Video & Transcript : 'direct care' :

Page 206 of 500
MA
Transcript Highlights:
  • You know, top of mind, I think of medical costs, and I think of direct hospital care costs, medical costs
  • If we're all pulling in the same direction, I believe that we are, that increased...
  • of one management. facilities it has is under the direction of one management.
  • , the minimum standard of care, is that you have to provide effective reentry, right?
  • We see a direction we're starting to move towards.
Keywords: 995, all
Summary: The commission opened an informal discussion focused on developing recommendations for its September report on correctional consolidation and cooperation. Chairs Dan Hunt and Senator Brownsberger emphasized that the group is still in an information-gathering phase, but should begin putting ideas on the table, including possible written recommendations, further hearings, and additional facility tours. Members discussed whether the commission should seek more input from frontline stakeholders such as sheriffs, probation, parole, reentry centers, unions, and the judiciary, and whether recommendations should be organized around specific issue areas like medical costs, programming, reentry, and facility operations. A major theme was the need for a more integrated and consistent correctional system. Participants raised concerns about fragmentation across DOC, county sheriffs, probation, and parole, and suggested exploring step-down pathways, minimum security, pre-release, day reporting, and regional reentry hubs to improve outcomes and reduce recidivism. Several speakers stressed the importance of uniform standards, evidence-based programming, better data on outcomes and spending, and clearer alignment between custody conditions and rehabilitation goals. There was also discussion of looking to other states and international models, as well as revisiting older reports and plans, including the 2009 commission report and the 2010 corrections master plan. Facility-specific issues were also raised, including the need to examine women’s facilities such as Framingham, Bridgewater, and restrictive housing practices in light of suicide concerns and mental health needs. Members discussed the relationship between correctional custody and behavioral health, the role of the judiciary in sentencing and reentry planning, and whether judges should be better informed about available programming and step-down options. There was broad agreement that collaboration, transparency, and accountability should be strengthened, with some members urging that recommendations be based on firsthand facts and data rather than opinion alone. The meeting also included presentation of a written set of eight high-level recommendations compiled by advocacy and legal organizations, which focused on clearer and more consistent programming, equitable application of rules, and reducing punitive conditions that function like solitary confinement. The chairs said the document would be shared with members and posted online. No formal votes were taken during the discussion, and the meeting ended with plans to continue the conversation at a future session, including possible follow-up on reentry centers, restrictive housing, and other systemwide reforms.
WA

Washington 2025-2026 Regular Session

Senate Transportation Feb 24th, 2026

Transcript Highlights:
  • This intersection serves our public hospital district, which provides primary care, emergency care, and
  • This intersection serves our public hospital district, which provides primary care, emergency care, and
  • It is shovel-ready, and it protects patients, families, and health care workers.
  • It protects patients, families, and health care workers.
  • This is also known as a direct sales provision.
Summary: The Senate Transportation Committee held public hearings on three bills: SB 6225, a proposed substitute bond bill authorizing transportation funding bonds; SB 6005, the proposed substitute supplemental transportation budget; and SB 6354, a bill to expand access to electric vehicles through limited direct sales by qualifying EV-only manufacturers and changes to the documentary service fee. Staff explained that SB 6225 would authorize $1.1 billion in general obligation bonds, an additional $400 million for selected Move Ahead Washington highway projects, a $500 million increase in SR 520 bond authority, and the expiration of some older unused bond authorizations. For SB 6005, staff described a $17.5 billion supplemental budget with $1.5 billion in new funding, including reappropriations, preservation and maintenance spending, ferry investments, Climate Commitment Act-related adjustments, and a six-year balanced plan through 2031. For SB 6354, staff outlined the direct-sales framework for qualifying EV manufacturers, dealer licensing requirements, penalties for violations, and a fee increase that would direct revenue to EV rebates and multimodal transportation. Testimony on the budget and bond bills was broadly supportive from transit, local government, labor, construction, ports, and climate advocates, who praised preservation funding, ferry investments, safety programs, EV charging, rail electrification, and flood-response or local project funding. Several witnesses asked for specific project or account changes, including support for Skagit Transit, Day Road and Poplar Way bridge-related funding, Spokane TMC operating support, Kent corridor funding, and additional rail capital projects. Some speakers also urged more Climate Commitment Act funding for EV rebates, charging, and rail electrification, while others warned against deeper cuts to local programs and stressed the need for long-term preservation and bonding to stabilize the system. Testimony on SB 6354 was sharply divided. Rivian, Lucid, and several Washington auto dealers supported the bill as a compromise that would allow limited direct sales for EV-only manufacturers while preserving franchise protections and generating revenue for EV rebates. Climate advocates supported the bill as a way to accelerate EV adoption and asked that more of the fee revenue go to instant rebates for low-income buyers. In opposition, the Alliance for Automotive Innovation and Honda argued the bill creates unequal rules, weakens the franchise system, and was not the product of a true compromise. The committee announced that SB 6225 and SB 6005 would be in executive session Thursday at 8 a.m., with amendments due by noon the prior day, while SB 6354 would be scheduled for executive action later.
NM

New Mexico 2026 Regular Session

House - Health and Human Services Feb 4th, 2026 at 08:36 am

House Health & Human Services

Transcript Highlights:
  • We currently have 28 children in Foster Care Plus.
  • In Oklahoma, about 20% of the children in their foster care population are benefiting from Foster Care
  • treatment foster care, but also our Foster Care Plus program, in case we need additional services and
  • And I know this committee cares.
  • Continuity of care is essential.
Keywords: 996, all
KY

Kentucky 2026 Regular Session

Senate Legislative Session Day 40 (3-5-26)

Kentucky Senate Floor Meeting

Transcript Highlights:
  • </c> And this isn't just about health care. And this isn't just about health care.
  • </c> decided to go in a different direction. decided to go in a different direction.
  • </c> taking care of this issue the wrong way. taking care of this issue the wrong way.
  • That's not a CEO of a hospital with a thousand employees giving health care.
  • That's not a CEO of a hospital with a thousand employees giving health care.
Keywords: 958, all
Summary: The Senate convened, opened with an invocation and pledge, established a quorum, excused absent members, and approved the journal. The House clerk then announced that the House had passed several bills and requested concurrence. The chamber also received second-reading reports for a number of bills and resolutions, which were referred to the Rules Committee, and committee reports from the Economic Development, Tourism, and Labor Committee and the Judiciary Committee recommending passage of several measures. New resolutions were also introduced, including one honoring Michael Mingi, Amanda Maize, and Senator Maize Bledsoe, and another designating March 31, 2026, as Kentucky Transitional Science Day. The Senate then took up Senate Bill 145, relating to the Department of Alcoholic Beverage Control. The chamber concurred in House Committee Substitute 1 and House Floor Amendment 1, then passed the bill as amended by a roll call vote of 35 yeas and 2 nays. The Senate next considered Senate Bill 59, relating to prohibited uses of tax dollars and resources. After adopting Senate Committee Substitute 1, members debated whether the bill’s enforcement provisions were needed to prevent public funds from being used to influence ballot questions; supporters cited prior school-related advocacy, while one opponent raised concerns about possible uneven treatment of schools receiving federal funds. The bill passed 28-9. Finally, the Senate took up Senate Bill 137, relating to a provisional license to practice medicine. Supporters described Kentucky’s physician shortage, especially in rural areas, and argued the bill would help recruit foreign medical graduates by allowing a path to licensure based on prior residency and work experience. A floor amendment was offered to preserve standards by emphasizing U.S. residency pathways and cautioning against lowering the standard of care, but the amendment was withdrawn after discussion. The bill remained under consideration at the end of the transcript.
US
Transcript Highlights:
  • He has invested in and sits on the boards of numerous health care technology startups and has written
  • Under the direction of the Director and the Deputy Director, it will be my job to ensure we meet our
  • And so being very methodical, very careful, very clear about where to go is something that I hope there
  • follow the law or follow the President's directives?
  • We need people that care. They care about our constituents.
Summary: The committee convened to discuss the nominations of Scott Cooper for Director of the Office of Personnel Management and Eric Ulan for Deputy Director at the Office of Management and Budget. This meeting highlighted the critical roles both positions play in managing the federal workforce, which comprises over two million civilian employees. Concerns were raised regarding the current administration's approach to federal employment, citing issues like mass firings and the undermining of collective bargaining rights. Members expressed the need for better accountability and transparency within the federal system, emphasizing the importance of attracting talented public servants.
MA

Massachusetts 2025-2026 Regular Session

Senate Committee on Climate Change and Global Warming Jun 21st, 2026 at 10:00 am

Senate Committee on Climate Change and Global Warming

Transcript Highlights:
  • Our orders direct...
  • Careful coordination will be required from the state's electric distribution companies, municipal, careful
  • So direction from the department is needed to improve the framework.
  • Four, to care for their workforce, providing them livable wages and good benefits.
  • Four, to care for their workforce, providing them livable wages and good benefits.
Keywords: 995, all
Summary: The committee heard testimony on two related issues: gas utilities’ climate compliance plans filed with the Department of Public Utilities and the recent DPU orders reforming the Gas System Enhancement Program (GSEP). Chair Creem and other senators emphasized that Massachusetts must reduce gas use, shrink the gas distribution footprint, and move customers to alternatives such as heat pumps, network geothermal, and non-gas pipeline alternatives (NPAs). DPU Chair Jamie Van Nostrand said the new GSEP orders lower the annual revenue cap from 3.0% to 2.5%, phase it down toward 1.5%, eliminate carrying charges, require more rigorous risk prioritization, and push utilities to consider advanced leak technology, relining, repairs, and NPAs. He also described the climate compliance plans as the start of a longer process covering decommissioning, stranded costs, line extension allowances, integrated energy planning, and targeted electrification demonstrations. Senators pressed the DPU and utility witnesses on the lack of specificity in the climate compliance plans, especially the absence of numeric goals for gas usage reduction, customer conversions, and near-term deployment of NPAs. Utility representatives from Eversource and National Grid said their plans include NPA frameworks, integrated energy planning, targeted electrification pilots, network geothermal, and workforce transition efforts, but argued that implementation takes time, requires customer participation, and depends on coordination with electric utilities and communities. They said some NPA and electrification projects are being evaluated now, while larger-scale deployment is expected later in the decade. Senators also raised concerns about line extension allowances, with utilities explaining that new customers may be charged based on whether existing ratepayers would otherwise be harmed, while National Grid said it has begun increasing customer contributions to send stronger price signals. Attorney General Mary Gardner supported the DPU’s GSEP reforms and said the office favors eventually stepping the GSEP cap down to zero by 2030, with repair and replacement costs recovered in base rate cases instead. She argued that the utilities’ plans still rely too heavily on business-as-usual approaches, do not adequately quantify scope 3 emissions, and leave unresolved questions about the obligation to serve and the future of line extension allowances. Advocacy witnesses from the Conservation Law Foundation and Acadia Center were more critical, saying the plans lack the detailed modeling, targets, and transparency needed to show how the utilities will help meet the Commonwealth’s heating and cooling sublimits and broader climate goals. No votes were taken; the hearing consisted of testimony and questioning.
NM

New Mexico 2025 Regular Session

House - Appropriations and Finance Feb 4th, 2025

House Appropriations & Finance

Transcript Highlights:
  • That's specifically, you know, directed in the LFC recommendation to direct the agency with the appropriation
  • And then I will direct you to line 140.
  • I mean, I don't know that we could ever fund enough for this, but it's hard to take care of health care
  • What is the FACTS Child Care Payment Fund? Mr.
  • We know their CARES campus plays a crucial role.
CA
Transcript Highlights:
  • And what I hear from you is that you don't care about the transparency.
  • And I know that you don't care what we do.
  • For example, health care consolidation, grocery, tech, or housing?
  • She didn't ask it as direct as all.
  • Then moving on to the proposals related to health care...
Keywords: 987, senate, all
WA

Washington 2025-2026 Regular Session

Select Committee on Pension Policy May 19th, 2026 at 10:00 am

Select Committee on Pension Policy

Transcript Highlights:
  • I often think to myself, nobody cares about that. Let's just move forward.
  • The bill directs the transfer of Left 1 assets to the RLF and PSHA.
  • I think it was directed towards me specifically, so I'd like to try to answer that.
  • both pension and health care.
  • Health care is not simple. Health care is a big problem in America, as we know.
Keywords: 904, all
MO

Missouri 2026 Regular Session

2026 Legislative Session - Day Seventy - Thursday, May 14 - Morning Session

Missouri House Floor Meeting

Transcript Highlights:
  • their care and not having care directed for.
  • their care and not having care directed from some anonymous individual, probably, that is states away
  • questions their direction.
  • us in the right direction.
  • And you've got to take care of that.
Keywords: 959, house, all
MN

Minnesota 2025-2026 Regular Session

Office of the Foster Youth Ombudsperson powers 3/17/26

Minnesota House Floor Meeting

Transcript Highlights:
  • <00:02:41.760><c> to</c> Access to the information they need to provide the best uh uh service and care
  • We don't think it's reasonable to use these concerns as a justification to entirely block our direct
  • We have concerns with the language that would give UFFY direct access to any data that they decide is
  • </c><00:16:07.839><c> about</c> they they shouldn't have to care about they they shouldn't have to care
  • about is taking care of the youth, and they are stepping up for that.
Keywords: 1183, house
FL

Florida 2026 4th Special Session

February 5, 2026 - 04:00 PM

Transcript Highlights:
  • I don't care what.
  • I just want to be careful with this conversation.
  • I don't care what.
  • I just want to be careful with this conversation.
  • If the child don't come to you, I don't care where the child goes.
Summary: The Education Administration Subcommittee met with a quorum and considered several education-related bills. CS/HB 1085 on local government cybersecurity was presented as a measure to codify an existing grant program that has helped secure more than 200 local governments, especially rural and fiscally constrained ones; Florida League of Cities supported it, and it passed 15-0. PCS/HB 371 on patriotic displays at public schools would require, subject to appropriation, display of portraits of George Washington and Abraham Lincoln in school common areas for America’s 250th anniversary; one opponent argued it would create complaint-driven enforcement and pressure educators, but the sponsor said the PCS narrowed the original classroom requirement, and the bill passed 16-0. PCS/HB 833 on private school facilities would deem small private schools of 150 students or fewer a permitted use in commercial and mixed-use zoning districts and allow use of certain existing buildings if fire and occupancy standards are met. Supporters said it would reduce local red tape and expand school choice, while opponents warned it would divert public resources and weaken public education; several members raised concerns about local traffic and safety authority. The sponsor said she was open to further amendments, and the bill passed 13-3. PCS/HB 1147 on school district unimproved real property would require districts to submit annual inventories of vacant, unimproved land to the Department of Education for transparency and planning; some members and a Monroe County school board member questioned the need for a state registry, while supporters said it would improve data and accountability. The bill passed 12-3. The committee then considered HB 615 on individualized education plans (IEPs), which would strengthen parent notification and access to service logs, require individualized orientation for newly eligible students, and standardize district service logs. An amendment removed notification requirements when a missed service was due to student absence, and it was adopted. The bill drew emotional testimony from a student and parent describing missed accommodations, along with support from Disability Rights Florida and several members who emphasized parent partnership and accountability; one ESE teacher said the bill was a good start but more staffing and support are needed. The bill passed unanimously 15-0, and the meeting adjourned after all agenda items were completed.
MA

Massachusetts 2025-2026 Regular Session

Joint Committee on Mental Health, Substance Use and Recovery Jun 21st, 2026 at 11:00 am

Joint Committee on Mental Health, Substance Use and Recovery

Transcript Highlights:
  • , family care.
  • , family care.
  • And people who use drugs care about their communities, too. They care about themselves.
  • And people who use drugs care about their communities, too. They care about themselves.
  • Take care.
Keywords: 995, all
Summary: The Joint Committee on Mental Health, Substance Use, and Recovery held a public hearing on several harm reduction bills, including measures to decriminalize simple possession and paraphernalia, authorize overdose prevention centers, and expand access to naloxone for first responders. Chair Mindy Domb and Senator John Velis opened by describing harm reduction as an evidence-based public health strategy and noting Massachusetts’ recent decline in fatal overdoses. They emphasized that testimony would help shape whether and how the bills advance, and explained the hearing process, including time limits and written testimony. Testimony was sharply divided. Supporters, including Rep. Kate Donaghue, Sen. Cindy Friedman, Rep. Marjorie Decker, Rep. Manny Cruz, public health professionals, recovery advocates, and people with lived experience, argued that harm reduction saves lives, reduces stigma, and can connect people to treatment. They supported overdose prevention centers and decriminalization as tools to keep people alive long enough to enter recovery, and several speakers described personal losses to overdose or family experiences with addiction. Some supporters also framed the bills as racial justice measures, arguing that criminal penalties for possession have disproportionately harmed Black and brown communities. Opponents, including Sen. Nick Collins and several South End residents, argued that overdose prevention centers and decriminalization would worsen public drug use, crime, and neighborhood disorder, especially around Mass and Cass. They said current approaches such as Section 35, diversion, and police leverage into treatment are more effective, and they urged more treatment beds and recovery facilities instead of harm reduction sites. Committee members questioned witnesses about research, local siting, crime data, and the relationship between harm reduction and treatment, and several members said neighborhood impacts must be considered alongside overdose prevention. The committee did not take a vote during the hearing; it continued receiving testimony and announced a later break before resuming on H. 2196 and S. 1393.
NM

New Mexico 2025 Regular Session

IC - Legislative Health and Human Services Oct 6th, 2025

Legislative Health & Human Services Committee

Transcript Highlights:
  • You are seeing a huge increase in access to care. You have the state-directed payments.
  • managed care organizations...
  • caring, and we want quality.
  • Ideally, if you're running a health care organization, you want the patient care delivery to manifest
  • taken care of.
WA

Washington 2025-2026 Regular Session

House Appropriations Mar 5th, 2026 at 08:00 am

Appropriations

Transcript Highlights:
  • care service contractors, and self-funded multiple employer welfare arrangements.
  • or any independent practitioner or entity that provides direct patient abortion clinical care services
  • Even with patients with insurance or Medicaid, clinics must subsidize care.
  • With state funding cuts, clinics like ours... ...clinics must subsidize care.
  • However, abortion is not health care, nor even contraception.
Bills: HB2747
TX

Texas 89th Regular

Appropriations - S/C on Articles I, IV, & V Mar 5th, 2025

Appropriations - S/C on Articles I, IV, & V

Transcript Highlights:
  • That's, this rider is essentially giving that legislative direction to them.
  • And so we're following up with that directive with giving them the resources they need to do it.
  • And do we want to add that explicit direction on cost savings?
  • I guess a direct savings to the county instead of the state spending over a direct cost, right?
  • There's no care of these probationers. Four, correctional managed health care.
Keywords: 1184, house, all
AZ

Arizona 2026 Regular Session

01/22/2026 - House Health & Human Services

House Health & Human Services Committee of Reference

Transcript Highlights:
  • approved for adult care.
  • When a health care urgent care or insurance triage line is uncertain, we see them.
  • the care, maybe that's moot.
  • Thanks for taking care. So I brought up standard of care previously.
  • There's not really a standard of care, but we've got to be careful with that term standard of care.
Summary: The committee began with two radiology-related bills focused on rural access and workforce shortages. HB 2049 would allow particle accelerators for cancer treatment in critical access hospitals and counties under 400,000 population under general supervision, with rural providers testifying that the change would let patients receive care closer to home while maintaining safety protocols. The bill passed on an 11-0 vote. HB 2050 updated outdated radiologic technologist statutes, revised school accreditation and clinical-hour standards, and allowed radiologist assistants to work under supervision rather than direct supervision; an amendment also added registered nurses to the list of professionals not needing an additional license to use diagnostic X-ray machines. Testimony centered on staffing shortages, national standards, and whether the change would preserve oversight. The committee adopted the amendment and passed the bill 10-2, with some members citing the need for more vetting and concern about oversight of dangerous equipment. The committee then heard HB 2082, which creates a Childhood Cancer and Rare Childhood Disease Research Commission to award grants for phase-one pediatric cancer and rare disease trials using existing license-plate funds and other sources. Parents and patients gave emotional testimony about pediatric brain cancer diagnoses, the lack of effective treatments, and the need for Arizona to support local research; the bill passed unanimously 12-0. HB 2015 required Access to cover breastfeeding and lactation services, and an amendment made the coverage subject to CMS approval. Supporters described breastfeeding as preventive care with benefits for infants and mothers, while Access said it was neutral but appreciated the amendment’s fiscal safeguard. The bill passed 12-0 as amended. Next, HB 2177 directed Access to seek CMS waivers to restore Medicaid payments for certain services provided to American Indian and Alaska Native members by IHS and tribal facilities, including dental, diagnostic, therapeutic, and preventive services. The sponsor and a Sage Memorial Hospital witness said the bill would help tribal facilities draw down federal funds and keep services local; it passed 12-0 as amended. HB 2178 required state agency chief medical officers to hold an active medical or osteopathic license and passed without opposition. HB 2179 clarified statutory definitions separating air ambulance from ground ambulance regulation, with industry testimony saying it was a cleanup measure that would avoid unintended consequences; it also passed 12-0. Finally, HB 2183 created an 11-member emergency medicine study committee to examine EMS system sustainability, rural and urban capacity, workforce burnout, and uncompensated care. Firefighters, health care advocates, and an emergency nurse practitioner supported the study as a way to gather data and make recommendations; it passed 12-0. The committee then returned to HB 2072, which establishes an optional state certification for lactation care providers under ADHS, along with rulemaking, fees, discipline, and an advisory committee; the sponsor said the credential was needed so Access could reimburse the service, and the bill was introduced for further consideration.
FL

Florida 2026 Regular Session

Appropriations Feb 18th, 2026

Appropriations

Transcript Highlights:
  • Despite rising care costs, officers and park rangers.
  • Despite rising care costs as an added benefit, we are keeping the employee contribution for health care
  • We need to take care of our firefighters.
  • We need to take care of our firefighters.
  • Consumer Directed Care, and these services allow me to live independently and work a full-time job.
Keywords: 999, senate, all
CA

California 2025-2026 Regular Session

Senate Labor, Public Employment and Retirement Committee Apr 22nd, 2026

Labor, Public Employment and Retirement

Transcript Highlights:
  • I know it's not a direct carve-out on overtime. It's a credit.
  • I know it's not a direct carve-out on overtime. It's a, you know, it's a credit.
  • I know it's not a direct carve-out on overtime. It's a, you know, it's a credit.
  • Now I pay the brand direct.
  • Now I pay the brand direct.
Keywords: 987, senate, all
MN

Minnesota 2025-2026 Regular Session

Committee on Human Services - 02/26/25

Human Services

Transcript Highlights:
  • </c> in our quick analysis that healthc care in our quick analysis that healthc care isn't<00:02:52.920
  • </c> I'm to encourage people to that we care I'm to encourage people to that we care a<00:38:00.640><
  • of somebody with particularly high needs is care directed by the agency and the medical team, the primary
  • needs</c><00:47:43.520><c> is</c><00:47:43.720><c> care</c><00:47:44.040><c> directed</c> particularly
  • High needs is care directed particularly High needs is care directed by<00:47:44.760><c> the</c><00:
Keywords: 1187, senate, all