Video & Transcript : 'direct care services' :

Page 206 of 500
CA
Transcript Highlights:
  • Today's multi-service fitness facilities focus on high-touch services, as you heard from Cassie earlier
  • , with services like personal training, advanced equipment, physical recovery services, and programs
  • , but are medically fragile and need ongoing specialized care, such as the care of enteral nutrition.
  • Our members were recently notified by the Department of Health Care Services that they can no longer
  • and spay and neuter services.
Summary: The Assembly Business and Professions Committee heard a long agenda of bills, with several cannabis-related measures drawing the most testimony. AB 1598 would extend and standardize licensing timelines for behavioral health professionals, AB 1850 would clarify that real estate wholesalers are subject to licensure and disclosure rules, AB 1794 would allow enteral formula to be shipped directly to patients’ homes, and AB 2402 would update an old cap on fees for multi-service health club studios. The committee also heard AB 1990 on compounded GLP-1 drugs, AB 2249 on cannabis packaging attractive to children, AB 2532 on cannabis beverage serving sizes, AB 2537 on prioritizing cannabis enforcement, and AB 1826 on due process protections for cannabis businesses facing embargoes or recalls. Testimony was generally split between public health or consumer-protection advocates and industry representatives. Supporters of the cannabis bills argued for clearer rules, better consumer safety, and more predictable enforcement, while opponents warned that some proposals could overreach, burden compliant businesses, or restrict legitimate branding and access. On AB 1990, supporters said compounded GLP-1 products need stronger testing and truthful advertising, while pharmacists and compounding advocates said existing law already covers much of the conduct and that the bill could create access problems. On AB 2249 and AB 2532, public health witnesses emphasized risks to children and accidental overconsumption, while industry groups sought narrower language and more implementation time. The committee took several roll-call votes after quorum was established. AB 2249, AB 1826, AB 2402, AB 1794, and AB 2532 were all approved and sent to Appropriations, and AB 1826 was sent to Judiciary. The chair and members repeatedly noted accepted committee amendments and, in several cases, said they were prepared to support the bills with those amendments. Some measures were left open or held pending further action as the hearing continued.
KY
Transcript Highlights:
  • First Prevention Services.
  • </c> for Community Based Services. for Community Based Services.
  • </c> services uh broadly. services uh broadly.
  • service regions.
  • , and the acuity of their care. home care count, and then also um into home care count, and then also
NV
Transcript Highlights:
  • Section 23 deals with duty of care.
  • And then fiduciary duty, with duty of care, fiduciary duty raises the standard of care.
  • And then fiduciary duty with duty of care, fiduciary duty raises the standard of care.
  • We have an obligation to take care of a project, to take care of our families, to get paid.
  • type of... ...to a standard when they're providing an emergency service type of a product or service
Bills: AB93 , AB204 , AB414 , AB504 , AB598
AZ

Arizona 2026 Regular Session

01/29/2026 - Senate Health and Human Services

Health and Human Services

Transcript Highlights:
  • The Arizona Health Care Cost Containment System and Arizona Department of Health Services.
  • .. ...across the fee-for-service program, looking at quality, prior authorization, service tickets, training
  • Versus quality-of-care concerns?
  • Fee-for-service behavioral health plan prior authorizations turnaround by service type or provider.
  • Historical quality-of-care outcomes data: The fee-for-service quality management team was not fully formed
Keywords: 1182, all
ID

Idaho 2026 Regular Session

Legislative Session Day 78 Mar 30th, 2026

Idaho Senate Floor Meeting

Transcript Highlights:
  • It is the 2027 enhancement budget for indirect service, support services, licensing and certification
  • for rural health care.
  • care.
  • On the health care providers, is it the immediate health care provider? Is it the chief of staff?
  • The public utility shall provide service to a large load only pursuant to the Commission-approved service
Keywords: 989, all
NY

New York 2025-2026 Regular Session

New York State Senate Session - 05/29/2026

New York Senate Floor Meeting

Transcript Highlights:
  • AN ACT DIRECTING THE COMMISSIONER OF CRIMINAL JUSTICE SERVICES TO STUDY GENDER DISPARITY AND SENTENCING
  • I'll be a no on this bill today because I think it is the wrong direction.
  • of others unless you take care of Yourself first.
  • So her organization is called The Post Care.
  • So her organization is called The Post Care.
Keywords: 993, senate, all
Summary: The Senate opened with the Pledge of Allegiance and an invocation, then approved the prior day’s journal and proceeded to a lengthy third-reading calendar. Early business included several motions to discharge Assembly bills from committees and substitute identical Senate bills, along with a few bills laid aside for the day. The chamber also recalled two bills from the Assembly, restored one bill to the Third Reading Calendar after reconsideration, and received amendments on two other bills without changing their calendar status. The Senate then took up a large number of bills across topics including labor, energy, insurance, consumer protection, environmental conservation, health, banking, elections, public service, education, workers’ compensation, criminal justice, local government, and tax law. Most measures passed with broad support, though several drew recorded opposition. Notable debate included Senator Mayer’s explanation for a bill intended to prevent treatment-court participants, including veterans, from losing their driver’s licenses twice after completing diversion programs; Senator Ryan’s support for a bill expanding prosecutors’ ability to treat repeat sexual abuse as persistent abuse; and a sharp exchange on a bill repealing New York’s HIV/STI criminalization law, with Senators Borrello and Chan opposing it and Senator Salazar defending the repeal as necessary to reduce stigma and protect survivors. The chamber also adopted and recognized several resolutions and guest presentations. Members welcomed the Tri-Valley Secondary School girls cross country champions, Miss America Cassie Donagan and Miss New York Teen Nadia Anwar, and the Hudson High School varsity boys basketball team. Later, the Senate took up a resolution proclaiming May 2026 as Maternal Mental Health Month, with multiple senators speaking in support of greater awareness, reduced stigma, and improved care for pregnant and postpartum New Yorkers. At the end of the session, the sponsors opened the day’s resolutions for co-sponsorship, and the Senate adjourned until Monday, June 1 at 12 noon, with intervening days designated as legislative days.
MA
Transcript Highlights:
  • Advanced directives being DNRs are a kind of advanced directive.
  • There are other advanced directives.
  • Congress slashed billions of dollars from Medicaid, knowing that as an optional service, a service that
  • It's made scarce by the way that our health care facilities work and the way our health care programs
  • The Senate version, yes, out of Health Care Financing. Yes, out of Health Care Financing.
Keywords: 995, all
Summary: The Permanent Commission on the Status of Persons with Disabilities’ Long-Term Services and Supports and Health Equity Subcommittee met to hear a presentation from Colin Killick of the Autistic Self-Advocacy Network on disability discrimination in crisis standards of care during COVID-19. He described how Massachusetts and other states initially used standards that prioritized longer life expectancy and, in some cases, quality-adjusted life years (QALYs), which he argued devalued the lives of disabled people and older adults. He also discussed related issues such as denial of transplants, pressure on disabled patients to sign do-not-resuscitate orders, and inequities affecting communities of color. He said disability advocates, legal groups, and public officials pushed back through litigation, media, and organizing, leading to revisions of Massachusetts’ standards and the eventual inclusion of disability advocates in the drafting process. Killick also discussed vaccine rollout, saying disabled people were initially under-prioritized but later gained broader access and more accessible vaccination options such as ASL interpretation and in-home vaccination. He closed by urging support for S. 869, an act relative to preventing discrimination against persons with disabilities in the provision of health care, which he said would ban disability-based discrimination in crisis standards, prohibit QALYs in health care decision-making, and add protections against coerced DNRs. He noted the bill had been favorably reported out of the Health Care Financing Committee but still needed support. In questions, members asked why the bill had not advanced further; Killick said earlier opposition from QALY supporters had been resolved, and the main barrier now was lack of legislative prioritization. Members thanked him for the presentation and for the work on revising crisis standards. The subcommittee then completed roll call, approved the prior minutes, and adjourned, noting the next meeting would be August 31.
MN

Minnesota 2025-2026 Regular Session

House Education Finance Committee 2/18/25

Education Finance

Transcript Highlights:
  • </c> happening and so I would like to direct happening and so I would like to direct your<00:30:50.039
  • services during the pandemic.
  • services during the pandemic.
  • services during the pandemic.
  • services during the pandemic.
Bills: HF6 , HF52 , HF53
CA

California 2025-2026 Regular Session

Senate Floor Session Jun 18th, 2026

California Senate Floor Meeting

Transcript Highlights:
  • . service, family, education, and mentorship.
  • the sales tax to software, Opposite direction by expanding the sales tax to software and digital services
  • Health care, we should not be making it more expensive for providers to deliver that care.
  • like health care, like food assistance.
  • plans and commercial health care plans... ...reform tax on Medi-Cal managed care plans and commercial
Keywords: 987, senate, all
CA
Transcript Highlights:
  • There are other systems of care as well, the health care systems, criminal justice systems, that have
  • before they would then compel the services.
  • before they would then compel the services.
  • We clearly need more supportive services, more treatment and recovery-focused services.
  • We clearly need more supportive services, more treatment and recovery focused services.
Summary: The Assembly Budget Subcommittee on Accountability and Oversight held a hearing on California’s homelessness funding, focusing on the Homeless Housing Assistance and Prevention (HAP) Grant and the Encampment Resolution Grant Program. HCD described new accountability requirements, including regional action plans, stronger reporting and expenditure conditions, housing-element compliance, encampment response plans, and public dashboards that track fiscal spending, service outcomes, and encampment resolution status. Officials said the goal is to use the data to identify underperforming grantees, provide technical assistance, and, if needed, withhold or reallocate funds. Local officials from San Diego, Fresno, and Santa Cruz said the programs have helped expand shelter, outreach, and permanent housing, and that state dollars have leveraged local and federal resources. Mayor Todd Gloria said San Diego has used HAP to expand shelter and safe sleeping options, reduce downtown encampments, and increase housing production, but argued the state’s new accountability website is too high-level and does not fully reflect countywide conditions, behavioral health outcomes, or the role of continuum-of-care partners. Fresno officials said HAP and other state funds helped the city add shelter beds and reduce homelessness, while Santa Cruz emphasized that state funding helped build local coordination and draw in federal vouchers. Members pressed the panel on whether HAP is actually reducing homelessness, what the best success metrics should be, and whether the state is getting full, usable data from grantees and subcontractors. Several members asked for more granular jurisdiction-level reporting, better tracking of nonprofit spending, and clearer measures beyond point-in-time counts and “people served.” HCD said it is still improving HMIS participation and data quality, but can already show outcomes such as exits to permanent housing and returns to homelessness. The hearing ended with broad agreement that transparency is important, but disagreement remained over the best measures of success and how much emphasis should be placed on housing, prevention, shelter, and treatment.
MA

Massachusetts 2025-2026 Regular Session

Joint Committee on State Administration and Regulatory Oversight Jun 21st, 2026 at 01:00 pm

Joint Committee on State Administration and Regulatory Oversight

Transcript Highlights:
  • care and services.
  • , mental health and addiction care, job training, child care, and safe housing.
  • A five-year pause would allow us to instead direct resources toward projects and services that help communities
  • JDI is a coalition made up of 60 programs that provide direct services to victims and survivors of sexual
  • and mental health care services, childcare, education, transportation, opportunities for survivors to
Keywords: 995, all
Summary: The committee on State Administration and Regulatory Oversight held a hybrid hearing covering public construction, business regulations, and honorary designations, with most of the discussion focused on two matters: a five-year moratorium on new jail and prison construction (S. 2114/H. 3422) and a bill designating June 7 as Tourette Syndrome Awareness Day (S. 2152/H. 3305). The chair emphasized that the hearing was public, testimony would be recorded, and speakers should generally keep remarks to three minutes. Senator Comerford introduced the prison moratorium bill, saying it would pause new construction while allowing renovations, and Senator Friedman introduced the Tourette awareness bill and a separate Tuskegee Airmen commemoration measure, asking for favorable action on both honorary designations. A large portion of the hearing featured remote testimony from incarcerated people at MCI Framingham and MCI Shirley in support of the prison moratorium. Witnesses repeatedly argued that Massachusetts does not need a new women’s prison, that the incarcerated population is declining, and that funds would be better spent on mental health care, addiction treatment, vocational training, pre-release programming, housing, and repairs to existing facilities. Several speakers described poor conditions, limited programming, and the need to address trauma, domestic violence, and substance use as root causes of incarceration. One committee member responded to testimony by noting that incarceration numbers are going down, that the state is working on housing and workforce opportunities for people returning home, and that the committee wants to expand pathways to employment and reentry. The Tourette Syndrome Awareness Day bill drew testimony from the bill’s young sponsor, Owen Rosenthal, his parents, medical professionals, and advocates. They described Tourette syndrome as a misunderstood neurodevelopmental condition, said awareness would reduce stigma and improve diagnosis and support, and cited the need for education in schools, workplaces, and the medical community. The Tourette Association of America supported the bill, noting underdiagnosis, co-occurring conditions, pain, and mental health risks associated with Tourette syndrome. Committee members praised the youth advocates and asked that written testimony be submitted electronically. The hearing ended without any recorded votes or final committee action in the transcript provided.
MS

Mississippi 2026 Regular Session

Appropriations - Room 409, 28 January, 2026; 10:30 A.M.

Appropriations

Transcript Highlights:
  • And they don't care. They obviously don't care. We're complaint driven.
  • And they don't care. They obviously don't care. We're complaint driven.
  • </c> don't care. They obviously don't care. don't care. They obviously don't care.
  • </c><00:37:49.200><c> and</c> child care is with human services and child care is with human services
  • </c> care. Child care is extremely important. care. Child care is extremely important.
CA
Transcript Highlights:
  • reproductive care, and ensuring that Californians have access to comprehensive gender-affirming care
  • , where we spend most of our health dollars caring for illness.
  • Decades of research have demonstrated the effectiveness of syringe service ...services programs in delivering
  • Members of the public can correct their CARE records.
  • Representing the Emergency Medical Service Administrators of California, all 34 Local Medical Service
Keywords: 988, house, all
CA

California 2025-2026 Regular Session

Assembly Floor Session May 27th, 2026

California House Floor Meeting

Transcript Highlights:
  • assistance of quality child care services.
  • AB 1770 would make our arbitration proceedings and outcomes involving health care service plans subject
  • AB 2353 fills that gap by directing the Department of Health Care Access and partnership with the University
  • Assembly Bill 2575 by Assembly Member Ortega in appellating the health care services.
  • By Assembly Member Ortega and relating to health care services.
Keywords: 988, house, all
NH

New Hampshire 2025 Regular Session

House Education Funding (03/31/2025)

Transcript Highlights:
  • </c> certain uh services certain uh services do<00:39:47.440><c> services</c><00:39:48.000><c> that</
  • Take care.
  • versus medical services?
  • versus medical services?
  • versus medical services?
Keywords: 1189, house, all
Summary: The subcommittee met to begin work on HB 742, which would require catastrophic special education aid to be drawn from the education trust fund, and more broadly to study special education aid/differentiated aid and related costing issues. The chair said the group was starting early because the issue has been debated for years without resolution, local districts are being forced to absorb prorated costs, and the committee wants to send the Department of Education and HHS Medicaid a clear request for data and recommendations before retained bills return in the fall. A committee clerk was also selected, with Representative Reverend volunteering to take notes for the meeting. Members reviewed background materials on special education enrollment, high-cost students, and possible funding formulas, including data on students in high-cost brackets and prior ideas such as category-based funding and caseload-based approaches. The chair also referenced research on other states, including Arkansas, which uses a different special education funding structure and audits IEPs. The committee emphasized that it was focused on the funding mechanics and costs, not on questioning whether services should be provided. Henry Lipman of HHS explained how Medicaid-to-schools currently works in New Hampshire. He said 172 school districts participate, but utilization dropped during the pandemic and remains below historical levels, in part because districts need the capacity to bill Medicaid. Under the current system, schools receive reimbursement based on half of the Medicaid fee schedule, with the school district effectively providing the state share. He said the federal government is requiring a shift by July 1, 2026, to a true certified public expenditure model based on actual costs, which should allow schools to recover 50% of their true costs and some administrative overhead. The department has received a roughly $2.5 million grant to hire a vendor and support districts through the transition, and an RFP and stakeholder meetings are underway. Committee members asked about how costs would be determined, whether the new system would use actual district-specific costs rather than averages, and how the department would support districts that do not currently participate. Lipman said the cost model would be based on each district’s own reasonable costs, subject to audit standards, and that the department expects to provide templates and technical assistance through the vendor because its staff is limited. He also said about one in four New Hampshire children are enrolled in Medicaid, that child enrollment has been relatively stable, and that continuous coverage rules should reduce churn. No votes or formal actions on HB 742 were taken during the meeting beyond organizing the subcommittee and beginning testimony and discussion.
MN

Minnesota 2025-2026 Regular Session

Conference Committee on HF4188 5/16/26

Transcript Highlights:
  • ><c> not</c> home care nursing services are not home care nursing services are not covered?
  • nursing and home between home care nursing and home health<00:10:53.720><c> services?
  • care services section in under the home care services section in the<00:15:14.240><c> essential</c><
  • It lists private duty nursing as completely different services than home health care services.
  • different services than home health<00:19:07.840><c> care</c><00:19:08.240><c> services.
Keywords: 919, house, all
Summary: The conference committee on House File 4188 met on May 16, 2026, with a quorum present and indicated it was intended to be the final meeting. The main issue discussed was an amendment to the 62J language concerning home care nursing services for children with complex medical needs. Chair O'Driscoll said the amendment would direct the Departments of Commerce and Health and Human Services to review the fiscal impact on the state, families, and health plans, and to develop possible legislation for 2027. Supporters described the proposal as a pause to allow more review, while also acknowledging it was not a complete solution. Senator Bolden and others testified strongly against allowing the coverage changes to stand, saying the issue affects roughly 200 to 250 families statewide, many of them children who need hospital-level care at home. They warned that capping or denying private coverage would shift costs to Medicaid waivers, strain family waiver budgets, increase state costs, and potentially force more children into hospitals, reducing critical care capacity. Committee members also questioned Commerce Commissioner Grace Arnold and department staff about the distinction between home care nursing and home health services, statutory definitions, billing units, essential health benefits, waiver budgets, and the effect of enforcement actions involving HealthPartners. The committee adopted the A30 amendment by voice vote, and the motion prevailed. Members then took up another provision, described by staff as the meat raffle/paddle wheel language, and adopted an amendment to add the game of Haus und Pfeffer before approving the provision as amended. In final remarks, members from both chambers praised the committee’s work and professionalism, but several expressed regret that the home care nursing issue was not resolved in the conference report and said it would need further work next session. They also noted other items that did not make it into the bill, including reinsurance and certain other policy provisions.
OK
Transcript Highlights:
  • Hopefully, we can take care of that.
  • We will take care of ourselves. We will not be asking for an appropriation.
  • I mean, it'll allow people to provide more value-added services.
  • All I care about is taxpayer dollars, and we use them as efficiently as we can.
  • care of taxpayer dollars and maximize the services of the state of Oklahoma.
Keywords: 914, all
MN

Minnesota 2025-2026 Regular Session

House Floor Session 5/19/25 - Part 2

Minnesota House Floor Meeting

Transcript Highlights:
  • who get services in nursing home folks who get services in nursing home facility,<00:03:13.280><c> those
  • </c><00:28:02.399><c> is</c> school district providing services is school district providing services
  • of the state workers and also take care of Minnesota.
  • </c><00:58:59.599><c> of</c> sergeant-at-arms under the direction of sergeant-at-arms under the direction
  • The sergeant-at-arms is directed 2026.
Keywords: 1183, house
FL

Florida 2026 Regular Session

Senate in Session Mar 11th, 2026

Florida Senate Floor Meeting

Transcript Highlights:
  • With regard to emergency authority and continuity of care, it authorizes DOEA to provide temporary direct
  • House Bill 4017, a bill to be entitled an act relating to compensation for health care services for inmates
  • House Bill 1419, a bill to be entitled an act relating to compensation for health care services for inmates
  • House Bill 1419, a bill to be entitled an act relating to compensation for health care services for inmates
  • House Bill 4041, a bill to be entitled an act relating to compensation for health care services for inmates
Keywords: 999, senate, all
CA

California 2025-2026 Regular Session

Senate Education Committee Apr 8th, 2026

Education

Transcript Highlights:
  • Our service learning center.
  • I really appreciate the authors and the sponsors' care and careful design choices in trying to make this
  • But, my God, take care of these teachers, take care of them so they can take care of the students, give
  • health care.
  • health care.
Committee: Senate Education
Summary: The committee heard several education-related bills. SB 1154 would allow community college districts to use best-value procurement for public works projects over $1 million. The author and community college supporters argued it would give colleges flexibility similar to K-12, UC, and CSU and help avoid delays and costly change orders. Contractors and electrical subcontractors opposed the bill, saying its skilled-and-trained workforce requirement and safety provisions would narrow competition and disadvantage small and nonunion firms. The bill passed the committee on a due-pass vote and was placed on call. SB 1347 would clarify that stock albuterol may be stocked in all public schools, including preschool programs. The author and a physician testified that the bill would remove confusion in existing law and improve access to emergency asthma medication for students. School nurses, respiratory care advocates, and small school districts supported the measure, and there was no opposition. The bill passed unanimously on a due-pass to the floor vote and was placed on call. SB 1222 would create a pilot program to designate a lead county office to help regions struggling with career technical education implementation. Supporters said many students remain disconnected from school and work and that the bill would spread proven regional CTE practices. Some committee members questioned whether another pilot was needed, arguing existing CTE programs need more funding and fewer new structures, while the author and sponsor said the bill would build regional capacity and share successful models. The bill passed to Senate Appropriations and was placed on call. SB 1378 would create a California Excellence in Service Learning Designation Program to recognize schools and districts with strong service-learning programs. Supporters said it would validate existing work and encourage civic engagement, while one member raised concerns about adding more designations and workload for schools. The bill passed as amended to Senate Appropriations and was placed on call. SB 1048 would create a Seal of Climate Literacy for high school students demonstrating climate science knowledge through coursework and hands-on learning. Supporters, including the Department of Education and climate education groups, said it would align students with growing clean-energy careers; some members cautioned against adding more curriculum-related seals and noted equity and implementation concerns. The bill passed to Senate Appropriations and was placed on call. Later, SB 1101, the Higher Education Data Sharing Transparency Act, was presented. It would require CSU, community colleges, independent colleges, and request UC to notify students, faculty, and staff when their personal information is shared with federal agencies such as the Office for Civil Rights, and to limit disclosure to what is legally required. Supporters said recent federal investigations and subpoenas have created fear and a lack of transparency on campuses. Committee discussion focused on subpoena authority, constitutional limits, and whether notice should be required; one member said she would abstain because of legal concerns, while another said the bill would continue to be examined in the next committee. The transcript ends during discussion of SB 1101 before a final vote is recorded.