Video & Transcript : 'Arizona Long Term Care System' :
Page 270 of 500
FL
Transcript Highlights:
- procurements and helped to transition our system to a predominantly managed care model.
- The amendment also replaces the term health care provider with physicians and moves the new sections
- And it transfers the operation of managed care service plan that has been a long-time part of Children's
- And it transfers the operation of a managed care service plan that has been a long-time part of Children's
- system.
Committee:
Senate Health Policy
Summary:
The Health Policy Committee met with a quorum and took up a long agenda of health care, Medicaid, and patient-access measures, along with confirmation votes. The committee first reconsidered and amended SB 1606 on patient access to records, clarifying portal obligations, deleting a section affecting nursing home facility records, and setting a January 1, 2026 effective date; the bill then passed favorably as a committee substitute. The committee also recommended confirmation of a block of appointees and separately confirmed Chavon Harris as Secretary of the Agency for Health Care Administration after Harris testified about priorities including financial accountability, managed care oversight, transparency, and quality improvement. Senators asked about audit findings and Medicaid managed care performance, and several witnesses and committee members voiced support for her appointment.
The committee then advanced a series of bills, most of them with amendments, including claims bills SB 28 and SB 22 for South Broward Hospital District settlements, SB 772 on undesignated glucagon in schools, SB 998 on death certification by physician assistants and APRNs, SB 1412 on home health administration flexibility, SB 1800 creating a Parkinson’s disease research consortium at USF, SB 306 on managed care network access during holidays and after hours, SB 1768 on stem cell therapies by physicians, SB 1602 on pediatric readiness in emergency departments, SB 1156 on the home health aide program for medically fragile children, SB 1490 on Children’s Medical Services and managed care administration, and SB 1182 on Medicaid coverage of continuous glucose monitors. Most of these bills received support from industry, advocacy, or provider groups and were reported favorably as committee substitutes.
The most debated measure was SB 1270, a broad strike-all amendment combining provisions on mRNA vaccine documentation, vaccination-status protections in the Patient Bill of Rights, medical marijuana reporting and background-screening definitions, compact language, and volunteer immunity. The committee heard extensive testimony both for and against the vaccine-related provisions, including concerns about discrimination, patient safety, provider discretion, and medical liability. After additional technical amendments and a time-certain motion, the bill passed favorably as a committee substitute, with Senators Davis and Osgood voting no and Senator Harrell expressing a weak yes. At the end of the meeting, senators recorded their votes on selected tabs, and the committee adjourned.
MN
Transcript Highlights:
- c> oh</c> invest in long-term care, we get a oh invest in long-term care, we get a oh no,<02:24:49.760
- Uh because long-term care providers.
- </c><02:42:46.479><c> care</c> the future of our long-term care the future of our long-term care facilities
- </c> long-term care facilities in their long-term care facilities in their district,<02:45:05.760><c>
- On average, it's long-term term care.
MN
Transcript Highlights:
- Senate File 3879 would allow state and local governments to conduct long-term planning for those systems
- </c> local governments to conduct long-term local governments to conduct long-term planning<00:37:39.120
- , state billing systems, and internal care documentations that are not fully integrated.
- <c> care</c> systems, and internal care systems, and internal care documentations<00:44:27.080><c> that
- </c> long-term stability. long-term stability.
Committee:
Senate Capital Investment
CA
California 2025-2026 Regular Session
Assembly Emergency Management Committee Apr 13th, 2026
Emergency Management
Transcript Highlights:
- to those systems.
- I have been a long-standing champion for quality of care that has been exemplified by this hospital,
- Assembly Bill 2405 addresses inequities and strengthens overall emergency care systems while supporting
- the long-term stability of safety net hospitals and improving outcomes for patients across California
- I think as we talk about health care and the sustainability of health care and even rural health care
Committee:
House Emergency Management
MA
Massachusetts 2025-2026 Regular Session
Joint Committee on Consumer Protection and Professional Licensure Jun 21st, 2026 at 10:00 am
Joint Committee on Consumer Protection and Professional Licensure
Transcript Highlights:
- If you're unfamiliar, OT practice spans a variety of settings, such as acute care and long-term rehab
- Long-term rehab settings, home care, early intervention, and school-based settings, as well as mental
- And this is a burden on the health care system.
- This is a result of our complex health care system.
- It is a failing of our health care system that people can end up with medical debt and then lose their
Summary:
The committee opened a hearing of the Joint Committee on Consumer Protection and Professional Licensure focused on health care and human services, reviewed testimony logistics, and then heard a long series of witnesses on several bills. Much of the testimony centered on interstate licensure compacts for dentistry, social work, and occupational therapy, with supporters arguing these compacts would improve workforce mobility, continuity of care, and access while preserving state oversight and public protection. Dental witnesses were split on H.455/S.257, with supporters backing the AADB dental compact for its hands-on exam, background checks, and disciplinary safeguards, while opponents argued a competing compact would better promote portability and avoid conflicts tied to proprietary testing and outside commissions. Social work witnesses strongly supported H.380/S.252, emphasizing continuity of care for clients who move across state lines, reduced costs and delays for practitioners, and the compact’s public-protection features; occupational therapy witnesses similarly supported H.427/S.256, citing access, telehealth, military families, and maintained standards.
The committee also heard testimony on S.242, which would expand licensure for lactation care providers. Supporters, including lactation counselors and health center staff, said adding certified lactation counselors and related credentials would expand access, improve breastfeeding support, and allow reimbursement for services now often provided without billing. They described the training required and said the bill would help families, especially in underserved communities. Representative James O’Day also testified in support of the social work compact, and a Council of State Governments witness provided background on compact mechanics and state participation.
Another major topic was H.419/S.214 on medical debt. Physicians and researchers testified that cancer patients experience long-lasting medical debt and collections burdens, and they supported limits on the sale and collection of medical debt, bans on reporting it to credit bureaus, and related consumer protections. The hearing also included H.465 on a pathway to special licensure for certain long-term limited-registration dentists serving MassHealth patients, which Representative Senna supported as a way to allow immigrant dentists to practice independently. Finally, the committee heard sharply divided testimony on H.444/S.284, which would allow trained dental hygienists to administer Botox and dermal fillers: supporters framed it as a safe, preventive, and access-expanding tool for TMJ, bruxism, and pain management, while dermatologists opposed it as outside hygienists’ training and a patient-safety risk. No votes or formal actions were taken during the hearing.
FL
Florida 2026 5th Special Session
Fiscal Policy Apr 22nd, 2025
Transcript Highlights:
- This legislation addresses a persistent problem in the state's managed care system, which limits access
- Many of them will have long-term health complications, many of whom will actually be forced to leave
- with all of the resources they need to be prepared to be resilient in the event that they're facing long-term
- They utilize our park system.
- of health care expense.
Summary:
The committee met and first reported favorably CS for SB 1782, which creates a new offense for dangerous excessive speeding, with support noted from the Orange County Sheriff’s Office and the Florida PBA. It also reported favorably CS for SB 306, which addresses Medicaid managed care provider network access by requiring after-hours and holiday appointment availability and a minimum level of primary care participation. CS for SB 716, imposing mandatory minimum sentences for certain sexual offenses committed by registered sex offenders or predators, and CS for SB 1084, expanding protections against non-consensual dissemination of intimate images and digitally forged intimate images, were also approved.
The committee then approved CS for CS for SB 1604, a corrections package that would require prepayment of court costs for certain inmate lawsuits, shorten the limitations period for confinement-condition claims, allow consecutive sentencing in some cases, and revise mental health treatment procedures in correctional settings. Members discussed constitutional concerns and access-to-courts issues, but the bill was reported favorably. CS for CS for SB 1804, which creates a capital offense for trafficking a child 12 or younger or a mentally incapacitated person for sexual exploitation, drew extensive debate and opposition from the Florida Conference of Catholic Bishops, the Florida Association of Criminal Defense Lawyers, and Floridaans for Alternatives to the Death Penalty; despite objections about constitutionality and ethics, it was reported favorably.
The committee also approved CS for SB 1838, expanding protections for court officials against tampering, harassment, and retaliation, and CS for CS for SB 890, the Emily Adkins Family Protection Act, which creates a statewide VTE registry and requires blood clot screening and training in hospitals and care facilities. Members and public witnesses spoke in strong support of the blood clot bill, including family members and survivors. Finally, the committee reported favorably CS for SB 1252, directing FDLE to study a statewide pawn data database, CS for SB 468, increasing penalties for fleeing or eluding law enforcement and allowing vehicle impoundment, CS for SB 490, expanding off-duty concealed carry eligibility for correctional officers and correctional probation officers, and CS for SB 572, the Pam Rock Act on dangerous dogs, which was amended to refine enclosure, confiscation, euthanasia, and insurance requirements.
TX
Transcript Highlights:
- Our understanding of biological systems have come a long way since I studied biology. in Stanford 30
- This bill will help universities conduct long-term, systems-based research that reflects. real-world
- improve soil health. health, retain water, reduce reliance on costly chemical inputs, and increase the long-term
- It also supports regenerative practices that reduce... harm and improve long-term outcomes.
- We've barely scratched the surface when it comes to studying long-term impacts on our gut health, immune
Committee:
House Higher Education
Keywords:
nursing education, clinical sites, health facilities, Texas Higher Education Coordinating Board, legislative study, healthcare training, tuition, financial assistance, higher education, public institutions, student support, nonresident students, Texas Education Code, resident tuition, scholarships, regenerative agriculture, grants, sustainable farming, soil health, bioremediation
TX
Transcript Highlights:
- Right, and if I could just add one thing, what Harris County has done is— In terms of the juvenile system
- Most young people who are homeless have been through the foster care system and have already suffered
- for us to recognize the impact that charging a 17-year-old as an adult will have on their life. ...long-term
- It doesn't work for them, it doesn't work for our community, and it doesn't work for long-term public
- Along with that, I was navigating the challenges of the foster care system when I was arrested.
Committee:
House S/C on Juvenile Justice
Keywords:
housing, affordable housing, state regulations, zoning, local government authority, drug court, juvenile justice, diversion programs, rehabilitation, criminal justice reform, remote proceedings, depositions, virtual hearings, court technology, criminal responsibility, age of maturity, expungement, mental health services, juvenile record sealing
FL
Florida 2025 Regular Session
Appropriations Committee on Health and Human Services Apr 10th, 2025
Transcript Highlights:
- THIS LEGISLATION ADDRESSES A PERSISTENT PROBLEM IN THE STATE'S MANAGED CARE SYSTEM LIMITING ACCESS TO
- I HAVE NAVIGATED THE FOSTER CARE SYSTEM MYSELF AT A YOUNG AGE AND I UNDERSTAND THE CRITICAL IMPORTANCE
- WE NEED TO MAKE SURE THAT OUR KIDS WHO HAVE BEEN IN THE FOSTER CARE SYSTEM CAN SUCCEED IN FLORIDA AND
- SUMMER UNDER MANAGED CARE.
- IMPROVING CRISIS RESPONSE AND ACCESS TO CARE. ENHANCING PATIENT TREATMENT AND CONTINUITY OF CARE.
FL
Transcript Highlights:
- Members, firefighters across Florida put their lives and long-term health on the line every day for our
- For children in the foster care system, they may never know that there are benefits for which they are
- There are already barriers to success for youth in the foster care system.
- It is a continuation of Florida's commitment to normalcy for children in the foster care system.
- They're telling me to waive opening, but I'll just say this bill simply treats a long-term lease more
Summary:
The House convened with prayer, a moment of silence for former Lee County Judge John Carlin, the Pledge of Allegiance, and recognition of FSU Police Officer Cody Popple for stopping the April campus shooter. The Speaker then outlined the final week of session, noting the House had passed 253 House bills and 149 Senate bills to date, but that the 2026-27 budget would not be completed this week. The chamber also adopted the Rules and Ethics Committee’s special order report for the day.
The House took up several Senate bills on special order, largely technical or open-government measures, and passed them with little or no opposition. These included SB 100, SB 104, and SB 102 on the Florida Statutes and revisor’s changes; SB 7006, SB 7014, SB 7002, SB 7012, SB 7024, SB 7016, SB 7026, SB 7008, SB 7000, and SB 7004, which extended or preserved various public-records and meeting exemptions for matters such as Public Service Commission proprietary information, social media investigations, military affairs, highway safety records, cybersecurity, emergency shelter contact information, conviction integrity units, and trade secrets. Most passed overwhelmingly, though SB 7006 drew 99-8, SB 7022 on public records for exam integrity passed 101-8 after questions about testing materials and scoring rubrics, and SB 7026 on trade secrets passed 106-3.
The most substantive floor debate centered on SB 7040, which recreates the emergency preparedness and response trust fund in the Executive Office of the Governor. Rep. Eskamani offered an amendment to let the fund expire, arguing the money had become a “slush fund” and had been used for the Everglades detention facility rather than emergencies; several members supported her on fiscal and separation-of-powers grounds, while others said the fund is needed for rapid disaster response. The House rejected Eskamani’s amendment and then adopted a Griffiths strike-all amendment adding accountability measures, including spending limits, quarterly reporting, asset tracking, and a sunset/review provision. SB 7040 then passed 82-25. The chamber also passed CS/CS SB 302 on coastal resiliency, CS/CS SB 984 on firefighter cancer benefits, CS SB 474 on military affairs, and SB 488 on Highway Safety and Motor Vehicles, which prompted extended questions about vehicle registration requirements, license plate frames, and foreign passport/I-94 documentation; the bill was still under amendment and debate when the transcript ended.
CA
Transcript Highlights:
- And this is my third term.
- I'm a beneficiary of the system.
- To see if what we provided them is actually effective in enhancing their income long term.
- The community college system is the best system right now.
- In terms of these system priorities, and I’ve been in a lot of executive staff meetings, had a lot of
Committee:
Senate Rules
CA
California 2025-2026 Regular Session
Assembly Appropriations Committee Apr 29th, 2026
Transcript Highlights:
- care.
- our attention are from closed-door pharmacies that focus on medication management for residents in long-term
- However, our outdated regulatory structure limits the ability of the health care system to fully utilize
- However, our outdated regulatory structure limits the ability of the health care system to fully utilize
- The structure limits the ability of the health care system to fully utilize this proven model of care
Summary:
The Assembly Appropriations Committee heard a regular order agenda with 101 bills and first took up AB 2215, which would extend the time for the Department of Water Resources to fully develop its State Water Project water rights. The author and supporters argued it would improve water reliability and affordability for millions of Californians and could save ratepayers money, while opponents said it would bypass the Water Board’s administrative process, set a precedent for other water rights holders, and potentially facilitate costly projects like the Delta Conveyance Project. The bill was moved on a do pass vote, with Mr. Hoover voting no and Ms. Krell not voting.
The committee then approved two consent calendars and heard several bills with little or no opposition. These included AB 2038 on extending insurance nonrenewal/cancellation protections for wildfire victims; AB 2322 on clarifying which commercial, industrial, or institutional sites are subject to municipal stormwater permits; AB 1794 on direct home shipment of enteral nutrition; AB 1696 on clarifying that nurse midwives do not need physician supervision within their scope of practice; AB 1860 on allowing county offices of education to use design-build methods; AB 1876 on codifying nondiscrimination protections in health care; AB 2281 on election cybersecurity resources; AB 2448 on protecting sensitive medical records and reproductive health data; AB 1994 on providing victims with information about federal immigration relief options; and AB 1829 on expanding how CalWORKs community college funds may be used to support student parents. Most were supported by sponsoring organizations and related stakeholders, with limited opposition noted on AB 1696 and AB 2281.
The committee also placed a large suspense calendar on approval, listing dozens of additional bills, and then opened public comment on bills not heard that day. No members of the public came forward, and the hearing was adjourned. Several bills were reported out on roll call votes, with some members not voting or voting no on particular measures, but the transcript does not provide full vote tallies for each bill.
MA
Massachusetts 2025-2026 Regular Session
LGBT Aging Commission Mar 10th, 2026
Transcript Highlights:
- I invite correction, and Vicky in particular, to get the LGBTQI+ and HIV long-term care bill of rights
- I invite correction, and Vicky in particular, to get the LGBTQI+ and HIV long-term care bill of rights
- I invite correction and Vicky in particular to get the LGBTQI plus and HIV long-term care bill of rights
- Because those of us who are doing this work, those of us that, you know, are among those long-term activists
- Take care. Thank you. Bye.
Summary:
The Massachusetts Commission on LGBTQ Aging opened its March quarterly meeting by welcoming its first full-time director, Alison Bauer, who introduced her background in state government, public health, philanthropy, teaching, and LGBTQ family advocacy. Commissioners approved the December meeting minutes and then turned to the main presentation, a DEI workshop led by Adriana Boulin of Fenway Health and Boston Pride for the People.
Boulin guided members through an interactive “power flower” exercise to define diversity, equity, inclusion, belonging, and power, and to reflect on personal values, identities, and the conditions that support or diminish power. Commissioners and guests shared examples of successful DEI work in their lives and in the commission’s work, including listening sessions, inclusive trainings, targeted recruitment, the strategic plan, the commission website, and passage of the LGBTQI+ and HIV long-term care bill of rights. The discussion also included the history of intersectionality and how multiple identities can create both barriers and advantages.
The group then applied an equity lens to the commission’s strategic priority on representation and inclusion. Members discussed the need for greater racial, ethnic, gender, trans, immigrant, and regional diversity, as well as barriers such as limited seats, appointment procedures, and the challenge of recruiting people who would otherwise be the only person of their identity in the room. Participants explored possible approaches including expanding seats legislatively, using advisory structures, and building relationships with organizations and potential appointers to broaden participation. The meeting ended with appreciation for the workshop and a reminder that the next quarterly meeting will be held in June.
TX
Transcript Highlights:
- There are 12,000 of those in the system.
- We have 37,000 in the system right now that are mental health and within our system we have care at unit
- level, so counseling level care, medication level care there with the university providers all the way
- Personal electronics such as mp3 systems or gaming systems are clients that are in the civil that are
- It's an on-site primary care clinic that operates 16 hours a day, 7 days a week, and takes care of things
Committee:
House Corrections
FL
Florida 2025 Regular Session
Appropriations Apr 2nd, 2025
Transcript Highlights:
- Florida is well-positioned for the long-term.
- The current system is not only expensive, but it is not even designed to achieve long-term recovery and
- that can hinder long-term recovery?
- Consequently, their systems are very good, and while in the main, Their performance is good in terms
- This simplifies funding transparency and long-term planning.
CA
Transcript Highlights:
- AB 1843 removes unnecessary barriers to hepatitis C treatment and helps reduce long-term health care
- By preventing costly complications, AB 1843 reduces long-term system spending.
- makes improvements to the facility-initiated discharge notices residents receive in nursing homes and long-term
- to provide supporting testimony is Jason Sullivan Halpern, Executive Director with the California Long-Term
- Jason Sullivan Halpern, Director of the California Long-Term Care Ombudsman Association, also known as
Committee:
House Appropriations
MN
Minnesota 2025-2026 Regular Session
House Workforce, Labor, and Economic Development Finance and Policy Committee 3/13/25
Workforce, Labor, and Economic Development Finance and Policy
Transcript Highlights:
- , which is more costly to our health care system.
- , which is more costly to our health care system.
- , which is more costly to our health care system.
- , which is more costly to our health care system.
- , which is more costly to our health care system.
Bills:
HF1976
TX
Transcript Highlights:
- In both cases, despite working with multiple legacy systems—systems that are over 20 years old, which
- Enforcement is where a more modern system will pay the highest dividends, both in terms of preserving
- system.
- Last year alone, major cyber attacks have affected health care systems in our state, including.
- long is it taking now?
Committee:
Senate Finance
NM
New Mexico 2025 Regular Session
House - Health and Human Services Mar 19th, 2025
House Health & Human Services
Transcript Highlights:
- resulted in significant dysfunctions in terms of access to care, supply, and distribution of physicians
- So, I'm seeing long-term effects.
- a dominant market and 90% of the patients in two systems.
- have to meet the access to care... standards.
- Please tell us what the long-term effect of the results of your study will be.
Committee:
House House Health & Human Services
MN
Minnesota 2025-2026 Regular Session
House Floor Session: 2025 First Special Session - part 1 Jun 9th, 2025
Minnesota House Floor Meeting
Transcript Highlights:
- It was never designed as a comprehensive health care system or an emergency system for EMS.
- Their system also includes extended long-term care.
- care systems, here in Minnesota.
- My family fought the immigration system. Complex immigration system for 11 long years.
- especially our primary care system statewide.