Video & Transcript : 'direct care' :

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AZ

Arizona 2026 Regular Session

02/10/2026 - House Floor Session

Arizona House Floor Meeting

Transcript Highlights:
  • Unfortunately, it is going in the wrong direction.
  • We've heard that this is going in the wrong direction... This is it.
  • She said that the other members don't care.
  • And the one thing we all have in common is we all care deeply.
  • We all care deeply about what moves us forward. And we have to remember that.
Keywords: 1182, all
WA

Washington 2025-2026 Regular Session

Senate Human Services Feb 23rd, 2026

Transcript Highlights:
  • care facilities, and child care.
  • , and child care.
  • Any child care licensee who is found to have committed child care subsidy fraud is permanently disqualified
  • from child care licensure.
  • care when that sits over some. in a place where we're talking about foster care when that sits over
Summary: The Senate Human Services Committee held a brief Monday meeting to hear two bills and a gubernatorial appointment. House Bill 2464, sponsored by Rep. Ortiz-Self, would require private detention facilities to report serious incidents such as abuse allegations, deaths, suicides, injuries requiring hospitalization, and service disruptions to the Department of Health and local law enforcement by the next business day, and would require annual law-enforcement reporting to DOH. Rep. Ortiz-Self said the bill is needed because private facilities have been inconsistent and delayed in sharing information, while state facilities already provide data more readily. Testimony from Columbia Legal Services, the League of Women Voters, La Resistencia, and the Northwest Immigrant Rights Project strongly supported the bill, citing barriers to reporting crimes and concerns about abuse in private detention. The committee did not vote on the bill during the hearing, but the chair said it would be considered in executive session. The committee also heard Engrossed Substitute House Bill 2253, a DCYF request bill making several licensing-related changes for foster care, crisis residential centers, and child care. The bill would require immediate termination of certain child-specific foster licenses if high-potency synthetic opioids or illicit substances are found, exempt kinship caregivers from blood-borne pathogen training, allow DCYF to close inactive foster homes, remove sex designation from foster licenses, adjust CRC staffing ratios to one staff for four youth during waking hours and one for six during sleeping hours, and strengthen child care subsidy fraud enforcement through electronic attendance verification and possible license revocation. DCYF and Community Youth Services testified in support, describing the changes as technical fixes that align statute with current practice and reduce burden on providers. Committee members raised concerns that some child care provisions may belong in a different committee and noted the need to ensure the bill does not duplicate or conflict with existing licensing and fraud rules. The committee then held a confirmation hearing for Corey McNally, reappointed to the Indeterminate Sentence Review Board. McNally described the board’s role in release decisions, supervision conditions, violation management, and release plans, and discussed his background in community mental health, the Special Commitment Center, DOC sex offense treatment, and ISRB leadership. Members asked about advances in sex offense assessment and treatment, the distinction between ISRB cases and sexually violent predator civil commitment, board consistency and recidivism work, and victim participation in hearings. McNally said the board uses structured decision-making and actuarial risk assessments, remains neutral on legislation, and provides victim liaisons to offer participation options. The chair closed the hearings, noted the committee would meet the next day on a large packet of bills and one appointment, and adjourned.
MA

Massachusetts 2025-2026 Regular Session

Joint Committee on Agriculture and Fisheries Jun 21st, 2026 at 10:00 am

Joint Committee on Agriculture and Fisheries

Transcript Highlights:
  • From my experience working with the community gardens of Green Roots in Chelsea, I have been a direct
  • In the Berkshires, 90% of our farmers are selling 90% of their product direct to consumers.
  • This bill is a direct recommendation from the 2016 Cranberry Industry Revitalization Task Force.
  • So to date, since 25 farms in Maine have received direct aid, the state has spent $3.7 million in direct
  • Meaning PFAS and residuals has a direct pathway to agricultural soils and then people.
Keywords: 995, all
Summary: The Joint Committee on Agriculture and Fisheries held a public hearing on 19 legislative proposals, with testimony limited to three minutes per speaker and seven minutes per panel. The hearing opened with testimony on bills promoting urban agriculture and vacant-lot conversion, including H.121/S.61, which Green Roots staff and community members supported as a way to turn vacant lots in environmental justice communities into urban farms and gardens that improve food access, health, community cohesion, and climate resilience. Rep. James Arena-DeRosa also spoke in support of H.109/S.56, the PFAS bill, describing it as a measure to protect soil and farms from contamination and to create relief for affected farmers. A major portion of the hearing focused on H.109/S.56, which would ban land application of sewage sludge/biosolids, provide liability protection and relief funds for farmers, and address PFAS contamination in soil, water, crops, and animals. Testimony came from environmental groups, farm organizations, and individual farmers, including the Mass Food System Collaborative, Conservation Law Foundation, Clean Water Action, CEMAP, NOFA, Sierra Club, and several farmers who described contamination in Maine and Massachusetts and urged the committee to act. Witnesses emphasized that PFAS poses serious health risks, that farmers should not bear responsibility for legacy contamination, and that the bill should be paired with funding for testing, remediation, and assistance. Committee members asked questions about farm liability, the scope of the bill, contamination in different ownership situations, and the costs and timelines of remediation, with Senator Comerford and others clarifying that the bill is intended to protect farms and farmers rather than non-agricultural landholders. The committee also heard strong support for H.416, a farm-to-institution pilot program, from Rep. Lee Davis, Berkshire Agricultural Ventures, and Berkshire Bounty. They said the pilot would connect Massachusetts farms to schools, hospitals, correctional facilities, and other institutions, creating new markets, strengthening local supply chains, and supporting food-is-medicine efforts. Members discussed whether the model could be statewide and referenced existing programs such as Island Grown Initiative and local hospital and insurance partnerships. Another agricultural bill, H.1058, was supported by Rep. Mark Sylvia and the Cape Cod Cranberry Growers’ Association as a way to allow unused cranberry water rights to be transferred within the same watershed for municipal mitigation while helping growers retire or consolidate bogs. The hearing also included testimony on the broader farm omnibus bill H.112/S.55 and related measures, with the Massachusetts Farm Bureau and others praising the committee’s work on agricultural resilience, food security, agritourism, workforce development, and farmland access, while suggesting additional transportation-related fixes for farmers. No votes were taken during the hearing.
NH
Transcript Highlights:
  • Some states call care care coordinator.
  • </c> entire care plan? entire care plan?
  • <c> uh</c> long-term care managed care within uh long-term care managed care within uh states<01:07:16.400
  • care facility.
  • </c> facility care 98,000. facility care 98,000.
Keywords: 928, house, all
Summary: The Committee to Study Long-Term Managed Care met to approve prior minutes and outline its schedule, with meetings set for September 24 and September 29 ahead of an October 1 report deadline. The chair said the committee would use the first two meetings to digest testimony, likely ask follow-up questions of DHS, and then work toward conclusions and a report format. The minutes from the previous meeting were approved unanimously. The main testimony came from Sharon Alexander of Amera Health, who argued in favor of moving from fee-for-service Medicaid long-term services and supports to a managed LTSS model. She described managed LTSS as a capitated, quality-driven system used in about 26 states, and said it can improve care coordination, accountability, access to home- and community-based services, and budget predictability. She cited Amera Health’s experience in Pennsylvania and Delaware, including care coordination, housing and transportation support, caregiver programs, and quality benchmarks tied to state oversight. She also said nursing facilities would remain an important option for people who need that level of care. Committee members asked about how the programs are administered, how rates are set, how care managers work, and how quality is measured. Alexander said states contract with managed care organizations at actuarially sound capitated rates, with annual contracts, reporting, and oversight. She explained that care managers typically conduct quarterly assessments and follow up after trigger events such as hospitalization, and that housing coordinators may assist with transitions to the community. On quality, she said states use CMS-related and HCBS benchmark measures covering service timeliness, care planning, transitions, and other outcomes, and that New Hampshire could build on existing metrics rather than starting from scratch. She also noted that rural areas face workforce and transportation challenges, which managed care plans try to address through technology and self-direction options.
AZ
Transcript Highlights:
  • Senate Bill 1424 requires ADE to develop firearm safety and awareness instructional materials and directs
  • Senate Bill 1318 repeals a statute that requires health care institutions or health care facilities to
  • If you are a nurse or a medical provider caring for the person and it's, you know, they're critical and
  • that work in Representative Bliss you may help me with us if you are a nurse or a medical provider caring
  • Madam Whip and members, Senate Bill 1107 directs the Arizona Peace Officer Standards and Training Board
Summary: The caucus reviewed a long list of third-read consent bills across multiple committees, with staff giving brief descriptions and members asking only occasional clarifying questions. Topics included claims against the state, CPA certification, creditor assignments, insurance adjuster licensing, school equivalency instruction, extending a credit enhancement board, firearm safety instruction in schools, student eligibility for school activities, Celebrate Freedom Week civics instruction, release-time courses, voter registration roll access, campaign filing addresses, federal land designations, public records review standards, workers’ compensation burial benefits, first responder death benefits, veterans’ flags in HOA communities, restrictions on sexually explicit material for minors, agency guidance posting, standardized state hiring, mental health court procedures, autopsy supervision, tribal child welfare MOUs, controlled substance scheduling, EMT privacy, guardian notification in court-ordered treatment, dense breast tissue notice repeal, referral agency background checks and insurance, attorney disciplinary recoveries, fentanyl penalties, campus firearms rules, suppressors, defamation standards, mandatory reporting of child abuse, attorney licensing authority, municipal penalties tied to emergency calls, forcible detainer procedures, utility-worker assault enhancements, water basin reporting, small modular nuclear reactor siting, groundwater recovery assumptions, ICE notification after arrests, a military-police-to-peace-officer pathway, and scholarship tax credits. Most bills were simply presented as consent items, with no major debate or votes recorded in the transcript. A few measures drew brief discussion. On SB 1040, members clarified that the voter-registration portal would redact personal identifying information such as voter registration numbers, ID numbers, and Social Security numbers. SB 1193 prompted comments that emergency medical technician data being open source was surprising and that the issue might be expanded to paramedics. SB 1243 was described as a guardian-rights bill to streamline notice in court-ordered treatment. SB 1318 was characterized as a cleanup measure aligning dense-breast-tissue notice requirements with federal law. SB 1477, dealing with referral agencies for assisted living and home care, was noted as having passed committee unanimously. The most substantive exchanges came on SB 1148 and SB 1418. For SB 1148, members discussed shifting attorney licensing responsibility more directly to the Arizona Supreme Court rather than the State Bar, with staff explaining that the court already oversees licensing but currently delegates some functions to the Bar. On SB 1418, which limits county regulation of small modular nuclear reactors in certain circumstances, a member objected that it would reduce local control and said they would likely oppose it on the floor. H.C.M. 2009 was also presented, asking Congress to amend the Antiquities Act, compensate states for subsurface minerals, and streamline mining permits; the sponsor tied it to Arizona’s mining history and land-swap interests. The caucus ended after SB 1142, with no recorded votes or formal actions beyond the bills being discussed as third-read consent items.
CA
Transcript Highlights:
  • Community and looking at fiscal strategies, as well as how to take care of redundancies.
  • We look at ASUs being able to take care of more of our students than we're able to take care of internally
  • That is, ...to take care of more of our students than we're able to take care of internally.
  • It's a direct hit. I don't know.
  • It's a direct hit on our economy.
Keywords: 988, house, all
FL

Florida 2026 Regular Session

Fiscal Policy Apr 2nd, 2025

Fiscal Policy

Transcript Highlights:
  • CS for SB 714 on non-opioid advanced directives by Senator Burton.
  • On child care and early learning providers by Senator Burton.
  • industry working together to update and streamline the regulation of child care.
  • the use of technical assistance offered by DCF to child care providers.
  • We’re framing this program so all the direct investments go into students.
Summary: The committee first heard CS for CS for SB 344, which would modernize the Telecommunications Access System Act of 1991 based on Public Service Commission recommendations. The bill drew no opposition and was reported favorably. Members then took up several Senator Burton measures: CS for SB 714 on non-opioid advanced directives, which was amended to create a Department of Health website access point for a voluntary form allowing patients to notify providers they do not want opioid medications; CS for SB 738 on child care and early learning providers, which streamlines and updates child care regulation and was supported by industry and business groups; CS for SB 756 on health insurance coverage for individuals with developmental disabilities, which removes the age-8 diagnosis limit and age cap for mandated autism-related coverage; and CS for CS for SB 1356, creating a Florida Institute for Pediatric Rare Diseases at FSU and a newborn genetic testing pilot, later amended to add FIU and Nicklaus Children’s Hospital to the board and remove specific appropriations. All of these bills were reported favorably. The committee also approved CS for CS for SB 1624 on higher education, a broad bill affecting tuition policies, workforce programs, institutional governance, and naming changes. The bill generated extended discussion over replacing references to “minority” with “underrepresented,” with the sponsor explaining the intent was to focus on low-income access and student support, while members raised concerns about impacts on majority-minority institutions and preeminence pathways. An amendment added guardrails for private religious postsecondary institutions by requiring public review of affidavits of compliance and giving the Commission for Independent Education enforcement authority. After debate, the bill was reported favorably. The committee then passed CS for SB 1626 on child welfare, which addresses military-family investigations, emergency shelter certification, children’s services council appointments, criminal-background exemptions, group-home rates, licensing extensions, small residential group homes, missing-children procedures, and psychotropic medication refills; it was amended to adjust council board composition and then reported favorably. Additional bills approved included SB 178, directing Florida A&M University to conduct an agronomic study on emerging crops for land taken out of production; SB 1162, expanding boating improvement funding for trailer parking and offering lease incentives for clean marine manufacturers; CS for CS for SB 958, creating a type 1 diabetes early detection information program for parents and schools; CS for CS for CS for SB 1070, requiring ECGs for student athletes with phased implementation and exemptions, after extensive testimony from parents and advocates about sudden cardiac arrest; CS for SB 774, requiring electronic transmission of certain court orders to sheriffs within six hours; SB 1516, creating an International Aerospace Innovation Fund administered by Space Florida; SB 994, revising driver education requirements and prompting a commitment to add distracted-driving instruction; and CS for CS for SB 1402, expanding eligibility for dropout retrieval programs. The committee also took up SB 810 on stormwater management systems, amending it to focus annual inspections on vulnerable MS4 infrastructure. That bill drew significant opposition from the Florida League of Cities, counties, and stormwater groups, who argued the mandate would duplicate existing permit requirements and impose major costs, but supporters said it was a basic flood-prevention measure. The transcript ends during debate on SB 810, before a final vote is shown.
CA

California 2025-2026 Regular Session

Assembly Budget Committee Jun 15th, 2026

Budget

Transcript Highlights:
  • And of course, health care.
  • for child care providers.
  • for child care providers.
  • care costs, and worse health outcomes than providing care in people's homes.
  • Regarding child care, thank you for the continued investment in child care slots.
Keywords: 988, house, all
FL

Florida 2026 Regular Session

FL House Floor Session - 2025-04-25 (10:00AM Session)

Florida House Floor Meeting

Transcript Highlights:
  • And also, we want to benefit the environment, which I know you care about and I care about as well.
  • And also, we want to benefit the environment, which I know you care about and I care about as well.
  • If CRAs are using, you ...you care about, and I care about as well.
  • I want you to feel comfortable because I care about your mental. I care about your physical.
  • They need caring parents.
Summary: The House opened with prayer, a moment of silence for fallen Oviedo Officer Jimmy Serrano-Torres, the Pledge of Allegiance, and recognition of Chief Joseph Tuminelli as law enforcement officer of the day. The chamber approved the journal and adopted the special order report, and the Speaker announced a schedule change canceling the floor on Monday and starting Tuesday at 10:30 a.m. The main business was CS for HB 7033, the House tax package, presented by Rep. Duggan. He described a broad set of tax changes, including the previously passed sales tax rate reduction from 6% to 5.25%, exemptions for certain bullion sales, changes to tourist development tax (TDT) use, property tax administration updates, affordable housing-related exemptions, repeal of the aviation fuel tax, delayed natural gas fuel tax implementation, corporate income tax changes, and other provisions. Debate focused heavily on the TDT section and the bill’s property tax relief structure. Amendments to preserve local flexibility or remove the TDT restrictions were offered and debated; one Duggan amendment was adopted to allow local governments to keep 25% of TDT revenues for general use while directing 75% to property tax relief, and another amendment requiring audit certification of compliance was also adopted. A combined reporting amendment offered by Rep. Eskamani to close corporate tax loopholes was debated at length but failed. On final passage, supporters argued the bill provides immediate, permanent tax relief and affordability help, while opponents said it diverts tourism dollars away from local needs and could harm tourism-dependent counties and services. CS for HB 7033 passed the House 78-29. The chamber then took up CS for CS for HB 1221 on local option taxes, which would give local governments more control over certain local taxes and, as presented, redirect TDT revenues toward property tax relief with some local flexibility. After questions and amendments, including a Miller amendment allowing 25% of TDT revenue for general purposes and another accountability amendment, the bill moved to final debate. Members split sharply: supporters framed it as immediate tax relief and local accountability, while opponents warned it would undermine tourism marketing, infrastructure, and county budgets. The transcript ends during closing debate on HB 1221, before final passage is recorded.
MA

Massachusetts 2025-2026 Regular Session

Joint Committee on Community Development and Small Businesses May 7th, 2026

Joint Committee on Community Development and Small Businesses

Transcript Highlights:
  • It will direct the money where it's needed the most.
  • , child care, and employment opportunities... ...health care, child care, and employment opportunities
  • We have to be careful about that these days.
  • When families cannot afford food, they delay health care.
  • My role was created in direct response to this need.
Bills: S3022, H5187
OK

Oklahoma 2026 Regular Session

Rules 2nd REVISED Apr 6th, 2026 at 08:30 am

Rules

Transcript Highlights:
  • Think Sooner Care is one aspect of it.
  • to people on Sooner Care in Oklahoma right now.
  • , all without direct voter approval.
  • that care.
  • And I know how important it is to make sure that we're able to take care of people that can't take care
NM

New Mexico 2026 Regular Session

Senate Chamber Feb 6th, 2026

New Mexico Senate Floor Meeting

Transcript Highlights:
  • about animals and how to care.
  • Teach them how to care about animals and how to care about others.
  • We talk about health care in rural communities, we talk about health care in Albuquerque, and so it's
  • This is about children who are very ill, who might qualify for palliative care or even hospice care.
  • direction our goal is.
Summary: The Senate convened for an Indian Day/Native American Day session featuring prayers, drum and color guard presentations, and extensive recognition of tribal leaders, students, royalty, and community advocates from across New Mexico and neighboring tribal nations. Senators used the morning to introduce guests and speak about Native sovereignty, language preservation, education, water access, economic development, and the importance of tribal-state relationships. Several speakers highlighted personal and family ties to Native communities, while others emphasized ongoing work on issues such as clean water for Navajo communities, Native youth leadership, and missing and murdered Indigenous women and relatives. A major non-ceremonial item was the reading of Senate Executive Messages from the governor authorizing consideration of Senate Bills 306, 309, 312, and 313. Those bills would, respectively, change licensure rules for certain institutions, alter lottery tuition fund deposit requirements, and repeal or revise provisions related to safety helmets and child restraint devices in negligence and damages law. The Senate also received committee reports advancing House Bill 34, Senate Bills 204, 241, 77, 152, 190, and 143, along with confirmations for Elaine Luna and Grace Margaret Herrera to the New Mexico Highlands University Board of Regents. The Rules Committee also reported on the governor’s appointment of Don Walters as child advocate for the Office of the Child Advocate. The chamber also adopted a Senate resolution recognizing February 6, 2026, as New Mexico Speech, Language, and Hearing Association Day, with Senator Pope speaking in support of audiologists and speech-language pathologists. Throughout the session, members repeatedly acknowledged the prior night’s Senate-House basketball game, which raised more than $26,000 for cancer, and used the occasion to thank participants and guests. No roll-call votes were recorded in the transcript beyond voice votes adopting the committee reports and the unanimous-consent actions on floor procedures and guest access.
MO

Missouri 2026 Regular Session

Substance Abuse Prevention and Treatment Task Force Jun 24th, 2026 at 01:00 pm

Substance Abuse Prevention and Treatment Task Force

Transcript Highlights:
  • Substance use disorder care should be integrated into whole-person, life-course health care.
  • into all of our other health care.
  • We try to offer personalized care.
  • to care for people who use drugs.
  • or managed care organizations.
Keywords: 959, house, all
KY
Transcript Highlights:
  • care, dental, or specialty care, providing health education and patient navigation, managing care and
  • </c> by this this care. by this this care.
  • appointment is obviously burdensome to not only the facility, but obviously the direct care that needs
  • direct care that needs obviously the the direct care that needs to<00:44:21.400><c> be</c><00:44:21.560
  • </c> care, behavioral health, or chronic care care, behavioral health, or chronic care management<01:
Keywords: 958, all
Summary: The Medicaid Oversight Advisory Board first approved the September 24 minutes and then heard a presentation from four certified community behavioral health clinic providers: Pathways, NorthKey, Seven Counties Services, and NewVista. The presenters explained the difference between traditional community mental health centers and CCBHCs, describing CCBHCs as an enhanced model that integrates behavioral health, primary care, wraparound services, and crisis response. They reviewed the federal history of the model, Kentucky’s entry into the Medicaid demonstration in 2022, and the scheduled end of the enhanced federal match on December 31, 2027. They also emphasized required services such as 24-hour mobile crisis, care coordination, and services for veterans, and described care coordination as a key feature that helps patients follow up after hospital or emergency discharge, manage medications, and connect to transportation and other supports. The presenters gave examples of improved outcomes, including a patient who was able to remain living independently because of coordinated home-based and telehealth support, and they argued that CCBHCs are helping Kentucky build a more responsive crisis system through 988, mobile crisis teams, and crisis stabilization units. They said the model is data-driven, uses performance metrics, and has led to stronger collaboration among community partners. One speaker said more than 100 agencies participated in a Jefferson County community health needs assessment and continued meeting afterward to reduce redundancies and barriers to care. They also said crisis call hub compliance and mobile crisis outreach compliance improved significantly over the past year. Members asked about how navigators and connectors fit into the model, how CCBHCs work with managed care organizations, and how the program could expand statewide. The presenters said navigators are not built into the CCBHC model but may be used through referrals, while the CCBHCs continue to bill MCOs the same way and receive a Medicaid wrap payment for the enhanced rate. They said the goal would be for all community mental health centers to become CCBHCs, but that a state plan amendment would be needed and could not be limited only to CMHCs if submitted to CMS. They estimated about $28 million would be needed statewide to continue the program in the next biennium, combining the loss of enhanced federal match and the state share of enhanced service costs. The board also discussed transportation, with one presenter explaining that their program arranges Medicaid transportation for eligible appointments, and members raised concerns about mental inquest warrant transport and whether sheriffs should remain involved. No votes were taken on the CCBHC or transportation items during the discussion.
NH

New Hampshire 2025 Regular Session

Senate Health and Human Services (02/18/2025)

Health and Human Services

Transcript Highlights:
  • care struggles.
  • care struggles.
  • Care from independent senior housing to assisted living and nursing care.
  • As a child care center, we do accept the New Hampshire child care scholarship.
  • the child care improve Child Care the child care landscape<02:26:32.720><c> here</c><02:26:32.840><c
Keywords: 1191, senate, all
TX

Texas 89th Regular

Education K-16 (Part I) Apr 10th, 2025

Education K-16

Transcript Highlights:
  • So we'll have that discussion in both directions on today's agenda.
  • is so desperately needed. ...challenges for children and families that need to access specialized care
  • On a personal note, I owe my career trajectory to the current primary care preceptorship program.
  • Currently, many families in Texas face significant barriers to accessing subspecialty care: long wait
  • Camacho for, one, caring so much in the Alamo College Districts. Please let everybody know.
Summary: The Senate Committee on Education K-16 heard several bills and took no final votes, leaving each measure pending. The first major item, SB 1322 by Senator Hagenbuch, would create a Texas Higher Education Accrediting Commission to evaluate and approve accrediting agencies for public colleges and universities using outcome-based metrics such as retention, graduation, employment, debt, and repayment. Supporters, including Kate Byerley of the Texas Public Policy Foundation, argued the bill would add competition and align accreditation with Texas workforce needs; Senator Menendez questioned the need for a new bureaucracy and noted the $3.6 million fiscal note, suggesting existing reporting and oversight structures could serve the same purpose. The committee then heard SB 1998, which would establish a pediatric subspecialty preceptorship program to encourage medical students to enter pediatric subspecialties. Dr. Lauren Gamble testified in strong support, saying the program would help address shortages and improve access for children, especially in rural and underserved areas. SB 2788, authored by Senator Menendez, would add the PSAT as an accepted assessment for dual credit and Texas Success Initiative purposes; Priscilla Camacho of Alamo Colleges supported the bill, citing strong student outcomes and widespread use of the PSAT as a readiness indicator. Senator Creighton laid out SB 2076, which would remove or modify certain Capitol view corridor restrictions affecting the UT Austin Academic Medical Center project, including the planned specialty hospital and MD Anderson Cancer Center expansion. He said the existing corridors are outdated and limit development. The committee also heard SB 1418, a cleanup bill replacing outdated references to ACT Plan with Pre-ACT and removing obsolete SAT subject test language. After brief testimony and no opposition on the later bills, the committee closed public testimony and left SB 1322, SB 1998, SB 2788, SB 2076, and SB 1418 pending before recessing for the floor session.
TX

Texas 89th 2nd C.S.

Higher Education Apr 8th, 2025

Higher Education

Transcript Highlights:
  • Tarleton State is uniquely positioned to respond to the primary care and rural health care shortages
  • Primary care practitioners, period.
  • Access to health care, particularly access to a primary care physician, should not be aspirational.
  • rural areas for health care and for doctors.
  • It's the need for perpetual care. And so having the physicians in place to provide... ...care.
Bills: HB42, HB125
Summary: The Committee on Higher Education met to hear several bills and first corrected the minutes from its April 1, 2025 meeting to reflect that a committee substitute for HB 271 had been adopted before the bill was reported favorably. The committee then heard HB 3326, which would help Texas higher education employees, especially adjunct faculty, qualify for federal Public Service Loan Forgiveness by counting classroom hours toward full-time status, requiring institutions to verify employment within 60 days, and requiring annual notice to eligible employees. No witnesses testified against the bill, and it was left pending. Members then heard HB 2853, authorizing UTEP to phase in a student union fee increase to fund demolition and reconstruction of its aging student union. Representative Perez and UTEP student and university witnesses said the current facility is outdated and insufficient for a campus of more than 25,000 students, while some members raised concerns about the size of the fee increase and its impact on low-income students. UTEP representatives said most students receive aid, the fee would be phased in over time, and the project was student-approved; the bill was left pending. The committee also heard HB 4066, a one-line bill to abolish the Texas Research Incentive Program after the state cleared its backlog of matching obligations, with the author saying the program was no longer needed in light of newer research funding approaches. The bill was left pending. The committee spent substantial time on HB 125, which would create the Tarleton State University College of Osteopathic Medicine. Supporters, including Tarleton leadership, the founding dean, a rural hospital CEO, and a feasibility consultant, argued the school would address severe rural physician shortages by recruiting Texas and rural students, training them in rural settings, and developing new residency slots rather than competing for existing ones. Members asked about affordability, residency placement, and whether the school would draw students from rural Texas; Tarleton said it would seek to keep tuition and debt low, had already raised private donations, and would request $25 million in state support over the biennium. The bill was left pending. Finally, the committee heard HB 42, which would increase the annual Higher Education Fund appropriation and adjust its allocation methodology. The chair and university witnesses described rising deferred maintenance, inflation, cybersecurity needs, and enrollment growth at HEAF-eligible institutions, with witnesses from Texas Tech, Sam Houston State, and UNT saying the additional funding would help address aging facilities and technology needs. After testimony, the committee left HB 42 pending and recessed.
WY

Wyoming 2026 Regular Session

House Appropriations Committee, February 9, 2026

Appropriations

Transcript Highlights:
  • So, taken care of at our high school.
  • </c><00:37:45.440><c> The</c> government direct distributions. The government direct distributions.
  • :47.040><c> local</c> direct distribution model for local direct distribution model for local governments
  • </c> mean, uh, this bill, um, the the direct mean, uh, this bill, um, the the direct distribution<01:
  • I too um great move in that direction.
Bills: HB0105, HB0107, SF0002
CA
Transcript Highlights:
  • care coverage before HR1.
  • care.
  • care like Medi-Cal.
  • care like Medi-Cal.
  • care costs.
Summary: The hearing focused on the expected loss of health coverage in California due to H.R. 1 and related federal policy changes, and what that could mean for county indigent care programs. Members and the chair said the state expects large Medi-Cal and Covered California disenrollments, with concerns that counties will again become the safety net for uninsured residents. The committee also framed the hearing as a chance to assess whether current systems are ready and what policy or budget changes may be needed before the next budget cycle. The Legislative Analyst’s Office described county indigent care as a long-standing, county-run program of last resort with wide variation in eligibility and benefits, funded largely through realignment dollars that also support public health. LAO said enrollment in county indigent care fell sharply after the ACA, but could rise again, and estimated that 20% to 50% of newly uninsured people might seek county care. LAO and administration witnesses emphasized that data on county programs is fragmented, not centrally collected, and would need to be standardized before the Legislature could make major structural decisions. Administration officials said Medi-Cal disenrollment could reach more than 1 million members at full implementation, with additional losses possible because a new federal rule makes medical-frailty exemptions more restrictive. They also said Covered California enrollment is projected to decline, though state subsidies may soften the drop. Members pressed the administration on the lack of real-time data and whether statutory authority might be needed to require county reporting. Officials said a statewide, apples-to-apples data system would likely take years, though some existing HCAI and DHCS data could help in the meantime. County representatives from Santa Barbara, San Diego, and Tulare described the practical effects of the coverage losses and asked for state help. They said their indigent care systems are limited, often reactive, and far less comprehensive than Medi-Cal, with many patients likely to show up only after conditions worsen. Counties warned that they would need bridge funding, updated statutory authority, and more flexible realignment rules to rebuild capacity and serve newly uninsured residents. The California Health Care Foundation echoed that the problem is statewide and cannot be solved county by county alone.
NM

New Mexico 2026 Regular Session

Senate - Education Feb 11th, 2026

House Education

Transcript Highlights:
  • Chairman, I would like to propose an amendment directed to the committee on the changes that are necessary
  • Thank you. direct drawdown or reimbursement from PED transportation.
  • I would like for Greg to go ahead and expand on that if he would care to. Mr.
  • And I know the athletic directors work together other than when we're in direct competition.
  • I don't see any funds attached to this, and who's going to take care of the access? Mr.
Bills: SB234, SB210, SB243, SB244, SM16, HB8
Summary: The Senate Education Committee began by announcing that SB 210 would be rolled over to Friday and would not be heard. The committee then returned to SB 234, which would provide foster child school transportation funding statewide rather than only for Albuquerque Public Schools. Members adopted an amendment striking the APS-only language and making the bill statewide after testimony from the sponsor, PED, and others that foster youth transportation is a growing issue and should have its own funding stream. The committee discussed how the money might be distributed and whether the $1.2 million appropriation would be sufficient, then voted do pass on SB 234 as amended. The committee next heard HB 8, which creates a Higher Education Major Projects Fund for large capital projects that are difficult to fund through existing capital outlay processes. Testimony from the sponsor, LFC, HED, and university representatives explained that the bill would support projects such as the UNM School of Medicine, an NMSU multidisciplinary building, student housing, student life projects, and certain Division I athletic facilities, while requiring design readiness, institutional matches, and legislative oversight. Several senators raised concerns about the clarity of the prioritization process, the Division I-only athletics language, the recurring nature of future funding, and the relationship to other capital funding streams, but the committee ultimately voted do pass on HB 8. The committee then considered SB 243 and SB 244, nearly identical bills for UNM and NMSU that would each appropriate $5 million for student health, student support, nutrition, travel, scholarships, and other athletic department needs. Athletic directors testified that conference realignment, higher travel costs, nutrition demands, and new revenue-sharing/NIL obligations have increased expenses, and sponsors said the bills were intended as one-time appropriations. Some senators questioned whether the requests should be recurring or funded through university revenue rather than the state, but both bills received do pass recommendations. Finally, the committee heard SM 16, as amended, which asks HED to convene a task force to study parenting students in higher education and recommend ways to collect data and improve support. Supporters said better data is needed to understand barriers such as child care and transportation, and the memorial passed with a do pass recommendation. The committee then adjourned until Friday morning.