Video & Transcript : 'direct care services' :
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US
US Federal 2025-2026 Regular Session
US House Floor Proceedings (Monday, September 15, 2025)
US Federal House Floor Meeting
Transcript Highlights:
- The CASE Act limits the size of courthouses by directing the General Services Administration, or GSA,
- Live, has equal access to the care they've earned through their service and sacrifice to this nation.
- Speaker, women veterans are the fastest growing group using VA health care services today.
- Speaker, women veterans are the fastest growing group using VA health care services today.
- gaps in the VA's service network. care in remote and underserved areas.
TX
Transcript Highlights:
- Children with health care needs, substance abuse services, mental health services, Women and Children's
- To, you know, take care of people coming across. whether it was health care, whether it was housing,
- But OMB is the managerial agent that directs at the direction of the president.
- OMB directs, the cabinet agencies, so I expect.
- for health and human services.
Bills:
SB825
Committee:
Senate Border Security
MN
Transcript Highlights:
- I want to mention that we invited members of the Human Services and the Health and Human Services committees
- And that goes for the Human Services and Health and Human Services members who join us.
- And that goes for the Human Services and Health and Human Services members who join us.
- Medicaid also pays for one-half of all long-term care services delivered in Minnesota throughout the
- </c><00:40:37.520><c> services</c> half of all long-term care services half of all long-term care services
Committee:
Senate Finance
FL
Transcript Highlights:
- including home care.
- And it also—it was interesting to be on line 84, assurance that the necessary health care services will
- And it says right here, provision of services orders not to resuscitate in patient-directed medical orders
- Without a patient-directed medical order, I often must provide unwanted invasive care due to unclear
- directives.
Committee:
Senate Health Policy
Summary:
The committee first received an update from the Department of Health on the Cancer Connect Collaborative, the Cancer Innovation Fund, and the new Cancer Connect Collaborative Research Incubator, created and expanded by recent legislation. The department reported that the Cancer Innovation Fund has awarded $80 million to 95 researchers to date, with $60 million available in the current cycle and 65 projects funded across 28 institutions in 16 cancer areas last year. The new pediatric cancer incubator received $30 million and awarded four Florida children’s hospitals $7.5 million each. Senators asked about outreach to oncologists statewide, peer review and accountability, funding for National Cancer Institute-affiliated institutions, and whether underserved and rural areas are being prioritized; the department said it uses website notices, listservs, collaborative outreach, and eligibility criteria favoring rural and high-cancer-care providers, and that it monitors projects through reports, expenditures, and contract provisions.
The committee then heard Senate Bill 312 on patient-directed medical orders, which would create a voluntary, portable, physician-authorized electronic registry for patients to document end-of-life and serious-illness treatment preferences. Supporters, including nurses, hospice and emergency care advocates, and medical professionals, said the bill would help ensure patient wishes are accessible in emergencies, reduce unwanted interventions, and improve continuity of care. Opponents, including Florida Right to Life, argued the bill could broaden end-of-life decisions too far, raise privacy and coercion concerns, and allow withdrawal of care inappropriately. The sponsor said the measure is intended to support patient autonomy and is not anti-life, and noted she was open to amendments.
After public testimony, the committee voted on SB 312 and reported it favorably. The roll call showed support from Senators Berman and Harrell, with the bill passing on the committee vote. The meeting then adjourned.
AR
Transcript Highlights:
- apply those services either.
- services for all adults.
- I will say that we did transition dentistry out of managed care and back to fee for service late last
- Lab services are a mandatory service by CMS.
- Lab services are a mandatory service by CMS. Every Medicaid state has to offer them.
Committee:
All ALC-ADMINISTRATIVE RULES
Summary:
The Administrative Rules Subcommittee of the Arkansas Legislative Council reviewed several agency rules and requests. The Insurance Department’s amendment to its holding company system rule was reviewed and approved, as were two State Board of Election Commissioners rules: one clarifying poll watcher conduct, vote challenges, and provisional voting, and another increasing pay for certified election monitors and defining training, observation, and report-writing compensation. The Arkansas Financial Education Commission also had its rule reviewed and approved after removing membership requirements tied to DEI language to comply with Act 938. The committee held over the Department of Education’s request to be excluded from reporting requirements for one month to allow further discussion about who should write or implement the rules.
A major portion of the meeting focused on the Department of Human Services’ request to be excluded from reporting requirements for Acts 567, 568, 967, and 1025. DHS said CMS had raised comparability and other federal approval concerns, especially for the dental and diagnostic lab provisions, and that it might not be able to meet the acts’ effective dates. DHS described several possible paths forward, including broader benefit changes, waivers, or splitting the dental provisions so the pediatric rate increase could move separately from the special-needs adult cap increase. The Arkansas State Dental Association disputed DHS’s conclusion that the acts could not be implemented as written, argued that Act 1025 is workable, and urged DHS to continue pursuing implementation and preserve the September 1 effective date where possible. Public testimony also supported expanded dental access for adults with disabilities and special needs. After discussion, the committee voted not to exclude DHS from reporting requirements for those acts.
The committee then reviewed the Division of Higher Education’s Act 781 report. The division said it has 32 rules in effect, asked to repeal three rules—two replaced by new rules and one no longer supported by authority or current law—and to continue the remaining 29 rules. The committee approved that request, with the repeals effective upon adjournment of the Legislative Council meeting on January 16, 2026. The meeting concluded with no questions on the remaining written rulemaking updates from prior and current sessions, which were filed without further action.
AZ
Arizona 2026 Regular Session
01/28/2026 - House Appropriations
House Appropriations Committee of Reference
Transcript Highlights:
- regarding dementia care and best practices to health care providers statewide.
- Direction.
- budget will increasingly feel the impact in long-term care, crisis services, and Medicaid... ...expenditures
- systems and our state's budget will increasingly feel the impact in long-term care crisis services and
- Medicaid feel the impact in long-term care, crisis services, and Medicaid expenditures if we don't take
Summary:
The Appropriations Committee met on January 28 and heard several bills, beginning with introductions of members and staff. The committee first considered HB 2056, which would appropriate $100,000 to the Arizona Department of Water Resources for a feasibility study of brackish groundwater desalination sites. Sponsor Rep. Gail Griffin argued the state should explore use of large brackish groundwater reserves amid Colorado River concerns, while one speaker opposed the bill on aquifer-protection grounds. The committee voted 11-6-1 to give HB 2056 a due pass recommendation.
The committee then took up HB 2798, as amended, which appropriates $100,000 to the Arizona Geological Survey to compile data on materials relevant to nuclear energy, including thorium and other non-uranium fuels. Rep. Carbone and others framed the bill as an economic development and national security measure, while opponents questioned whether Arizona has meaningful deposits and whether the state should fund the research. The University of Arizona testified that the Geological Survey could do the work. The committee adopted the Livingston amendment and then approved the bill 11-5-1.
Next, the committee considered HB 2303, which codifies investment standards for the State Treasurer, emphasizing safety and principal preservation and prohibiting speculative investments and insider misuse. The Treasurer’s Office supported the bill, saying it reflects existing policy and ethics rules, though members asked for clearer definitions of “speculative” and how the bill would interact with other statutes. The committee passed HB 2303 15-0 with two members present and one not voting. HB 2344, which directs the Treasurer to manage the local government investment pool internally and allows a third-party contract only for emergency backup, also passed after questions about local control and whether the bill was necessary; the vote was 12-2-3 with one not voting.
The committee later heard HB 2759, a $500,000 appropriation to the Department of Veterans’ Services to partner with an educational institution in Yavapai County for veterans programs. Retired Navy SEAL Chief Richard Rodriguez testified about Embry-Riddle’s veteran population and emergency assistance needs for housing, travel, and equipment, while opponents objected to using state funds for a private institution and argued veterans services should be broader and statewide. The bill received a due pass recommendation 11-6-1. The committee also approved HB 2207, which funds the prison Braille transcription program at $300,000 and was described as a successful rehabilitation and service program, and HB 2224, as amended to $1 million, which funds the Double Up Food Bucks produce incentive program through SNAP; supporters said it helps families, farmers, and local economies, and the committee adopted the amendment and passed the bill.
MN
Minnesota 2025-2026 Regular Session
House Human Services Finance and Policy Committee 2/19/25
Human Services Finance and Policy
Transcript Highlights:
- They can get transportation to and from adult day, they can receive certain primary care services there
- </c><00:02:28.680><c> where</c><00:02:28.959><c> Services</c> interdisciplinary care where Services interdisciplinary
- care where Services across<00:02:30.160><c> both</c><00:02:30.519><c> kind</c><00:02:30.599><c> of</
- Services there therapy Primary Care Services there therapy meals<00:04:19.120><c> and</c><00:04:19.280
- Care Services System it our Long-Term Care Services System it certainly<00:26:50.399><c> is</c><00:26
Committee:
House Human Services Finance and Policy
NM
New Mexico 2025 Regular Session
IC - Legislative Health and Human Services Jul 21st, 2025
Legislative Health & Human Services Committee
Transcript Highlights:
- they need services, at the level of care they need in their communities.
- We've just done an appropriate placement of our direct care staff.
- Home base in terms of services, but also for the kids that need further care.
- And what I've said repeatedly is if I don't have any direct care staff at NMBHI, you sure don't need
- For the direct care level, we have probably about 110 state employees that are in that kind of position
MN
Minnesota 2025-2026 Regular Session
Committee on Human Services - 03/11/26
Health and Human Services
Transcript Highlights:
- It requires anyone providing direct care to a recipient of waiver services to enroll as an individual
- It requires anyone providing direct care to a recipient of waiver services to enroll as an individual
- It requires anyone providing direct care to a recipient of waiver services to enroll as an individual
- :31:52.000><c> care</c> requires anyone providing direct care requires anyone providing direct care to
- </c><00:38:28.720><c> that</c> care and home health services that care and home health services that
Committees:
Senate Health and Human Services , Senate Human Services
CA
California 2025-2026 Regular Session
Senate Budget and Fiscal Review Subcommittee No. 5 on Corrections, Public Safety, Judiciary, Labor and Transportation Mar 12th, 2026
Transcript Highlights:
- health care that they need.
- And that's just not the direction we want to go for the state.
- You were directed to do so and did not do so. So what I... Directed to do so and did not do so.
- So, moving into our recommendations, we recommend directing CDCR...
- required in terms of services, programming, and treatment.
Summary:
The subcommittee heard an overview from the Board of State and Community Corrections on its budget change proposal for 11 additional permanent positions, which BSCC said are needed to manage a rapidly expanded grant workload, increase technical assistance, and strengthen oversight and audits. BSCC also updated members on its new In Custody Death Review Division, created under SB 519, reporting that it has begun collecting and reviewing local jail death investigations, has hired about one-third of its staff, and has received access to medical records and related documents. Members raised concerns about family notification practices, local jail deaths, and whether BSCC’s increased administrative use would reduce grant dollars; BSCC said the change is intended to be permanent but should not substantially affect local assistance. The LAO supported the position authority request but flagged a methodological issue in the administration’s Proposition 47 savings estimate, and Finance said it would update the estimate by May Revision.
The committee then reviewed CDCR’s overall budget, population, and facility issues. The Secretary said the incarcerated population is holding around 90,000, parole around 33,000, and described major cost pressures from retirements, workers’ compensation, medical transport, violence, and aging infrastructure lacking air conditioning and ADA features. He defended prison closures as creating overcrowding and reducing programming capacity, while also highlighting successes such as declining recidivism, expanded college and reentry programming, and the completion of the San Quentin Rehabilitation Center. Members pressed CDCR on fiscal discipline, the effect of closures on savings, community impacts from prison shutdowns, vacancy and staffing issues, and climate-related facility needs. CDCR said it clusters medically vulnerable and ADA-needing populations at more suitable facilities, uses heat plans and temperature monitoring, and is developing a 20-year infrastructure plan.
A separate item addressed CDCR’s request for $91 million ongoing for lump-sum leave payouts for correctional officers and nurses. CDCR said these costs have historically been covered by vacancy savings, but declining vacancies and facility closures have reduced that source. The LAO said the funding is reasonable in the near term but recommended limited-term approval with reporting, and urged the Legislature to scrutinize unallocated savings assumptions and the ongoing Boston Consulting Group efficiency contract. Finance argued the lump-sum request should be ongoing because the costs are recurring and vacancy savings are less reliable. Members questioned whether CDCR is doing enough to reduce leave liability and whether the department will actually achieve the budgeted savings from the consultant work.
Finally, CDCR presented updated population projections through June 2030, estimating a 6.5 percent decline in the institution population and a 10.4 percent decline in parole, while revising its Proposition 36 methodology based on actual admissions data. CDCR said Prop. 36 admissions are increasing but at a lower level than previously projected, and that the law’s long-term effects remain uncertain. On the California Rehabilitation Center closure, CDCR projected about $99.6 million in net General Fund savings next year and roughly $150 million ongoing, with 522 positions eliminated. The LAO said the state could close another prison within a few years and identified the Correctional Training Facility in Soledad as a strong candidate, recommending against approving new capital projects there unless another closure is identified. Finance said the administration has not proposed any additional closure at this time.
NM
New Mexico 2025 Regular Session
IC - Legislative Health and Human Services Jun 25th, 2025
Legislative Health & Human Services Committee
Transcript Highlights:
- services.
- services.
- Was required to go to direct, uh, care workers.
- With regard to House Bill 55, um, the minimum fee scheduled for reimbursement of personal care services
- I, I just wanna maybe make a correction or that, that in terms of the, the, the bill for direct care
ND
North Dakota 2025-2026 Regular Session
Legislative Audit and Fiscal Review Committee Mar 24th, 2026
Transcript Highlights:
- or security services.
- And that's why the board has been working forward on a policy in the direction of shared services.
- We did adjust the part-time care to 50% of full-time care.
- So that's taken care of now. We do have... So that's taken care of.
- They didn't care. They knew there wasn't any repercussions. With malice. They didn't care.
Summary:
The committee met to receive a series of audit presentations, beginning with the statewide Annual Comprehensive Financial Report (ACFR) for fiscal year 2025. The State Auditor’s Office and OMB reported a clean, unmodified opinion for the state, with strong financial results including a $40.6 billion net position, $30.99 billion in assets, $1.81 billion in liabilities, and continued Legacy Fund growth. OMB also explained the new GASB 101 compensated-absences reporting change and discussed pension-liability fluctuations tied to discount-rate assumptions and investment performance. Members asked about how the state compares to others and about the effect of short-term commodity price swings, and OMB said the report reflects actual fiscal-year results rather than forecasts.
The committee then heard the University System audit, which also received a clean opinion but included four findings: misreporting of Strategic Investment and Improvements Fund revenue, insufficient monitoring of service organizations at CTS, NDSU, and UND, improper bank reconciliations at Dakota College of Bottineau, Dickinson State, and Williston State, and investment/cash reconciliation problems at Bismarck State College related to bond proceeds. University officials agreed with the findings and said corrective actions were underway, including internal review of bank reconciliations. Members raised questions about NDSU’s use of certificates of deposit, and university staff explained that CDs are used to earn interest on funds being accumulated for future projects.
Several other audits were presented, most with clean opinions and no findings, including the State Auditor’s Office, Workforce Safety and Insurance, Housing Finance Agency, Housing Incentive Fund, Job Service North Dakota, the Retirement and Investment Office, PERS, the Center for Distance Education, the Commission on Legal Counsel for Indigents, the Ethics Commission, and the Office of Administrative Hearings. Notable exceptions included a State Fair Association audit with an adverse opinion on the foundation component unit because its financial statements were not available for audit, and a Securities Department performance audit finding that performance-based pay increases and bonuses were issued without required evaluations. The committee also discussed the State Auditor’s future needs, including more staff capacity, data analytics, cybersecurity reviews, possible subpoena authority, independent legal counsel, and whether some audits—such as the Ethics Commission and State Fair—should be handled by independent third parties or under different statutory arrangements.
ID
Transcript Highlights:
- It is the 2027 enhancement budget for indirect service, support services, licensing and certification
- for rural health care.
- health care.
- care.
- "That's why they care about this.
Summary:
The Senate convened with a quorum present, approved the journal, and moved through routine orders before taking up committee reports, gubernatorial messages, House messages, and first and second reading calendars. Several bills were advanced, including appropriations measures and enrolled bills transmitted to the House, Governor, or Secretary of State. The chamber then proceeded to third reading and final action on a series of bills, with debate focused largely on budget priorities, Medicaid, firearms preemption, medical education funding, rural health, and kratom regulation.
The Senate passed Senate Bill 1420, creating a dedicated funding source for medical education beginning in 2028; Senate Bill 1430, strengthening state firearms preemption enforcement and authorizing penalties and injunctions against local violations; Senate Bill 1432, an appropriation for Health and Welfare indirect support and related modernization items; Senate Bill 1433, a large Medicaid enhancement budget with discussion of MMIS procurement, estate recovery, program integrity, hospital assessment fund alignment, and population/cost growth; Senate Bill 1434, the Division of Welfare budget reflecting SNAP administrative cost changes and Medicaid eligibility system updates; Senate Bill 1437, an appropriation for Idaho State Police tied to DNA collection for sexual battery and domestic violence offenses; Senate Bill 1439, delaying a school facilities model report deadline to 2027; and Senate Bill 1264 as amended, creating a rural health transformation account and legislative oversight committee for federal rural health funds. Most of these measures passed on party-line or split votes, while SB 1437 and SB 1439 passed unanimously.
The most extended debate centered on Senate Bill 1264, where supporters said the bill would give the Legislature oversight over already-awarded federal rural health money and help ensure sustainable uses, while opponents argued it would deepen federal debt and create a process that could still leave control with the executive branch. Another major debate was on Senate Bill 1418, the kratom consumer protection bill, which would restrict sales to adults 21 and older, set product limits and labeling standards, and allow inspections and enforcement against synthetic or adulterated products. Supporters framed it as a consumer protection and harm-reduction measure; opponents raised concerns about warrantless inspections, lack of pharmacy board support, and whether the bill would effectively normalize kratom. The transcript ends during continued debate on SB 1418, before a final vote is taken.
FL
Florida 2026 Regular Session
FL House Floor Session - 2026-05-29 (10:00AM Session)
Florida House Floor Meeting
Transcript Highlights:
- It provides $63.9 million in child and family welfare services, including foster care support, adoption
- assistance, foster parent, ...and child and family welfare services, including foster care support,
- HIV care.
- , and child care.
- Families are seeking access to health care and mental health services.
CA
California 2025-2026 Regular Session
Assembly Budget Subcommittee No. 7 on Accountability and Oversight Mar 11th, 2026
Transcript Highlights:
- At the state level, Medi-Cal is administered by the Department of Health Care Services, and CalFresh
- As an example, the Department of Health Care Services has estimated that about 40% of individuals that
- Then we'll have Ying Zhen Wang from the Department of Health Care Services.
- I'm the Deputy Director for the Department of Health Care Services, leading a lot of the H.R. 1 implementation
- We are regularly engaging with the Department of Health Care Services to align... ...our policy and operations
NM
New Mexico 2025 Regular Session
IC - Federal Funding Stabilization Subcommittee Jul 2nd, 2025
Federal Funding Stabilization Subcommittee
Transcript Highlights:
- directive, "We're going to take those back down."
- School districts charge for Medicaid services.
- So Taos, Kit Carson has done an amazing job for their service area. for their service area, and I think
- Loss if you don't easily move to another health care coverage.
- Budget to cover those services, you get into this supplement not supplant issue.
WA
Washington 2025-2026 Regular Session
House Environment & Energy May 18th, 2026
Transcript Highlights:
- Direct air is much more expensive.
- Paint Care is funded through a fee on new paint sales.
- If they live in a county with no service, they must use a hazardous waste service to manage their waste
- products, floor care, and pesticide products.
- products, floor care, and pesticide products.
Summary:
The committee held an interim work session focused first on carbon capture, utilization, and sequestration (CCUS), then on hazardous waste and extended producer responsibility (EPR). On the CCUS topic, industry and nonprofit presenters described point-source capture, direct air capture, mineralization, and geologic sequestration, emphasizing Washington’s basalt formations and state trust lands as strong candidates for storage. They argued that CCUS can help hard-to-abate industrial sectors, support jobs and investment, and provide a pathway for compliance, while also noting the need for clearer permitting, subsurface rights, pipeline authority, and storage infrastructure. Ecology and Commerce staff explained current state policy touchpoints, including Cap-and-Invest offsets and exemptions for permanently stored CO2, the public comment process underway to define “thousand-year” permanence, and how CCUS might fit within the Clean Energy Transformation Act without counting emitting generation as non-emitting. Some presenters supported more state action and primacy over federal permitting, while others warned about costs, energy use, uncertain capture performance, and the need to ensure real net greenhouse gas reductions and long-term liability protections.
Members asked about public meetings, whether mineralized carbon would qualify as exempt under the Climate Commitment Act, the timeline for Ecology guidance, aquifer and water-quality concerns, energy intensity of capture systems, and liability if storage later proves problematic. Responses said Ecology’s guidance process is already underway, public meetings will be virtual, mineralized carbon would likely qualify if it meets the permanence standard, and EPA rules require storage in deep saline formations below drinking water aquifers. Industry speakers said capture energy use varies by source and concentration, and one presenter noted that some states use trust funds funded by injectors to address long-term liability.
The second half of the session shifted to hazardous waste and EPR. Ecology staff reviewed existing product stewardship programs for electronics, paint, batteries, and mercury lights, and described moderate risk waste and household hazardous waste management in Washington. They highlighted that E-Cycle and PaintCare are producer-funded, that the battery stewardship program will begin in 2027, and that the mercury lamp program is in transition after its prior stewardship organization exited, prompting enforcement notices and a pending replacement plan. Ecology recommended best practices for future EPR programs, including clear producer and product definitions, full producer funding, convenience standards, annual reporting, and strong agency enforcement and plan approval authority. Local government speakers from King County and Douglas County described rising collection costs, equity and access barriers, rural travel distances, and the need for stable funding and flexible local implementation. King County said it collected over 3 million pounds of hazardous products in 2025 and supports EPR as a way to shift costs from ratepayers to producers, while Douglas County emphasized that rural residents will participate when services are accessible and that future systems should account for geography and local infrastructure.
MO
Missouri 2026 Regular Session
2026 Legislative Session - Day Forty One - Wednesday, March 25 - Afternoon Session
Missouri House Floor Meeting
Transcript Highlights:
- and facilitation of care.
- , providing care.
- and services.
- Health care. Health care. That's pretty broad. It is. Yet, do all these... Huh?
- Health care.
Summary:
The House first established a quorum after a quorum call and welcomed special guests, including the Freedom of the Road motorcycle riders and students from Warsaw High School. It then took up House Committee Substitute for House Bill 1855, a reporting bill on Alpha-Gal syndrome. The bill sponsor described the condition as a serious tick-borne allergy that has affected his family and many Missourians, arguing that Missouri needs mandatory reporting and surveillance data to identify hotspots, guide public health outreach, and support research and funding. Supporters from both parties said the bill would improve awareness and data collection, while one member raised concerns about the fiscal note and whether the state would get useful information for the cost.
The chamber adopted Amendment 1 to HB 1855, changing the follow-up language from “may” to “shall,” but rejected Amendment 2, which would have required patient consent before lab results were reported into the surveillance system. Opponents of the consent amendment said it would undermine disease surveillance and set a bad precedent for other reportable conditions; supporters argued for privacy and individual choice. After debate, the House adopted the committee substitute as amended and ordered it perfected and printed.
The House then considered House Committee Substitute for House Bills 2230 and 2978, a K-5 education measure addressing screen time, cursive, and handwriting. The sponsor said the bill responds to research and parent/teacher concerns about excessive screen use, poor literacy outcomes, and mental health effects, and would create a state focus group to review evidence and make recommendations while leaving districts flexibility. Members discussed carve-outs for special education, English language learners, and virtual school, and adopted an amendment excluding the virtual school program. The House then adopted the substitute as amended and ordered it perfected and printed.
Finally, the House took up House Bill 2355, the “Food is Medicine” initiative, which would allow Missouri to use federal funds through 1115 waivers for pilot programs such as medically tailored meals, produce prescriptions, nutrition education, and related supports. Supporters said the program could improve health outcomes, reduce Medicaid spending, and help address food deserts. An amendment adding vitamin therapies and updating a date drew discussion over supplement safety and regulation, but the transcript cuts off before a final vote on that amendment or the bill itself.
TX
Transcript Highlights:
- Ho: Teeth extracted because she started dental care, orthodontic care prior to addressing her periodontal
- care.
- Senator Cook: House Bill 2542 by Representative Kitzman directs the Health and Human Services Commission
- and build out a full continuum of care for this vulnerable population.
- And just want to add, we are trending in the wrong direction in this state.
Bills:
HB50
Committee:
Senate Health & Human Services
ID
Idaho 2026 Regular Session
Agenda Feb 23rd, 2026
Transcript Highlights:
- We are simply going into the direct primary care section of state code and adding physical therapy.
- refer out or act as such, but for direct primary care purposes they can be.
- For those who may be wondering, direct primary care typically refers to memberships that might be created
- Maybe wondering, direct primary care typically refers to memberships that might be created amongst your
- We move these services when we cut it out of the managed care model and into a fee-for-service model.
Summary:
The House Health and Welfare Committee convened with a quorum, welcomed a new page, Allie Silver of Twin Falls, and heard that she hopes to pursue nursing. The committee then took up House Bill 591, a county-requested cleanup bill repealing the last remaining code section for the defunct county medical indigent program, which was repealed in 2022. Representative Redman presented the bill, Representative Healy moved a due pass recommendation, and the committee approved sending HB 591 to the floor.
The committee next introduced RS 33469, which would add physical therapists to the direct primary care section of state code. Representative Furman said the measure would allow physical therapists to participate in direct primary care arrangements without expanding their scope of practice, though members asked for more detail about the diagnosis and assessment language. The committee voted to introduce the RS. It also introduced RS 33466, a joint memorial supporting the Department of Insurance’s actions against Medicare Advantage plan practices that allegedly made enrollment difficult and reduced broker commissions; Furman said the memorial would urge CMS to clarify roles and support Idaho’s efforts to protect seniors and stabilize the insurance market.
The most extensive discussion centered on RS 33407, which would place the assertive community treatment (ACT) behavioral health program into statute after budget cuts disrupted its funding structure. Furman argued the program serves people with severe mental illness, reduces hospital and jail use, and saves the state money, while committee members raised concerns about the fiscal note, future general-fund costs, enrollment limits, and whether the bill would expand the program. Furman said the program remains constrained by provider ratios and clinical need, and that alternate funding options were being explored. Despite reservations from some members and the chair, the committee voted 15-1 with one “maybe” to introduce RS 33407, then adjourned.