Video & Transcript Research : 'direct care'

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ND

North Dakota 2026 1st Special Session

Joint Appropriations Jan 21st, 2026 at 10:30 am

Appropriations

Transcript Highlights:
  • Direct health care services may be funded if not currently reimbursable, will fill a gap in care coverage
  • Direct health care services may be funded if not currently reimbursable, will fill a gap in care coverage
  • health care provider, school, Would like every health care, rural health care provider, school, public
  • And that would apply to eye care as well as dental care, as well as primary care simulation.
  • We want to make sure, as we interviewed health care to health care facilities.
Bills: HB1623
Summary: The committee heard House Bill 1623, the appropriations bill tied to North Dakota’s Rural Health Transformation Program, which is funded through a new federal rural health care grant. Senator Bekkedahl explained the bill’s background, the interim committee process that developed it, and the federal conditions attached to the award, including spending deadlines, administrative cost limits, and restrictions on uses such as new construction, supplanting existing funding, and certain other costs. Legislative staff then walked through the seven sections of the bill, including appropriation authority, transfer authority, contingent appropriations for pass-through grants, procurement and public improvement exemptions, recipient reporting, legislative reporting, and immediate effective date. Commissioner Traynor and HHS staff described how the department plans to implement the program, emphasizing that the funding is intended to improve rural access, workforce recruitment and retention, technology and data connectivity, and community health initiatives. They said the department will rely on local applications, technical assistance, templates, listening sessions, and partnerships with providers, schools, public health units, tribal entities, and other community groups. Members asked about reimbursement timing, upfront costs, administrative expenses, sustainability after the five-year grant period, and whether CTE centers, public health units, gyms, grocery stores, and other community partners could participate; the department said yes, within program rules and with a focus on measurable outcomes and sustainability. Several supporters testified in favor. Mental Health America of North Dakota and the Mental Health Advocacy Network supported the bill and urged investment in community-based mental health, crisis response, children’s services, peer support, and mobile crisis teams. HIA Health described the grant as a chance to expand home-based and hospice care, noting that rural providers already have workable models but need funding to scale them. A cybersecurity representative also supported the bill, warning that the large amount of health data and AI-related tools will require strong data protection and professional support. The hearing was closed with no opposition testimony, and the committee announced it would return later in the day for further work on the bill and other measures.
MN

Minnesota 2025-2026 Regular Session

House Ways and Means Committee 5/7/25

Ways and Means

Transcript Highlights:
  • We directed them to make this change in rules.
  • We directed them to make this change in rules.
  • </c> statearmacies through a directed statearmacies through a directed dispensing<00:10:32.480><c> payment
  • </c> Chair Torqulson for their direct Chair Torqulson for their direct assistance<00:12:01.040><c> toward
  • The directed Thank you, Chair Stevenson.
Bills: HF2436, HF2435
MN

Minnesota 2025-2026 Regular Session

House Human Services Finance and Policy Committee 2/26/25

Human Services Finance and Policy

Transcript Highlights:
  • </c> program what it does it provides care program what it does it provides care for<00:02:46.599><c>
  • if they don't have access to Home care if they don't have access to Home Care Care Care Services<00:
  • ><c> three</c> home care care evaluation visits three home care care evaluation visits three specific
  • care.
  • in home care services.
Bills: HF729, HF728
AZ

Arizona 2026 Regular Session

02/18/2026 - House Federalism, Military Affairs & Elections

Federalism, Military Affairs & Elections

Transcript Highlights:
  • about ballot initiatives and direct democracy.
  • We fill bed spaces, we feel managed care is managed care. They're the ones making the money.
  • Could they go direct to the public? Hey, we have a million people behind us.
  • Could they go direct to the public? Hey, we have a million people behind us.
  • But it is just the managed care model that the state's always had.
AZ

Arizona 2026 Regular Session

02/09/2026 - Senate Finance

Finance

Transcript Highlights:
  • It will hurt our safety officers, the people we care about, and we certainly don't want to mess around
  • There has to be a direct exchange of objective fair market value.
  • When you look at the give, it's what the private party is promising in direct objective value.
  • Well, they're going to pay direct, under the table or otherwise.
  • We need to fund critical programs like public schools, health care, and SNAP, especially while prices
OK

Oklahoma 2026 Regular Session

Local and County Government Feb 3rd, 2026 at 01:30 pm

Local and County Government

OK

Oklahoma 2026 Regular Session

Local and County Government Feb 3rd, 2026

Local and County Government

Transcript Highlights:
  • This has to be taken care of on a regular basis so that the contract is implemented as it is stated.
Summary: The Senate Local and County Government Committee considered several bills dealing with municipal regulation, penalties, incentives, fireworks, and tax increment financing. Senate Bill 1519 would allow low-impact home-based businesses to operate without additional municipal permitting or zoning restrictions, while still requiring compliance with state and federal laws and applicable professional boards. Members questioned how the bill would define “no-impact” businesses, how it would affect short-term rentals and home-based services like nail salons or dispensaries, and whether it reduced local oversight. The bill passed 7-2. Senate Bill 1775 clarified that municipalities may impose penalties for traffic-, alcohol-, and drug-related offenses that are less than or equal to the state statutory penalty, and set caps for other municipal fines. After extended questioning over whether the bill lowered or matched state penalties, a legislative analyst was brought in to explain that the measure was intended to resolve confusion about municipal authority. The bill passed 10-0. Senate Bill 1900 would direct 5% of the value of state economic development incentives to cities or counties for infrastructure, with members raising concerns about how the funds would be split, whether counties or cities would control them, and how the bill would apply in unincorporated areas. The author said he was open to revising the language, and the bill passed 11-0. Senate Bill 1948 would expand the time frame for licensed fireworks sellers to sell consumer fireworks year-round and would also bar counties from prohibiting private outdoor consumer fireworks displays, subject to burn bans and other safety limits. Questions focused on safety, county zoning, and whether the bill relied on an outdated building code reference. The bill passed 8-2. Senate Bill 2080, a request bill from county assessors, would require assessors to be included as an information resource in TIF/TID processes, align district boundaries with parcel lines, and allow administrative fees to cover assessor costs. Members debated the justification and size of the fee and whether it would burden local governments, but the bill passed 8-2.
WA

Washington 2025-2026 Regular Session

House Appropriations Feb 2nd, 2026 at 04:00 pm

Appropriations

Transcript Highlights:
  • to pay for health care only leads to higher health care inflation and elevates the affordability barrier
  • House Bill 2607 concerns child care subsidy rate regions used for the Working Connections Child Care
  • House Bill 2607 concerns child care subsidy rate regions used for the Working Connections Child Care
  • You know, we might have child care closing in Franklin County.
  • We do not limit Working Connections child care slots.
Summary: The committee first heard House Bill 2073, which would require nonprofit health carriers with surplus above 600% of risk-based capital to pay 3% of the excess to support the Cascade Care Savings premium assistance account. Committee staff said the bill could generate about $80 million in FY 2027, while OIC costs would cover rulemaking and hearings. Supporters argued the bill would redirect excess consumer premium dollars to help people afford coverage, while opponents from nonprofit health plans and business groups said the reserves are needed for claims, market stability, and to weather downturns, and warned the bill could raise costs or destabilize coverage. The bill then moved to public hearing only, with no action taken. The committee also heard Second Substitute House Bill 2132, which limits disclosure and retention of personally identifying and financial information in WASFA applications. Staff explained the bill would exempt WASFA records from public disclosure, restrict sharing except for limited purposes, and shorten retention to one year after the award year, but could create significant purge and systems costs for WSAC and colleges. The sponsor and student advocates said the measure is needed to protect student privacy and encourage aid applications, especially for vulnerable and undocumented students. No opposition was heard, and the bill remained in hearing. House Bill 2403, which reduces the penalty for failure to register as a sex offender, adds community custody and DOC support, and requires a review of registration policies, drew testimony in strong support. Staff said the bill would produce DOC savings and modest one-time costs for court and law-enforcement updates. Testifiers said the measure had broad consensus among criminal justice stakeholders and would better address the practical reasons people fail to register. The committee also heard House Bill 2587, creating a Commerce pilot to provide advance grant funds to eligible nonprofits, and House Bill 2607, which would periodically rebase child care subsidy rate regions; both drew support from nonprofit and child care providers, with staff describing indeterminate or moderate fiscal impacts. In executive session, the committee considered several amendments and then advanced multiple bills. For Second Substitute House Bill 1170 on generative AI disclosures, all proposed amendments were rejected, and the bill passed the committee 18-9. Substitute House Bill 1570, limited by amendment to Western Washington University student employees, also passed. Proposed Third Substitute House Bill 1710, which creates a state preclearance process under the Voting Rights Act for certain jurisdictions with prior voting-rights violations, had one fiscal amendment adopted and then passed. The committee also received amendment briefings on House Bills 1750, 1833, and 1834, but the transcript ends before final action on those measures.
AL

Alabama 2025 Regular Session

Alabama House Ways and Means General Fund Committee Apr 1st, 2025

Ways and Means General Fund

Transcript Highlights:
  • It is funded through rent payments and no direct appropriations.
  • Meaning it changes references that were not direct, so it does... So, it does change...
  • Health, University of South Alabama received $1 million for the training of primary care providers in
  • When I look at the senior services for kinship care, we find the number of our young people, young children
  • who have been cared for by their grandparents or individuals because of family members. ...individuals
WA

Washington 2025-2026 Regular Session

House Early Learning & Human Services Feb 3rd, 2026 at 01:30 pm

Early Learning & Human Services

Transcript Highlights:
  • Thereafter, it directs DSHS to establish a public-facing data dashboard on its website with the same
  • of a parent following a shelter care hearing.
  • So the underlying bill authorizes the court to order these conditions at a shelter care hearing, which
  • I'm not sure if we're in agreement on this, but the idea here is to get some direction from JLARC...
  • I'm not sure if we're in agreement on this, but the idea here is to get some direction from JLARC, and
Bills: HB2200, HB2468, HB2660
Summary: The House Early Learning & Human Services Committee met in executive session on three bills. HB 2200, dealing with JLARC review of safety and stability outcomes for DSHS developmental disabilities clients and replacing a public dashboard with annual reporting, was amended with a technical fix and then reported out with a do pass recommendation on a 9-2 vote. Supporters said the substitute would reduce fiscal impact while still producing useful, comparable data; opponents raised concerns about how the data might affect providers and whether it could stigmatize difficult placements. HB 2468, which updates statutory references to DSHS divisions after agency restructuring and makes related technical changes, was advanced without amendment. The substitute restored two current-law provisions: the expiration date for the Dementia Action Collaborative and the requirement that DSHS employ two permanent full-time staff to review and maintain the no-paid-services caseload. The committee reported the bill out unanimously. HB 2660, authorizing courts to order parents to comply with safety conditions for children under age five after shelter care hearings, was amended with a tribal-requested change requiring the conditions to be the least restrictive necessary, reviewed every 30 days, and consistent with state and federal Indian Child Welfare Act requirements. Members said the bill responds to rising critical incidents and aims to improve child safety, while acknowledging broader system challenges. The committee then reported the substitute bill out on a 9-2 vote and adjourned after noting it had reached the end of its first half of work.
WA

Washington 2025-2026 Regular Session

Senate Human Services Jan 28th, 2026 at 05:45 pm

Human Services

Transcript Highlights:
  • At 13 years old, I was adopted out of foster care.
  • , which spans education, disability, health care.
  • , which spans education, disability, health care.
  • The children's behavioral health system of care, which spans education, disability, health care, child
  • I'm a pediatric critical care physician in Spokane, Washington.
Bills: SB5979, SB6308, SB6319
Summary: The Senate Human Services Committee held an evening hearing on January 28th and took testimony on several bills. Senate Bill 6249 would require all people convicted of stalking to be supervised by the Department of Corrections after release. Staff explained current sentencing and community custody rules, and Senator Torres said the bill is intended to increase accountability and survivor safety. Victims and advocates testified in support, describing stalking as dangerous and arguing that mandatory supervision would help prevent reoffending; one sponsor noted possible amendment language had been emailed to the committee. No vote was taken. The committee also heard Senate Bill 6255, which renames and expands the Legislative Executive Poverty Reduction Oversight Task Force into the Legislative Executive Economic Justice and Well-Being Task Force. Staff said the bill updates membership, duties, and reporting requirements tied to the 10-year plan to dismantle poverty, with a partial fiscal note showing a $4,000 OSPI cost. Senator Lovelett and agency and public witnesses supported the measure as a cleanup and coordination bill that strengthens poverty-reduction work and better incorporates lived experience and ethnic commissions. No vote was taken. Senate Bill 6286 would authorize the Department of Health to fine private detention facilities that deny entry for inspections, with escalating daily penalties and a new account to fund assistance for wrongfully detained people and others harmed by ICE agents. Senator Orwall and Senator Trudeau framed the bill as a human-rights and accountability measure, and testimony from a Tacoma councilmember and others supported stronger enforcement. The committee then heard Senate Bill 6224, which creates a Children and Youth Behavioral Health Leadership Council and formalizes implementation of the Washington Thriving strategic plan. The bill drew broad support from parents, providers, advocates, and state officials who emphasized early intervention, coordination, and system accountability, though a few witnesses raised concerns about psychiatric framing and urged amendments. The chair adjourned the meeting after testimony concluded; no votes were recorded.
WA

Washington 2025-2026 Regular Session

Senate Human Services Jan 28th, 2026 at 08:00 am

Human Services

Transcript Highlights:
  • What about how many children are placed in a group care, a congregate care setting?
  • In general, the state is moving in the right direction: children who don't need to be in foster care
  • In general, the state is moving in the right direction that children who don't need to be in foster care
  • child out of care.
  • Care Hearings.
Bills: SB5979, SB6308, SB6319
Summary: The committee focused on child welfare, with three bills and a work session on national and state child safety trends. Senator Torres briefly introduced SB 5979 on in-home dependencies and dependency filing standards, and committee staff explained it would direct DCYF to develop guidelines and training with courts and child welfare stakeholders, give greater weight to high-potency synthetic opioids and prior referrals, and require clearer petitions when removal is not sought. Senator Torres and several supporters said the bill is intended to prevent avoidable harm and improve coordinated, earlier intervention; DCYF said it already has a case-by-case process and raised concerns about duplicative work. Public testimony on SB 5979 was generally supportive, though some witnesses asked for amendments to protect access to justice and clarify the bill’s scope. The committee then heard a lengthy informational presentation from Casey Family Programs on Washington’s child welfare performance compared with national data. The presenters said Washington is doing as well as or better than the national average on several measures, including lower foster care entry rates, higher kinship care use, and lower re-entry rates, but noted continuing concerns about maltreatment recurrence, permanency timelines, and child fatalities, especially among infants. They emphasized the need for stronger safety planning, better data, more kinship and family-finding supports, and integrated services for substance use, behavioral health, and domestic violence. Senators raised concerns that fewer foster care entries may not be a success if child deaths are rising, and asked about housing and court decision-making. DCYF then provided an update on child welfare operations and critical incidents, describing intake pathways, shelter care and dependency timelines, and recent data showing 2025 as a record year for fatalities and near-fatalities, many involving fentanyl and children ages birth to three. DCYF said it has made practice changes, safe child consults, hotspot mapping, and other responses, and pointed to budget proposals for additional prevention supports. The committee also heard from providers and parents about prevention and post-reunification services, including home visiting, infant mental health, family preservation, and substance-exposed infant care. Maddie’s Place described its non-pharmacological model for substance-exposed newborns and said it is not fully Medicaid reimbursed. The committee then took testimony on SB 6319, which would allow some high-risk CPS cases involving children under four and high-potency opioids to remain open longer; supporters said it could improve engagement and follow-through, while opponents warned about constitutionality, surveillance without counsel, and the risk of leaving older children unprotected. Finally, the committee heard SB 6308, which would let courts order certain safety-related conditions at shelter care hearings when a child is returned home; DCYF supported it, while public defense raised due process and constitutional concerns about moving dispositional requirements earlier in the case.
WA

Washington 2025-2026 Regular Session

Senate Floor Session Feb 11th, 2026 at 06:30 pm

Washington Senate Floor Meeting

Transcript Highlights:
  • have done their absolute very best to remain solid, good businesses with good-paying jobs, taking care
  • Let's take care of our folks in the minority- and women-owned businesses. Thank you.
  • , goes in the right direction in putting some safeguards around that.
  • So the Attorney General is going to be careful about what targets it chooses, and the problem with the
  • They go both directions.
WA

Washington 2025-2026 Regular Session

Senate Floor Session Feb 11th, 2026 at 01:00 pm

Washington Senate Floor Meeting

Transcript Highlights:
  • I wish it was more directive on where these funds would go exactly.
  • I wish it was more directive on where these funds would go exactly.
  • This is where people are getting their health care coverage, and it is at a time when our health care
  • to compensate for direct care.
  • And we have Attacks from all directions.
WA

Washington 2025-2026 Regular Session

Senate Floor Session Feb 11th, 2026

Washington Senate Floor Meeting

Summary: The Senate convened with roll call, the colors presented by the Sons of the American Revolution Color Guard, the Pledge of Allegiance, and a prayer by Pastor Jesse Bradley. The journal was approved, and the chamber received House messages announcing passage of several bills, including House Bill 1687, Engrossed Substitute House Bill 1960, House Bill 102, and Substitute House Bill 1. The Senate then adopted Senate Resolution 8684, which honored Washingtonians with ties to Team USA at the 2026 Olympic and Paralympic Winter Games in Milano-Cortina. Senator Riccelli spoke in support, praising the athletes’ determination and Washington connections. The resolution passed by voice vote. The Senate next considered gubernatorial appointments. Brian C. Bennett was confirmed 49-0 as Director of the Washington State Lottery, with Senator Lovick speaking in support and highlighting Bennett’s public service and transition-team work. Angela Ramirez was then confirmed 49-0 as Secretary of the Department of Social and Health Services, with Senators Claire Wilson and Christian praising her experience, commitment, and attention to human services issues. After the confirmations, the Senate stood at ease for caucuses.
OK
Transcript Highlights:
  • establishes parameters for the Oklahoma healthcare Authority when they're performing audits of long-term care
  • My question is what facilities in Oklahoma medical hospitals are wanting to provide this type of care
  • Senate Bill 1794 directs the Department of Mental Health to publish bed vacancies at mental health facilities
AL

Alabama 2026 Regular Session

Alabama House Health Committee Mar 11th, 2026

Health

Transcript Highlights:
  • The bill also includes language that would allow respiratory therapists to practice under the direction
  • Chairman and committee. >> Favorable report. the direction of an advanced practice the direction of an
  • Chairman and committee. >> Favorable report. direction of an advanced practice direction of an advanced
  • next bill on the agenda is HB 533 by Margie Wilcox, which Vice Chairman Mark Shirey will be taken care
  • </c><00:08:39.360><c> will</c><00:08:39.519><c> be</c><00:08:39.760><c> taken</c><00:08:40.000><c> care
Bills: HB299, HB533, HB299, HB533
OK

Oklahoma 2026 Regular Session

Health and Human Services Oversight REVISED: SB1304 - Added Apr 15th, 2026 at 03:00 pm

Health and Human Services Oversight

Transcript Highlights:
  • Senate Bill 1983 will direct the Department of Human Services to provide foster care data to resource
  • You cared about. Presenting Williams. 14 0 nay, 14 aye, zero nays. Reports.
  • They represented Culver care to vote.
  • Culver, I William's eye and Newton, do you care to vote, Allie?
  • Hefner, he cared about. Reley Smith Culver, two yes, zero nay, 12 yes. Here's report.
OK
Transcript Highlights:
  • at home to take care of the kids and the household duties.
  • They said, 'We don't care if you raise it to $50. We don't deal with any of that.
  • I can choose another direction that could even cause the fees to go down for me. Is that correct?
  • Speaker, to the point of direct democracy, which sounds like we all value here.
  • Leader Elect Provenzano III, Representative Heffner, do you care the vote?