Video & Transcript : 'direct care' :

Page 237 of 500
NE
Transcript Highlights:
  • Whitehall's principles of care include individualized treatment, trauma-informed care, cultural competency
  • Many of you ...holding the appropriate care.
  • good level of care they're already providing.
  • Additionally, facilities providing health care, mental health care, private or public, are subject to
  • So it's not a direct savings or a direct debit on HHS's specific budget, is that accurate?
Summary: The Health and Human Services Committee held an invited-testimony hearing on LR 425, which examines the Whitehall campus in Lincoln and possible long-term options for youth currently served there. Chair Brian Hardin explained that Whitehall houses two separate programs for adolescent males: a substance use program and a youth-who-sexually-harm program. Testimony from DHHS officials described Whitehall as a Joint Commission-accredited psychiatric residential treatment facility (PRTF) that provides about 40 hours of weekly programming, family involvement, school services, and community reintegration activities. Officials said the department is evaluating whether the programs should remain at Whitehall or move to another state-owned facility, with Hastings described as the department’s preferred alternative because it is more residential in design than a youth rehabilitation treatment center (YRTC).
MN

Minnesota 2025-2026 Regular Session

House Agriculture Finance and Policy Committee 2/12/25

Agriculture Finance and Policy

Transcript Highlights:
  • </c><00:56:56.440><c> into</c> um that uh the legislature Direct into um that uh the legislature Direct
  • , home nursing care; we have a lot of different avenues in which elderly folks can get care and get taken
  • In terms of care, it used to be just for nursing home care, but they opened that up to allow for payment
  • </c><01:39:57.360><c> be</c><01:39:57.520><c> taken</c> nursing care but allow care to be taken nursing
  • care but allow care to be taken in<01:39:58.040><c> the</c><01:39:58.280><c> appropriate</c><01:39:58.840
Keywords: 1183, house
NM

New Mexico 2025 Regular Session

IC - Legislative Finance Sep 23rd, 2025

Transcript Highlights:
  • So it was available under Centennial Care and Centennial Care 2.0.
  • The way we chose our performance measures for managed care for the turquoise care contract was by taking
  • With you on HDAA, primary care payment reform, health care quality surcharge.
  • or care somewhere across the state.
  • Retiree health care distributions.
CA
Transcript Highlights:
  • And what I understood was that was direct.
  • Direct? Was it direct tax revenues?
  • Why is it their direct recapture is so low?
  • I was directing on Station 9. 19, and if Debbie Allen's willing, she'll let me direct on Grey's Anatomy
  • without work there is no health care.
Keywords: 988, house, all
ND
Transcript Highlights:
  • And I'm happy to say that across the board of the funds we care are in our care at Rio or, you know,
  • by the SIB, the of the funds we care, are in our care at Rio or, you know, by the SIB, the board, have
  • So in other words, where you balance back to target, we're very careful to do so.
  • So we're being careful to manage this appropriately.
  • So in this situation, we have less carry cost as a result of going direct to GP.
Summary: The Legacy Fund Committee received updates from the North Dakota Retirement Investment Office (RIO) on fund performance, liquidity, in-state investments, and internal management. Scott Anderson reported strong returns for the Legacy Fund across multiple time periods, with performance exceeding the policy benchmark and expectations, driven largely by strong equity markets and effective implementation. He also reviewed private market pacing, noting commitments were on plan but that unfunded obligations and distributions were lower than expected, and presented a new liquidity analysis showing the fund had substantial capacity to meet obligations even under stressed market scenarios. The committee also discussed RIO’s internal investment program and cost savings. Anderson explained how internal management of fixed income, equity, and cash overlay strategies has reduced fees and transaction costs, while improving flexibility and portfolio construction. Members asked about staffing needs, and RIO leadership said asset growth has outpaced current staffing, with a request for additional FTEs likely coming to support investment, operations, risk, and legal functions. The committee also reviewed the Legacy Fund’s in-state investment program, including 50 South Capital and infrastructure lending, and heard that one manager’s buildout is progressing more slowly because many opportunities are still early-stage. Adam Odison presented a preliminary estimate of the 2026 Legacy Fund earnings distribution, projecting about $894.8 million under current law, with roughly $237 million to the Highway Fund and $554 million to the Property Tax Relief Fund after the sinking and interest fund allocation. Jody Smith then gave a project update on a new standalone Legacy Fund website required by statute, intended to consolidate performance, holdings, governance, fees, and use-of-funds information for the public, with a planned launch around the October State Investment Board meeting. She also raised a possible future proposal to place the Legacy Earnings Fund back under State Investment Board management so the cash could remain invested longer before being transferred out, though members noted liquidity, accounting, and bank-deposit implications would need further review. Finally, Kelvin Holden of the Bank of North Dakota reviewed the match loan program, explaining how it supports large economic development projects by pairing Bank of North Dakota loans with State Investment Board CDs. He said the program currently has about $272 million outstanding and has supported projects such as Coal Creek Station and the MDU gas line to Gwinner. Members discussed whether the program’s return is appropriate and noted a prior moratorium on new investments so the committee can revisit the policy next session. The committee then elected Senator Klein as chair and Representative Hogan as vice chair, and the meeting ended with members thanking staff and partners for the fund’s progress.
WA
Transcript Highlights:
  • , health care, all increasingly unaffordable.
  • I think that goes absolutely in the wrong direction on affordability.
  • So I think we're 100% in the wrong direction.
  • And I'm not sure that's the right direction for Washington.
  • My other quick question is directed to Senator Braun.
Summary: Senate and House Republican leaders used the media availability to focus heavily on affordability and to criticize a newly unveiled Democratic income tax proposal. Leaders John Braun, Drew Stokesbary, and others argued the bill would function as a broader income tax, harm small and medium-sized businesses, include a marriage penalty, deny loss carryforwards, and ultimately raise costs for Washington residents. They also said the proposal would do little to offset regressive taxes and would not meaningfully improve affordability. In response to questions, they said the bill was a non-starter for Republicans and warned it could contribute to business and household outmigration. Republicans also highlighted a range of other bills they said would increase costs or worsen public safety, including proposals related to insurance, tires and 6PPD, textiles, local taxes, social media, cigarettes, and solid waste. They criticized housing-related bills on homelessness and camping near schools and parks, saying they could limit local control and expose cities to lawsuits. On public safety, they said Democratic leaders were not advancing Republican-backed bills on sexually violent predators, family safety, and related issues. Braun also said his bill on oversight of NGOs and suspected fraud had a good hearing and remained a priority, while Republicans said they were watching fraud-related bills and a SNAP-related bill on restricting purchases of unhealthy foods. The leaders said they were holding listening sessions on the initiatives because they believe the legislature must give them precedence, and they said they invited both supporters and opponents to participate. They also discussed Senate Bill 602 on automated license plate readers, saying it had bipartisan support in committee but still faced concerns from cities, counties, and law enforcement. On the governor’s statement that he could not support the income tax proposal as written, Republicans said it showed there may be room for negotiation within the Democratic side, but they doubted Republicans would be included in those talks. No votes were taken during the media availability.
ID

Idaho 2026 Regular Session

Agenda Feb 2nd, 2026

Health and Welfare

Transcript Highlights:
  • Yes, that was my next question, if you knew of any federal requirements in that direction.
  • That bill neglected one chapter, which is consumer-directed services, which is your final item on the
  • So we kind of get in that little tension between... ...between the legislative direction that's found
  • in code and the legislative direction we receive from the committee that we're standing in front of.
  • Before you is the Consumer Directed Services Chapter Repeal.
Keywords: 989, all
Summary: The House Health and Welfare Committee met with a quorum and first considered RS 33132, Representative Byswinger’s expanded medical freedom bill. He said the proposal would clarify that school, daycare, and immunization registry participation is voluntary, strengthen preemption against local governments, and adjust employer travel-related vaccination provisions. Representative Egbert raised concerns that the bill’s employment language could conflict with state and federal medical-document requirements such as FMLA and ADA, and Representative Furman said the statement of purpose was misleading and should better reflect the bill’s scope. The committee voted to introduce RS 33132. The committee then took up Department of Health and Welfare rules for federal welfare programs. Jared Larson explained a new consolidated chapter covering federal welfare programs, with separate repeal dockets for TANF and LIHEAP to move those programs into the new chapter. Members asked whether the rules were needed to maintain federal funding, and Larson said they were necessary to administer the programs. The committee approved the consolidated welfare chapter, then approved the TANF repeal and the LIHEAP repeal; Larson noted LIHEAP is entirely federally funded and currently involves about $22.6 million. Next, the committee addressed Medicaid rule dockets tied to House Bill 345, which had directed consolidation of Medicaid rules into a single chapter. Larson said the pending and temporary rules would remove outdated or repetitive language, align certain services with appropriations and federal guidance, remove some provider age restrictions, and add speech-language pathology assistants as providers. The committee first extended the temporary Medicaid docket to July 1, 2026, then approved the pending Medicaid rule. Members also approved the Consumer Directed Services chapter repeal, which Larson said had been omitted from the earlier consolidation bill. The meeting ended after the chair noted the committee had no Medicaid questions and adjourned.
NJ

New Jersey 2026-2027 Regular Session

Assembly Appropriations Jun 8th, 2026

Transcript Highlights:
  • Sterilization is now reproductive health care. Sterilization is now reproductive health care.
  • to, all services, care, and products relating to pregnancy.
  • Protecting medical providers that provide that medical care.
  • In the wake of the Dobbs decision, attacks on reproductive health care providers... ...affirming care
  • So let me be direct about that.
Keywords: 1146, all
MO

Missouri 2026 Regular Session

General Laws Mar 4th, 2026

General Laws

Transcript Highlights:
  • I'd be happy to talk about those further if you'd care.
  • I'd be happy to talk about those further if you'd care.
  • way affect that access to care and limit health care in rural areas?
  • Yeah, the intent of this is to not limit access to care.
  • It's volume-based care.
Summary: The committee first met in executive session and approved HB 2468 and HB 2481. HB 2481 was amended to replace earlier federal-style language with the governor’s recommended definitions and executive-order language, then rolled into a committee substitute and passed out of committee on a 9-3 vote. The discussion on HB 2481 centered on SNAP-related definitions and whether the revised language would affect federal waivers or change food-stamp purchasing rules; the sponsor said it would not. The committee then moved to regular session. The main public hearing was on HB 3070, the Second Amendment Preservation Act. Representative Hardwick said the bill was revised to remove language the Eighth Circuit had found problematic, while keeping Missouri’s anti-commandeering approach and prohibitions on state or local participation in certain federal gun-control actions, such as firearm registries, tracking, and confiscation from law-abiding citizens. Members questioned whether the bill would interfere with task forces, federal cooperation, courthouses, FFL paperwork, or local officers sharing information with federal agents. Hardwick and supporters said it would not affect Missouri enforcement of state gun laws or cooperation on other crimes, and that the bill was intended to stop Missouri officers from being used to enforce specific federal gun-control measures. Supporters from the Missouri Firearms Coalition and a gun-rights advocate backed the bill and emphasized civil penalties and anti-commandeering protections, while an opponent from Moms Demand Action argued it would handcuff police, weaken interstate trafficking enforcement, and create a dangerous patchwork of enforcement. No vote was taken on HB 3070 in the hearing. The committee also heard HB 388, which would prohibit certain anti-competitive health-care contracting practices, including anti-steering, anti-tiering, gag clauses, and most-favored-nation clauses. The sponsor and supporting witnesses described the bill as an anti-consolidation measure intended to improve price transparency, preserve competition, and help consumers and insurers steer patients toward lower-cost providers. They said the bill would apply to both providers and insurers and would not be anti-hospital or anti-payer. Members asked about effects on rural access to care, 340B pricing, physician-owned referral arrangements, and whether the bill would actually lower consumer costs. Supporters said the goal was to give payers more negotiating leverage and ultimately benefit patients through more competitive pricing, but no action was taken during the hearing.
CA

California 2025-2026 Regular Session

Senate Local Government Committee Apr 15th, 2026

Transcript Highlights:
  • Darby Kernan, on behalf of LeadingAge California, we represent nonprofit senior affordable housing and care
  • And I think we are put in the position, if there is any egregious redistricting, to take care of that
  • It's a very fast and ever-changing world of maintaining access to health care.
  • Our health care system, 30 years later, is not working as it should.
  • At a time when our public health care system is under pressure, we need transparency, accountability,
Summary: The committee heard a long agenda of housing, local government, and governance bills, beginning without a quorum and proceeding as a subcommittee until quorum was established. SB 1003, by Senator Grayson, would create an Infrastructure Partnership Financing Program to help local governments and developers fund infill housing infrastructure; supporters said infrastructure costs often prevent projects from penciling out, while a senator questioned whether the state would actually fund the new program. The bill passed the committee 3-1 on call. The committee also adopted a consent calendar covering SB 1169, SB 1086, SB 1126, and SB 1439-1442, also 3-1 on call. SB 1014 would require local jurisdictions to provide early good-faith estimates of on-site and off-site improvements and bar undisclosed later requirements; Habitat for Humanity, SPUR, and housing advocates supported the bill, while the City of San Mateo opposed the preliminary-application timing. Members raised questions about the 30-business-day deadline and coordination with other agencies. The bill passed 4-2 on call. SB 1036, which would require fee credits for prior site uses when redeveloping a site with similar prior uses, drew broad support and no opposition and passed 5-0 on call. SB 1145, a district bill for the Concord Naval Weapons Station reuse project, would streamline CEQA and federal base-closure review for qualifying projects; labor, the city, and county supported it, while housing legal advocates opposed unless amended over Surplus Land Act concerns. The bill passed 6-0 on call after discussion of affordability and enforceability amendments. The committee then heard SB 908, which would streamline permits for energy-code-compliant residential window replacements and limit city/HOA design restrictions; supporters said it would let homeowners and affordable housing providers lower energy costs, while local government groups opposed, citing local control and design standards. It passed 3-1 on call. SB 1172, the Local Tax Savings Act, would add guardrails and transparency to local tax-sharing consultant agreements; the City of Shafter and League of California Cities supported it, and it passed 4-0 on call. SB 1379 would separate the Riverside County Sheriff-Coroner offices and create an independent medical examiner; supporters cited in-custody death rates and public trust concerns, while the sheriff’s association and county representatives opposed on cost and local control grounds. The bill passed 4-1 on call. Finally, SB 1283 would expand streamlined permitting for EV charging stations to include canopies and on-site energy storage systems; EV industry supporters said the bill updates outdated rules, while cities and counties warned about safety review, liability, and litigation risk. Members discussed battery storage safety and local permitting authority, and the bill passed 4-0 on call. The committee also heard SB 1414, which would create an independent redistricting commission for San Bernardino County; supporters argued it would improve transparency and reduce political self-interest, while the county opposed due to its existing advisory commission and estimated implementation costs. The transcript cuts off during questioning on SB 1414, with no final vote shown.
CA

California 2025-2026 Regular Session

Senate Health Committee Jun 17th, 2026

Health

Transcript Highlights:
  • At precisely the moment when health care providers will be asked to care for more patients with fewer
  • patient care from corrective action.
  • This bill would essentially allow direct patient care from corrective action.
  • This would shift health care away from physician-led care to compliance-driven care, which raises serious
  • is not health care.
Keywords: 987, senate, all
TX

Texas 89th 2nd C.S.

Public Education Jun 1st, 2026

Public Education

Transcript Highlights:
  • These are parent-directed tutoring accounts.
  • Even so, the direction is right.
  • So you need to take care of all.
  • But the commissioner has directed us to make sure for 26-27, everybody will get at least... ...has directed
  • of how many are currently in TRS Active Care.
Keywords: 1184, house, all
HI

Hawaii 2025 Regular Session

EDT Public Hearing 04-01-2025

Economic Development and Tourism

Transcript Highlights:
  • </c><00:57:51.599><c> policy</c> board that can set some direction policy board that can set some direction
  • I don't care how much money the state puts in for branding; they're not going to come.
  • I don't care how much money we spend, right?
  • I don't care how much money the state puts in for branding; they're not going to come.
  • I don't care how much money we spend, right?
Keywords: 912, senate, all
Summary: The committee on Economic Development and Tourism met on April 1 to consider GM 510, the confirmation of Todd Aio to the board of directors of the Hawaiʻi Convention Center Authority. Testimony was overwhelmingly in support from HTA representatives and numerous individuals. Supporters described Aio as a strong leader with experience in tourism, development, nonprofit work, and public service, including his time on the city council and work with Disney’s Aulani, Ward Village, and the Hawaiʻi Community Foundation. In his remarks, Aio said he would bring legal, development, and corporate governance experience to the board. He emphasized the need for the authority to better define its role, oversee contractors, and help guide the relationship between destination management and branding/marketing contractors. He also said community engagement and cultural considerations should be central to tourism planning, and that the board should work to stabilize the agency during its transition. Members questioned him about board conflicts, the lack of a permanent HTA CEO, and how to measure the success of cultural and branding campaigns such as mālama and kuleana messaging. Aio said conflicts are inevitable when board members come from industry backgrounds, but they must separate their “work hats” from their board duties. He supported replacing the interim leadership with a permanent CEO once compensation legislation is finalized, and said success should be measured through better data, including possible exit surveys and other technology-based tools. He also said he would oppose replacing Hawaiian protocol with another cultural protocol, while supporting inclusion of other cultures alongside a Hawaiian sense of place.
ID

Idaho 2026 Regular Session

Legislative Session Day 50 Mar 2nd, 2026

Idaho Senate Floor Meeting

Transcript Highlights:
  • With that being said, we are very careful about what we're doing, and... ...being said, we are very careful
  • It is exclusively directed toward letting the Harrimans enjoy... ...exclusively directed toward letting
  • I think we have good men and women that take care of these three services.
  • They're people that good men and women that take care of these three services.
  • So I think we're just moving in the wrong direction here, Mr. President.
Summary: The Senate opened with roll call, prayer, and approval of the corrected journal, then received committee reports and House messages before moving into floor action on several bills. Among the measures introduced and referred were bills on housing, education, machine guns, cash rounding, virtual currency kiosk fraud prevention, unauthorized workers, and other State Affairs topics. The Senate also took up a number of third-reading bills, including Senate Bill 1314 on Health and Welfare board structures, Senate Bill 1316 on newborn screening exemptions, Senate Bill 1301 on brewer retail taprooms, Senate Bill 1331 on a broad rescission/appropriations reduction package, Senate Bill 1332 on cash transfers to balance the budget, and later Senate Bill 1308 on mediation and Senate Bill 1309 on juvenile corrections. Senate Bill 1314 drew the most substantive debate early in the meeting. Supporters said it would eliminate outdated board structures in the Department of Health and Welfare and regional behavioral health boards that no longer served a necessary function, while opponents argued the boards still provided public accountability, regional input, and transparency, especially for behavioral health services. The bill passed 28-7. Senate Bill 1316, which updated exemption language for newborn screenings to align with other Idaho law and clarify parental rights, passed unanimously 35-0. Senate Bill 1301, allowing small brewers to expand from one to two remote taproom locations, passed 31-4 after supporters framed it as a free-market and small-business measure. The most contentious vote was on Senate Bill 1331, the rescission bill reducing fiscal year 2026 appropriations by about $192.7 million, including cuts to general fund, federal, and dedicated funds, along with reductions in FTEs and some program funding. Supporters said it was needed to balance the budget amid revenue uncertainty and that agencies had been asked where to make the additional 1% cuts; opponents criticized the bill as an across-the-board, opaque “Christmas tree” approach that cut lean and bloated agencies alike and created confusion about specific reductions. After extended debate, the bill passed narrowly 18-17. Senate Bill 1332, which transferred money from several funds back to the General Fund to help balance the budget, also drew criticism for shifting money from programs such as Launch, water pollution control, and building projects, but it passed 26-9. Later, Senate Bill 1308 passed 35-0 and Senate Bill 1309 passed 35-0 with little opposition. The Senate then returned to other business, introduced Senate Bill 1361 on public safety appropriations, and began consideration of Senate Bill 1300, which would change confirmation and appointment provisions for certain state agency directors.
ID

Idaho 2026 Regular Session

Legislative Session Day 50 Mar 2nd, 2026

Idaho Senate Floor Meeting

Transcript Highlights:
  • With that being said, we are very careful about what we're doing, and... ...being said, we are very careful
  • I think we have good men and women that take care of these three services.
  • They're people that good men and women that take care of these three services.
  • They have a board that gives them direction. And I think what we have is good.
  • So I would think we're just moving in the wrong direction here, Mr. President.
Keywords: 989, all
Summary: The Senate met with all 35 members present, approved the journal, and heard several committee reports and introductions. State Affairs reported multiple bills, including measures on the Idaho Housing and Finance Association, public outdoor target ranges, machine guns, cash rounding, gubernatorial appointments and vacancies, housing and subdivision changes, education scholarship and career ladder revisions, virtual currency kiosk fraud prevention, and the project choice fee. The House sent over bills on unauthorized workers and unlawful employment of unauthorized aliens, which were referred to committee. The Senate also introduced a resolution recognizing ties with Italy, a concurrent resolution supporting Taiwan, and a resolution on the International Year of Rangelands and Pastoralists. Later, the Senate introduced a public safety appropriation bill for fiscal year 2027 and took up Senate Bill 1308 on mediation and Senate Bill 1309 on juvenile corrections, both of which passed unanimously. The chamber then debated and passed Senate Bill 1314, which restructures the Department of Health and Welfare by repealing the Board of Health and Welfare and ending the statutory requirement for regional behavioral health boards. Supporters said the bill modernizes oversight, removes duplicative layers, and saves money while preserving local collaboration and other public input channels; opponents argued the behavioral health boards provide transparency, public accountability, and community input, and one senator declared a possible conflict based on family experience with mental illness. The bill passed 28-7. Senate Bill 1316, updating newborn screening exemption language to align with other Idaho law and clarify parental rights without changing screenings, passed 35-0. Senate Bill 1301, expanding small brewers’ ability to operate a second remote taproom, passed 31-4. The Senate also passed Senate Bill 1331, a large rescission bill reducing fiscal year 2026 appropriations by about $192.7 million and reducing authorized positions, after extensive debate over whether the cuts were too broad and whether the bill was transparent or a necessary budget-balancing step. Senators supporting it said the state faced a revenue shortfall and needed across-the-board reductions; opponents criticized the bill as a “Christmas tree” and argued it cut too bluntly and late in the fiscal year. The vote was close at 18-17. The chamber then passed Senate Bill 1332, transferring about $106.7 million from several funds to the general fund to help balance the budget, despite objections that the transfers would divert money from water projects, career training, and building projects. After recess, the Senate returned and passed Senate Bill 1300, which would subject three agency directors to gubernatorial appointment and Senate confirmation. Supporters said it would improve accountability and align Idaho with other states; opponents argued it would increase political influence and could conflict with the Harriman Park agreement’s merit-based staffing language. The transcript ends during that debate, before a final vote on Senate Bill 1300.
WA

Washington 2025-2026 Regular Session

Senate Early Learning & K-12 Education Feb 24th, 2026 at 08:00 am

Early Learning & K-12 Education

Transcript Highlights:
  • I would say no, because they're directed to look at existing policies.
  • and direct coaching to my faculty teams in public school since 2020.
  • Paul... ...not reach every classroom without coherent structures and statewide direction.
  • So it's really a good step in the right direction.
  • How do we make sure that we're working together and not working in separate directions?
WA
Transcript Highlights:
  • Working Connections child care.
  • When we had funds, we took it out of WIA, paid for child care in the general fund.
  • again and UW, they're going to say give it to child care.
  • They're going to say, give it to child care. You see what I'm saying?
  • We recruit students from challenging health care environments.
Summary: The committee began with a work session on the Workforce Education Investment Act (WEA) Oversight Board, hearing from board co-chair Jane Broome and Joel Anderson of WASAC. They described the account’s origins as a public-private partnership intended to supplement, not replace, existing higher education funding, and emphasized the board’s role in oversight and outcomes. Members discussed the need for better data, especially outcome-based data, and concerns that recent budget actions have used WEA funds to supplant general fund support for higher education, particularly at the University of Washington. The presenters said WASAC staffing has improved transparency, but they urged the committee to preserve the original “do not supplant” intent and to keep WEA focused on high-demand programs, financial aid, and student success. The committee then held public hearings on three bills. SB 6251 would require public medical schools to use letter grades or a tiered grading system; the sponsor said the bill was meant to standardize grading, while both Washington State University and UW Medicine testified in opposition, arguing that pass-fail and competency-based systems better support collaboration, student mental health, and residency competitiveness. SB 6259 would make students ineligible for state aid and require repayment of aid if they are found by a court to have caused major damage to a public institution; the sponsor framed it as accountability for serious vandalism, while the lone testifier from WSU student government supported free speech but opposed the bill’s penalties as inequitable for lower-income students. SB 6235 would address the higher education “fund split” by requiring state funding of compensation and central services to return to 2023-25 levels over time and directing a study on essential student services; nearly all testimony from university, faculty, and community college leaders supported the bill, saying the current approach shifts costs to tuition, creates instability, and forces cuts to classes, staffing, and student services. In executive session, the committee advanced several bills. It adopted proposed substitutes and gave do-pass recommendations to SB 5978, SB 6209, SB 6217, and SB 6227, sending them to the Ways and Means Committee. The committee did not take action on SB 6235 in executive session. The meeting then adjourned.
NV
Transcript Highlights:
  • Lastly, AB 460... ...or death will prevent them from caring for the minor.
  • And so the board has the discretion to make either of those decisions in either direction.
  • I take care of my great aunt and got the opportunity recently to see her on her 89th birthday.
  • You know, I'm taking care of my family, and I just know that You know, I'm taking care of my family,
  • Section 1, subsection 7 directs the parole board to consider factors at these hearings.
Keywords: 909, all
KY
Transcript Highlights:
  • Morris, if you don't care, said, Dr.
  • The opinion directed the board to perform a review of these licenses.
  • The opinion directed the licensure.
  • Um, in my opinion, the family was left without answers, without proper medical care.
  • ,</c><00:53:58.840><c> mobility</c> individual has like self-care, mobility individual has like self-care
Keywords: 958, all
Summary: The subcommittee considered an emergency regulation from the Kentucky Board of Optometric Examiners, 201 KAR 5021E, along with a staff amendment to conform the text to KRS Chapter 13A. The regulation was described as implementing an Attorney General opinion and a review of optometrists licensed during the 2020–2023 period when alternative testing and waivers were used during the COVID-19 era. The board explained that the rule requires affected licensees to complete specified examinations or an alternative certification before renewing in 2027, and that it now removes the OEBC Canadian exam as a future pathway while preserving recognition of OEBC results submitted during the period when that option was in effect. The staff amendment was approved without objection. Testimony was sharply divided. Board representatives and the Attorney General’s office said the regulation is needed to protect public health and to bring the licensure review into the formal administrative process. They said the NBEO Part 3 exam is the nationally recognized hands-on clinical licensure test, while the American Board of Optometry certification is a post-licensure credential for already licensed practitioners and is not a substitute for initial licensure testing. They also said no other state uses the ABOC certification for licensure, and that the board’s approach balances fairness, due process, and public protection. Opponents argued the regulation would allow individuals who were improperly licensed to continue practicing without meeting the same standards as other Kentucky optometrists. A representative from the Kentucky School for the Blind Charitable Foundation described cases of alleged inadequate care and urged the committee to require full national board passage before independent practice. Representatives from ARBO and NBEO said the emergency regulation is not justified as an emergency, does not adequately address public safety or fiscal impacts, and exceeds the board’s authority by creating a renewal path for licensees whose initial licensure was challenged. They emphasized that NBEO Part 3 is a practical, hands-on exam and that the ABOC certification is not designed or validated for initial licensure. The committee asked several questions about the differences between the exams, and no final vote on the regulation itself was described in the transcript beyond approval of the staff amendment.
DE
Transcript Highlights:
  • An act to amend Title 16 of the Delaware Code relating to advance health care directives.
  • care and reducing the growth of health care costs.
  • Care and reducing the growth of health care costs.
  • care.
  • health care spending to primary care.
Summary: The House convened on June 30, 2026, with opening ceremonies, guest introductions, and moments of silence for Gerlindy Lancelotti and Iva Durham. Members then took up a long agenda of bills and resolutions, including consent calendar items and several measures related to agriculture, lottery reporting, health care, fire service membership standards, inmate work, telecommunications, rent increases, youth camp licensing, primary elections, respiratory care practice, and marriage equality. The chamber also heard extended debate on Senate Bill 233, concerning removal of snow and ice from vehicles, and on House Bill 188, which would allow unaffiliated voters to choose a party primary while barring participation in both parties’ primaries. Among the notable actions, House Concurrent Resolution 157 passed as amended, directing the State Lottery to report on options to support traditional lottery retailers. Senate Bill 53, preserving the Delaware Farm to Community Program if federal support declines, passed unanimously. Senate Bill 307, giving the Public Service Commission authority to designate eligible Lifeline carriers, and Senate Bill 339, clarifying advance health care directives, also passed. Senate Bill 235, removing a sunset on manufactured home rent increase calculations, passed, as did Senate Bill 325 after House Amendment 1 narrowed disqualifying offenses for fire service membership and adjusted related background-check rules. Senate Bill 309, discharging remaining incarceration-cost balances, and Senate Bill 324, addressing constable-related firearm permit provisions, both passed. The chamber tabled Senate Bill 233 once to consider a proposed amendment for trucks and other hard-to-clear vehicles, but the amendment failed and the bill later passed as amended by the Senate. Senate Joint Resolution 19, directing DHSS to study strategies to reduce health care costs, was tabled pending legal review. Senate Substitute 2 for Senate Bill 100, proposing a constitutional amendment to protect the right to marry, passed after extensive floor debate and personal statements from members on both sides. Senate Bill 293, creating a licensure pathway for summer camps to participate in purchase-of-care, passed after House Amendment 1. House Bill 188 on open primary access for unaffiliated voters passed 22-17, and Senate Bill 94, concerning respiratory care practitioners and ECMO medication delivery, passed after House Amendment 2. The transcript ends as the House begins consideration of House Substitute 1 for House Bill 404.