Video & Transcript : 'Arizona Long Term Care System' :

Page 214 of 500
NH
Transcript Highlights:
  • </c> Representative Sullivan, you must care Representative Sullivan, you must care about<00:08:21.520
  • </c> years ago I mean I'll say it's how long years ago I mean I'll say it's how long ago<00:12:49.600
  • This is the EMS No Surprises Act and Systems No Surprises and System Stabilization Act.
  • </c> care there is no more balance billing. care there is no more balance billing.
  • I'm also um a healthc care reimbursement I'm also um a healthc care reimbursement consultant<03:28:21.680
Summary: The committee first took up several liquor-related bills. Senate Bill 24, allowing students under 21 to taste wine in educational settings, drew no opposition or amendment and was reported out 6-0. Senate Bill 79, authorizing self-pour automated systems under the liquor commission, also faced no opposition and was voted ought to pass 6-0. Senate Bill 80, shifting licensing, auditing, and enforcement for wholesale and retail e-cigarette sales to the liquor commission, prompted discussion about whether the change would add cost; members heard that the liquor commission already handles similar enforcement and that the change was meant to address nonreporting. It was voted ought to pass 6-0. The committee then discussed Senate Bill 87, concerning alcohol service in salons, barbershops, and spas. Members and staff focused on how to limit the amount served, whether to require recordkeeping, and privacy concerns about tracking what patrons drank. The discussion settled on removing references to alcohol type and quantity and keeping only patron records, with the understanding that the agency would set the details by rule. The bill was not formally amended at the meeting, but members agreed an amendment would be drafted for the following week; the bill itself was reported ought to pass with that amendment to be determined. Finally, the committee heard testimony on Senate Bill 245, the EMS No Surprises Act and System Stabilization Act. The sponsor, Senator Suprena, said the bill would prohibit balance billing for emergency ambulance calls and unscheduled transfers, while setting reimbursement at either locally set public rates or 325% of Medicare. She explained that the proposal was based on national work on ground ambulance billing and was intended to stabilize struggling EMS providers. Committee members sought clarification that the bill did not eliminate balance billing for non-emergency transfers, and the sponsor confirmed it did not. A second witness, Jerry Stringham, testified in support, citing his reimbursement background.
WA

Washington 2025-2026 Regular Session

Senate Ways & Means Dec 4th, 2025

Transcript Highlights:
  • The last few forecasts I intend to cover are in long-term care. Okay.
  • The last few forecasts I intend to cover are in long-term care. Nursing homes is up 0.9%.
  • We saw in Eric Cornelia's presentation today things like home care in DHS, long-term care and developmental
  • We have the Children's Administration, which is the foster care and child protection system, and then
  • So of the DCYF cases, how many of them are, for lack of a better term, legacy cases from a long time
Summary: The Ways and Means Committee held a work session covering the state revenue outlook, caseload forecasts, wildfire costs, budget balance, tort liability, water supply, and pension policy. The Economic and Revenue Forecast Council reported modest near-term U.S. growth, no near-term Washington employment growth in 2026, continued personal income growth, and elevated inflation, with tariffs and federal policy cited as major risks. Revenue forecasts were slightly improved for the current biennium by about $105 million but down about $185 million for the next biennium. Members asked about income inequality and housing permits; staff said personal income is an aggregate measure and housing production remains below long-term needs. The Caseload Forecast Council then reported that most forecasts were unchanged or only slightly changed, but several programs increased, including Washington College Grant, Working Connections, aged/blind/disabled cash grants, nursing homes, home and community services, and developmental disabilities personal care. The largest policy-driven change was in Medicaid low-income adult caseloads, where federal H.R. 1 was projected to reduce coverage substantially through narrower eligibility, community engagement requirements, and shorter eligibility periods. The committee also heard a wildfire funding update and a 2025 fire season review. Staff explained that the state budgets $93 million annually for suppression and uses supplemental appropriations for costs above that level, with an estimated state supplemental need of about $139 million for the current year. Department of Natural Resources officials said 2025 fire activity remained below the 10-year average in acres burned, but fires were more complex and closer to communities, contributing to higher residence loss. They described expanded use of aircraft, firefighters from other states, corrections crews, and the Arcadia 20 hand crew, and said the state did not need National Guard ground support this year. A budget preview then showed that the near general fund outlook had worsened after vetoes, lapses, and forecast changes, and that maintenance-level costs alone would leave a projected negative balance by fiscal year 2027 and about $4.3 billion by fiscal year 2029, before any policy decisions. Jason Seams, the state risk manager, reported a sharp rise in tort claim costs, with indemnity expenses nearly doubling from fiscal year 2023 to 2025 and DCYF accounting for most of the increase. He said the state self-insurance liability account has run deficits for four straight biennia and is now facing nearly $600 million in deficits, driven largely by a surge in DCYF claims, especially juvenile rehabilitation and long-running sex abuse cases. Members asked about the role of old claims, comparisons with other states, excess insurance, and whether more Attorney General staff could reduce special assistant attorney general costs. The committee then shifted to water policy, hearing from tribal leaders, Ecology, and the Washington Water Trust. Tribal witnesses emphasized overappropriation, declining flows, climate impacts, and the need for legislative oversight and tribal participation in water policy. Ecology described major projects in the Odessa sub-area, Yakima Basin, and Dungeness, along with the need for storage, recharge, conservation, and policy changes to support water supply development. The Washington Water Trust argued that climate change is reducing summer flows and that the state needs more funding, enforcement, and long-term commitment to restore instream flows. The final item was a pension update on LEOFF 1 surplus assets; staff reviewed two 2025 bills that would have merged or restructured the plan and used surplus assets, but neither passed, and instead the budget directed the Select Committee on Pension Policy to study the issue and report back.
CA
Transcript Highlights:
  • They don't care. They're in denial.
  • And therefore, they should understand and have short-term and long-term plans that include... that yeah
  • And therefore, they should understand and have short-term and long-term plans that include Thank you.
  • Therefore, they should understand and have short-term and long-term plans that include what ongoing support
  • Local agencies have used ADS systems for decades, such as SCADA systems and water treatment, and are
Summary: The committee began as a subcommittee due to the lack of a quorum and heard several privacy- and technology-related measures. The first item was H.R. 117, a resolution urging Congress to reform Section 230 of the Communications Decency Act. The author and supporters argued the law is outdated and shields platforms from accountability for harms such as harassment, exploitation, scams, and other online abuse. Witnesses, including a survivor parent and a gender justice advocate, described harms to children, women, and LGBTQ people and urged a two-year sunset to force federal reform. Some members supported the resolution as a call for federal action, while one member said he could not support it because the resolution was too general and lacked specificity about the reforms being sought. No vote was taken because the committee lacked a quorum. The committee then heard SB 898, which would require manufacturers of connected consumer products to disclose how long they will support the software and to notify consumers when products approach end of life. The author said consumers deserve transparency about security updates and continued functionality, and supporters from Consumer Reports and PIRG emphasized cybersecurity risks, consumer confusion, and electronic waste from unsupported devices. Opponents, including business and industry groups, raised concerns about enforcement through the unfair competition law, notice burdens, labeling issues, and compliance challenges, especially for products with long support windows or third-party dependencies. One member expressed support, noting the cybersecurity risks of end-of-life devices, but again no vote was taken because there was no quorum. The committee also heard SB 435, which would narrow the CCPA definition of publicly available information to limit how businesses classify data as public. The author and supporters said the bill would close a loophole that allows data brokers and others to monetize personal information without meaningful consent and could help prevent surveillance and misuse of data, including by government agencies. Opponents argued the bill would upset the balance between privacy and the free flow of information, create compliance uncertainty, and retroactively reclassify information that businesses reasonably believed was public. Some members said they supported the goal of stronger privacy protections, while others said the bill was too broad. The committee again could not vote due to the lack of a quorum. Later, the committee heard SB 923, which would expand Californians’ right to delete personal information to cover data obtained from third parties and require online businesses to offer a web form or similar method for deletion requests. Supporters, including the California Privacy Protection Agency and consumer advocates, said the bill would make deletion rights meaningful and better address data broker practices. Opponents sought an opt-out-of-processing alternative and raised operational and legal concerns, but supporters said deletion is not the same as retention or processing limits. Members largely spoke in favor of the bill’s privacy goals, but no action was taken. The committee also heard SB 947, the “No Robo Bosses Act,” which would require human review for certain automated employment decisions and limit predictive analysis in workplace discipline and termination. Labor groups supported the bill as a safeguard against biased or erroneous AI-driven decisions, while business, public employer, and local government groups opposed it as overbroad and burdensome. Members voiced support for human oversight in employment decisions, but the item was not voted on because the committee still lacked a quorum. Finally, the committee began hearing SB 1114, the SOGI Data Privacy Act, which would restrict disclosure of sexual orientation, gender identity, and intersex data to federal agencies absent a court order or legal requirement; the author and witness framed it as a response to federal efforts to obtain sensitive LGBTQ-related data.
FL

Florida 2025 Regular Session

January 14, 2025 - 01:00 PM

Transcript Highlights:
  • State government has several roles in the health care system.
  • health care-related programs and initiatives, removing regulations to increase Various health care-related
  • This legislation creates and establishes a health care health care delivery and technology.
  • The council has met and decided on four priority areas to work on: health care workforce, patient care
  • The maternity health care program.
Summary: The Health Professions and Program Subcommittee met for an introductory and oversight briefing from the Florida Department of Health on implementation of several 2024 laws. The committee heard first from Jennifer Winhold on practitioner-regulation measures, including SB 1716 and SB 1600, which expanded workforce pathways through foreign-trained physician licensure, area-of-critical-need temporary certificates for APRNs and physician assistants, graduate assistant physician licenses, interstate compacts, and a new universal licensure-by-endorsement process. She also reviewed HB 197 on massage therapy enforcement, HB 975 on broader background screening, HB 1561 on office-surgery and liposuction safeguards, HB 159 on pharmacist HIV post-exposure prophylaxis certification, and HB 1063 on chiropractic dry needling and foreign degree licensure. Members asked about compact scope, foreign graduate requirements, massage enforcement overlap with DBPR, and registration thresholds for liposuction procedures. Dr. Emma Spencer then outlined implementation of SB 76 and related programs, including changes to the FRAME and dental loan repayment programs, the volunteer health care provider program, the Casey DeSantis Cancer Research Program, the Health Care Innovation Council and revolving loan program, and the Andrew John Anderson Pediatric Rare Disease Grant Program. She said the department had updated portals, posted forms, launched or was developing public search tools, and submitted required reports and contracts. Members questioned whether loan repayment funds were reaching rural and underserved areas, how nonprofit applicants were being informed about the Alphonse screening grant program, the short application window for that grant, and how the department would evaluate whether the programs were improving recruitment and retention. A third presentation, delivered by Mike Mason standing in for Shea Holloway, covered maternal and child health and other public health initiatives. He reported on the telehealth maternity care program’s expansion from a pilot in Duval and Orange counties to 23 counties, the pregnancy-and-parenting resources website required by HB 415, CMV newborn screening requirements under SB 168, sickle cell registry and research grants under HB 7085, and the swim lessons voucher program under SB 544, which received nearly 10,000 requests for 3,500 vouchers and enrolled 86 facilities. Members asked about utilization, marketing, website launch timing, and how the department was promoting these services. No bills were voted on; the meeting concluded with the chair noting that more committee presentations and bills would follow and that briefing materials would be distributed to members.
CA
Transcript Highlights:
  • And that's how that system works. So these two systems don't speak to each other.
  • Again, Health care.
  • the U.S. system, when you have other tax systems, international systems, laid on top of California's
  • Equitable, sustainable revenue solutions to ensure IHSS and child care are fully funded for the long
  • term.
Summary: The joint informational hearing examined California’s taxation of multinational corporations, especially the Water’s Edge election versus worldwide combined reporting. Chairs opened by framing the issue as a review of whether current rules fairly and sufficiently tax foreign subsidiary income, given profit shifting concerns, budget pressures, and the long history since Water’s Edge was adopted in the 1980s. The first panel from the Legislative Analyst’s Office and Franchise Tax Board explained the mechanics of unitary taxation, apportionment, and the Water’s Edge election, and provided filing data showing Water’s Edge filers are a small share of returns but account for a large share of corporate tax liability. FTB witnesses said the agency already administers both methods and could handle a shift to mandatory worldwide reporting with education and outreach, though revenue estimates are difficult because foreign affiliate information is not directly available. Committee members asked about foreign government pushback, administrative burden, industries with more profit shifting, revenue uncertainty, and whether companies would leave California. LAO and FTB witnesses said pushback from foreign governments was plausible, but they did not expect major business flight because California’s tax is largely based on sales rather than physical presence. They also said worldwide reporting could reduce profit shifting but might increase revenue volatility and litigation risk. A second panel of academic and tax policy witnesses argued that Water’s Edge is a loophole that rewards aggressive tax planning, that worldwide combined reporting would better capture income tied to California, and that modern federal and international rules such as NCTI/GILTI, CAMT, and Pillar Two reduce compliance concerns and make a return to worldwide reporting more feasible. They also said California’s current system can create selection effects and may under-tax large multinationals. In the next panel, a California Budget and Policy Center witness urged eliminating the Water’s Edge election, calling it a costly loophole that benefits large global corporations over smaller domestic businesses and deprives the state of billions in revenue that could support health care and other services. A Silicon Valley Leadership Group witness gave historical context for why Water’s Edge was adopted and began outlining concerns about compliance, double taxation, and the risk of overreaching beyond income truly connected to California. No bill was voted on or advanced; the hearing was informational only, with members using the testimony to weigh the policy trade-offs and possible transition periods if the Legislature were to change the current rules.
MN

Minnesota 2025-2026 Regular Session

House Health Finance and Policy Committee 2/25/26 - Part 1

Health Finance and Policy

Transcript Highlights:
  • </c><00:05:09.199><c> throughout</c> trauma and burn care throughout trauma and burn care throughout
  • at the right time, with teams and care areas that support high-quality patient care.
  • I just wanted to confirm that this is short-term acute care, that is not, you know, long-term.
  • He thanked the committee. access to care. HF1270 access to care.
  • He added that patient care and patient-centered care are the most important.
Bills: HF3521 , HF1807 , HF1270 , HF2070 , HF3136
NM
Transcript Highlights:
  • and the long term. ...and they recognize the importance of this legislation for both the short-term
  • and the long-term impacts, and they strongly urge that this is kept in place so they can continue to
  • Hospitals are required to reinvest this funding in health care, workforce, and quality of care initiatives
  • This bill ensures that state policy continues to support long-term access, continuity, and fairness in
  • health care delivery for all New Mexicans.
Summary: The committee heard testimony on SB 38, which would continue New Mexico’s affordable spay and neuter grant program. Supporters, including animal shelter officials, veterinarians, county advocates, and nonprofit representatives, said the program is needed because shelters are overwhelmed by dog and cat overpopulation, and they cited high intake and euthanasia rates, especially in rural and low-income areas. Several speakers said the grants have already funded spay/neuter and trap-neuter-release work and should not sunset. One public comment raised concerns that some money was going to private parties and could create anti-donation issues, while another witness responded that the legal challenge is still pending and no court has ruled on the law’s constitutionality. Dr. Lawrence Young of the Veterinary Medicine Board said about $1 million has been awarded to 28 organizations, with additional funds in escrow, and described the program as transparent and accountable. The chair said the bill would be taken up for a vote later, not at that meeting. The committee also heard SB 101, the Health Care Delivery and Access Act, which would repeal the program’s July 1, 2030 sunset and make it permanent. The sponsor and the Health Care Authority said the act has already helped optimize nearly $1.5 billion in federal hospital funding, which hospitals must reinvest in care, workforce, and quality improvements. Support came from the New Mexico Chamber of Commerce, New Mexico Safety Over Profit, the New Mexico Hospital Association, and the Greater Albuquerque Chamber of Commerce, all of whom said the program provides stability for hospitals, especially rural and safety-net facilities, and helps avoid service disruptions. No opposition was voiced, and the chair said the committee would return to the bill for a vote on Thursday.
ND

North Dakota 2025-2026 Regular Session

Senate Appropriations - Human Resources Division Apr 2nd, 2025 at 02:00 pm

Appropriations - Human Resources Division

Transcript Highlights:
  • So I did speak with the long-term care association to get some more description of that.
  • So I did speak with the long-term care association to get some more description of that.
  • What is system of care? Oh, sorry. Sorry, Senator Cleary.
  • Well, 45% of our budget is medical services, and then you add long-term care in there too, and that increases
  • And then you add long-term care in there, too, and that increases it.
Summary: The HR division continued work on the behavioral health budget, with members revisiting several funding items and generally agreeing to hold provider inflation increases until the full division picture is clearer. They tentatively supported additional funding for Community Connect and Free Through Recovery, as well as increases for the drug court program and peer support, while clarifying that some items were already in the House version and others were one-time or grant-related expenditures. The committee spent considerable time on a proposed $2 million behavioral health services program for nursing homes and basic care facilities. Senator Mathern brought revised language to describe a capitated payment model for training, consultation, and direct patient care for residents with medically based behavioral disorders and disruptive behaviors. Some members remained skeptical and wanted to see the amendment before deciding, but the discussion centered on whether the funding would help nursing homes accept patients who otherwise end up in state hospitals or acute care settings. Members also discussed several one-time funding items, including electronic health record and legacy system upgrades, network redundancy for the state hospital, partial hospitalization/intensive day treatment expansion, and a bathroom remodel at the Southeast Human Service Center. The committee restored the bathroom project to the original $972,000 estimate after concerns that the House reduction would not cover the needed ADA and plumbing work. They also debated a $12.96 million behavioral health facility grant for Altru in Grand Forks, with some members opposing it and others supporting it as a regional service expansion, but ultimately set it aside for later consideration. The meeting ended with staff flagging other sections of the bill, including the opioid settlement advisory language, the state hospital steering committee, behavioral health education grants, and the system of care grant. The chair announced that medical services would be taken up the next day, and members agreed to adjourn after planning to revisit unresolved behavioral health items and vote on the held bill later.
TX

Texas 89th Regular

Appropriations - S/C on Article III Feb 25th, 2025

Appropriations - S/C on Article III

Transcript Highlights:
  • In our system...
  • We have a long history of working in what we call systems resilience, mostly about agriculture.
  • System.
  • Some care as well and so thank you for thank you for your words I didn't know that term even existed
  • This modernization effort also directly aligns with the Texas' long-term higher education goal of building
AL

Alabama 2025 Regular Session

Alabama Senate Apr 9th, 2025

Alabama Senate Floor Meeting

Transcript Highlights:
  • Call long roll. Call long roll. Call long roll. Straw Britain. Straw Britain. Straw Britain. Mr.
  • Again, it takes care of our service men me uh it takes care of our service men me uh it takes care of
  • that's caring for that's that's caring that's caring for that's that's caring that's caring for our
  • But my point is is that look how long it how long it how long it took for us.
  • Secretary, call the long roll. Secretary, call the long roll. Secretary, call the long roll. Mr.
Bills: SJR 4 , SJR 40 , SJR 81 , SCR 37 , SCR 39 , SB 22 , SB 32 , SB 33 , SB 36 , SB 38 , SB 95 , SB 209 , SB 249 , SB 311 , SB 326 , SB 365 , SB 458 , SB 609 , SB 660 , SB 664 , SB 693 , SB 732 , SB 745 , SB 760 , SB 762 , SB 779 , SB 783 , SB 785 , SB 868 , SB 871 , SB 883 , SB 921 , SB 955 , SB 993 , SB 996 , SB 1008 , SB 1057 , SB 1067 , SB 1151 , SB 1171 , SB 1210 , SB 1255 , SB 1265 , SB 1267 , SB 1271 , SB 1307 , SB 1313 , SB 1316 , SB 1318 , SB 1321 , SB 1332 , SB 1365 , SB 1426 , SB 1470 , SB 1484 , SB 1494 , SB 1559 , SB 1592 , SB 1596 , SB 1598 , SB 1637 , SB 1677 , SB 1706 , SB 1758 , SB 1762 , SB 1786 , SB 1809 , SB 1818 , SB 1822 , SB 1841 , SB 1871 , SB 1967 , SB 2064 , SB 2077 , SB 2112 , SB 2148 , SB 2320 , SB 2406 , SB 2407 , SJR 36 , SJR 81 , SJR 50 , SJR 4 , SJR 40 , SJR 27 , SCR 22 , SCR 12 , SCR 39 , SCR 38 , SCR 37 , SB 921 , SB 609 , SB 660 , SB 765 , SB 62 , SB 666 , SB 888 , SB 687 , SB 847 , SB 1248 , SB 504 , SB 305 , SB 296 , SB 284 , SB 304 , SB 1023 , SB 204 , SB 670 , SB 850 , SB 854 , SB 413 , SB 1346 , SB 1033 , SB 1220 , SB 1073 , SB 810 , SB 1539 , SB 447 , SB 1119 , SB 1505 , SB 1215 , SB 1302 , SB 583 , SB 673 , SB 681 , SB 1172 , SB 955 , SB 957 , SB 541 , SB 266 , SB 1415 , SB 53 , SB 1352 , SB 785 , SB 1450 , SB 1502 , SB 1566 , SB 1062 , SB 711 , SB 746 , SB 1404 , SB 1448 , SB 507 , SB 1026 , SB 1349 , SB 1355 , SB 1433 , SB 1434 , SB 1596 , SB 1403 , SB 667 , SB 1059 , SB 1567 , SB 310 , SB 311 , SB 505 , SB 1210 , SB 1470 , SB 264 , SB 1358 , SB 1364 , SB 1569 , SB 1376 , SB 1228 , SB 519 , SB 1350 , SB 462 , SB 827 , SB 1585 , SB 1484 , SB 1273 , SB 927 , SB 1227 , SB 1229 , SB 1353 , SB 1464 , SB 1709 , SB 1729 , SB 1733 , SB 1744 , SB 1772 , SB 1841 , SB 1008 , SB 2016 , SB 1173 , SB 1163 , SB 996 , SB 1370 , SB 1321 , SB 1101 , SB 860 , SB 993 , SB 693 , SB 1537 , SB 1332 , SB 1307 , SB 963 , SB 493 , SB 984 , SB 619 , SB 1122 , SB 455 , SB 522 , SB 1057 , SB 1239 , SB 1254 , SB 1255 , SB 1259 , SB 1341 , SB 1877 , SB 1277 , SB 32 , SB 732 , SB 731 , SB 268 , SB 1822 , SB 1589 , SB 397 , SB 1058 , SB 1267 , SB 2112 , SB 1930 , SB 532 , SB 508 , SB 292 , SB 291 , SB 901 , SB 1333 , SB 1436 , SB 1494 , SB 964 , SB 779 , SB 1378 , SB 2312 , SB 1719 , SB 287 , SB 2143 , SB 1245 , SB 261 , SB 1247 , SB 2406 , SB 2407 , SB 1882 , SB 618 , SB 38 , SB 393 , SB 1371 , SB 1365 , SB 2243 , SB 2226 , SB 2039 , SB 1919 , SB 1895 , SB 1598 , SB 1493 , SB 1810 , SB 1791 , SB 1706 , SB 1644 , SB 1238 , SB 783 , SB 458 , SB 22 , SB 651 , SB 897 , SB 1809 , SB 1080 , SB 745 , SB 826 , SB 989 , SB 1320 , SB 1437 , SB 2320 , SB 2289 , SB 1171 , SB 664 , SB 1637 , SB 2064 , SB 868 , SB 1079 , SB 1243 , SB 1504 , SB 1851 , SB 1879 , SB 2237 , SB 1257 , SB 2034 , SB 1522 , SB 883 , SB 249 , SB 1318 , SB 1151 , SB 596 , SB 1191 , SB 226 , SB 570 , SB 870 , SB 991 , SB 60 , SB 365 , SB 1067 , SB 1786 , SB 326 , SB 1401 , SB 1592 , SB 1728 , SB 1265 , SB 586 , SB 529 , SB 217 , SB 209 , SB 1923 , SB 1559 , SB 1839 , SB 387 , SB 1874 , SB 1872 , SB 1873 , SB 1921 , SB 1883 , SB 1677 , SB 95 , SB 1620 , SB 1838 , SB 2024 , SB 2429 , SB 1999 , SB 511 , SB 2309 , SB 2166 , SB 871 , SB 510 , SB 33 , SB 2420 , SB 1860 , SB 1541 , SB 1316 , SB 1314 , SB 1313 , SB 1426 , SB 1398 , SB 1869 , SB 1750 , SB 1871 , SB 36 , SB 855 , SB 1233 , SB 760 , SB 2425 , SB 2037 , SB 1758 , SB 1759 , SB 2365 , SB 1924 , SB 762 , SB 1271 , SB 1818 , SB 605 , SB 1405 , SB 1762 , SB 1968 , SB 1977 , SB 2077 , SB 2148 , SB 2321 , SB 1967 , SB 1662 , SB 1663 , SB 2124 , SB 2204 , SB 1855 , SB 863 , SB 37 , SJR 39 , SCR 1 , SCR 27 , SCR 32 , SCR 42 , SCR 6 , SB 2232 , SB 819 , SB 2078 , SB 2252 , SB 1962 , SB 2253 , SB 825 , SB 1577 , SB 1184 , SB 2018 , SB 2206 , SB 1901 , SB 1030 , SB 2368 , SB 1963 , SB 1960 , SB 1643 , SB 1625 , SB 1299 , SB 841 , SB 668 , SB 584 , SB 231 , SB 2411 , SB 1085 , SB 2431 , SB 2231 , SB 1490 , SB 530 , SB 34 , SB 1261 , SJR 81 , SB 32 , SB 458 , SB 664 , SB 693 , SB 868 , SB 1008 , SB 1267 , SB 1307 , SB 1321 , SB 1484 , SB 1637 , SB 1809 , SB 1822 , SB 2064 , SB 2112 , SB 2320 , SB 2406 , SB 2407 , SB 609 , SB 660 , SB 921 , SB 779 , SB 1470 , SR 388 , SB 3042 , SB 440 , SB 2876 , SB 3042 , SB 440 , SB 2876
MA

Massachusetts 2025-2026 Regular Session

Joint Committee on State Administration and Regulatory Oversight Feb 12th, 2026

Joint Committee on State Administration and Regulatory Oversight

Transcript Highlights:
  • system.
  • Beyond the obvious loss of medical care and the additional strain on emergency response systems, there
  • In stroke care, time and brain health care are critically linked.
  • It was a long-term recognition.
  • Home and community care will be the future of health care.
Summary: The committee heard testimony on H. 3599, a bill concerning access to landlocked Indian lands in Massachusetts. Witnesses, including members of the Mashpee Wampanoag and Herring Pond communities, described long-standing family land access problems, tax assessments they said treated inaccessible parcels as buildable, and a 2016 Supreme Judicial Court ruling that denied easements by necessity on the basis of tribal custom. They said the bill would restore equal treatment under the law and noted support from the Mashpee Wampanoag Tribe and conditional support from the Aquinnah Wampanoag Tribe, with possible language changes still under discussion. Members asked about the tax impacts and the status of tribal support, and the chair said the committee would review the conditions and written letters before proceeding. The committee then took up H. 5047, authorizing the Commonwealth to take the Norwood Hospital property by eminent domain so the site can be restored as a hospital. Sponsors Rep. Rogers, Sen. Rush, and Rep. Lynch argued that the closure of Norwood Hospital after the 2020 flood and Steward bankruptcy left a regional medical gap affecting more than a dozen towns, major venues, and emergency responders. They said the site should be returned to a not-for-profit operator, that the state would not be asked to fund the hospital itself, and that eminent domain would allow an independent valuation and move the project forward. Several committee members voiced support, while Rep. Davis asked about timing, cost, and whether negotiations with the current owner could still resolve the issue; sponsors said the private owner had delayed too long and that the state needed a contingency path. Testimony from local officials, chamber representatives, nurses, firefighters, EMS leaders, and residents emphasized the hospital’s regional role, the strain on ambulance and emergency room capacity, longer transport times, boarding at other hospitals, and added costs to towns for ambulances and staffing. Speakers also described personal experiences with delayed care and said the hospital had been profitable before the flood. The Massachusetts Nurses Association and the Professional Fire Fighters of Massachusetts supported the bill, stressing the need for inpatient beds, emergency preparedness, and a stable regional health care system. The committee also briefly heard and accepted testimony on S. 2922, an Eversource-backed bill authorizing an underground easement at Magazine Beach in Cambridge for the Greater Cambridge Energy Project, before returning to the Norwood Hospital bill; no votes were taken during the hearing.
NM

New Mexico 2025 Regular Session

IC - Legislative Health and Human Services Jun 27th, 2025

Legislative Health & Human Services Committee

Transcript Highlights:
  • of feeding, in terms of um dressing, in terms of a lot of those things.
  • term.
  • It was 2 days long.
  • Trying to take care of in this system are done so safely and with consistency.
  • programs were replaced with the community benefit which provides home and community-based services, long-term
MN

Minnesota 2025-2026 Regular Session

House Floor Session 5/16/26 - Part 4

Minnesota House Floor Meeting

Transcript Highlights:
  • We were able to get a Representative Davids provision in for short-term, long-term care insurance.
  • It's short-term, long-term care, and that's what it is.
  • And long-term care policies are extremely expensive with the short-term, long-term care that all the
  • It's short-term, long-term care, care, care, and<00:43:26.240><c> that's</c><00:43:26.640><c> what</c
  • /c><00:43:34.000><c> care</c><00:43:34.319><c> that</c> with the short-term, long-term care that with
NM

New Mexico 2026 Regular Session

House - Appropriations and Finance Jan 29th, 2026 at 01:49 pm

House Appropriations & Finance

Transcript Highlights:
  • This was a major flag for members during the Aging and Long-Term Services Department hearing.
  • This was a major flag for members during the aging and long-term services department hearing.
  • This would be $1.5 million to consolidate health providers to a unified health care information system
  • Chair, aging long-term services funding for support the federal nutritional services incentive program
  • term services funding for support the federal nutritional services incentive program Aging long-term
TX
Transcript Highlights:
  • Long-term effects can be equally alarming.
  • Long-term, it creates real problems, just like alcohol effects.
  • Most long-term marijuana users develop insomnia, and of course, long-term users...
  • It is a prevailing influence across all ages and demographics with long-term impacts medically.
  • I also worked in the foster care system for 20 years.
Bills: SB5 , SB11 , SB12 , SB 5 , SB 11 , SB 12
CA
Transcript Highlights:
  • within a stable health care delivery system.
  • In terms of your question about how health plans ensure access to care for their members, health plans
  • So we do have certain continuity of care policies as Medi-Cal members transition from one delivery system
  • Prior to accessing medical care, many, if not most, youth and families have a long process before ever
  • It is a minimum requirement to keep California's gender-affirming care system from collapsing, and we
CA
Transcript Highlights:
  • Those types of long-term questions we think would be important to keep in front of mind.
  • I'm having a lot of trouble with this as being a good, long-term move for us.
  • And so we can't act like we have all this revenue for the long term.
  • And so we can't act like we have all this revenue for the long term.
  • That's what's sending the long-term signal that emissions have to be reduced.
Summary: The hearing focused on the governor’s May Revision proposals for transportation, natural resources, climate, and related programs, with the Department of Finance and the LAO presenting competing views on the state’s fiscal condition. Finance said the budget remains balanced over two years, with major climate-bond, water, parks, transportation, DMV, and agriculture proposals, while the LAO argued the state still has a structural deficit and should reject or defer many new discretionary spending items, preserve reserves, and be cautious about ongoing commitments. The LAO specifically questioned the timing and scale of new spending for programs such as Clean California, Healthy Rivers and Landscapes, and the Golden Gate Fields acquisition, and urged more clarity on future obligations and revenue scenarios, including for the Greenhouse Gas Reduction Fund. A major portion of the hearing was devoted to the Healthy Rivers and Landscapes proposal for Bay-Delta water quality implementation. Secretary Wade Crowfoot and Finance described it as an enforceable, science-based alternative to a more traditional regulatory approach, with the state’s $25 million request intended to support early implementation, monitoring, habitat restoration, and environmental flows. The LAO countered that the Water Board has not yet adopted the updated Bay-Delta plan, that the proposal may be premature, and that the Legislature should wait for more information on the state’s total funding commitment and the program’s long-term costs. Several members expressed support for the program as a way to reduce conflict and protect water reliability, while others echoed concerns about timing and fiscal exposure. The committee also examined the proposed $125 million Proposition 4 contribution toward acquiring the Golden Gate Fields property for a shoreline park and habitat project. State officials said the acquisition is a time-sensitive, once-in-a-generation opportunity, with an appraised value of $175 million and additional philanthropic and local funding expected to close the gap. Members questioned whether the project had gone through the usual competitive process, whether the site is the best use of scarce park bond dollars, and how public access, habitat, and disadvantaged-community priorities would be protected. The discussion ended without a vote, and the committee moved on to transportation items including Clean California litter abatement, the Games Route Network, homeless encampment coordinators, and DMV modernization and field office proposals, with LAO recommending rejection or delay on several of those requests as well.
CA

California 2025-2026 Regular Session

Senate Business, Professions and Economic Development Committee Jun 8th, 2026

Business, Professions and Economic Development

Transcript Highlights:
  • Access to technical assistance and financing remains one of the biggest barriers to long-term success
  • AB 685 recognizes that California must continue investing in the long-term resilience of our small business
  • system and provide excellent patient care.
  • , including abortion care, long before it was criminalized.
  • , including abortion care, long before it was criminalized.
MA

Massachusetts 2025-2026 Regular Session

Joint Committee on Transportation Mar 3rd, 2026

Joint Committee on Transportation

Transcript Highlights:
  • Highway Administrator Jonathan Gulliver, and I'm here to support House Bill 4987, an act financing long-term
  • improvements to municipal Bill 4987, an act financing long-term improvements to municipal roads and
  • , while positioning communities for long-term economic growth and vitality.
  • In the long term, residents will encounter quieter, faster service with significantly reduced noise and
  • We thank you very much for that long-term support that you've provided us.
Summary: The Transportation Committee heard testimony on House Bill 4987, the Healey-Driscoll administration’s transportation bond bill financing long-term improvements to municipal roads and bridges. Administration officials said the bill would authorize more than $5 billion overall, including $1.2 billion for Chapter 90 over four years, $500 million for accelerated road and bridge repairs, $200 million for MBTA rail modernization and reliability, $200 million for transportation projects supporting housing development, $200 million for a new DCR parkway resilience and safety program, and reauthorizations for federal-aid highway projects, non-federal highway projects, municipal pavement, and Shared Streets and Spaces. They emphasized that the proposal is backed by Commonwealth Transportation Fund revenues, including registry fees, gas tax, and Fair Share surtax revenue, and said it would improve safety, reliability, housing production, and regional equity. Committee members asked about the four-year Chapter 90 authorization, the housing-related transportation funding, federal funding uncertainty, and how the MBTA money would support commuter rail electrification and regional rail. Administration witnesses said the multi-year structure would help municipalities plan and avoid more expensive deferred maintenance, that the housing funds would be flexible for infrastructure needs tied to development, and that the state is pursuing federal grants while relying on state-backed capital financing. They also described process improvements at MassDOT that have reduced project bid-to-notice timelines by 60% and said the rail modernization funds would support locomotive procurement, including battery-electric and Tier 4 diesel locomotives. The Massachusetts Municipal Association and local officials from Sherborn, Conway, and Yarmouth strongly supported the bill, saying the increased Chapter 90 funding and road-mile formula have made a major difference for small and rural communities and that four-year funding would improve predictability, project bundling, and cost savings. They cited local road, bridge, culvert, and gravel-road needs and urged favorable action. A Better City and MAPC also supported the bill but urged the committee to use it for broader transportation policy changes and new revenue tools, including possible reforms to TNC fees, regional pricing, and other funding mechanisms. The committee took no vote during the hearing and adjourned after testimony.
ND

North Dakota 2026 1st Special Session

Legislative Procedure and Arrangements Apr 22nd, 2026

Legislative Procedure and Arrangements Committee

Transcript Highlights:
  • They generally didn't care. They generally didn't care.
  • Last, more long-term, sort of this idea of orientation, ongoing professional development, and then an
  • And some of those into 2029 and beyond are really more long-term pieces.
  • They're currently doing a major evaluation of the child care system through the Department of Health
  • It's the quality of people long term that's going to make the difference, than just quickly hiring people
Summary: The Legislative Arrangements and Procedure Committee met with a quorum, approved the prior minutes, and then took up several follow-up items related to legislative security, public records, and the impacts of term limits. The Secretary of State’s office presented draft language to make legislators’ and candidates’ residential addresses confidential in public records, with discussion of who would be covered, how the protection would work, and whether it should expire when a candidate’s term ends. Members raised concerns about unintended consequences, transparency, and whether the public should still be able to see enough information to evaluate residency requirements. Rather than act immediately, the committee set the draft aside for a future meeting and asked for an amendment reflecting the Secretary of State’s suggested changes. The committee also reviewed a security best-practices memo and NCSL materials on capitol security. The memo encouraged legislators to be aware of their surroundings, avoid real-time vacation posting, vary routines, report threats, and follow security alerts. Members discussed a recent incident and the need to improve alert distribution and update contact information so legislators and staff receive notices consistently. The Secretary of State and committee members noted that the alert system may need refinement, including a separate legislative notification channel. The bulk of the meeting was devoted to Garrity Consulting’s final report on how to mitigate the effects of legislative term limits. The consultants summarized interviews, surveys, and focus groups with legislators, the public, and stakeholders, identifying major themes such as loss of institutional knowledge, leadership turnover, staffing pressures, and the need for stronger onboarding and training. Recommendations included considering annual sessions or shifting biennial sessions to even-numbered years, restructuring organizational session, making interim committees more consistent with regular committees, adding office hours, formalizing mentorship and leadership succession planning, expanding staff and professional development resources, creating public-facing educational tools, and improving communication and virtual testimony options. Members generally appreciated the report and its phased implementation roadmap, while also debating the practicality of some recommendations and the tension between making service more demanding and keeping the legislature accessible to new candidates.