Video & Transcript : 'direct care' :
Page 268 of 500
AZ
Transcript Highlights:
- This bill is a direct attack, make no mistake, a direct attack on free speech.
- CRNAs provide great mid-level care. They fill a role in our health care settings.
- But anesthesiologists are a different type of care provider. They lead care teams.
- I don't care about the proper role of government at that time. You know what I care about?
- So we like proper health care. And I want everybody to know. proper health care.
MA
Massachusetts 2025-2026 Regular Session
Joint Committee on Financial Services Jun 21st, 2026 at 10:30 am
Joint Committee on Financial Services
Transcript Highlights:
- And FQHCs are the backbone of the primary care safety net, and protecting 340B protects access to care
- This is a direct threat to access to care for the Commonwealth's most vulnerable patients and your constituents
- This is the humane care Julio needed.
- health care system.
- care system.
Summary:
The committee held a lengthy hearing on a large docket of pharmacy and drug-pricing bills, with most testimony focused on PBM reform, 340B drug discount program protections, specialty medication access, and medication adherence. Chair James Murphy and Senator Paul Feeney opened the hearing and took testimony from legislators, patient advocates, pharmacists, health center leaders, industry representatives, and policy groups. Several speakers described delays, denials, high out-of-pocket costs, and pharmacy closures tied to PBM practices, while others emphasized the importance of community health centers and independent pharmacies in serving patients.
On the 340B program, supporters including Senator Eldridge, Senator Payano, Community Care Cooperative, Fenway Health, the Massachusetts League of Community Health Centers, and several community health center leaders argued that bills such as H. 1107 and S. 819 would stop discriminatory PBM and manufacturer practices, preserve contract pharmacy access, and protect safety-net providers that say they reinvest savings into care, pharmacy expansion, interpreter services, behavioral health, and other services. Opponents including PhRMA, the Community Liver Alliance, and a public policy analyst argued the program lacks transparency and accountability, has grown beyond its original purpose, and may benefit large hospitals and for-profit entities more than low-income patients. They urged more reporting and oversight rather than expanding protections.
On PBM reform, testimony supported bills including H. 1157, H. 1234, S. 724, S. 831, and related measures that would require rebate pass-through, ban spread pricing, limit steering to PBM-owned pharmacies, and improve reimbursement for community pharmacies. Independent pharmacists and patients said current PBM practices raise costs, create administrative burdens, and threaten access to local pharmacies. PCMA, representing PBMs, opposed the reforms, arguing PBMs lower costs, that plan sponsors choose to contract with them, and that the Health Policy Commission and CHIA should complete their ongoing study before new mandates are adopted. The committee also heard support for H. 1322 and S. 734 on specialty medications, and for H. 781 and H. 1305 on medication synchronization to improve adherence. No votes or formal actions were taken during the hearing.
AZ
Arizona 2026 Regular Session
02/16/2026 - House Health & Human Services #1
Transcript Highlights:
- It's about dignity of care, continuum of care.
- Let me be very clear: the care provided in private homes by my caregivers is not different from care
- For urgent health care services, a health care services plan or its utilization review agent must notify
- For non-urgent health care services, the health care services plan or review agent must notify the provider
- For non-urgent health care services, the health care services plan or review agent must notify the provider
Summary:
The committee first heard House Bill 2307, as amended by a strike-everything amendment, which would require the Department of Health Services to contract with an out-of-state facility when a person found dangerous and incompetent under a court commitment order cannot be placed in an Arizona secure mental health facility. Supporters, including the sponsor and Senator Angus, said the measure was a temporary stopgap to prevent dangerous individuals from being released because Arizona lacks secure behavioral health beds. Opponents raised due process, disability rights, family access, cost, and interstate-legal concerns, and DHS said it had no fiscal estimate and little experience with such contracts. The committee adopted the amendment and then passed the bill 6-5.
The committee then took up House Bill 2083, which updates diabetes-related insurance coverage to include items such as continuous glucose monitors, insulin pumps, smart insulin pens, and certain injectable medications. Supporters said the bill reflects modern diabetes care and can prevent serious complications, while an insurer representative warned that putting the coverage in statute could create state-mandated costs and raised concern that the language might be read to include GLP-1 drugs. The committee adopted the amendment and passed the bill 11-1.
House Bill 2673, dealing with mental illness screening and treatment for incarcerated people, would require sheriffs to ensure prisoners showing symptoms of mental disorder are examined within 24 hours and, if appropriate, referred for evaluation and treatment. Representative Hernandez said she intended to revise it into a study committee-style measure after stakeholder feedback, and a family member testified about her son’s death after untreated psychosis in jail. Opposition focused on competency and civil-commitment concerns, costs, and the burden on jails, but the committee passed the bill 12-0. House Bill 2923, which revises timelines and notice procedures for judicial review of court-ordered mental health treatment, also passed 12-0 after supporters said it would clarify outdated language and improve communication with families and guardians; opponents argued it shifted burdens onto patients and could prolong confinement.
The committee next passed House Bill 2251, as amended, which expands licensed midwives’ authority to dispense certain medications and devices, adds reporting and oversight requirements, and creates an advisory committee. The sponsor said the amendment narrowed the medication list, clarified transfer-of-care triggers, strengthened oversight, and added sentinel-event reporting after stakeholder discussions with medical groups. Finally, the committee heard House Bill 2914 on electronic monitoring in resident rooms at nursing care and assisted living facilities, with the sponsor’s statement emphasizing the bill as a protection against abuse or neglect and noting similar laws in other states; the transcript cuts off before testimony or a final vote on that bill.
MN
Minnesota 2025-2026 Regular Session
Fraud Committee Meeting - 2025-07-08
Fraud Prevention and State Agency Oversight Policy
Transcript Highlights:
- Our Minnesota Medicaid programs help more than 1 million people access the care they need—medical care
- But nobody seems to be checking up on how the managed care organizations...
- DHS sends that money to the managed care organizations, who are responsible for the care and the payments
- Managed care organizations also have reporting requirements.
- , right, and health care provision.
ND
North Dakota 2026 1st Special Session
Legislative Procedure and Arrangements Apr 22nd, 2026 at 01:00 pm
Legislative Procedure and Arrangements Committee
Transcript Highlights:
- Saying, you know, follow all security alerts as directed.
- So we Take great care to reduce all of that, remove all of that.
- They don't care what the impacts are.
- They generally didn't care. They generally didn't care.
- They have been surveying parents of children in child care and also surveying child care providers.
NY
New York 2025-2026 Regular Session
New York State Senate Session - 05/12/2026
New York Senate Floor Meeting
Transcript Highlights:
- It directed him to keep his struggle with mental health from his friends and family.
- ALL BILLS REPORTED DIRECT TO THIRD READING.
- Across New York State, we trust these women to care for our families, to care for our homes, and our
- They do care where solar Projects go in their community.
- They do care where new transmission comes in.
Summary:
The Senate convened, approved the journal, and took up a series of motions to discharge identical Assembly bills to the Third Reading Calendar, along with committee reports and amendments. The chamber also received an introduction from Senator Gonzalez honoring Maria Raine and her advocacy for guardrails on AI chatbots after the death of her son, and later adopted a Rules Committee report sending several General Business Law bills directly to Third Reading. The resolution calendar was adopted with some exceptions, and the Senate recognized several previously adopted resolutions honoring individuals and observances, including Barnabas McHenry, Arthur Jones Jr., Floyd Todd Peterson III, the Lexington School for the Deaf, Tadeusz Kosciuszko, Apraxia Awareness Month, Fibromyalgia Awareness Day, Prevention Week, Physician Anesthesiologists Week, and Golf Day in New York.
The Senate then considered and passed numerous bills, many on consumer protection and public policy topics. Measures included bills on General Business Law, Public Health Law, Correction Law, Environmental Conservation Law, Executive Law, Vehicle and Traffic Law, Public Officers Law, Not-for-Profit Corporation Law, Public Housing Law, Education Law, Labor Law, and Public Service Law. Several bills were laid aside, including a Public Health Law bill by Senator Fernandez and a Public Service Law bill by Senator Parker. The chamber also passed a concurrent constitutional resolution by Senator Stec proposing an amendment to Article 14.
During floor debate, senators explained votes on several measures. Senator Ramos spoke in support of paid sick leave for domestic workers, describing the bill as a long-overdue labor protection for a workforce historically excluded from such rights. Senator Fernandez described her bill as the Manufacturer Disclosure and Transparency Act, aimed at requiring notice and public disclosure of certain pharmaceutical patent settlement agreements to improve transparency and competition in prescription drug pricing. Senator Ryan and Senator Martins supported a bill restricting hidden algorithmic price manipulation online, and Senator May supported a bill limiting excessive rental car fuel charges as part of a broader consumer protection package. The Senate also passed a memorial highway bill naming a portion of Route 19 in LeRoy for Lieutenant Gary A. Scott, with Senator Borrello explaining the veteran’s service and sacrifice.
WA
Washington 2025-2026 Regular Session
House Transportation Mar 9th, 2026
Transcript Highlights:
- It authorizes a new motor vehicle manufacturer to provide direct sales of its own vehicles if certain
- It authorizes a new motor vehicle manufacturer to provide direct sales of its own vehicles if certain
- And, of course, health care. It's a big part of health care.
- And, of course, health care, it's a big part of health care.
- sales. ...direct sales.
Summary:
The committee briefly reviewed four transportation-related bills before taking executive action. House Bill 2347 would repeal the 10% sales and use tax on luxury aircraft; members discussed the bill’s economic importance and its role in supporting business, wildfire suppression, agriculture, and health care, and it passed unanimously with a due pass recommendation. Substitute Senate Bill 6170 would raise monetary limits for state highway repair, emergency work, and WSDOT contracting, including higher thresholds for self-performance and small-business participation; it also passed unanimously.
Substitute Senate Bill 6225, which authorizes transportation bonds, drew the most discussion. As amended by striking amendment H-3808.1, the bill reduced general highway bond authorization from $1.1 billion to $800 million while retaining $500 million for SR 520 corridor projects and other transportation funding changes. Members described the amendment as a compromise to constrain future spending, and the bill passed 16-10 with several members voting no or no recommendation.
Engrossed Substitute Senate Bill 6354 would advance transportation electrification by allowing certain new manufacturers to sell directly under dealer licensing rules and by increasing the dealer documentary service fee, with part of the revenue supporting EV rebates for vulnerable populations. An amendment reduced the fee increase from $50 to $25, lowering the total fee to $225 through 2036 before reverting to $200. After debate about dealer impacts and direct sales policy, the amended bill passed 21-4. The chair then thanked staff and members and adjourned, noting it was likely the committee’s last meeting of the session.
AZ
Transcript Highlights:
- closest to this that we've been able to find tells us that there are so many variables that have a direct
- And so for these reasons, this bill, which purports to take things in a different direction with regard
- by the Constitution, you know, with regard to making decisions about things like schooling, medical care
- by the Constitution, you know, with regard to making decisions about things like schooling, medical care
- by the Constitution, you know, with regard to making decisions about things like schooling, medical care
MN
Minnesota 2025-2026 Regular Session
House Children and Families Finance and Policy Committee 2/11/25
Children and Families Finance and Policy
Transcript Highlights:
- <00:00:59.280><c> Grant</c> directed Grant directed Grant to<00:01:01.199><c> be</c><00:01:01.399><c>
- </c><00:10:30.360><c> about</c> position positions what we care about position positions what we care
- child child care facilities that other child child care facilities that are<00:47:05.880><c> under</
- care or center-based child care.
- care or center-based child care.
AZ
Transcript Highlights:
- This bill is a direct attack, make no mistake, a direct attack on free speech.
- CRNAs provide great mid-level care. They fill a role in our health care settings.
- But anesthesiologists are a different type of care provider. They lead care teams.
- I don't care about the proper role of government at that time. You know what I care about?
- So we like proper health care. And I want everybody to know. ...proper health care.
Summary:
The House opened with prayer, the Pledge of Allegiance, approval of the prior journal, and several points of personal privilege introducing guests and honoring military personnel and other visitors. Members also recognized a resident doctor in the gallery and guests from Sahuarita and Buckeye. Later in the day, the chamber paused to honor the University of Arizona men’s basketball team for its Final Four run with a legislative proclamation, and members met the team during a recess. The session also noted Motorcycle Awareness Day at the Capitol before adjournment.
The House then moved through Committee of the Whole on a large consent calendar of Senate bills, adopting committee amendments and reporting numerous measures do pass as amended, including SB 1067, 1100, 1137, 1174, 1189, 1206, 1215, 1235, 1254, 1413, 1503, 1620, 1668, 1671, and 1754. SB 1428 was retained on the calendar. The chamber also sent SB 1160 and SB 1193 to an additional Committee of the Whole under House Rule 12P for further amendment, and both later returned with amendments and were reported do pass as amended.
On third reading, the House passed SB 1058, which concerned firearm transactions and merchant coding, after debate over whether it would burden businesses and financial institutions or protect privacy and Second Amendment rights. The House also passed SB 1237 on election conduct and SB 1294 unanimously. SB 1372, dealing with reimbursement for nurse anesthetists and anesthesiologists, drew extensive debate over rural health care access, insurance company practices, and the proper role of government; it ultimately passed 33-20. HB 2050, relating to radiologic technology, also passed and was transmitted to the governor.
The House concurred in Senate amendments to several House bills and then adjourned until Monday, April 13, 2026.
NH
New Hampshire 2025 Regular Session
House Finance Committee Budget Briefing (04/08/2025)
Transcript Highlights:
- And our priorities were really direct care.
- And our priorities were really<02:43:33.280><c> direct</c><02:43:33.760><c> care.
- We have patients really direct care.
- obligations to provide patient direct obligations to provide patient care<02:44:37.920><c> and</c><02
- </c><03:11:09.680><c> It's</c> us because it's direct care. It's us because it's direct care.
Summary:
The meeting was a House budget briefing focused on the overall state budget and the first of three divisions. The presenter reviewed the size and structure of the budget, noting that the state had eliminated the interest and dividends tax and still balanced the budget. He explained the major spending categories in the general fund and total budget, emphasizing that health and human services and education remain the largest areas, while transportation is largely self-funded. He also walked through the revenue picture, including business taxes, insurance taxes, court fees, communications taxes, and Medicaid recoveries, and said the remaining interest and dividends tax revenue reflected late payments from prior assessments.
Members asked about the size of the tax cut from eliminating the interest and dividends tax, federal funding stability, and why Medicaid was being reduced if federal support was expected to remain steady. The response was that the lost revenue would have been about $200 million absent repeal, and that the budget gap was addressed through many small cuts across departments. On federal funds, the presenter said most aid is tied to multi-year grants and that core programs such as Medicare and Medicaid were expected to remain relatively stable, though some federal reductions could occur. He also said some agency reductions came from eliminating long-vacant, funded positions and from expected lapses.
The discussion then moved into Division One, which covers smaller and miscellaneous agencies. The division made cuts to the governor’s office, eliminated a temporary position at the Governor’s Commission on Disability, reduced Department of Information Technology spending through a back-of-budget cut, and found savings in Administrative Services. It also delayed maintenance at the Sununu Youth Services Center, stopped advertising for paid family medical leave, changed retiree health insurance funding, and consolidated several personnel-related boards into one. The division eliminated the Commission on Aging and the Office of the Child Advocate, made a temporary special education advocate position permanent, reduced the Secretary of State’s budget, kept municipal rooms-and-meals distributions flat, and made changes to the retirement system, including $55 million to improve Group 2 retirement benefits and a new retirement structure for future state hires. The judicial branch was also asked to find savings and received two additional judges because of expected caseload increases from other eliminations.
US
US Federal 2025-2026 Regular Session
US House Floor Proceedings (Monday, April 7, 2025)
US Federal House Floor Meeting
Transcript Highlights:
- </c><00:18:05.039><c> these</c> provide the kind of care these provide the kind of care these vulnerable
- </c> lack of direct and targeted outreach. lack of direct and targeted outreach.
- Welcome home to a nation and a health care system that wasn't ready to care for your wounds, seen and
- </c> answers, care, and our action. Mr. answers, care, and our action. Mr.
- </c><05:03:02.718><c> they</c> veterans die without the care they veterans die without the care they
MN
Minnesota 2025-2026 Regular Session
Committee on Agriculture, Veterans, Broadband and Rural Development - 02/19/25
Agriculture, Veterans, Broadband, and Rural Development
Transcript Highlights:
- buyers modification, and then from Senator Gon, who will talk to us about Farm to School and early care
- buyers modification, and then from Senator Gon, who will talk to us about Farm to School and early care
- </c> accountants were doing and taking care accountants were doing and taking care of<01:14:52.920><c
- We transitioned our farm from a dairy farm in 2019 to a direct market farm.
- We work with food hubs, schools, restaurants, and direct market at farmers markets.
AZ
Transcript Highlights:
- We pause now to ask for your direction for the matters at hand because the best decision is always found
- And with this all, we pray for the family members of those who are here as well: your direction, protection
- This is a fantastic bill, and I urge all of my colleagues to actually take care of children and vote
- Or actually directs the board to establish through rule the number of accounting semester hours that
- We support youth and adults seeking protected health care services by opposing hurtful and misguided
NV
Nevada 2025 Regular Session
Senate Floor Session Jun 2nd, 2025 at 12:00 pm
Nevada Senate Floor Meeting
Transcript Highlights:
- care providers.
- Amendment No. 982 to Assembly Bill 282 revises provisions relating to billing for health care.
- This revises provisions relating to billing for health care. Any further remarks?
- This bill deals with health care. Any further remarks? Any further remarks?
- It is a direct consequence of a collapsing free market.
HI
Hawaii 2025 Regular Session
House Chamber - Thu Apr 3, 2025, 12:00PM HST - Day 45
Hawaii House Floor Meeting
Transcript Highlights:
- Child care is tough. Child care for a special needs child is even tougher.
- Child care is tough. Child care for a special needs child is even tougher.
- Child care is tough. Child care for a special needs child is even tougher.
- Child care is tough. Child care for a special needs child is even tougher.
- Child care is tough. proceed. Thank you. Child care is tough.
KY
Kentucky 2026 Regular Session
Government Contract Review Committee (7-8-26)
Transcript Highlights:
- We're not over the health care system.
- Myers and care capitation payments.
- </c> actual five rates for managed care actual five rates for managed care organizations I<00:46:22.640
- </c> down to what the managed care down to what the managed care organizations<00:46:54.319><c> pay</
- ><c> can</c> But managed care organizations can But managed care organizations can contract<00:46:59.760
Summary:
The committee first approved the June 9 minutes, then reviewed a deferred personnel contract involving workers’ compensation claims administration. Staff explained that the roughly $50 million figure included about $48 million for claims payments and up to $1.45 million per year for administrative services, with billing based on a fee schedule for specific services rendered. Senator Meredith raised concerns about the vendor’s history, the scoring and bid process, and prior allegations involving the company; the administration responded that the procurement had been conducted under 45A through open competition, with outside scorers and no finding of wrongdoing tied to this contract. Meredith moved to disapprove Contract 167, Hart seconded, and the committee voted 5-2 to disapprove it.
The committee then deferred a Western Kentucky University personal services contract because the vendors were still not registered with the Secretary of State’s office. Hart moved to defer the contract until the August 2026 meeting, Meredith seconded, and the motion carried. The committee also approved the agenda covering the various contract lists and deferred items.
Next, the committee heard from the Cabinet for Health and Family Services on several personal services contracts for medical staffing and related services. Secretary Steven Stack and staff explained that staffing shortages often require outside vendors, that the contracts were competitively bid under 45A, and that the cabinet uses a streamlined vendor pool for specialized needs such as actuaries, auditors, and technical consultants. The committee approved Contracts 52 through 55 without objection. Discussion then began on Contract 61, with Meredith expressing concern that the committee lacked enough detail to judge whether the services could be performed in-house or whether the exchange of resources was appropriate; Stack said the contract was intended to provide efficient access to specialized outside expertise. The transcript cuts off before a final vote on Contract 61 is shown.
CA
California 2025-2026 Regular Session
Joint Hearing Senate Revenue and Taxation Committee and Assembly Revenue and Taxation Committee Feb 11th, 2026
Transcript Highlights:
- Again, Health care.
- Trump and the most recent budget are snatching health care, home care, food assistance from millions
- patient care in hospitals and other health care facilities across the state.
- We're providing hands-on care to California patients.
- They're providing hands-on care to California patients.
Summary:
The joint informational hearing examined California’s taxation of multinational corporations, especially the Water’s Edge election versus worldwide combined reporting. Chairs opened by framing the issue as a review of whether current rules fairly and sufficiently tax foreign subsidiary income, given profit shifting concerns, budget pressures, and the long history since Water’s Edge was adopted in the 1980s. The first panel from the Legislative Analyst’s Office and Franchise Tax Board explained the mechanics of unitary taxation, apportionment, and the Water’s Edge election, and provided filing data showing Water’s Edge filers are a small share of returns but account for a large share of corporate tax liability. FTB witnesses said the agency already administers both methods and could handle a shift to mandatory worldwide reporting with education and outreach, though revenue estimates are difficult because foreign affiliate information is not directly available.
Committee members asked about foreign government pushback, administrative burden, industries with more profit shifting, revenue uncertainty, and whether companies would leave California. LAO and FTB witnesses said pushback from foreign governments was plausible, but they did not expect major business flight because California’s tax is largely based on sales rather than physical presence. They also said worldwide reporting could reduce profit shifting but might increase revenue volatility and litigation risk. A second panel of academic and tax policy witnesses argued that Water’s Edge is a loophole that rewards aggressive tax planning, that worldwide combined reporting would better capture income tied to California, and that modern federal and international rules such as NCTI/GILTI, CAMT, and Pillar Two reduce compliance concerns and make a return to worldwide reporting more feasible. They also said California’s current system can create selection effects and may under-tax large multinationals.
In the next panel, a California Budget and Policy Center witness urged eliminating the Water’s Edge election, calling it a costly loophole that benefits large global corporations over smaller domestic businesses and deprives the state of billions in revenue that could support health care and other services. A Silicon Valley Leadership Group witness gave historical context for why Water’s Edge was adopted and began outlining concerns about compliance, double taxation, and the risk of overreaching beyond income truly connected to California. No bill was voted on or advanced; the hearing was informational only, with members using the testimony to weigh the policy trade-offs and possible transition periods if the Legislature were to change the current rules.
VA
Transcript Highlights:
- I originally had a bill that sort of directed it toward scholarships.
- I have a couple of bills, but I assume your staff will take care of those, right? Yes, sir.
- I have a couple of bills, but I assume your staff take care of those, right? Yes, sir. Thank you.
- This is the Virginia Health Care Protection Act.
- Any investigation involving protected health care activity. Move to report the bill.
MA
Massachusetts 2025-2026 Regular Session
Joint Committee on Children, Families and Persons with Disabilities Jun 21st, 2026 at 01:00 pm
Joint Committee on Children, Families and Persons with Disabilities
Transcript Highlights:
- I'm a primary care pediatrician here in Boston who cares for kids and adolescents, as well as a researcher
- that is intended to meet community standards of care.
- are getting the care that they need.
- To support the care of kids in custody, I feel reassured that my patients are getting the care that they
- He said, I don't care. I don't want to take you.
Summary:
The committee held a hybrid hearing on a range of bills affecting children, families, disability rights, homelessness, and social services. Early testimony focused on H.215, which would support children experiencing homelessness by speeding access to child care vouchers and early intervention screenings. Boston officials, Horizons for Homeless Children, Head Start, pediatric and early education advocates, and families described delays in child care and early intervention, the developmental risks of homelessness, and the need for automatic referrals and faster access to services. Testimony also supported H.216, which would improve emergency housing assistance by restoring presumptive eligibility, reducing documentation barriers, extending shelter stays from six to nine months, and creating an ombudsperson; providers and legal advocates said current rules leave families sleeping in cars or outside and create unnecessary administrative hurdles.
The committee also heard strong support for H.210, which would repeal the “Learn Fair” school attendance sanction that cuts cash assistance to families when children miss school. Advocates from legal aid, education, and anti-poverty organizations argued the policy is punitive, burdensome, and ineffective, disproportionately affecting low-income, disabled, and Hispanic/Latino families. Several speakers said chronic absenteeism should be addressed through supports such as family outreach, wraparound services, and school engagement rather than benefit cuts. Legislators and school officials from Salem also testified that their districts reduced absenteeism through supportive strategies, not sanctions.
Additional testimony addressed children’s vision bills H.202 and H.166, with optometrists and researchers urging better screening, data systems, and treatment access to close achievement gaps caused by untreated vision problems. Senator Lovely also presented S.2714, proposing a study of discrimination in public accommodations for people with service animals. Later, testimony on H.279 supported changing social work licensure rules to remove exam requirements that speakers said disproportionately exclude multilingual candidates and candidates of color. The hearing also included testimony on bills related to the Judge Rotenberg Center and electric shock devices, with disability rights advocates opposing continued use of the devices and urging the committee to reject licensing or authorization for them. No votes or committee actions were taken during the hearing.