Video & Transcript : 'direct care services' :

Page 222 of 500
NM

New Mexico 2026 Regular Session

Senate - Finance Jan 22nd, 2026 at 02:41 pm

Senate Finance

Transcript Highlights:
  • That means behavioral health care. That means substance use care. That means full-person care.
  • That means behavioral health care. That means substance use care. That means full-person care.
  • of the services.
  • , access to care, driving times, and how long it takes to get from service to service.
  • I have the honor to be the Director for Behavioral Services at the Health Care Authority, as well as
Bills: HB1
NH

New Hampshire 2026 Regular Session

House Health, Human Services and Elderly Affairs (03/25/2026)

Health, Human Services and Elderly Affairs

Transcript Highlights:
  • Senate Bill 454 directs the Department of Health and Human Services to incorporate information related
  • And the bill directs the department to include that information in health care providers' outreach. sters
  • </c> child care um institutions. child care um institutions.
  • </c> CEO for One Sky Community Services. CEO for One Sky Community Services.
  • ><04:59:00.878><c> service</c> communities without syringe service communities without syringe service
Keywords: 1189, house, all
NY

New York 2025-2026 Regular Session

New York State Senate Session - 05/27/2026

New York Senate Floor Meeting

Transcript Highlights:
  • MOVING IN THAT DIRECTION.
  • not be able to afford care otherwise would be able to get services to keep them healthy.
  • service, direct support professionals, or DSPs, that we hear a lot about.
  • SERVICE, DIRECT SUPPORT PROFESSIONALS OR DSPS THAT WE HEAR A LOT ABOUT.
  • We're expanding child care, supporting our health care systems and safety-net hospitals.
Keywords: 993, senate, all
Summary: The Senate opened with the Pledge of Allegiance and an invocation, then approved the prior day’s Journal and moved into motions, resolutions, and budget-related business. Senator Gianaris called up Senate Print 5898A for reconsideration; the Senate voted 59 ayes to restore the bill to the third reading calendar. Several amendments were also received on third-reading bills, and the Finance Committee was called into session while the chamber proceeded with resolutions. The Senate adopted Resolution J.2106 recognizing Second Chance Month and the mental health impacts of incarceration, with Senator Brisport speaking in support and a guest from the community recognized in the chamber. The body also adopted Resolution J.1492 designating May 27, 2026, as Taiwan Heritage Day, with remarks from Senators Sepúlveda, Stavisky, and Liu highlighting Taiwanese contributions to New York and expressing support for Taiwan amid current geopolitical tensions. The Finance Committee then reported several budget bills, including Senate Prints 9003D, 9004D, 9007C, and 9009C, which were moved to third reading. The remainder of the session focused on the supplemental and controversial budget calendars, especially tax and spending provisions. Senators debated the “Protecting Our Wallets” energy rebate, with supporters describing it as a one-time check for eligible taxpayers and critics arguing it was too small and not tied directly to utility bills; the chamber accepted the message of necessity and laid the bills aside. Members also debated extensions and changes to tax provisions affecting corporations, alternative fuel exemptions, Broadway and theatrical production tax credits, charitable deductions for certain 501(c)(3)s, nicotine pouch taxes, a new New York City pied-à-terre tax, and a standardbred horse-racing testing fee. Several senators criticized the budget as raising costs or favoring certain industries, while supporters defended the measures as revenue-raising, affordability, or public-health policies. No final votes on the controversial budget bills are shown in the excerpt beyond procedural rulings, adoption of the resolution calendar, and acceptance of committee reports.
NH
Transcript Highlights:
  • to those services, as well as beneficiaries that have a quality experience of care.
  • access and integrated care to behavioral health<01:17:15.280><c> services.
  • So it's not fee for service. All of this is around the managed care.
  • </c><01:27:22.320><c> management</c><01:27:22.880><c> services</c> Medicaid care management services
  • </c><01:31:31.520><c> that</c> directing patients towards the care that directing patients towards the
Keywords: 928, house, all
Summary: The committee first handled roll call and approved the prior meeting minutes. Members discussed attendance and substitutions, then moved to the DHS commissioner’s update, which focused on New Hampshire’s Medicaid 1115 waiver and the new community re-entry initiative for people leaving correctional facilities. The presenter explained that the waiver lets the state cover certain services not normally covered under Medicaid, including substance use disorder treatment, serious mental illness services, adult dental benefits, and the new community re-entry component. She also noted that a separate youth re-entry component is federally required, with youth defined up to age 21 and foster-care-related coverage extending to age 26. The update described how the adult re-entry program works for incarcerated individuals with behavioral health needs, providing up to 45 days of pre-release services, care coordination with managed care organizations and DOC staff, telemedicine assessments, discharge prescriptions, insurance cards, and connections to community mental health, primary care, and substance use providers. For youth, the program includes more intensive case management, 30 days of pre-release services, and 30 days of post-release care coordination, with a stronger emphasis on screening, diagnosis, and holistic assessment. The presenter said New Hampshire received the adult waiver in July 2024, has implemented the program in state correctional facilities, and is beginning work at the youth center. Members and the presenter discussed why the program is structured as a waiver rather than a standard Medicaid benefit, with the explanation that CMS is allowing this as a newer policy area and that states generally pursue waivers for certain services. The chair and others emphasized the need for real cost and outcome data, and the presenter said an independent evaluator and evaluation plan are required under the 1115 waiver. Early results cited included 30 adults enrolled so far, 10 released, five youth enrolled with one released, and anecdotal early successes such as housing, employment, and better continuity of medication and treatment. The committee did not take any additional votes or formal actions beyond approving the minutes.
MN

Minnesota 2025-2026 Regular Session

Securing Human Services / Strengthening Election Integrity / Legislating Legacy Jun 8th, 2025

Minnesota Senate Floor Meeting

Transcript Highlights:
  • disability services, behavioral health, and direct care and treatment.
  • now that the services policy bill has been approved by the governor.
  • What do you think will be service here.
  • </c> get direct get direct appropriation<00:24:54.880><c> and</c><00:24:55.120><c> under</c><00:24:55.440
  • </c> other 53% and some of them are direct other 53% and some of them are direct appropriation<00:25:
Keywords: 1187, senate, all
CA

California 2025-2026 Regular Session

Senate Business, Professions and Economic Development Committee Apr 13th, 2026

Business, Professions and Economic Development

Transcript Highlights:
  • So the intent is to provide more direction.
  • and linguistically competent care.
  • SB 1179 is about access to bilingual, culturally sensitive health care because health care is a human
  • We have obviously clear vacancies and gaps in our health care services and people to fulfill those services
  • If it turns out that the bill can't go that direction, then I can always choose to go a different direction
Keywords: 987, senate, all
MN

Minnesota 2025-2026 Regular Session

House Workforce, Labor, and Economic Development Finance and Policy Committee 4/14/26

Workforce, Labor, and Economic Development Finance and Policy

Transcript Highlights:
  • </c> Next, the service to success initiative. Next, the service to success initiative.
  • </c> that provide public service that provide public service opportunities<00:05:26.720><c> in</c><00
  • as AmeriCorps and state service.
  • </c> that is a direct cost passed down to me. that is a direct cost passed down to me.
  • Thank you. ambulance services. And in greater ambulance services.
Bills: HF4598 , HF4884 , HF3732
CA

California 2025-2026 Regular Session

Senate Budget and Fiscal Review Committee Feb 4th, 2026

Budget and Fiscal Review

Transcript Highlights:
  • The data that we have is from the Department of Health Care Services, and it's based on claims for the
  • The data is based on actual claims that the Department of Health Care Services has received.
  • services, contraception, STI testing, cancer screenings, and other basic primary care.
  • As my colleagues have said, they provide basic health care services, not just to women, but to men also
  • This cut has taken effect now, and it is affecting $335 million of general health care services that
Keywords: 987, senate, all
WA
Transcript Highlights:
  • The Guard ordered into active service must be trained.
  • This is a bill about improving access to health care.
  • They’ve lost their health care.
  • care system.
  • service providers who provide specific protected health services, and their family members if such persons
Summary: The committee held public hearings on several bills. HB 2462 would direct the governor to create rules for countering threats from unpiloted aircraft systems and authorize National Guard support for law enforcement in certain circumstances; the prime sponsor and National Guard witnesses said it would improve coordination for events like the FIFA World Cup, while one testifier supported it with amendments related to law enforcement authority, data privacy, and a web portal. HB 2401 would create a Washington State Boys and Men’s Commission, contingent on non-state funding through 2029; supporters described concerns about boys’ and men’s mental health, suicide, loneliness, education, and workforce outcomes, while some asked that physical health and fatherhood be more explicitly addressed. HB 2198 would expand and standardize statewide credential and permit reporting, require agencies to publish timelines and fee refunds for missed deadlines, and consolidate reporting; the governor’s office, business groups, labor, ports, and the Department of Health testified in support, citing faster processing, predictability, and economic benefits. HB 2419 would extend Address Confidentiality Program eligibility to administrative law judges and certain Office of Administrative Hearings staff; OAH, county officials, and county clerks supported the bill, citing threats and safety concerns, and some asked to include county clerks as well. The committee then took executive action on HB 2210, HB 2205, and HB 2249. It adopted an amendment to HB 2210 preserving existing ranked choice voting systems and advanced the bill 4-2 with one excused. It adopted an amendment to HB 2205 making threats against sports officials, coaches, or participants involved in wagered events a Class C felony and barring offenders from future wagering, and advanced the bill 5-1 with one excused. HB 2249, reclassifying certain WATEC employees performing network and security duties, was advanced unanimously 6-0 with one excused.
FL

Florida 2026 Regular Session

Banking and Insurance Feb 11th, 2026

Banking and Insurance

Transcript Highlights:
  • care providers.
  • the Agency for Health Care Administration to seek federal approval and update managed care and fee-for-service
  • care and we care about the health of individuals, you know, this is an issue that directly... need to
  • I just wanted to say that being in health care, you know, I see a lot. say that being in health care,
  • care and we care about the health of individuals, you know, this is an issue that directly Imple. ..
Keywords: 999, senate, all
MN

Minnesota 2025-2026 Regular Session

House Ways and Means Committee 3/9/26

Ways and Means

Transcript Highlights:
  • and adult social services.
  • The provider hub is used by child care center and certified child care center providers to apply for
  • license care for autism centers.
  • The provider hub is used by child care center and certified child care center providers to apply for
  • license care for autism centers.
Keywords: 1183, house
CA
Transcript Highlights:
  • And then software as a service...”
  • Treasury and the Internal Revenue Service announced that they are not planning to provide IRS Direct
  • File as a service in 2026.
  • , improved free-filing service.
  • Additionally, if the IRS reintroduces the Direct File service in future tax years, FTB will be able to
Summary: The subcommittee heard May Revision proposals from the Department of Food and Agriculture, the Government Operations Agency, the Department of Technology, and the Franchise Tax Board, with public comment to come later and all items held open. CDFA presented funding for the animal care program implementing Proposition 12, including a one-time $5.2 million General Fund transfer to the Ag Fund and $2.8 million ongoing, and the LAO recommended approval while noting the Legislature should revisit the funding once litigation and federal preemption questions are resolved. CDFA also proposed ending state oversight of industrial hemp and moving to the federal USDA program by January 1, 2028, with an $8.3 million General Fund transfer to cover startup and transition costs; the LAO supported the transition. Additional CDFA items included $204,000 ongoing and one position to preserve agricultural statistics reporting after USDA reorganization, and trailer bill changes to clarify the department’s 5% indirect cost cap; both drew no objections from Finance or LAO. The Government Operations Agency and Cradle to Career items focused on implementing the new federal Workforce Pell program. Finance described trailer bill language establishing state eligibility processes, with the California Student Aid Commission as the authorizing entity in consultation with the Workforce Development Board, and proposed $1.3 million one-time General Fund for Cradle to Career to build data linkages. The LAO urged caution because federal rules were just finalized and said more information was needed on workload, costs, and whether existing data systems could support the work. Senators raised policy concerns about limiting the program to public institutions and about aligning the proposal with broader workforce and labor goals. The committee also briefly discussed SB 53/Cal Compute, with GovOps saying no appropriation had been provided for its consortium work, and Finance saying the administration was not proposing funding at this time. The Department of Technology presented a $30 million operational backstop for the Middle Mile Broadband Initiative, intended to cover any shortfall if expected revenues from the Golden State Net third-party administrator do not materialize in time. The LAO initially recommended rejection over broad spending authority, then suggested amendments with stronger reporting and legislative review; committee members questioned the revenue assumptions, oversight, and whether the request could recur. CDT also sought $1 million for Poppy, the state’s GenAI digital assistant, to expand secure statewide use; the LAO had no concerns, and members asked about data security, model bias, training restrictions, and possible local-government use. Finally, FTB proposed realigning CalFile resources after the federal Direct File program was discontinued, retaining three ongoing positions and returning the rest of the funding and positions to the General Fund; the LAO said the reduced scope was reasonable, and members discussed keeping the free filing system user-friendly and ready for future federal changes. The committee also heard the administration’s digital pre-written software tax proposal, which would extend sales tax to electronically delivered software and SaaS beginning January 1, 2027, generating an estimated $450 million General Fund in 2026-27 and $900 million ongoing, plus local revenue. The LAO supported modernizing the tax base but recommended broadening the proposal to include more digital products while considering a business-use exemption or reduced rate, and flagged a newly added video game exemption as a revenue downside. Senators generally supported the goal of raising revenue and aligning California with other states, but questioned the local revenue distribution and equity effects, and one senator said they would not support expanding the tax to books, music streaming, and similar consumer products. All items were left open without votes.
CA

California 2025-2026 Regular Session

Senate Public Safety Committee Jun 23rd, 2026

Transcript Highlights:
  • I oversee our Juvenile Hall and Juvenile Services. After 37 years of service, I will...
  • medical care?
  • medical care?
  • We provide direct services, and we work with direct service providers like Black Women Revolt Against
  • This actually came to us directly from survivors themselves as well as direct service providers.
Summary: The committee began without a quorum and heard several bills in subcommittee format. AB 1546, which would increase penalties for repeat DUI offenders by allowing a third DUI within 10 years to be charged as a wobbler, requiring a fifth DUI to be a felony, and lengthening ignition interlock and license revocation periods, drew strong support from law enforcement and district attorney groups and opposition from public defenders and reform advocates who argued the bill would further criminalize substance use and mental health issues. No vote was taken because there was no quorum at the time. AB 1595, aimed at standardizing post-conviction procedures for wrongful conviction claims and clarifying courts’ authority to consider new evidence, was supported by innocence and public defender organizations and opposed by district attorneys, who said existing habeas law is already clear and that the bill would add complexity and burden courts. AB 292, which would impose mandatory jail time for repeat felony domestic violence offenders within seven years, was supported by sheriffs, prosecutors, probation officers, and local governments, but opposed by domestic violence survivor advocates and public defender groups who warned it would not deter abuse and could criminalize survivors and divert resources from services. AB 1816, allowing courts to extend probation up to one additional year for sex offenders who have not completed required treatment, drew support from probation and law enforcement groups and opposition from public defenders and civil liberties advocates concerned about longer supervision, technical violations, and barriers such as poverty and treatment access; the committee later took a roll call and passed the bill 3-1, with one member not voting, sending it to Appropriations. After quorum was established, the committee also passed AB 1627, which would bar people with misconduct in immigration enforcement from becoming California peace officers, and AB 1927, which would create a misdemeanor for falsely impersonating a bail agent to solicit bail, both on due pass motions to Judiciary/Appropriations as amended. AB 1854, a shield-law measure expanding protections for reproductive and gender-affirming health care providers, patients, and related businesses from out-of-state legal process, was supported by the Attorney General’s office and reproductive rights groups and opposed by anti-abortion and family policy organizations; it was moved on a due pass motion to Judiciary. The committee then heard AB 1872, which would make repeat adult swatting offenses a felony/wobbler and require restitution for property damage, with support from law enforcement, prosecutors, and civil liberties advocates and opposition from public defenders and justice reform groups who argued the bill would not deter conduct and could disproportionately affect people with mental illness or undocumented status. A motion to advance AB 1872 was made, but the transcript cuts off before any final vote on that bill.
LA

Louisiana 2026 Regular Session

Appropriations Mar 16th, 2026

Appropriations

Transcript Highlights:
  • ESF-6 was Mass Care, Temporary Housing, and Human Services.
  • , 24-hour care for any behavioral health services, physical health services.
  • I'm sorry, so we have two primary vendors who provide advocacy services and care services. to one and
  • I'm sorry, so we have two primary vendors who provide advocacy services and care services.
  • The vendors provide advocacy services and care services to any youth who have been identified as suspected
Keywords: 965, house, all
CA
Transcript Highlights:
  • we need more of, and where to direct those services. ...or unmet, and what services we need more of
  • and where to direct those services in terms of local communities.
  • We already see gaps between services authorized and services actually utilized. ...gaps between services
  • services they need.
  • services they need.
Keywords: 988, house, all
FL

Florida 2026 Regular Session

Senate in Special Session E May 12th, 2026

Florida Senate Floor Meeting

Transcript Highlights:
  • Across districts, across chambers, and across differences, understanding that service to people must
  • always be greater than service to self.
  • House Bill 5301E, a bill to be entitled an act relating to health care.
  • House Bill 5301E, a bill to be entitled an act relating to health care.
  • House Bill 5301E, a bill to be entitled an act relating to health care. Is there a debate?
Keywords: 999, senate, all
CA

California 2025-2026 Regular Session

Assembly Budget Committee Jun 15th, 2026

Budget

Transcript Highlights:
  • By the actions of the federal government through health care and human services.
  • It seeks to retain and ensure our undocumented patients stay in managed care for non-emergency services
  • while simultaneously rejecting reductions to in-home supportive care services.
  • It's threatening health care access, safety net programs, and services that millions of Californians
  • Indigenous Care, or a state-funded pilot program for Medi-Cal emergency-only services for those falling
Committee: House Budget
Keywords: 988, house, all
ND

North Dakota 2025-2026 Regular Session

Tribal and State Relations Committee May 13th, 2026

Transcript Highlights:
  • And the last way that the department provides these services is through direct service provision at the
  • It is about improving the entire system of care and proving that people are receiving services in the
  • It is about improving the entire system of care and proving that people are receiving services in the
  • continuum of care, a range of service levels that include outpatient treatment, intensive outpatient
  • level of care.
Summary: The committee met at Spirit Lake Tribe and first heard welcoming remarks and introductions from tribal leaders and program directors. Chairwoman Street and other tribal representatives outlined a range of concerns and requests for state action, including taxation of reservation lands, support for non-beneficiary students at the tribal school, homelessness funding, Indian-managed health care, gaming and e-tabs, Feather Alert improvements, industrial farming near waterways, tourism, and better state-tribal consultation. Committee members responded that the meeting was intended to improve understanding and communication, and several members suggested future legislation or resolutions could be used to advance some of the issues. The tribe also offered to provide training on treaties, IHS 638, and compact services to legislators and staff. A major portion of the discussion focused on Spirit Lake fish and wildlife jurisdiction and the lake boundary. Tribal representatives asked for an MOU or co-stewardship agreement with the state to clarify hunting and fishing rights, recognize tribal licenses, and reduce recurring disputes over “gray areas” on the reservation and lake. Committee members discussed whether to draft a bill or resolution directing the executive branch and state agencies to negotiate such an agreement, and asked that North Dakota Game and Fish be invited to a future meeting. Related concerns included aquatic nuisance species prevention, with both sides agreeing that more aggressive boat inspection and cleaning measures would be beneficial. The committee also discussed taxation and county relations. Tribal leaders raised concerns about county resistance to fee-to-trust transfers and about property and vehicle taxation affecting members living on or near reservation lands. Committee members and tribal counsel reviewed federal treaty principles and court cases, and one member noted that the committee had previously taken no formal action on similar issues. Later, Benson County’s tax equalization director explained how the county values taxable land, handles inundated land applications, and tracks land coming off the tax rolls when the tribe repurchases acreage. The discussion ended with a presentation from the president of Sisseton Wahpeton College, who described the college’s programs, economic impact, and funding needs, followed by an HHS presentation on 1115 Medicaid waivers and the IMD exclusion as the committee moved to its next topic.
CA
Transcript Highlights:
  • services.
  • So how will the Judicial Council ensure the increase does not impact those direct services?
  • For CCHCS on the medical side, the focus was on business services, medical services, and nursing services
  • Dwayne Reader, California Correctional Health Care Services.
  • Care.
Summary: The Senate Budget Subcommittee No. 5 held an informational hearing on the Governor’s May Revision proposals for labor, public safety/judiciary, and transportation, and no votes were taken. In Part A on labor, the Employment Development Department described funding for EDD Next document management work, updated UI loan interest costs, disability insurance and paid family leave benefit increases, WIOA adjustments, UI and school employee benefit changes, an EMT training reappropriation, and a technical correction tied to an EDD Next reversion. PERB discussed reduced funding requests for AB 288 due to litigation and a proposal to implement AB 1 covering legislative employees. DIR presented proposals for legal unit reclassifications, two major IT modernization projects, a new Cal/OSHA emerging technologies unit, a COIA reappropriation, and trailer bill language requiring electronic payment of employer assessments and removing a salary cap for the DWC administrative director. CalHR proposed consolidating employee assistance services into a statewide contract with enhanced support for first responders, and CalPERS and CalSTRS presented budget adjustments tied to investment costs, state contributions, and benefit overpayments. Members focused heavily on the unemployment insurance debt and interest payments, asking why the administration had no concrete plan to pay down principal. Finance and LAO explained that the state’s UI tax structure has long been insufficient and that any long-term solution would need to address both the outstanding federal loan and the structural imbalance in employer taxes. Questions also centered on EDD Next costs and timelines, with the chair asking for clearer long-term project cost estimates and Finance noting that future maintenance and operations costs will continue after implementation. On DIR’s emerging technologies unit, members asked whether it would address AI-driven workplace harms; DIR said the unit would focus on physical workplace safety issues involving AI, robotics, autonomous equipment, and related guardrails, while LAO noted broader labor-practice questions would likely fall outside Cal/OSHA’s scope. In the CalPERS discussion, members raised concerns about transparency in private equity and external management fees, while CalPERS said higher fees reflect a strategy of greater private-market and active-management exposure and are offset by higher net returns. Members urged more information on specific investments and future reporting. For CalSTRS, Finance presented routine contribution and overpayment adjustments, but members also raised broader transparency concerns that CalSTRS staff said they would follow up on separately. Public comment in Part A was dominated by strong support for an immigrant worker emergency relief fund, along with support for apprenticeship and workforce proposals and PERB staffing. The chair and members said they would follow up on where the immigrant relief proposal should be considered, noting it may belong in another policy area. The hearing then moved into Part B with an overview of Judicial Branch-related May Revision items, including court interpreter funding, appellate court security, workload cap changes, lactation room implementation delays, and a reduction to the state court facility construction backfill.
AZ

Arizona 2026 Regular Session

01/26/2026 - House Health & Human Services

House Health & Human Services Committee of Reference

Transcript Highlights:
  • There are 240,000 care partners in Arizona caring for them, millions of unpaid hours of care. $600 million
  • health care.
  • So managed care. Managed care plans in more than one state.
  • The same agency that blocks health care workers from providing care and delays the care of sick people
  • He said they are now getting telehealth services because they are afraid to go into health care facilities
Summary: The committee began with a presentation from the Alzheimer’s Association Desert Southwest Chapter and Dr. Anna Burke of Barrow Neurological Institute on the growing impact of Alzheimer’s and dementia in Arizona, the need for earlier diagnosis, better provider education, caregiver support, and continued research funding. They described current gaps in training and access to specialists, but also highlighted new therapies, lifestyle interventions, and Arizona-based research efforts. Members expressed support and optimism, but no action was taken on the presentation. The committee then heard HB 2202, which appropriates $300,000 from the general fund over fiscal years 2027 through 2029 for a dementia care tele-mentoring grant program through the Department of Health Services. Supporters, including the Alzheimer’s Association, a dementia specialist, and a patient advocate, said the program would help primary care providers diagnose dementia earlier and improve care. The bill was passed out of committee on an 11-0 vote. Next, the committee took up HB 2251, the midwifery bill, which would authorize certain licensed midwives to dispense and administer specified medications and devices, require liability insurance disclosure and annual reporting, and create a Midwifery Advisory Committee. A committee amendment removed some medications and renamed the bill the Jordan and MacTerry Act. ACOG and the Arizona Osteopathic Medical Association opposed the bill as drafted, citing concerns about oversight, peer review, and the medication list, while licensed midwives and other supporters argued the bill would improve safety, transparency, and alignment with national standards. The bill was held for further stakeholder work, with members indicating more amendments were likely. The committee then heard HB 2252, which would allow certified nurse midwives, certified professional midwives, or licensed midwives to accompany a patient in a ground ambulance during an out-of-hospital birth if approved by medical direction. Supporters described cases where continued midwife involvement during transport helped newborns and mothers, while firefighters and EMS representatives opposed the bill as written, saying it created ambiguity about command and scene control and could raise safety concerns. The chair said the bill would be held for further stakeholder meetings and possible language changes. After a recess, the committee reconvened for presentations on federal Medicaid and rural health funding impacts, beginning with JLBC’s overview of H.R. 1’s Medicaid provisions and the rural health transformation grant program.