Video & Transcript : 'direct care' :

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NH

New Hampshire 2025 Regular Session

Senate Capital Budget (04/24/2025)

Capital Budget

Transcript Highlights:
  • Uh, maybe people start costing down so we can take care of our residents.
  • </c><00:11:14.800><c> Any</c> we can take care of our residents.
  • Any we can take care of our residents.
  • The uh I'd just like to direct your attention.
  • </c><00:42:48.240><c> his</c> know where he was directing his know where he was directing his comments
Keywords: 1191, senate, all
HI

Hawaii 2026 Regular Session

House Chamber - Tue Apr 14, 2026, 9:00AM HST - Day 44

Hawaii House Floor Meeting

Transcript Highlights:
  • </c> This is a professional board-directed This is a professional board-directed position,<00:54:33.080
  • And really, this is a direction.
  • Representative Hartsfield. and referrals to needed care. and referrals to needed care.
  • </c> the lessening of access to health care the lessening of access to health care and<02:46:08.640><
  • ,</c> Care Association, Care Association, they<02:53:38.680><c> express</c><02:53:39.160><c> grave</c
Keywords: 910, house, all
NH

New Hampshire 2025 Regular Session

House Finance Division III (02/18/2025)

Transcript Highlights:
  • directed directed Sheltering<00:22:19.520><c> in</c><00:22:20.520><c> um</c><00:22:20.919><c> a</c><
  • types</c><00:22:30.159><c> of</c> directed directed that those types of directed directed that those
  • </c><01:25:03.600><c> moved</c><01:25:03.960><c> into</c> and direct care and then we moved into and
  • direct care and then we moved into state<01:25:04.880><c> employees</c><01:25:05.560><c> for</c><01:25
  • Right now, we do have the authority to move forward with hiring direct care positions.
Keywords: 928, house, all
Summary: The meeting began as a Division 3 work session on HB 71, but much of the early discussion focused on whether a previously discussed non-germane amendment could be considered or voted on that day. Members and the chair debated process and notice requirements, and the clerk’s guidance was that the amendment needed a separate public hearing before the full Finance Committee. The amendment was described as requiring DHHS contracts and addenda to include compliance with the Patient Bill of Rights, with a repeal date so the requirement would expire on November 30, 2026. The motion to move OTP on HB 71 with the amendment was withdrawn, and the committee agreed the amendment would be scheduled for a future full Finance hearing instead. The committee then turned to HB 71 itself and heard testimony from DHHS representatives John Williams and Jenny O’Higgins on the fiscal note and policy implications. Members questioned the estimate that the bill could put $12 million to $18 million per year in federal funding at risk, including HUD and Office of Refugee Resettlement funds. DHHS explained that the estimate was based on a broad reading of the bill’s term “specified alien,” which they said was not clearly defined in the bill, so they analyzed it using the federal definition of “alien” and assumed the bill could affect lawfully present non-citizens as well as undocumented individuals. They said the figure represented a worst-case scenario and that they were not claiming the loss was certain. Members also pressed DHHS on whether the bill could affect emergency sheltering in schools, public academies, or institutions of higher learning during disasters. DHHS said the language could create conflicts with federal funding conditions because emergency shelter programs generally cannot impose barriers on who may be sheltered, and they warned that excluding certain people could affect refugee-related and HUD funding. Questions were raised about whether the bill’s language would apply to private institutions as well as public ones, and whether the state could still use schools in short-term emergencies. DHHS said the language was broad, that they could not answer every legal question definitively, and that they would need input from public health and legal staff. No final vote on HB 71 was taken in the portion provided; the committee remained in discussion/work session mode after the amendment motion was withdrawn.
OK

Oklahoma 2026 Regular Session

Economic Development, Workforce and Tourism REVISED Apr 21st, 2026 at 01:30 pm

Economic Development, Workforce and Tourism

Transcript Highlights:
  • Seeing no debate, Senator Burns, do you care to close? He waves.
  • Seeing none, senator, do you care to close? Thank you, Madam Chair.
  • Senator Hines, do you care to close? He waives.
  • Senator Mann, do you care to close? He waives.
  • Senator Green, do you care to close? He waves. Clerk, call the roll.
OK

Oklahoma 2026 Regular Session

Agriculture and Wildlife Apr 13th, 2026 at 10:00 am

Agriculture and Wildlife

Transcript Highlights:
  • I also have an urgent care in Manford, Oklahoma, and just opened my third practice in Cleveland, Oklahoma
  • Senator Prieto, Senator Wingard, Senator Woods, Senator Logan, do you care to vote?
  • it's going is not a direction that we can go.
  • They can't get access to care unless they go to the emergency department.
  • You can doctor him right there and take care of the situation.
WA

Washington 2025-2026 Regular Session

House Community Safety Jan 22nd, 2026

Transcript Highlights:
  • They also have universal health care.
  • use disorder, they're able to get the care that they need.
  • I just think we're in the wrong arena and we need to kind of change direction.
  • And we've have. care of our residents there and we need to do better.
  • I just think we're in the wrong arena and we need to kind of change direction. Thank you.
Summary: The Community Safety Committee met in executive session to act on several bills previously heard. On House Bill 1228, which concerns certification of toxicology labs for blood and breath analysis, the committee adopted two amendments: Whale 261 allowing use of an out-of-state private lab under specified conditions, and Pat 341 requiring a Washington State Patrol implementation report by October 1, 2031. Amendment Pat 340 was withdrawn. The bill was then reported out do pass. House Bill 1982, which expands vacation eligibility for convictions tied to treaty Indian rights and directs the Office of Public Defense to provide representation, was also reported out do pass with a proposed substitute that reorganizes the statute and clarifies hunting-rights eligibility. House Bill 2156, concerning Attorney General investigators’ authority, was reported out do pass after a roll-call vote of 6-3. The committee also approved House Bill 2165, creating the gross misdemeanor of false identification as a peace officer, after adopting a proposed substitute that moves some conduct from criminal impersonation into the new offense, revises defenses, and defines “peace officer”; the bill passed 8-1. House Bill 2203, creating reckless interference with emergency operations and allowing recovery of emergency response costs, was amended to reduce some penalty levels and shorten license suspensions, then reported out do pass. House Bill 2220, relating to the Criminal Justice Training Commission, was held for later action. House Bill 2362, the so-called 0.05 impaired driving bill, drew divided testimony and debate over public safety, toxicology lab capacity, racial disproportionality in traffic stops, and immigration consequences of DUI convictions, but it was ultimately reported out do pass by a 5-4 vote. House Bill 2403, which modifies provisions on failure to register as a sex offender or kidnapping offender, was reported out do pass after discussion about balancing administrative treatment of the offense against public safety concerns. Finally, House Bill 2464, requiring private detention facilities to report incidents to the Department of Health and law enforcement and requiring annual agency reports, was reported out do pass despite objections that the issue should be handled federally and concerns about state detention practices. The committee then adjourned its executive session.
FL

Florida 2026 Regular Session

Education Postsecondary Mar 31st, 2025

Education Postsecondary

Transcript Highlights:
  • I want to stress that the lack of stable housing had a direct impact on my academic performance.
  • I was placed in foster care for about four years... youth who need them.
  • I want to stress that the lack of stable housing had a direct impact on my academic performance.
  • I was placed in foster care for about four years.
  • I was placed in foster care for about four years until I aged out at 18 in Carrier County.
Summary: The Committee on Education Postsecondary held confirmation hearings for two State University System Board of Governors appointees, M. Carson Good and Speaker Paul Renner. Good described his background in Florida real estate, airport governance, and fundraising, and said he would focus on improving university performance, collaboration among institutions, and growing endowments while keeping in-state tuition stable. Renner emphasized his legislative experience with higher education, and said his priorities on the Board would be transparency, compliance with legislative direction, and reducing administrative bloat. Both nominees were recommended for confirmation on a single vote, with Senator Berman noting concern about the low number of women on the board. The committee then heard and passed SB 1726, a higher education transparency bill by Senator Calatayud. The bill would require Board of Governors members to comply with constitutional financial disclosure requirements, set term limits for State Board of Education and university board members, change rules for presidential searches and public records, and require more detailed textbook and syllabus information for students. A student advocate from Florida Student Power Network supported the bill as increasing student involvement and democratic accountability in higher education. Senator Harrell raised a concern about residency requirements for Board of Governors members, and the sponsor said that issue could be revisited later. The bill was reported favorably. Next, the committee considered SB 1458 on apprenticeship and pre-apprenticeship funding. A delete-all amendment was adopted that required clearer funding splits between local education agencies and program providers, annual reporting, a standard DOE contract template, and a cap on administrative fees in certain cases. Supporters from industry groups said the changes would improve transparency and accountability without requesting additional funding. The committee then reported the bill favorably. Finally, the committee heard SB 584 on young adult housing support. An amendment removed a requirement that state agencies act as co-signers or guarantors on leases while preserving coordination for the federal Foster Youth to Independence program. Several former foster youth and advocates testified in support, describing housing instability and its impact on education, and urging broader access to campus housing and vouchers. The sponsor said the bill prioritizes housing and work-study for homeless and former foster youth, supports the FYI program, and directs a statewide study of housing barriers. The committee reported the bill favorably and then adjourned.
TX
Transcript Highlights:
  • The idea is to direct it. There's TLR here, and then Joe Madison.
  • It's been my privilege as a cancer surgeon to take care of patients at M.D.
  • enhance patient care across the state and expand care, allowing us to see more Texas patients.
  • I believe in the PA's compassionate, collaborative care mindset.
  • level of care.
Bills: HB111
Keywords: 1185, senate, all
KY
Transcript Highlights:
  • Before we move on to our regular business, we need to take care of some housekeeping.
  • Before we move on to our regular business, we need to take care of some housekeeping.
  • As is usual, please silence your cell phones. care of some housekeeping.
  • Our members care of some housekeeping.
  • </c> that direction. So, thank you so much. that direction. So, thank you so much.
Summary: The Administrative Regulation Review Subcommittee met to reorganize its leadership for the new term, renewing Representative Derek Lewis as House co-chair and Senator Steven West as Senate co-chair. The committee then approved the minutes and moved through a series of agency regulations, generally adopting staff-suggested amendments without objection. Among the regulations reviewed were an Attorney General rule changing how a commission reviews and distributes funds and how grant reporting is handled; Personnel Board changes abolishing and renaming certain job classifications and adjusting probationary periods; an Education and Labor Cabinet rule removing references to local board of education members; several Public Protection Cabinet rules covering Board of Claims and Crime Victims’ Compensation procedures; an Alcoholic Beverage Control rule on direct-to-consumer shipping forms; and a Medicaid Services emergency regulation establishing the Kentucky Trauma Hospital Rate Improvement Program for rural hospitals serving many Medicaid patients. The committee also heard that the Board of Claims and Crime Victims’ Compensation regulations included both staff and, in one case, an agency amendment, which were approved. The most extended discussion came on the Department for Community Based Services’ regulation increasing per diem rates for private child-placing therapeutic foster care levels 2 and 3. Committee members questioned the estimated $10 million biennial cost, the source of the funding, and why the cabinet had not yet filed regulations implementing Senate Bill 151 on kinship care. DCBS staff said the rate increase was discretionary and intended to address placement crises for children with high needs, while acknowledging they could not personally explain the budget decisions. A kinship caregiver testified in support of the rate increase but urged the cabinet to also implement SB 151 and expand support for kinship families. The committee expressed frustration over the lack of SB 151 implementation but stated the rate increase itself was appropriate and allowed the regulation to proceed.
MO

Missouri 2026 Regular Session

Local Government Mar 25th, 2026

Local Government, Elections and Pensions

Transcript Highlights:
  • That has been taken care of. The language that included sheltered workshop has been taken care of.
  • We will not, politicians will not, determine the direction.”
  • So if you're, you know, we have Mercy Care in my area.
  • Most of them needed help navigating the health care system, access to primary care, drug administration
  • It's about health care. It's about changing people's ability to interact with health care.
Summary: The committee first met in executive session and unanimously voted Senate Substitute for Senate Bill 914 and House Committee Substitute for House Bill 3467 due pass. HB 3467 was amended before passage; the sponsor said the changes clarified that any tax authority would apply only if a tax change is actually approved, corrected county/city references, and fixed ballot-language issues involving sheltered workshops. Members generally praised the sponsor’s work, though one member noted concern about shifting more burden to sales taxes. The main public hearing was on H.J.R. 107, which would place before voters a constitutional question allowing Jackson County to consider separating Kansas City from the county or otherwise altering its charter government. Sponsor Rep. Steinmeyer argued the measure was about voter sovereignty and local control, citing prior Jackson County ballot measures and saying entrenched local power had blocked reform. Supporters echoed that Jackson County residents were frustrated with representation, taxes, and county governance. Opponents, including Kansas City and chamber representatives, argued the proposal was unnecessary, costly, procedurally unclear, and potentially destabilizing; several members also questioned the 10-year resubmission clause, the exclusion of local officials from the transition process, and the statewide fiscal impact. No action was taken on the resolution during the hearing. The committee then heard Senate Substitute for Senate Bill 975, dealing with ambulance district mergers and community paramedic/mobile integrated health services. Senator Black and supporters said the bill would help struggling rural ambulance districts merge without disrupting billing, contracts, or service, and would expand community paramedic care for low-acuity patients and hospital-at-home models. Several witnesses from ambulance and fire districts described successful programs and said the bill would improve patient care and help rural areas. Opponents, including ambulance and fire district representatives, supported the merger provisions but objected to Senate-added language they said would let districts provide community paramedic services across jurisdictional lines without memorandums of understanding, undermining local control and negotiating power. The hearing ended with testimony still ongoing after a recess for floor session; no vote on SB 975 was reported in the transcript.
MN

Minnesota 2025-2026 Regular Session

House Floor Session 5/18/25 - Part 1

Minnesota House Floor Meeting

Transcript Highlights:
  • </c> school and early care programs as well. school and early care programs as well.
  • And this is one step in that direction.
  • </c> and this is one step in that direction. and this is one step in that direction.
  • “So, I hope today we can see a good vote in the right direction with this bill.
  • I encourage direction with this bill.
Keywords: 1183, house
TX

Texas 89th Regular

Disaster Preparedness & Flooding, Select Aug 22nd, 2025

Disaster Preparedness & Flooding, Select

Transcript Highlights:
  • Currently, I do critical care. Hold on real quick, your position on the bill? I'm for it. Okay.
  • I'm currently a Critical Care Paramedic in Pediatrics.
  • Start moving in the direction where we can solve it. I appreciate it. I like that. Thank you.
  • ALICE is our local cashier, our child care provider, our small business owner.
  • There's no direction about seeking higher ground or an assembly point.
MN

Minnesota 2025-2026 Regular Session

Committee on Jobs and Economic Development - 02/10/25

Jobs and Economic Development

Transcript Highlights:
  • direct appropriation and looking to extend that direct appropriation due to just delays when that direct
  • direct appropriation and looking to extend that direct appropriation due to just delays when that direct
  • direct appropriation and looking to extend that direct appropriation due to just delays when that direct
  • direct appropriation and looking to extend that direct appropriation due to just delays when that direct
  • direct appropriation and the previous uh direct appropriation and looking<00:46:06.839><c> to</c><00:
Keywords: 1187, senate, all
MN

Minnesota 2025-2026 Regular Session

Committee on Higher Education - 03/18/25

Higher Education

Transcript Highlights:
  • Now, members, all you all know that rural health care is in crisis.
  • Now, members, all you all know that rural health care is in crisis.
  • Holman, who is the CEO of Central Care, and Dr.
  • </c><00:42:41.119><c> thank</c> of Minnesota and cental Care thank of Minnesota and cental Care thank
  • </c> few words that we use at Central Care few words that we use at Central Care and<00:47:14.119><c>
Keywords: 1187, senate, all
NJ

New Jersey 2026-2027 Regular Session

Assembly Budget Jun 28th, 2026

Transcript Highlights:
  • Kyle from the Health Care Institute of...
  • My members offer health care; the vast majority of them offer health care to their employees.
  • My members offer health care; the vast majority of them offer health care to their employees.
  • The intent of the bill is to provide health care for everyone because it is a right to have health care
  • And why is it that we're cutting health care by $266 million?
Keywords: 1146, all
Summary: The Assembly Budget Committee met on June 28, 2026 and considered a long list of budget and policy bills, reporting many of them out of committee, often with amendments. Early measures included AB 2550 on continued dependent health coverage for certain adults with disabilities, AB 4794 allowing tax data sharing with the New Jersey Innovation Authority and Secure Choice Savings Board, and AB 3381/SB 1493 updating occupational therapy licensure requirements. The committee also advanced AB 4014, creating a social media research center at a public four-year institution, though one member opposed it as unnecessary spending given existing research on social media harms. Another bill, AB 5048/SB 1281, would ban certain apparel and diaper products with intentionally added PFAS; some members opposed it over safety and cost concerns, especially for firefighter gear, but it was reported. The committee also moved AB 383, which promotes volunteerism to help FamilyCare and SNAP recipients meet eligibility requirements, and AB 4357, extending telehealth pay parity, though one member objected to parity between telehealth and in-person care. The committee then took up several energy, environmental, and housing-related bills. AB 5188, the Advanced Grid Technologies Act, was released despite opposition from some members and labor interests. AB 2524 would let dual-use solar projects participate in community solar, and AB 5236 would strengthen pediatric psychiatry and behavioral health services; both were reported. AB 5348, allowing temporary use of open-space and related funds for certain municipalities, drew sharp criticism as a diversion of preservation money to fill budget holes, but passed. AB 5280 returned unexpended county appropriations to Hudson County and authorized supplemental operating aid; it also passed despite objections about prior bidding violations. AB 5347 provided certain motor vehicle-related funding to municipalities and was reported, as was AB 5334/SB 4423, appropriating Green Acres and CBT revenues for local open space and park projects. A major portion of the meeting focused on tax and business-related bills. AB 5329 increased the child tax credit for 2026-2028, with testimony urging that the expansion be made permanent; it was reported. AB 3899, the General Contractor Licensing Act, also passed. AB 5310/SB 4406 clarified sentencing under certain circumstances and was reported. AB 5330, allowing temporary transfers in the pension system, drew testimony from NJEA warning that the State Health Benefits Program was in crisis and asking for a longer repayment period to avoid rate spikes; the bill was still reported. AB 1326 created a higher education governance and funding task force and was amended to add a Talmudic institution or theological seminary representative. Later, AB 5333/SB 4424 appropriated additional Green Acres and CBT funds for recreation and conservation projects and was reported. The committee also advanced several business and alcohol-related measures, including AB 5235 establishing the School-Based Partnership for Access and Resilience for Kids program, AB 5325 reducing business formation fees, AB 4836/SB 2368 on portable solar devices, AB 4881 establishing an advanced nuclear energy procurement program, AB 3974/SB 3183 revising renewable energy incentive and solar interconnection rules, AB 4013 creating a social media research center focused on addictive behavior, AB 5225 making temporary alcohol beverage provisions permanent, and AB 5295 revising alcoholic beverage licensing laws. The most contentious debate came on AB 4085, the Fair Price Protection Act, which would restrict “surveillance pricing” and regulate grocery pricing practices. Consumer advocates supported the bill as a protection against individualized pricing, while retailers and chambers of commerce argued the language was too broad and could undermine loyalty programs, discounts, and electronic shelf labels. Despite those objections, the committee voted to report the bill after amendments. Finally, AB 4530/SB 3739 on EV supply equipment standards was reported, and AB 5322 imposing a temporary cap on net operating loss deductions under the corporate business tax sparked strong opposition from business groups and a policy debate over whether legitimate losses and investment-related deductions should be limited; the bill was still moved out of committee.
CA

California 2025-2026 Regular Session

Assembly Business and Professions Committee Jan 13th, 2026

Business and Professions

Transcript Highlights:
  • And it's actually a question directed to Amy and the opposition.
  • We are not going to control the 10% that are buying this legally; they don't care.
  • They don't care where their battery ends up. And this is not going to help that.
  • I don't care if adults do this, that's on them. But our kids are addicted to this.
  • 90% are not, they don't care where their battery ends up. They don't.
Keywords: 988, house, all
KY
Transcript Highlights:
  • </c> no experience in providing this care. no experience in providing this care.
  • that are not getting care.
  • </c> going in the correct direction. going in the correct direction.
  • </c> of care first of all the scope of care of care first of all the scope of care is<01:31:23.520><c
  • </c> care and kind of take that scope of care care and kind of take that scope of care and<01:32:12.000
Keywords: 958, all
Summary: The subcommittee met on October 14, approved the minutes, and then took up a large group of staff-suggested amendments to multiple regulations. Those staff amendments were approved without objection and were described as technical changes needed to comply with KRS Chapter 13A and other governing law. The committee then moved out of order to consider Kentucky Board of Medical Licensure regulation 2011 KAR 9:270, which governs buprenorphine prescribing and related standards. Board representatives said the regulation has been updated over time since 2015 and that the current amendments are intended to streamline the rule, remove outdated federal references such as the X-waiver, narrow education requirements to addiction-related topics, and create exceptions for settings like emergency rooms and certain pain treatment situations. The agency amendment would also allow buprenorphine monoproduct for up to 30 days when a patient is transitioning from a full opioid agonist, and would add physicians certified in addiction medicine as eligible specialty consultants. Board officials said the regulation was developed through a two-year process with a work group, informal outreach to medical organizations, and multiple comment periods, and they argued the rule is working because overdose deaths have declined and provider numbers have increased. Several witnesses and committee members raised concerns that the regulation remains too restrictive. Senator Rocky Adams noted that major medical organizations had said the proposed language could restrict access and worsen overdose risk, and he questioned whether the committee was being asked to choose between conflicting expert views. Opponents, including a medical student, a recovery advocate, and Dr. Colleen Ryan of the Kentucky Society of Addiction Medicine, argued the rule is outdated, creates unnecessary barriers to buprenorphine treatment, and should be repealed or substantially revised to align with federal guidance and evidence-based care. They said rigid requirements can discourage treatment and that addiction should be treated like other chronic illnesses. No final vote on the medical licensure regulation is reflected in the transcript excerpt, and the discussion ended with the chair preparing to hear from additional opponents.
US

US Federal 2025-2026 Regular Session

US House Floor Proceedings (Tuesday, June 9, 2026)

US Federal House Floor Meeting

Transcript Highlights:
  • It was genuine care. This care is the truest thing I know about America.
  • It was genuine care. not just proximity. It was genuine care.
  • The bill cut health care for 15 million Americans and raised health care costs for millions more.
  • The bill cut health care for 15 million Americans and raised health care costs for millions more.
  • </c> care, ballrooms. care, ballrooms.
WA

Washington 2025-2026 Regular Session

House Education Jan 22nd, 2026 at 08:00 am

Education

Transcript Highlights:
  • guardian agreement, restraint may be used as a planned behavior intervention only if a licensed health care
  • except for staff members who are licensed or certified health professionals of an inpatient health care
  • And finally, it directs OSPI, the ESDs, and the public schools to use the framework once developed.
  • And so this is just not the direction we want to go.
  • So teachers care. They want to make sure students are safe.
WA

Washington 2025-2026 Regular Session

House Transportation Jan 15th, 2026 at 04:00 pm

Transportation

Transcript Highlights:
  • They didn't feel that, as train users, as people that cared about the Cascade service that the state
  • This is a really big deal for passenger rail as you consider establishing a direct advocacy forum that
  • The ferry system customers have a direct relationship with state employees but not system management.
  • I direct the Solutionary Rail Campaign, a member of the Rail Can't Wait Coalition, and I host our Rail
  • Seeing none, does that take care of testimony? Okay, please call the next person then.