Video & Transcript : 'direct care services' :
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PA
Pennsylvania 2025-2026 Regular Session
Senate Session (Jun 23 2026)
Pennsylvania Senate Floor Meeting
Transcript Highlights:
- No family member, no guardian, no power of attorney, no health care agent, and no advance directive can
- , comfort care, and pain control.
- , comfort care, and pain control.
- care preferences, often in situations that are not foreseeable.
- Care in Watsontown.
Summary:
The Senate convened with prayer, the Pledge of Allegiance, committee reports, and approval of the prior journal. Members also granted several leaves of absence and welcomed a number of guests, including Ireland’s Consul General and Deputy Consul General, student shadows, an intern, and the Neshaminy High School baseball team, which was recognized for winning the 2026 PIAA Class 6A state championship. The chamber then recessed briefly for an Education Committee meeting and party caucuses before returning to session.
On the floor, the Senate advanced several measures. Senate Bill 362, addressing SNAP skimming, passed 49-0 after remarks about protecting food assistance benefits from theft. Senate Bill 469, providing discounted fishing and hunting licenses for current and retired law enforcement, also passed 49-0 after an amendment was withdrawn. Senate Bill 730, codifying Pennsylvania POLST forms for end-of-life medical orders, saw a tabled amendment from Senator Boscola on physician-assisted dying after a 28-21 vote, then passed 49-0. The Senate also adopted an amendment to Senate Bill 1206 clarifying a temporary license pending FDA approval, and sent House Bill 1344 and Senate Bill 1377 to the House after unanimous final passage.
Other bills were moved to appropriations or held in order, including Senate Bill 49, House Bill 96, Senate Bill 535, Senate Bill 536, House Bill 538, Senate Bill 743, Senate Bill 1262, Senate Bill 1273, House Bill 1286, and Senate Bill 1372. House Bill 1862 and House Bill 2017 each received amendments and were re-referred to the Appropriations Committee. The Senate also agreed to consider newly reported committee bills, including measures from Finance, Judiciary, Veterans Affairs and Emergency Preparedness, and Education.
In petitions and remonstrances, Senators Tartaglione and Costa focused on minimum wage and utility affordability, urging action on consumer protections, LIHEAP funding, data center energy costs, and related energy policy. The session concluded with the signing of House Bill 1877 in the presence of the Senate and a recess until June 24, 2026, at 11:00 a.m., unless recalled earlier.
CA
California 2025-2026 Regular Session
Assembly Business and Professions Committee Apr 7th, 2026
Transcript Highlights:
- They are already safely providing a range of reproductive health care services in California today.
- I felt called to act in a community where there's an obvious need for reproductive health care and services
- and delivery services, or specialized reproductive care like abortions.
- At the same time, access to midwifery care and early pregnancy services are limited across large portions
- humane care.
Summary:
The Assembly Business and Professions Committee heard a full agenda of bills covering travel consumer protections, cannabis commerce with tribes, medical record integrity, pest control licensing, pawn and gold-buying regulation, pharmacy discipline, land surveying, and expedited licensing for veterans separated under a federal transgender military policy. Members also later heard AB 1973, which would expand the ability of advanced practice clinicians to provide abortion care, with supporters arguing it would improve access and opponents warning about safety and scope-of-practice concerns. Several bills were presented before quorum was reached, and the chair repeatedly urged absent members to arrive so the committee could vote.
Testimony on the bills was largely in support. Authors and witnesses said AB 1758 would raise the seller-of-travel assessment cap to keep the Travel Consumer Restitution Fund solvent; AB 2506 would allow state cannabis licensees to sell products from tribal licensees while respecting tribal sovereignty; AB 1637 would prevent non-physicians from altering physician-authored medical notes; AB 2477 would create a short provisional period for pest control workers awaiting licensure; AB 2633 would close a loophole involving remote gold-buying events and stolen property reporting; AB 2141 would let the Board of Pharmacy resolve some cases through stipulated settlements before formal accusations; and AB 1933 would make technical clarifications to land surveying law. AB 1775 drew emotional testimony from transgender service members and advocates describing the impact of federal separation policies and the need for California licensing and support.
Once quorum was established, the committee voted out the consent calendar and each of the heard bills, generally on party-line or near-unanimous votes. AB 1637, AB 1758, AB 1775, AB 1933, AB 2141, AB 2477, AB 2506, and AB 2633 all passed out of committee, most to Appropriations or another policy committee as noted. AB 1973 also passed, despite a no vote from some members and an opposition witness from the California Family Council. The committee later took vote changes and additional roll calls for absent members before adjourning.
KY
Transcript Highlights:
- And then just remove any limits on the maximum number of hours of direct client care that may be provided
- </c><00:03:30.640><c> be</c><00:03:30.879><c> provided</c> direct client care that may be provided direct
- A BHSO2 and a BHSO3 are substance use. have 24-hour care. If we're being told have 24-hour care.
- This resolution aligns state agencies around a clear direction, integrating nutrition into care and public
- , integrating nutrition into direction, integrating nutrition into care<00:32:58.880><c> and</c><00:32
Committee:
House Health Services
AZ
Transcript Highlights:
- . 1564, electronic services. 1566, malicious slay. 1627, enforcement. 1629, bearable services. 1630,
- home services. 1641, services. 164.
- Health and Human Services. 1630. Health and Human Services. 1644.
- That means there are fewer child care slots than children who need the care.
- There are fewer child care slots than children who need the care.
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
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.
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.
Committee:
Joint Joint Committee on Ways and Means
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.
FL
Transcript Highlights:
- We should care about family.
- It also requires district notification if missed IEP services and parental access to service provider
- Also, I care about, yes, I care about the teachers. I love that.
- The IEP services notification adds new parent rights when a scheduled IEP-related service is not provided
- So now we're saying, yeah, local governments, we don't actually care what you think and we don't care
Summary:
The House convened with prayer, the Pledge of Allegiance, quorum calls, and several recognitions before taking up a series of Senate messages and House motions. Members also recognized House Sergeant at Arms staff, visitors in the gallery, and family members. The chamber approved the journal and then moved into message lists and concurrence motions on several bills.
On CS/CS/SB 1668, relating to the Florida Birth-Related Neurological Injury Compensation Association (NICA), the House concurred in a Senate amendment that clarified that if the NICA plan lacks adequate cash flow, the Office of Insurance Regulation may authorize a cumulative transfer of up to $20 million over the life of the plan and removed a proposed time limit on provider assessments. The bill then passed 96-2. The House also concurred in a Senate amendment to CS/CS/CS/HB 905, the foreign influence bill, after debate over a proposed strike-all amendment that would have removed surrogacy-related language; that amendment failed. Supporters said the bill still retained key foreign-influence restrictions, while opponents objected to the surrogacy provisions and other remaining restrictions. The bill passed 83-17.
The House then took up CS/CS/HB 1279 on education. The Senate amendment added provisions on tuition residency for certain military and State Department families, a one-year deferral option for Benacquisto Scholarship recipients, virtual school notifications, educational emergency authority for persistently low-performing schools, epinephrine flexibility, VPK and New Worlds Reading changes, math pathways, dance credit, IEP service notifications, charter school safety officer options, and FEFP adjustments for Florida advanced courses, while removing several House provisions including the 95% Florida resident requirement for preeminent universities, the 5% cap on undergraduate international enrollment, and DEI-related provisions. Debate focused heavily on the educational emergency and collective bargaining language for persistently low-performing schools, with supporters saying it would help districts improve student performance and opponents warning it would weaken unions and affect schools that are not truly failing. The bill passed 81-16.
Finally, the House considered CS/CS/CS/HB 399 on land use and development regulations. An amendment to repeal portions of last year’s SB 180 was ruled not germane. The House then took up a Senate amendment on compost facilities that would bar local governments from conditioning compost-facility approval on the purchase of additional property to expand a privately owned road and would limit local revocation of permits when facilities comply with state or regional environmental regulation; debate began on that motion as the transcript ended.
CA
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.
Committee:
Senate Public Safety
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
Keywords:
campground safety, youth camp regulations, flood safety, emergency evacuation, health and safety standards
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.
NM
New Mexico 2025 Regular Session
IC - Legislative Health and Human Services Oct 6th, 2025
Legislative Health & Human Services Committee
Transcript Highlights:
- So the way that Medicaid works is for managed care, which there's fee-for-service, which is predominantly
- You are seeing a huge increase in access to care. You have the state-directed payments.
- That's all their services.
- It's the direct staff that's rendering the service.
- taken care of.
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.
KY
Kentucky 2025 Regular Session
Medicaid Oversight and Advisory Board (6-25-25)
Transcript Highlights:
- Medicaid waiver services. So that's Medicaid waiver services.
- </c> managed care, uh, our managed care managed care, uh, our managed care system<00:33:31.279><c> has
- for example 70% of long-term care<00:57:51.359><c> services</c><00:57:51.760><c> are</c><00:57:51.920
- </c> care services are covered by Medicaid. care services are covered by Medicaid.
- Services, is working to develop a scorecard that will allow us, specifically for the managed care organizations
Keywords:
Call to Order and Roll Call – 00:00:00
Introduction of Board Members – 00:02:04
Overview of the Purpose and Goals of the Medicaid Oversight and Advisory Board – 00:12:46
Medicaid Legislative Update - 00:20:26
Discussion of Next Steps and Future Meeting Dates – 01:04:06
Adjournment – 01:06:37, 958, all
Summary:
The first meeting of the Medicaid Oversight Advisory Board opened with Chair Ken Fleming and Co-Chair Rocky Adams welcoming members, explaining the board’s purpose, and introducing the diverse membership of legislators, providers, advocates, and state officials. Fleming said the board would meet monthly, allow public comment at the end of meetings, and operate transparently with materials posted online and distributed in advance. Both chairs emphasized that the board’s work would focus on improving Medicaid outcomes, efficiency, and oversight, while preparing for possible federal changes and avoiding premature assumptions about what Congress may do.
Members then gave brief introductions describing their backgrounds in medicine, nursing, hospital administration, behavioral health, insurance, budgeting, pharmacy, and Medicaid administration. Several noted direct experience with Medicaid populations or managed care, including the Department for Medicaid Services commissioner, health plan representatives, hospital and clinic leaders, and legislators with health care backgrounds. The board also heard from Stephanie Bates of the LRC Office of Health Data Analytics, who said her office supports the General Assembly with health-related data, policy, and research and would serve as a resource to the board.
Bates then began a presentation on Medicaid basics, explaining that House Bill 695 created the board and that the presentation would cover eligibility, enrollment, covered benefits, waivers, managed care, the budget, and the federal reconciliation bill. She described Medicaid eligibility as complex, noted that Kentucky had more than 1.4 million enrollees, and explained enrollment churn and the unwinding of pandemic-era continuous coverage. She also outlined mandatory and optional Medicaid benefits, the requirement that services be medically necessary and provided by enrolled providers, and the main waiver types used in Kentucky, including 1115, 1915(b), and 1915(c) waivers. No votes or formal actions were taken at this meeting beyond organizational setup and receiving the initial informational presentation.
ID
Transcript Highlights:
- care workers what was allocated in the old rate.
- But I think some of them will have to control some of the costs and still provide the service.
- parents paying for the service, or for the provider.
- paying for the service, or for the provider.
- I'm a big fan of child care in the home. My daughter was in it.
Committee:
House Health and Welfare
AZ
Arizona 2026 Regular Session
02/19/2026 - Senate Health and Human Services
Senate Health and Human Services COR
Transcript Highlights:
- of an enrollee's health insurance costs by a health care professional, health care institution, or drug
- So this 55-bed cap, in my opinion, violates... ...set of services.
- and custody of DCS is placed in kinship foster care.
- Informed consent is, of course, a very common standard of care.
- This is simply a duty that is prescribed when we, as health care professionals, are taking care of patients
Committee:
Senate Senate Health and Human Services COR
Summary:
The committee heard and voted on several health and human services bills. SB 1192 would exempt good-faith basic first aid given without compensation from Arizona Medical Board licensure requirements, with added consent and law enforcement notification rules for injured minors; an amendment clarifying that the bill does not limit existing liability protections was adopted, and the bill passed 5-2. SB 1398 would require AHCCCS to redetermine eligibility for members over 21 every six months and report eligibility data annually; AHCCCS testified it would create significant administrative costs and that the bill lacked federal-population exemptions and an appropriation, while supporters argued it was needed for transparency and fraud detection. The committee adopted a technical amendment and passed the bill 4-3. SB 1399 would require prepaid capitated AHCCCS contractors to report spending on direct patient care versus administrative costs; supporters framed it as taxpayer accountability, and it passed 6-1.
The committee also considered SB 1494, a strike-everything amendment making it a felony for providers, institutions, or drug manufacturers to pay premiums or otherwise steer enrollees to change health plans for financial gain, while exempting licensed insurance producers. Blue Cross Blue Shield and brokers supported the anti-patient-brokering goal, but ARMA warned the language was too broad and could chill ordinary provider-patient conversations and navigator/social worker assistance. The committee adopted the striker and passed the bill 4-3, with several members saying they wanted to refine the language on the floor. SB 1813 would remove the Maricopa County 55-bed cap at the Arizona State Hospital and require admission based on clinical need; supporters said the cap is outdated and leaves beds unused, while ADHS and others warned about rural access, fiscal costs, and possible litigation under Arnold v. Sarn. The committee adopted an amendment removing a citizenship requirement and passed the bill 5-2.
Later, SB 1821 passed 6-1. It would let JLBC audit teams review DCS’s case-management system, allow unannounced inspections of licensed group foster homes, prioritize placement with relatives or other significant adults, and require newly hired child safety workers to train for a year under experienced staff. Finally, SB 1557 would require signed informed consent before medical interventions except in emergencies; supporters said it simply codifies standard practice, while the ACLU argued the bill lacked clear standards and could create burdens for ongoing or controversial care. The committee passed SB 1557 4-3 and then adjourned after completing its agenda.
ID
Idaho 2026 Regular Session
Agenda Mar 11th, 2026
Transcript Highlights:
- That was since the service ended on 12-1, not on 7-1.
- But federal law and Idaho law restrict the department in how many services and the certain types of services
- But an example of that might be dental services, chiropractor services, you know, Medicaid expansion,
- But an example of that might be dental services, chiropractor services, you know, Medicaid expansion,
- decisions and services are explicitly protected in Idaho Code.
Summary:
The committee met briefly to clarify priorities for available funding, with the chair noting that JFAC had already removed funding for one SRO-related item and that the committee would need to decide how to proceed. Senator Kevin Cook was invited to outline several potential behavioral health and Medicaid-related uses of funds, emphasizing that he was not lobbying but providing information on costs and impacts.
Much of the discussion focused on three behavioral health services that had been cut: Assertive Community Treatment (ACT), Adult Peer Support Services, and Healthy Connections. Senator Cook and Department of Health and Welfare Medicaid administrator Sasha O’Connell described ACT as an evidence-based team service for people with severe mental illness, noting it had been cut under the governor’s holdback and that restoring it would cost about $1.3 million for the remainder of FY 2026 and $4.1 million in FY 2027. Peer support was described as a trained recovery-based service, with estimated costs of $2 million for FY 2026 and $6 million for FY 2027. Healthy Connections, which had ended due to statute rather than department action, was estimated at $1.5 million to finish FY 2026 and $6.3 million for FY 2027.
O’Connell explained that the cuts were driven by budget holdbacks and limited options under state and federal law, and that ACT had been moved into the Magellan Medicaid contract to leverage federal matching funds. Members asked about the Medicaid match, the number of people served, and why these services were not included in earlier Medicaid funding decisions. Several members and Senator Cook argued that ACT in particular reduces costs and risks by preventing hospitalizations, jail stays, and law enforcement crises, and cited letters and personal examples supporting the program. The committee did not take final action, but members expressed support for ACT and discussed whether statutory changes or another meeting would be needed before any funding decision.
NJ
New Jersey 2026-2027 Regular Session
Senate Budget and Appropriations Jun 24th, 2026
Senate Budget and Appropriations
Transcript Highlights:
- the local unit for those services.
- services for children and families.
- services for children and families.
- , low-acuity services, moderate-acuity services, and perform care, and eliminate the requirement that
- DCF submit to... ...acuity services and perform care, and they would eliminate the requirement that
Committee:
Senate Senate Budget and Appropriations
FL
Transcript Highlights:
- I don't care what to do with it.
- Thank you for your service. The state needs more of Mike Gottlieb's. Thank you for your service.
- Aesthetic body contouring services are non-invasive. They are non-medical services.
- use disorder services.
- substance use disorder services.
Summary:
The House convened with prayer, the Pledge of Allegiance, a quorum call, and several recognitions, including a moment of silence for service members killed in the Middle East conflict. The chamber adopted the special order report and then took up several bills on the special order calendar. Early action included passage of CS/CS/HB 981 on tributaries of the St. Johns River and Ocklawaha River restoration after debate over environmental benefits versus concerns about impacts to Rodman Reservoir, rural communities, property values, and long-term uncertainty. The bill passed 107-3.
Members then considered CS/HB 1389 on affordable housing and the Live Local Act. The bill would expand multifamily and mixed-use allowances, limit local setback/stepback restrictions, remove local opt-out authority, address accessory dwelling units, and waive sovereign immunity for certain land-use discrimination claims. Supporters argued it would increase housing supply amid a statewide shortage; opponents objected to further state preemption of local control and the ADU provisions. The bill passed 78-29. The House also passed CS/CS/HB 1085, codifying the local government cybersecurity grant program and prioritizing fiscally constrained counties, by a unanimous 109-0 vote.
The chamber next debated CS/HB 273 on special districts, which would allow certain agreements in rural areas of opportunity and impose new transparency and budget rules on larger downtown development districts. Questions focused on the meaning of “directly benefit,” the 10% administrative cap, budget approval authority, and the bill’s effect on downtown development authorities. An amendment to remove the downtown district provisions failed, and the bill passed 88-0. The House later returned to the temporarily postponed CS/HB 989 on motor vehicle manufacturers and franchise dealers, which limits allocation of new vehicle lines to any one dealer group; it passed 109-1.
Finally, the House took up CS/HB 1329 on local government spending transparency. The bill requires tentative budgets to be posted 14 days before hearings, final budgets to remain online for five years, and budget data to be searchable and downloadable, with waivers for smaller governments. Members debated whether the bill would impose costs despite the sponsor’s claim of zero fiscal impact. An amendment by Representative Cheney would have added hardship assistance for small governments and CFO support, but the transcript ends during debate on that amendment before final disposition is shown.
MA
Massachusetts 2025-2026 Regular Session
Formal House Session 94 Jun 21st, 2026 at 11:00 am
Massachusetts House Floor Meeting
Transcript Highlights:
- for our most vulnerable patients and preserving access to care.
- Looming federal Medicaid cuts threaten the health care system.
- provided by MassHealth fee-for-service patients.
- Based on care provided by MassHealth fee-for-service patients, $18 million in new targeted payments to
- That's a 40% increase in health care premiums.
Summary:
The House took up several routine and ceremonial matters first, including a resolution honoring the Solomon Northup Committee and commemorating the arrival of the Solomon Northup sculpture in Boston, which was adopted. Members also adopted an order extending the Revenue Committee’s reporting deadline on House No. 4606, concurred in a Senate sick leave bank petition for Jeffrey Yatson, and suspended Joint Rule 12 for a similar sick leave bank petition for Jean McCarran. The House then advanced House No. 4413, a bill on the terms of certain Commonwealth bonds, to third reading and later passed it to be engrossed.
The main floor debate centered on House No. 4601, the fiscal year 2025 supplemental appropriations bill. The bill was described as a $2.25 billion supplemental budget with a net Commonwealth cost of about $750 million, covering MassHealth, snow and ice deficiencies, Home Base, universal school meals, reproductive health care supports, a sports and entertainment fund, and other items. The bill also included outside sections on public health and finance, and it ratified seven collective bargaining agreements. The House adopted Amendment 70, which added Health Safety Net funding measures, including higher hospital assessments and a $50 million transfer from the Commonwealth Care Trust Fund, after supporters said it would help avert a projected shortfall and generate federal Medicaid revenue. A separate amendment on Home Base eligibility was rejected.
The House also adopted a consolidated amendment that included provisions affecting western and central Massachusetts municipal health insurance costs and changes to violent injury benefit language for first responders, including clarifying the definition of a weapon and tightening the standard for covered injuries. Another consolidated amendment was adopted by roll call, and the bill itself was then passed to be engrossed by a recorded vote. The session ended with an order to meet the next day at 11 a.m. and a motion to adjourn in memory of former House members Thomas and George, which was agreed to before adjournment.
MA
Massachusetts 2025-2026 Regular Session
Joint Committee on Ways and Means Mar 23rd, 2026
Joint Committee on Ways and Means
Transcript Highlights:
- 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.
- I will be direct. Local of the MTA, Local 128. I will be direct.
Committee:
Joint Joint Committee on Ways and Means
CA
California 2025-2026 Regular Session
Senate Floor Session Feb 9th, 2026
California Senate Floor Meeting
Transcript Highlights:
- at the Department of Health Care Services.
- ... ...that health centers can continue seeing patients and pays for health care services provided to
- What H.R. 1 has done is literally decimated the lower income health care services that we provide to
- so many... ...income health care services that we provide to so many Americans across the board, and
- So we are replacing $335 million of direct medical services. That is not abortion.
Summary:
The Senate opened with prayer, the Pledge of Allegiance, and several floor recognitions, including St. Mary’s High School football team for its first state championship and Black-owned businesses honored by the Legislative Black Caucus and Black Chamber of Commerce. The Rules Committee also reported Senate Resolution 77 to third reading. The chamber then confirmed Tyler Sadwith as Chief Deputy Director for Health Care Programs at the Department of Health Care Services and State Medicaid Director by a 33-0 vote.
The main floor debate centered on SR 77, a resolution condemning racist and dehumanizing imagery posted by President Trump depicting former President Barack Obama and former First Lady Michelle Obama. Supporters from multiple caucuses, including the Black, Latino, Jewish, LGBTQ, and API caucuses, described the post as racist, harmful, and part of a broader pattern of dehumanization and urged a public apology. A few Republicans objected to the resolution’s language and process, saying it was overly partisan or not collaborative, but the resolution was adopted on a 28-0 vote.
The Senate also took up SB 106, a budget bill to provide $90 million in state funding for family planning providers, especially Planned Parenthood, after federal cuts under H.R. 1. Supporters argued the bill would preserve essential reproductive and preventive health services, especially in rural and underserved communities, and backfill lost reimbursements. Opponents criticized the bill’s transparency, no-bid contracting structure, and priorities compared with other needs such as distressed hospitals and developmental disability services. After debate, the Senate concurred in the Assembly amendments to SB 106 by a 26-9 vote.