Video & Transcript : 'direct care' :
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CA
California 2025-2026 Regular Session
Senate Budget and Fiscal Review Committee Feb 18th, 2026
Transcript Highlights:
- , Including lack of adequate access to child care, food assistance, health care, and so much more.
- Some have two and three jobs to try to take care of their families.
- , food assistance, and child care that you mentioned.
- The demand for child care is enormous. Enormous.
- , to cut child care, to cut child care, to cut...
Summary:
The Senate Budget and Fiscal Review Committee held an informational hearing on California’s Budget Stabilization Account, or Rainy Day Fund, with opening remarks focused on the state’s long history of revenue volatility and the role reserves play in smoothing downturns. The Legislative Analyst’s Office explained that California’s personal income tax base is highly volatile because high-income earners’ income is tied to capital gains and other fluctuating sources, and that Proposition 2’s current reserve rules set aside 1.5% of General Fund revenues plus a share of excess capital gains, but cap constitutional deposits at 10% of General Fund taxes. The LAO said its analysis evaluates reserve policy over decades and found the current system would cover about 30% of funding shortfalls in a 90th-percentile downturn scenario over 50 years, which is an improvement over no reserve but still inadequate.
The LAO recommended raising the reserve cap substantially, ultimately to 50% by 2055, with an immediate increase to 20% and gradual increases thereafter. It also suggested either replacing Proposition 2’s deposit formulas with broader rules that capture volatility across all tax revenues or, alternatively, depositing all excess capital gains rather than only a share. The Department of Finance said the Governor’s prior proposal similarly sought to raise the cap from 10% to 20% and exclude reserve deposits and withdrawals from the state appropriations limit, arguing those two constraints limited the state’s ability to save during recent revenue surges.
Other panelists and members discussed whether reserves should be paired with broader structural changes, including unemployment insurance reform, safety-net funding, infrastructure reserves, and the projected surplus temporary holding account. The California Budget and Policy Center supported reserve reform but emphasized balancing savings with current needs and noted other tools such as revenue increases, borrowing from special funds, and the new surplus-holding account. Members debated the causes and effects of Proposition 13, the appropriations limit, business departures, and whether reserve policy should be more directly tied to protecting Californians’ access to health care, food assistance, child care, and other core services. No votes or formal actions were taken, as the hearing was informational only.
CA
California 2025-2026 Regular Session
Senate Budget and Fiscal Review Committee Feb 18th, 2026
Budget and Fiscal Review
Transcript Highlights:
- , Including lack of adequate access to child care, food assistance, health care, and so much more.
- Some have two and three jobs to try to take care of their families.
- , food assistance, and child care that you mentioned.
- The demand for child care is enormous. Enormous.
- , to cut child care, to cut child care, to cut We have before us the need to cut health care, to cut
Summary:
The Senate Budget and Fiscal Review Committee held an informational hearing on California’s Budget Stabilization Account, or Rainy Day Fund, with presentations from the Legislative Analyst’s Office, the Department of Finance, Practical Idealism Economics, and the California Budget and Policy Center. The LAO explained that California’s revenue volatility is driven largely by the personal income tax and high-income capital gains, and described how Proposition 2 deposits work, the 10% cap on the BSA, and the LAO’s evaluation that the current policy would cover only about 30% of funding shortfalls over 50 years in an unfavorable benchmark scenario. The LAO recommended raising the cap to 50% over time and either adopting broader deposit rules or depositing all excess capital gains. Finance said the administration had proposed raising the cap to 20% and excluding reserve deposits and withdrawals from the state appropriations limit. The Budget Center supported reserve reform but stressed balancing savings with current service needs and noted other tools such as revenue changes, borrowing from special funds, and the new Projected Surplus Temporary Holding Account.
Committee members debated the purpose and adequacy of reserves, the role of the state appropriations limit, and whether reserves should be paired with broader fiscal reforms. Several senators argued that reserves are needed to preserve core services during downturns and that the current system is too complicated and too small, while others emphasized the need to protect spending on health care, child care, and other services for working Californians. There was also discussion of infrastructure spending as a possible countercyclical tool and whether deposits for infrastructure should be treated differently under reserve and SAL rules. The LAO said the Legislature has flexibility in defining infrastructure spending and suggested an infrastructure fund could function as a separate reserve-like mechanism.
A significant portion of the hearing turned to broader tax and budget policy, including repeated references to Proposition 13, the state’s revenue structure, business departures, unemployment insurance financing, and the impact of inequality on California’s fiscal resilience. Some members argued Prop. 13 was driven by affordability concerns for homeowners, while others said it created loopholes that benefit corporations and constrain local revenue. The hearing did not take any vote or formal action; it remained informational, with the chair indicating the committee would continue questions and public comment after the panel discussion.
MN
Minnesota 2025-2026 Regular Session
House Transportation Finance and Policy Working Group 1/15/25
Minnesota House Floor Meeting
Transcript Highlights:
- There are some other revenues that are also directed into this fund.
- There are some other revenues that are also directed into this fund.
- <00:19:32.360><c> to</c> directed to directed to Transportation<00:19:34.240><c> there's</c><00:19:34.520
- </c><01:02:09.760><c> maybe</c> seem to be moving that direction maybe seem to be moving that direction
- </c><01:02:13.079><c> and</c> nevertheless moving that direction and nevertheless moving that direction
WA
Transcript Highlights:
- to students who don't already have a direct prescription."
- to students who don't already have a direct prescription.
- But they also don't have the ability to maintain or get that care as fast.
- That goes with all emergencies within our health care systems and schools.
- of care beyond a school nurse.
Keywords:
firearm violations, education, student discipline, school policies, safety measures, albuterol, asthma, inhaler, rescue inhaler, respiratory emergency, school nurse, student medication, self-administration, anaphylaxis, public schools, private schools, charter schools, tribal compact schools, K-12 health, medication policy
FL
Transcript Highlights:
- from lawful medical care.
- They are followed, and the applicable standard of care is applied to the treatment or health care, to
- care.
- .in care, lack of care, medical deserts, things like these issues.
- As a parent, it is both our right and our responsibility to direct the care, control, and custody of
Summary:
The Judiciary Committee heard Senate Bill 1272 on guardianship, which would limit a guardian’s ability to isolate an adult ward from family and require notice of major events such as a ward’s death or relocation to a more restrictive setting. Senator Jones and supportive speakers said the bill was intended to protect wards from abuse and isolation by bad actors, while still preserving good-faith guardianship. With no opposition testimony or debate, the committee voted 8-0 to report the bill favorably.
The committee then considered CS for Senate Bill 1284, which would expand Florida’s Wrongful Death Act to allow civil claims for the death of an unborn child. An amendment was adopted to define “unborn child” as a member of the species Homo sapiens carried in the womb and to state that the act does not authorize claims against the mother or against health care providers acting within the lawful standard of care. The bill drew extensive debate and testimony. Supporters argued it would give parents parity and fuller damages, including economic losses and mental anguish, when negligence causes the death of an unborn child. Opponents, including the ACLU, medical professionals, and reproductive rights advocates, warned it could be used to target abortion care, increase malpractice exposure, worsen physician shortages, and create speculative damages. The committee approved the bill 6-4.
Finally, the committee took up Senate Bill 1288 on parental rights, with a strike-all amendment that would strengthen parental control over minors’ medical decisions, surveys, and biofeedback devices, while adding exceptions for emergencies, court orders, certain legal statuses, and situations involving abuse or out-of-home placement. Supporters said the measure restores parents as primary decision-makers and protects children from inappropriate questioning or treatment without consent. Opponents argued it could block minors from confidential care for STIs, mental health, or abuse-related issues, and could chill school and medical screenings. The transcript ends during testimony and debate on this bill, before any final vote is shown.
NH
Transcript Highlights:
- </c> to the care being reviewed and care to the care being reviewed and care being<05:01:12.798><c> provided
- </c><05:15:32.320><c> Instead,</c> into a different direction. Instead, into a different direction.
- So, we were very careful about that. >> No. So, we were very careful about that.
- , for basic health care services.
- </c> care for basic ser health care services. care for basic ser health care services.
KY
Kentucky 2026 Regular Session
Senate Standing Committee on Appropriation and Revenue. (1-28-26)
Transcript Highlights:
- When we going on with health care costs.
- And so in here we've care organizations.
- The governor has put in funding to fully fund the relative kinship care foster care reimbursement program
- care funding from the changes in the TANF program.
- </c><00:53:48.640><c> because</c> is but be careful because is but be careful because nobody<00:53:50.880
Summary:
The committee met to hear a presentation from Dr. Hicks on the governor’s recommended budget for the next biennium. He reviewed the revenue outlook, noting modest general fund growth, a large rainy day fund balance, and the impact of recent income tax reductions. He said the budget was built around recurring reductions, lower debt service and retirement contribution rates, and the use of excess restricted funds, while protecting K-12 education, Medicaid, postsecondary education, public safety, and pension obligations.
Dr. Hicks outlined several major spending and reserve proposals, including $350 million from the Department of Insurance’s excess restricted funds to support Medicaid in the first year, $150 million for the affordable housing trust fund, $125 million for rural hospitals, $100 million to offset lost federal ACA premium tax credits, $75 million for utility assistance, and $50 million for food assistance. In education, the proposal included a phased pre-K for all plan funded by sports wagering tax revenue, a 3% annual salary increase for full-time school personnel, continued full funding of teacher pensions, a 2.5% annual increase in SEEK base funding, and additional support for career and technical education and school facilities.
He also discussed Medicaid cost pressures, including higher managed care, pharmacy, behavioral health, and nursing facility costs, and explained the expected effects of federal HR1 changes on Kentucky’s Medicaid program. Those changes include work and community engagement requirements and more frequent eligibility redeterminations for expansion members, which the administration estimated would reduce enrollment by about 4,300 in the first year and 28,000 in the second year. No votes or formal committee actions were taken during the meeting, which was limited to the budget presentation and member questions.
MN
Minnesota 2025-2026 Regular Session
Fraud Committee Meeting - 2025-05-05
Fraud Prevention and State Agency Oversight Policy
Transcript Highlights:
- In one example, we have a home care nursing agency.
- They don't take care of her. Her nursing home bills don't get paid.
- The same is true of other home care services.
- home care workers at certain statutorily required intervals.
- I think that's something we all want to be sure we're being careful about.
MN
Minnesota 2025-2026 Regular Session
House Fraud Prevention and State Agency Oversight Policy Committee 2/23/26
Fraud Prevention and State Agency Oversight Policy
Transcript Highlights:
- They is provided or in access to care.
- 26:51.800><c> program,</c> care about protecting the program, care about protecting the program, protecting
- </c> unqualified to provide health care unqualified to provide health care services.<00:53:23.520><c>
- </c> children's timely access to care. children's timely access to care.
- </c> to take care of our vulnerable. to take care of our vulnerable.
Bills:
HF3542
HI
Transcript Highlights:
- So, in my view, that indicates that the process is moving in the right direction under Chair Komeiji's
- So, in my view, that indicates that the process is moving in the right direction under Chair Komeiji's
- So, in my view, that indicates that the process is moving in the right direction under Chair Komeiji's
- </c> process is moving in the right direction process is moving in the right direction under<00:02:32.480
- </c> you're moving in a different direction. you're moving in a different direction.
Summary:
The Committee on Water, Land, Culture, and the Arts held a confirmation hearing on GM 742 for John Komeiji, the gubernatorial nominee to serve as chairperson of the Mauna Kea Stewardship and Oversight Authority through 6/30/2029. Testimony was overwhelmingly supportive. The executive director of the authority, representatives of the Canada-France-Hawaii Telescope Corporation and the Mauna Kea observatories, and authority member Noenoe Wong-Wilson all praised Komeiji’s leadership, describing him as fair, transparent, steady, and effective at building trust and relationships among stakeholders. Chris Matsuda also supported the nomination, citing Komeiji’s presence at community workshops, his neutral facilitation of public discussion, and his careful handling of the authority’s work on observatory leases and the comprehensive EIS.
In his remarks, Komeiji described the authority’s work as implementing Act 255 by building a new state agency, developing a master plan, drafting rules and regulations, and beginning the process for a comprehensive environmental impact statement related to observatory leases. He said the authority is trying to balance community voice, cultural and spiritual concerns, and the state’s policy supporting astronomy. He also discussed staffing and recruitment challenges, saying the authority is repurposing positions, using special project positions, and looking for creative ways to recruit qualified staff despite the controversy surrounding Mauna Kea. He noted that the authority is working through asset transfers from UH, managing operational needs, and addressing a projected $4 million federal funding gap affecting CMS.
Members asked about timelines, contingency planning, staffing capacity, and financial sustainability. Komeiji said the authority is on track for the master plan and EIS, but would return to the legislature if delays require more time. He acknowledged that no detailed contingency plans have been developed yet for possible IT or other implementation problems, but said the board is continuing to monitor progress. He also said the authority is accelerating contracts to encumber funds while available and expects to cover planned EIS and master plan consultant costs if funding remains at current levels. After discussion, the committee voted to advise and consent; the chair and acting vice chair voted aye, with excused absences noted for Senators Inouye, Chang, and Lamosao. The measure was adopted and the committee adjourned.
MN
Transcript Highlights:
- ><c> will</c> health care, mental health care, will health care, mental health care, will help<00:23:
- </c> health care that their children need. health care that their children need.
- </c> children's mental health care? children's mental health care?
- We all care about our kids. We all care about our teachers.
- We all care We all care about our kids.
AL
Alabama 2025 Regular Session
Alabama House Alzheimer's Task Force Innovation & Research Subcommittee Mar 18th, 2025
Transcript Highlights:
- It’s a good step in the right direction for modernizing some of the language in education, care, and
- taking care of.
- So we focus on both and we put care plans together for both. ...put care plans together for both people
- We get called about law clinics all the time, right, because we care about important papers.
- People don't even understand the basics of what the levels of care are.
US
US Federal 2025-2026 Regular Session
Business meeting to consider the nomination of Michael Faulkender, of Maryland, to be Deputy Secretary of the Treasury; to be immediately followed by hearings to examine the nomination of Mehmet Oz, of Pennsylvania, to be Administrator of the Centers Mar 14th, 2025 at 09:00 am
Finance Committee
Transcript Highlights:
- The most expensive care we give is bad care.
- Second, we should incentivize doctors and all health care providers. to optimize care, but we have to
- On rural health care, I expect you to protect and support access to rural health care to help achieve
- delayed is care denied.
- No guidance, no direction.
Keywords:
Michael Falkender, Deputy Secretary of the Treasury, IRS, taxpayer privacy, nomination process, committee hearing
Summary:
The committee convened to discuss critical issues surrounding the nomination of Michael Falkender for the position of Deputy Secretary of the Treasury. This meeting included a series of remarks from committee members who expressed divergent views on Falkender's qualifications and the implications of his appointment. Senator Wyden voiced strong opposition, arguing that Falkender represents harmful policies expected to be perpetuated under the current administration, especially concerning taxpayer privacy and IRS tactics. Meanwhile, other members defended Falkender, noting his extensive experience, including a commitment to transparency in government operations if confirmed.
NM
New Mexico 2026 Regular Session
Senate - Health and Public Affairs Jan 26th, 2026 at 01:45 pm
Senate Health & Public Affairs
Transcript Highlights:
- It really opened my eyes to the health care industry and the health care needs of our state.
- We all know that New Mexico is facing a health care crisis, but we are also facing a primary care cliff
- And we've only met about 40% of our primary care need.
- And it is a health care equity strategy. ...a rural stability strategy, and it is a health care equity
- Oh, let's fix health care in New Mexico.
NH
New Hampshire 2025 Regular Session
House Finance Division III (02/19/2025)
Transcript Highlights:
- I mean, we've also been looking at this, trying to find an effective way to make sure that direct care
- I mean, we've also been looking at this, trying to find an effective way to make sure that direct care
- c> so</c> on non-direct care positions And so on non-direct care positions And so there's<01:05:24.760
- </c><01:06:00.079><c> direct</c><01:06:00.520><c> care</c><01:06:01.319><c> is</c><01:06:01.520><c> not
- </c> sure that care direct care is not sure that care direct care is not impacted<01:06:02.720><c> and
Summary:
House Finance Division III convened a work session on the DHHS budget, with the chair noting there would be no votes and that the committee would spend the day hearing from the commissioner’s office. Nathan White, DHHS Chief Financial Officer, opened with the Division of Finance/Office of Business Operations, explaining that the unit supports the department through daily financial management, AP/AR, audit work, expense projections, transfers, and procurement functions such as contracts, amendments, RFPs/RFAs, and grants management. He also described the division’s revenue and reporting work, including federal draws, CMS-64 reporting, and the public assistance cost allocation plan, and said the department had centralized rate-setting work and a small team handling Medicaid rate analysis and nursing facility rebase work.
Members asked about vacancies, turnover, and budget changes. White said the division had 18 positions unfunded in the governor’s budget, reducing personal services from about $10.8 million to $9.9 million, and estimated the division’s vacancy rate at about 11 percent, below the department average. He said turnover was relatively low, with one retirement at the manager level and higher turnover mainly at lower AP-level positions. He also explained that some budget lines reflected reallocations rather than new spending, including fringe benefits centralized elsewhere and an EBT card contract moved into this unit because the staff member overseeing it works in Finance. When asked about a rent/lease increase, he said it was due to higher copier leasing costs under a statewide DAS contract.
White highlighted several management and technology improvements. He said a business intelligence tool procured in 2022, using Salesforce and Excel-based data, helped DHHS better track federal revenue and maintenance-of-effort spending, reducing FY24 General Fund lapse by about 70 percent and federal/other revenue lapse by 88 percent compared with FY23; he warned that the tool is not funded in the current budget. He also described Lean Six Sigma efforts in the contracts team, training for vendors and nonprofits on procurement and indirect cost rules, and a Finance Academy to standardize policies and procedures. On the contracts side, he said the department uses Smartsheet for project management and DocuSign for electronic signatures, which cut contract execution time dramatically, but noted DocuSign is also not funded in the governor’s budget. The session ended as the committee prepared to move on to the Employee Assistance Program presentation.
MA
Massachusetts 2025-2026 Regular Session
Joint Committee on Ways and Means Mar 24th, 2026
Joint Committee on Ways and Means
Transcript Highlights:
- And it's just a comparison as to two different agencies with congregate care.
- They make sure that the care, custody, control is constantly done.
- So as this process unfolds, we're pulling in the same direction.
- In terms of... direction. So we appreciate the guidance and all you do.
- They've, they've have huge health care bills.
MN
Minnesota 2025-2026 Regular Session
House Commerce Finance and Policy Committee 4/7/26
Commerce Finance and Policy
Transcript Highlights:
- <00:58:12.960><c> that</c><00:58:13.200><c> this</c> direction that this direction that this debate<00
- Hawkins or maybe the publishers would care to answer.
- </c> care to answer. care to answer.
- </c> met a heightened standard of care. met a heightened standard of care.
- </c><01:35:46.880><c> regarding</c> heightened standard of care regarding heightened standard of care
Keywords:
data broker, data brokerage, consumer privacy, personal data, data privacy, Minnesota attorney general, registration, public registry, civil penalties, enforcement, special revenue fund, privacy rights, data sales, data collection, consumer protection, chapter 325M, controller, processor, data broker registry, transparency
MO
Transcript Highlights:
- They do not care about the citizens of Missouri.
- They don't care about you, and they sure don't care about me.
- And they don't care about my constituents, and they care about profit.
- , health care in general.
- Just 10 full-time staff cover all direct services for a facility that operates... cover all direct services
MA
Massachusetts 2025-2026 Regular Session
Joint Committee on Economic Development and Emerging Technologies Jun 21st, 2026 at 01:00 pm
Joint Committee on Economic Development and Emerging Technologies
Transcript Highlights:
- strong health care workforce.
- You know I'm a fan of local control and care deeply about our towns.
- You know I'm a fan of local control and care deeply about our towns.
- I serve as the Assistant Directing Business Representative for IAM District 15.
- This bill moves us in that direction. This bill moves us in that direction.
Summary:
The committee held a hearing on Governor Healey’s economic development proposal, H. 5386, also referred to as the Mass Winds Act, focused on global investment, talent, innovation, housing, and business competitiveness. Governor Healey, Secretary of Economic Development Eric Paley, and Secretary of Administration and Finance Matt Gorzkowicz described the bill as a response to federal uncertainty and global competition, building on the 2024 Mass Leads Act. They highlighted proposed investments in a Global Mass initiative, including a $50 million innovation access fund and $20 million for sites to help international companies locate or expand in Massachusetts, along with support for AI, quantum, robotics, defense innovation, climate tech, downtown revitalization, and creative/cultural economy projects. They also emphasized measures to lower business costs, including reducing the LLC filing fee, expanding the small business energy tax exemption, and streamlining housing and development rules.
Committee members questioned the administration about non-compete reform, AI and data-center infrastructure, housing affordability, and whether the bill would help retain workers and companies in Massachusetts. The governor and secretaries argued that the non-compete changes would restore the original compromise by requiring any alternative to garden leave to be negotiated at separation, and they said the bill’s housing and workforce provisions are intended to help young workers stay in the state. They also said Massachusetts is already investing in AI training, an AI hub, and energy-related planning, while acknowledging that data-center growth will require careful attention to water, electricity, and ratepayer impacts.
Several witnesses testified on specific sections. Northeastern University supported the internship tax credit, saying experiential learning helps students gain jobs and remain in Massachusetts. The Latino Empowerment Advisory Council supported the waiver of redundant English testing for internationally trained nurses, saying it would speed entry into the workforce without lowering clinical standards. Russell Beck opposed the non-compete changes, arguing they would undermine the 2018 compromise and could reduce other forms of employee compensation. The Secretary of the Commonwealth’s office opposed the LLC fee reduction, citing revenue loss and fraud concerns. Municipal and regional groups, including the MMA and the Metro Mayors Coalition, supported site plan review codification and downtown/arts investments, while urging continued municipal input. The AFL-CIO asked for trigger language to preserve labor protections if federal law changes, and business and industry witnesses generally supported the bill’s competitiveness and global investment provisions. No votes were taken; the hearing was informational, with written testimony invited after the meeting.
FL
Florida 2026 5th Special Session
Judiciary Jan 20th, 2026
Transcript Highlights:
- And if I love them, I care about them.
- on health care.
- So health care sharing services provide coverage of health care costs to its most... that were not really
- health care costs covered.
- The cost of health care, create competition, and you will necessarily bring down the cost of health care
Summary:
The committee heard and advanced several bills. SB 624, by Senator Yarborough, would allow batterers intervention programs to offer optional supplemental faith-based activities, with no participant required to take part; supporters said it would expand provider options amid a shortage of certified programs, while opponents raised concerns about government speech and mixing religion with court-ordered programming. After debate, the bill was reported favorably 7-2. The committee also considered CS/SB 834, which repeals a 2022 restriction preventing licensed insurance agents from marketing or selling health care sharing ministries; supporters framed it as restoring choice and free speech, while opponents warned about consumer confusion, commissions, and lack of insurance protections. It was reported favorably 8-2.
The committee next approved CS/SB 502, via a strike-all amendment, to give Florida concurrent jurisdiction over certain juvenile offenses on military installations so juveniles can be handled in state juvenile court rather than federal court; the amendment and bill both passed unanimously. CS/SB 52 also passed unanimously after testimony from church leaders and security personnel supporting an exemption from Class D/G licensing for unpaid armed security volunteers at places of worship. Supporters said the bill would clarify legal gray areas and help churches afford security, while members noted the broader concern that houses of worship need armed protection at all.
Finally, the committee reported favorably SB 840, which revises last year’s emergency/local planning law by narrowing its application after storms from 100 miles to 50 miles of the storm track and exempting certain water, flood, and state/federal planning matters; local government representatives supported the clarification, and the bill passed 9-0. CS/SB 758, as amended, updated the membership of the Justice Administration Commission to better reflect the entities it oversees, and it also passed 9-0. The meeting ended with a recorded affirmative vote from Senator DeSigley on SB 624.