefit design.
  • But it's the highest primary care cost for a visit.
Summary: The subcommittee heard a lengthy Department of Health Care Services presentation on the governor’s Medi-Cal budget, including a $229.1 billion total-funds proposal, projected Medi-Cal enrollment declines as redeterminations continue, and several major cost drivers such as managed care growth, Medicare-related costs, pharmacy spending, and changes tied to federal policy. Members focused heavily on the elimination of Prop. 56 dental supplemental payments beginning July 1, 2026, questioning the likely impact on provider participation and utilization. DHCS said it is completing the required rate reduction/access analysis for CMS, has been holding stakeholder meetings and issuing provider bulletins, but could not yet quantify the real-world effect. The committee also discussed a $50 million savings proposal tied to new hospice utilization management authority and asked about possible effects on emergency dental care and provider participation. The hearing then moved through the November 2025 family health estimate and several county and program administration issues, including CCS, GHPP, and Every Woman Counts. DHCS said family health costs are rising despite slight caseload declines because of higher utilization and medical costs, and members raised concerns about CCS website accessibility, county administrative funding, and the transition of youth aging out of CCS. The department said most CCS beneficiaries are also on Medi-Cal, that counties have long raised funding concerns, and that it had clarified use of maintenance-and-operations dollars to address some county workload issues. Members also asked about Every Woman Counts potentially seeing higher demand as Medi-Cal changes take effect; DHCS said that is possible and that the program has multiple funding sources including General Fund. A major portion of the hearing focused on provider taxes and federal changes under H.R. 1, especially the Medi-Cal managed care organization tax and the hospital quality assurance fee. DHCS explained that H.R. 1 restricts new or increased health care-related taxes, phases down allowable tax levels over time, and tightens “generally redistributive” rules, which could sharply reduce the state’s ability to use the MCO tax for Medi-Cal financing. Members asked whether the Legislature could amend Prop. 35 or whether voters would need to act; DHCS said a three-fourths legislative amendment may be possible if it aligns with the measure’s purpose, but the department is still evaluating options. The committee also discussed hospital financing, with DHCS describing recent increases in state-directed payments and the effect of H.R. 1 in capping those payments at Medicare levels, and the LAO noting the tradeoff between preserving provider taxes and maintaining Medi-Cal funding. The subcommittee also reviewed a series of DHCS budget change proposals and trailer bill items, including managed care final-rule implementation, managed care operations, a hospital value strategy, a one-year extension of skilled nursing facility financing, long-term care payment transparency, and interoperability/prior authorization requirements. Members repeatedly questioned the use of limited-term versus permanent positions, the overlap among proposals, and the timing of new financing reforms. DHCS said the SNF extension would preserve current workforce standards, sanctions, growth limits, and the SNF quality assurance fee while the department develops a broader 2027-28 redesign. No votes were taken; items were repeatedly held open for later action. Covered California then presented on the expiration of the federal enhanced premium tax credit and the resulting affordability crisis. The agency said Californians will lose about $2.5 billion in premium assistance for 2026, average premiums could nearly double for many enrollees, and as many as 400,000 people could eventually leave marketplace coverage. Open enrollment ended with 1.9 million sign-ups, down 3% from the prior year, with especially steep declines among middle-income consumers and increased movement into bronze plans. Covered California said the state’s $190 million affordability subsidy is helping lower-income enrollees retain coverage, but cannot fully replace the lost federal assistance. Members also asked about the Health Care Affordability Reserve Fund, repayment of loans from that fund, the status of federal review of California’s essential health benefits benchmark, and implementation of the new gender-affirming care benefit under AB 144.
HI

Hawaii 2025 Regular Session

Restrictive Housing Legislative Working Group 10-16-2025

Hawaii Senate Floor Meeting

Transcript Highlights:
  • </c><02:03:27.280><c> Alava</c> of the members to visit Alava of the members to visit Alava Correctional
  • </c><02:03:46.560><c> to</c> approve this in order for the visit to approve this in order for the visit
  • </c> for the site visit. for the site visit. &gt;&gt; Okay. &gt;&gt; Okay. &gt;&gt; Okay.
  • And so I would propose that we visit.
  • </c><02:04:51.440><c> first</c> want to do is do the site visit first want to do is do the site visit
Keywords: 912, senate, all
Summary: The working group on restrictive housing met with a quorum present, approved the August 21, 2025 minutes, and adopted a procedure to take public testimony on each agenda item with a two-minute limit per testifier, with some flexibility for follow-up questions. The main presentation came from the Department of Corrections and Rehabilitation on restrictive housing policies and a recent outside assessment of mental health care practices at HSCF and OOTC. DCR said the assessment found strengths such as consistent medication administration and staff commitment, but also identified major problems including outdated workflows, staffing shortages, inadequate physical plant conditions, overuse of suicide/safety watch for personal safety issues, and a need for more individualized treatment plans. DCR described several corrective steps already underway: filling a long-vacant high-level mental health administrator position, adjusting evening medication passes, working with DOH on transfer and referral workflows, planning a new electronic medical records system and revised screening tools, and pursuing additional training for ACOs and mental health staff. For OOTC, DCR said the facility is overcrowded and decrepit, needs a better screening tool, and requires more mental health-specific training and staffing. For HCF, DCR said the layout limits confidential assessments and provider access, and that the proposed consolidated healthcare unit would add 43 beds, private exam rooms, and a de-escalation room. DCR also said the new unit could serve acute and chronic suicide/safety watch needs and possibly some inmates with dementia, Alzheimer’s, or significant cognitive impairment. The discussion then focused on Act 292, which DCR said is difficult to implement as written. DCR said the bill aligns with DOJ, NCCHC, and ACA guidance in defining restrictive housing, limiting duration, requiring reviews, identifying vulnerable populations, and using step-down units, but raised two major concerns: a requirement to refer vulnerable people to DOH for confinement, and a requirement for clinical assessments every 12 hours by a provider. Members responded that the law should be matched with funding and staffing, and asked what resources are needed. DCR said it submitted a request for 35 positions at a cost of about $8.6 million, and also said funding may be needed for community-based beds and contracted medical services. Members also asked about the current MOA/MOU between DOH and DCR, the working group membership, and the timeline for revisions. DCR said the group includes DCR, DOH, and governor’s office medical advisors, that a first draft is complete, and that the revised agreement should be in place by the end of the year. On staffing, DCR said ACO recruitment classes increased from five to eight, vacancy rates dropped from 34% to 24%, but OOTC still faces a projected $7.1 million shortfall and heavy overtime costs, forcing post closures and program reductions. The meeting ended with continued discussion of screening tools, including DCR’s explanation that current broad questions may over-identify people with substance-use-related symptoms as having serious mental illness, and that a more discrete tool is needed to better identify those with acute needs.