Video & Transcript : 'direct care' :

Page 214 of 500
MO
Transcript Highlights:
  • Please direct your attention to the gentleman from Boone. Gentleman from Boone. Thank you.
  • When I decided to go this direction with this bill, I was asked to... Thank you.
  • But they direct the people who can. That's something to think about, lady. Thank you.
  • But they direct the people who can. That's something to think about, lady. Thank you.
  • But it could be highly unlikely, but they're under direct order of the speaker. No, ma'am.
Keywords: 959, house, all
Summary: The House convened with prayer, the Pledge of Allegiance, and approval of the previous day’s journal by roll call vote, 102-1. Members then used points of personal privilege and special guest introductions to recognize constituents, advocacy groups, students, school officials, physical therapy advocates, domestic violence service providers, and others. One member delivered an emotional statement about the arrest of the suspect in his sister’s 26-year-old murder case, thanking law enforcement and prosecutors involved in the cold-case investigation. The chamber then took up House Bills 2097 and 1905, a measure to expand an agriculture education pilot program into a statewide option for elementary schools. Supporters from both parties described it as a way to teach children where food comes from, connect agriculture with literacy and math, and encourage interest in farming and related careers. The House adopted the committee substitute and perfected and printed the bills. Members also considered House Bill 2167, which would codify and expand authority for Attorney General investigators and, through amendments, address House and Senate security officers and certain other state officers. Debate centered on whether the bill improperly broadened the original subject and whether it would give too much arrest power or create safety and constitutional concerns. One amendment to the amendment failed on a roll call, 62-68-1, but the House adopted the St. Charles amendment 61-43 and then perfected and printed HB 2167 as amended. Finally, the House took up House Committee Substitute for House Bills 2747 and 2047, a clean-slate/automatic expungement bill. Supporters said it would give people who have completed their sentences a second chance and improve access to jobs and stability; the sponsor also explained a related change limiting death-penalty sentencing in hung-jury cases so judges would not impose death in that circumstance. The House adopted an amendment requiring expungements to be shared with consumer reporting agencies, then adopted the committee substitute and perfected and printed the bill as amended. The House also announced upcoming events and then recessed until 2 p.m.
CA

California 2025-2026 Regular Session

Assembly Communications and Conveyance Committee Jan 14th, 2026

Communications and Conveyance

Transcript Highlights:
  • Before we begin the presentation, I'd like to take care of some logistical housekeeping.
  • But broadband... ...broadband prices moved in the opposite direction.
  • And that additional choice is also going to have a direct impact on prices.
  • So that took care of the low-income concerns of affordability.
  • So that took care of the low-income concerns of affordability for us in that respect.
Keywords: 988, house, all
FL

Florida 2026 Regular Session

Senate in Session Mar 6th, 2026

Florida Senate Floor Meeting

Transcript Highlights:
  • for those who selflessly care for us.
  • You still need to take care of your family.
  • the Agency for Health Care Administration to seek federal approval and update managed care and fee-for-service
  • And it was really, really tough for me because, like, I care for you. I care for you.
  • We don't care. They didn't care so bad. You know what they did?
Keywords: 999, senate, all
KY
Transcript Highlights:
  • ><c> uh,</c> or self-care, home care training, uh, or self-care, home care training, uh, behavioral<00
  • </c> to our Medicaid uh managed care system. to our Medicaid uh managed care system.
  • . care. care.
  • </c> into the health care system every day. into the health care system every day.
  • </c> long-term care. long-term care. &gt;&gt; Recently,<00:57:45.680><c> no.
Summary: The House Budget Review Subcommittee on Health and Family Services met for an overview of the Department for Medicaid Services budget. Commissioner Lisa Lee and CFO Steve Beal described Kentucky Medicaid enrollment at about 1.4 million members, including more than 600,000 children, and said the agency’s 2025 total budget was $20.6 billion. They reviewed enrollment trends before, during, and after the COVID-19 public health emergency, noting that redeterminations begun in 2023 reduced enrollment from its peak but that total membership remains above pre-COVID levels. They also explained the difference between the fee-for-service population, which includes long-term care and waiver members, and managed care members, and gave examples of the kinds of services and diagnoses seen in each group. A major focus was the governor’s recommended Medicaid budget and the department’s forecast process. Lee said the budget is split into benefits and administration, with benefits covering fee-for-service services, managed care capitation, transportation, and Medicare premiums, while administration covers contracts, personnel, operating costs, and IT-related advanced planning documents. She said the department uses a consensus forecasting group and actuary input, and that its forecasts have been within 1% of actual spending in recent years. The department also said the governor’s budget includes new waiver slots to address waiting lists, a 2% staff COLA, and a 10% phase-down on state-directed payments beginning in January 2028. Much of the discussion centered on House Resolution 1 and the funding needed to implement its Medicaid-related provisions, including community engagement requirements, six-month redeterminations, and future cost sharing. Lee said the department requested about $35 million in total funds for fiscal 2027, including about $8.2 million in general funds for system changes to the integrated eligibility system, claims processing, notices, and monitoring; and about $11 million in fiscal 2028 for ongoing maintenance, with about $1.6 million in general funds. She said the department expects to seek federal APD matching funds for the IT work. In response to questions, she explained that community engagement would apply to Medicaid expansion members, with qualifying activities including work, school, volunteering, or equivalent income, and that certain groups such as pregnant women, children, caretaker relatives, and some people with chronic disease or substance use disorder would be excluded. She said the department identified roughly 70,000 expansion members who could be subject to the requirement. No votes or formal actions were taken.
TX
Transcript Highlights:
  • , real direction, in terms of what...
  • My wife's career has been about giving care to vulnerable populations.
  • If you care about your child's education, you will oppose SB 13.
  • If you care. your child's safety, you will oppose SB 13.
  • Enforcement mechanisms, they don't care.
CA
Transcript Highlights:
  • Four C's mission is to provide access to quality child care and early education through advocacy, direct
  • Parents struggle to access and find care, particularly infant care.
  • care navigation.
  • The kids who come to my home, I care for them like I care for my family.
  • and center-based care.
Keywords: 988, house, all
CA
Transcript Highlights:
  • Trust is a foundation of patient care.
  • And this is a step in the right direction.
  • Abortion care is common and safe, and APCs have been trained in providing this care for over a decade
  • humane care...
  • humane care.
Summary: The Assembly Business and Professions Committee heard a full agenda of bills covering travel consumer protections, cannabis commerce with tribes, medical record integrity, pest control licensing, pawn and gold-buying regulation, pharmacy discipline, land surveying, and expedited licensing for veterans separated under a federal transgender military policy. Members also later heard AB 1973, which would expand the ability of advanced practice clinicians to provide abortion care, with supporters arguing it would improve access and opponents warning about safety and scope-of-practice concerns. Several bills were presented before quorum was reached, and the chair repeatedly urged absent members to arrive so the committee could vote. Testimony on the bills was largely in support. Authors and witnesses said AB 1758 would raise the seller-of-travel assessment cap to keep the Travel Consumer Restitution Fund solvent; AB 2506 would allow state cannabis licensees to sell products from tribal licensees while respecting tribal sovereignty; AB 1637 would prevent non-physicians from altering physician-authored medical notes; AB 2477 would create a short provisional period for pest control workers awaiting licensure; AB 2633 would close a loophole involving remote gold-buying events and stolen property reporting; AB 2141 would let the Board of Pharmacy resolve some cases through stipulated settlements before formal accusations; and AB 1933 would make technical clarifications to land surveying law. AB 1775 drew emotional testimony from transgender service members and advocates describing the impact of federal separation policies and the need for California licensing and support. Once quorum was established, the committee voted out the consent calendar and each of the heard bills, generally on party-line or near-unanimous votes. AB 1637, AB 1758, AB 1775, AB 1933, AB 2141, AB 2477, AB 2506, and AB 2633 all passed out of committee, most to Appropriations or another policy committee as noted. AB 1973 also passed, despite a no vote from some members and an opposition witness from the California Family Council. The committee later took vote changes and additional roll calls for absent members before adjourning.
MN

Minnesota 2025-2026 Regular Session

House Veterans and Military Affairs Division 2/26/25

Veterans and Military Affairs Division

Transcript Highlights:
  • This bill was a direct referral from the Veterans and Military Affairs Division by State Government Finance
  • this</c><00:02:40.640><c> bill</c><00:02:40.879><c> was</c><00:02:41.000><c> a</c><00:02:41.120><c> direct
  • </c><00:02:41.400><c> referral</c> table this bill was a direct referral table this bill was a direct
  • This bill was a direct result of that.
  • HHO already has the passionate staff that wants to care for veterans.
Keywords: 1183, house
CA

California 2025-2026 Regular Session

Assembly Health Committee Mar 24th, 2026

Health

Transcript Highlights:
  • This matters because podiatrists play a key role in diabetes care, wound care, and preventing amputations
  • We pride ourselves in California on working to address the cost of health care, and health care districts
  • As mentioned, Imperial Valley Health Care District serves a community with significant health care needs
  • So this is the challenge in health care, a challenge in health care.
  • access to prenatal care. Thank you.
Keywords: 988, house, all
ID

Idaho 2026 Regular Session

Legislative Session Day 51 Mar 3rd, 2026

Idaho Senate Floor Meeting

Transcript Highlights:
  • This involves, again, small-scale direct-to-consumer sales.
  • This involves, again, small-scale direct-to-consumer sales.
  • Idaho Code 675315 directed departments to establish an employee problem-solving procedure by July 1st
  • The cost of health care, Senators, is already super expensive.
  • And if you have more... ...and the cleaning of the ditch is taken care of.
Keywords: 989, all
Summary: The Senate convened with a quorum, approved the journal, and received committee reports, gubernatorial appointments, and messages from the House. Several bills were advanced or referred to committees, including education, transportation, state affairs, finance, and judiciary. The chamber also heard introductions from visiting student groups and later recessed and reconvened. A number of bills were debated and passed. House Bill 608, on the public school facilities cooperative funding program, was presented as a cleanup and clarification measure to help qualifying districts access revolving grants without unnecessary procedural hurdles; it passed 35-0. Senate Bill 1272, a transportation code cleanup bill, and Senate Bills 1273, 1274, and 1275, all described as DOGE-style cleanup bills removing obsolete public employee retirement and related provisions, also passed unanimously by roll call or consent. Senate Bill 1283, on agricultural products and small-scale direct-to-consumer sales, drew discussion about reduced regulation and food safety; it passed 32-3. The Senate also passed Senate Bill 1325, creating a white specialty license plate with black lettering to raise money for Idaho State Police pay, after debate about trooper retention and the limits of specialty-plate funding. Senate Bill 1319, the “Emergency Affordability Act,” passed 24-11 after extensive debate over freestanding emergency rooms, surprise billing, and whether the bill protected consumers or targeted a single competitor. Senate Bill 1313, expanding voluntary dual licensure for pharmacists as naturopathic doctors, and Senate Bill 1296, creating a criminal trespass provision for churches, both passed. Additional measures passed included Senate Bill 1320 on repealing an obsolete controller fund, Senate Bill 1321 on reporting requirements for agency agreements, Senate Bill 1322 on strengthening voter affidavits when voting without ID, and Senate Bill 1269 on cloud seeding transparency and reporting, which passed 25-9 despite concerns that it added little beyond federal reporting. The Senate then took up Senate Bill 1304 on irrigation conduit right-of-way and maintenance rights, with supporters saying it would clarify ditch owners’ easement rights and reduce delays in water delivery; the debate began but the transcript ends before final action on that bill.
CA
Transcript Highlights:
  • I direct the Boys and Men Online program at the American Institute for Boys and Men.
  • I direct the Boys and Men Online program at the American Institute for Boys and Men.
  • It can deepen isolation, delay qualified care, displace learning, and sleep.
  • AI can provide information, but it must not impersonate care.
  • And so I think the common narrative is like guys just don't care and girls are the ones who really care
Summary: The Assembly Select Committee on Developing Pathways to Purpose for Young Men held its inaugural informational hearing, chaired by Assemblymember Avelino Valencia, focused on how technology is affecting boys and young men and what policy responses might help. Opening remarks from committee members emphasized personal experiences as parents, mentors, and educators, and framed the issue as broader than screen time alone, touching on mental health, education, privacy, and the need for supportive offline institutions. Valencia said the committee was created to examine the challenges facing young men, including disconnection from school, work, and relationships, and noted his bill AB 1956 to prioritize boys and young men in suicide prevention efforts. The first panel examined the state of men online. Testimony from the American Institute for Boys and Men, Generation Up, and Healthy Gamer described how pornography, gaming, gambling, crypto speculation, influencers, and AI can meet real needs for belonging, status, and connection while also reinforcing addiction, isolation, and distorted ideas about masculinity and relationships. Speakers argued that boys are especially vulnerable to algorithm-driven content, in-game gambling mechanics, and online sexual content, and that the burden should not fall solely on parents or adolescents to resist highly engineered products. They urged policy changes such as updating sex education to address pornography and AI-generated sexual content, regulating loot boxes and gambling-like features, and investing in mentorship, sports, and other offline supports. The second panel focused on designing better digital systems. A USC social psychologist and former Meta employee described how platforms optimize for engagement rather than users’ aspirations, citing evidence that harmful content and unwanted sexual images increase with algorithmic feeds. UCSF pediatrician Dr. Jason Nagata discussed research showing that problematic social media use can worsen ADHD symptoms in boys, and that boys’ body image concerns often center on muscularity, supplements, steroids, and extreme appearance modification rather than thinness. Common Sense Media’s Mikey Hothi testified that AI companions can displace human relationships and that teens can be led into sexual or emotionally dependent interactions despite guardrails. Committee members asked about age-gating, pornography, gambling mechanics, and how to build healthier alternatives; witnesses emphasized that policy should reduce addictive design, expand body-image protections, and preserve beneficial online spaces. No formal votes or actions were taken during the hearing.
TX
Transcript Highlights:
  • . ...to do by FSMB, FDA, or CDC or wherever they're getting the directions from.
  • We don't receive any directions from FSMB, the FDA, or the CDC.
  • So there's actually no funds for the rider to direct, and it has no purpose.
  • Last year alone, major cyber attacks have affected health care systems in our state, including.
  • I ask for careful consideration of this item as it impacts many of the agencies.
Bills: SB1, SB 1
CA
Transcript Highlights:
  • that already face the greatest barriers to care.
  • safety net for their primary care, behavioral health, dental care, and other essential services.
  • safety net for their primary care, behavioral health, dental care, and other essential services.
  • And protect access to care.
  • Care, also in support.
Summary: The committee heard eight bills, mostly on local government, housing, and public agency contracting. AB 1658 would make permanent higher change-order authority for Santa Clara and Los Angeles counties on large construction projects; supporters said it would reduce delays and save money on major projects, and the bill passed 6-0. AB 2263 would authorize the Santa Clara Valley Transportation Authority to develop employee-preference affordable housing; supporters said it would help with workforce retention and long commutes, and it also passed 6-0. AB 2134 would require city councils to allow parental leave without forcing members to seek public approval or risk losing their seats; supporters described the bill as necessary to protect new parents in local office, and it passed 6-0. AB 2188 would raise Midpeninsula Regional Open Space District’s contracting authority to $250,000, with supporters citing administrative savings and faster project delivery; after committee amendments, it passed 6-0. AB 2033 would let general law cities use job order contracting for repair and maintenance work, with safeguards against employee displacement; supporters called it an efficiency tool, while AFSCME opposed it over workforce impacts, and it passed 8-0 after amendments. AB 1768 would authorize Los Angeles County and Contra Costa County to ask voters to approve a temporary transactions and use tax to help offset major federal health care cuts and preserve clinics and public health services. Supporters from community clinics, Planned Parenthood, labor groups, counties, and health organizations said the measure would let voters decide how to respond to funding losses; opponents, including CalTax and some cities, raised affordability and tax-burden concerns. Members also discussed equity concerns within Los Angeles County and the importance of local control. The bill was moved out on a 5-2 vote and left on call. AB 2415 would allow the city of Folsom to shift housing obligations away from its historic district and toward other transit-oriented sites; supporters said it would preserve the historic district while still meeting housing goals, and it passed 10-0. AB 2741, heard at the end of the meeting, would give cities a grace period to fix housing elements that were certified by HCD but later found noncompliant by a court, especially where cities relied on overlay zones. Supporters from the League of California Cities, Redondo Beach, and real estate groups said cities acted in good faith and should not be immediately subjected to builder’s remedy; opponents from California YIMBY and legal aid groups argued the bill would weaken housing accountability and reward noncompliance. The transcript ends during testimony on AB 2741, before a final vote is recorded.
TX

Texas 89th Regular

Pensions, Investments & Financial Services Mar 24th, 2025

Pensions, Investments & Financial Services

Transcript Highlights:
  • and often other kinds of care, such as burn care, to that entity.
  • It's not kind of a clinic that we have certain kinds of care that we want to put in there.
  • And who directs that petition? Is that something you can answer? I think whoever wants to.
  • You have earned wage access companies that are direct-to-consumer and employer-based.
  • A $40 charge to go to the urgent care center and she doesn't have the money to pay that or she...
MO

Missouri 2026 Regular Session

Budget Feb 16th, 2026 at 12:00 pm

Budget

Transcript Highlights:
  • This is the Corps for Offender Health Care.
  • care services.
  • Anything additional on offender health care or the new decision item relating to offender health care
  • versus that the department uses for on-site health care versus off-site health care when those offenders
  • It may be taking care of boat ramps, whereas we may also be actively doing forest It may be taking care
Keywords: 959, house, all
CA
Transcript Highlights:
  • for families to obtain care in a setting that best fits their needs, and state-contracted direct services
  • care.
  • child care home in Alameda County, infant care is already above the cost of care.
  • For infant care? For a large family child care home.
  • in expanding access to child care in providing 44,000 new child care slots.
Summary: The committee heard an extensive Department of Social Services presentation on child care budget issues, including the Governor’s proposed 2026-27 budget, federal CCDF changes, Prop. 64 revenue adjustments, and a one-time $11.5 million disaster-related infrastructure grant for licensed child care facilities affected by 2025 declared disasters. DSS said federal formula updates and lower Prop. 64 revenues would reduce funding and could result in about 4,176 CCTR slots being reduced, but the department said it was working to avoid impacts to currently enrolled children. The LAO supported aligning general child care funding with lower revenues and asked for more detail on the disaster grant. Members pressed DSS and Finance on why reductions were not being backfilled and why so many awarded slots remain uncontracted or unused; DSS said delays are largely due to providers building new infrastructure, licensing, staffing, and enrollment challenges, and that some unspent funds revert to the General Fund. The committee also discussed whether some contract dollars should be shifted to vouchers and whether more flexibility should be allowed for infrastructure and expansion costs. A second panel focused on the state’s commitment to expand child care and on rate reform. DSS reported that nearly 125,000 new slots have been awarded since 2021-22, but speakers from Stanislaus County Office of Education, Parent Voices California, and the California Budget and Policy Center argued that unmet need remains large and that the system still leaves many families without access. Stanislaus County described a large local shortage of infant and toddler care and said reimbursement disparities between child care programs and state preschool create disincentives for providers. Parent Voices gave testimony about the burdens and instability families face when trying to access care, especially for survivors and low-income parents, and called for a universal, publicly funded system. The Budget Center said only about 16% of eligible children were enrolled in 2024, urged expansion across the mixed delivery system rather than concentrating investment in TK, and called for faster rate reform and new revenue. LAO estimated that bringing certain CCTR adjustment factors up to CSPP levels would cost $88 million to $131 million ongoing. Members and witnesses discussed the single rate structure, automation needs, and the need for deadlines and a ramp-up plan; DSS said the goal is to eliminate disparities, but that policy decisions are still needed before automation can proceed. The committee then reviewed several trailer bill proposals. DSS outlined a 2026-27 COLA proposal that would apply a 2.41% increase through cost-of-care-plus payments, though the department said it had inadvertently excluded CalWORKs Child Care and the Emergency Child Care Bridge Program and would revise the proposal; LAO recommended making the COLA methodology uniform across programs. DSS also proposed replacing the market rate survey with the federally approved alternative methodology on a triennial schedule, limiting temporary absences in family child care homes to 20% of monthly hours, defining excessive unexplained absences as more than 30 days in a year, and aligning family fee deductions with new federal requirements so providers receive the full voucher value. Members generally supported the temporary absence change and asked about implementation timing for the family fee deduction, with DSS saying it was in contact with Riverside County. The committee also heard a brief update on the Early Childhood Policy Council reappropriation, which would extend unused funds through June 30, 2028 because prior costs came in higher than expected.
NJ

New Jersey 2026-2027 Regular Session

Senate Budget and Appropriations Jun 28th, 2026

Senate Budget and Appropriations

Transcript Highlights:
  • That's all a step in the right direction.
  • That's all a step in the right direction, but inherently that step in the right direction leads to one
  • The members of BIA don't know why their employee declines health care.
  • and Samaritan palliative care, which are both... ...for N.J.
  • Cares and Samaritan palliative care, which are both in South Jersey, I do greatly appreciate that.
Keywords: 1146, all
TX

Texas 89th Regular

Nominations Feb 24th, 2025

Nominations

Transcript Highlights:
  • Any questions you may have of the Committee on Nominations, please direct them to me. to Hayden, he's
  • Do you direct it? Does it work at your direct supervision?
  • Ultimately, when it is a matter of direct statutory direction, I think we agree that it's It's the legislative
  • us to do, but I can say what whatever you will direct us to do We will carry it out.
  • care is increasing as we go down the road.
Summary: The meeting focused on several crucial issues, including the Texas Water Fund and its implications for development in the state. Various members highlighted the critical need for effective management of water resources, discussing the role of the Water Development Board and their strategies for outreach to local governments. The committee engaged in a thorough examination of funding projects and the sustainable financing necessary for communities facing challenges in meeting their infrastructure needs. Additionally, there was notable discussion regarding promoting workforce development and the alignment of educational programs with the demands of the job market as indicated by recent trends in community colleges.
WA
Transcript Highlights:
  • We ran in 2001 to give home care workers the right to form a union.
  • Pay-per-signature compensation model rewards volume rather than care.
  • It is a direct erosion of core democratic rights.
  • I believe in direct democracy.
  • There is no direct chain of control for this that you could track accurately.
Summary: The committee heard House Bill 2260, House Joint Resolution 4209, and House Bill 2259, with testimony and questions on each. HB 2260 would require petition signature gatherers to sign and date each petition sheet, provide their address and county, and require voters’ residence addresses for signature verification; supporters said this would improve accountability and help prevent fraud or duplicate signatures, while opponents argued it would burden volunteers, risk disenfranchising voters who move or use incomplete addresses, and add unnecessary penalties. The Secretary of State and former Secretary of State opposed the bill, saying existing verification methods are effective and that the measure could create costly, unintended barriers. HB 2259 would require 1,000 registered-voter signatures before filing an initiative or referendum and prohibit pay-per-signature compensation, with civil penalties and a private right of action; supporters said it would reduce frivolous filings, title shopping, and fraud incentives, while opponents said it would chill initiative activity, especially for rural communities and referenda with tight timelines. The Secretary of State and former Secretary of State also opposed HB 2259, saying the initiative process should remain accessible and that the bill would add barriers and workload. House Joint Resolution 4209 would amend the state constitution to allow the legislature to modify congressional districts mid-decade by simple majority if another state adopts a new congressional map absent a court order. The prime sponsor argued Washington should not unilaterally stay passive if other states engage in partisan mid-decade redistricting, while opponents said the proposal would weaken Washington’s bipartisan redistricting system, set a bad precedent, and invite retaliation. Testimony on the resolution was sharply divided, with supporters warning that partisan redistricting elsewhere threatens fair representation and opponents saying Washington should preserve its existing commission-based process rather than respond in kind. The hearing on HJR 4209 was concluded after testimony. No votes or final committee actions were taken in the excerpt. The chair suspended and reopened hearings as planned, and testimony was taken on all three measures, with HB 2260 and HB 2259 drawing extensive public comment and questions about fraud, access, and administrative burden.
MN

Minnesota 2025-2026 Regular Session

Minnesota House passes SF2884, the Minnesota State Retirement System pensions bill 5/19/25

Minnesota House Floor Meeting

Transcript Highlights:
  • he cares about the pensions and he really did good work.
  • take care of your pensions,<00:14:37.160><c> right?
  • </c> only care about themselves?" only care about themselves?" I<00:37:47.920><c> care.
  • I care about our friends and I care.
  • of the state workers and, uh, also take care of Minnesota.
Keywords: 1183, house