Video & Transcript : 'direct care services' :
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US
US Federal 2025-2026 Regular Session
US House Floor Proceedings (Monday, March 31, 2025)
US Federal House Floor Meeting
Transcript Highlights:
- Postal Inspection Service.
- They carried their service with dignity. They bore the weight of their service.
- THEY CARRIED THEIR SERVICE WITH DIGNITY. THEY BORE THE WEIGHT OF THEIR SERVICE.
- Do we care? Does this place care enough to do the hard things, to do the math?
- DO WE CARE? DOES THIS PLACE CARE ENOUGH TO DO THE HARD THINGS TO DO THE MATH.
CA
California 2025-2026 Regular Session
Senate Budget and Fiscal Review Subcommittee No. 3 on Health and Human Services Apr 30th, 2026
Transcript Highlights:
- Of this amount, $1.8 million supports base rate increases governed by the Department of Health Care Services
- We have to contract out for specialty services. So that's... ...do specialty medical care.
- We also provide medical care, but that's more like outpatient services.
- We also made updates to our standardized screening and transition of care tools for mental health services
- Marlene Press, Department of Health Care Services.
MA
Massachusetts 2025-2026 Regular Session
Joint Committee on Financial Services Jun 21st, 2026 at 11:00 am
Joint Committee on Financial Services
Transcript Highlights:
- These services range from individual counseling and advice, transitional pharmaceutical care after hospitalization
- These services keep patients well and avoid the need for hospital stays and/or long-term care, thus saving
- We advance our mission in three primary lines of work: our direct service helpline, our community engagement
- In fact, the Massachusetts model directs lending to borrowers— In fact, the Massachusetts model directs
- Not a direct lender.
Committee:
Joint Joint Committee on Financial Services
Summary:
The committee held an informational opening hearing for the Financial Services Committee, with Chair Murphy and Senator Feeney introducing new and returning members and explaining that no bills were being heard that day beyond brief introductory testimony. Commissioner of Banks Mary Gallagher thanked the committee for last session’s money transmission modernization law, and several members echoed appreciation for her office’s work. The hearing then featured a long series of stakeholder introductions and overviews of their priorities for the session.
Testimony covered a wide range of financial, insurance, housing, health care, and consumer issues. Banking and mortgage groups discussed housing affordability, foreclosure delinquencies, flood insurance, regulatory changes, and the impact of federal policy shifts. Insurance representatives raised concerns about auto and homeowners market pressures, labor rates, tariffs, rebates, e-titling, third-party litigation funding, and public adjuster restrictions. Consumer and advocacy groups highlighted debt collection reform, earned wage access, retirement savings access, public banking, and consumer protections in financial services. Several speakers also emphasized the need for committee expertise and offered themselves as resources for future bills.
Health-related organizations focused on insurance mandates, prior authorization, behavioral health access, pharmacy benefit manager reform, community health center funding, maternal health and midwifery reimbursement, and anesthesia reimbursement parity. Other groups, including credit unions, retailers, auto dealers, dental and medical associations, and behavioral health providers, described their roles in the Commonwealth and previewed legislation or policy areas they expect to follow this session. No votes were taken; the meeting was informational and ended after testimony from the sign-up list and a few late additions.
WA
Washington 2025-2026 Regular Session
Senate Early Learning & K-12 Education Jan 21st, 2026
Transcript Highlights:
- School districts and educational service districts may be eligible only when they are partnering with
- Research shows that early interventions, as simple as consistent and caring adults in a child's life,
- So when I had to go to after-school care or before-school care, kicking my feet and screaming because
- Utilities, heat, power, water, they're not optional services, as it's already been stated.
- Even when I'm the most careful, I could forget in my hailer at times.
Summary:
The committee first heard Senate Bill 5992, which would create a non-appropriated Youth Development Fund account to support grants for positive youth development programs serving ages 5 to 24. Staff explained that OSPI would administer grants to nonprofits, tribes, and local parks and recreation entities, with school districts and ESDs eligible mainly as partners; annual reporting would be required. The sponsor and many testifiers, including students, youth-serving nonprofits, tribal representatives, and agency partners, described after-school, mentoring, arts, sports, outdoor, and wraparound programs as important for mental health, belonging, safety, civic engagement, and prevention, especially for vulnerable and rural youth. The committee then moved to executive session and adopted a substitute and passed SB 5992 to the Rules Committee.
The committee also took executive action on Senate Bill 5952, which would standardize the process for excusing high school students from physical education, and on Senate Bill 5961, which would transfer the Imagination Library of Washington from DCYF to OSPI. In both cases, the committee adopted proposed substitutes that narrowed or adjusted the bills, then voted them out of committee: SB 5952 was sent to Rules, and SB 5961 was sent to Ways and Means. The committee also heard Senate Bill 5969 on allowing an IEP transition plan to satisfy high school and beyond plan requirements; after discussion, a substitute was adopted that instead directs OSPI to reduce duplication in the statewide IEP system, and the bill was passed to Ways and Means.
Later, the committee heard Senate Bill 5918, which would increase materials, supplies, and operating costs (MSOC) funding by $100 per student or $100,000 per district, whichever is greater, starting in the 2026-27 school year. Testimony from educators, administrators, school board members, PTA, and OSPI emphasized that districts are using local levy dollars to cover basic operating costs such as utilities, insurance, curriculum, and maintenance, leaving less for enrichment and forcing cuts or deferred purchases. One opponent argued against additional taxes and questioned the return on school spending. The sponsor framed the bill as necessary to meet the state’s paramount duty to fund basic education. The transcript then shifted to Senate Bill 5951 on school access to albuterol, which would allow schools to keep stock albuterol under a statewide standing order and let trained staff administer it under certain conditions; students, nurses, and advocates testified that stock albuterol could reduce absences and improve safety for students with asthma. Finally, the committee began hearing Senate Bill 6042 on school mapping, which would require school safety plans to include accurate, interoperable digital maps for first responders; the sponsor and emergency response witnesses said standardized maps are critical for coordinated, timely response in school emergencies.
WA
Washington 2025-2026 Regular Session
House Community Safety Oct 29th, 2025
Transcript Highlights:
- And so remembering that a good crisis care continuum set of services needs people such as navigators,
- We've heard some other colleagues talk about specialized services, people with memory care issues, geriatric
- CARE team.
- other colleagues talk about specialized services, people with memory care issues, geriatric, those types
- care team.
Summary:
The Community Safety Committee held an interim work session on crisis response, with members and witnesses discussing how Washington can better integrate 911, 988, mobile crisis, co-response, and alternative response models for behavioral health crises in public spaces. Travis Parker opened with an overview of the Sequential Intercept Model and the crisis care continuum, emphasizing early intervention, 988 access, regional coordination, navigators and peer support, and the need for sustainable braided funding. Several Washington witnesses then described current programs and system gaps, including the growth of co-response teams, the importance of integrating 911 and 988 rather than treating them as competing systems, and the need to reduce unnecessary emergency room use and improve first responder wellness and training.
City, fire, and crisis-system representatives described local challenges and reforms. Kim Hendrickson of Poulsbo said most crisis calls still come through 911 and urged better coordination among field-based teams, more behavioral health training for fire/EMS, and more alternatives to ER transport. Laura Pippen, a designated crisis responder, described a strained involuntary treatment system, fewer DCRs statewide, difficulty getting law enforcement support for transports, and limited facility capacity, especially for substance use disorder. Jennifer Stuber and South County Fire’s Keith Sharp highlighted workforce training, a crisis responder certificate program, and first responder wellness efforts. Research witnesses Evan Lauder and James Pine said the evidence is still developing but generally supports on-scene resolution, reduced ED transport and detention in some models, and the importance of clear dispatch protocols, coordination, and ongoing evaluation.
Dispatch and program operators then gave examples of how systems are working in practice. Katie Myers of Washington APCO/NENA said 911 remains essential, but needs evidence-based triage protocols, liability protections, and additional funding if it is expected to take on more crisis-response responsibilities. Whatcom County described embedding a “community connector” in the 911 center to coordinate alternative response, while ValleyCom reported that its 988 diversion pilot transferred 2,165 calls with 98% resolved through 988/211 without returning to 911. National examples included Denver’s STAR program, Albuquerque’s Community Safety Department, and Atlanta’s PAD initiative, each showing different ways to route low-acuity or behavioral-health-related calls away from police and toward clinicians, peers, or civilian responders. The session ended with Washington examples continuing, including Whatcom County’s alternative response team, underscoring the committee’s interest in refining and expanding integrated crisis response systems in the next session.
NH
New Hampshire 2025 Regular Session
House Ways and Means (04/29/2025)
Transcript Highlights:
- </c><01:24:37.040><c> for</c> Shintoism, care for the poor, care for Shintoism, care for the poor, care
- are not emergency services, rather they're urgent care.
- ,</c> services are not emergency services, services are not emergency services, rather<01:38:24.639><
- It pays to fund the managed care organizations, supports critical services like behavioral health, substance
- </c> this direction as well. this direction as well.
Summary:
The Ways and Means Committee held a public hearing on Senate Bill 291, which would update religious land-use and property tax exemption rules for church-owned parsonages, parish houses, and similar properties. Senator Tim Lang, speaking for the sponsor, said the bill was intended to address situations where former parsonages are no longer occupied by clergy and are instead used for church-related purposes such as housing staff, religious education, or congregate living tied to ministry, including addiction recovery. He emphasized that the bill was not meant to create commercial rental housing and that it also preserves reasonable zoning and environmental regulations.
Committee members pressed the sponsor on how the bill would be applied, especially the meaning of “religious purposes,” the six-unit limit, the “same lot” language, and whether churches could use the exemption to rent units for revenue. The sponsor said the six-unit cap was added to prevent large-scale commercial rental use, that congregate housing would be limited and defined, and that the bill was meant to cover uses like substance abuse recovery, homes for unwed mothers, and religious education, but not apartments converted for ordinary rental. He also said churches would still file annual exemption paperwork and towns could challenge claims they believed were commercial. Questions also raised concerns about whether the bill treated religious and nonreligious housing trusts differently; the sponsor responded that the bill was aimed at church-owned property used in pursuit of a religious mission.
Several witnesses testified in support. Representative Mark Pearson, an active clergyman, said the bill would not remove additional property from the tax rolls because clergy housing allowances typically lead clergy to buy taxable homes elsewhere, while the church-owned parsonage remains exempt. Nick Taylor of Housing Action New Hampshire supported the bill as a modest expansion that could help create more attainable housing by allowing better use of existing religious land and structures, though he noted his organization would support even broader use. The hearing ended without a vote or final action, and the chair closed questions after the testimony.
WA
Washington 2025-2026 Regular Session
Senate Ways & Means Feb 2nd, 2026
Transcript Highlights:
- Workforce housing, as you know, serves teachers, health care workers, service employees, retail workers
- Workforce housing, as you know, serves teachers, health care workers, service employees, retail workers
- Workforce housing, as you know, serves teachers, health care workers, service employees, retail workers
- like child care, behavioral health services, early childhood education, and various learning services
- I'm testifying today in support of like child care, behavioral health services, early childhood education
Summary:
The committee held a public hearing on a series of housing, education, workforce, and court-related bills. On Substitute Senate Bill 5884, staff described changes to a sales and use tax deferral for redeveloping vacant or underused land into affordable housing, including broader eligible property definitions and lower affordability thresholds in designated areas. Testimony was mixed: builders opposed language they feared could encourage project labor agreements, while Spokane and Kent representatives supported the bill but asked for flexibility on affordability mix requirements. On Senate Bill 6256, which expands a property tax exemption for nonprofit low-income rental housing to include certain co-located community uses during construction and extends the pre-construction exemption period, testimony was strongly supportive from housing nonprofits and local housing partners, with questions focused on clawback provisions.
The committee also heard Substitute Senate Bill 6027, which expands allowable uses of local housing and supportive housing sales tax revenue, adjusts a REET exemption timeline, broadens emergency housing definitions, and changes use of the Affordable Housing for All account. County, housing, and nonprofit witnesses said the bill would help preserve housing and services amid federal funding uncertainty, though Snohomish County asked for an amendment to allow rental assistance. Substitute Senate Bill 6018 would revise the Housing Finance Commission’s authority, including direct lending and bond counsel terms; commission staff said it would modernize outdated restrictions and improve financing flexibility. Substitute Senate Bill 6028 would create a revolving loan fund for mixed-income homeownership projects; supporters said it would help smaller infill projects pencil, while staff noted the loans would be subordinate and carry some risk.
Later, the committee heard Senate Bill 6275 on the community reinvestment program, which would require periodic plan updates, reporting, and a WSIPP study, while also expressing legislative intent to continue at least $100 million annually in the account. Advocates, workforce groups, legal aid providers, and small business owners testified that the program supports communities harmed by past disinvestment and should be made permanent and more accountable. Substitute Senate Bill 5961 would move the Imagination Library program from DCYF to OSPI; early literacy advocates and local partners supported the transfer as better aligned with school readiness. Substitute Senate Bill 5969 would integrate IEP transition plans with high school and beyond plans, and a prior critic said amendments addressed her concerns. Second Substitute Senate Bill 5292 would shift PFML premium rate-setting to the annual actuarial report and raise the reserve target; labor and industry witnesses supported the change, while a policy group opposed the program’s costs.
The committee also heard Senate Bill 5868 to add one superior court judge each in Skagit and Yakima counties. Judges and county officials testified that caseloads, population growth, and backlogs justify the additions, and county leaders said they had already budgeted for their share. Finally, Substitute Senate Bill 5827 would allow service members to use pre-discharge certification to claim veterans’ civil service preference; the sponsor said it would solve a timing problem for transitioning service members. No votes or final committee actions were taken in the transcript, as the meeting consisted of bill briefings and public testimony.
FL
Transcript Highlights:
- In managed care, their support coordinators are called care managers, and I met my care manager exactly
- one Coordinators are called care managers, and I met my care manager exactly one time.
- Basically, my care manager from Children's Medical Services was like any Basically, my care manager from
- because we all care.
- They don't care.
Committee:
Senate Fiscal Policy
KY
Kentucky 2026 Regular Session
Senate Standing Committee on Health Service (3-4-26)
Transcript Highlights:
- </c> health care. health care.
- But we can't direct them. We can direct the other three. True. good.
- We can direct the other direct them. We can direct the other three.<00:05:23.760><c> True.
- care care the<00:25:56.400><c> health</c><00:25:56.600><c> care</c><00:25:56.760><c> system</c><00:25
- </c> our services as a PA. our services as a PA.
Summary:
The Senate Standing Committee on Health Services met with a quorum and first took up Senate Joint Resolution 116, sponsored by President Stivers. The resolution directs the University of Kentucky, the University of Louisville, and Eastern Kentucky University to work over the next year on a statewide framework to improve health care access, especially in underserved and unserved areas. Members discussed physician shortages, maldistribution of doctors, recruitment and retention, loan forgiveness, scholarships, technology, and the connection between health care access and economic development in rural Kentucky. The resolution was reported favorably on a unanimous roll call vote.
The committee then considered Senate Bill 116, relating to physician assistants and a shift from a supervisory to a collaborative practice model. The sponsor and PA witnesses explained that the bill was heavily revised through a committee substitute after discussions with the Kentucky Medical Association, physicians, and hospitals. They said the substitute keeps physician supervision in place while allowing health care teams to function more efficiently, and they emphasized that the bill is intended to improve access to care, particularly in rural areas with few doctors. Some members supported the compromise and the collaboration, while others raised concerns that expanding PA practice could worsen long-term physician shortages or reduce incentives for doctors to practice in rural Kentucky. The bill passed the committee 7-2 with favorable expression.
AZ
Arizona 2026 Regular Session
02/24/2026 - House Republican Caucus Calendar #7
Transcript Highlights:
- and kinship foster care children.
- and kinship foster care children.
- Representative, what is the definition of the service area? What service area?
- Representative, what is the definition of the service area? What service area?
- services.
Summary:
The meeting was a caucus-style run-through of many bills and resolutions across Appropriations, Commerce, Education, Federalism/Military Affairs/Elections, Government, Health and Human Services, Judiciary, ENRU, Public Safety, and Rural Economic Development. Measures discussed included housing and HOA rules, school policy and funding, health care licensing and records timelines, public safety and corrections funding, election and campaign rules, water and environmental policy, and several criminal justice and juvenile justice changes. Many items were described as being on third-read consent or consent calendars, with staff often noting that no questions were raised and no sponsor was present.
Several bills drew sponsor explanation or member discussion. In education, members reviewed bills on teacher strikes, school safety, math placement, student outcomes, free school meals, parent permission for clubs, and school bond ballot disclosures. In health, bills covered prior authorization data reporting, nursing board rules and complaint procedures, pharmacist testing/treatment authority, opioid antagonist expiration dates, board continuations, and a constitutional amendment on refusing medical mandates. In government and public safety, members discussed DCS legal representation, inmate medical records, public safety parity funding, sheriff authority, border support funding, and a resolution supporting county sheriffs. In commerce and housing, bills addressed condominium and HOA authority, shade structures, pet restrictions, insurance certificates, apprenticeship definitions, automatic renewal contracts, and a state housing affordability district.
There was notable discussion on House Bill 4044, which would create a Public Safety Parity Fund for DPS and DOC salaries using interest from the state rainy day fund and other revenue sources. The sponsor argued it would provide a reliable way to fund public safety pay, while others objected that it would consume interest needed to preserve the fund’s value and that a general fund appropriation would be more appropriate. The bill prompted extended back-and-forth, with some members supporting the concept and others saying it was fiscally irresponsible. Another point of discussion came on House Bill 2775, where staff noted a possible misprint in the bill history, and on House Bill 467, where staff clarified that the inactive voter list changes related to e-poll book status categories. No formal votes were recorded in the transcript, and the meeting appears to have been a review of measures before floor action.
CA
California 2025-2026 Regular Session
Senate Health Committee Apr 8th, 2026
Transcript Highlights:
- And when those cuts happen, they hit the services communities rely on the most: emergency care, maternity
- We want folks to utilize that health care coverage and those health care services.
- So I share all of that because I think— I think— Health care services.
- However, an advance health care directive expresses preferences. These are not medical orders.
- Existing law allows recognition of advance health care directives from other states.
Summary:
The Senate Committee on Health heard several bills focused on Medi-Cal access, HIV prevention, death certificate amendments, caregiver certification, advance care planning, and sugar-sweetened beverage labeling. SB 1422 by Senator Durazo would restore Medi-Cal access for income-eligible undocumented adults beginning January 1, 2027. The author and many supporters argued the enrollment freeze shifts costs to counties and hospitals, worsens health outcomes, and undermines California’s prior coverage gains. County, labor, health, immigrant-rights, and provider groups testified in support; there was no opposition. Committee members generally expressed support but also raised concerns about funding and the need for new revenue sources. The bill was discussed while the committee lacked quorum, so no vote was taken at that time.
The committee also heard SB 1023 on PrEP access, SB 1071 on death certificate amendments after homicide findings, SB 1057 on criminal-history review for CNA and home health aide certification, and SB 1088 on POLST and advance care planning updates. SB 1023 would require insurers that cover injectable PrEP under the medical benefit to also cover it through the pharmacy benefit; supporters said this would reduce administrative barriers and improve access, while health plans and insurers opposed it as an unnecessary mandate that could blur benefit design lines. SB 1071 would allow next of kin to amend a death certificate’s manner of death to homicide after a final court determination; families and law enforcement supported it as a matter of truth and closure, while coroners opposed it as blurring medical and legal findings and potentially distorting public health data. SB 1057 would replace automatic denial with individualized review for certain convictions in CNA and home health aide certification, and SB 1088 would modernize POLST/DNR rules, including electronic signatures, out-of-state recognition, and clarifying who may sign; both drew support, though clinical nurse specialists opposed SB 1088 because they were not included as authorized signers. Several of these bills were heard without quorum, so no votes were taken during the discussion.
After quorum was established, the committee heard SB 869 by Senator Weber-Pierce, which would require large chain restaurants to display a clear added-sugar icon next to beverages exceeding 50% of the daily recommended limit. The author and supporters, including the American Diabetes Association and an emergency physician, said consumers need simple, visible information at the point of purchase to better understand health risks tied to sugary drinks. The bill was framed as a public health transparency measure aimed at diabetes, obesity, and other chronic disease prevention. The transcript ends during testimony on SB 869, before any final committee action or vote is shown.
US
US Federal 2025-2026 Regular Session
US House Floor Proceedings (Tuesday, March 4, 2025)
US Federal House Floor Meeting
Transcript Highlights:
- </c><00:13:54.920><c> and</c> enforcement strain public services and enforcement strain public services
- </c> their Health Care their Health Care Program<00:15:16.279><c> were</c><00:15:16.440><c> you</c><00
- </c> America relies on like VA medical care America relies on like VA medical care and<00:29:23.640><
- </c> Americans concerns about the direction Americans concerns about the direction of<02:43:53.279><c
- </c> country uh move in the right direction country uh move in the right direction when<02:49:47.600>
NH
New Hampshire 2025 Regular Session
House Health, Human Services and Elderly Affairs (02/12/2025)
Health, Human Services & Elderly Affairs
Transcript Highlights:
- of those Services prior to estimate of those Services prior to receiving<01:22:00.239><c> care</c><01
- know</c><03:39:02.920><c> because</c> the direct Primary Care you know because the direct Primary Care
- </c><03:40:41.439><c> won't</c><03:40:41.680><c> be</c> direct Primary Care front it won't be direct
- </c><03:50:02.080><c> just</c> with the direct primary care I I just with the direct primary care I I
- </c><04:17:11.080><c> or</c><04:17:11.359><c> Services</c> not be denied admission care or Services not
MN
Minnesota 2025-2026 Regular Session
Committee on Health and Human Services - 03/25/26
Health and Human Services
Transcript Highlights:
- We also have the limited ability to mitigate financial risk. fee-for-service and managed care system
- fee-for-service and managed care system has<00:45:24.840><c> resulted</c><00:45:25.520><c> resulted</
- And looking at the basic care services, around 80% is spent through managed care.
- </c> day services and adult foster care. day services and adult foster care.
- . care. care.
Committee:
Senate Health and Human Services
CA
California 2025-2026 Regular Session
Senate Budget and Fiscal Review Committee Jun 15th, 2026
Transcript Highlights:
- But everything else is the same in fee-for-service as it is in managed care in terms of services and
- Indigent care services are still needed in our counties.
- Some of the critical care services that will be lost will be specialty care, cancer treatment, dialysis
- Some of the critical care services that will be lost will be specialty care, cancer treatment, dialysis
- This includes Community-based waiver services for Medi-Cal beneficiaries with chronic care needs.
Summary:
The Senate Budget and Fiscal Review Committee heard AB 109, the Budget Act of 2026, as the main item. Committee leaders described the legislative budget agreement as a balanced two-year plan with about $355.9 billion in total spending, $253 billion from the General Fund, and $36.5 billion in reserves. The Legislative Analyst and Department of Finance said the package assumes about $5.5 billion in higher revenues than the May Revision and uses those resources for a mix of spending changes, including higher Proposition 98 support, additional child care slots, housing and homelessness funding, delayed Medi-Cal reductions, and added support for counties, public hospitals, and distressed hospitals. The administration said the plan resembles the May Revision’s overall structure but includes new spending and revenue assumptions, and members noted that separate revenue trailer bills would be heard later in the week.
Much of the committee discussion focused on Medi-Cal, H.R. 1, and the impact on immigrants, low-income workers, counties, and hospitals. Several senators criticized the budget for locking in savings from delayed or reduced Medi-Cal coverage and for not including a mechanism to restore eligibility, while administration and LAO staff said the package delays some reductions but does not automatically reinstate coverage. Finance staff said roughly 1.5 million to 2 million people with unsatisfactory immigration status would move from managed care to fee-for-service, with coverage largely unchanged except for certain services not federally allowed. Members also discussed county administrative funding, indigent care, public hospital support, and the expected rise in uncompensated care. Other topics included In-Home Supportive Services, child care, homelessness funding, Prop. 36, courthouse construction and new judgeships, transit and cap-and-invest/GGRF funding, local journalism, and workforce or reentry programs.
Committee members split along party lines in their comments. Democratic members generally supported the agreement as a difficult but responsible compromise that protects core services, preserves reserves, and makes targeted investments in education, housing, health care, and justice system capacity. Republican members argued the budget relies on unrealistic revenue assumptions, does not sufficiently reduce spending, and includes costly policy choices and tax increases. Public testimony largely came from advocates and stakeholders who supported IHSS, Medi-Cal, child care, domestic violence services, hospitals, transit, and other programs, while some business and health plan representatives raised concerns about tax proposals and the shift from managed care to fee-for-service. The chair then moved the committee to public comment and indicated that the revenue bills would return later in the week; no final vote on AB 109 is reflected in the portion provided.
AZ
Arizona 2026 Regular Session
03/24/2026 - Senate Appropriations, Transportation and Technology
Transcript Highlights:
- This is about direct purchasing and direct contracting with China, a direct Chinese entity.
- We're lucky to have the services that we have.
- Centers for Medicare and Medicaid Services, to provide breastfeeding and lactation care services, including
- services.
- From an access-to-cost perspective, lactation care is a proven preventive service, reducing NICU admissions
Summary:
The committee first heard House Bill 2134, which would create the Arizona Critical Infrastructure Protection Act to bar state and critical infrastructure entities from contracting with the People’s Republic of China or Chinese companies for access to Arizona critical infrastructure, and to prohibit Chinese-produced software in critical infrastructure. The sponsor and a witness from State Armor argued the bill was needed to reduce cyber and sabotage risks and to align Arizona policy with national security concerns. Some members questioned costs, overlap with federal law, and the Corporation Commission’s capacity, but the bill was approved on a 6-4 vote for a due pass recommendation.
The committee then considered House Bill 2051, which would require AHCCCS contractors, subject to federal approval, to cover breastfeeding and lactation care services and, under a proposed amendment, create a voluntary state certification for lactation care providers through the Department of Health Services. Testimony from lactation consultants, maternal health advocates, and researchers emphasized improved maternal and infant outcomes, access gaps for Medicaid families, and potential cost savings. AHCCCS and ADHS were neutral but noted implementation costs and the need for CMS approval; the committee adopted the amendment and gave the bill a 9-0 due pass recommendation.
House Bill 2700 would establish a 15-member technology-first study committee focused on assistive technology for people with disabilities, with an amendment adding appointments by legislative minority leaders. Supporters said the committee would help Arizona catch up on assistive technology, improve independence, and address staffing shortages and aging-population needs. The committee discussed the amendment and then approved the bill 9-0. House Bill 2800, which would increase penalties for knowingly lending a vehicle to a person with a DUI-related driving restriction if that person later causes serious injury or death, drew extensive debate over whether the felony penalty was too broad; the sponsor and family members of a victim supported it as a targeted deterrent, while some members raised due process and knowledge concerns. It passed 9-1. House Bill 2114, which would use motorcycle safety fund money for scholarships for rural and low-income riders and require at least one registered owner to have a Class M license before a motorcycle registration is issued, received supportive testimony from the sponsor, motorcycle advocates, and safety supporters; members noted a possible wording issue with existing endorsements, but the bill passed 10-0. The committee also took up House Bill 2127, a large special-plates bill that had been expanded into an omnibus measure; after discussion of a Kavanaugh amendment removing a duplicate Grand Canyon plate and withdrawal of an Alston amendment, the committee adopted the Kavanaugh amendment and gave the bill a due pass recommendation.
CA
California 2025-2026 Regular Session
Assembly Budget Subcommittee No. 5 on State Administration Apr 28th, 2026
Transcript Highlights:
- Elimination of food security services, including meal and grocery services.
- So this is a direct threat to our public safety and our ability to care for the vulnerable in our community
- This affects essential services like public safety, health care, and libraries.
- Most of the public does not care. They don't care if you did this or that.
- They care about individuals that are experiencing homelessness. They care about youth.
Summary:
The hearing began with a vote-only agenda and then focused first on San Mateo County’s request to restore in-lieu vehicle license fee (VLF) funding. County officials, city leaders, labor representatives, nonprofits, and public safety advocates argued that the loss of roughly $157 million would force major cuts to homelessness services, housing assistance, mental health programs, libraries, parks, fire and police staffing, and other local services. They described the current formula as outdated and unfair, tied to school funding and basic-aid dynamics that no longer work for San Mateo County, and urged both an immediate budget restoration and a permanent legislative fix. The Department of Finance said the payments are discretionary, not statutorily required, and noted the administration does not view the expenditure as sustainable in the current fiscal climate. Committee members expressed sympathy, questioned the formula, and said they would keep the issue under consideration; the committee later voted to move the two vote-only items on the agenda.
The committee then received an update from the Department of General Services on state property redevelopment, including the Hillcrest DMV site in San Diego, the Fell Street DMV site in San Francisco, and other state-owned properties. DGS explained that Hillcrest is not currently an active project, while the Fell Street project shifted from an integrated DMV-housing plan to a more feasible relocation of the DMV into leased commercial space, with a budget change proposal pending. Members pressed DGS on the slow pace of redevelopment, the potential for housing on state sites, and the costs and feasibility of adaptive reuse. DGS said many state buildings are aging and that adaptive reuse depends heavily on building design, floorplate depth, light, and risk from unknown conditions behind walls.
The Government Operations portion then turned to the California Education Learning Lab, which supports intersegmental higher education innovation grants. The Lab asked for permanent restoration of $4 million in ongoing funding and a move of its home agency from the Office of Land Use and Climate Innovation to GovOps, along with technical trailer bill changes. Supporters said the program has funded more than 120 projects reaching thousands of faculty and hundreds of thousands of students, including work on generative AI in higher education. The Legislative Analyst’s Office recommended rejecting the restoration and continuing the wind-down, citing the state’s projected deficit and suggesting the California Education Interagency Council could pursue non-state-funded grant opportunities instead. The committee held the item open.
Finally, GovOps presented the new California Education Interagency Council staffing request, seeking four ongoing positions to support the council, with funding already included in last year’s budget. The department said the governor has appointed Debbie Cochran as executive officer and that the remaining positions are being recruited. Finance and LAO had no objections, and the committee began questions about how the council will be staffed and organized.
CA
California 2025-2026 Regular Session
Assembly Privacy and Consumer Protection Committee Apr 21st, 2026
Transcript Highlights:
- must perform a health care activity, AI should not be allowed to do that care in our place.
- level of care.
- Every additional minute spent on administrative tasks is a minute taken away from direct patient care
- And I'm a primary care doctor. And I'm a primary care doctor one day a week.
- service.
Summary:
The committee heard several bills focused on privacy, accessibility, labor, and public safety. AB 1798 by Assemblymember Wilson would bar life and disability insurers from using non-diagnostic genetic information, including direct-to-consumer test results, in underwriting. Supporters argued the bill would protect privacy and encourage genetic testing, while insurers opposed it as unnecessary and said genetic data should be treated like other predictive health information. The bill passed the committee on a 7-0 vote and was held open for absent members.
AB 2190 by Assemblymember Wallace would create website accessibility standards based on WCAG guidelines and add affirmative defenses intended to reduce serial litigation while improving access for people with disabilities. Disability advocates supported the measure as a needed civil-rights update, while business groups warned it could increase liability and create unclear compliance obligations. The bill passed 9-0 and was sent to Appropriations.
AB 2721 by Assemblymember Carrillo would require hotels to post notice when they know or should know that U.S. Customs and Border Protection or ICE are using the premises, with supporters saying workers and guests deserve transparency and safety. Hotel and business groups opposed it, citing privacy, liability, and concerns about interfering with federal operations. The committee voted 6-2 to pass the bill to Appropriations, with the roll left open. AB 2027 by Assemblymember Ward would restrict employers from using worker data to train AI systems that replace workers and limit sharing of worker data for automation; labor groups supported it and business and public-sector groups opposed it as too broad. The bill passed 7-2 to Appropriations, with the roll left open. The committee also heard AB 1837 by Assemblymember Mark Gonzalez, which would extend and tighten privacy rules for transit agencies’ use of forward-facing cameras to enforce bus-lane violations; supporters said the cameras improve transit flow and safety, and the bill was presented with amendments, though no final vote is reflected in the transcript excerpt.
FL
Florida 2026 Regular Session
FL House Floor Session - 2026-03-12 (10:30AM Session)
Florida House Floor Meeting
Transcript Highlights:
- Bless his decisions, his service, and the example he sets, and may your hand direct every step of his
- Thank you for your loving care of our House.
- You don't care about the Constitution. You care about keeping a certain group of people in power.
- the very best of public service.
- By Health and Human Services Committee, Health Care Budget Subcommittee, Health Professions and Programs
AR
Transcript Highlights:
- It sought to ensure that Pass to clarify marketing by direct service providers.
- services.
- With a pass and that the direct service provider is not participating as a network direct service provider
- And the coverage includes care coordination services, targeted case management services, including referrals
- to care and services available in the geographic region of the juvenile's residence.
Committee:
All ALC-ADMINISTRATIVE RULES
Summary:
The Arkansas Administrative Rules Subcommittee met to review a large set of agency rules and reports. Early items were routine filings: emergency-rule reports, subcommittee review reports, and administrative directive reports were filed without objection. One rule from the Department of Agriculture on maternal health providers and remote monitoring was noted as pulled by the agency and not considered. The committee then reviewed and approved several Agriculture rules, including repeal of equine ID-chip rules after Act 703 of 2025, updates to finance rules adding a new water and sewer treatment facilities grant and consolidating revolving-fund rules, and a pesticide rule creating a Class J pesticide category for feral hog toxicant use. It also approved a Commerce/Insurance rule removing duplicative workers’ compensation plan provisions, and a Corrections rule creating a unified visitation rule for correctional facilities and community correction centers. A member asked about prison visitation hours during COVID, and staff said they would check on that.
The committee next approved multiple Department of Human Services rules. These included marketing rules for provider-led organizations under Act 301 of 2025, a comprehensive revision of the DCFS policy manual, changes to Medicaid eligibility to include fictive kin placements and to expand ABLE account eligibility under Act 875, presumptive eligibility changes for pregnant women to align with federal rules, and a follow-up SNAP/TEA/Work Pays rule with updated work requirements, mandatory employment and training, alien eligibility changes, and job-search requirements for certain applicants. DHS also presented a rule implementing federal coverage for certain incarcerated youth before and after release, and the committee approved it. Another DHS rule updated nurse aide training requirements to match federal CNA hour standards and moved criminal-records-check procedures to the agency website.
The most extended discussion involved DHS Division of Medical Services’ dental rate rule under Act 1025. The agency explained that it was increasing pediatric dental rates and certain oral-surgery-related rates, but not orthodontic rates or a broader special-needs benefit limit because CMS would not approve a diagnosis-based limit. Members debated whether the statutory language was intended to cover general dentists performing oral surgery procedures, with legislators, the Dental Association, and DHS discussing legislative intent, fiscal impact, and whether a future fix or emergency rule might be needed. Despite the disagreement, the committee approved the rule. The committee also approved other DHS medical rules: adverse-decision appeal changes and prior-authorization posting requirements, an increased RSV administration fee for children, expanded emergency treat/triage/transport ambulance authority, and clinic-based physical and occupational therapy coverage.
Later, the committee approved permanent rules for the new state insurance program under Shared Administrative Services, procurement rule revisions recommended after an ACASO review, and commodity-management rule updates including a new revenue distribution model. Under Act 595 of 2021, the committee granted two Department of Commerce/Insurance requests to be excluded from rulemaking requirements: one for Act 772 on forced organ harvesting, and one for restorative reproductive medicine, with the department saying it would promulgate rules later when clinical guidelines are available. Finally, the committee accepted a recommendation to keep and extend the Department of Education, Division of Career and Technical Education rules, filed outstanding rulemaking updates, and adjourned without further business.