Video & Transcript : 'direct care' :
Page 203 of 500
LA
Transcript Highlights:
- care for a more mobile society.
- Folks, if we do this, cost of care, total average cost of care and quality—cost of care goes down, quality
- care or specialty care.
- The only way you fix health care... The only way you fix health care is not by one big bill.
- now have nothing to do with health care, quality care, or patient care.
Summary:
The committee first adopted the minutes from several prior 2025 meetings, then took up HB 574 by Rep. Spell, which updates the names of two organizations on the Mental Health Advocacy Service Board of Trustees. Rep. Spell explained it as a technical cleanup bill to correct the names of the Louisiana Mental Health Association and the Louisiana State Medical Society so the board’s membership records match current organization names. With no objections, HB 574 was reported favorably.
The committee then heard HB 486, also by Rep. Spell, to join the Psychology Interjurisdictional Compact (PsyPact) and allow Louisiana psychologists to provide telepsychology and temporary in-person services across state lines. Rep. Spell and PsyPact representatives said the compact would expand access to mental health care, especially in rural areas, while maintaining standards and disciplinary oversight. The committee adopted amendments on fees and the effective date, and HB 486 was reported favorably with amendments.
HB 198 by Rep. Eccles proposed a Medicaid reimbursement methodology for ambulatory surgical centers, using a Medicare-based rate to improve access for Medicaid patients needing specialty procedures. Amendments were adopted to add ophthalmology-related services and to cap reimbursement at the lesser of the outpatient hospital rate or 100% of the Medicaid rate, along with a technical amendment to address the fiscal note. Supporters from GI and ASC groups said the bill would improve access and lower long-term costs, and the bill was reported favorably with amendments.
The committee spent the most time on HB 182 by Rep. Travis Johnson, which would require hospitals to ensure access to sexual assault forensic exams and related training. Johnson, law enforcement witnesses, and the Attorney General’s office emphasized the need for timely evidence collection, especially in rural areas, and said the current system leaves victims traveling long distances or losing evidence. Hospital and coroner witnesses supported the goal but opposed the bill as written, arguing it could impose duties on hospitals without enough trained personnel, funding, or a workable statewide training and coordination system; they urged a statewide coordinator, mobile SANE units, and clearer implementation. The bill was not finally disposed of in the portion of the meeting provided, and members discussed continuing to work on amendments and timing before floor consideration.
MN
Minnesota 2025-2026 Regular Session
House Workforce, Labor, and Economic Development Finance and Policy Committee 3/27/25
Workforce, Labor, and Economic Development Finance and Policy
Transcript Highlights:
- There was a great need in the community, and it was extremely hard for me to find adequate care.
- </c> is opening very soon we're here to care is opening very soon we're here to care for<00:09:16.279
- :09:35.320><c> my</c> finding child care for myself with my finding child care for myself with my kids
- </c> kids including specialized child care kids including specialized child care for<00:09:38.000><c>
- </c> these services that in every direction these services that in every direction it's<01:04:18.880>
Keywords:
teacher apprenticeship, registered apprenticeship, teacher licensure, teacher shortage, workforce development, education finance, K-12 education, higher education, Professional Educator Licensing and Standards Board, PELSB, Tier 3 license, teacher preparation, mentor teacher, school district, cooperative unit, teacher pipeline, alternative licensure, apprenticeship program, labor and industry, union representation
CA
California 2025-2026 Regular Session
Assembly Floor Session Jun 2nd, 2025
California House Floor Meeting
Transcript Highlights:
- Telehealth access, utilization, quality of care, clinical outcomes, preventative care to ensure Californians
- care costs, but it is vastly underutilized.
- We're not going in the right direction.
- We're going in the wrong direction with a lot of these bills.
- if they cannot afford care themselves.
KY
Kentucky 2026 Regular Session
Healthcare Transparency Dashboard Subcommittee (7-16-26)
Transcript Highlights:
- </c> to get to get care. to get to get care.
- ,</c><00:36:45.240><c> um</c> value care and the high value care, um value care and the high value care
- </c> getting care, how much is that care getting care, how much is that care costing,<00:37:08.600><c
- </c> pay for well care. pay for well care.
- </c> what's directional. what's directional.
Summary:
The subcommittee held its first meeting to discuss creating a Healthcare Transparency Dashboard focused largely on Kentucky Medicaid. Members introduced themselves and described their interest in using data transparency to improve policy, access to care, and program efficiency. The co-chairs said the dashboard should begin with a basic framework and expand over time, with a mission centered on collaboratively designing and maintaining a secure, data-driven dashboard housed with the Legislative Research Commission.
Discussion focused on what should be measured and how data should be organized. Members agreed the dashboard should segment Medicaid populations rather than aggregate them, with separate attention to aged and disabled enrollees, expansion adults, and children. Suggested measures included emergency department utilization and follow-up, cancer screenings, child and adolescent well visits, adult well visits, postpartum care, newborn screenings and follow-ups, hospitalization and readmission rates, pharmacy, behavioral health, and claims data. Several members emphasized the need to include demographic and geographic information, while noting some items such as education may not be readily available in Medicaid data and that HIPAA and access issues will affect how detailed the public-facing dashboard can be.
Members also discussed existing data sources and warned against duplicating work already being done by the cabinet, the Office of Data Analytics, CMS scorecards, and university Medicaid directed payment reporting. The group was encouraged to review the Medicaid and CHIP scorecard, which includes quality, administrative, and program characteristic measures, as a possible model. No formal votes were taken, but the subcommittee agreed to continue refining the mission statement, identify priority metrics, and consider benchmarking, outcomes, data-sharing, and technical platform issues before the next meeting.
TX
Transcript Highlights:
- 2024, the governor charged the Texas Higher Education Coordinating Board with creating the Health Care
- Secondly, the bill directs the Coordinating Board and TEA to identify current educational laboratory
- Per employee is the per-employee amount that should be given to non-TRS Active Care districts.
- It directs the TEA to monitor bilingual education and special language programs in order to increase
- Am I allowed to direct my questions to Representative Bryant? Yes.
Bills:
HB178, HB1551, HB1939, HB2040, HB2354, HB2674, HB3029, HB3460, HB3631, HB3662, HB5201, HB5381, HB178
Keywords:
Texas education, public schools, curriculum, social studies, high school graduation requirements, State Board of Education, Education Code, ethnic studies, world history, world geography, U.S. history, government, economics, personal financial literacy, free enterprise, religious literature, Hebrew Scriptures, Old Testament, New Testament, ninth grade
NM
New Mexico 2026 Regular Session
Senate - Health and Public Affairs Feb 17th, 2026 at 10:37 am
Senate Health & Public Affairs
MN
Minnesota 2025-2026 Regular Session
House Floor Session 5/6/26 - Part 2
Minnesota House Floor Meeting
Transcript Highlights:
- And at the same time, we can have those disagreements in this room and personally care about and care
- That directive directive lead to 6 career prosecutors in the U.S.
- They don't care what the law says. They don't care what the Constitution says.
- They don't care what the law says. They don't care what the constitution says. They only care.
- And one kid said, 'I care now.'
US
US Federal 2025-2026 Regular Session
US House Floor Proceedings (Monday, June 9, 2025)
US Federal House Floor Meeting
Transcript Highlights:
- Preventative care is much cheaper, much more efficient than curative care.
- Preventative care versus curative care.
- PREVENTATIVE CARE VERSUS CURATIVE CARE.
- IT'S A DIRECT RESULT OF GAPS IN ACCESS, AWARENESS, AND PREVENTATIVE CARE.
- Preventive care is much more efficient, much cheaper than curative care.
AL
Alabama 2026 Regular Session
Alabama Senate Banking and Insurance Committee Feb 4th, 2026
Banking and Insurance
Transcript Highlights:
- It directs more funds to essential care.
- It directs more funds to spent. It directs more funds to essential<00:53:45.839><c> care.
- On direct patient care, not >> No.
- On direct patient care, not >> Well,<01:04:55.039><c> I'm</c><01:04:55.280><c> sorry.
- >> don't care to care for and we're saying >> don't care to care for and we're saying the
TX
Texas 89th 2nd C.S.
The July 2025 Flooding Events, General Investigating Apr 27th, 2026
The July 2025 Flooding Events, General Investigating
Transcript Highlights:
- I leave that up to the legislature to take care of.
- And it flows in this direction, and flows in this direction, and flows in this direction, and flows in
- this direction.
- Okay, and it flows in this direction and flows into the Guadalupe right here, going out that direction
- Because of the direction of the water at whatever point, these girls were thrust into that direction.
TX
Transcript Highlights:
- Fortunately, that's not the direction that some local governments are heading.
- It can help people finish college, care for an elderly...
- To have to choose between rent and groceries, between child care and health care?
- Indigent health care is a huge one. It's one of our county's biggest expenses.
- We are for direct democracy.
Keywords:
HB 21, Texas Tax Code, ad valorem tax, property tax, delinquent taxes, tax delinquency, penalty reduction, interest rate, split payment, installment payment, tax relief, county tax collector, taxing unit, property owner, tax collection, voter-approval tax rate, no-new-revenue tax rate, tax increase election, supermajority, 60 percent threshold
MO
Missouri 2026 Regular Session
2026 Legislative Session - Day Twenty Seven - Wednesday, February 25 - Morning Session
Missouri House Floor Meeting
Transcript Highlights:
- President Barack Obama championed many incredible policies like the Affordable Care Act.
- Please direct your attention to the gentleman from Boone. The title has been adopted.
- There's good reasons to direct our...
- There's good reason to direct our children toward growing their own food.
- But they direct the people who can. That's something to think about, lady. Thank you.
Summary:
The House met with prayer and the Pledge of Allegiance, then approved the House Journal by roll call vote, 102-1. Several members then used points of personal privilege and guest introductions to recognize Black History Month, a family member speaking about a long-unsolved murder case that had just led to an arrest, physical therapy advocates, school board members, disability-services advocates, and domestic violence and literacy groups.
The chamber then took up House Committee Substitute for House Bills 2097 and 1905, a bill to expand an elementary agriculture education pilot program statewide beginning in the 2027-28 school year for districts that choose to participate. Supporters said it would help children learn where food comes from, connect to FFA, 4-H, literacy, math, and career awareness, and address declining interest in agriculture. The committee substitute was adopted and the bill was perfected and printed. The House also considered House Bill 2167, which would authorize the Attorney General’s office to commission certain investigators and, through amendments, also addressed House and Senate security officers and some other law-enforcement personnel. Debate centered on whether the bill improperly broadened arrest powers, whether the House security provisions were necessary or constitutional, and whether the amendments were germane; one amendment to the amendment failed 62-68-1, while another amendment passed 61-43. The bill was then perfected and printed as amended.
Finally, the House took up House Committee Substitute for House Bills 2747 and 2047, described as a clean-slate/automatic expungement measure with a reduced fiscal note. An amendment was adopted to ensure expungements are shared with consumer reporting agencies, and members discussed the bill’s second-chance benefits and a provision changing Missouri’s death-penalty sentencing process so a judge would not impose death after a hung jury, leaving life or life without parole as the options. The committee substitute was adopted and perfected and printed as amended. The House then made announcements about upcoming agriculture and Black History events and recessed until 2 p.m.
MA
Massachusetts 2025-2026 Regular Session
Senate Session (Full Formal with Calendar) Mar 19th, 2026
Massachusetts Senate Floor Meeting
Transcript Highlights:
- Then House 4349, an act directing the City of Boston Police Department to waive the maximum age requirement
- House No. 4142, a third reading of the bill: An act directing the City of Boston Police Department to
- Now we can turn to the two extension orders from Health Care Finance that we'll consider.
- They are neglected, and they have no proper care.
- The clerk be directed to dispense with the printing of a calendar.
Summary:
The Senate opened with ceremonial items and several unanimous or voice votes, including adoption of a resolution congratulating Grant Marshall on earning Eagle Scout. It then enacted two bills: a sick leave bank for a Department of Correction employee and a measure directing the Boston Police Department to waive the maximum age requirement for a police officer applicant. The chamber also handled a communication from Senator Rush stating he would have voted yes on S. 3014 while on Navy training, and it printed that statement in the journal.
The Senate next considered multiple local bills and committee reports, including third-reading and engrossment votes for a Rutland recall elections bill, a Boxford liquor license extension bill, and another Boston police age-waiver bill. It also adopted several extension orders for the Joint Committee on Public Safety and Homeland Security and the Committee on Health Care Financing, with senators explaining that some matters were late files or required additional stakeholder input, hearings, or coordination with larger bills. Most of these procedural motions were adopted by voice vote after brief debate.
A major portion of the session focused on H. 2145, designating October 15 as Pregnancy and Infant Loss Awareness Day, which passed to be engrossed by roll call, 38-0. Senator Feeney gave an emotional floor speech describing the bill as a way to create space for awareness and support for families experiencing pregnancy loss. The Senate then adopted a resolution recognizing March 2026 as Endometriosis Awareness Month, with Senators Kennedy and others highlighting the need for greater awareness, diagnosis, and treatment of endometriosis.
The chamber then took up the omnibus “Pets Act,” S. 3014, which combined several animal welfare measures. Senators Montigny, O’Connor, Todd, Rauch, and Payano spoke in support of provisions banning retail sales of dogs, cats, and rabbits from pet shops, strengthening animal cruelty enforcement, expanding protections for pets in housing, and prohibiting breed discrimination in certain housing and insurance contexts. Senator Keenan offered amendments on renter insurance, nuisance/quiet enjoyment, and property damage; one nuisance-related amendment was adopted, while the insurance and property-damage amendments were rejected. Senator Tarr’s amendment on research animals was adopted, as were amendments expanding animal welfare standards and, after negotiation, a compromise amendment broadening tethering protections to all domestic animals and directing related funds to the homeless animal fund. The Ways and Means amendment was then adopted as amended, the bill was ordered to a third reading, and the Senate began a roll-call vote on engrossment when the transcript ended.
FL
Florida 2026 Regular Session
FL House Floor Session - 2026-02-19 (10:00AM Session)
Florida House Floor Meeting
Transcript Highlights:
- Take care of that in the journal. Okay. Yes, I do, Mr. President. Good morning, members.
- And it's very well known that in our health care system, frequently individuals who are taking care of
- And it's very well known that in our health care system, frequently individuals who are taking care of
- This prevents a person from being a qualified elder care coordinator.
- bill and also how you have cared at yourself in this body, even being a new member.
TX
Transcript Highlights:
- Conversations, obviously, roads get taken care of.
- Senator Warner: Alright, I see the direction you're taking.
- I should say, if the legislature wants to direct... Thank you.
- You've got our directive. Yes ma'am. Stay up late.
- Being removed and placed in foster care.
Bills:
SB 1
MA
Massachusetts 2025-2026 Regular Session
House Committee on Federal Funding, Policy and Accountability Jun 21st, 2026 at 01:00 pm
House Committee on Federal Funding, Policy and Accountability
Transcript Highlights:
- The second is our direct grants program. Which I'll talk about more in a moment.
- LSTA funding provides direct grants to local libraries for pilots and innovative services.
- This is the kind of direct, impactful assistance that is at stake.
- You know, human beings care about these things.
- Because the thing about museums and institutions, they all do direct community service.
Summary:
The hearing focused on the impact of recent federal policy and budget actions on Massachusetts libraries, humanities organizations, arts institutions, and tourism. Testimony from library leaders described the loss or jeopardy of Institute of Museum and Library Services funding, including statewide databases, local grants, staff positions, E-rate/hotspot support, and digital equity programs. Witnesses said the cuts have already forced reductions in services, canceled grants and workshops, and in some cases left schools, students, job seekers, and low-income patrons without access to key resources. Members of the committee asked for lists of affected communities and databases, and several witnesses said they would provide additional written detail.
Arts and humanities witnesses said federal terminations from the NEA, NEH, and IMLS have hit organizations across the Commonwealth, including Mass Cultural Council, Mass Humanities, Mass MoCA, and local museums and historical societies. They described canceled or rescinded grants, layoffs, reduced programming, and a chilling effect on future applications and on artistic and scholarly work, especially where federal awards had already been matched with local or private funds. Several speakers also raised concerns about executive-branch DEI conditions attached to funding and about book challenges and book banning, saying these trends threaten intellectual freedom and public access to culture and history. Committee members emphasized the economic importance of the sector and the need to publicize the impacts.
Tourism officials from Meet Boston and the Massachusetts Office of Travel and Tourism testified that federal cuts and broader geopolitical and tariff issues are hurting international visitation, especially from Canada and Western Europe, and could affect major upcoming events such as the 2026 World Cup and Sail Boston. They said reduced funding for Brand USA and Discover New England will weaken long-term marketing efforts and international partnerships, with downstream effects on hotel tax revenue, jobs, and workforce recruitment. No votes were taken; the hearing was informational, with members mainly asking questions and requesting follow-up written testimony and data.
WA
Washington 2025-2026 Regular Session
Select Committee on Pension Policy Jun 16th, 2026 at 12:40 pm
Select Committee on Pension Policy
NH
New Hampshire 2026 Regular Session
Senate Health and Human Services (04/16/2026)
Health and Human Services
Transcript Highlights:
- </c> state care. state care.
- Foster care is a voluntary licensed responsibility when caring for medically fragile children.
- </c><00:55:53.520><c> licensed</c> Foster care is a voluntary licensed Foster care is a voluntary licensed
- 55.520><c> medically</c> responsibility when caring for medically responsibility when caring for medically
- Many children in foster care are already more vulnerable than their peers.
AR
Arkansas 2026 1st Special Session
EDUCATION COMMITTEE - SENATE AND HOUSE Mar 9th, 2026
Transcript Highlights:
- She had free child care for her kiddos. She had bus passes to get her to and from home and school.
- She had free child care for her kiddos. She had bus passes to get her to and from home and school.
- You mentioned specifically child care and transportation.
- One of the things that does set the Excel Center apart is that piece of free child care.
- But that takes care of it. That's our final piece of the funding model for Arkansas.
Summary:
The House and Senate Education Committee first approved minutes from February 2 and 3, then took up an interim study proposal on adult education and the Excel Center model. Representatives from Goodwill Industries of Arkansas, the Excel Center network, and the University of Notre Dame’s Lab for Economic Opportunities testified that roughly 300,000 Arkansans over age 19 lack a high school diploma or GED, and argued that the Excel Center provides a supported diploma pathway for adults who struggle with GED testing. Witnesses highlighted wraparound services such as free child care, transportation assistance, tutoring, life coaching, and career services, and cited outcomes including high retention, growing enrollment, and research showing higher employment and earnings and lower criminal justice involvement for graduates. Committee members raised questions about the state’s role, existing adult education programs, and how the study would be structured; the motion to adopt the ISP passed, though there was some procedural disagreement about when questions should have been taken.
The committee then heard a detailed adequacy funding overview from BLR staff Katie Walden and Adrian Beck on Arkansas K-12 education finance. They reviewed national funding principles and explained Arkansas’s system, including state and local revenue sources, the Public School Fund, the Educational Excellence Trust Fund, the Educational Adequacy Fund, and the Facilities Partnership Program. Staff said K-12 state and local revenues totaled $6.6 billion in 2025, with foundation funding making up the largest share of district and charter funding, followed by additional, categorical, and supplemental funds. They also explained the matrix-based foundation formula, the role of the uniform rate of tax, and how categorical and supplemental funds support areas such as alternative learning, English learners, special education high-cost cases, teacher salary equalization, declining enrollment, and student growth.
Members asked several follow-up questions about how specific funding categories are defined and used, including student support staff, instructional aides, special education high-cost occurrences, ALE funding, teacher salary equalization, and the inclusion of Excel Center amounts in state-local funding totals. Staff said some of those details would be addressed in a later presentation and offered to provide additional records, including district lists and historical information. The meeting ended after the funding overview, with no additional votes or actions beyond the ISP adoption and adjournment.
AR
Arkansas 2026 Regular Session
EDUCATION COMMITTEE - SENATE AND HOUSE Mar 9th, 2026
Transcript Highlights:
- It provides year-round accelerated eight-week terms, free on-site child care, life coaches, tutoring,
- She had free child care for her kiddos. She had bus passes to get her to and from home and school.
- You mentioned specifically child care and transportation.
- One of the things that does set the Excel Center apart is that piece of free child care.
- But that takes care of it. That's our final piece of the funding model for Arkansas.
Summary:
The House and Senate Education Committee first approved minutes from February 2 and 3, then heard an interim study proposal on Arkansas adult education and the Excel Center model, presented by Goodwill Industries of Arkansas and the University of Notre Dame’s Lab for Economic Opportunities. Witnesses argued that about 300,000 Arkansas adults lack a high school diploma or GED and described the Excel Center as a diploma-granting public charter option for adults 19 and older, with wraparound supports such as child care, transportation, tutoring, life coaching, and career services. They said the Arkansas campuses are not state-funded, highlighted growth in enrollment and graduation outcomes, and cited research showing improved employment, earnings, and reduced criminal justice involvement for graduates. Committee members discussed the role of Goodwill’s nonprofit mission, the need for multiple adult education pathways, and the relationship between adult education challenges and broader state efforts such as LEARNS and ACCESS.
The committee then debated the interim study proposal procedure, including whether questions should have been taken before the vote. The motion to adopt the ISP passed, and members noted that the study would broadly examine adult education, GED testing, high school diplomas, charter schools, in-person adult education, and funding allocation. Several members asked for follow-up information on current adult education funding, the availability of Excel Centers, and the criminal justice study results.
After that, staff from the Bureau of Legislative Research gave a detailed adequacy funding overview for Arkansas K-12 education. They reviewed national funding principles and then explained Arkansas’s revenue streams and distribution system, including general revenue, the Educational Excellence Trust Fund, the Educational Adequacy Fund, local property-tax revenues, and facilities partnership funding. They also walked through the state’s foundation formula, categorical aid, supplemental aid, and additional funding, including the per-student matrix amount of $7,771 for 2025 and how funds are allocated to districts and charters. Members asked about student support staff, special education high-cost occurrences, ALE funding, teacher salary equalization, and the Excel Center’s treatment in funding totals; staff said some of those questions would be addressed in a later spending presentation. The meeting ended after the committee was told the department was present mainly to answer questions and no further business remained.