Video & Transcript : 'psychiatric advance directive' :
Page 21 of 500
NH
Transcript Highlights:
- I think that given the rapid advances in cryptocurrency, uh, that it would be unwise for the state of
- I think that given the rapid advances in cryptocurrency, uh, that it would be unwise for the state of
- I think that given the rapid advances in cryptocurrency, uh, that it would be unwise for the state of
- list for an emergency psychiatric bed.
- </c> that Madora's psychiatric evaluations that Madora's psychiatric evaluations warned<04:36:33.760>
WA
Washington 2025-2026 Regular Session
House Appropriations Feb 23rd, 2026
Transcript Highlights:
- And I would also direct you to the appropriations analyst who are the same. is available online and I
- Your commitment to stabilizing skilled nursing funding gets us going in the right direction.
- You cannot use advanced technology without understanding the tools at play.
- Kimberly, please advance Allison Nelson, Brooke Fisher-Clark, Gregory Joseph, and Bethany.
- Amanda Holfield, can we please advance Amanda? And then also Christina Volnikovsky.
Summary:
The House Appropriations Committee held a public hearing on proposed substitute House Bill 2289, the House operating budget. Budget staff Mary Monroe gave a detailed overview of the proposal’s near general fund outlook, reserve levels, major revenue assumptions, and major spending and savings items. She highlighted assumed revenue from capital gains and a proposed “millionaires tax,” a transfer from the budget stabilization account, administrative reductions across agencies, and several major policy shifts, including changes affecting Working Connections Child Care, K-12 education, higher education, long-term care, behavioral health, wildfire response, and state employee compensation. Members then asked questions, including about the higher education building account/operating fee swap and its interaction with the capital budget and Climate Commitment Act funds. The committee also announced amendment deadlines for the budget process.
The bulk of the meeting was public testimony, with many speakers generally supporting or opposing specific parts of the budget. Supportive testimony praised funding for wildfire prevention, public health, reproductive health, civil legal aid, the Poison Center, some higher education institutions, and certain disability and child welfare services. Many speakers urged restoration or protection of funding for K-12 education, especially transition to kindergarten, local effort assistance, bus depreciation, and Running Start; others opposed cuts to child care, early learning, public defense, long-term care, adult day and home care services, occupational/physical/speech therapy for Medicaid patients, and community and technical colleges. Several local government, health, and nonprofit representatives also asked the committee to preserve public works, homelessness, energy assistance, environmental justice, and recovery/diversion programs, while some business and public safety groups sought continued funding for organized retail crime prevention and related initiatives.
No votes were taken during the hearing. The committee recessed briefly and later resumed with virtual testimony, where additional witnesses repeated concerns about education cuts, long-term care, health care access, disability services, dispute resolution, early childhood programs, and the need for ongoing or increased funding in those areas.
NH
New Hampshire 2026 Regular Session
House Health, Human Services and Elderly Affairs (01/14/2026)
Health, Human Services and Elderly Affairs
Transcript Highlights:
- </c><00:33:27.919><c> the</c> act here says um directing the act here says um directing the department
- Um but the direct of the law.
- </c> of Plasau when they lost their advanced of Plasau when they lost their advanced life<03:42:46.560
- </c><03:45:16.080><c> patient</c> things that affect direct patient things that affect direct patient
- that directs you to be involved?
WY
Transcript Highlights:
- In the afternoon, after any committee afternoon, after any committee directives, the committee has a
- I would like to move to direct LSO to essentially renumber 26 LSO-466. I have a working draft, too.
- psychiatric conditions absolutely do not warrant the highest level of psychiatric care like the state
- Um, Director Richards, let's go over committee directives, and then obviously at the end...
- I'll pause there if I misunderstood that direction."
MN
Minnesota 2025-2026 Regular Session
Minnesota House panel hears proposal to fund state-run psychiatric treatment facility 4/21/26
Minnesota House Floor Meeting
Transcript Highlights:
- This bill is an appropriation for the pre-planning process to create a psychiatric residential treatment
- Children's psychiatric residential treatment facility to be operated by Minnesota Department of Human
- Hi, my name is Nancy Freeman, and I'm the Operations Services Chief Operating Officer for Direct Care
- Thank you for Direct Care and Treatment.
- ><c> is</c> Direct care and treatment is Direct care and treatment is appreciative<00:04:13.600><c> and
NE
Nebraska 2025-2026 Regular Session
Health and Human Services Committee - Room 1510 Jun 30th, 2026 at 02:00 pm
Transcript Highlights:
- The White Hall campus is a Joint Commission-accredited psychiatric residential treatment facility that
- program in Hastings, and they were absolutely convinced that they could, about some psychiatric program
- So it's not a direct savings or a direct debit on HHS's specific budget, is that accurate?
- So the Whitehall campus is a psychiatric residential treatment facility, a PRTF.
- I think you've been very forthright in directing your answers.
Summary:
The Health and Human Services Committee held an invited-testimony hearing on LR 425, which examines the Whitehall campus in Lincoln and possible long-term options for youth currently served there. Chair Brian Hardin explained that Whitehall houses two separate programs for adolescent males: a substance use program and a youth-who-sexually-harm program. Testimony from DHHS officials described Whitehall as a Joint Commission-accredited psychiatric residential treatment facility (PRTF) that provides about 40 hours of weekly programming, family involvement, school services, and community reintegration activities. Officials said the department is evaluating whether the programs should remain at Whitehall or move to another state-owned facility, with Hastings described as the department’s preferred alternative because it is more residential in design than a youth rehabilitation treatment center (YRTC).
AK
Alaska 2025-2026 Regular Session
Joint Legislative Session Jun 19th, 2026
Transcript Highlights:
- House Bill 52 relating to minors and psychiatric hospitals.
- Minors and psychiatric hospitals. Thank you. Minors and psychiatric hospitals. Thank you.
- For many families, especially those from rural Alaska and rural communities, a child receiving psychiatric
- This is a company that makes over a billion dollars per year with psychiatric detention facilities that
- And so this just simply directs the administration to do something they could do in the first place.
Summary:
The Alaska Legislature met in joint session with a quorum to consider veto overrides on five bills: HB 52 on minors in psychiatric hospitals, SB 41 on mental health education, HB 314 on architects, engineers, surveyors, and interior designers, SB 21 on the Alaska Work and Save Program, and HB 195 on pharmacists and physician associates. Supporters of HB 52 argued it would improve transparency, family communication, oversight, and reporting in psychiatric treatment for minors; opponents were not recorded in the excerpt. The joint session voted 36-24 to sustain the governor’s veto, so HB 52 did not become law through override.
For SB 41, supporters said the bill would create developmentally appropriate mental health education guidance for schools and help address Alaska’s high suicide rate, while the governor argued it would intrude on local control. The override failed 38-22. For HB 314, members said the bill was needed to extend the AELS Board and avoid disruption to professional licensing and oversight; the override passed 45-15, so the veto was overridden. For SB 21, supporters said the Work and Save Program would expand retirement savings access for workers and small businesses, including an option to direct PFD funds to retirement; the override failed 39-21.
For HB 195, supporters said it would expand access to care by allowing pharmacists to provide more services under a standard-of-care model, especially benefiting rural residents and families seeking lower-cost treatment, while opponents raised concerns about abortion-related implications and scope. The joint session voted 43-17 to override the veto, so HB 195 was enacted over the governor’s objection. The session then adjourned.
ID
Idaho 2026 Regular Session
Agenda Jan 13th, 2026
Transcript Highlights:
- That includes Medicaid, Division of Welfare, and, let's see, psychiatric hospitalization.
- That includes Medicaid, Division of Welfare, and, let's see, psychiatric hospitalization.
- Fair, and let's see, psychiatric hospitalization, just to name a few.
- I should also note at the top of that staff list, I've identified the direct website link if you want
- It would also allow students to use their advanced opportunity funding for elective courses or courses
Summary:
The Joint Finance-Appropriations Committee opened its session with roll call, confirmed a quorum, and introduced new co-chairs, members, pages, and legislative staff. Committee leaders emphasized the heavy workload ahead, the role of JFAC as the legislature’s budget-writing committee, and the importance of using LSO staff, impact team analysts, and other resources. Staff then reviewed the committee’s website tools, budget publications, session record, budget highlights, and the 10-week hearing schedule, including upcoming presentations on the governor’s budget, LSO analysis, health insurance costs, the economic outlook, and the first budget hearings.
Administrator Lori Wolf of the Division of Financial Management presented Governor Little’s FY 2026 and FY 2027 budget recommendations, describing them as balanced and built around “enduring Idaho values.” She said the budget responds to slower revenue growth and economic uncertainty with early action, including a 3% holdback, vacancy reductions, and one-time transfers of unused balances and interest earnings to the general fund. Major proposed reductions included ongoing cuts across state agencies, no change in employee compensation, higher employee health insurance costs, reductions to Medicaid, changes to virtual school and Idaho Digital Learning Academy funding, and no transfer from the budget stabilization fund. She also outlined support for rural health grants, graduate medical education, and implementation of Medicaid reforms and federal tax conformity beginning January 1, 2026.
Committee members questioned the assumptions behind the revenue forecast, the use of one-time funds, the impact of higher health insurance costs on employees, the size and timing of tax conformity, and the proposed cuts to online education and IDLA. Several members raised concerns that the budget relied too heavily on projected revenue and policy changes, while Wolf and co-chair Groh said the budget was intentionally conservative, preserved reserves, and avoided using stabilization funds. No votes were taken during the meeting; the committee concluded after the budget presentation and questions, with plans to continue hearings the next day.
NH
New Hampshire 2025 Regular Session
House Health, Human Services and Elderly Affairs (03/12/2025)
Health, Human Services & Elderly Affairs
Transcript Highlights:
- </c> testifying shortly and the advances testifying shortly and the advances those<01:24:18.600><c> questions
- This bill is a small step in the direction of writing that balance.
- Care work with um women who does Direct Care work with um women who are<02:37:45.840><c> navigating<
- Those are comprehensive team-based approach, evidence-based psychiatric rehabilitation, peer support,
- </c> Three of those four elements require either a psychiatrist or an advanced practice psychiatric care
Summary:
The House Committee on Health, Human Services and Elderly Affairs heard testimony on House Bill 606, as amended, a bill aimed at preventing physicians from denying medically necessary sterilizing or fertility-affecting treatment based on a patient’s age, number of children, marital status, or a doctor’s speculation about future reproductive intentions. Representative Ellen Reed, the sponsor, described the bill as a response to her own long experience with PCOS, heavy bleeding, and repeated refusals by doctors to perform a hysterectomy despite her clear wishes. She said the amendment narrows the bill to medically necessary care, adds definitions for “medical condition” and “appropriate reproductive care,” and removes earlier provisions about voluntary sterilization referrals. She also said the bill does not target religious objections, and that doctors could still refuse for medical, payment, or existing religious reasons not addressed by the bill.
Committee members asked about religious freedom, informed consent versus waivers, and the scope of the new definitions. Reed responded that religion was not added to the list of prohibited reasons for denial, and that the amendment is intended to protect doctors when patients sign informed consent or waivers. She explained that “appropriate reproductive care” includes procedures such as hysterectomy, oophorectomy, orchiectomy, salpingectomy, and endometrial ablation, and that the bill now focuses on medically necessary treatment rather than elective sterilization. She said the change was intended to make the proposal narrower and more tailored after earlier concerns.
Several witnesses supported the bill with personal accounts of being denied hysterectomies or other procedures despite serious symptoms. Representative Lauren Selig described a decade-long effort to obtain a hysterectomy after years of cycle problems and migraines, saying doctors dismissed her concerns and treated her symptoms as normal. Jade Flad also testified in support, saying she had long been told to simply endure her cycle problems and noted that her husband was offered a vasectomy without similar barriers. The sponsor said online support was strong and that there was little or no written opposition testimony. No vote or final committee action was taken during the portion of the hearing provided.
ID
Idaho 2026 Regular Session
Agenda Feb 10th, 2026
Transcript Highlights:
- have started to provide that service and utilization at a higher level of intensity, meaning more direct
- care staff being allotted to provide direct care services to one individual or two individuals.
- But I think we have seen some increase there, a reflection of psychiatric needs in our youth.
- Psychiatric hospitalization. It's the in-between services.
- But I think we have seen some increase there, a reflection of psychiatric needs in our youth.
Summary:
The House Health and Welfare Committee approved the February 5, 2026 minutes and then heard a lengthy budget presentation from Department of Health and Welfare Director Juliet Sharon and Medicaid Director Sasha O’Connell. The department outlined numerous supplemental and line-item requests across Medicaid, child and family services, welfare/self-reliance, and support functions, including funding for state hospital billing authority, Medicaid caseload and cost growth, rural health transformation staffing and program funds, child care capacity and program integrity work, kinship navigation, home visiting, and IT and procurement modernization. The committee also discussed the department’s reorganization and the need for additional procurement support for large Medicaid contracts.
Much of the discussion focused on Medicaid spending growth, especially in disability services and behavioral health. Sharon said higher utilization and more intensive services, including residential habilitation, youth residential treatment, and substance use services, were driving costs. Members asked about safeguards against provider overuse or steerage; the director said the department uses annual assessments, internal reviews, data mining, and referrals to program integrity, and that some provider behavior had already prompted a proposed rate reduction for residential habilitation. She also explained that the department is seeking to maintain contractor support for disability assessments rather than absorb the work in-house.
The committee also reviewed the department’s response to budget reductions and federal changes. Sharon explained the 4% provider rate reduction, the resulting savings, and the need for an additional $22 million in general funds to balance Medicaid, with options for further cuts still before the legislature. Other topics included the state’s Medicaid estate recovery and program integrity contractors, the impact of new SNAP administrative cost-sharing rules, Medicaid work requirements and more frequent eligibility reviews under state and federal law, and a request for three dedicated procurement staff in the Department of Administration to speed Medicaid contracting. No further votes were taken beyond approval of the minutes, and the committee adjourned to attend the floor session.
WA
Washington 2025-2026 Regular Session
House Health Care & Wellness Feb 3rd, 2026 at 01:30 pm
Health Care & Wellness
Transcript Highlights:
- House Bill 2555 directs the Health Care Authority to apply for that waiver from CMS to allow for the
- House Bill 2555 directs the Health Care Authority to apply for that waiver from CMS to allow for the
- This legislation adds a definition for traditional Indian medicine, directs HCA...
- HB 2658 moved the state in a different direction before that work has even gone live.
- Citizens Commission on Human Rights, a psychiatric watchdog group.
Keywords:
Medicaid, healthcare, traditional practices, health insurance, coverage expansion, mental health, insurance coverage, transparency, consumer protection, efficiency, health carriers, providers relations, tribal data, data protection, privacy, sharing of information, Indigenous rights, overdose prevention, data sharing, public health
ND
North Dakota 2026 1st Special Session
Tribal and State Relations Committee May 13th, 2026 at 01:00 pm
Tribal and State Relations Committee
Transcript Highlights:
- Gaming related to e-tabs, related to what we feel is a direct violation of our compact with the state
- An IMD waiver is a meaningful, proven step in the right direction.
- An IMD waiver is a meaningful, proven step in the right direction.
- We serve as the only private psychiatric hospital in the state. We have 132 beds.
- It directs the department to apply for a waiver.
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:
- And that's just not the direction we want to go for the state.
- In 2024, CDCR was directed to make reductions of about $400 million.
- You were directed to do so and did not do so. So what I... Directed to do so and did not do so.
- We can now hire those, like licensed psychiatric practitioners.
- So, moving into our recommendations, we recommend directing CDCR...
NH
New Hampshire 2025 Regular Session
House Health, Human Services and Elderly Affairs (03/12/2025)
Health, Human Services & Elderly Affairs
Transcript Highlights:
- </c> testifying shortly and the advances testifying shortly and the advances those<01:24:18.600><c> questions
- This bill is a small step in the direction of writing that balance. I take your points.
- </c><02:58:09.239><c> screening</c> medical or psych psychiatric screening medical or psych psychiatric
- </c><03:01:39.319><c> social</c> any Grand influx of psychiatric social any Grand influx of psychiatric
- Three of those four elements require either a psychiatrist or an advanced practice psychiatric care provider
MN
Minnesota 2025-2026 Regular Session
Human services panel hears HF2143 3/26/25
Minnesota House Floor Meeting
Transcript Highlights:
- the fourth leading cause of disability in young people and has the highest suicide risk of any psychiatric
- suicide<00:08:53.040><c> risk</c><00:08:53.279><c> of</c><00:08:53.519><c> any</c><00:08:53.839><c> psychiatric
- </c><00:08:54.480><c> disorder</c> suicide risk of any psychiatric disorder suicide risk of any psychiatric
- Mamanyi Hiltsy for bringing forward this legislation and for taking the time to meet with counties in advance
- Uh, we look forward to working with advocates and Representative Mamani Hiltsy to advance that shared
OK
Oklahoma 2026 Regular Session
Appr/Sub-Health and Human Services Feb 4th, 2026
Transcript Highlights:
- So yes, we did prioritize with our own internal funds some increases to our direct care staff at Central
- Can you visit with us about your psychiatric residencies? Yes, absolutely.
- So we've been growing the psychiatric residency complement.
- So you're adequately funded right now for your psychiatric residency program. Okay.
- And through referrals and through direct care on site, I just cannot thank you all enough for the hope
Summary:
The subcommittee heard budget presentations and questions from several health and human services agencies, with members repeatedly emphasizing that agency numbers had been posted since October and that questioning should stay focused and brief. The Office of Juvenile Affairs said its $5.45 million request would support 162 employees receiving a pay adjustment, and members asked about juvenile care conditions and staffing. The Department of Human Services discussed major changes to child care subsidy funding, including a reduced subsidy request, a $11.5 million child care teacher recruitment/retention request, and planned eligibility and reimbursement changes; it also reviewed SNAP administrative cost shifts under federal law, the state’s SNAP error rate, and the risk of large future state costs if the error rate is not reduced. DHS also addressed TANF reserves, the DDS waiver wait list, the Greer Center buildout, the Advantage waiver supplemental, and meal service options for waiver members. OCCY described a largely personnel-driven budget, requests for more oversight staff, and workload pressures in juvenile competency evaluations. The Office of Disability Concerns reported a flat budget and said it relies mainly on mediation and informal resolution rather than enforcement. OSU Medical Authority said its Tulsa expansion, VA skybridge, and c-section suites remain on schedule, that psychiatric residency funding is being phased in over several years, and that it is working to reduce contract labor and evaluate service lines. J.D. McCarty Center reported its new ABA outpatient clinic is on time and on budget and is nearing full capacity. OMMA said its lab is following required standards, its FTE count is below budgeted levels because hiring depends on lab accreditation and other unknowns, and dispensary numbers continue to decline as the market matures. Oklahoma Rehabilitation Services said it needs about $1.4 million to avoid a maintenance-of-effort penalty and discussed aging campus capital needs and staffing vacancies. The Oklahoma Health Care Authority then outlined a very large budget requirement driven by utilization growth and the shift to value-based care, saying FY26 is currently stable but FY27 would likely require additional appropriations if the request is not fully funded.
FL
Florida 2026 4th Special Session
January 13, 2026 - 02:00 PM
Transcript Highlights:
- Maney: About three weeks later his psychiatric records were released.
- You can walk in as a member of the public and hear about someone's psychiatric problems or substance
- By advancing this legislation you will reaffirm Florida's commitment to religious freedom and compassionate
TX
Transcript Highlights:
- This bill represents a meaningful and necessary advancement in Texas efforts to ensure that individuals
- When Texans experience a psychiatric emergency, they typically turn to emergency rooms for referral to
- And increasingly common solution to this problem is Uh, psychiatric bed registries, which are systems
- This bill carries no fiscal note and simply directs TDCJ to establish a mental health.
- Although this long process may sound good in theory, it has led to slow moving sunscreen advancement
KY
Kentucky 2025 Regular Session
Interim Joint Committee on Families and Children (9-24-25)
Transcript Highlights:
- And so I started there working direct care in our residential program and have had the opportunity to
- And so I started there working direct care in our residential program and have had the opportunity to
- nurse practitioners and two psychiatric nurse practitioners and two primary<00:37:50.079><c> care</c
- in wisdom and age and kids to advance in wisdom and age and grace.<00:53:51.359><c> We</c><00:53:51.680
- We are advancing a public-private partnership, which was begun several years ago, and we're using that
Summary:
The Joint Committee on Families and Children met with a quorum, approved the August minutes, and received an update that the number of children in out-of-home care with active placements was 8,647 as of September 7, 2025. The first presentation was from Isaiah 117 House, a nonprofit that provides a home-like setting for children on removal day so they do not have to wait in a state office. Speakers described the mission as reducing trauma for children, lightening the burden on case workers, and easing transitions to foster or kinship placements. They said the Kentucky home in Logan County opened on August 15 and had already served 10 children in its first six days.
Committee members asked about logistics, including whether children placed with kinship caregivers would still come to the house, how long children can stay, who remains responsible for them, and how volunteers are screened. The presenters said children are brought to the house regardless of whether they are headed to kinship or foster placement, that 72 hours is not a hard cutoff, and that a case worker remains in charge at all times while volunteers provide support. They also said volunteers undergo background checks, trauma-informed training, confidentiality instruction, and annual continuing education. In response to questions about funding and expansion, they said Isaiah 117 House is community-funded without state or federal money, and that new homes are opened only when fully funded, with construction costs typically ranging from $80,000 to $150,000 and first-year budgets around $180,000.
The committee then heard a presentation from Remy Eastep Homes on its Family Centered Integrated Healthcare and related services. Leaders described the organization’s history from its origins as separate orphanages in Boyd County to residential treatment, treatment foster care, prevention services, and outpatient behavioral health. They said the organization shifted about 15 years ago toward engaging families more directly because family involvement improves outcomes and helps keep children safely at home when possible. The presentation continued into program details, but no votes or formal actions were taken on either presentation.
NH
New Hampshire 2025 Regular Session
House Health, Human Services and Elderly Affairs (01/16/2025)
Health, Human Services & Elderly Affairs
Transcript Highlights:
- We actually have about 50% of our workforce is what we call direct care, and that is providing either
- there as well that provide direct services.
- </c> are about programmatic uh uh direct are about programmatic uh uh direct policy<00:16:51.000><c>
- We are the state's inpatient acute adult psychiatric hospital.
- </c><01:28:54.760><c> that</c> question and exactly the direction that question and exactly the direction