Video & Transcript : 'direct care services' :

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US
Transcript Highlights:
  • those services.
  • follow the law or follow the President's directives?
  • DOJ service.
  • How is this going to affect services? Is it going to affect services?
  • We need people that care. They care about our constituents.
Summary: The committee convened to discuss the nominations of Scott Cooper for Director of the Office of Personnel Management and Eric Ulan for Deputy Director at the Office of Management and Budget. This meeting highlighted the critical roles both positions play in managing the federal workforce, which comprises over two million civilian employees. Concerns were raised regarding the current administration's approach to federal employment, citing issues like mass firings and the undermining of collective bargaining rights. Members expressed the need for better accountability and transparency within the federal system, emphasizing the importance of attracting talented public servants.
LA

Louisiana 2026 Regular Session

Appropriations Mar 16th, 2026

Appropriations

Transcript Highlights:
  • We're going to start this morning with the LSU Health Care Services Division.
  • ESF-6 was Mass Care, Temporary Housing, and Human Services.
  • , 24-hour care for any behavioral health services, physical health services.
  • So we have two primary vendors who provide advocacy services and care services... ...vendors who provide
  • advocacy services and care services to any youth who have been identified as suspected or confirmed
Summary: The committee first heard a budget presentation on LSU Health Care Services Division and Lallie Kemp Medical Center. Staff reviewed HCSD’s roughly $74.7 million budget, much of it tied to legacy obligations for former LSU hospital systems and support for Lallie Kemp. Committee members asked about prisoner care, risk management costs, declining admissions and emergency visits, and the hospital’s 340B drug program. Lallie Kemp officials explained that prisoner care serves multiple state and local facilities, that lower admissions largely reflect more patients being placed in observation status, and that the in-house 340B program provides major savings to patients and the prison system. Members also asked about care for unhoused patients and the hospital’s discharge practices, and the hospital said social services works to find placement when possible. The committee then moved to the Louisiana Department of Health budget, which was presented as just under $23.5 billion, with Medicaid making up more than 90 percent of the total. The presentation covered the Office of the Secretary, Office of Public Health, Office of Behavioral Health, Office for Citizens with Developmental Disabilities, and Medicaid. Major items included the new Rural Health Transformation Program, the transfer of several functions from DCFS to LDH under the One Door initiative, changes to SNAP administration, and large Medicaid adjustments driven by enrollment, utilization, and federal policy changes. Testimony also highlighted the statewide crisis hub and 988, the commodity food program for seniors, women’s health and maternal outcomes, and the department’s efforts to modernize technology and reorganize services. Members questioned LDH officials on a wide range of budget and policy issues, including the rural health grant, crisis services, Medicaid redeterminations, provider taxes, physician and hospital supplemental payments, nursing home rates, HCBS funding, and the impact of the federal One Big Beautiful Bill Act. LDH said the rural health grant would support workforce, technology, and care-delivery improvements; that the crisis hub and mobile crisis units are being expanded to improve access and reduce emergency room use; and that the department is working to keep the SNAP error rate below 6 percent to avoid a projected state cost increase. Officials also said they expect to return next year with additional funding requests for HCBS and other programs, while emphasizing that current budget changes are largely meant to realign funding with actual expenditures and new federal requirements. No votes or formal actions were taken in the portion provided.
CA

California 2025-2026 Regular Session

Senate Revenue and Taxation Committee Apr 8th, 2026

Revenue and Taxation

Transcript Highlights:
  • The general fund supplies critical services to all of our service workers, our teachers, our firefighters
  • , her health care, and long-term care at her center.
  • We have a rural health care system currently on the ropes and federally qualified health care centers
  • We have a rural health care system currently on the ropes and federally qualified health care centers
  • Be careful here.
Summary: The committee heard several tax and revenue measures. SB 1277, by Senator Grove, proposed a California Cost of Living Tax Credit modeled on the 2022 middle-class tax refund to provide direct relief to low- and middle-income Californians facing high housing, gas, energy, and general living costs. Supporters said it would help working families, farmworkers, teachers, and others; opponents, including the California Tax Reform Association and the California Teachers Association, argued California already has a progressive tax system, that refundable credits are costly and can be difficult to administer, and that the bill would reduce General Fund revenues and Proposition 98 funding. The bill was held on call after extensive debate and no motion was made at that time. The committee then heard SB 1287, which would create a targeted tax credit to encourage private investment in short-line railroad infrastructure. The author and rail industry witnesses said the credit would support safety, bridge and track upgrades, emissions reductions, freight efficiency, and rural and agricultural supply chains, while opponents argued a direct grant program would be preferable to a tax credit. The bill was accepted with committee amendments and placed on call after a motion to move it forward. SB 1407 would exempt military retirement pay and surviving spouse benefits from state income tax, with the author, State Treasurer Fiona Ma, and veterans’ groups arguing it would help retain veterans in California, support second careers, and keep federal retirement dollars in the state. The California Teachers Association and California Tax Reform Association opposed it as another tax expenditure that would reduce General Fund revenue. The committee approved the bill on a due pass as amended vote to the Senate Committee on Military and Veterans Affairs, with several members voting aye and others not voting, and the bill was placed on call. The committee also heard SB 1349, which directs the Legislative Analyst’s Office to review major tax expenditures and evaluate their costs, beneficiaries, and effectiveness. Supporters, including CTA, AFSCME, cities, counties, and many teachers, said the state needs more accountability for roughly $94 billion in annual tax expenditures and their impact on schools and the budget. The bill was moved with committee amendments and placed on call. Additional measures discussed included SB 1078, authorizing Santa Cruz County to seek voter approval for a temporary local sales tax increase to fund health care and safety-net services; SB 1120, extending the California Competes Tax Credit through 2035 and making it refundable for certain strategic industries; and SB 1275, which would convert the state sales tax on vehicle purchases into a deductible vehicle license fee to reduce Californians’ federal tax burden. SB 1120 and SB 1275 both received support from business and industry witnesses, with no opposition testimony noted, and were moved on call or with a due pass as amended vote as the committee continued through the file.
CA
Transcript Highlights:
  • we need more of, and where to direct those services.
  • is that... ...services.
  • Families would receive fewer services instead of the services they truly need.
  • services they need.
  • services.
Summary: The Assembly Budget Subcommittee on Human Services held an informational hearing on several Department of Developmental Services proposals, with no votes taken. The first item focused on equitable access to intake and services for regional center clients, including standardizing eligibility assessments and modernizing the strengths-and-needs evaluation used to inform individual program plans. DDS said the changes would create a more consistent, equitable, and evidence-based process statewide, while the LAO explained the proposals as a response to disparities and inconsistent regional center practices. Advocates and regional center representatives were divided: Disability Rights California, the State Council on Developmental Disabilities, and some providers supported modernization but urged clearer safeguards, more community co-design, and stronger legislative review; others, including some regional center leaders and family advocates, warned against replacing the CEDER too quickly and stressed the need to preserve the person-centered IPP process. Committee members emphasized fair process, fidelity, and the need for a validated tool, while also noting that the proposals would not change eligibility definitions or replace IPPs. The second major item addressed state-operated transitional and rehabilitative services, including proposed time limits for stays at Porterville Developmental Center and Canyon Springs, plus the merger of the Community Placement Program and Community Resource Development Program. DDS argued that people should not remain in locked facilities for years and that the proposal would create urgency, clearer transition planning, a right of return, and a more efficient single program for community resource development. Supporters, including Disability Rights California, the State Council, the Public Defenders Association, and some service providers, said the proposals align with Olmstead and the Lanterman Act, reduce overreliance on institutions, and should be paired with stronger mental health supports, oversight, and notice to counsel. Opponents, including a district attorney representative, argued that a blanket 24-month limit could endanger public safety and that some individuals require longer, case-by-case commitments. Committee members said they wanted a more comprehensive plan showing that community placements and supports will be ready before people are moved, and they questioned whether an arbitrary timeline could work for such a complex population. Throughout the hearing, members repeatedly stressed that any implementation must be fair, transparent, and backed by valid tools, adequate community capacity, and public input. DDS said both sets of proposals would require legislative approval and that the department is still open to changes in trailer bill language and further stakeholder consultation. The hearing ended with the committee indicating it would continue reviewing the proposals and hear public comment, but no formal action was taken.
FL

Florida 2026 5th Special Session

Appropriations Oct 8th, 2025

Transcript Highlights:
  • services because it's about the demand for health care services because even though Medicare picks up
  • care.
  • of managed care, and we had the same problem, is the rising costs for a service cluster called behavioral
  • managed care.
  • So had it all been fee for service and we'd never done managed care, what would the price increases have
Summary: The committee met to hear Amy Baker’s presentation on Florida’s constitutionally required long-range financial outlook for fiscal years 2026-27 through 2028-29. Baker said the forecast reflects slower but still positive economic growth, continued above-average personal income growth, rising wages, and population growth that is increasingly driven by in-migration as Florida’s senior population expands. She highlighted weakening housing-related revenue, especially documentary stamp taxes, softer consumer sentiment, and the expectation that Florida will pass 25 million residents by 2030, with nearly a quarter of the population age 65 or older. Baker said the outlook largely retained the March 2025 general revenue forecast, but the Legislature’s 2025 session actions significantly improved near-term funds available by redirecting or freeing up money, including contingency appropriations and reversions. She noted total state reserves are just under $15 billion, or about 30% of general revenue, and that the budget stabilization fund is at its constitutional maximum. The main spending pressures in the outlook were critical needs, led by a new emergency preparedness and response fund transfer and Medicaid growth driven mainly by medical inflation and behavioral analysis costs in managed care, not by caseload growth. Other high-priority needs were also identified, and Baker said the first year shows a projected surplus, but years two and three show shortfalls, meaning fiscal strategies will still be needed. Members questioned Baker about the accuracy of the forecast, Medicaid managed care costs, the emergency preparedness fund, federal funding assumptions, and whether recent federal legislation was reflected in the numbers. Baker said the outlook is a good representation of the total picture, though the Legislature will likely adjust it as conditions change, and that more information on federal changes would come in later estimating conferences. Senator Trumbull asked about the governor’s veto of $750 million, and Baker said it simply returned to unallocated general revenue rather than being spent or added to the budget stabilization fund. The chair closed by warning members to expect a difficult budgeting process and noting that the committee would adjourn without further action.
AZ

Arizona 2026 Regular Session

03/25/2026 - House Government

Government

Transcript Highlights:
  • Again, the newspapers provide a service, much like a paving company that provides a service to the cities
  • I know how to take care of that.
  • I believe the original bill moves us in a direction that doesn't prioritize the health care needs of
  • all the people. ...in a direction that doesn't prioritize the health care needs of all the people that
  • When I'm asked which direction I would want to go, or, you know, what I consider going this direction
Committee: House Government
Keywords: 1182, all
CA

California 2025-2026 Regular Session

Senate Rules Committee Mar 25th, 2026

Rules

Transcript Highlights:
  • providers coming under the Child Care Bargaining Act.
  • providers whose lifelong service continues to inspire my commitment to public service.
  • Public service is not something that I have ever taken lightly.
  • So absolutely, we’re moving in that direction. We continue to move in that direction.”
  • I do think that you're working to move it in the right direction.
Committee: Senate Rules
Summary: The Senate Rules Committee first handled several routine items, approving two governor appointments not required to appear: Armin Meyer to the Division of Consumer Financial Protection and Uca Danka to the California State Lottery Commission. The committee also approved referral of bills to committees, a Rules waiver request to suspend SR 55 for guest access on the Senate floor on April 6, and floor acknowledgments, with each action passing 5-0. The committee then heard from Arania Ortega, appointed to the Public Employment Relations Board. Members asked about her background at CalHR and the Department of Finance, her approach to board decision-making, recusal rules, the status of AB 288, PERB’s caseload and backlog, ride-share enforcement, and the legislative employees’ unionization process. Ortega said PERB currently has no backlog, is preparing for possible new workloads, and has recusal procedures that would automatically exclude her from certain state employee and child care cases for one year. Public testimony supported her appointment, and the committee voted 5-0 to move her nomination to the full Senate. The committee also heard from Monica Erickson, nominated to lead the Department of Human Resources. Questions focused on state labor negotiations, CalPERS, recruitment and retention, telework, discipline and HR training, DEIA efforts, hiring pipelines, degree requirements, veteran hiring, return-to-office implementation, and the gender pay gap. Erickson said CalHR has reduced the vacancy rate from 20% to 17%, is expanding recruitment tools and class consolidations, is working on a skills-matching tool and career counseling, and has helped reduce the gender pay gap from 21.1% in 2013 to 12.2%. Public witnesses spoke in support, and the committee approved her nomination 5-0 to advance to the Senate floor.
TX
Transcript Highlights:
  • It also authorizes the Health and Human Services.
  • Brad Davenport, assistant director with the City of San Antonio Animal Care Services.
  • The City of San Antonio Animal Care Services Department faces significant problems with pet overpopulation
  • After that, I moved on to Athens Animal Services.
  • SB 2113 is in service of this provision.
CA
Transcript Highlights:
  • and transitional care services.
  • In 2024, we had budget increases for primary care services, and obstetric services increased to 87% of
  • So even when women seek care, many still face barriers in accessing the services that they need.
  • Her health care providers weren't able to also direct her and provide that guidance.
  • health care, and social services so that every Californian can receive coordinated, equitable care.
Keywords: 988, house, all
CA

California 2025-2026 Regular Session

Senate Public Safety Committee Jun 23rd, 2026

Public Safety

Transcript Highlights:
  • medical care?
  • or call in medical care as well.
  • 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.
  • Public service is built on trust.
Keywords: 987, senate, all
VT

Vermont 2025-2026 Regular Session

House Session - 2026-05-21 - 3:23PM

Vermont House Floor Meeting

Transcript Highlights:
  • to individuals under other emergency housing services.
  • to individuals under other emergency housing services.
  • It's called In Lieu of Flowers: Remember and Care for the Living.
  • It's called In Lieu of Flowers: Remember and Care for the Living.
  • </c><00:16:13.839><c> and</c> as from a lack of sufficient caring and as from a lack of sufficient caring
Keywords: 926, house, all
MA

Massachusetts 2025-2026 Regular Session

Joint Committee on Ways and Means Mar 23rd, 2026

Joint Committee on Ways and Means

Transcript Highlights:
  • care businesses.
  • of Early Education and Care.
  • Beyond direct care, we manage Child Care Circuit, one of the state's regional child care resource and
  • referral agencies, which helps families access care, vouchers, and supportive services.
  • Under the direction of the MBLC, library services have been automated and streamlined.
Summary: The Joint Committee on Ways and Means held a public hearing in Lawrence focused on the governor’s proposed FY27 budget for education and local aid. Opening remarks from Senator Pavel Payano, Representative Pat Duffy, and local leaders emphasized the importance of education funding for Lawrence and other Gateway Cities, with Acting Mayor Giovanni Rodriguez and Superintendent Ralph Carrero highlighting the city’s high-need student population, Chapter 70 and Student Opportunity Act funding, early college and career pathways, and the need for sustained support to close achievement gaps. The Education Secretariat testified in support of the budget, with Acting Secretary Amy Kershaw outlining investments in early literacy, universal pre-K, student mental health, school meals, high school redesign, higher education affordability, and early childhood systems. Commissioner Noi Ortega described higher education proposals including expanded free community college, continued free tuition at public four-year institutions, student success funding, early college and dual enrollment investments, and the Bright Act and Drive Act. Commissioner Pedro Martinez detailed K-12 proposals such as full Student Opportunity Act funding, increased Chapter 70 aid, special education circuit breaker funding, transportation aid, literacy initiatives, and a new Accelerating Achievement Initiative aimed at schools with the greatest needs. Commissioner Kershaw also described early education proposals including funding for C3, child care financial assistance, CPPI, workforce supports, and administrative funding restoration. Committee members questioned the administration about the pending local contribution formula study, the final year of Student Opportunity Act implementation, and the need to address health care and other cost drivers in school funding. Officials said the local contribution report is expected by the end of June and that a draft will be shared for public comment after data analysis is complete. Members also raised concerns about Chapter 70 disparities between districts and urged a broader review of the formula. In response, the commissioners said the Student Opportunity Act narrowed funding gaps but further work is needed, and they pointed to the new achievement initiative, literacy efforts, and early college expansion as ways to improve outcomes. No votes were taken at the hearing.
CA
Transcript Highlights:
  • Our program does provide both voucher-based services as well as state-contracted direct service programs
  • early education through advocacy, direct service, and empowerment.
  • million eligible children in the state who currently are not receiving care of services.
  • Child care helps my family by giving me child care service so my mom could go to work.
  • Child care helps my family by giving me child care service so my mom could go to work.
Summary: The hearing was a joint budget discussion focused first on California preschool and child care, then on universal transitional kindergarten (TK), with later movement toward a reading-difficulties screener item. Members emphasized the need for a coordinated early childhood system that better serves families’ real schedules and needs, rather than forcing families to fit existing program structures. The preschool panel reviewed access, quality, workforce, facilities, and information systems, with repeated concern about whether current funding and program design are sufficient for infants, toddlers, three-year-olds, and full-day/full-year care. Witnesses from the Learning Policy Institute, CDSS, CDE, and community providers described major growth in preschool and child care enrollment, especially for two- and three-year-olds, but also noted persistent gaps, waitlists, workforce shortages, low reimbursement rates, and the need for more stable funding. Several witnesses urged expansion or permanence of two-year-old eligibility in CSPP, more support for mixed-delivery systems, facility conversion and renovation grants, better statewide enrollment and referral systems, and continued funding for one-time grants such as UPK coordinators and planning/implementation supports. Provider and parent testimony stressed that rate reform, enrollment-based reimbursement, and continued hold-harmless protections are needed to keep programs open and accessible. The TK panel reviewed the Governor’s budget proposal for full implementation of universal TK, including Proposition 98 funding for expansion and lower adult-to-child ratios, plus a multilingual learner screening implementation budget change proposal. LPI and CDE reported that TK enrollment has grown rapidly but uptake is now a little over half of eligible four-year-olds, with families citing lack of awareness, preference for other care, and logistical barriers such as location and hours. CDE and providers said the UPK planning and implementation grant, mixed-delivery planning grants, and UPK coordinators have been critical, but these one-time funds are set to sunset. Members pressed for more information on eligible population projections, full-day/full-year demand, teacher credential data, and how administrative credential programs are preparing leaders for early childhood settings. The committee held the issues open and requested follow-up data from the departments.
AZ

Arizona 2026 Regular Session

01/22/2026 - House Health & Human Services

House Health & Human Services Committee of Reference

Transcript Highlights:
  • From an access-cost prevention perspective, lactation care is a proven preventative service.
  • services they deserve.
  • I'm a retired public school professional with over 35 years of direct service.
  • Thanks for taking care. So I brought up standard of care previously.
  • There's not really a standard of care, but we've got to be careful with that term standard of care.
Summary: The committee began with two radiology-related bills focused on rural access and workforce shortages. HB 2049 would allow particle accelerators for cancer treatment in critical access hospitals and counties under 400,000 population under general supervision, with rural providers testifying that the change would let patients receive care closer to home while maintaining safety protocols. The bill passed on an 11-0 vote. HB 2050 updated outdated radiologic technologist statutes, revised school accreditation and clinical-hour standards, and allowed radiologist assistants to work under supervision rather than direct supervision; an amendment also added registered nurses to the list of professionals not needing an additional license to use diagnostic X-ray machines. Testimony centered on staffing shortages, national standards, and whether the change would preserve oversight. The committee adopted the amendment and passed the bill 10-2, with some members citing the need for more vetting and concern about oversight of dangerous equipment. The committee then heard HB 2082, which creates a Childhood Cancer and Rare Childhood Disease Research Commission to award grants for phase-one pediatric cancer and rare disease trials using existing license-plate funds and other sources. Parents and patients gave emotional testimony about pediatric brain cancer diagnoses, the lack of effective treatments, and the need for Arizona to support local research; the bill passed unanimously 12-0. HB 2015 required Access to cover breastfeeding and lactation services, and an amendment made the coverage subject to CMS approval. Supporters described breastfeeding as preventive care with benefits for infants and mothers, while Access said it was neutral but appreciated the amendment’s fiscal safeguard. The bill passed 12-0 as amended. Next, HB 2177 directed Access to seek CMS waivers to restore Medicaid payments for certain services provided to American Indian and Alaska Native members by IHS and tribal facilities, including dental, diagnostic, therapeutic, and preventive services. The sponsor and a Sage Memorial Hospital witness said the bill would help tribal facilities draw down federal funds and keep services local; it passed 12-0 as amended. HB 2178 required state agency chief medical officers to hold an active medical or osteopathic license and passed without opposition. HB 2179 clarified statutory definitions separating air ambulance from ground ambulance regulation, with industry testimony saying it was a cleanup measure that would avoid unintended consequences; it also passed 12-0. Finally, HB 2183 created an 11-member emergency medicine study committee to examine EMS system sustainability, rural and urban capacity, workforce burnout, and uncompensated care. Firefighters, health care advocates, and an emergency nurse practitioner supported the study as a way to gather data and make recommendations; it passed 12-0. The committee then returned to HB 2072, which establishes an optional state certification for lactation care providers under ADHS, along with rulemaking, fees, discipline, and an advisory committee; the sponsor said the credential was needed so Access could reimburse the service, and the bill was introduced for further consideration.
TX

Texas 89th Regular

Pensions, Investments & Financial Services Mar 24th, 2025

Pensions, Investments & Financial Services

Transcript Highlights:
  • Looking at the components of the tax rate, how much is being used for current services versus net services
  • and often other kinds of care, such as burn care, to that entity.
  • Like I said, we are a money service business.
  • other things that other services charge.
  • So typically, most services that involve tipping are for a service, right? Yeah, yeah, or whatever.
Bills: HB1453 , HB1718 , HB2043 , HB2207 , HB2798
CA

California 2025-2026 Regular Session

Assembly Floor Session May 26th, 2026

California House Floor Meeting

Transcript Highlights:
  • It will help keep maternity services open, therefore preventing more maternity care deserts in rural
  • Services to create a standardized model policy to ensure the Department of Health Care Services to create
  • requires the Department of Health Care Services to establish a website that provides information on
  • AB 2160 requires the Department of Health Care Services to issue guidance clarifying health care coverage
  • AB 2278 directs the California Department of Social Services to prepare a report on how much counties
Summary: The Assembly convened, established a quorum, and proceeded through a large House of Origin floor file, with the Speaker repeatedly urging members to be at their desks and keep support bills brief. Early actions included dispensing with the journal, re-referring AB 2285 to the Banking and Finance Committee, and then taking up dozens of third-reading items, with many bills passed by voice or recorded vote and others passed temporarily or retained on file. The floor debated and passed a wide range of measures on land use, housing, labor, public safety, health care, utilities, taxation, and consumer protection. Among the bills approved were measures on land surveyor review (AB 1933), nurse midwife access for pregnant and postpartum patients (AB 1696), historic-district transit zoning flexibility (AB 2415), EV charging infrastructure fees and timelines (AB 1820), foreclosure bidding protections (AB 1957), tribal cannabis commerce (AB 2506), outdoor advertising permitting (AB 2024), commercial building permit timelines and third-party plan checkers (AB 2418), DUI penalties (AB 1685 and AB 1687), utility rate transparency (AB 1715), CalWORKs work-penalty changes (AB 1755), dynamic electricity rates (AB 1787), interior designer licensure (AB 1796), compost labeling and contamination rules (AB 1812), modular housing standardization (AB 1815), small claims limits for businesses (AB 1827), Native American Day as a paid state holiday (AB 1841), hospital staffing and maternity access bills (AB 1868 and AB 1882), protective orders tied to release dates (AB 1889), and a series of public health, missing persons, and teacher credentialing measures later in the file. Several high-profile bills drew extended debate. AB 2624, expanding Safe at Home privacy protections to immigrant service providers, prompted sharp disagreement over free speech and alleged limits on online posting, but supporters said it protected workers facing threats and doxing; it ultimately passed 49-19. AB 2023, creating a framework for regulating AI chatbots used by children, was framed as a child-safety measure after testimony about chatbot-related harms and suicide risks, and passed 58-8. Other notable votes included AB 2208 on Medi-Cal protections against federal cuts, AB 2299 on CalFresh/SNAP losses, AB 2115 apologizing to California Native peoples for historic state harms, and AB 2311 on public hospital physician employment; the transcript ends as the Assembly continues working through the remaining file.
ND

North Dakota 2025-2026 Regular Session

Senate Floor Session Apr 15th, 2025 at 01:00 pm

North Dakota Senate Floor Meeting

Transcript Highlights:
  • It gives them the flexibility to divest from direct investments in China. ...from direct investments
  • And this was directed by Senate Bill 2308. Operating, but they will manage it.
  • abuse services.'
  • services, including voluntary entrance into a licensed treatment program.
  • services, including voluntary entrance into a licensed treatment program.
Keywords: 908, all
Summary: The Senate met with a quorum present and handled a mix of conference committee appointments, appropriations bills, policy bills, and House amendments. Early in the session, the chamber appointed conference committees for SB 2399 and for House-amended SBs 2213 and 2354, and also named conference committees for HB 103, HB 1308, and HB 1169. The Senate then took up several appropriations measures, including HB 1612, which creates the North Dakota Center for Aerospace Medicine at UND; the Senate adopted an amendment shifting the funding to a one-time $250,000 Community Health Trust Fund appropriation with a required $250,000 match from other sources, and the bill passed 39-7. HB 1193, the “Back the Blue” grant, was amended to make the funding one-time and focus on officer retention, then passed 41-5. HB 1329, a government spending database proposal for school districts, was amended into a legislative study and passed 42-4. HB 1020, the water budget, received extensive amendments reducing and reallocating funding across major water projects, adding studies and oversight changes, and passed 45-0 with the emergency clause. HB 1581, a tribal tourism grant, also passed 40-6. The Senate rejected HB 1330, which would have authorized divestment from direct investments in Chinese companies; after debate over the prudent investor rule, trade impacts, and whether the bill singled out one nation in law, it failed 20-26. HB 1534, limiting property valuation increases, and HB 1266, adjusting the disabled veterans property tax credit, both failed unanimously or nearly so after committee recommendations against them. HB 1566, which would have created a regulatory framework for a product discussed as kratom, was amended on the floor to convert it into a study and then passed 31-15. The chamber also passed HB 2241 on charter schools after a House amendment changed the funding formula to the statewide average from the prior year, and HB 2022, the indigent legal counsel budget, after House changes added funding flexibility, offset lost fee revenue, and included a study on a public defender office. The Senate concurred in several House amendments and then passed a number of Senate bills. SB 2375, allowing joint negotiations between dental providers and insurers under Attorney General oversight, passed 44-2. SB 2251, clarifying that open records requests during state audits should be referred to the audited agency, passed 46-0. SB 2159, related to nuclear energy research, passed 43-3 after House amendments required Industrial Commission approval and consultation with the radioactive waste advisory council. SB 2155, changing gratis antelope license rules, passed 30-16 after debate over landowner rights and tag distribution. SB 251, setting fees and an audit for the Private Investigative and Security Board, passed 44-2. SB 2280, the prior authorization health insurance bill, passed 43-3 with a House-added study and consumer protections. SB 2023, the Racing Commission budget, passed 41-5 after a House change made internship funding one-time. SB 2232, changing prenatal substance exposure reporting requirements and related toxicology rules, passed 44-2. SB 2241, authorizing public charter schools, passed 39-7. The session ended while the Senate was still processing SB 2022’s final passage vote, but the bill had already cleared concurrence on House amendments.
MA

Massachusetts 2025-2026 Regular Session

Joint Committee on Mental Health, Substance Use and Recovery Jun 21st, 2026 at 11:00 am

Joint Committee on Mental Health, Substance Use and Recovery

Transcript Highlights:
  • , family care.
  • , family care.
  • care.
  • Thank you so much for your work, your service, and your comments. Thank you, everyone. Take care.
  • They also provide medical care, connection to necessary services, human connection, and dignity to people
Keywords: 995, all
Summary: The Joint Committee on Mental Health, Substance Use, and Recovery held a public hearing on several harm reduction bills, including measures to decriminalize simple possession and paraphernalia, authorize overdose prevention centers, and expand access to naloxone for first responders. Chair Mindy Domb and Senator John Velis opened by describing harm reduction as an evidence-based public health strategy and noting Massachusetts’ recent decline in fatal overdoses. They emphasized that testimony would help shape whether and how the bills advance, and explained the hearing process, including time limits and written testimony. Testimony was sharply divided. Supporters, including Rep. Kate Donaghue, Sen. Cindy Friedman, Rep. Marjorie Decker, Rep. Manny Cruz, public health professionals, recovery advocates, and people with lived experience, argued that harm reduction saves lives, reduces stigma, and can connect people to treatment. They supported overdose prevention centers and decriminalization as tools to keep people alive long enough to enter recovery, and several speakers described personal losses to overdose or family experiences with addiction. Some supporters also framed the bills as racial justice measures, arguing that criminal penalties for possession have disproportionately harmed Black and brown communities. Opponents, including Sen. Nick Collins and several South End residents, argued that overdose prevention centers and decriminalization would worsen public drug use, crime, and neighborhood disorder, especially around Mass and Cass. They said current approaches such as Section 35, diversion, and police leverage into treatment are more effective, and they urged more treatment beds and recovery facilities instead of harm reduction sites. Committee members questioned witnesses about research, local siting, crime data, and the relationship between harm reduction and treatment, and several members said neighborhood impacts must be considered alongside overdose prevention. The committee did not take a vote during the hearing; it continued receiving testimony and announced a later break before resuming on H. 2196 and S. 1393.
TX
Transcript Highlights:
  • personnel for years of service.
  • Does 911 then direct them to y'all?
  • Yeah, they'll usually, they can actually do direct transfer, so they'll direct transfer to the poison
  • through effective advocacy, outreach, and direct services.
  • services.
Bills: SB 1
Committee: Senate Finance
Summary: The committee heard budget presentations from the Legislative Budget Board and agency officials on several agencies, starting with the Texas Historical Commission. LBB described a large biennial reduction driven mainly by the removal of one-time funding and discussed capital projects, rider changes, and exceptional items including Presidio La Bahia and the National Museum of the Pacific War. Senators asked about heritage trails, courthouse grants, unexpended balance authority, and the status of historical-site funding. Historical Commission leadership emphasized preservation, courthouse restoration, heritage tourism, coordination with the Alamo and other Texas Revolution sites, and requested additional IT, staffing, and vehicle funding. No votes were taken. The committee then reviewed the Pension Review Board and the Employees Retirement System. The Pension Review Board’s budget was largely unchanged aside from IT maintenance and salary adjustments, with an exceptional item for additional IT enhancements. Members discussed the Dallas Police and Fire Pension System’s funding dispute and the need for a workable restoration plan. ERS presented a much larger budget, including funding for the retirement system, the group benefits plan, and the legacy payment intended to reduce unfunded liability. Senators focused heavily on pension investment returns, benchmark comparisons, and rising health-care costs, especially pharmacy spending driven by GLP-1 drugs; ERS said the plan covers about 540,000 lives and that premiums would rise 8% while benefits remain unchanged. ERS also said it had no exceptional items, and committee members requested more detailed benchmark information. The committee also heard from the Texas Emergency Services Retirement System and the Cancer Prevention and Research Institute of Texas. TESSORS reported an unfunded liability, an infinite amortization period, and requested additional state support, staffing, and IT funding, including a statutory change to allow a higher contribution level; the agency warned that without more funding it may have to cut benefits. CEPRIT’s presentation covered its bond-funded cancer research and prevention portfolio, revenue-sharing from funded projects, and a request to increase salary limits for its CEO and chief scientific officer. Senators questioned CEPRIT’s accomplishments and return on investment, while CEPRIT cited screening, prevention, and research outcomes, including tens of thousands of detected cancers and precursors and hundreds of thousands of first-time screenings. The meeting ended after these presentations and questions, with no recorded committee action or vote.
WA

Washington 2025-2026 Regular Session

Senate Health & Long-Term Care Jan 23rd, 2026

Transcript Highlights:
  • preventive oral health services. ...folks across the primary care team to provide preventive oral health
  • It is intended to expand access to more routine preventive care services so that hygienists may focus
  • Patients face practical and geographic challenges to accessing routine oral health care services.
  • By way of brief background, pediatric transitional care services is defined as short-term, temporary.
  • Pediatric transitional care services is defined as short-term, temporary health and comfort services
Summary: The committee first heard Senate Bill 5899, which would create a chiropractic license endorsement allowing qualified chiropractors to perform chiropractic diagnosis and adjustments on non-human animals. The sponsor described it as a complementary tool to veterinary care, especially in rural areas with limited access to veterinarians. Testimony was mixed: supporters said the bill would expand access to animal chiropractic with training, certification, and veterinary referral to non-chiropractic issues, while opponents from the veterinary community warned about animal and public safety, disease detection, and the lack of a required veterinary referral. The hearing on SB 5899 was suspended and later reopened; testimony concluded with strong support from animal chiropractic practitioners and opposition from veterinarians, and the committee noted 57 signed in pro, 4 con, and 1 other. The committee then held a work session on dental workforce shortages. Presenters from the CORA Foundation, the University of Washington Center for Health Workforce Studies, tribal dental programs, and the Washington State Dental Association described major access gaps, especially for Apple Health enrollees, rural communities, and communities of color. They highlighted low preventive-care utilization, high rates of untreated decay, workforce vacancies for hygienists and assistants, and the value of career ladders such as community health aides and proposed oral preventive assistants. Several speakers emphasized that training pathways, retention, and sustained Medicaid reimbursement are key to improving access and keeping providers in the system. Senate Bill 6138, requiring a multi-provider system for dental procedures performed under deep sedation, drew testimony centered on patient safety after recent deaths in dental settings. The sponsor said the bill responds to a pattern of tragic incidents and would ensure one person is dedicated to monitoring sedation. Supporters from anesthesiology and some oral surgery groups backed stronger monitoring requirements, while oral surgeons and dental representatives argued the current rules already require multiple trained personnel and that the bill could reduce access and increase costs, especially in rural and Medicaid-serving practices. The committee then heard Senate Bill 6072, which would update veterinarian-client-patient relationship rules to allow telemedicine-based relationships and limited telehealth services; animal welfare and veterinary telehealth advocates supported it as an access-to-care measure, while the veterinary association sought clearer guardrails and federal-law language. Finally, the committee heard Senate Bill 6094 on pediatric transitional care services, which would create a Medicaid payment pathway and related program changes for residential care for substance-exposed infants; supporters said the model helps infants and parents, improves outcomes, and is financially unsustainable under current funding, and the hearing began with testimony in favor before time expired.