Video & Transcript Research : 'patient intake'
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MD
Transcript Highlights:
- We understand the process on how the intakes will work and how the transfer would happen.
- </c><00:27:09.600><c> So,</c> how these these intakes and occur.
- So, how these these intakes and occur.
- He waited patiently and he finally became an American citizen. He raised his hand. He was sworn in.
- ><c> finally</c><00:53:44.319><c> became</c> waited patiently and he finally became waited patiently
Summary:
The Senate opened with an invocation by Reverend Dr. Patrick Claybourne of Bethl AM Church in Baltimore, introduced by the senator from the 40th district, who highlighted the church’s long history, community work, scholarships, food pantry, school partnerships, and a planned rise center. The Senate journalized the invocation and then recognized several guests, including the Bethesda Roosters U16 rugby team, which was congratulated for winning the Maryland state title and the 2025 National U16 Championship, and members of the Joint Veterans Committee of Maryland. The chamber also welcomed a Johns Hopkins Police Accountability Board appointment letter, which was referred to the Executive Nominations Committee, and later a delegation from the Ghana Parliament legislative staff visiting with the Department of Legislative Services and NCSL representatives.
The main floor business centered on Senate Bill 1, which would prohibit law enforcement officers from wearing face coverings. The minority whip argued against the bill, saying it was unenforceable, an improper use of legislative time amid other state crises, and could create a system where local officers detain federal officers for a civil violation; he also said officers mask themselves because of threats and doxxing. Senators in support argued the bill was needed to address masked ICE agents, protect public safety, and respond to concerns about civil rights abuses and intimidation. After debate and vote explanations from senators, including one emphasizing immigrant heritage and another supporting the bill as a protection measure, SB 1 passed with 31 affirmative votes.
The Senate then passed Senate Bill 17, an emergency bill on alcoholic beverages related event promoters permits, by unanimous affirmative vote. It next took up Senate Bill 245, an emergency bill prohibiting immigration enforcement agreements. The minority leader questioned whether the bill would eliminate formalized 287(g) agreements and replace them with county-by-county policies, arguing that this could reduce uniformity, weaken safety, and create a patchwork of local practices. The bill’s sponsor responded that counties would still be bound by constitutional and legal limits, that the agreements provide minimal training and resources, and that the state should stop formally cooperating with federal immigration enforcement. The sponsor also said the bill would not increase profiling and that public safety would remain intact. The debate continued with concerns about Montgomery County’s evolving policy and the impact on smaller counties, but the transcript ends before final action on SB 245.
MA
Massachusetts 2025-2026 Regular Session
Joint Committee on Ways and Means Mar 20th, 2026
Joint Committee on Ways and Means
Transcript Highlights:
- It must be engineered into appointments, intake, discharge planning, community living, and emergency
- walks into this to the office they won't necessarily get that provider but they at least can get intake
- Then we got 6,000 calls into the intake line, so the need is unquestionable.
- As part of our implementation process, we updated our protective intake policy.
- We begin... ...process, we updated our protective intake policy.
Summary:
The Joint Committee on Ways and Means held an FY27 Health and Human Services budget hearing in Mattapan, hosted at the Boston Public Library branch. Chairs Lydia Edwards and Russell Holmes, along with Rep. Brandy Fluker-Reid, emphasized the significance of holding the first Ways and Means hearing ever in Mattapan and highlighted the importance of bringing state budget deliberations into a majority-Black neighborhood. Several legislators introduced themselves as they joined, and the committee noted that public testimony was not part of the format, though agencies were invited to discuss priorities and challenges.
MassAbility opened the agency testimony. Leadership described the agency’s mission to support people with disabilities through employment, training, home and community life services, and disability determination. They said Governor Healey’s FY27 budget funds MassAbility at $93.3 million, a 1% reduction from FY26, and explained that the agency is responding to federal funding uncertainty and shifting program needs by redesigning services internally. Members questioned a proposed $1.3 million reduction to the Home Care Program, staffing changes, and whether services could be maintained with fewer resources. MassAbility said it was reviewing data on who uses the program, that it does not provide nursing or personal care, and that it is working with a transition plan and a working group. The agency also discussed federal uncertainty around vocational rehabilitation funding and said it had received delayed federal awards but remained in contact with national associations and federal partners. The testimony included a personal story from a participant, Joshua Corcoran, to illustrate the impact of services.
The Massachusetts Commission for the Deaf and Hard of Hearing testified next, requesting $11.27 million, about a 6% increase over FY26. The commission said it serves about 1.4 million residents and focuses on communication access in health care, courts, public safety, and other public systems. It highlighted interpreter and captioner workforce shortages, a mentorship program to expand the provider pool, and a modernized referral platform funded through capital contingency money. Members asked about interpreter availability, after-hours emergency coverage, ASL access for students and families, and training for police and emergency responders. The commission said staffing remains limited, especially for after-hours services, but that it is expanding training, school outreach, and partnerships with DCF and other agencies.
The Massachusetts Commission for the Blind then presented its FY27 budget request of $30.8 million. The commissioner said the agency serves nearly 9,000 legally blind residents, provides training and peer support, and placed 190 consumers in competitive integrated employment this year. It also described services for older adults, vocational rehabilitation, and the Turning 22 program for young adults with additional disabilities. Members raised concerns about a 7% cut from the prior year and asked how the agency could maintain services; the commissioner said the agency had no waiting list, had trimmed overhead, and could manage the budget through internal efficiencies and strong partnerships. The Office for Refugees and Immigrants closed the session, describing expanded legal and support services for immigrants and refugees, including Know Your Rights trainings, the Massachusetts Access to Counsel Initiative, citizenship and financial literacy programs, and the Family Welcome Center in Mattapan. Members asked about federal funding losses and the structure of the new legal services program; ORI said FY26 funding is stable but FY27 federal cuts remain uncertain, and that the legal program uses a centralized intake system with priority for emergencies and first-come, first-served access.
MA
Massachusetts 2025-2026 Regular Session
Joint Committee on Ways and Means Mar 20th, 2026
Joint Committee on Ways and Means
Transcript Highlights:
- It must be engineered into appointments, intake, discharge planning, community living, and emergency
- It must be engineered into appointments, intake, discharge planning, community living, and emergency
- Then we got 6,000 calls into the intake line, so the need is unquestionable.
- As part of our implementation process, we updated our protective intake policy.
- We begin... ...process, we updated our protective intake policy.
AZ
Arizona 2026 Regular Session
04/06/2026 - Joint Legislative Oversight Committee on the Department of Child Safety
Joint Legislative Oversight Committee on the Department of Child Safety
Transcript Highlights:
- HB 1174 is the intake hotline and the case history.
- So you can see our hotline, the number of intakes that come into the hotline, that tan at the top.
- We see a patient escape. We fire the head of the hospital.
Summary:
The Joint Legislative Oversight Committee on the Department of Child Safety met to review child welfare reforms developed after prior oversight hearings on the deaths of Emily Pike, Zariah Dodd, and Rebecca Baptiste. Committee members and the chair described a series of stakeholder meetings with tribes, DCS, law enforcement, county attorneys, schools, and other advocates that produced several bills aimed at improving communication, reporting, investigations, and court decision-making. The chair said SB 1125, creating a tribal-DCS memorandum of understanding, had already been signed, and highlighted HB 1126 on school records access, HB 1127 on mandatory reporting by people with direct knowledge, HB 1174 on hotline case history and review of prior reports, HB 1175 on photo documentation of children in care, HB 1496 on allowing attorneys to share more safety information with judges, and HB 1631 requiring advanced forensic interviews within 72 hours in sexual abuse cases, with some exceptions.
DCS Director Catherine Patak presented agency data showing nearly 160,000 hotline calls in 2025, about 43,000 investigations, and a relatively steady out-of-home care population that ended the year at 7,077 children. She said about 3,000 children were reunified, 1,300 adopted, and 800 entered guardianship, while 1,100 young adults received transition services. She also reported 534 new foster homes licensed, a 50% reimbursement increase for older youth caregivers, a 40% decrease in youth missing from care since September 2024, and a 30% reduction in fatalities of children in care since 2024. Patak discussed the annual fatality review process, noting that 52 of 123 alleged fatality or near-fatality reports had prior DCS involvement, and described agency responses such as health plans for children with complex medical needs, a diabetes training app, expanded LifeSet services, fentanyl and safe-sleep prevention campaigns, staffing realignment, retention efforts, and improved coordination with law enforcement and tribes.
Members asked about group home notification rules, the distinction between “missing” and “runaway,” behavioral health needs driving children back into care, training under Jacob’s Law, and whether best practices exist for placing sexually abused youth with appropriate staff. Patak said DCS is updating rules to remove “runaway” and “AWOL” in favor of “missing,” and that the agency is considering whether the statute’s immediate-or-24-hour reporting language should be clarified. She also said DCS does not currently have a specific staffing requirement tied to a child’s sex in group homes, but would look into practices in other states. The committee then heard from Malcolm Hightower of Casey Family Programs, who said Arizona is generally in the middle of the pack nationally: slightly higher than average in foster care entries and congregate care use, but near the national average on screening, substantiation, recurrence, re-entry, and maltreatment fatalities. He praised Arizona’s kin placement rate, said congregate care remains a challenge, and noted that neglect definitions and poverty-related removals remain an area of policy discussion. Finally, K.C. Melsick of Collaborative Safety described the organization’s safety-science approach to systemic critical incident reviews, arguing that child welfare systems should move away from blame and toward learning from near-misses and system failures. Members discussed applying similar methods across state agencies, and the committee adjourned after members and witnesses emphasized continued collaboration and further reforms in the interim and next session.
LA
Transcript Highlights:
- It does not stop investigations, and it does not interfere with emergency action when patient safety
- Back in 2009, when I started prescribing testosterone to male patients, it was considered heresy.
- We look at the complaint to do an initial intake.
- Patients don't see it.
- , cancer patients, and chemotherapy patients.
Summary:
The House Committee on Health and Welfare met on April 23 and first disposed of several items without hearing them, including HB 1093 and HB 1145, and voluntarily deferring HB 946. The committee then quickly reported HB 1095 favorably without objection. That bill would require nursing facilities to have fuel or another alternative power generation source to maintain power, and supporters said it preserves existing backup-power safety requirements while giving facilities more flexibility as technology changes.
The committee then took up HB 926, which concerns vaccination status and admission to public buildings and seeks to prohibit medical mandates. After adopting an amendment set and additional changes clarifying exclusions for licensed health care providers and facilities, medical masks, and child welfare/school-related provisions, the committee heard testimony both for and against the bill. Supporters framed it as a civil-liberties measure limiting vaccine-card requirements for public buildings, while opponents warned it could interfere with public health measures, school immunization rules, and the ability of health care facilities to protect patients. The bill was reported favorably on an 8-4 vote.
HB 1220, a cleanup bill for the Louisiana State Board of Medical Examiners, was then reported favorably after a technical amendment set. HB 1227, which would require complaints involving medical judgment to be reviewed by a three-physician panel before formal disciplinary action, drew extensive testimony from a physician sponsor, a doctor describing his disciplinary experience, and the board’s executive director, who said the board already uses practicing physicians, nurses, and experts in its process and warned the proposed panel system could be impractical because physicians are difficult to recruit for such reviews. At the sponsor’s request, the committee voluntarily deferred HB 1227 for further work.
Finally, the committee reported HB 1217 favorably with amendments to a pharmacy benefit manager transparency bill, after supporters said it would expose hidden pricing and rebate practices and opponents argued some provisions were duplicative or unnecessary. HB 1028, setting minimum Medicaid reimbursement rates for non-emergency medical transportation, was reported favorably and referred to Appropriations after supporters described the need for higher rates and members discussed funding. The committee also reported HB 1185 favorably, with amendments preserving the existing Rural Hospital Preservation Act while extending similar protections to additional rural-lookalike hospitals, and adopted HCR 76 to continue the Health Inequities and Disparities in Rural Areas Task Force for another year.
VA
Transcript Highlights:
- Behind each license is a discovery and inventor, a company, and in many cases, a patient, consumer, or
- and patients with advanced maternal age reimbursement.
- and patients with advanced maternal age.
- House Bill 1490 establishes a statewide centralized intake and validity determination process for reports
- The House Bill 1490 establishes a statewide centralized intake and validity determination process for
TX
Transcript Highlights:
- HB 471 by Rosenthal relating to the intake and disposition records of animal shelters and releasing agencies
- HB 473 by Gervin Hawkins linked to notice of rights provided by a patient receiving certain mental health
CA
California 2025-2026 Regular Session
Senate Budget and Fiscal Review Subcommittee No. 3 on Health and Human Services Feb 26th, 2026
Transcript Highlights:
- and consumer health, including food safety and broader environmental health protections; protecting patient
- of convey that as your State Public Health Officer, I consider the whole state of California as my patient
- These decreases follow significant state and federal investments for public health to meet patients where
- So I mentioned that the state is my patient, and we're trying to listen more, and also listening by using
- Without funding for Sapphire, we wouldn't have the ability to handle that volume of intake.
Summary:
The hearing began with an overview of the California Health and Human Services Agency, which described its 2026-27 budget, major departments, and strategic priorities, including behavioral health, housing and human services integration, children and youth, and aging/disability services. The agency also explained a technical CalHHS/CalHires budget adjustment tied to HR1 compliance and eligibility system work. No LAO concerns were raised on that item.
The committee then heard from the Office of Youth and Community Restoration on its budget, its SB 823 realignment report, and related issues. OYCR said county-based realignment has generally succeeded but outcomes and readiness vary widely, and it recommended more climate surveys, youth advisory councils, stronger behavioral management, better programming, improved transition planning, and integrated longitudinal data systems. Members pressed OYCR on “net widening,” county-by-county trends, and the gap between the detailed recommendations discussed in hearing and the more general recommendations in the public report. OYCR also described problems with federal Title II grant timing and a pending $14 million administrative funding adjustment, and discussed implementation of the juvenile justice realignment block grant formula. The Ombudsperson division separately requested two new positions due to rising complaints, site visits, and records-access disputes with counties; LAO noted the proposal would create ongoing General Fund costs.
Several other departments presented budget change proposals. The State Council on Developmental Disabilities requested $730,000 General Fund ongoing to cover an interagency administrative support gap with DSS; LAO had no concerns. EMSA presented its department overview, said its AB 716 ambulance-rate report has been delayed after resources were reduced, and requested funding for disaster-response vehicle replacement, IT security assessment work, and additional HR/legal staff; members questioned delays, compliance, and the ongoing General Fund impact. The Department of Community Services and Development sought reappropriation of LIWIP funds and explained a new Proposition 4 process for continuing the farmworker housing component. The Department of Rehabilitation requested authority for $60 million in additional federal funds and 54 positions to meet growing vocational rehabilitation demand, with no General Fund impact.
The Department of Child Support Services presented its budget and a supplemental report on full pass-through of child support collections. Members questioned why local agency funding was being restored despite declining caseloads, and staff explained that staffing costs have risen faster than caseload declines and that additional funding is needed to maintain service levels. The supplemental report estimated full pass-through would cost about $150 million General Fund annually, or about $80 million for a state-and-county portion, with $3 million to $5 million in automation costs. Finally, the Department of Public Health gave a broad overview of its $5.1 billion budget and its State of Public Health report, highlighting improved mortality and life expectancy, declining overdose deaths and STI rates, persistent racial and regional disparities, and increasing public health emergency demands. CDPH also warned that federal funding threats and policy changes are creating major uncertainty for state and local public health systems.
NH
New Hampshire 2025 Regular Session
House Children and Family Law (01/21/2025)
Transcript Highlights:
- Moving on to slides four and five, you'll see data regarding our Central Intake, which is the hotline
- If you look to slide five, you'll see a better visual of the trend of calls to Central Intake between
- So we have specific policy that guides our Central Intake staff.
- That's also then reviewed by the supervisor at Central Intake before the final decision.
- That's also then reviewed by the supervisor at Central Intake before the final decision. Thank you.
Summary:
The meeting began with committee process reminders from the chair, including rules for questioning witnesses, time limits for testimony, and how motions and committee reports are handled. The chair also discussed the committee’s history, emphasized a cooperative approach with agencies and the Judiciary, and noted that a special committee on the Family Division of Circuit Court had previously done useful work; he said a new subcommittee could be appointed later to continue looking at judicial-system issues. He also mentioned that the Speaker’s office was expected to name members to the DHHS oversight committee by Friday at 1.
The substantive presentation was from the Department of Health and Human Services’ Bureau of Child Support Services. Attorney John Williams introduced the bureau team, and Bureau Chief Lisa Dekowski described the program’s mission: encouraging responsible parenting, family self-sufficiency, and child well-being by locating parents, establishing paternity, setting or modifying support orders, and enforcing court-ordered child and medical support. She said the bureau operates statewide under Title IV-D of the Social Security Act, works with courts, employers, and other partners, and serves both in-state and out-of-state cases, with some international and tribal coordination. She also cited program scale, saying the bureau dispersed about $76 million to families in New Hampshire in fiscal year 2023 and that most collections go directly to families.
Members asked about enforcement tools, especially passport denial. In response to a question about a case involving a very small shortfall, the bureau said the federal passport-denial threshold is $2,500 in arrears, not a few cents, and that denial remains in place until the balance is resolved or an arrangement is made with the agency, with hardship factors potentially considered. The bureau also explained that either parent can apply for services when a child support order exists and that the bureau can help initiate income withholding orders. No votes or formal actions were taken during this portion of the meeting.
AZ
Arizona 2026 Regular Session
03/31/2026 - House Democratic Caucus Calendar #14
Transcript Highlights:
- Rate based on patients’ refusal to get vaccinated. So should we pull it? Yeah, that’s pulled out.
- Madam Chair, member, Senate Bill 1494, now health insurance patient searing prohibition, passed out of
- Madam Chair, member, Senate Bill 1174, DCS intake hotline case history, was passed unanimously in committee
Summary:
The meeting was a caucus review of a large calendar of Senate bills, with members mainly hearing short titles, committee vote counts, and whether bills were on consent or pulled for further discussion. Many measures were reported out on party-line or split votes and several were flagged to be removed from consent, especially bills involving artificial intelligence content verification, public benefits eligibility, gender transition procedures liability, health insurance reimbursement for vaccines, light rail feasibility review, public employees merit hiring, public records fees, virtual currency payments, tax conformity, undocumented immigrants and financial services, central bank digital currency, and public monies investment in trust currency.
The caucus also discussed a number of education, public safety, child welfare, health, and regulatory bills. These included measures on school communications, bullying liability, AED training, classroom management, school safety reporting, DCS procedures, fingerprinting at behavioral health facilities, probation conditions, missing children reporting, sex offender monitoring, crimes against children probation monitoring, and domestic violence release conditions. Several members raised objections or concerns about specific bills, including mandatory sentencing, religious sectarian law language, concealed weapons notice repeal, and a bill on death sentence by firing squad, with some members asking to pull those bills from consent.
A final topic was a blue-sheet Senate amendment to HB 2874 on campaign committee termination statements and penalties. Rhonda explained the Senate changes would void penalties for committees with no contributions or expenditures, retroactive to December 2021, but noted the Senate did not secure enough votes for the emergency clause. Members asked about the rationale, the Secretary of State’s position, and the amount of outstanding penalties. The chair later announced that the Senate amendment was being refused, so the bill would not receive final passage that day and would instead be sent back for further action or conference.
WA
Transcript Highlights:
- into your waterworks or into your diversion that's going into your field, into your municipal water intake
- Really appreciate the long and patient journey that you took us on today. My pleasure.
- I don't think we have... ...and patient journey that you took us on today.
WA
Washington 2025-2026 Regular Session
House Capital Budget Feb 19th, 2026
Transcript Highlights:
- into your waterworks or into your diversion that's going into your field, into your municipal water intake
- Really appreciate the long and patient journey that you took us on today. My pleasure.
- I don't think we have... ...and patient journey that you took us on today. My pleasure.
Summary:
The Capital Budget Committee held a work session on fish passage and barrier prioritization. Tom Jameson of the Washington Department of Fish and Wildlife briefed members on the state salmon recovery framework, the types and prevalence of fish passage barriers, and the many existing barrier-removal programs. He explained that culverts are the most common barrier, but levees, tidegates, dams, and other structures also affect salmon and steelhead. He also described the state’s fish passage database, the assessment criteria used to determine whether a structure is a barrier, and the Brian Abbott Fish Barrier Removal Board’s role in funding projects.
Jameson reviewed the history of the board and its grant pathways, noting that the Legislature has funded 199 projects totaling nearly $225 million over five biennia, including significant federal support in the last biennium. He then focused on the new statewide prioritization strategy directed by the Legislature in 2020. A science panel recommended using an optimization model and then scoring and ranking barriers, but Jameson said the model depends on better stream mapping and ongoing “snapping” of stream layers to known barrier locations. He said the strategy is intended to produce watershed-based priority lists rather than a single statewide ranking.
Members asked about how barriers are assessed during fish migration periods, how private land access affects inventory work, how local governments can report completed corrections, and how the prioritization criteria weight Chinook salmon and southern resident orca recovery. Jameson said urban areas with downstream barriers or heavily altered streams may be less recoverable, while rural watersheds may offer greater benefit. He also explained the federal culvert injunction, including ongoing obligations for state agencies and DOT’s 2030 target, and said the injunction never fully ends because new barriers are continually discovered and must be addressed over time. No votes were taken.
FL
Transcript Highlights:
- that I oversee, CDR Health, provides all the health care resources for the medical facility and the intake
- Florida, which you've mentioned when DeSantis used a nonprofit to funnel millions meant for Medicaid patients
- Florida, which you've mentioned when DeSantis used a nonprofit to funnel millions meant for Medicaid patients
Summary:
The Committee on Ethics and Elections met to consider several gubernatorial appointees, beginning with Matthew Walsh, Secretary of Juvenile Justice, for confirmation. Walsh outlined his law enforcement background, social work training, and priorities at DJJ, including staff wellness, seeking statutory recognition and training standards for juvenile detention and probation officers, and increasing bed capacity so adjudicated youth can move from detention into residential programming sooner. Members asked about the impact of detention “dead time” and the need for more beds; Walsh said DJJ is evaluating ways to let youth begin programming earlier while in detention. Public support was noted, and the committee voted unanimously to confirm Walsh and forward his nomination to the full Senate.
The committee then heard from Tina Vidal-Duarte, nominee to the Florida Atlantic University Board of Trustees. She described her business background, service on multiple boards, and prior service on FAU’s board pending confirmation, emphasizing governance, accountability, and strategic planning. Senators questioned her about FAU’s handling of faculty social media controversies, the university’s relationship with its new president, student and faculty engagement, AI planning, diversity, and her role on the Hope Florida board and with CDR Health’s state contracts, including work related to the Everglades detention center. Public testimony included strong opposition from one speaker who criticized her ties to state contracts and Hope Florida, while another senator spoke in support, citing her community service and business experience. The committee voted 5-2 to confirm her, with Senators Polsky and Bernard voting no.
Afterward, the committee considered the remaining nominees in Tabs 2 through 15, excluding Tab 10, en bloc. No separate votes were requested, and the committee approved the group of nominees by voice roll call to be forwarded to the full Senate. The meeting then concluded with no further business.
LA
Transcript Highlights:
- We look at the complaint to do an initial intake.
- Patients don't see it.
- This bill matters because behind every trip is a real person: a dialysis patient, cancer patient, chemotherapy
- patient.
- These patients are not just passengers.
Bills:
HB689, HB742, HB926, HB946, HB948, HB1028, HB1095, HB1114, HB1121, HB1155, HB1185, HB1217, HB1220, HB1227, HCR76
Keywords:
public assistance, child welfare, benefit adjustment, DCFS, LDH, fraud detection, household reporting, Medicaid, immunization, healthcare eligibility, Family Independence Temporary Assistance Program, health policy, vaccination requirements, vaccination status, vaccine mandate, medical freedom, medical autonomy, public buildings, public access, government services
CA
California 2025-2026 Regular Session
Assembly Health Committee Aug 4th, 2026
Transcript Highlights:
- patients as well.
- , in-person patients as well.
- and patient experience.
- All of the patients that we deal with in telehealth are established patients that we know.
- While in-person visits for the intake sessions are preferred, it can sometimes be difficult for patients
Summary:
The committee held an outcomes review hearing on AB 744 and AB 32, two telehealth bills authored by Majority Leader Aguiar-Curry. Members and witnesses discussed how AB 744 established payment parity for telehealth in the commercial market, while AB 32 expanded Medi-Cal access to audio-only telehealth and helped make telehealth a more permanent part of California’s health care system. The chair and author emphasized that the hearing was meant to assess implementation, identify remaining gaps, and consider future policy changes.
First-panel testimony from policy experts described telehealth’s growth before and after COVID-19, noting strong patient satisfaction, continued higher utilization than pre-pandemic levels, and particular value for behavioral health, chronic care, rural communities, older adults, and patients facing transportation, work, child care, broadband, or language barriers. Witnesses said audio-only remains especially important for patients without reliable internet, but gaps remain in asynchronous care, FQHC/RHC billing, remote-only provider participation, and public data availability beyond 2022. Committee members asked about reimbursement, clinical safeguards, disparities, data collection, e-consults, commercialization concerns, and cross-state licensure.
The second panel featured providers and advocates who said the laws have improved access in practice. A family physician described telehealth as useful for established patients, follow-up care, mental health, and rapid triage, while Planned Parenthood said AB 744 and AB 32 support confidential reproductive health care and that Medi-Cal should allow more asynchronous care and new-patient access. A rural behavioral health clinician said telehealth has been essential for low-income and geographically isolated patients, though broadband and device access remain barriers. Public comment largely supported telehealth expansion while urging the Legislature to close remaining Medi-Cal gaps, modernize licensure, and preserve timely in-person care. No votes were taken; the hearing concluded with members and the author thanking witnesses and saying the review would inform future legislation.
NH
New Hampshire 2025 Regular Session
House Environment and Agriculture (01/28/2025)
Transcript Highlights:
- Concord decided to limit, in early 2024, the intake of NCS landfill leachate because of the toxicity
- Concord decided to limit, in early 2024, the intake of NCS landfill leachate because of the toxicity
- Concord decided to limit, in early 2024, the intake of NCS landfill leachate because of the toxicity
- Concord decided to limit, in early 2024, the intake of NCS landfill leachate because of the toxicity
- </c><01:56:04.920><c> uh</c> to but this is a doctor patient uh to but this is a doctor patient uh relationship
Summary:
The Environment and Agriculture Committee held a hearing on HB 566, which would require permit applications for new landfills to include a detailed leachate management plan. Representative German introduced the bill and explained that it was prompted by recent reporting on leachate management problems at New Hampshire landfills, including alleged violations and deficiency letters from DES. He said the bill was intended to address public health concerns, PFAS contamination, and increased leachate volumes tied to more severe rainstorms, while still allowing innovation in treatment and transportation methods. He also described a set of proposed amendments developed after discussions with DES and a landfill operator, including changing “permit for construction” to “operating approval,” applying the bill to landfill expansions, moving contract-related language into the planning section, and removing a proposed new subparagraph.
Committee members asked whether the bill would limit operator flexibility or duplicate existing DES rules. Representative German said the bill would not dictate specific treatment methods or lock operators into long-term contracts, but would require a plan showing how leachate will be managed, transported, and disposed of, with later contract changes reported to DES. Several members and the BIA representative questioned whether the bill was necessary given existing Env 806 rules and DES enforcement authority. The Business and Industry Association opposed the bill as introduced, arguing that DES already has rules and technical expertise, that the issue is better handled through rulemaking, and that moving requirements into statute could freeze the framework and make future adjustments harder. Supporters countered that a statute would provide a stronger, more durable policy commitment in response to ongoing problems.
No vote or final committee action was taken during the hearing. The discussion ended with the bill still under consideration and with the sponsor indicating that a revised amendment would likely be brought forward for later work session or executive session review.
HI
Hawaii 2025 Regular Session
SPEED Task Force (STF) - Mon Dec 15, 2025 @ 9:30 AM HST
Hawaii House Floor Meeting
Transcript Highlights:
- Second, the bill will establish a five-business-day intake period.
- Second, the bill will establish a five-business-day intake period.
- Second, the bill will establish a five-business-day intake period.
- During um business day intake period.
- :02:04.559><c> will</c><01:02:05.440><c> review</c> the intake period, shifty will review the intake
Summary:
The Speed Task Force met on December 15, 2025, with members participating in person and via Zoom. After roll call and introductions, the chair filed the previous meeting minutes without objection. The chair then gave a report on outreach presentations statewide about the task force’s permitting-simplification work, noting appearances before groups such as the Chinese Chamber, Small Business Regulatory Review Board, General Contractors Association of Hawaii, Hawaii Chamber, and the Land Use Commission. He also introduced the new task force coordinator, Reginald K. T. King, and outlined a January 6, 2026 process for member-submitted recommendations, including first-come consideration and structured debate. No public testimony or member questions were offered on these items.
The task force heard a presentation from the Building Permit PIG. The presenter said the group reviewed 79 SWAT recommendation forms over seven meetings, with participation from 15 disciplines and about 270 hours of work. The group’s findings emphasized workforce shortages, inconsistent plan quality, limited departmental resources, and a lack of centralized tools for applicants to self-resolve issues. Recommendations focused on building a workforce pipeline, expanding training on codes and technology, and developing a universal platform, including AI-assisted review tools. The presenter also raised offsite construction, including factory-built, modular, tiny homes, and ADUs, as an area needing clearer state and county alignment to speed permit review and support housing needs. No public testimony or Q&A followed, and discussion and voting were deferred to the January 6, 2026 meeting.
The task force then began the Chapter 6E Historic Preservation PIG presentation. The chair described historic preservation as a broad process covering research, protection, restoration, rehabilitation, and interpretation of significant properties, including burial sites and iwi kūpuna, and said Chapter 6E is intended to guide responsible development rather than stop it. The presentation explained SHPD’s role and the complexity of 6E review, including archaeological surveys, monitoring, and preservation plans. Early findings highlighted uncertainty in sensitivity determinations for iwi kūpuna and subsurface resources, repeated review of the same projects, and staffing and technical capacity shortages among SHPD and consultants. Public testimony was closed and no immediate Q&A was allowed; further discussion and voting on recommendations were scheduled for January 6, 2026.
HI
Transcript Highlights:
- jail and prison intake assessment process.
- jail and prison intake assessment process.
- jail and prison intake assessment process.
- I want to follow the patient, or follow the money.
- </c> have some larger number of out patient have some larger number of out patient which<00:51:51.720
Summary:
The Public Safety Committee held a hearing on House Bill 433, which would appropriate $4 million for Department of Corrections and Rehabilitation re-entry services to connect offenders with community-based services. Director Tommy Johnson said the department supports the bill’s intent but noted the governor’s executive budget already includes $4 million for the same purpose and asked that the measure defer to that budget. Supporters, including the Hawaii Correctional System Oversight Commission, Community Alliance on Prisons, and the ACLU, backed the funding but urged that it be tied to a clear re-entry plan, performance measures, transparency, and regular reporting to the legislature. They emphasized that re-entry should begin at intake and involve community partnerships, housing, treatment, employment, and family reunification services.
Committee members questioned the department about current re-entry services, pre-trial detainees, and how the new funds would be used. Johnson said the department’s current statewide re-entry budget is about $1.5 million to $1.7 million, separate from the larger Corrections Program Services Division budget for in-facility programs. He described the proposed $4 million as supporting a mix of services, including a pilot apprenticeship program, substance abuse treatment, navigator or warm-handoff services, and short-term transitional housing. He also said the department already tracks performance outcomes in its annual report and can provide a matrix showing the intake-to-discharge process, program contracts, and volunteer organizations.
The discussion also covered pre-trial detainees, electronic monitoring, and mental health services. Johnson said the department has limited jurisdiction over pre-trial detainees but works with courts to seek supervised release when possible; he noted that many requests are denied, though electronic monitoring has improved release rates somewhat. On mental health, he said the jail is not an ideal therapeutic setting for people found unfit to proceed and suggested a secure community-based step-down facility run by the Department of Health for those needing care above what the jail can provide but below forensic-level treatment. No vote or final action on the bill was taken during the hearing.
CA
California 2025-2026 Regular Session
Assembly Budget Subcommittee No. 1 on Health Apr 6th, 2026
Transcript Highlights:
- 80% of those patients relying on Medi-Cal and Family Pact. nationwide, with over 80% of those patients
- I am here today on behalf of patients who cannot be here themselves. Our patients are statistics.
- patients.
- So given the acuity of this types of patients, for regular patients.
- patients.
CA
California 2025-2026 Regular Session
Assembly Budget Subcommittee No. 1 on Health Apr 6th, 2026
Transcript Highlights:
- Eligible patients in all 58 counties.
- 80% of those patients relying on Medi-Cal and Family Pact. nationwide, with over 80% of those patients
- I am here today on behalf of patients who cannot be here themselves. Our patients are statistics.
- patients.
- Yeah, we have a lot of my patients.
Summary:
The Assembly Budget Subcommittee on Health began with a hearing on the impacts of H.R. 1 on California health programs, focusing first on reproductive health state investments. HCAI outlined five state-funded reproductive health programs created after Dobbs, including uncompensated care, practical support, capital and clinical infrastructure, and workforce programs. Essential Access Health and Planned Parenthood testified that these funds have served hundreds of thousands of patients, but warned that the uncompensated care program is fully awarded and needs renewal, and that Title X and Medicaid-related federal uncertainty continues to threaten access. Members questioned who the uncompensated care program serves, why Medi-Cal covers a large share of abortions, and whether Planned Parenthood could expand prenatal services; public commenters urged continued support for reproductive health access.
The committee then took up long-term care services and supports, starting with the HCBA and Assisted Living Waiver programs. DHCS reported large wait lists for both programs and said enrollment is limited by workforce and provider capacity, while LAO noted that increasing slots alone may not increase access without additional programmatic changes. Members pressed the department on whether more slots should be added given the lower cost of home- and community-based care compared with skilled nursing facilities, and public testimony argued that the wait lists should be reduced and that staffing concerns do not fully explain unused capacity. The committee also heard testimony on congregate living health facilities, where providers and a patient family described the homes as critical, lower-cost alternatives to nursing facilities for younger, medically complex people. Witnesses requested short-term bridge funding, while DHCS said it is proposing to transition CLFs into a managed care benefit by January 1, 2028, which would remove caps and expand access statewide.
The final long-term care topic was PACE. DHCS explained that it has paused new PACE applications and service expansions for at least two years to reassess oversight capacity and develop a statewide strategic growth framework, while existing programs continue operating. CalPACE supported the pause as a planning measure but asked for four additional state nurse positions to reduce delays in level-of-care determinations and speed enrollment for frail older adults. Members shared personal stories about how PACE has helped family members and asked how the state will meet growing demand; DHCS said stakeholder engagement will begin later in the year and that some existing applications already in process will continue. Public commenters broadly supported PACE, HCBA, and CLF funding requests.
The hearing then moved to the Department of Health Care Services’ 2026-27 Medi-Cal budget and related trailer bills. DHCS said Medi-Cal spending has grown due to coverage expansions, higher acuity, rising utilization, and especially pharmacy costs, and it described proposals to extend the current skilled nursing facility financing framework for one year while the state develops a new value-based payment strategy. LAO said most recent Medi-Cal spending growth has been driven more by higher per-enrollee costs than by caseload growth, with pharmacy spending growing especially quickly, and recommended better and more timely data to analyze the drivers. Members expressed concern about the rapid rise in Medi-Cal spending and asked for more detail on the largest cost increases.