Video & Transcript : 'direct care services' :
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MS
Mississippi 2026 Regular Session
Public Health and Welfare - Room 216, 4 June, 2026; 2:30 PM
Public Health and Welfare
Transcript Highlights:
- They're not directed at you.
- Another unallowable use is no duplicate duplication of billable services. duplication of billable services
- , it must be related to a new program that generates new uncompensated care, not uncompensated care that's
- If they buy some kind of equipment that is in service to a regular service line that's ongoing, I don't
- They get it cut on service and all this.
Committee:
Joint Public Health and Welfare
MN
Minnesota 2025-2026 Regular Session
Cmte on Rules - Subcommittee on the Federal Impact on Minnesotans and Economic Stability - 02/20/26
Transcript Highlights:
- </c> Medicaid directed payments. Medicaid directed payments.
- </c> supporting the child care sector. supporting the child care sector.
- , mental health services.
- Talk about efficient services.
- to health care.
Summary:
The Senate Rules and Administration Select Subcommittee on Federal Impacts on Minnesotans and Economic Stability met on February 20, 2026, to hear from Minnesota Management and Budget State Budget Director Anna Mingi about federal funding changes affecting the state budget. Before testimony began, Senator Rasmusson objected to a draft committee report that had been prepared in advance of the hearing, arguing it was inappropriate to summarize testimony before it occurred. The chair responded that nonpartisan staff had prepared the draft from Mingi’s submitted presentation and could revise it after the hearing if needed.
Director Mingi explained that federal dollars make up more than one-third of state spending and support about 650 federal awards totaling over $23 billion this year, with more than $15 billion supporting state entitlement programs. She said the federal funding environment had changed significantly since January 2025 through executive orders, pauses, terminations, new grant conditions, delayed awards, and the July 2025 passage of H.R. 1, the federal reconciliation bill. Her main focus was H.R. 1’s effects on health care and food assistance, including work requirements for some adults, changes to eligibility for legal non-citizens, limits on retroactive Medicaid coverage and directed payments, new limits on provider taxes, and SNAP changes that shift some benefit and administrative costs to the state and counties. She estimated H.R. 1 would reduce federal funds to state-administered programs by about $327 million in the current biennium and $1.6 billion in the next, with additional costs to hospitals, counties, and other partners beyond the budget horizon.
Members asked follow-up questions about whether the estimates were relative to the forecast and whether federal Medicaid funding would still rise over time. Mingi said the estimates were based on the November forecast baseline and that Medicaid federal dollars would likely continue growing overall, though the law still creates significant losses relative to prior projections. Senator Rasmusson emphasized that point in remarks to the committee. The discussion then shifted to federal grant pauses and cancellations: MMB’s tracker showed about six awards on hold totaling roughly $491 million, 13 confirmed cancellations across areas including clean energy, education, food assistance, and public health, and additional threatened or litigated cuts not included in those totals. Mingi identified two canceled violence-prevention-related grants, including a FEMA public safety grant and a justice reinvestment grant, and noted that CDC had recently moved to cancel or seek cancellation of several Minnesota public health grants, including a $65 million public health infrastructure award.
MA
Massachusetts 2025-2026 Regular Session
Senate Session (Full Formal with Calendar) Mar 19th, 2026
Massachusetts Senate Floor Meeting
Transcript Highlights:
- And House 4349, an act directing the Boston Police Department to waive the maximum age requirement for
- There are two extension orders from Health Care Finance that we'll consider.
- They are neglected, and they have no proper care.
- Sell their products and services profitably and can showcase dogs and cats for adoption.
- The clerk be directed to dispense with the printing of a calendar.
ND
North Dakota 2026 1st Special Session
Legislative Management Jan 14th, 2026 at 01:00 pm
Transcript Highlights:
- I would direct that question to John or Beth. Mr.
- So everyone we look at—let's talk health care workforce. It's a huge crisis right now.
- And that would be retention of health care workforce. And that won't just be physicians.
- Chairman, I'm not, I guess, asking for any direction in that.
- Okay, does any committee member have any questions or concerns about directing Mr.
Summary:
Legislative Management met with a quorum, approved the July 11, 2025 minutes, and then considered recommendations from the Legislative Procedures and Arrangements Committee. Beth Dittes explained proposed special session rule changes, which largely mirror prior special session rules and are intended to speed floor action. The changes would allow faster second readings and transmission between chambers, replace regular standing committees with two joint committees for the special session—Joint Appropriations and Joint Policy—and limit bill introduction methods. The package also included delayed-effective-date changes for the next regular session, such as moving the agency and Supreme Court prefile deadline earlier and advancing several resolution deadlines. Liz Fordall then reviewed revisions to the legislative workplace harassment policy, including clarified definitions, longer intake and review deadlines, an option for informal resolution before a review panel, and clearer disclosure rules. The committee adopted the report and forwarded the rules and policy changes.
The committee also approved tentative first-day special session agendas for both chambers, with a Speaker-requested revision to allow time to swear in new House members. Megan Gordon outlined the schedule: early Rules Committee meetings, morning floor sessions, a joint session for the governor’s State of the State, then meetings of the joint appropriations and policy committees, with optional later floor and committee time. Members discussed how the joint committees would handle bills and confirmed the process would mirror the prior special session. The agendas were adopted.
Chairman Bekkedahl then reported for the Rural Health Transformation Committee, which had completed its work and recommended five bill drafts for the special session: a Presidential Physical Fitness Test requirement for schools, a nutrition component for physician continuing education, joining a physician assistant licensure compact, expanding pharmacist scope for lab testing and prescribing, and a two-year appropriations bill to cover the program through the next regular session. He explained the federal rural health transformation grant, the state’s application, funding restrictions, and the need to keep the bills aligned with CMS requirements to avoid funding reductions or clawbacks. DHS officials said the department would measure outcomes through required metrics, use templates for awards, and set up an Office of Health Transformation to track long-term impacts. The committee adopted the rural health report and forwarded the bills.
Finally, members discussed special-session logistics. Legislative staff said employment committees would approve a limited number of staff, Legislative Management would serve as the delayed-bills committee, and a letter would be sent to legislators explaining the process and a suggested Friday noon drafting deadline for bills to be considered at the January 20 meeting. The committee also discussed how many bills might be introduced and how to assign the rural health bills to the House or Senate for origin. No formal vote was taken on those logistics, and the meeting adjourned with plans to reconvene on January 20.
CA
California 2025-2026 Regular Session
Senate Energy, Utilities and Communications Committee Apr 21st, 2026
Energy, Utilities and Communications
Transcript Highlights:
- Lastly, it directs the CPUC to set an expiration date or sunset date...
- “Making sure that labor, the workers, are taken care of.
- service failures.
- Kate Eager with Vitamin Group on behalf of California Water Service.
- day these nonprofits and small businesses are doing the state services.
Committee:
Senate Energy, Utilities and Communications
AZ
Transcript Highlights:
- service opportunities to young adults...
- Establishes the One Arizona Service Fellowship Program to provide service opportunities to young adults
- hours of service.
- Last year alone, we had 162 people in service who dedicated over 65,000 hours of service.
- Those nine districts are still providing the services.
Committee:
House Education
WA
Washington 2025-2026 Regular Session
House Local Government Jan 28th, 2026
Transcript Highlights:
- Generally, urban services can only be provided within an urban growth area.
- This bill could worsen rural development problems like food deserts and access to health care services
- What does health care services?
- It's going in the right direction.
- child care, hook bites at night to eat, and other supportive services for those that work off-shift hours
Summary:
The committee held public hearings on several local government bills, with most of the discussion focused on HB 2480, which would require cities and counties planning under the Growth Management Act to allow residential uses in commercial and mixed-use zones and limit local requirements for ground-floor retail or mixed-use conditions. The bill sponsor and supporters, including the Lieutenant Governor, Governor’s Office, Commerce, builders, business groups, and housing advocates, argued it would unlock underused commercial land, reduce housing costs, and help address Washington’s housing shortage. Opponents and some cities said the bill could undermine local planning, walkable mixed-use centers, tax base, and neighborhood retail, and asked for more exemptions or narrower application. Several speakers supported the proposed substitute as a compromise, while others urged not to weaken the bill further. No vote was taken.
The committee also heard HB 2223, which would create an exception to the conflict-of-interest rules for irrigation district directors whose spouses work for a district contract, modeled on an existing exception for public hospital district commissioners. The sponsor and the Washington State Water Resources Association said the change would help irrigation districts recruit and retain volunteer board members in rural areas while preserving disclosure and recusal requirements. The hearing was brief and no action was taken.
HB 2530 would extend the deadline for forming a public facilities district for regional aquatics and sports facilities from July 1, 2026, to July 1, 2028. Supporters from Olympia and Tumwater said the extension would give local governments more time to collaborate and pursue an aquatic center that has long been a community priority; one testifier said removing the deadline entirely would also be acceptable. The committee then heard HB 2459, which would expand authority to site certain schools outside urban growth areas and extend utilities to serve them. Supporters, especially representatives of the Tahoma School District and related groups, said the bill would let districts use land they already own to relieve overcrowding. Opponents, including Futurewise, argued it would weaken Growth Management Act planning and local multicounty policies and should remain a local process. Finally, HB 2129 on agritourism was briefly heard, with the sponsor describing it as a way to help farms stay viable and preserve rural character; the committee heard supportive comments about farm preservation and openness to a work group or amendments. No votes or final actions were taken on these bills during the hearing.
ND
North Dakota 2025-2026 Regular Session
SB 2282 Conference Committee Apr 14th, 2025 at 04:00 pm
Transcript Highlights:
- You know, we all know we have a problem here with child care.
- Do they qualify for the credit, or do they have to have their daycare or child care services in North
- So let's, can we restrict it to child care services?
- Can we restrict it to child care services that is provided in the state of North Dakota?
- So they might still have child care in Moorhead because they couldn't get child care in North Dakota,
Summary:
The conference committee discussed a child care tax credit bill and focused mainly on narrowing the eligibility language. Members agreed to remove a proposed 10-mile limitation tied to the state line at first, then revisited the issue after concerns from the Tax Department and Legislative Council about remote workers, border communities, and out-of-state daycare use. Testimony from the Greater North Dakota Chamber supported the credit as a more flexible version of a prior grant program, while committee members debated whether the credit should apply only to North Dakota residents, employees working in North Dakota, or child care providers located in North Dakota or border cities.
After extended discussion, the committee settled on keeping the 10-mile language and striking the resident requirement from the definition of “qualified employee,” with the intent of better capturing border-area workers while avoiding broader unintended coverage. Members noted the bill is aimed at workforce and child care access, especially in Fargo, Grand Forks, and other border areas, and acknowledged that the language may still need adjustment in the future. The Tax Department and Legislative Council indicated the revised language would be workable.
Representative Foss moved the final amendment to the conference committee report, Senator Powers seconded, and the motion passed on a roll call vote with all members voting yes: Chairman Rummel, Senator Marseille, Senator Powers, Representative Doctor, Representative Foss, and Representative Anderson. The committee then adjourned, with House and Senate members designated to carry the report forward.
TX
Transcript Highlights:
- It is the parent that will be the decision-maker and will drive the service. services that they engage
- You know, that's the process of parent-directed.
- And we're going to have to provide social services, some kind of services for them.
- I agree that we need to... to take care of some of that.
- We've seen what it's done in child care.
Committee:
House Public Education
Keywords:
education savings account, educational expenses, certified educational assistance organization, school choice, funding, special education, tuition reimbursement, emergency communication, public safety, interoperability, Texas Interoperability Council, grant program, emergency communications, public safety radio, first responders, radio system, dispatch, 911, emergency management, Texas Division of Emergency Management
US
US Federal 2025-2026 Regular Session
US House Floor Proceedings (Tuesday, December 9, 2025)
US Federal House Floor Meeting
Transcript Highlights:
- Forest Service.
- Forest Service.
- </c> city and the Forest Service. Mr. city and the Forest Service. Mr.
- Forest Service.
- He gave more than 25 years of service to the United States Postal Service.
MN
Transcript Highlights:
- There were distributed denial-of-service attacks directed at election systems.
- There were distributed denial-of-service attacks directed at election systems.
- There were distributed denial-of-service attacks directed at election systems.
- services.
- services.
Committee:
Senate Elections
KY
Kentucky 2026 Regular Session
Senate Standing Committee on Appropriation and Revenue. (1-28-26)
Transcript Highlights:
- Uh, the governor talks about worrying about certain lines of service, like maternity care, uh, and other
- Uh, the governor talks about worrying about certain lines of service, like maternity care, uh, and other
- Uh, the governor talks about worrying about certain lines of service, like maternity care, uh, and other
- Uh, the governor talks about worrying about certain lines of service, like maternity care, uh, and other
- Uh, the governor talks about worrying about certain lines of service, like maternity care, uh, and other
Summary:
The committee met to hear a presentation from Dr. Hicks on the governor’s recommended budget for the next biennium. He reviewed the revenue outlook, noting modest general fund growth, a large rainy day fund balance, and the impact of recent income tax reductions. He said the budget was built around recurring reductions, lower debt service and retirement contribution rates, and the use of excess restricted funds, while protecting K-12 education, Medicaid, postsecondary education, public safety, and pension obligations.
Dr. Hicks outlined several major spending and reserve proposals, including $350 million from the Department of Insurance’s excess restricted funds to support Medicaid in the first year, $150 million for the affordable housing trust fund, $125 million for rural hospitals, $100 million to offset lost federal ACA premium tax credits, $75 million for utility assistance, and $50 million for food assistance. In education, the proposal included a phased pre-K for all plan funded by sports wagering tax revenue, a 3% annual salary increase for full-time school personnel, continued full funding of teacher pensions, a 2.5% annual increase in SEEK base funding, and additional support for career and technical education and school facilities.
He also discussed Medicaid cost pressures, including higher managed care, pharmacy, behavioral health, and nursing facility costs, and explained the expected effects of federal HR1 changes on Kentucky’s Medicaid program. Those changes include work and community engagement requirements and more frequent eligibility redeterminations for expansion members, which the administration estimated would reduce enrollment by about 4,300 in the first year and 28,000 in the second year. No votes or formal committee actions were taken during the meeting, which was limited to the budget presentation and member questions.
MA
Massachusetts 2025-2026 Regular Session
Joint Committee on Agriculture and Fisheries Jun 21st, 2026 at 10:00 am
Joint Committee on Agriculture and Fisheries
Transcript Highlights:
- In the Berkshires, 90% of our farmers are selling 90% of their product direct to consumers.
- So to date, since 25 farms in Maine have received direct aid, the state has spent $3.7 million in direct
- Meaning PFAS and residuals has a direct pathway to agricultural soils and then people.
- All right, no questions, and thank you for your service on the Food Policy Council as well.
- As a direct service provider for urban agriculture education, and as the manager of a productive organic
Summary:
The Joint Committee on Agriculture and Fisheries held a public hearing on 19 legislative proposals, with testimony limited to three minutes per speaker and seven minutes per panel. The hearing opened with testimony on bills promoting urban agriculture and vacant-lot conversion, including H.121/S.61, which Green Roots staff and community members supported as a way to turn vacant lots in environmental justice communities into urban farms and gardens that improve food access, health, community cohesion, and climate resilience. Rep. James Arena-DeRosa also spoke in support of H.109/S.56, the PFAS bill, describing it as a measure to protect soil and farms from contamination and to create relief for affected farmers.
A major portion of the hearing focused on H.109/S.56, which would ban land application of sewage sludge/biosolids, provide liability protection and relief funds for farmers, and address PFAS contamination in soil, water, crops, and animals. Testimony came from environmental groups, farm organizations, and individual farmers, including the Mass Food System Collaborative, Conservation Law Foundation, Clean Water Action, CEMAP, NOFA, Sierra Club, and several farmers who described contamination in Maine and Massachusetts and urged the committee to act. Witnesses emphasized that PFAS poses serious health risks, that farmers should not bear responsibility for legacy contamination, and that the bill should be paired with funding for testing, remediation, and assistance. Committee members asked questions about farm liability, the scope of the bill, contamination in different ownership situations, and the costs and timelines of remediation, with Senator Comerford and others clarifying that the bill is intended to protect farms and farmers rather than non-agricultural landholders.
The committee also heard strong support for H.416, a farm-to-institution pilot program, from Rep. Lee Davis, Berkshire Agricultural Ventures, and Berkshire Bounty. They said the pilot would connect Massachusetts farms to schools, hospitals, correctional facilities, and other institutions, creating new markets, strengthening local supply chains, and supporting food-is-medicine efforts. Members discussed whether the model could be statewide and referenced existing programs such as Island Grown Initiative and local hospital and insurance partnerships. Another agricultural bill, H.1058, was supported by Rep. Mark Sylvia and the Cape Cod Cranberry Growers’ Association as a way to allow unused cranberry water rights to be transferred within the same watershed for municipal mitigation while helping growers retire or consolidate bogs. The hearing also included testimony on the broader farm omnibus bill H.112/S.55 and related measures, with the Massachusetts Farm Bureau and others praising the committee’s work on agricultural resilience, food security, agritourism, workforce development, and farmland access, while suggesting additional transportation-related fixes for farmers. No votes were taken during the hearing.
NH
New Hampshire 2026 Regular Session
House Commerce and Consumer Affairs (04/16/2026)
Commerce and Consumer Affairs
Transcript Highlights:
- We're talking about care management and functional support services.
- </c> health care services. health care services.
- services needed to was health care services needed to diagnose<03:38:07.560><c> or</c><03:38:07.720>
- I think it's an individualized care plan for the service.
- The care management entities are unable to bill for these services.
Committee:
House Commerce and Consumer Affairs
NM
New Mexico 2025 Regular Session
IC - Legislative Finance Aug 19th, 2025
Transcript Highlights:
- Direct oil and gas revenue is at 20 percent, más o menos.
- Regularly in child care assistance and pre-kindergarten.
- Access to quality care varied by region.
- There has to be a direct correlation to that.
- So, who is in charge of figuring out children in foster care?
MN
Minnesota 2025-2026 Regular Session
Committee on Health and Human Services - 04/01/25
Health and Human Services
Transcript Highlights:
- on aging, Elder Justice, Lutheran Social Services, the Minnesota Home Care Association, Volunteers of
- on aging, Elder Justice, Lutheran Social Services, the Minnesota Home Care Association, Volunteers of
- on aging, Elder Justice, Lutheran Social Services, the Minnesota Home Care Association, Volunteers of
- on aging, Elder Justice, Lutheran Social Services, the Minnesota Home Care Association, Volunteers of
- I also served on the board of Westside Community Health Services, now known as Minnesota Community Care
Committee:
Senate Health and Human Services
KY
Kentucky 2025 Regular Session
Government Contract Review Committee (5-13-25) - Reupload Part 1
Transcript Highlights:
- within the managed care space. So, um, I within the managed care space.
- services from the hub.
- </c> received direct services from the hub. received direct services from the hub.
- . services. services.
- </c> employee advising services. employee advising services.
Summary:
The Government Contract Committee met with a quorum, observed a moment of silence for Representative McCool after the death of his sister, and approved the April 14 minutes. The committee then reviewed a large agenda of contracts and amendments, beginning with a deferred Office of the Controller procurement involving broker services. Members questioned why a contract that had previously been handled for about $300,000 annually was now priced at about $1 million, and why the procurement was limited to one year. Office of the Controller staff said the prior vendor had held the work for more than 20 years, the work had previously been treated as not practical to bid, and the new RFP was intended to increase competition. They said the technical evaluation was scored before cost was considered, that past performance was not scored because it was seen as unreliable, and that AON received the highest technical score despite not being the lowest bidder. After discussion, the committee voted to take no action and let the contract proceed to the Finance Cabinet, with members noting continuing concerns about the pricing and process.
The committee next considered a DCBS memorandum of agreement amendment for language services. DCBS representatives said the additional funding did not come from a new cut elsewhere, but from reduced spending on interpreter services because commonly used forms had been translated into other languages, freeing up funds for the contract. The committee approved the item unanimously.
The final major item discussed was an initial contract for the Board of Hairdressers and Cosmetologists for legal services. Board staff said the board had been without a permanent general counsel since March 2024 and had relied on special and conflict counsel because of unusually heavy litigation, including 11 active cases, plus broader disciplinary and licensing changes tied to recent legislation and an oversight report. They said the contract was a not-to-exceed amount funded entirely by agency fees and that the board was currently running a surplus. Senator Thomas urged support, citing prior legislation and oversight findings about problems at the board and saying the contract was needed to help the board address ongoing litigation and corrective work. The committee approved the contract and then approved the remaining agenda items without objection, sending them forward.
TX
Texas 89th Regular
Senate Committee on Water, Agriculture, and Rural Affairs Mar 31st, 2025
Water, Agriculture and Rural Affairs
Transcript Highlights:
- Currently, Dallas Animal Services has an average of over...
- A thousand animals in foster care are waiting for a home.
- Allowing individuals with special needs to use telecommunication to establish care for their pet or service
- simply don't have transportation to get the care they need.
- direction.
Bills:
SB34 , SB119 , SB261 , SB532 , SB1035 , SB1245 , SB1247 , SB1267 , SB1442 , SB1930 , SB1948 , SB2078 , SB2112 , SB2143 , SB2155
Committee:
Senate Water, Agriculture and Rural Affairs
Keywords:
wildfire, wildfire mitigation, wildfire prevention, volunteer fire department, Texas A&M Forest Service, West Texas A&M University, prescribed burning, fuel loading, fuel reduction, firefighting equipment database, emergency communications, disaster preparedness, rural fire protection, asset hardening, natural resource management, emergency management, large wildfire risk, fire grant funding, fire suppression, Texas Legislature
FL
Florida 2026 Regular Session
Governmental Oversight and Accountability Feb 11th, 2026
Governmental Oversight and Accountability
Transcript Highlights:
- A digital service.
- Why does nobody care?
- Wait, wait, wait, no, direct it to me. Okay.
- Our food service workers, you spoke so beautifully, the gentleman who's a food service worker.
- Our food service workers, you spoke so beautifully, the gentleman who's a food service worker.
AZ
Transcript Highlights:
- adult day health care, assistance with bathing and... ...and community-based services, including adult
- “Subject of House Bill 4145 health care that is going to be in a different bill on human services.
- Similar to how they award contracts for acute care or behavioral health services to MCOs, DES' division
- Some of the provisions in the human services budget reconciliation bill include, it says it directs DES
- It doesn't say someone else is required to take care of you. It doesn't give you medical services.