Video & Transcript Research : 'direct care'

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MN

Minnesota 2025-2026 Regular Session

House Health Finance and Policy Committee 4/13/26

Health Finance and Policy

Transcript Highlights:
  • It's one-on-one care.
  • </c> providers being paid for that care. providers being paid for that care.
  • </c> care, just concerned with dental care. care, just concerned with dental care.
  • get care and least able to get care get care and protecting<01:28:40.360><c> with</c><01:28:40.719><
  • </c> improving access to care. improving access to care.
TX

Texas 89th 2nd C.S.

Human Services Mar 18th, 2025

Human Services

Transcript Highlights:
  • So when community-based care, uh, which you may know, began in 2017, is privatizing foster care across
  • Now, for Region Nine, we have experience with foster care privatization back in 2013, um, foster care
  • Under foster care redesign that privatized the placement part of foster care, uh, that, uh, contract
  • , our care is, um, at a university.
  • We definitely do this in our foster care, kinship care, adoption, family strengthening and preservation
HI
Transcript Highlights:
  • and urgent care.
  • and urgent care.
  • </c> the providers want to take care of it. the providers want to take care of it.
  • Primary Care Association. Is there Primary Care Association.
  • </c> um pediatricians and primary care um pediatricians and primary care providers.<00:27:12.920><c>
Summary: The committee heard testimony on SCR 21 SD1, which asks Hawaii Health Systems Corporation’s East Hawaii Regional Health Care System to study the feasibility of a rural health clinic or similar access point for the Volcano community. Testimony in strong support came from HHSC representatives, Volcano residents, the Volcano Health Collaborative, the Rotary Club of Volcano, and others, who said the area has a clear need and that local primary and urgent care would align with regional plans. HHSC said it had already looked at the area, found no suitable temporary buildings, and would need a longer-term, capital-intensive solution, but that the study could help accelerate next steps. The committee then took up SCR 50 SD1, proposing a Hawaii Health Plan Working Group to design a basic affordable health plan for residents. Dr. Jack Lewin of SHIPTA said the state faces a growing uninsured population and argued for a short-term, lower-cost plan focused on preventive and primary care, drawing on the old State Health Insurance Plan as a possible model. Members asked about whether that prior program still exists and whether the working group should include the Hawaii Medical Association and Hawaii Primary Care Association; Dr. Lewin said the statute still exists but is unfunded, and that the group should be inclusive. The Department of Labor and other organizations also provided comments. For SCR 75 SD1, which urges a coordinated interdepartmental effort to reduce fetal alcohol spectrum disorder, Dr. Lewin and others said prevention, prenatal screening, and early intervention are needed because FASD is often hidden until later problems appear. Amanda from Hawaii FASD Action Group said current implementation under Act 192 is still largely a landscape analysis and that Hawaii lacks the infrastructure and specialists for a full system. Darlene Chance Govor urged adding the judiciary as a partner so juvenile justice and probation staff can be trained and referral pathways improved, while the Department of Health said it supports prevention but prefers a broader, systems-based approach focused on child needs and upstream care. The Disability Rights Center supported the resolution and asked for an earlier reporting date. The committee also heard SCR 149 SD1, which seeks an informal working group to address complex patients with multiple diagnoses involving substance use, mental health, or chronic physical illness. The Hawaii Substance Abuse Coalition and Ke Nui Malo strongly supported the measure, saying current siloed systems leave people bouncing between medical, mental health, and substance use providers without coordinated care, often ending up in crisis, emergency rooms, or the justice system. They said integrated residential care and a coordinated working group could improve outcomes and align with federal funding opportunities. The transcript ended before any final vote or action on the measures was announced, and SCR 109 was noted as withdrawn from the agenda.
MN

Minnesota 2025-2026 Regular Session

House Health Finance and Policy Committee 4/15/26

Health Finance and Policy

Transcript Highlights:
  • </c> the delivery of care. the delivery of care.
  • </c> them for their dental care. Thank you. them for their dental care. Thank you.
  • </c> purposes of health care research. purposes of health care research.
  • It directs the DHS Commissioner to obtain and use information from certain sources like managed care
  • </c> care. We do not. care. We do not.
Bills: HF4401, HF4466
NM

New Mexico 2026 Regular Session

Senate - Conservation Feb 7th, 2026 at 09:04 am

Senate Conservation

Transcript Highlights:
  • They are in dire need of improvements and expansion to their animal care center.
  • They were locked, basically, and there were some of the animal care advocates outside.
  • because of the species that are there, the silvery minnow there, and the rest of... ...care because
  • And I really have a problem with Game and Fish in the direction that they're going, where there is not
  • If we care about reliability and taxpayers and reducing emissions, we should keep every clean option
Bills: SB47, SB195, SB196, SB197, SB198, SB78
NM

New Mexico 2026 Regular Session

Senate - Health and Public Affairs Feb 1st, 2026 at 01:15 pm

Senate Health & Public Affairs

Transcript Highlights:
  • If we care about children, if we care about survivors and victims, if we care about the justice system
  • ' and 'health care.'
  • How can abortion, killing a child, be health care? Health care is...
  • Instead of calling things abortion, now we call it health care or abortion care.
  • care, like any other health. care.
Bills: SB41, SB33, SB32, SB30
MA

Massachusetts 2025-2026 Regular Session

Joint Committee on Health Care Financing Jan 15th, 2026

Joint Committee on Health Care Financing

Transcript Highlights:
  • Welcome to the Joint Committee on Health Care Financing hearing.
  • We have this public hearing of the Joint Committee on Health Care Financing.
  • for our residents so that they receive the care that they need.
  • and especially for direct care workers.
  • It can also delay service access for children ready to begin care.
Summary: The Joint Committee on Health Care Financing held a public hearing on several health care financing bills, with most testimony focused on autism/ABA services and kidney disease coverage. On House Bill 4623, Representative Lisa Field and providers from Community Autism Services and related groups urged the committee to recognize assistant-level ABA providers, including BCaBAs, in the MassHealth reimbursement structure to expand capacity, reduce wait lists, and improve access for children with autism. An actuary testified that moving from a two-tier to a three-tier ABA model could lower MassHealth costs, and providers said current reimbursement and new MassHealth requirements are contributing to long delays and workforce strain. On House Bill 4353 and Senate Bill 2587, testimony from ABA organizations supported a biannual Medicaid rate review process to better align reimbursement with service costs, workforce needs, accreditation requirements, and new administrative burdens, without mandating a specific rate increase.
MN

Minnesota 2025-2026 Regular Session

House Children and Families Finance and Policy Committee approves HF1346 2/26/25

Children and Families Finance and Policy

Transcript Highlights:
  • These teachers, child care providers, health care workers, law enforcement, and social services professionals
  • These teachers, child care providers, health care workers, law enforcement, and social services professionals
  • These teachers, child care providers, health care workers, law enforcement, and social services professionals
  • These teachers, child care providers, health care workers, law enforcement, and social services professionals
  • These teachers, child care providers, health care workers, law enforcement, and social services professionals
Bills: HF1346, HF1169, HF1276
MN

Minnesota 2025-2026 Regular Session

House Children and Families Finance and Policy Committee 2/26/25

Children and Families Finance and Policy

Transcript Highlights:
  • The Northstar Care for Children is a financial benefit for children who are placed in foster care and
  • to a permanent family from Foster Care to a permanent family Northstar<00:52:27.440><c> care</c><00:
  • ><c> it</c> we said we'd take care of if passed it we said we'd take care of if passed it will<01:00:
  • </c><01:00:37.280><c> and</c> add up for things like child care and add up for things like child care
  • Again, this bill is a way to uphold our promise to take care of kids in foster care by ensuring equal
Bills: HF1346, HF1169, HF1276
HI

Hawaii 2026 Regular Session

HSH Public Hearing - Tue Feb 10, 2026 @ 9:30 AM HST

Human Services & Homelessness

Transcript Highlights:
  • &gt;&gt; I mis I mis I mis directed my cursor yesterday.<00:11:23.120><c> Aloha,</c><00:11:23.600><c
  • Is it direct causation?
  • Is it direct something more attenuated? Is it direct causation?
  • </c> leading cause of death and healthc care leading cause of death and healthc care costs<01:01:12.720
  • </c><01:46:37.040><c> and</c> the $1,000 for preventive care and the $1,000 for preventive care and people
Bills: HB1546
Summary: The committee heard testimony on HB 2083, which would add homeless shelters to Hawaii’s drug-free/safe-zone protections. The City and County prosecutor’s office strongly supported the bill, saying service providers asked for the change because drug activity near shelters can undermine recovery efforts. The Office of the Public Defender opposed the measure, focusing on a possible notice problem because many shelters are not readily identifiable and the bill’s 750-foot distance requirement could be difficult to apply. The Drug Policy Forum of Hawaii also opposed the bill, arguing it would expand criminalization of poverty and drug use and that drug-free zone laws are ineffective and disproportionately harmful. The prosecutor’s office said it would do more research on the notice concern. The committee then moved on without taking a vote in the transcript provided. The committee next discussed HB 2087, which would change the treatment of abuse of family or household member cases by ending the deferred-acceptance pilot and returning to the prior statute. The prosecutor’s office supported the bill, saying the pilot had not reduced backlog as intended and that domestic violence cases should remain petty misdemeanors without deferral. The Hawaii State Coalition Against Domestic Violence and the Public Defender’s Office both opposed HB 2087, instead urging extension of the pilot for another five years so the legislature can better evaluate how deferred acceptance is working. They said deferrals can be a useful incentive for behavior change and that more data is needed before ending the program. Committee members questioned the prosecutor about why Hawaii should differ from other counties and whether repeat offenders could keep receiving deferrals; the prosecutor said the deferral is available only once and reiterated support for returning to the old statute. The committee then heard HB 2096 on aggravated circumstances in child protective proceedings. The family court and Attorney General’s Office supported the bill, saying current law limits aggravated-circumstances findings to the early return hearing, which can prevent findings in the most serious abuse cases when key evidence is not yet available. They said the bill would allow such findings later in the case and, with proposed amendments, would let the court consolidate aggravated-circumstances and termination-of-parental-rights hearings to reduce delay and appeals. The Libertarian Party of Hawaii opposed the measure, arguing it would expand state power in family matters and could worsen outcomes for parents and children. Committee questions focused on the amended language, including what “another court of competent jurisdiction” means and whether a charge alone would be enough; the judiciary responded that criminal courts are included, but a hearing and opportunity to defend would still be required. Finally, the committee took up HB 1959, another domestic violence measure. The Hawaii State Coalition Against Domestic Violence, the Public Defender’s Office, the Crime Victim Compensation Commission, the Hawaii State Commission on the Status of Women, and county prosecuting offices testified in support. Supporters said the bill would extend the pilot program while keeping deferred acceptance of guilty pleas in place, giving more time to evaluate whether the program is working and whether a more formal diversion model should be developed. The coalition also suggested technical fixes to ensure judiciary data reporting continues and that the deferred-acceptance statute is not inadvertently repealed. No vote or final action was taken in the transcript before the committee moved on to the next bill.
AZ

Arizona 2026 Regular Session

02/24/2026 - Senate Appropriations, Transportation and Technology

Appropriations, Transportation and Technology

Transcript Highlights:
  • Do you care to comment on that? Mr.
  • They care about law enforcement. They care about their needs.
  • As many of you know or don't know, more than 50% of our children in foster care are being cared for by
  • As many of you know or don't know, more than 50% of our children in foster care are being cared for by
  • Arizona's entering the health care field.
MN

Minnesota 2025-2026 Regular Session

House Health Finance and Policy Committee 3/11/26

Health Finance and Policy

Transcript Highlights:
  • We are more prepared than ever to deliver care via direct access. makes clarifications taken in part
  • </c> care and provide needed health care care and provide needed health care services<01:15:09.040><c
  • </c> cost effectiveness of NPN CNS care. cost effectiveness of NPN CNS care.
  • </c> barrier restricts access to health care. barrier restricts access to health care.
  • </c> care. Thank you for your consideration. care. Thank you for your consideration.
NM

New Mexico 2026 Regular Session

House - Chamber Meeting Jan 29th, 2026 at 11:09 am

New Mexico House Floor Meeting

Transcript Highlights:
  • Thank you for taking care of these kids. Thank you for supporting their growth and their learning.
  • It was a child care center at some point way back when, and they're here visiting us today.
  • taxation, amending and expanding an income tax deduction for unreimbursed or uncompensated medical care
  • by Representatives Alan Martinez, Zapansky, Abeyta, and Joshua Hernandez, an act relating to health care
  • hospitals to provide pricing information on services and items provided at hospitals, requiring the Health Care
Bills: HM3, HM11, HM14, HM15, HM21
TX

Texas 89th Regular

S/C on Disease Prevention & Women's & Children's Health Apr 3rd, 2025

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

Transcript Highlights:
  • That's our hope, that the primary care doctors, that every Texan is seeing a primary care doctor getting
  • Care Coalition.
  • We are not seeing enough maternal health care providers in the state.
  • Excuse me, failing to seek, obtain, or follow through with medical care for a child.
  • While seeking the best care for my nine-year-old child, with standard care treatment failing to treat
FL

Florida 2026 Regular Session

Appropriations Committee on Higher Education Feb 4th, 2026

Appropriations Committee on Higher Education

Transcript Highlights:
  • Rosa County campus in order to teach health care there.
  • As you know, in advanced engineering, health care, pharmaceuticals, and so on.
  • Also, not just from our health care perspective, but we are very focused on health care perspective,
  • What I would say, and obviously we have a new health care.
  • We are continuing to innovate in the health care space.
Bills: S0720, S1246
Summary: The Appropriations Committee on Higher Education met to consider one bill, a postponed bill, and a slate of trustee confirmations. The committee first took up CS/SB 1246, which expands the Linking Industry to Nursing Education (LINE) fund to support health science workforce shortages beyond nursing, including allied health programs. The bill also broadens eligible uses of funds, revises matching requirements and grant criteria, and updates reporting requirements. A strike-all amendment was adopted without objection, and the committee then reported the bill favorably after supportive testimony from Florida State College at Jacksonville, the Florida Hospital Association, the College of Central Florida, and the Florida Chamber of Commerce. Senator Davis also noted a favorable vote on the bill for the record. The committee then temporarily postponed SB 720 at the sponsor’s request. Chair Harrell explained that the bill had been incorporated into a larger committee measure and would likely be heard later in another form. Public witnesses who had come to speak on the bill were not heard because of the postponement. The remainder of the meeting focused on confirmations for trustees at several state colleges, including Chipola College, Tallahassee State College, Pensacola State College, Palm Beach State College, Pasco-Hernando State College, and St. Petersburg College. The appointees emphasized themes of affordability, workforce training, nursing and allied health success, dual enrollment, community partnerships, and local economic development. After hearing from the appointees, the committee approved a block motion to recommend confirmation of all appointees on tabs 2 through 25. The meeting then adjourned.
MN

Minnesota 2025-2026 Regular Session

House Human Services Finance and Policy Committee 4/8/25

Human Services Finance and Policy

Transcript Highlights:
  • This carries the health committees<00:01:30.320><c> Minnesota</c><00:01:30.720><c> care</c><00:01:31.640
  • ><c> adjustment</c> committees Minnesota care adjustment committees Minnesota care adjustment medical
Bills: HF2995, HF2434
OK

Oklahoma 2026 Regular Session

Health and Human Services REVISED Feb 23rd, 2026 at 02:00 pm

Health and Human Services

Transcript Highlights:
  • million a year in Medicaid dollars on Alzheimer's disease and the cost of having those in long-term care
  • It shortens the time period for informal arrangements for care of foster children from 7 days to 72 hours
  • and puts additional guardrails in place around temporary care of foster children.
  • that the people that they're leaving them with, these children with, are capable, and ready to take care
  • take for your own information, this is a chart about how this the last, Bill works and the respite care
OK

Oklahoma 2026 Regular Session

Health and Human Services REVISED Feb 23rd, 2026

Health and Human Services

Transcript Highlights:
  • And Medicaid dollars on Alzheimer's disease and the cost of having those in long-term care.
  • interstate constitutionally authorized contract between states to increase access to vital health care
  • And so this will cover foster care, child protective services. It will cover well-being.
  • So it shortens the time period for informal arrangements for care of foster children from seven days
  • to 72 hours and puts additional guardrails in place around temporary care of foster children.
Summary: The Senate Health and Human Services Committee heard and advanced a series of health, licensing, and child welfare measures. Senate Bill 1806 would allow eligible individuals receiving Oklahoma Department of Human Services services to voluntarily remain in those services until age 21; the author said the title was struck while fiscal estimates were being revised, and the bill passed 11-0. Senate Bill 1430 would shift authority over hiring, supervising, and removing the commissioner of mental health from the governor to the governing board; it passed 8-2 after questions about removal provisions. Senate Bill 206, as amended, added tribal entities to EMS-related essential services to help draw down federal funding, and passed 10-0, while Senate Bill 1849 made a cleanup change allowing the State Board of Podiatric Medical Examiners to approve medical marijuana education for continuing education credit and passed 11-0. The committee also approved Senate Bill 1428, creating an Office of Alzheimer’s and dementia-related services within the Department of Health; the author said outside funding would cover the first two years and the bill would have no state budget impact, and it passed 9-2. Senate Bill 1653 created the Occupational Therapy Licensure Compact and passed 9-2 after discussion of closed meetings and compact operations. Senate Bill 1984 updated and clarified the Osteopathic Medicine Act and passed unanimously. Senate Bill 1644 required alpha-gal syndrome to be added to the reportable diseases list and passed 12-0. Senate Bill 1561, requested by regional EMS, added disciplinary steps for ambulance and EMT personnel to avoid automatic disqualification and passed 12-0. Senate Bill 1813 enacted the athletic trainer compact and passed 10-2. The committee then took up major child welfare restructuring. Senate Bill 1570 would create a Department of Child Safety and Well-Being by consolidating DHS Child Welfare Services and the Office of Juvenile Affairs, with a phased implementation timeline and a future board and interim commissioner; members discussed protecting ongoing cases and adding lived-experience representation on the board. The bill passed 12-0. Senate Bill 1796 shortened the period for informal foster care arrangements from seven days to 72 hours and added guardrails for temporary foster care placements; the author said it was intended to prevent harm when children are left with unvetted caregivers, and it also passed 12-0. The committee adjourned after distributing a handout related to the foster care/respite care changes.
WA

Washington 2025-2026 Regular Session

Senate Early Learning & K-12 Education Feb 3rd, 2026 at 08:00 am

Early Learning & K-12 Education

Transcript Highlights:
  • Our military takes care of us in our most dangerous situations.
  • This is one way we can take care of them. Thank you very much.
  • Our military takes care of us in our most dangerous situations.
  • This is one way we can take care of them. Thank you very much.
  • We now have Senate Bill 6078, Child Care Provider Supports, before us.
Summary: The Early Learning and K-12 Education Committee began with a clarification about a prior budget bill affecting Running Start, emphasizing that it would reduce funding to colleges per student but would not reduce student participation in the program. The committee then held a public hearing on Senate Bill 6277, which would promote educational stability for children of military families by easing enrollment requirements, extending proof-of-residency timelines, allowing conditional enrollment before arrival, and requiring prompt transfer of IEP and 504 records and services. The bill sponsor, student witnesses, school psychologists, military family representatives, and district officials generally supported the measure, while some school district testimony noted concerns about the accelerated special education timelines and related costs. The chair noted the importance of lived experience testimony and closed the hearing. The committee then moved into executive session on a first packet of bills. It adopted a proposed substitute for Senate Bill 5992, creating a youth development fund and adding tribal consultation and priority provisions; passed Senate Bill 6078 on child care provider supports; adopted a substitute for Senate Bill 6089 on P20W data coordination and dashboard development; and adopted an amendment to Senate Bill 5918 increasing MSOC allocations, then sent it to Ways and Means. After caucus, the committee took up a second packet. For Senate Bill 5861 on school director districts, an amendment to require director-district candidates to be elected only by voters in the director district failed, but the proposed substitute passed. For Senate Bill 6118 on cardiac emergency response plans, the committee adopted a substitute limiting requirements to the extent state funding is appropriated, then passed the bill. Senate Bill 6065, allowing certain districts to use transportation vehicle funds for temporary loans or transfers under financial oversight, passed without amendment. Senate Bill 6052, requiring a statewide digital transcript exchange platform, passed and was sent to Ways and Means. The committee then adjourned.
TX

Texas 89th Regular

Insurance Mar 26th, 2025

Insurance

Transcript Highlights:
  • I have been providing care for both... primary care and mental health care in the rural areas for over
  • We provide the only access to primary care and mental health care in those counties.
  • So this is, one of the easy ways to think about this in primary care; it's kind of like direct primary
  • Texas Primary Care Consortium.
  • I'm a local practicing physician with a Direct Primary Care Clinic.