Video & Transcript : 'direct care' :
Page 204 of 500
AZ
Transcript Highlights:
- Some of that includes even dependent care credits, which we love supporting child care, but the way that
- Some of that includes even dependent care credits, which we love supporting child care, but the way that
- There was nobody that was directed to individually.
- By choosing to fully conform to all of our health care... ...care, this partisan budget will lose.
- Senator Gonzalez: ...to supplement the health care cost in Arizona and provide health care that all of
ND
North Dakota 2025-2026 Regular Session
Senate Appropriations - Human Resources Division Apr 14th, 2025 at 02:00 pm
Appropriations - Human Resources Division
Transcript Highlights:
- So calling it child care programs works?
- Section 7, infant and toddler care provider support direct payment, $13.5 million.
- Section 38, child care assistance. Care assistance?
- Is that where we provide child care to child care workers?
- It has either a direct or any Has either a direct or indirect impact on every citizen in the state.
Bills:
SB2015
Keywords:
corrections, rehabilitation, prison budget, department of corrections, adult services, youth services, correctional facilities, Heart River correctional center, Missouri River correctional center, James River correctional center, minimum security facility, county jails, regional jails, deferred maintenance, capital construction, strategic investment and improvements fund, Bank of North Dakota, line of credit, tasers, body cameras
Summary:
The Senate Appropriations Human Resources Division met with all members present and took up several bills, focusing most of the discussion on SB 1577 and SB 1619, along with a detailed review of the HHS budget bill draft. On SB 1577, Senator Magrum explained that the bill was being revised to focus on wastewater rather than raw water, possibly shifting the Washburn project to the Department of Water Resources so it could access matching funds, and potentially converting the bill into a line of credit if federal money is restored later. Members discussed whether to keep an emergency clause or instead use a date-based approach, and agreed the bill would likely be handled through the full committee and possibly reconsidered later. On SB 1619, Senator Davison said amendments were still being worked on, including changes requested by the Bank of North Dakota, and the committee planned to hold it for possible amendment before full committee consideration.
The bulk of the meeting was a section-by-section review of the HHS appropriations bill draft. Members discussed one-time funding items such as technology projects, child care programs, housing programs, behavioral health facility grants, infant and toddler care provider support, juvenile justice diversion, medical housing, and other public health and human services projects. Several adjustments were noted, including reductions or changes to IMD-related funding, incarcerated-person treatment funding, the child welfare technology project, and the provider rate increase. The committee also discussed the FTE block grant structure at length, with staff explaining that the apparent increase in positions reflected budgeting mechanics, zero-dollar “phantom” positions, and positions approved previously but not counted in the FTE total. Members raised concerns about transparency and whether the bill should list FTE numbers, but staff said the block grant was intended to give the department flexibility while quarterly reporting would provide oversight.
Other topics included Medicaid expansion funding and provider reimbursement rules, the move toward certifying human service centers as certified community behavioral health clinics, a moratorium on new ICF beds, and studies or reports on Medicaid, obesity, disability services, truancy, and behavioral health facility grants. The committee also discussed removing or revising broad intent language in Section 31 so the department would report findings rather than implement changes without further legislative action. No final votes were taken in the transcript; instead, members agreed to make a few technical adjustments, continue reviewing the bill, and likely revisit it the next day before moving it to conference committee.
NV
Nevada 2025 Regular Session
Assembly Committee on Commerce and Labor May 30th, 2025 at 12:00 pm
Commerce and Labor
Transcript Highlights:
- A direct line to our children.
- It's a step in the right direction, in my estimation.
- Can I go direct? Thank you so much. Thank you so much.
- And overall, it’s going to affect health care sustainability.
- Section 9.3 allows for physicians assistance to do follow-up care in industrial care. physician's assistance
Keywords:
health insurance, claims process, insurance regulation, admin penalties, healthcare access, cannabis, cannabis establishment, medical cannabis, adult-use cannabis, advertising regulations, packaging requirements, unlicensed cannabis activities, state prosecution, confidentiality, Cannabis Compliance Board, disciplinary proceedings, mental health, counseling, interstate practice, telehealth
HI
Hawaii 2025 Regular Session
HHS, HHS DEFER, HHS-WTL Public Hearings 03-17-2025
Transcript Highlights:
- and care coordination.
- and care coordination.
- accessing care.
- </c> additional barriers to accessing care. additional barriers to accessing care.
- Currently, the direct and indirect costs of care for the more than 5,000 people living in Hawaii with
Summary:
The committee opened its Health and Human Services calendar, noted quorum, and first took up HB 194. The chair explained amendments to add an exemption for a person invited by a patient to attend a birth outside an accredited birth facility when no compensation is involved, remove a date reference in section 9, and accept Department of Health amendments. Members raised no objections, and the committee voted to pass HB 194 with amendments.
The committee then heard HB 139 on insurance, with the Attorney General flagging possible unlawful delegation issues and suggesting clarifying language, while the Insurance Division stood on written testimony. A number of health organizations and advocates, including HMSA, Hawaii Association of Health Plans, oncology and fertility groups, testified in support. HB 613 on homeless youth drew broad support from state agencies, counties, youth advocates, and community groups; testimony emphasized the need for permanent safe spaces and more attention to unaccompanied minors, with one witness asking for clarity on funding and shelter capacity.
HB 71 on a tax credit for family caregivers drew support from AARP, Alzheimer’s and children’s advocates, and several individuals, while the Tax Foundation raised concerns about blank provisions and the cost-effectiveness of administering a small credit. The Department of Taxation said a prior version with a $5,000 nonrefundable credit would have cost the general fund about $397.4 million. HB 716 on health care technology support received strong support from SHPDA, OHIN, and many provider groups, who described it as a one-time investment of roughly $20–25 million to connect rural and neighbor island providers to electronic health records; members questioned how the grant program would be allocated. HB 799 on physician hospital privileges also drew mixed testimony: supporters said it would align Hawaii with updated CMS rules and improve access, especially on Maui, while Maui Health and some members worried it could reduce on-call coverage and hospital safety, leading to discussion of a possible report and sunset date.
LA
Transcript Highlights:
- Your uncompensated care... Your uncompensated care is quite low, which I guess is a good thing.
- care organizations.
- Let me talk a bit about foster care. Let me talk a bit about foster care.
- Yes, it's extended foster care.
- or congregate care, they are assigned a foster care caseworker.
CA
California 2025-2026 Regular Session
Senate Budget and Fiscal Review Committee Feb 4th, 2026
Budget and Fiscal Review
Transcript Highlights:
- Someone mentioned pregnancy care. Some of these places provide early prenatal care.
- , but it's also really important to recognize that abortion care is health care.
- , but it's also really important to recognize that abortion care is health care.
- But it's also really important to recognize that abortion care is health care.
- I'd be careful with that.
ID
Transcript Highlights:
- Health care is not a hobby.
- We're taking care of the bad guys.
- We're taking care of the bad guys.
- I don't care where you're from.
- It has to do with foster care.
Summary:
The House first approved the journal and then received several Senate messages, including enrolled bills and resolutions sent onward for gubernatorial action. It also concurred in Senate amendments to House Bill 516 after a lengthy debate over process and committee referral; members argued both that the bill had been handled through the rules and that it had been routed around the Education Committee and public input. The concurrence passed 41-23-6, and a later motion to send HB 516 to the Education Committee failed 20-45-5.
The chamber then suspended rules to take up Senate Bill 1254, which would allow chiropractors with a clinical nutrition certification to acquire certain vitamins, minerals, fluids, epinephrine, and oxygen for office use. Supporters described it as a narrow deregulation to reduce barriers and costs, while opponents said it expanded scope and raised patient-safety concerns. The bill passed the House 43-22-5 and was transmitted to the Senate.
The House next debated Senate Bill 1247, a 287(g) immigration-enforcement bill requiring local law enforcement agencies to apply for participation or explain why they could not. Supporters said it would strengthen immigration enforcement, bring federal reimbursement, and align with constituent concerns; opponents said it would impose an unfunded mandate, undermine local control, and force agencies into federal arrangements they did not want. After extensive debate, the House passed the bill 47-13-4. The House then moved to House Bill 621, a firearms/preemption measure affecting county buildings and courthouses, with supporters arguing it protected constitutional carry rights and opponents warning of major local costs and safety risks; debate was interrupted by a recess and continued when the transcript ended.
NH
New Hampshire 2026 Regular Session
House Commerce and Consumer Affairs (02/04/2026)
Commerce and Consumer Affairs
WA
Washington 2025-2026 Regular Session
House Agriculture & Natural Resources Jan 27th, 2026 at 10:30 am
Agriculture & Natural Resources
Transcript Highlights:
- The bill, I believe, directs the governor to consult with the federally recognized tribes in Washington
- Turning to the bill before you, House Bill 2516 directs a series of actions related to the study and
- Vice Chair Katie Boziva gives her regards, as she's been pulled in many different directions.
- Or question, can you advise me on who you'd like to direct your question to? Point of order.
- First, the bill directs legal review of parameters of the trust established in 1935.
Keywords:
tribal member, board of natural resources, indigenous representation, natural resource management, local governance, derelict vessels, marine environment, coastal management, environmental protection, maritime economy, audit, county, forest management, transparency, public lands, rodenticide, rodenticides, anticoagulant rodenticide, bromethalin, pesticide
AR
Transcript Highlights:
- So we have approximately 2,500 employees of that 6,600 delivering direct care, and it is an ongoing practice
- are currently in the care of the state.
- And then this is just legislatively created and directed.
- That care for families.
- We're doing it to reduce health care costs for the employees.
CA
Transcript Highlights:
- filed did not get care through Care Court.
- But currently, there is no clear or reliable path from Care Court to escalate care, escalate up to more
- on Care Court.
- SB 1016 strengthens Care Court by making it part of a true continuum of care and not a dead end.
- a higher level of care.
NM
New Mexico 2025 Regular Session
IC - Legislative Health and Human Services Sep 12th, 2025
Legislative Health & Human Services Committee
Transcript Highlights:
- care system has less capacity.
- So we know that New Mexico's trends for child care wages are moving in a different direction than the
- nation. care wages are absolutely moving in a different direction than the nation.
- Care, free care.
- In other care facilities?
WI
Wisconsin 2026 1st Special Session
Wisconsin State Assembly Floor Session May 13th, 2026
Wisconsin House Floor Meeting
FL
Transcript Highlights:
- created to support the creation of the museum, and it directs the St.
- That's the only direct authority we have.
- we care about everything else, too.
- A greater response times or a greater level of care.
- So, that's a greater response times or a greater level of care.
Summary:
The Committee on Community Affairs convened with a quorum and took up SB 308, a bill related to the Florida Museum of Black History. The bill would establish a Florida Museum of Black History Board of Directors and direct it to work with a supporting nonprofit foundation, while also requiring the St. Johns County Board of County Commissioners to provide administrative assistance and staffing until planning, design, and engineering are complete. With no appearance forms or debate, the committee voted the bill favorably.
The remainder of the meeting was an informational briefing from the Florida Association of Counties and the Florida League of Cities on local government budgeting practices. Presenters explained how counties and cities develop budgets, the legal framework governing property taxes and other revenues, the distinction between restricted and unrestricted funds, and the role of constitutional officers, public safety, debt, pensions, and capital planning. They emphasized that most local revenues are restricted by law, that general funds are the main discretionary source, and that local governments must balance annual budgets while meeting mandated service levels.
The presenters also discussed how property taxes, fees, local option taxes, and state-shared revenues support local services, and they highlighted the fiscal pressures created by public safety, emergency management, infrastructure, and retirement costs. Members asked questions about the share of local revenue that is unrestricted and the implications for any proposal to eliminate property taxes. The presenters responded that only a portion of county and municipal revenue is flexible, with much of it dedicated to specific purposes by law.
CA
California 2025-2026 Regular Session
Assembly Select Committee on Racism, Hate, and Xenophobia Mar 20th, 2026
Transcript Highlights:
- Investment in our health care system will also help prevent critical care from collapsing.
- Investment in our health care system will also help prevent critical care from collapsing.
- Gender-affirming care funding supports life-saving health care at a time when the federal government
- CARE California filed suit against the FBI in August 2024.
- The pattern documented in CARES report is clear.
FL
Transcript Highlights:
- I was Director of Soldier Care.
- Again, I take care of women. You can go to my website.
- We do a lot of fertility care now.
- For this undertaking, our approach was direct.
- And so we know we're headed in the right direction.
Summary:
The committee first considered the confirmation of Dr. John Lattell to the Florida Board of Medicine. In questioning, senators focused heavily on his views on abortion, vaccines, ivermectin, hormonal birth control, and the role of CDC/FDA guidance in board discipline cases. Dr. Lattell said the board should apply Florida statutes, described himself as strongly pro-life and skeptical of some federal health guidance, and said he would be sympathetic when judging fellow physicians because of his own experience in practice. Supporters praised his medical background, military service, and family medicine experience, while opponents argued his stated views could affect his ability to fairly discipline other doctors. The committee voted 5-2 to recommend confirmation, with Senators Polsky and Rouson voting no.
The committee then took up the confirmation of Taylor Hatch as Secretary of the Florida Department of Children and Families. Hatch outlined her background at DCF and APD and described department priorities including streamlining services, improving child welfare and behavioral health systems, expanding peer support, and reducing SNAP error rates. Members asked detailed questions about Hope Florida, the number and role of Hope Navigators, agency responsiveness on bill analyses, and accountability for community-based care contractors. Hatch said Hope Florida is a partnership-based navigation effort aimed at self-sufficiency, that 143 Hope Navigators are in place, and that the department is working to improve transparency and oversight through contracts, audits, and a proposed funding model.
Senators also pressed Hatch on the Hope Florida Foundation’s compliance history and on forensic audits of community-based care agencies, especially Northwest Florida Health Network. Hatch said the foundation is now in compliance and under audit, and that the contractor had completed corrective actions and was operating within current accountability limits. She said DCF had not yet conducted new forensic audits under her tenure but was preparing another round and was considering using contracted-services dollars to support that work. The discussion ended with continued questioning on oversight, staffing, and whether the agency could provide more formal bill analyses going forward.
MN
Minnesota 2025-2026 Regular Session
House Judiciary Finance and Civil Law Committee 3/10/26
Judiciary Finance and Civil Law
Transcript Highlights:
- I don't care. I asked who he voted for. I don't care.
- Don't care. Right?
- </c><00:36:29.640><c> Don't</c><00:36:29.880><c> care.</c> Green Party, Independent. Don't care.
- Don't care. Right? Right? Right?
- </c><00:51:35.280><c> about</c> lawyer, so I want to be careful about lawyer, so I want to be careful
Keywords:
medical assistance, fraud prevention, subpoena authority, criminal penalties, consumer protection, fraud, payment withholding, withheld payments, program integrity, public funds, state agency, program participant, credible allegation of fraud, administrative reconsideration, contested case, chapter 14, data practices, confidential data, protected nonpublic data, anti-fraud
FL
Florida 2025 Regular Session
January 15, 2025 - 03:30 PM
Transcript Highlights:
- And the first directive there is to the property appraisers.
- So with regard to my comment, directed to Dr.
- My question is directed to Commissioner Joroski.
- So with regard to my comment, directed to Dr.
- My question is directed to Commissioner Joroski.
Summary:
The State Administration Budget Subcommittee met for an introductory overview of the agencies under its jurisdiction and their current-year budgets. Chair Vicki Lopez welcomed members and staff, and each member briefly introduced themselves and identified areas of interest, with recurring themes including fiscal restraint, insurance regulation, revenue administration, condominium issues, and government efficiency. The chair then outlined the subcommittee’s overall budget, about $3.1 billion, and noted major recent policy areas affecting the budget such as condominium legislation and emergency communications funding.
Agency heads then presented high-level summaries of their missions and budgets. The Department of Revenue described property tax oversight, tax administration, and child support enforcement; the Department of Management Services reviewed state purchasing, telecommunications, fleet, state insurance, retirement, and digital services; DBPR highlighted licensing, enforcement, condominiums, and building code work; DFS covered insurance consumer services, risk management, unclaimed property, fire marshal functions, and criminal investigations; the Gaming Control Commission discussed pari-mutuel and tribal gaming oversight and enforcement; OIR explained insurer solvency and rate review; the Lottery emphasized education funding and record sales; OFR described regulation of banking, securities, lending, and money services; DOAH outlined administrative and workers’ compensation adjudication; PSC covered utility rate regulation and consumer complaints; PERC described labor relations and career service appeals; and FCHR summarized discrimination complaint investigations and outreach.
Several members asked questions about utility returns, insurance regulation staffing, DMS’s state employee health plan deficit and prescription drug formulary management, agency recommendations for reducing regulatory burden, and state facilities usage. Responses generally emphasized that utility rates and insurer filings are determined through evidentiary and actuarial processes, that OIR has reduced vacancies but still seeks specialized staff and a Tampa office expansion, and that DMS acknowledged rising health plan costs and said the issue likely requires broader budget-level discussion. The chair also pressed multiple presenters to stay focused on agency operations and budgets rather than broader policy issues. No votes or formal actions were taken in the meeting.
US
US Federal 2025-2026 Regular Session
US House Floor Proceedings (Tuesday, March 3, 2026)
US Federal House Floor Meeting
Transcript Highlights:
- </c> direct violent overthrow of enslavement. direct violent overthrow of enslavement.
- The same act directed the Secretary of The same act directed the Secretary of Energy<03:44:25.280><c>
- "I don't care what the judges think. I don't care."
- It would also direct the Landmark.
- Specifically, this legislation directs Specifically, this legislation directs DOL<04:53:49.880><c> to
WY
Wyoming 2026 Regular Session
Select Committee on School Finance Recalibration, June 24, 2026 - PM
Select Committee on School Finance Recalibration
Transcript Highlights:
- So, to be CEP, you have to be 25% free versus on DC, which is direct cert... ...direct cert where you
- So, you know, you re-up every year, you direct cert match. So, everyone that's...
- We need direction. My response is let us think about that before the end of tomorrow.
- The beauty of the CEP program is the direct cert, and what direct cert means...
- Direct cert, and what direct cert means, is if you are participating in state food stamps, state TANF