Video & Transcript Research : 'navigation facilities'

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NM

New Mexico 2026 Regular Session

Senate - Finance Jan 27th, 2026 at 09:18 am

Senate Finance

Transcript Highlights:
  • I can't navigate it.
  • But no one can navigate the system.
  • They can't navigate the system.
  • Then additionally, $2 million for our facilities management, $2 million for our facilities management
  • As I stated, we operate eight facilities across the state of New Mexico: long-term care facilities, the
Bills: SB37, SB29
MN
Transcript Highlights:
  • facility. Correct. Correct, Mr. Chair. facility. Correct. Correct, Mr. Chair.
  • <00:15:43.440> They're navigating complex systems. They're navigating complex systems.
  • Um, and I I navigate. That is true.
  • responsibility for that navigation responsibility for that navigation should<00:19:40.880> lie
  • > facility,<00:21:06.720> and communicating with the facility, and communicating with the
Keywords: 1187, senate, all
MA

Massachusetts 2025-2026 Regular Session

Joint Committee on Public Health Jun 21st, 2026 at 09:00 am

Joint Committee on Public Health

Transcript Highlights:
  • This is an act relative to medical health and fitness facilities. Welcome to all of you.
  • You know that from your own personal experiences when navigating for loved ones.
  • are an evidence-based way to help patients navigate the health care system.
  • The underlying need for this is that patient navigators are an evidence-based way to help patients navigate
  • Does a patient navigator qualify as a community health worker?
Keywords: 995, all
Summary: The committee hearing covered a wide range of public health bills, with much of the testimony focused on two major themes: expanding access to care and stabilizing health-related workforces and services. On House 2364, an act relative to medical health and fitness facilities, representatives from Dedham Health and Athletic Club argued for a pilot program recognizing supervised exercise as medicine, saying it could improve outcomes for chronic disease, fall prevention, and mental health while reducing costs. On House/Senate bills concerning community health workers (H. 359/S. 251), multiple witnesses from MACHW, Health Care for All, MHA, Cambridge Health Alliance, Mass General Brigham, Boston Children’s Hospital, Asian Women for Health, and the City of Somerville described CHWs as essential for navigation, trust-building, language access, and addressing social needs, and urged reimbursement by MassHealth, the GIC, and private insurers, along with workforce development measures. One pediatric neurologist also told the committee that losing grant-funded CHW support led to more avoidable ER visits and threatened clinic operations. The committee also heard extensive testimony on hospital closures and essential services. Witnesses including Dr. Alan Sager, MNA President Katie Murphy, nurses from Brockton Hospital and Providence Behavioral Health, and local officials and legislators from Norwood described the loss of hospitals and service lines, especially maternity, pediatric, and behavioral health care, and argued current closure processes are too weak to protect communities. They supported bills such as H. 2460/S. 1503 and H. 2534/S. 1574, which would require earlier notice, community input, stronger state oversight, possible receivership, and limits on reopening or expanding after closures. Testimony emphasized the impact of Steward’s bankruptcy, the closures of Carney and Neshoba Valley, and the need to preserve access to essential services in underserved areas. Several end-of-life and professional regulation bills were also discussed. On H. 2436, Representative Omar Gomez and funeral industry witnesses supported eliminating Office of the Chief Medical Examiner fees for the removal of a child’s body in cases involving children five and under, describing the bill as a small but important relief for grieving families. On H. 2444 and related Senate bills, cemetery and consumer advocates supported legalizing alkaline hydrolysis and natural organic reduction as environmentally friendly after-death options, while cemetery representatives opposed H. 2360, which would allow funeral establishments to operate crematories, arguing cemeteries should retain that role. The committee also heard support for H. 2382, which would exempt dentists and oral surgeons from a new office-based surgical center framework, and for H. 2461, which would create hospital efficiency standards; employers and retailers backed that bill as a way to address rising health care costs. Finally, the committee heard testimony on autism services and hospital governance. On S. 1414, behavior analysts and school representatives said Massachusetts already licenses assistant-level ABA providers but MassHealth does not reimburse them, causing long waitlists and limiting school and family access; an actuary testified that a three-tier ABA reimbursement model could reduce MassHealth costs by up to 6% per child served. Senator Lovely also testified in support of S. 1572, which would require at least one registered nurse on each acute care hospital governing board, arguing nurses’ frontline perspective would improve quality and retention. No votes were taken in the hearing excerpt, but many witnesses urged favorable reports on their respective bills.
WA
Transcript Highlights:
  • There's navigators to answer those issues.
  • So our navigators— So our navigators, we have five navigators across the state.
  • And these navigators act as facilitators and navigators and case managers to help these folks connect
  • And L&I just does not have navigator staff.
  • Continue career navigation.
Summary: The work session focused first on Washington’s apprenticeship system, especially building trades programs and support services. Labor and Industries staff explained how registered apprenticeship works in the state, including the role of the Washington State Apprenticeship and Training Council, the requirements for paid on-the-job training and classroom instruction, and the difference between apprenticeship and pre-apprenticeship. Panelists emphasized that apprenticeship is tied to actual jobs and training agents, and that many waitlists reflect a shortage of job openings and employer participation rather than a lack of interest. They also discussed youth apprenticeship, the growth of apprenticeship and pre-apprenticeship programs, and the use of Career Bridge and L&I’s database to help people find programs. Representatives asked whether the state should expand apprenticeship programs and how people can find openings. Speakers said more programs alone would not solve the backlog without more employers signing on as training agents and more apprenticeship utilization on projects. The panel also highlighted the Constructed Career Initiative, a grant-funded navigation and support program that helps people enter and stay in building trades apprenticeships through outreach, case management, and wraparound aid such as transportation, tools, and work clothes. A related nonprofit, Build Up, described similar support services, including prison-based boot and PPE programs and assistance for reentry participants. The panel said these services are especially important because apprentices often face unstable income, housing, food, and transportation barriers. The panel also discussed House Bill 2084 and the new Construction Training Pathway Oversight Committee, which is examining construction training in correctional facilities and how to create clearer pathways from prison-based training to apprenticeship, college, or work. Speakers said the committee is still in its early stages and will report to the legislature. The session ended with committee members thanking the panel and noting the importance of support services and referral networks for apprentices. The meeting then resumed at Renton Technical College, where college leaders and faculty discussed serving non-traditional students. The college reported strong enrollment growth, a median student age of 30, a diverse student body, and high job placement rates, while also noting significant budget cuts and program reductions from the prior year. Health care and early childhood education programs were highlighted, including efforts to expand access through hybrid scheduling, evening and Saturday classes, Spanish-language offerings, and in-person wraparound support for admissions, financial aid, and registration. Faculty said these changes were driven by student data and were aimed at helping working parents, English learners, and other non-traditional students complete credentials and enter family-wage careers.
HI

Hawaii 2026 Regular Session

EDU Informational Briefing 01-30-2026

Hawaii Senate Floor Meeting

Transcript Highlights:
  • And to navigate for an average student.
  • easier and more digestible to navigate easier and more digestible to navigate for<00:10:56.240><
  • would necessarily be able to navigate would necessarily be able to navigate it,<00:11:10.880>
  • We have career navigators.
  • We have career navigators.
OK

Oklahoma 2026 Regular Session

Public Health Oct 23rd, 2025

Public Health

Transcript Highlights:
  • care facilities like rehab centers.
  • We have limited skilled nursing facility and long-term care facility, particularly long-term acute care
  • But it's a facility... That apparently is not known to some of the facilities in the metro area.
  • We will do housing navigation and case management, so as soon as they're discharged to our facility,
  • to the appropriate facility.
Summary: The meeting focused on hospital “avoidable days” and the difficulty of discharging medically stable patients who still need post-acute placement or social services. Presenters from Saint Anthony Hospital Midtown, the Oklahoma Hospital Association, City Care, and OU Health described common barriers including lack of skilled nursing, rehab, long-term care, behavioral health, and hospice placements; insurance prior authorization delays; Medicaid and Social Security eligibility delays; guardianship and Adult Protective Services bottlenecks; limited home health and private duty nursing; and the challenge of placing unhoused, uninsured, or medically complex patients. Several speakers emphasized that these delays reduce bed availability, increase emergency department boarding, contribute to staff burnout, and expose patients to hospital-acquired conditions and other harms. The testimony included multiple examples of patients remaining in acute care for days, weeks, or even months after being medically ready for discharge, including patients awaiting guardianship, disability determinations, or placement in facilities willing to accept them. Speakers also highlighted special populations such as patients with behavioral health or substance use disorders, medically fragile children, patients with criminal histories, and unhoused individuals who need respite or hospice care. City Care described its planned 40-bed medical respite facility, set to open in 2027, as a way to provide clinical support and housing navigation for patients too sick to recover on the street or in shelters. Witnesses recommended policy and system changes such as standardizing preauthorization protocols, expanding rural swing-bed and home-based services, increasing public guardianship resources, improving data collection on homelessness, expanding private duty nursing hours, and creating more placement options for complex patients. They also suggested better coordination between hospitals, DHS, APS, the Health Department, and post-acute facilities, including a database of facility services to improve discharge planning and keep patients closer to home. No votes or formal committee actions were taken in the transcript, but the chair indicated the issue would require collaboration across multiple agencies and partners.
ND

North Dakota 2026 1st Special Session

Agriculture and Water Management Committee Mar 31st, 2026 at 09:30 am

Agriculture and Water Management Committee

Transcript Highlights:
  • Also, mitigation projects must be... ...wind energy facility.
  • But we could reach out to facilities and ask them.
  • But the navigability issue in sovereign lands is whether that water body was navigable or susceptible
  • to navigability at the time of statehood.
  • We need to know where's the boundary between navigable and non-navigable water connected to Devil's Lake
Keywords: 908, all
FL

Florida 2025 Regular Session

House in Session Apr 16th, 2025

Florida House Floor Meeting

Transcript Highlights:
  • My Healthcare Facilities and System Subcommittee, Representative Harris.
  • AND MANAGING HEALTH CRISIS, NAVIGATING HEALTHCARE, AND SCHOOL AT THE SAME TIME.
  • REPRESENTATIVE KENDALL, CS FOR HB 659, ENTITLED AN ACT RELATING TO CONSTRUCTION FACILITIES.
  • THEY ARE PUBLIC FACILITIES THAT PROVIDE A PUBLIC GOOD.
  • Entitled, an act relating to construction and facilities. Are there amendments?
TX

Texas 89th Regular

89th Legislative Session Apr 16th, 2025

Texas House Floor Meeting

Transcript Highlights:
  • courage, serving some of the highest needs youth in both our local communities and state operated facilities
  • We have the executive director of TJ JD Chandra Carter The Deputy Director of Facility Operations, Bill
  • The other two questions I have is how much. is in the HB 2 is appropriated for facility funding for.
  • It's stair steps, charter facility. funding similar to how we've done it in the past.
  • I know I had to navigate the public education system.
MN

Minnesota 2025 1st Special Session

Committee on Health and Human Services - 03/13/25

Health and Human Services

Transcript Highlights:
  • <00:59:30.280> maintenance including Staffing facility maintenance including Staffing facility
  • the facility the facility uh<01:02:26.799> the<01:02:27.119> the<01:02:27.319>
  • <01:02:36.119> opens happen uh and when the facility opens happen uh and when the facility
  • <01:10:28.640> sites episode of psychosis navigate sites episode of psychosis navigate sites
  • intervention by adapting the navigate intervention by adapting the navigate model<01:11:07.719><
Keywords: 1187, senate, all
MA
Transcript Highlights:
  • So we no longer have reentry navigators.
  • So we no longer have reentry navigators.
  • Benefit from the use of these resources and facilities.
  • Already embedded within some of our facilities, they’re already creating those spaces within the facilities
  • We’ve visited all of the county corrections facilities.
Keywords: 995, all
Summary: The Special Commission on Correctional Consolidation and Collaboration met on June 15 with co-chairs Senator Will Brownsberger and Representative Dan Hunt. After deciding not to approve prior meeting summary notes at this session, the commission heard testimony from the Massachusetts Parole Officers Association (Brian Lucier and Shauna Hawksley). They described parole officers’ work in both institutions and the community, including housing, mental health, substance use, employment, education, and benefits referrals, and argued that parole officers often know local service providers best. They also said the former reentry navigator positions were lost in 2025 and that regional reentry centers used in the past helped reduce duplication and improve information sharing; they urged more funding, staffing, and training, and said parole should be better integrated with MPTC/POST training and with community-based reentry resources. Commission members asked about the relationship between parole and Community Justice Support Centers, training and arrest authority, revocation practices, and coordination with sheriffs and the Department of Correction. The witnesses said CJSC access is limited by location, transportation, and scheduling, while parole’s older reentry centers were referral-based and did not require regular attendance. They also said parole officers are special state police officers with arrest authority, receive a parole-specific academy plus firearms/defensive tactics/first responder training, and would benefit from more formal reentry training. On revocations, they said they lacked data but believed parole now returns fewer people for mental health or first-time substance use issues and focuses more on public safety threats. They also said collaboration with sheriffs and DOC reentry staff is generally good but still suffers from duplicative referrals and last-minute changes that can undo work done inside facilities. After testimony, the commission discussed next steps, including extending its reporting deadline from September 30 to November 30 through the pending budget, finishing remaining DOC facility visits in the fall, and holding additional meetings on mental health and other unresolved issues. Members also discussed whether to seek more input from the judiciary and district attorneys, with agreement to continue outreach and document responses. The meeting ended with a motion to adjourn, and the commission indicated it would reconvene in the fall.
ND
Transcript Highlights:
  • But we could reach out to facilities and ask them.
  • But the navigability issue in sovereign lands is whether that water body was navigable or susceptible
  • to navigability at the time of statehood.
  • We need to know where the boundary is between navigable and non-navigable water connected to Devil's
  • One, what was the definition of navigable...
Summary: The committee opened its third interim meeting with roll call, approved the November 13, 2025 minutes, and the chair reviewed prior committee work, including a denied request for a fertilizer-capacity study and a planned later discussion of the Union Pacific/Norfolk Southern merger issue. Commissioner Doug Goring then presented Department of Agriculture updates on uncrewed aerial systems grants to detect noxious weeds, the state’s irrigation potential, the low-carbon fuels program for ethanol plants, the Environmental Impact Mitigation Fund, model zoning ordinances for animal feeding operations, and fertilizer production and supply in North Dakota. Members asked about funding sources, fertilizer storage and availability, natural gas and water needs for future fertilizer plants, and how the model zoning website would help counties and townships apply setback and odor tools. A substantial portion of the meeting focused on the Department of Water Resources’ economic analysis tool for water conveyance and flood-related projects. Dr. Dwayne Poole explained that the department is proposing changes to better account for end-of-useful-life conditions and updated hydrologic data, while still limiting the model to direct, demonstrable costs and benefits. He said the goal is to make the analysis more realistic and consistent without changing statute, and he provided examples of how project benefits could change as drains age or as rainfall and flood data evolve. Committee members and water-user representatives generally supported continued work on the proposal, while raising concerns about downstream impacts, closed-basin projects, and whether the changes would meaningfully affect project approvals. The committee then heard from John Paskowski, state engineer, on Devil’s Lake, the West End and East End outlets, and the Tolna Coulee control structure. He reviewed lake history, outlet capacities, sulfate and downstream flow limits, and explained that the control structure is intended to prevent a catastrophic uncontrolled release by slowing erosion and head cutting. Members asked about water quality trends, the length of the downstream flow constraint, and whether the Tolna Coulee area had been studied for possible natural overflow or silt buildup. The discussion emphasized ongoing flooding concerns, mitigation for affected landowners, and the need to balance outlet operations with downstream water quality and infrastructure protection.
MA

Massachusetts 2025-2026 Regular Session

Joint Committee on Financial Services Jun 21st, 2026 at 10:00 am

Joint Committee on Financial Services

Transcript Highlights:
  • The helpline caller called our helpline counselor back, seeking some guidance to help navigate through
  • Dana-Farber spent hours trying to navigate the plan's appeals process and peer-to-peer requirements.
  • ...navigate and figure out how to make sure we can continue and not delay care.
  • So the reimbursement from insurers goes to a facility that hires CRNAs and other APRNs.
  • What we see happening is cultures at specific facilities have not changed.
Keywords: 995, all
Summary: The committee held a hearing on several health care access and insurance-related bills, with most testimony focused on H.1136 to improve the prior authorization process. The Massachusetts Medical Society, Massachusetts Health and Hospital Association, Health Care for All, the Leukemia & Lymphoma Society, physicians, and hospital representatives all supported the bill, arguing that prior authorization delays care, increases administrative burden, contributes to clinician burnout, and can worsen patient outcomes. Witnesses described examples involving delayed cancer treatment, diabetes care, COPD medication, shingles pain treatment, and hospital discharge delays. They said the bill would preserve prior authorization but add guardrails such as longer validity periods, continuity-of-care protections, faster responses for urgent care, clearer lists of services requiring authorization, and more transparency and standardization. The committee also heard testimony on H.1142/S.783 regarding equitable reimbursement for certified registered nurse anesthetists (CRNAs), with Senator Lovely and CRNA advocates supporting parity with physician anesthesiologists. They said CRNAs provide the same services at the same standard of care, but private insurers sometimes reimburse them at lower rates than physicians, which they argued is inconsistent with federal and state policy and harms access. Senator Keenan testified in support of a bill addressing claim denials and appeals, saying insurers should provide clearer explanations, time to resubmit claims, and timely appeal responses. Dr. Lorraine Schratz supported H.1126 to align state patient disclosure requirements with federal No Surprises Act rules, and Dr. Michael Trimbley supported H.1120 to recognize direct primary care as not being insurance and to encourage primary care participation. The committee also heard testimony on H.1140/S.801 to remove barriers to patient care by updating insurance statutes to reflect nurse practitioners’ full practice authority, and on H.1168/S.A.18 to eliminate the PCP referral requirement for specialty gynecological care. Witnesses on those bills described delays and denials affecting autism diagnosis, nutrition coverage, and endometriosis care, and said the proposals would reduce unnecessary barriers and improve timely access. After testimony and a few member questions, the chair closed the hearing; no votes were taken during the session.
MN

Minnesota 2025 1st Special Session

Committee on Health and Human Services - 04/09/25

Health and Human Services

Transcript Highlights:
  • for the facility improvements. for the facility improvements.
  • some of these costs is the facility fee. some of these costs is the facility fee.
  • . navigators. navigators.
  • other navigator Portico and other navigator organizations<01:19:44.880> are<01:19:45.280>
  • and their ability to charge facility and their ability to charge facility fees.<01:28:26.320>
Keywords: 1187, senate, all
CA

California 2025-2026 Regular Session

Assembly Health Committee Jun 24th, 2025

Transcript Highlights:
  • There have been numerous health care facilities in my district and in neighboring districts where ICE
  • Facilities generally may refuse warrantless entry into non-public areas. That's existing case law.
  • Facilities generally may refuse warrantless entry into non-public areas. That's existing case law.
  • 7 skilled nursing facilities.
  • . ...or call each individual plan in her county to ask them for a list of contracted facilities.
Summary: The Assembly Health Committee heard several Senate bills focused on health care access, privacy, and public health data. SB 81 (Arreguín) would require health care facilities to create nonpublic areas and bar immigration enforcement from entering without a judicial warrant or court order, while also protecting disclosure of immigration-related information in medical records. The bill drew strong support from labor, immigrant-rights, health care, and patient advocacy groups, with committee members emphasizing patient safety and privacy; one member raised implementation concerns about how the restrictions would work in practice. The committee voted the bill out on a due pass motion to the Privacy and Consumer Protection Committee, with one no vote recorded. SB 250 (Ochoa Bogh) would add skilled nursing facilities to DHCS’s managed care provider directory so Medi-Cal beneficiaries can more easily identify covered facilities. Supporters said the change would help seniors and people with disabilities avoid confusion and rushed placement decisions, especially during hospital discharge, and would make existing information easier to use. The committee passed the bill to Appropriations on a unanimous vote. SB 717 (Richardson) would formally recognize California’s three regional cancer registries in state law to help preserve federal funding and support cancer surveillance data collection. The author and supporters said the measure would protect more than $15 million in annual federal support and strengthen cancer research and tracking; the committee approved it unanimously to Appropriations. SB 504 (Laird) would allow health care providers to disclose personally identifying information about previously reported HIV infections to state or local health officials when needed for disease control or care coordination. The author described the bill as a modernization of reporting and coordination practices, and supporters from the California Medical Association and Planned Parenthood backed it. The committee sent the bill out as amended to the Privacy and Consumer Protection Committee on a unanimous vote. The meeting also included routine consent-calendar action and multiple add-on votes, with the committee repeatedly holding the roll open to record additional members’ votes.