Video & Transcript : 'psychiatric advance directive' :

Page 28 of 500
WA

Washington 2025-2026 Regular Session

Senate Human Services Feb 23rd, 2026 at 01:30 pm

Human Services

Transcript Highlights:
  • I apologize in advance.
  • So a more collaborative approach has really advanced the field of treatment.
  • But we stick to risk because that's what the law directs us to do.
  • we stick to risk because that's what the law directs us to do.
  • I'm a directing attorney at the Tacoma office for the Northwest Immigrant Rights Project.
Bills: HB2464, SGA9305
CA
Transcript Highlights:
  • to do a two-year extension for the liquidation of $7,768,000 for six grantees of the Emergency Psychiatric
  • I believe the system is bridging individuals to go to emergency rooms and psychiatric facilities.
  • It will increase the number of trainees, fellows, and residents serving in a direct care patient capacity
  • Madam Chair and members, Kobe Pizzotti on behalf of the California Association of Psychiatric Technicians
  • It's available direct-to-consumer.
Keywords: 988, house, all
WA

Washington 2025-2026 Regular Session

Senate Ways & Means Feb 23rd, 2026 at 04:00 pm

Ways & Means

Transcript Highlights:
  • You cannot use advanced technology without understanding the tools that power it.
  • I am weighing in on this budget as it is going to take us in a backwards direction.
  • I respectfully urge you to advance a budget.
  • In therapy, we see the direct impact of funding decisions.
  • And we started providing direct representations since resources are so scarce.
Bills: SB5998
AR
Transcript Highlights:
  • We reimburse for psychiatric services, mental health services, and in psychiatric hospitals or in psychiatric
  • We reimburse for psychiatric services, mental health services, and in psychiatric hospitals or in psychiatric
Summary: The committee first approved the minutes and then heard an emergency rule from the Department of Human Services on hospital-based residential treatment for adolescents with substance use disorder. Paula Stone explained that the rule would allow Medicaid reimbursement for services in a general hospital unit for ages 12 and up, with Unity Hospital in CERC expected to open the first such unit. Members asked about length of stay, cost, and capacity; Stone said stays would be determined by ASAM criteria with no fixed cap, the proposed Medicaid rate is $850 per day pending CMS approval, and the unit would have 24 beds split between boys and girls with on-site schooling. The committee then considered a rule on electronic visit verification for in-home personal care, attendant care, respite care, and home health services. Elizabeth Pittman said the update is intended to keep the state compliant with federal EVV requirements under the 21st Century Cures Act, improve auditing and corrective action plans for providers with too many manual claims, and remove the W-9 submission requirement in favor of IRS verification. Members confirmed that federal law requires an EVV system, and Pittman noted Arkansas uses an open system that allows providers to use the state option or their own vendor. No objections were raised to the EVV rule, which was reported as reviewed. The meeting then concluded with no further business and adjournment.
MN

Minnesota 2025-2026 Regular Session

Committee on Health and Human Services - 03/05/25

Health and Human Services

Transcript Highlights:
  • </c> will have in a minute uh uh advanced will have in a minute uh uh advanced practice<00:04:19.959>
  • </c> in the bill one we would be um directing in the bill one we would be um directing Commissioner<00
  • </c> of time the the law that the direction of time the the law that the direction to<00:26:49.880><c
  • How much was in the direct payment portion? Oh, that's only from the direct payment portion.
  • </c> only from the direct payment portion only from the direct payment portion well<00:36:28.880><c>
Keywords: 1187, senate, all
AR
Transcript Highlights:
  • We reimburse for psychiatric services, mental health services, and in psychiatric hospitals or in psychiatric
  • We reimburse for psychiatric services, mental health services, and in psychiatric hospitals or in psychiatric
Keywords: 1204, all
FL

Florida 2026 5th Special Session

Judiciary Mar 25th, 2025

Transcript Highlights:
  • The most advanced genetic testing, using updated technology available in March 2024, provided further
  • This time, while Melina was awaiting inpatient psychiatric care for suicidal thoughts, to my knowledge
  • , ...inpatient psychiatric care for suicidal thoughts.
  • He said that when the legislature approves a claims bill, it directs the respondent, or at-fault party
  • He added that claims bills do not direct payments from a respondent's insurer because the relationship
Summary: The committee first took up CS for Senate Bill 304, which would address child protective investigations involving children with certain genetic or medical conditions that can mimic signs of abuse. Senator Sharif and several family members and advocates described cases in which children were removed after injuries were initially misread as abuse, and argued the bill would give parents more opportunity to obtain qualified medical opinions. The committee adopted a substitute amendment that removed language imposing analysis duties on certain medical professionals, then passed the bill favorably after testimony in support from the Florida chapter of the American Academy of Pediatrics and several affected families. The committee then considered SB 1430 on post-judgment execution proceedings for terrorism victims, SB 96 on relief for Jacob Rogers, SB 382 on affordable housing rent agreements, SB 4 and SB 6 on claims bills for Patricia Armini and Jose Correa, SB 1142 on release of conservation easements, SB 658 on waiver or release of liens, SB 28 and SB 30 on claims involving South Broward Hospital District and the Broward County Sheriff’s Office, SB 24 on relief for Mandy Penny Lemon, SB 72 on campaign funds for child care expenses, and SB 1622 on recreational customary use of beaches. Most of these bills were explained by their sponsors as narrow relief or technical measures, and the committee heard a mix of support and opposition from claimants, local governments, industry groups, and advocacy organizations. Several bills drew substantive debate. On SB 382, members discussed rent stability and whether the bill should better address lease language and future rent increases; the amendment and bill were both reported favorably. On SB 1142, members raised concerns about environmental and drainage impacts and whether releases of conservation easements should be mandatory or discretionary, but the bill still passed favorably. On SB 72, members questioned the scope of allowable campaign child care expenses and the need for stronger guardrails against abuse; the bill nevertheless passed favorably. On SB 1622, testimony sharply divided between supporters of restoring public beach access and opponents defending private property rights; debate continued when the transcript ended, so no final vote on that bill is reflected here.
FL

Florida 2026 Regular Session

Judiciary Mar 25th, 2025

Judiciary

Transcript Highlights:
  • The most advanced genetic testing using updated technology available in March 2024 provided further confirmation
  • This time, while Melina was awaiting inpatient psychiatric care for suicidal thoughts, to my knowledge
  • Inpatient psychiatric care for suicidal thoughts.
  • This amendment directs the Lee County Sheriff's Office to pay the claim, not the insurer's office.
  • When the legislature approves a claims bill, it directs the respondent, or at-fault party, to pay a claimant
Summary: The committee first took up CS for Senate Bill 304, which would address child protective investigations involving children with certain pre-existing genetic or medical conditions. Senator Sharif said the bill is intended to prevent children from being wrongly removed from their families when symptoms of conditions such as Ehlers-Danlos syndrome, osteogenesis imperfecta, rickets, or vitamin deficiencies are mistaken for abuse. Several parents and advocates testified in support, describing long dependency cases and removals they said were caused by misdiagnosis. The committee adopted a substitute amendment that removed language requiring certain medical personnel to provide differential-diagnosis analysis, and the bill then passed favorably with unanimous support. The committee then heard SB 1430 on post-judgment execution proceedings relating to terrorism, sponsored by Senator Collins, who described the long effort by U.S. victims of the FARC to enforce a federal judgment and recover assets. The bill would clarify procedures for terrorism-related judgments, modernize intangible asset law, and help prevent terrorists from hiding assets or blocking wire transfers. After one supportive appearance form and no debate, the bill passed favorably. The committee also approved SB 96, a local claims bill for Jacob Rogers, and SB 382, an affordable housing rent bill that was amended to define base rent and apply to certain shorter-term rental agreements entered after July 1, 2026; SB 382 drew support from housing advocates and some opposition, but passed unanimously. Several claims bills were also approved: SB 4 for Patricia Armini, SB 6 for Jose Correa, SB 28 for Darlene Engerville and J.R., SB 30 for the estate of M.N., and SB 24 for Mandy Penny Lemon, each involving injuries or damages caused by local government or hospital district negligence and each reported favorably after brief testimony and roll calls. The committee also passed SB 658 on waiver or release of liens after discussion about form language and enforceability. SB 72, which would allow campaign funds to pay certain child care expenses incurred while a candidate is actively campaigning, prompted questions about definitions and safeguards; the sponsor said the bill would require the expense to exist only because of campaign activity, and the bill was reported favorably. Finally, the committee approved SB 1142 on release of conservation easements, which would create a statewide process for releasing certain small, low-value parcels from conservation easements if mitigation credits are secured elsewhere. The bill drew support from the sponsor and a property representative, but environmental advocates and President Passidomo raised concerns about flood control, wildlife corridors, and whether the bill was too property-specific; the sponsor said he would continue working on the language. The committee also heard extensive testimony on SB 1622, which would repeal the 2018 customary use law and restore local authority over public beach access. Supporters argued the current law has privatized beaches, hurt tourism, and led to harassment and conflict, while opponents defended private property rights and warned against taking away owners’ ability to exclude others. The transcript ends during testimony on SB 1622, before a final vote is shown.
KY
Transcript Highlights:
  • </c><00:09:46.640><c> hospital</c> admitted to a state psychiatric hospital admitted to a state psychiatric
  • Again, I feel like... within a psychiatric hospital hospital within a psychiatric hospital hospital or
  • I I also understand right direction.
  • </c> again step in the right direction. again step in the right direction.
  • Um about 80 a psychiatric treatment.
Summary: The Juvenile Justice Oversight Council met on February 6, 2026, took roll, approved a motion to convene, and heard agency updates from materials in the packet. The council then took up Senate Bill 125 out of order because Senator Carol was present. The bill was presented as a collaborative effort focused on creating a secure, state-run high-acuity mental health facility for justice-involved youth who need specialized psychiatric care and cannot be appropriately served in detention or by private hospitals. Speakers said the facility would fill a gap in services, improve safety and treatment outcomes, and be designed with trauma-informed, medically equipped spaces rather than a jail-like setting. The presenters also outlined other parts of the bill, including a placement process in which DJJ and CHFS would evaluate youth and provide recommendations before the judge makes the final decision, with certain hospital-declination provisions to be delayed until the new facility is operating. They described payment incentives for hospitals treating high-acuity youth, confidentiality and escape-related disclosure provisions, and contracts with a public teaching university for clinical services. The proposed facility was described as a 24-bed center at Central State, with staffing to include mental health professionals and juvenile detention staff receiving enhanced training. Dr. Clark Lester said staffing needs would vary by youth and could include one-to-one supervision for some patients. The bill also addressed female juvenile detention capacity. Speakers said the number of detained girls has risen sharply since 2024, peaking at 51 in 2025, and that current facilities cannot meet the separation requirements for boys and girls or high- and low-level youth. The proposal would build two female detention centers, with possible locations discussed in central Kentucky and western Kentucky, and a third or fourth center could be added if population data show the need. Members asked about hospital placement authority, staffing, and average length of stay for girls; the presenters said the current court-order process would remain until the new facility is built and that they would provide additional data later. No vote was taken during the portion of the meeting provided.
MO

Missouri 2026 Regular Session

Substance Abuse Prevention and Treatment Task Force Jun 25th, 2026 at 09:00 am

Substance Abuse Prevention and Treatment Task Force

Transcript Highlights:
  • It is estimated at $10 billion per year from direct medical costs, reduced quality of life, and work
  • We've recently brought on a psychiatric nurse practitioner who has some experience in that space, so
  • And even if they had a co-occurring psychiatric condition like depression or any other psychiatric condition
  • Even for psychiatric residency, I can tell you in my four years of residency, I had one month where I
  • But we tried to advance some legislation to secure funding for it.
Keywords: 959, house, all
MO

Missouri 2026 Regular Session

Budget Mar 9th, 2026

Budget

Transcript Highlights:
  • I'm hearing this, and I think this is a good direction that we're going. I do just...
  • I'm hearing this and I think this is a good direction that we're going.
  • Part of the direction that that university has gone was that a state directive to be the liberal...
  • It undermines some of the more advanced skill sets that our community needs.
  • We're not, you know, going to go that direction right now.
Summary: The committee heard extended discussion of the chair’s House budget substitute, especially House Bill 2 for elementary and secondary education and House Bill 3 for higher education. The chair said the operating budget leaves roughly $300 million in reserve, explained several cuts and restorations, and described proposed changes to child care, including cutting enhancement payments and keeping attendance-based rather than enrollment-based subsidy payments. Representative Fogle objected to the child care cuts and the proposed language limiting the department’s move to prospective payment and enrollment-based reimbursement; State Budget Director Dan Hogg testified that the governor’s office still intended to move to payment on enrollment in May if the budget language did not block it, while prospective payment remained under review because of federal funding concerns. The chair also explained a restriction on Parents as Teachers services for children already in public pre-K, and members debated whether that would reduce duplication or improperly limit services. The chair further proposed a new competitive Title I innovation grant program funded by a reallocation of some Title I dollars, with questions raised about what services would be reduced to offset it. The bulk of the meeting focused on a major higher education funding overhaul in House Bill 3. The chair and vice chair proposed replacing the current base-plus model with an FTE-based formula that would distribute the same overall state funding according to student credit hours, with community colleges funded on a 12-hour FTE, four-year undergraduate students on a 15-hour FTE, and graduate enrollment discussed as a separate issue. They said the goal was to make funding follow students rather than institutions and to reduce long-standing disparities between schools. Several members supported the idea as overdue and more transparent, while others warned it was being done too quickly and could harm institutions with high-cost programs, research missions, or smaller enrollments. Concerns were raised about possible closures, accreditation problems, and unintended effects on workforce programs such as nursing, engineering, and technical training. The chair and vice chair said there was no intent to force consolidation, but acknowledged that some institutions would gain and others would lose under the new model. Members also questioned how the formula would treat research and doctoral funding, especially at the University of Missouri, and whether graduate programs were properly counted. The chair said some special-purpose lines were retained, but a large portion of MU’s research and doctoral funding was folded into the broader pool and redistributed through the FTE model. Several members asked for clarification on whether graduate hours were counted at nine credits, and the chair said he was not certain and would seek follow-up from staff or the department. Community college representatives were discussed as having unanimously opposed the recommendation, and the chair noted that the institutions were briefed only shortly before the hearing. No votes were taken during the exchange, and the committee appeared to be gathering testimony and concerns ahead of markup and future action on the budget bills.
WA

Washington 2025-2026 Regular Session

House Finance Jan 22nd, 2026 at 01:30 pm

Finance

Transcript Highlights:
  • This proposal is smart and a needed step in the right direction.
  • When operating costs increase, it puts direct pressure on food affordability for Washington families
  • This bill creates a direct tax on construction jobs.
  • Three years ago, he had already spent time in a psychiatric hospital.
  • It will be a direct hit to job creation and worker wages.
FL

Florida 2025 Regular Session

Judiciary Mar 25th, 2025

Transcript Highlights:
  • The most advanced genetic testing using updated technology available.
  • But diagnosis is of chronic Lyme disease decide in MIA and under a psychiatric disorder.
  • While Molina was awaiting impatient, psychiatric care for suicidal thought to my knowledge, physical
  • Chairman this amendment directs the Lee County Sheriff's Office to pay the claim not the insurers office
  • It directs the respondent at slash at full party to play to pay a claimant claims bills do not a direct
Keywords: 999, senate, all
CA

California 2025-2026 Regular Session

Assembly Public Safety Committee Apr 14th, 2026

Public Safety

Transcript Highlights:
  • So I just want to welcome Mary and thank her in advance for all of her work.
  • Preparations for trial begin months in advance. There is no real break.
  • Preparations for trial begin months in advance. There is no real break.
  • That is a direct quote.
  • AB 2108 moves in the opposite direction.
Keywords: 988, house, all
KY
Transcript Highlights:
  • I want to explain my vote, and I want to go in a different direction.
  • direction uh I think<00:43:23.520><c> if</c><00:43:23.680><c> there's</c><00:43:23.960><c> anything<
  • </c><01:22:43.760><c> Services</c> 90% of those funds on Direct Services 90% of those funds on Direct
  • medical services for our members direct medical services for our members if<01:22:55.600><c> they</c
  • </c> tailored to specifically psychiatric tailored to specifically psychiatric hospital adms<01:32:51.800
Keywords: 958, all
Summary: The committee first reorganized by electing Representative Hart as House co-chair and Senator Douglas as Senate co-chair by acclamation, then approved the December 10 minutes. It then took up deferred and routine contract items, beginning with a Council on Postsecondary Education item that was withdrawn after staff explained the contract had been canceled and should not have come before the committee because the granting authority, not CPE, was issuing it. The committee next reviewed a Department for Local Government contract tied to an Eastern Kentucky flood recovery housing project in Jackson. Members questioned the high per-unit cost and whether renovation was more expensive than new construction. Staff explained the cost included acquisition of an existing downtown building and needed water and sewer infrastructure upgrades, and said developable land was limited in the area. With no motion to object, the contract was allowed to move forward. The committee then considered Kentucky Transportation Cabinet professional services contracts for highway design work. Members asked about the size of the contracts and how much of the available funding is typically used; staff said the contracts are two-year agreements, that the prior cycle reached close to $2 million per contract, and that this year’s limits were reduced because less money is available in the Highway Plan. The committee also approved a PSC amendment contract for the Bridging Kentucky program after staff explained the $150 hourly loaded rate was within the normal range for consultants. Both Transportation Cabinet items were approved without objection. Finally, the committee heard a Kentucky Communications Network Authority contract for an $85,000 study of the dark fiber market. Members asked what dark fiber is, why the study was needed, whether there was coordination with the Office of Broadband Development, and whether existing service meant there was already a market. KCNA said dark fiber is unused fiber that local providers can light to deliver service, that the study was needed because the contractor said no market existed while ISPs said demand exists, and that the report would help both KCNA oversight and broadband development planning. The contract was reviewed without objection.
MN

Minnesota 2025-2026 Regular Session

House Workforce, Labor, and Economic Development Finance and Policy Committee 4/15/26

Workforce, Labor, and Economic Development Finance and Policy

Transcript Highlights:
  • </c><00:02:47.840><c> payments</c> allow for DLI to issue advanced payments allow for DLI to issue advanced
  • </c><00:05:03.840><c> to</c> order for those um cash uh advances to order for those um cash uh advances
  • </c><00:15:49.759><c> payments</c><00:15:50.079><c> versus</c> of advanced payments versus of advanced
  • </c><00:46:54.240><c> this</c> few potential ways to advance this few potential ways to advance this
  • </c> we're going in the right direction. we're going in the right direction.
Bills: HF4862, HF4598
NH

New Hampshire 2026 Regular Session

House Commerce and Consumer Affairs (04/16/2026)

Commerce and Consumer Affairs

Transcript Highlights:
  • </c> corporation business uh made a direct corporation business uh made a direct donation, donation,
  • </c><00:57:52.000><c> may</c> coming in from the other direction may coming in from the other direction
  • Yes, Representative... advance of the report being issued but advance of the report being issued but
  • Trends going in this direction. direction. direction.
  • </c> gaps cause symptom relapse, psychiatric gaps cause symptom relapse, psychiatric crises,<04:19:36.120
Keywords: 928, house, all
Summary: The committee held a public hearing on Senate Bill 562, which would create a home damage mitigation and resilience grant program aimed at helping homeowners make property improvements that could reduce insurance costs and non-renewals. Commissioner DJ Bettencourt of the New Hampshire Insurance Department explained that the program is modeled in part on Alabama’s safer homes program, but tailored for New Hampshire hazards such as floods, microbursts, heavy snow, ice, and falling trees. He said the grants would be limited to primary residences, subject to a means test, capped at $10,000, and intended to help homeowners make targeted improvements such as roof fortification or tree removal that could improve underwriting outcomes and lead to premium discounts. Bettencourt said the program would not use state taxpayer funds and would instead rely on philanthropic donations, possible federal or regional housing-bank funding, and other outside sources. He said the department would not need new staff, and that a current position could be reconfigured to help administer the program part-time. Committee members asked about the funding language, the meaning of “loans” in the bill, whether there were any other states using a similar no-state-funds model, and how many homeowners could be helped. Bettencourt said Rhode Island and Connecticut were moving forward in a similar way, and that the number of beneficiaries would depend on how much money is raised. Members also questioned how the grant program would actually lower premiums, whether savings would apply only to participants or more broadly, and how the IBHS evaluation process would work. Bettencourt and department staff said the direct benefit would be to the homeowner whose property is improved, though neighbors could also benefit in some cases. They explained that IBHS is a building-safety organization that certifies contractors and inspectors and that its standards can qualify homes for insurer discounts. Questions were also raised about confidentiality provisions, first-come-first-served grant awards, rollover of unused applications, and possible tax treatment of donations. The sponsor said those details would be addressed through rulemaking or existing tax rules, and no vote was taken during the hearing.
MN
Transcript Highlights:
  • I went through every psychiatric unit in the state of Minnesota, two nursing home stays, a group home
  • 10:07.040><c> went</c><00:10:07.360><c> through</c><00:10:07.720><c> every</c><00:10:07.959><c> psychiatric
  • </c><00:10:08.560><c> unit</c> um I went through every psychiatric unit um I went through every psychiatric
  • then maybe and that's that's great and then maybe just<00:20:12.919><c> I'll</c><00:20:13.120><c> direct
  • </c><00:20:13.600><c> the</c><00:20:13.720><c> attention</c><00:20:14.000><c> of</c> Just I'll direct
Keywords: 1183, house
FL

Florida 2025 Regular Session

January 15, 2025 - 01:00 PM

Transcript Highlights:
  • One, the sheriff discussed something about direct file.
  • Okay, direct file...
  • Okay, direct files—so, common parlance, direct file, so I can file an information.
  • There’s also a term called direct file, which deals with juveniles.
  • If I direct file a juvenile, a juvenile is a petition for delinquency.
Summary: The Criminal Justice Subcommittee held its first meeting of 2025, took roll, confirmed a quorum, and heard member introductions before turning to an informational panel on how a criminal case moves through Florida’s system. The chair emphasized respectful committee process and introduced staff, then invited the panel to explain the path from arrest through prosecution, first appearance, arraignment, discovery, trial, plea negotiations, and sentencing. Sheriff Bob Gualtieri described law enforcement discretion, probable cause, misdemeanor and felony arrest rules, pre-arrest diversion, jail operations, and the statewide uniform bond schedule. He also discussed jail overcrowding, supervised release, mental health and substance abuse issues in jails, and the need for better case management and diversion resources. Judge Frank Allman explained first appearance, bond setting, arraignment, trial procedures, plea colloquies, and sentencing under Florida’s punishment code, including downward departures and victim impact statements. State Attorney Jack Campbell outlined charging decisions, the higher proof burden prosecutors must meet, coordination with law enforcement, Baker Act proceedings, victim notification, informations versus grand jury indictments, and the role of diversion and treatment courts. Public Defender Matthew Mets described indigency screening, discovery, the growing volume and technical complexity of evidence, mitigation work, and the importance of treatment-based resolutions. Members asked about time-served credit for supervised release, mental health recidivism, homelessness enforcement, ICE holds, and sentencing discretion; no votes were taken and the meeting ended after the informational presentation and discussion.
NH

New Hampshire 2026 Regular Session

Senate Health and Human Services (02/04/2026)

Health and Human Services

Transcript Highlights:
  • </c> Um, different medications um psychiatric Um, different medications um psychiatric medications<00
  • And that is also how ophthalmologists learn new advances as well.
  • And there are courses advances as well.
  • </c> includes strict certification, advanced includes strict certification, advanced education, education
  • ><c> initially</c><03:27:06.640><c> suspected</c> more advanced than initially suspected more advanced
Keywords: 1191, senate, all