Video & Transcript : 'Arizona Long Term Care System' :

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Transcript Highlights:
  • psychiatric care, and transition of that long-term psychiatric care to translate into community and
  • Is a part of effective leadership over the long term in that. Thank you for the presentation today.
  • acute care system.
  • acute care system.
  • to need to be in the state hospital, but they do need long-term ongoing support because they live with
Keywords: 907, all
Summary: The joint Senate and House Behavioral Health committee met for informational presentations on the Oregon State Hospital and civil commitment, followed by a planned tour of the hospital. Oregon Health Authority and Oregon State Hospital leaders reported that Sean Murphy will become the next permanent superintendent on July 13, with Sarah Castle to follow as permanent chief nursing officer on July 20. They described recent leadership turnover, a major organizational restructure, and efforts to build a culture of safety, transparency, and accountability. Officials said the hospital regained Joint Commission accreditation and CMS compliance, and they highlighted daily safety huddles, incident review processes, stronger escalation procedures, and improved management of seclusion and restraint. Committee members pressed hospital leaders on past prolonged seclusion practices, falls, staffing, and the need for better public reporting; OHA said it is building a public dashboard of key safety and workforce metrics. The committee then heard a civil commitment overview from the Oregon Judicial Department. The presenter explained that civil commitment is a separate legal process from criminal cases, usually beginning with a hospital hold, investigation, court review, appointed counsel, and a hearing within five days. She summarized changes made in House Bill 2005, including revised standards for danger to self, danger to others, and basic-needs commitments, plus a second 14-day diversion option. She cautioned that the new law has only been in effect since January and that it is too early to draw firm conclusions from the data, though there has been a recent uptick in commitments and a decrease in diversions. Testimony from NAMI Oregon and a forensic psychiatrist emphasized that Oregon still relies too heavily on jails and state hospitals because community services, housing, and outpatient supports are insufficient. They argued that the state needs more less-restrictive alternatives, including better use of assisted outpatient treatment or outpatient civil commitment, and more supported housing so people do not cycle between homelessness, incarceration, and hospitalization. A family member described a relative remaining psychotic in jail for more than 120 days before ending up back at the state hospital, urging faster intervention and better collaboration among courts, counties, hospitals, and state agencies. Committee members and witnesses also discussed workforce shortages, the expansion of secure residential treatment beds, and the need for broader system reforms beyond the hospital itself.
CA

California 2025-2026 Regular Session

Assembly Health Committee Jan 27th, 2026

Transcript Highlights:
  • We need to invest deeply in a primary care delivery system.
  • It is a lifeline for the communities we serve, providing vital access to medical, dental, long-term care
  • Primary care is essential for a functional health care system.
  • I think it's hard to quantify the long term because if you don't get preventive care, you just end up
  • quality of our health care system.
Summary: The Assembly Health Committee held an informational hearing on the impact of federal H.R. 1 and related state budget actions on California’s health care system. Opening remarks framed the federal changes as a major threat to Medi-Cal, Covered California, hospitals, clinics, and the broader safety net, with warnings that millions could lose coverage and that costs would shift to providers, counties, and consumers. Testimony from the California Health Care Foundation and the Legislative Analyst’s Office focused on implementation challenges, the administrative burden of work requirements and more frequent renewals, the loss of federal funding, and the need for California to consider long-term structural changes to Medi-Cal, county safety-net programs, and cost containment. A Covered California enrollee, Chas Franklin, described sharply rising premiums for his family after losing subsidies, illustrating the personal impact of federal policy changes. Committee members raised concerns about whether premium increases were driven by H.R. 1 or insurer pricing, the cost of rebuilding county-based indigent care systems, and the need to account for the cost of inaction. Dr. Hernandez pointed to pre-ACA models such as Healthy San Francisco as examples of coordinated local safety-net care, while also emphasizing the importance of primary care, data interoperability, and the Office of Health Care Affordability in reducing waste and improving access. Department of Health Care Services officials then outlined the state’s implementation plan for H.R. 1, including work requirements, six-month redeterminations, reduced retroactive coverage, cost-sharing, and immigration-related eligibility changes. They said the department would try to automate eligibility checks, expand outreach, and train counties and partners, but estimated up to 2 million Californians could lose coverage over time. Covered California reported that the expiration of enhanced federal premium tax credits and new federal marketplace rules are already raising costs and reducing enrollment, with an estimated 400,000 enrollees at risk of dropping coverage. County, hospital, and safety-net representatives warned that coverage losses will increase uncompensated care and strain local systems, while one coalition proposed a temporary state-funded coverage option as a bridge if full-scope Medi-Cal cannot be maintained. The hearing concluded with a policy analyst urging stakeholder engagement, immigrant protections, and new state revenue options to preserve coverage and offset federal cuts.
MA
Transcript Highlights:
  • But on long-term care, the report shows two admissions in that time and 18 discharges, from a census
  • The Department of Public Health admits that not a single new long-term care patient has been admitted
  • I'm at Franciscan Children's, which, as you know, is long-term acute care, and we have a lot of very
  • And they can serve the kids that are stuck waiting in long-term acute care, waiting for long-term community-based
  • But no, we would not expect a caregiver respite patient to qualify for long-term care because they're
Keywords: 1212, all
Summary: The hearing focused on the future of Pappas Rehabilitation Hospital for Children, with commissioners, agency officials, workers, and families describing the hospital as a unique integrated setting combining medical care, rehabilitation, education, residential services, and adaptive engineering. Opening remarks from legislators emphasized continued budget funding, the legal requirement that Pappas not close before the commission reports, and a request to extend the commission’s deadline. Several commissioners and witnesses argued that admissions have effectively been curtailed while discharges continue, creating what they described as a de facto closure. Union leaders from AFSCME, SEIU, and the Massachusetts Nurses Association said staff are experiencing uncertainty, morale problems, and loss of confidence because referrals are being discouraged and the census is shrinking. They urged immediate action to stop admission denials and unnecessary discharges, and some proposed temporary modular units or other short-term investments to restore admissions while longer-term plans are developed. Parents and former patients testified that Pappas provided life-changing opportunities and supports that they could not find elsewhere, and that alternative programs or proposed Western Massachusetts options would not meet the same needs. Department of Public Health Commissioner Robert Goldstein said the administration supports keeping Pappas open and stable during the commission’s work, but argued that admissions must comply with hospital-level-of-care rules and that the campus’s deteriorating infrastructure limits who can be safely served. He said DPH is continuing admissions where appropriate, backfilling staff, and exploring ways to expand services, including outpatient therapies and adaptive engineering, while also acknowledging that Pappas is a one-of-a-kind system with no true in-state duplicate. Commissioners requested de-identified admissions and denial data and continued to press the department on whether the current operational changes amount to a silent closure.
MA

Massachusetts 2025-2026 Regular Session

Joint Committee on Aging and Independence Jun 21st, 2026 at 10:00 am

Joint Committee on Aging and Independence

Transcript Highlights:
  • of long-term care that serves as a beacon of dignity and as a model for the nation.
  • The enactment of long-term care reform was a major achievement, a testament to our shared commitment
  • This essential work is long-term care 2.0. Thank you. This essential work is long-term care 2.0.
  • to long-term care, repealing the staffing rules that they... ...what it's doing to long-term care in
  • The bill bans smoking in facilities that use oxygen and long-term care facilities.
Keywords: 995, all
Summary: The Committee on Aging and Independence heard testimony on a package of long-term care and elder care bills focused on building on the state’s 2024 long-term care reform law (Chapter 197). Richard Moore of Dignity Alliance urged favorable action on the bills as a “long-term care 2.0” effort, arguing they would strengthen the workforce, protect residents’ rights, improve clinical quality, and increase transparency and sustainability in nursing homes and other facilities. He also raised concerns about staffing funds not reaching direct care workers and suggested further oversight of how appropriated money is spent. Patricia Crispy of the American Nurses Association testified in support of House Bill 766, which would require at least one registered nurse with full voting rights on the board of directors or trustees of every acute care hospital and nursing home. She and the bill’s sponsor, Representative Vanado, said nurses’ clinical expertise and 24/7 presence make them valuable contributors to governance and patient safety. Committee members asked whether the bill would cover assisted living and how many facilities already have nurse board members; the witness said she would provide more data and clarify the assisted living question. Senator Lovely testified on two bills: Senate 479, which would expand transparency and accountability in long-term care by tightening fire safety, smoking, hearing-loss, and ownership disclosure requirements, adding advocacy groups to an advisory committee, and increasing penalties; and Senate 480/House 795, which would require single-occupancy rooms in nursing homes unless residents consent to share, to improve privacy and reduce infection spread. Deborah De Benedictus also testified in support of House 759, describing her father’s experience in assisted living and arguing for the use of cameras in elder care facilities to monitor care and deter neglect. The committee discussed privacy concerns, notification rules, and the need for honest staffing and care practices, and then adjourned without taking any recorded votes or formal actions in the transcript.
MN

Minnesota 2025-2026 Regular Session

House Human Services Finance and Policy Committee 2/12/25

Human Services Finance and Policy

Transcript Highlights:
  • </c><00:26:42.440><c> care</c> Aid like in in the the long-term care Aid like in in the the long-term
  • </c> morning next we will take the long-term morning next we will take the long-term care<00:59:52.599
  • I am here today on behalf of the Long-Term Care Imperative.
  • </c><01:03:23.720><c> addition</c> long-term care imperative um in addition long-term care imperative
  • </c> families um as I close the long-term families um as I close the long-term care<01:05:00.160><c>
Keywords: 1183, house
MN

Minnesota 2025-2026 Regular Session

Committee on Higher Education - 02/24/26

Higher Education

Transcript Highlights:
  • of these patients long term.
  • And this gives these people great outcomes long term after surgery.
  • </c> take care of these patients long term. take care of these patients long term.
  • </c> outcomes uh long term after surgery. outcomes uh long term after surgery.
  • UMP supports the long-term sustainability of academic medicine in Minnesota.
Keywords: 1187, senate, all
CA
Transcript Highlights:
  • First, H.R. 1 creates a new home equity limit for long-term care recipients.
  • H.R. 1 creates a new home equity limit for long-term care recipients.
  • and long-term care systems.
  • , hospitals, and long-term care settings.
  • , hospitals, and long-term care settings.
Keywords: 988, house, all
MA
Transcript Highlights:
  • needed long-term care insurance himself, and was my first claim.
  • care insurance regulations and home care benefits. ...improve long-term care insurance regulations and
  • home care benefits, and ultimately I've filed hundreds of long-term care claims for my clients.
  • It's not only the people that need care that are being impacted by the need for long-term care; it's
  • It's not only the people that need care that are being impacted by the need for long-term care; it's
Keywords: 995, all
Summary: The Aging and Independence/Elder Affairs Committee heard testimony on several bills, with the main focus on H.769/S.468, an act to improve care and prepare for the new era of Alzheimer’s and dementia. Legislators and advocates described the bill’s provisions, including expanded dementia training for first responders, a dementia services coordinator/director in state government, improved hospital discharge and caregiver access protections, dementia care coordination benefits for certain MassHealth members, public awareness and data collection requirements, and expanded support for geriatric workforce recruitment. Representative Danielle Gregoire and Senator Gomez framed the measure as a zero-cost, bipartisan continuation of the 2018 Alzheimer’s and Dementia Act, while the Alzheimer’s Association, Boston Public Health Commission, police representatives, clinicians, and family caregivers all testified in support, emphasizing public health needs, early diagnosis, caregiver involvement, and safer emergency and hospital care. The committee also heard testimony on H.796/S.476, which would establish an Office of Older Adult Advocate and a special commission on a statewide long-term services and supports benefit program. Representative Steve Ultrino supported an independent older adult advocate to help navigate fragmented state services and improve constituent services, while committee members asked about funding and the office’s relationship to existing secretariats. On the long-term care commission bill, NAFA Massachusetts and LeadingAge Massachusetts supported creating a stakeholder commission to review actuarial findings and explore public-private financing options for long-term care, stressing that neither public nor private coverage alone is sufficient and that middle-income families need more planning tools and options. The committee also took testimony on H.786/S.466, a bill to protect vulnerable elders by expanding the Executive Office of Elder Affairs’ authority to investigate abuse or neglect in non-traditional custodial settings such as prisons, jails, shelters, group homes, and certain treatment facilities. Prisoners Legal Services said the bill would close a jurisdictional gap that leaves some older adults without an investigative agency once they age out of DPPC coverage. No votes were taken during the hearing, and the meeting ended with a motion to adjourn.
CA
Transcript Highlights:
  • Proposing, for example, how you selected the elimination of dental and long-term care for undocumented
  • It does cover the first 90 days of long-term care, but trying to think about other alternatives.
  • As you note, there are a lot of solutions involving IHSS and long-term care.
  • Dental, long-term care, and the reinstatement of the asset limits will all affect Latinos directly, as
  • We are opposed to the reinstatement of the asset test limit and the elimination of the long-term care
Keywords: 988, house, all
KY
Transcript Highlights:
  • And so, ABI long-term care for year 23 is 100,121. So, 100,121. For fiscal year 24, it's 108,660.
  • </c> health care system. health care system.
  • </c><01:07:02.880><c> The</c> long-term services and supports. The long-term services and supports.
  • :05.040><c> services</c> greatest source of long-term services greatest source of long-term services
  • Long-term services and supports, for example, in most cases are not included in managed care.
Keywords: 958, all
Summary: The Medicaid Oversight and Advisory Board met on September 24, 2025, approved the minutes from the September 9 meeting, and then continued its discussion of Medicaid waivers with Leslie Hoffman and Carmen Hancock from the Department for Medicaid Services. Members asked for updates on the 2024 waiver waitlist management assessment recommendations, including aligning waiver policies, standardizing applications and waitlist placement, and modernizing data systems. DMS said that work is being done jointly with Aging and Independent Living and Behavioral Health/Developmental and Intellectual Disabilities through task forces, that ARPA spending delayed action, and that implementation timelines extend through March 2027. The board also reviewed per-member waiver cost averages for fiscal years 2023 through 2025 for ABI, ABI long-term care, HCBS, Model II, Michelle P, and SCL. DMS emphasized these figures were benefit-only averages based on paid claims, not full waiver costs, and explained that true budget neutrality is calculated on an aggregate basis against institutional care comparisons approved by CMS. DMS said all six waivers remain in compliance with budget neutrality and that the most recent 18-month lag review for FY 2022 and FY 2023 found costs at or below institutional care. Members also asked about unused waiver slots; DMS said slots generally cannot be reallocated mid-year if they have been used, except in cases such as death or reserved capacity, because CMS treats participants as unduplicated for the waiver year. A major portion of the meeting focused on the new child waiver created under House Bill 6. Legislators questioned whether the waiver’s design, including the exclusion of participant-directed services and the emphasis on high-acuity children with behavioral health, DCBS, or juvenile justice involvement, matched the bill’s intent to keep children at home. DMS said it used the $14.7 million appropriated for FY 2026 to develop the program, that there is no priority list, and that the waiver is intended to serve the highest-acuity children while also addressing residential needs for those sleeping in offices or placed out of state. Members also raised concerns about the rapid growth of the HCBS waiting list and asked for more detail on age and timing patterns, which DMS said it would provide later. Finally, DMS gave average processing times from application to eligibility determination and from approval to service start, and said the overall average from application to services beginning was about 80 days, while members requested follow-up information on the Carewise assessment contract and related costs.
TX

Texas 89th 2nd C.S.

Public Health Jun 4th, 2026

Public Health

Transcript Highlights:
  • Additionally, there is a more efficient use of emergency medical resources, and long-term health care
  • We do this by partnering directly with hospitals, long-term care facilities, and community colleges.
  • workforce gaps that Texas will continue to face in long-term nursing care.
  • The first of these is ensuring adequate compensation for nursing long-term care staff.
  • a Texas program specifically targeted to long-term care would be especially valuable for attracting
Committee: House Public Health
Keywords: 1184, house, all
MA

Massachusetts 2025-2026 Regular Session

Joint Committee on Community Development and Small Businesses May 7th, 2026

Joint Committee on Community Development and Small Businesses

Transcript Highlights:
  • systems to deliver a community-driven approach to long-term economic mobility... ...to deliver a community-driven
  • How do we sustain this long term?
  • This is how we move from short-term interventions to long-term transformation.
  • investments will lead to long-term savings.
  • What does it look like long term?”
Bills: S3022 , H5187
WA

Washington 2025-2026 Regular Session

Senate Ways & Means Feb 23rd, 2026

Transcript Highlights:
  • Thank you for continued support for long-term care. Thank you. John Lemus.
  • Thank you for considering a final proposal that keeps all the essential pieces intact in long-term care
  • Nursing home services are critical in our community, and it's time to put dignity in long-term care.
  • Who will otherwise lose long-term care.
  • long-term care, and in parks maintenance, all things people rely on.
Summary: The committee held a public hearing on the Senate operating budget proposal, beginning with a staff briefing from James Kettle. He described the budget as built on relatively flat revenue after multiple forecast updates, with substantial mandatory cost growth, especially in Health Care Authority, DSHS, and DCYF. He highlighted major policy-level additions and savings, including large tort liability costs, continued support for long-term services, reductions tied to child care and K-12 items, several assumed revenue bills, and major transfers from reserves and other accounts. Kettle also noted the four-year outlook remained positive overall, with about $1 billion ending fund balance in the final year and roughly $3 billion in total reserves. A committee member asked about a diagram showing the loss of federal funds, and staff said they would follow up. Public testimony then focused first on K-12 education, where school leaders, teachers, OSPI, PTA, and rural district representatives largely opposed the proposed cuts to local effort assistance, transition to kindergarten, bus depreciation, and related school funding items. Many argued the reductions would disproportionately harm rural and property-poor districts and weaken early learning access, while several students and educators spoke in favor of career and technical education and IT Academy funding. The committee also heard support for wildfire prevention funding from the Commissioner of Public Lands, who thanked the Senate for restoring those dollars but raised concerns about recreation program reductions. Higher education testimony was mixed but generally supportive of the Senate proposal compared with the governor’s budget. Community and technical college leaders warned that the budget still shifts compensation costs to tuition and reduces Running Start funding, while university representatives from Western, Eastern, Central, WSU, and UW thanked the committee for avoiding deeper cuts. Private vocational college students and administrators urged extension of Washington College Grant eligibility for students already enrolled, and others asked to preserve IT Academy and related certification funding. In early learning, child care and advocacy groups praised the decision not to cap Working Connections Child Care but warned that child care and transition to kindergarten still bear a disproportionate share of cuts; they also requested continued support for Dolly Parton Imagination Library and Pierce County early childhood programs, including Family Connects. The hearing continued with testimony on employee compensation, mental health, and human services. State employee and retiree groups supported the budget’s COLA and wildfire funding but objected to cuts in retiree health benefits. Behavioral health and public safety advocates supported mentoring, Trueblood-related funding, crisis stabilization, and the Recovery Navigator Program, while others opposed reductions to those programs and to community-based recovery services. In human services, witnesses thanked the committee for funding victim services, child welfare supports, health homes, adult day care, community health centers, energy assistance, and disability services, while urging the committee to avoid further reductions to skilled nursing, case management, and recovery navigation. No votes were taken during the hearing.
WA
Transcript Highlights:
  • and prenatal care and other things that can prevent the long-term impacts of that drug use.
  • They are Medicaid-certified to provide long-term nursing care as well as intermediate care.
  • Yakima Valley, near Yakima, is a long-term nursing facility. The census is currently 34.
  • Also directed a public comment period. is a long-term nursing facility.
  • So we cannot have any more long-term admissions at any school. So we have to train.
Summary: The committee heard a lengthy update on Washington child welfare from Casey Family Programs and DCYF. Dr. David Sanders said Washington has sharply reduced out-of-home care and increased kinship placements, but he flagged concerns about low screening-in rates, long stays in foster care for many children, and a recent rise in repeat maltreatment and child fatalities, especially among infants. He urged more focus on infants and young children, better coordination among child protection, health care, and law enforcement, and more proactive review and investigation practices. Members asked for disaggregated data on children lingering in care, fatalities, and causes such as fentanyl exposure. DCYF said it has increased relative placements and guardianships, but also reported a concerning rise in 2025 critical incidents, mostly near-fatalities involving children age three and under, many opioid-related. The department described responses including safe child consults for opioid cases, more training, hotspot analysis, and proposed investments in peer support, public health nurses, community referrals, and an updated safety framework. Members also discussed whether a broader commission on child abuse prevention would be useful, and DCYF said it was open to that idea. The committee then received a DSHS reorganization update from Secretary Angela Ramirez, who described the “Reimagined” plan to consolidate four administrations into three new ones, with the stated goals of reducing silos, improving customer experience, and making transitions between services smoother. She said the agency is seeking statutory changes and CMS approval to align the new structure, and members asked about preparing for federal HR1 impacts, especially SNAP. Ramirez said DSHS is monitoring those impacts closely and emphasized the need for accurate data and cross-agency coordination. Finally, DSHS’s Behavioral Health and Habilitation Administration updated the committee on residential habilitation centers and implementation of Substitute Senate Bill 5393, which phases out Rainier School by June 30, 2027 and limits new admissions. Officials reported current census and staffing levels at the state’s RHCs, said Rainier has had some residents transition to supported living or adult family homes, and explained that emergency and permanent rulemaking was needed to implement the law. They also said Rainier was recently cited by federal surveyors for not meeting the active treatment requirement for two residents, and that the facility has 90 days to return to compliance before possible payment penalties or further remedies. Members pressed for details on the citation, the meaning of active treatment, the assessment process for admissions, and whether Rainier could be repurposed for other services; DSHS said it is working on corrective action and will follow up in writing.
CA
Transcript Highlights:
  • long-term impact.
  • long-term impact.
  • long-term impact.
  • long-term impact.
  • Long-term services and supports will continue to be accessed through the fee-for-service system, including
Summary: The Assembly Budget Subcommittee on Health held a May Revision hearing covering several health-related budget proposals and broader concerns about the state’s budget structure. The Chair opened by praising some May Revision changes, such as added health IT funding, county administration support tied to Medi-Cal changes, a delay in Medi-Cal cuts for some lawfully present immigrants, and additional support for Covered California subsidies, while criticizing proposed increases in Medi-Cal premiums, changes to senior eligibility, the lack of a Medi-Cal dental solution, and other reductions affecting counties, mobile crisis units, workforce incentives, and physician shortages. The Legislative Analyst’s Office said the state’s budget condition remains weak despite progress on the structural deficit, and the Department of Finance said the May Revision uses a mix of reductions, reforms, revenue proposals, and fund shifts to cut out-year deficits. The committee first heard Department of State Hospitals proposals, including adjustments to county bed billing authority, contract exemption language for online clinical/pharmacy subscriptions, reversion of unspent funds, a revised Metro Central Utility Plant replacement project, electronic health record implementation, and workforce development funded partly through Behavioral Health Services Act resources. DSH also described savings and realignments in incompetent-to-stand-trial and conditional release programs, including extending the independent placement panel program and shifting funds to support additional bed capacity and a mental health rehab center. Members asked about the use of BHSA funds for workforce programs, and the department said the proposal would replace General Fund support with BHSA reimbursements. The Emergency Medical Services Authority proposed funding for statewide behavioral health crisis response guidance and for enterprise system development, and the Department of Managed Health Care proposed modernization of its complaint system and claims-settlement data system to improve oversight and comply with AB 3275. The largest discussion centered on the administration’s BHSA spending plan under Proposition 1, including state-directed prevention, workforce, and other uses, plus General Fund offsets for existing programs. The LAO questioned whether some proposed offsets fit Proposition 1’s non-supplant and eligible-use requirements, while the administration argued the uses were consistent with the measure and that the state-directed share can be adjusted annually. The Commission for Behavioral Health’s proposals drew the most public and member concern. The administration proposed cutting the commission’s Innovation Partnership Fund from $20 million to $10 million and reducing the Community Advocacy Program by $6.7 million, while redirecting BHSA dollars to other state purposes and direct services. Commissioners, advocates, and several members argued the cuts would weaken community voice, reduce support for underserved populations, and disrupt grants already in process; they also objected to using BHSA funds to backfill General Fund commitments. Public commenters, including youth, disability, behavioral health, LGBTQ, tribal, veteran, immigrant, and community-based organization representatives, overwhelmingly opposed the cuts and urged preservation of prevention, advocacy, mobile crisis, and innovation funding. No votes or final actions were taken during the hearing.
WA

Washington 2025-2026 Regular Session

Senate Ways & Means Feb 6th, 2026

Transcript Highlights:
  • Between the capital gains tax, the long-term care payroll tax, B&O increases, and other new taxes, the
  • Before you, you have Substitute Senate Bill 6182 coming to you from Health and Long-Term Care.
  • Up next is Senate Joint Resolution 8206 coming to you from health and long-term care.
  • 8206 coming to you from health and long-term care.
  • This bill comes to by way of the Health and Long-term Care Committee.
Summary: The Ways and Means Committee met on February 6, 2026, and first voted to suspend the five-day notice rule for all bills on the agenda. Senators Braun and Gildon objected, arguing the bill needed more public review and that the fiscal note had only just been released, but a roll call vote passed 15-9 and the committee proceeded to Senate Bill 6346. Staff briefed SB 6346 as a proposal to create a 9.9% income tax on Washington taxable income above a $1 million per-household standard deduction, with a $50,000 charitable deduction, apportionment rules for nonresidents and certain professions, quarterly estimated payments, and credits for capital gains tax and certain business taxes. Staff said the tax would begin in 2029 and eventually raise about $3.5 billion annually from roughly 30,000 taxpayers. The bill also would expand the Working Families Tax Credit, create a sales tax exemption for grooming and hygiene products, increase the small business B&O tax credit and filing threshold, and end the B&O surcharge on high-grossing businesses one year early. Members questioned the bill’s constitutionality, its exemption from referendum, treatment of student athletes, natural-resource industries, and whether real estate gains would be captured. Public testimony was sharply divided. Supporters, including labor groups, educators, health care advocates, counties, child care workers, and some business owners and high-income individuals, said the bill would make the tax code more progressive and provide stable funding for health care, education, child care, public defense, and other services, while expanding the Working Families Tax Credit. Opponents, including many small business, construction, housing, and taxpayer advocates, argued the measure would function as a tax on pass-through businesses and retained earnings, harm housing production and investment, encourage wealthy residents and businesses to leave the state, and violate the state constitution or the will of voters. No final action on SB 6346 was taken during the hearing.
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:
  • and equipping families with the tools for long-term success beyond just their immediate needs.
  • It offers a cost-effective, highly impactful resource that can significantly improve long-term outcomes
  • , our criminal justice system, and our health care system.
  • And his family asked for our assistance when they found they could get no reasonable long-term care in
  • can help improve their long-term well-being.
Keywords: 995, all
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.
CA

California 2025-2026 Regular Session

Assembly Higher Education Committee Apr 21st, 2026

Higher Education

Transcript Highlights:
  • in nursing, our health care system more frequently demands a bachelor's.
  • Maybe the third time is a charm. specific ways we can work together in the near and long-term future
  • California has long made access to reproductive health care a core value, and this bill will move us
  • California has long made access to reproductive health care a core value, and this bill will move us
  • However, the cost and low... ...opportunity and long-term financial stability.
Keywords: 988, house, all
MN

Minnesota 2025-2026 Regular Session

House Health Finance and Policy Committee 4/28/26

Health Finance and Policy

Transcript Highlights:
  • </c><00:03:53.040><c> Systems</c> served by Henipin Health Care Systems served by Henipin Health Care
  • <00:45:26.079><c> to</c><00:45:26.319><c> handle</c><00:45:26.720><c> long-term</c> long-term s not to
  • handle long-term long-term s not to handle long-term sustained<00:45:27.760><c> structural</c><00:45
  • </c> intention of remaining in any long-term intention of remaining in any long-term role<00:54:13.040
  • long gish term bridge can we provide a long gish term bridge to<01:20:37.440><c> allow</c><01:20:37.840
Keywords: 1183, house
CA
Transcript Highlights:
  • of people that work in the health care system.
  • So primary care is the foundation of a functional health care system.
  • term while also addressing long-term workforce needs.
  • cost-effective health care system.
  • health care system.
Keywords: 988, house, all