Video & Transcript : 'open primary' :
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HI
Transcript Highlights:
- Lewin, reaching out to primary care into this community.
- Primary Care Association. Is there Primary Care Association.
- <c> Hawaii</c><00:16:55.839><c> Medical</c> Primary Care Association, Hawaii Medical Primary Care Association
- </c><00:27:11.720><c> care</c> um pediatricians and primary care um pediatricians and primary care providers
- </c><00:43:45.120><c> um</c> will also be part of this primary um will also be part of this primary um
Committee:
House Health
Keywords:
hospice, health care, aging population, regulations, Medicare, working group, fraud prevention, quality of care, mental health, recidivism, civil commitment, Hawaii State Hospital, justice system, shelter, treatment pathways, biomarker testing, health insurance, precision medicine, healthcare access, medical necessity
Summary:
The committee heard testimony on SCR 21 SD1, which asks Hawaii Health Systems Corporation’s East Hawaii Regional Health Care System to study the feasibility of a rural health clinic or similar access point for the Volcano community. Testimony in strong support came from HHSC representatives, Volcano residents, the Volcano Health Collaborative, the Rotary Club of Volcano, and others, who said the area has a clear need and that local primary and urgent care would align with regional plans. HHSC said it had already looked at the area, found no suitable temporary buildings, and would need a longer-term, capital-intensive solution, but that the study could help accelerate next steps.
The committee then took up SCR 50 SD1, proposing a Hawaii Health Plan Working Group to design a basic affordable health plan for residents. Dr. Jack Lewin of SHIPTA said the state faces a growing uninsured population and argued for a short-term, lower-cost plan focused on preventive and primary care, drawing on the old State Health Insurance Plan as a possible model. Members asked about whether that prior program still exists and whether the working group should include the Hawaii Medical Association and Hawaii Primary Care Association; Dr. Lewin said the statute still exists but is unfunded, and that the group should be inclusive. The Department of Labor and other organizations also provided comments.
For SCR 75 SD1, which urges a coordinated interdepartmental effort to reduce fetal alcohol spectrum disorder, Dr. Lewin and others said prevention, prenatal screening, and early intervention are needed because FASD is often hidden until later problems appear. Amanda from Hawaii FASD Action Group said current implementation under Act 192 is still largely a landscape analysis and that Hawaii lacks the infrastructure and specialists for a full system. Darlene Chance Govor urged adding the judiciary as a partner so juvenile justice and probation staff can be trained and referral pathways improved, while the Department of Health said it supports prevention but prefers a broader, systems-based approach focused on child needs and upstream care. The Disability Rights Center supported the resolution and asked for an earlier reporting date.
The committee also heard SCR 149 SD1, which seeks an informal working group to address complex patients with multiple diagnoses involving substance use, mental health, or chronic physical illness. The Hawaii Substance Abuse Coalition and Ke Nui Malo strongly supported the measure, saying current siloed systems leave people bouncing between medical, mental health, and substance use providers without coordinated care, often ending up in crisis, emergency rooms, or the justice system. They said integrated residential care and a coordinated working group could improve outcomes and align with federal funding opportunities. The transcript ended before any final vote or action on the measures was announced, and SCR 109 was noted as withdrawn from the agenda.
CA
California 2025-2026 Regular Session
Senate Floor Session May 27th, 2026
California Senate Floor Meeting
Transcript Highlights:
- I'm open to ideas on how to improve the legislation.
- I'm open to ideas and how to improve the legislation we've got a couple of I'm open to ideas on how
- I think that's just the eyes-wide-open approach we want to have.
- The primary is literally a week away.
- The primary is literally a week away.
Summary:
The Senate convened with a quorum, offered prayer and the Pledge of Allegiance, and then moved through confirmations and floor legislation. Three California Housing Finance Agency and State Mining and Geology Board appointments were confirmed unanimously. The chamber then took up several policy bills, with debate often focusing on housing, public safety, energy, and local government impacts.
Among the major measures, SB 1173 on lesser related offense jury instructions passed after supporters argued it would give judges limited discretion and improve fairness, while opponents warned it could create inconsistency. SB 1354, barring out-of-state military or law enforcement activity in California without the Governor’s permission, passed despite objections that it conflicted with federal commander-in-chief authority. SB 1090, the Altadena disaster-speculation bill, passed to restrict unsolicited purchase offers in fire-affected areas, and SB 966 passed to preserve refinery worker safety participation rights. SB 1256, a local housing/land-use bill, passed unanimously after discussion of fire-safety concerns and ongoing amendments.
The Senate also approved SB 865 on music festivals, SB 866 on homelessness planning and regional coordination for jurisdictions not receiving HAP funds, SB 938 on peace officer training requirements for certain immigration-enforcement-related applicants after the author committed to major amendments, SB 1359 on natural gas planning to reduce ratepayer costs, SB 923 on privacy rights under the CCPA, SB 1098 on utility memorandum and balancing accounts, SB 1010 on refrigerant recovery for cooling appliances, SB 937 on restricting flashbang use in crowd control and immigration enforcement, SB 1082 on inter-district pupil transfers, and SB 1087 on modernizing regional transportation planning. Several bills drew split votes and pointed debate over mandates, taxes, local control, and regulatory certainty, but most ultimately passed.
TX
Transcript Highlights:
- If that precinct opens an hour late, then I think that precinct needs to stay open an hour late.
- The vote center is open two hours late, then it should not stay open two hours later? No.
- Yes, it should stay open another two hours if the vote center is open.
- And the argument is to keep it open another hour or two because it was opened an hour or two late.
- Be open to that? So I'll just say respectfully that I'm open to working with everybody.
Committee:
House Elections
Keywords:
voter ID, citizenship proof, provisional ballot, election security, Texas, voting rights, deep fakes, misleading videos, election integrity, criminal offense, digital misinformation, deep fake, political manipulation, misinformation, artificial media, political influence, artificially generated media, election influence, Texas Election Code, healthcare reform
CA
California 2025-2026 Regular Session
Senate Budget and Fiscal Review Subcommittee No. 1 on Education Mar 12th, 2026
Transcript Highlights:
- Like everything with the Governor's budget, it's sort of a starting point for a conversation, so open
- Those are the three primary points of impact, fiscal impacts, without regard to the impact obviously
- Los Angeles County Office of Education is their primary oversight authority, and they go through the.
- Primary oversight authority, and they go through the budget approval, the interim report analysis and
- That's why... their work with the district, which is the primary interface there.
MO
Missouri 2026 Regular Session
Health and Mental Health Feb 26th, 2026 at 08:00 am
Health and Mental Health
Transcript Highlights:
- as rehabilitative and habilitative benefits, in practice, most insurance plans will only cover one primary
- I am uncertain as to whether or not there is a disparity between what primary prosthetics or devices
- So I only say that to say that I don't... ...believe it's been the testimony that the primary devices
- So I only say that to say that I don't believe it's been the testimony that the primary devices that
- And so the way that the, I'd say the primary description that I could point to the bill is the... ...
Committee:
House Health and Mental Health
MN
Minnesota 2025-2026 Regular Session
House Environment and Natural Resources Finance and Policy Committee 4/1/25
Environment and Natural Resources Finance and Policy
Transcript Highlights:
- Our primary concern is wanting to improve fishing in Minnesota through proper management and quality
- We see this as a small step to open that opportunity for them to be able to go out and enjoy the sport
- </c><00:03:20.920><c> concern</c> Minnesota uh where our primary concern Minnesota uh where our primary
- We don't actually see that this would open it up any greater than the portable language did.
- We don't actually see that this would open it up any greater than the portable language did.
Keywords:
water appropriation, aquifer management, potable water, water conservation, environmental policy, fishing regulation, angling, sustainability, biodiversity, game fish, Carley State Park, Minnesota state parks, state lands, park boundary expansion, Wabasha County, Department of Natural Resources, DNR, public lands, land acquisition, park addition
HI
Transcript Highlights:
- </c> So much so that when we had the opening, or the groundbreaking, of the new facility for Storefront
- the full curriculum in both English and Japanese, and as a certified International Baccalaureate Primary
- Primary Years Program Educator, Primary Years Program Educator, Kylie<00:24:00.000><c> integrates</c>
Keywords:
HB1576, Hawaii film industry, DBEDT, BLNR, Department of Business Economic Development and Tourism, Board of Land and Natural Resources, film permits, motion picture production, television production, commercial filming, digital media tax credit, film production tax credit, public notice, transparency, state lands, film studio, land set-aside, revocable permit, memorandum of agreement, memorandum of understanding
MO
Missouri 2026 Regular Session
Professional Registration and Licensing Mar 4th, 2026
Professional Registration and Licensing
Transcript Highlights:
- Do you have a primary doctor? How did you check your blood sugar?”
- “So if they do not have one, we would work to get them in, typically to a primary care doctor first.
- Again, I'm going to try to do what the chairman said and open myself up for questions.
- or people that are in accidents, or premature infants that are requiring life support, we're the primary
Summary:
The committee first took up House Bill 3111, which concerns bail bonds oversight. Representative Phelps offered a committee substitute that moved bail bondsmen into the existing Board of Private Investigators, Private Fire Investigators, and Professional Surety Bail Bonds to avoid a fiscal note. An amendment was adopted to remove fee caps in the substitute, and the committee then adopted the revised substitute and voted it do pass 21-0.
The committee then heard Senate Substitute No. 2 for Senate Bill 1233, the CPA licensure bill, along with related provisions for social work supervisors and speech pathologists. Senator Trent and supporters from the Missouri Society of CPAs, the speech-language association, the social work community, and the State Auditor’s Office said the bill would address CPA shortages by creating a new licensure path based more on experience, while preserving exam standards and adding reciprocity. No opposition was offered, and the hearing concluded without a vote.
House Bill 2999 on optometry scope of practice drew extensive testimony and debate. The sponsor and ophthalmology witnesses described the bill as a negotiated compromise that would codify specific procedures optometrists may perform, while opponents from optometry argued it would freeze scope in statute, limit modernization, and require repeated legislative action as standards change. Witnesses disagreed sharply over whether the bill improved patient safety and access, whether the procedures were already within current practice, and whether surgical procedures such as lasers should be included. The bill was heard but no committee action was taken in the transcript.
Finally, the committee heard House Bill 2957 on respiratory therapist licensure. Representative Castile and respiratory care witnesses said the bill would phase out the CRT as the entry credential for new applicants in favor of the higher RRT standard, while grandfathering current CRTs and adding renewal audits to confirm active credentials. Supporters said the change reflects current training standards and would raise patient-care quality without reducing workforce numbers. No opposition testimony was presented, and the hearing adjourned without a vote.
NM
Transcript Highlights:
- A primary goal of the physical therapy profession is to advocate for patients to improve patient quality
- A primary goal of the physical therapy profession is to advocate for patients to improve patient quality
- A primary goal of the physical therapy profession is to advocate for patients to improve patient quality
- We actually discussed this before we came in here, and I believe it’s something that we’re open and willing
Committee:
House House Judiciary
Keywords:
medical malpractice, malpractice reform, patient's compensation fund, PCF, health care liability, tort reform, damage caps, punitive damages, hospital liability, physician liability, nurse practitioner, certified nurse-midwife, outpatient facility, ambulatory surgical center, urgent care, free-standing emergency room, insurance surcharge, superintendent of insurance, New Mexico hospitals, medical review process
Summary:
The committee heard House Bill 38, which would require insurance coverage for specialized wheelchairs, activity chairs, and related mobility devices for people with limb loss or other disabilities, with guardrails limiting the number of covered devices over time. The sponsor and supporters, including the Office of Superintendent of Insurance, Disability Rights New Mexico, the Disability Coalition, physical therapists, and disability advocates, said the bill would improve access, inclusion, and physical activity without significant premium impact. Questions focused on the substitute language, the device limits, and how Medicaid would handle coverage separately. The committee ultimately passed the House Health and Human Services Committee substitute for HB 38 on a 10-0 vote.
The committee then approved House Bill 165, which expands the C-PACE financing program to businesses using industrial revenue bonds and clarifies that counties and municipalities are not liable for payments. Support came from economic development and business groups, who said the bill would remove a barrier to energy- and water-efficiency upgrades and encourage investment. The bill passed on a 10-0 vote.
House Bill 127 also passed unanimously after discussion of its three parts: a provisional licensure pathway for internationally trained physicians, a telehealth registry for out-of-state providers, and changes to expedited licensure. Supporters said it would help address provider shortages, especially in rural and underserved areas, while the sponsor explained that the amended version includes safeguards such as exam requirements, supervised practice, and a provisional-to-restricted-to-full licensure path. The committee voted 11-0 to advance the bill.
House Bill 72, which would increase penalties for distributing certain controlled substances, including methamphetamine, to minors, drew strong support from law enforcement and the chamber of commerce but significant concern from the Public Defender and several members over strict liability, mandatory sentencing, and the breadth of the penalty. After debate over whether the bill could reach low-level or peer-to-peer conduct and whether the penalty was proportionate, the committee voted to table the bill by a 6-4 vote. The committee then took up House Bill 151, a revised childhood sexual abuse statute of limitations bill. The sponsor presented a committee substitute that changed commission appointments, added reporting and solvency-related provisions, and adjusted procedures for compensation and appeals. Members raised concerns about parity, definitions, administrative costs, and how awards would be determined, but the committee approved the committee substitute on a 7-0 vote.
NM
New Mexico 2026 Regular Session
House - Energy, Environment and Natural Resources Feb 5th, 2026
Transcript Highlights:
- Once again, this is just very, very open-ended.
- ONRT's primary mission is to hold polluters accountable for injuries to natural resources caused by releases
- But the primary reason for the discussion over PFOS was addressed, at least I believe, from the departments
- I do believe that needs to be further investigated, not for the purpose of any of us all being primaried
Summary:
The House Energy, Environment and Natural Resources Committee met on February 5 and heard three measures. House Bill 246 would provide state matching funds for local governments already approved for federal flood mitigation assistance to buy out and rehabilitate floodplain properties, especially in Lincoln County, to reduce repetitive flood damage and restore land to a more natural floodplain. Supporters included county officials, emergency management, and a racetrack lobbyist, all emphasizing public safety, reduced disaster costs, and community recovery. Some members raised concerns about pre-flood property valuation and anti-donation issues, but the bill passed on a do-pass motion.
House Bill 271 would appropriate funds through the Office of Natural Resources Trustee for natural resource recovery and public land access, including disaster recovery projects and expansion of recreational opportunities. Supporters argued it would help restore watersheds, improve access to public lands, and support hunting, fishing, and local outdoor economies. Several members questioned whether the bill was too open-ended, whether it could affect grazing or other existing rights, and why the trustee’s office was the right vehicle; the sponsor and trustee said the office has a transparent public process and that the bill would not create new eminent domain authority or adverse changes to existing rights. The committee approved the bill 9-1, with one member explaining support but noting lingering concerns.
House Bill 254 would allow investor-owned electric utilities to count avoided greenhouse gas emissions when evaluating the cost-effectiveness of energy efficiency programs under the utility cost test. The sponsor and utility witnesses said this would help expand programs such as heat pumps, HVAC upgrades, and all-electric development, while opponents worried it could function as a rate increase or “double dipping” because customers already pay fees supporting efficiency programs. The committee passed the bill 7-3. Finally, House Joint Memorial 3 would ask the Environment Department to study PFAS exemptions and report back during the interim as rulemaking on the PFAS Protection Act proceeds. The memorial drew both support and opposition, with critics saying it conflicted with existing statute and was unnecessary, while supporters said it would ensure a thorough review of federal changes and consumer-product exemptions. The memorial passed 8-2, and the committee then adjourned.
CA
California 2025-2026 Regular Session
Senate Local Government Committee Jan 14th, 2026
Local Government
Transcript Highlights:
- Primary witness, principal witness that will be coming forward? Okay.
- Any other primary witnesses in support? No? Okay. Anyone in opposition? Primary witnesses?
- We're open to it.
Committee:
Senate Local Government
NM
New Mexico 2025 Regular Session
IC - New Mexico Finance Authority Oversight Aug 11th, 2025
New Mexico Finance Authority Oversight Committee
Transcript Highlights:
- So we have our primary pledge of the revenues from the underlying loans, and then we have the secondary
- You'll see later on that we've put a little more belts and suspenders around those two sets of primary
- This is very eye-opening, thank you. When you say net system revenue, what is that?
- It diversifies the economy, which is one of the primary things we're trying to achieve from traditional
TX
Transcript Highlights:
- We would be open to a change to find the roguest of the members in that seat is the one that, yes sir
- Our goal is here, there's a lot of cleanup, uh, here, but the primary goal is to give the port some authority
- uh, and the Attorney General's office, and they have said, you can use this money, but not as the primary
- We'll never issue a bond issue unless I can move this to the primary pledge.
Bills:
HB 535 , HB 2120 , HB 2822 , HB 3243 , HB 3457 , HB 3544 , HB 4089 , HB 4192 , HB 4669 , HB 4868 , HB 4955 , HB 5253 , HB 5669 , SB 1371 , SB 1919 , SB 2001
Committee:
House Transportation
Keywords:
motor vehicle, pedestrian, bicycle, traffic safety, municipality, criminal offense, pedestrian safety, traffic regulations, municipal law, bicycle regulations, motor vehicle passing, traffic law, municipalities, bicycle operation, traffic laws, municipal regulations, port commission, Corpus Christi, Nueces County, San Patricio County
NH
Transcript Highlights:
- Let me crack open my notes.
- </c><01:06:50.359><c> to</c> about this I'm certainly open to about this I'm certainly open to it<01:
- </c> in that Journey than you it does open in that Journey than you it does open doors<01:27:40.840><
- </c> all right it is 153 I would like to open all right it is 153 I would like to open the<03:55:03.080
- Certainly, it opens the door for multifamily, but it also opens the door for the organic formation of
Committee:
House Housing
US
US Federal 2025-2026 Regular Session
US House Floor Proceedings (Wednesday, November 12, 2025)
US Federal House Floor Meeting
Transcript Highlights:
- It's way past time to open the government up.
- Let's get this government back open.
- Let's get this government back open.
- Let's get this government back open.
- Let's get this government back open.
TX
Transcript Highlights:
- It's very common in a rural DA's office to have an open position and have it open for a year or more
- We have opened up a new office in Maverick County just a few months ago.
- This has been a real eye-opener, I think, for all of us.
- Scott, and then we'll open up for any questions.
- It's primary, it's federal, and then it flows through the state.
Committee:
House Criminal Jurisprudence
ND
North Dakota 2026 1st Special Session
Advanced Nuclear Energy Committee Mar 24th, 2026 at 10:00 am
Advanced Nuclear Energy Committee
Transcript Highlights:
- Thankfully, it wasn't very, very cold because they're open boats.
- The deadline's listed on the notice as well, since it'll be an open meeting.
- And they will verify that it's just as boring as the first cask they opened was.
- This may open up different kinds of disposal, different options.
- We're open now for comments from any interested persons.
Committee:
Joint Advanced Nuclear Energy Committee
MO
Transcript Highlights:
- If you have any opening comments, feel free to make those.
- But once again, that's not an excuse to leave holes open for potential waste.
- It opened a door that he never even knew existed.
- Now those contracts are open. They're on board.
- Our middle sister Susan is her primary caregiver. Nancy also has her...
Committee:
House Budget
OK
Oklahoma 2026 Regular Session
Senate Legislative Session Mar 25th, 2026 at 01:12 pm
Oklahoma Senate Floor Meeting
Transcript Highlights:
- under Senate Rule 105. 1-5 clerk open the roll those wishing to vote change the vote those who wish
- Cirk will open the roll.
- Clerk, open the roll. Those wishing to vote, change the vote. Those which vote, change vote.
- Clerk, open the roll. Those wishing to vote, change the vote. Shares very close. Hr er close.
- Clerk, open the roll, please. Those wishing to vote, change the vote. Chairs, close.
Bills:
SB1778 , SB1570 , SB134 , SB1966 , SB1636 , SB1725 , SB1726 , SB259 , SB504 , SB592 , SB2030 , SB1572 , SB843 , SB1242 , SB1255 , SB1262 , SB1264 , SB1286 , SB1581 , SB1290 , SB1316 , SB1319 , SB1369 , SB1379 , SB1381 , SB1400 , SB1427 , SB1436 , SB1461 , SB1496 , SB1509 , SB1534 , SB1553 , SB904 , SB1592 , SB1645 , SB1684 , SB1767 , SB1772 , SB1813 , SB1894 , SB1928 , SB1946 , SB1980 , SB2040 , SB2060 , SB2061
Keywords:
reading instruction, literacy, educational equity, intervention services, third grade retention, Strong Readers Act, child welfare, child safety, administrative transition, Department of Child Safety and Well-being, Oklahoma Commission on Children and Youth, juvenile justice, foster care, retirement, public employees, reemployment, benefit adjustment, Oklahoma Public Employees Retirement System, memorial highways, bridge designations
CA
California 2025-2026 Regular Session
Senate Budget and Fiscal Review Subcommittee No. 1 on Education Apr 30th, 2026
Transcript Highlights:
- The Expanded Learning Opportunities Program is the state's primary before- and after-school program,
- One of our primary concerns with establishing a new ongoing categorical program is that this approach
- administration recognizes the community schools model to have been thus far, as I've stated in my opening
- So I think we actually feel like, because it is so open to being more evaluative and qualitative instead
- As federal safety nets like SNAP contract, school meals will become a primary source of nutrition for
Summary:
The Senate Budget Subcommittee on Education heard the Governor’s proposals for universal school meals, the Expanded Learning Opportunities Program (ELOP), and community schools. On universal meals, the Department of Education supported continued funding for the Universal School Meals Program and a fourth round of Kitchen Infrastructure and Training Grants, citing meal-count growth, improved meal service, and the need to offset federal uncertainty, inflation, and reduced direct certification tied to immigration-related policy changes. The LAO recommended rejecting another kitchen grant round, arguing prior rounds are still being spent and the state has not clearly defined unmet need. Members also raised concerns about the state’s ability to backfill federal meal funding and about how federal requirements affect programs like Summer EBT/SUN Bucks. Public commenters largely supported school meals and kitchen investments, with some urging support for plant-based milk options and continued infrastructure funding.
For ELOP, the Department of Finance proposed $4.7 billion ongoing Proposition 98 funding, including $62.4 million to set a minimum Tier 2 rate of $1,800 per pupil. The LAO recommended going further and fully fixing the Tier 2 rate, saying rate uncertainty complicates district planning. CDE supported the proposal and said the program has improved attendance and academic outcomes, while noting new CalPADS reporting will provide more data soon. Senators discussed whether ELOP should remain a standalone program or be folded into LCFF, and whether the state should require stronger outcome reporting. Public testimony generally backed stabilizing Tier 2 funding, but some speakers urged more support for older youth and more timely, user-friendly reporting.
On community schools, the administration proposed $1 billion ongoing Proposition 98 funding to expand the model to thousands more schools and to support existing grantees, along with stronger technical assistance, statewide alignment, and an accreditation/self-certification framework. The LAO recommended continuing the current one-time grant approach instead of creating a new ongoing categorical program, warning about reduced flexibility, administrative burden, and the state’s capacity to support a much larger cohort. CDE supported the ongoing investment but asked for additional county office and technical assistance funding. Senators and public commenters were broadly supportive of community schools, emphasizing improved attendance, graduation, and student engagement, while also debating accountability, accreditation, and whether non-classroom-based charter schools should be eligible. Public testimony strongly favored ongoing funding and highlighted community schools’ role in mental health, family engagement, and wraparound supports.