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

Page 291 of 500
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:
  • We need a health care system to break this.
  • These are systemic problems that lead to real disruptions in necessary and life-saving care.
  • Research confirms what providers have long known: states without these laws see fewer delays in care.
  • and our lives have been longer, and we say, well, look at the long term.
  • I took a leave of absence for two months to find anyone in the health care system that would listen to
Keywords: 995, all
Summary: The committee opened by explaining hearing procedures and time limits, then heard testimony on House 2499, a bill to create a public awareness campaign on menopause and related midlife health issues. Supporters, including a nurse, the Massachusetts Commission on the Status of Women, and other advocates, said menopause is widely misunderstood by patients and providers, leading to delayed care, unnecessary suffering, workplace impacts, and inequities in women’s health. Several speakers shared personal experiences with symptoms being dismissed or misdiagnosed and urged the committee to advance the bill. The committee then took testimony on a package of endometriosis bills, including House 2527 and Senate 1564, calling for a task force and broader awareness efforts. Patients, a physician, and advocates described long diagnostic delays, severe pain, infertility, medical gaslighting, and limited access to specialists and effective treatment. They argued for more research, provider education, and a coordinated state strategy, and several asked for favorable reports. The chair also noted the hearing was running behind and extended time to allow more testimony. Later, the committee heard Senate 1579, which would eliminate parental consent and judicial bypass requirements for abortion access for minors under 16. Planned Parenthood representatives, physicians, legal advocates, and students argued the current law creates unnecessary delays and harms vulnerable youth, especially those in unsafe homes or foster care, while supporters said minors can already consent to other reproductive health care. A pro-life witness opposed the bill and emphasized parental involvement and support services. The committee also heard House 2403 and Senate 1560, which would create a Human Service Transportation Consumer Advisory Board; disability advocates and riders described past safety problems and current service gaps, and supported the board as a low-cost way to improve accountability, rider input, and reliability. No votes or final actions were taken in the excerpt.
FL

Florida 2026 Regular Session

Senate in Session Mar 11th, 2026

Florida Senate Floor Meeting

Transcript Highlights:
  • SB 1630 modernizes Florida's aging and long-term care statutes, streamlines service delivery, and strengthens
  • With regard to long-term care streamlining, it allows DOEA-authorized and certified staff to complete
  • long-term care eligibility screenings used by aging and disability resource centers.
  • With regard to long-term care streamlining, it allows DOEA-authorized and certified staff to complete
  • long-term care eligibility screenings used by aging and disability resource centers.
Summary: The Senate convened with a quorum, opened with prayer and the Pledge of Allegiance, and included several member introductions recognizing guests, interns, firefighters, and a doctor of the day. The chamber then moved to the special order calendar and began taking up a series of bills, often substituting House companions for Senate measures before final passage. The first major bill, health care patient protection, required hospitals with emergency departments to adopt pediatric emergency care policies, training, a pediatric emergency care coordinator, and readiness assessments; it passed 36-0. A public records bill protecting victim identities and temporarily exempting the name of a law enforcement officer who is a victim also passed after questions about access for victims of police misconduct, with a 33-4 vote. The Senate next approved a local government cybersecurity bill creating a state-administered program through Florida Digital Service to help counties and cities strengthen cyber defenses, with priority for rural and fiscally constrained governments; after amendments, it passed 37-0. A clerks of court bill allowing clerks to retain all revenue above projections and, through a House amendment, revising legal notice and traffic citation distribution provisions, passed 38-0 despite debate over impacts on municipalities and law enforcement. The chamber also passed a trademark modernization bill and a septic system permit bill intended to reduce delays for builders; the septic bill was amended to align the House and Senate versions and passed 38-0. The longest and most contested item was the elections bill, which updated citizenship verification procedures using REAL ID and state databases, changed candidate qualification rules, and altered election administration provisions. Numerous amendments were offered and rejected, including proposals to exempt certain seniors, preserve student and retirement-center IDs, allow attestations in place of documentary proof of citizenship, and require human review over automated systems. One amendment to delay implementation until July 1, 2027, was also debated. The transcript ends while debate is still underway on the elections measure, with no final vote shown in the excerpt.
CA
Transcript Highlights:
  • But I do want to emphasize that is not a long-term solution. At best, it's a short-term reprieve.
  • has an incredible health system attached to it as well that provides a lot of care in my own district
  • You want an unequal health care system. You want people to be excluded.
  • If you don't want inclusion, you want people excluded from your health care system.
  • To manage this long-term financial impact, my office has directed our county departments to prepare curtailment
Summary: The Assembly Budget Subcommittee on Accountability and Transparency held a hearing focused on three issues: federal funding cuts and delays, possible state revenue impacts from reduced IRS enforcement, and the fiscal effects of AB 218 on local governments. The Franchise Tax Board described how state and federal tax systems are closely linked, how most returns are filed electronically through software, and how FTB relies on IRS information sharing for compliance, fraud prevention, offsets, and nonfiler work. Members raised concerns that federal staffing cuts at the IRS could weaken audits of large corporations and reduce California revenue, and asked about VITA and ITIN filers; FTB said it was not aware of VITA reductions, noted ITIN returns are processed the same as other returns, and said ITIN filing appeared slightly down this year. The Department of Finance said it is monitoring federal developments, summarized the continuing resolution and reconciliation process, and noted that California lost nearly $940 million in earmarked federal projects under the CR, while major federal budget decisions remain uncertain until the President’s budget and later congressional action. The University of California reported substantial federal pressure on research, student aid, and health care. UC said hundreds of millions of dollars in federal awards have already been canceled, with additional threats to NIH and DOE facilities-and-administration rates, graduate fellowships, student loan repayment plans, international student visas, Pell Grants, and Medicaid/Medi-Cal funding. Committee members pressed UC on the effects of DEIA-related federal restrictions, the loss of clinical trials and research staff, and the impact on low-income students and patients. UC said it is pursuing litigation with the Attorney General and other institutions, but emphasized that court action is only a temporary solution and that sustained state and private support may be needed. The second panel addressed the fiscal consequences of AB 218, which extended the statute of limitations for childhood sexual abuse claims against public agencies. FCMAT presented a report with 22 recommendations, including better statewide data collection, financing mechanisms, a possible victims compensation fund, and prevention measures. Los Angeles County described a tentative $4 billion settlement tied to AB 218 claims, saying it will require reserves, borrowing, and long-term annual payments through 2050, while also forcing curtailments and cuts to vacant positions to preserve services. Members discussed insurance pools, retroactive premiums, unidentified future claims, and the need for a compensation fund or other financing tools. No formal votes were taken; the hearing concluded with public comment, including testimony from local health officials about nearly $400 million in terminated federal public health grants and the resulting layoffs and service impacts.
MA

Massachusetts 2025-2026 Regular Session

Joint Committee on Financial Services Jun 21st, 2026 at 10:30 am

Joint Committee on Financial Services

Transcript Highlights:
  • MassHealth pays for the core outpatient services that are critical to support long-term recovery and
  • in between detox and long-term inpatient care.
  • These patient services are meant to serve as transitional care in between detox and long-term inpatient
  • long-term costs.
  • sooner, avoiding long lags in treatment between episodes of illness, is critical to ensuring the long-term
Keywords: 995, all
Summary: The committee held a hearing on a large group of behavioral health and insurance-related bills. Topics included expanding access to mental health services by allowing physician assistants to authorize Section 12 emergency holds and be recognized as licensed mental health professionals (H. 1131/S. 773); improving coverage for community behavioral health centers so commercial insurance matches MassHealth’s bundled outpatient and crisis services (H. 1276/S. 703); eliminating cost sharing for certain behavioral health services (S. 718); extending detox and clinical stabilization coverage from 14 to 30 days and adding transitional support services (H. 1319/S. 772); requiring coverage for dual-diagnosis treatment in psychiatric facilities (H. 1277/S. 771); and preserving access to treatment for serious mental illness through coverage of coordinated specialty care and assertive community treatment (H. 1135/S. 709). The committee also heard bills on preventive behavioral health services for children (H. 1228/S. 802) and post-pregnancy mental health care, including postpartum depression and pregnancy loss-related care (H. 1314/S. 823).
CA

California 2025-2026 Regular Session

Assembly Judiciary Committee Jun 16th, 2026

Judiciary

Transcript Highlights:
  • I'm here today to present SB 1016, which bridges a gap in the Care Court system that leaves those with
  • the most serious mental... ...which bridges a gap in the Care Court system that leaves those with the
  • Rather, it ensures that when Care Court can't take someone, the system does not stop there.
  • the system of care has failed to meet the respondent's needs and to do a 5200 evaluation, not a 5150
  • And so connecting our system, saying the LPS system is existing and the Care Court system is existing
Committee: House Judiciary
Keywords: 988, house, all
MN

Minnesota 2025-2026 Regular Session

Legislative Task Force on Child Protection - 01/08/25

Minnesota Senate Floor Meeting

Transcript Highlights:
  • For the longer-term response, that's again setting up this regional system of care that we're looking
  • For the longer-term response, that's again setting up this regional system of care that we're looking
  • For the longer-term response, that's again setting up this regional system of care that we're looking
  • For the longer-term response, that's again setting up this regional system of care that we're looking
  • For the longer-term response, that's again setting up this regional system of care that we're looking
Keywords: 1187, senate, all
OK
Transcript Highlights:
  • The other more significant, I think, long-term potential fiscal impact for the state is the SNAP error
  • So, those three groups of individuals were veterans, children previously in the foster care system, and
  • But to your point about the long Term feasibility and sustainability of TANF as a whole.
  • So, I'm not sure if you're talking about the immediate January 1st coming up or the long term, but there
  • There's no investment from our member into the health care system.
Keywords: 914, all
ID

Idaho 2026 Regular Session

Agenda Mar 13th, 2026

Transcript Highlights:
  • However, it does not resolve the longer-term funding pressures facing Idaho's 911 system if the grant
  • However, it does not resolve the longer term funding pressures facing Idaho's 911 system if the grant
  • radio system, before long-term savings can be realized. appealing to local officials and operationally
  • radio system, before long.
  • Significant short-term costs sometimes, like changes to the radio system, before longer-term benefits
Keywords: 989, all
Summary: The committee approved minutes from September 25 and December 2, 2025, then heard seven topic requests for possible Office of Performance Evaluations studies. Topics included the impacts of growth on agriculture and infrastructure, Medicaid hospital billing, Your Health Idaho plan selection, fund balance management for boards and commissions under DOPL, the Board of Community Guardians, sexual assault in women’s prisons, and drivers of prison population growth. Requesters emphasized issues such as conversion of farmland to development, possible Medicaid billing upcoding, uninsured Idahoans’ costs, uneven board fund balances after consolidation, gaps in guardianship services, prison safety and oversight, and factors driving incarceration growth. OPE staff said all were feasible, with some smaller, medium, or larger in scope depending on the topic. After a secret ballot, the committee selected four studies for OPE: the Board of Community Guardians, drivers of prison population growth, impacts of growth on agriculture and infrastructure, and oversight of sexual assault in women’s correctional facilities. Members noted the remaining topics received fewer votes, but the director said the office could potentially take on additional work later if capacity allowed. The committee also agreed to follow up on the Idaho Home Learning Academy report and the 2023 direct care workforce report, with follow-up timing suggested for December and June, respectively. The committee then received a follow-up report on Idaho’s 911 system. OPE said the system faces four major pressures: insufficient funding, staffing shortages, too many centers relative to call demand, and weak statewide data and oversight. The report recommended evolving the Idaho Public Safety Communications Commission into a statewide program with authority to oversee the system, collect standardized financial data, set performance standards, and clarify cost responsibilities. The committee heard responses from the IPSCC chairman, the Military Division, and others, who generally agreed with the need for better data and coordination but stressed local control, outdated radio infrastructure, and the lack of a clear funding estimate. The committee discussed whether to pursue a follow-up focused on funding gaps and system costs, and OPE said it could do additional background work with the commission and Military Division to see what data are available.
CA
Transcript Highlights:
  • children are fully integrated into emergency and long-term planning efforts?
  • in both the short and the long term?
  • The impact of immigration enforcement on child care systems. Why this matters.
  • Child care providers cannot entirely shield children from the long-term impact of stress, isolation,
  • And so we are operating in a very fragile system of care when we talk about the child care industry.
Summary: The hearing focused first on how wildfires and other disasters affect child care providers, families, and early education infrastructure. State officials from the Department of Social Services and Department of Education described disaster response and preparedness efforts, including shelter coordination, licensing outreach, emergency waivers, distribution of supplies, and the statewide child care disaster plan. Testimony from providers and advocates emphasized major gaps in recovery funding, insurance coverage, rebuilding support, mental health services, and coordination with local rebuild plans. Several witnesses urged more dedicated disaster-recovery funding for child care facilities and suggested statutory changes, including allowing greater flexibility for rebuilding costs and requiring early childhood programs to be included in local disaster planning. The second panel addressed immigration enforcement and its impact on child care. Advocates from the Children's Partnership, Every Child California, and CHIRLA said enforcement activity is causing families to keep children home, disrupting continuity of care, reducing enrollment, and creating fear and trauma for children and providers. They argued that immigrant and mixed-status families need clearer protections, privacy safeguards, legal support, trauma-informed guidance, and safe-haven policies for child care settings. Speakers also stressed that the child care workforce is heavily immigrant and that recent state laws such as AB 49 and AB 495 will require funding, training, and technical assistance to implement effectively. Public commenters, including child care providers, described personal experiences with fire damage, displacement, permit delays, lost income, and the emotional toll of serving families during crises. Others described how immigration enforcement has made parents afraid to attend events, drop off children, or remain connected to providers. Committee members repeatedly noted that child care is often overlooked in emergencies and asked state officials how child care systems are being integrated into disaster planning and how local and state agencies can better coordinate. No formal votes were taken during the hearing.
WA

Washington 2025-2026 Regular Session

Senate Ways & Means Jan 29th, 2026

Transcript Highlights:
  • One thing, the long-term services and support money was what was on the ballot in November, where the
  • of their shareholders, which is ultimately us and their returns over the long term.
  • I think what we think is having kind of a long-term, somewhat, is having kind of a long-term, somewhat
  • Coal is a bad long-term investment.
  • long-term damages?
Summary: The committee began with a work session from the State Investment Board, where staff described the board’s structure, $230 billion in assets under management, and its mandate to maximize returns at a prudent level of risk for pension and other state funds. They reviewed long-term performance, noting strong historical returns and explaining that the board generally invests public equities passively through low-cost index funds. Members also discussed sustainability practices, including ESG integration, proxy voting, climate and DEI blueprints, and the board’s view that divestment or asset-class restrictions can reduce returns and increase costs. Senators asked about deferred compensation, legislative influence over investment policy, and digital assets; staff said the board is slow-moving and that any major change would be studied carefully. The public hearing then focused on SB 5439, which would prohibit new thermal coal investments beginning in 2026 and require full divestment by 2030, with limited exceptions. Supporters argued coal is a poor long-term investment and a major climate and health risk, and several said the bill still gives the board flexibility to retain holdings in companies transitioning to clean energy. The committee also heard testimony on SB 6109, which would bar investments in private detention facilities and require divestment by 2030; supporters said state money should not profit from immigrant detention, while staff confirmed the board currently holds a small investment in Geo Group. SB 6304 would require responsible investment principles for the State Investment Board, including consideration of human rights, environmental degradation, corruption, and related risks, along with proxy voting guidelines and annual reporting. Testimony in favor emphasized ethical investing, climate risk, and avoiding complicity in human rights abuses, while board staff had earlier said they view such decisions through an investment-risk lens rather than a values-based lens. The committee also heard Substitute SB 5945, which would exclude most offenses committed before age 18 from counting as strikes under the state’s persistent offender law and would allow retroactive resentencing for affected people, with exceptions for first- and second-degree murder and serious sex offenses. Staff said the substitute would likely affect fewer cases than the original bill, with estimates ranging from about 10 to 24 resentencings. Public defense, prosecutors, and sheriffs’ representatives raised concerns about workload, victim impacts, and retroactive application, while supporters and pro bono providers said they were prepared to help with resentencing and reentry support. No votes were taken during the hearing.
MA

Massachusetts 2025-2026 Regular Session

Joint Committee on Mental Health, Substance Use and Recovery Jun 21st, 2026 at 01:00 pm

Joint Committee on Mental Health, Substance Use and Recovery

Transcript Highlights:
  • reward against very large and negative long-term costs becomes impaired.
  • reward against very large and negative long-term costs becomes impaired.
  • would give us the care for as long as we needed it until we were ready to move on.
  • Being in a jail or prison can damage long-term recovery.
  • Cairns just in terms of the care that you received, because we don't always hear that.
Keywords: 995, all
Summary: The committee held its fourth public hearing of the 2025-2026 session on bills dealing with involuntary commitment and access to addiction treatment, especially proposals to move Section 35 civil commitments away from jails and prisons and into facilities licensed or approved by DPH or DMH. Chairs Velis and Domb framed the hearing as a discussion of how to support people in crisis with compassion, while also warning against using involuntary commitment as a way to remove unhoused people from public view. The hearing also touched on related concerns about discharge practices, treatment capacity, and the need for a broader continuum of care. Testimony split largely along two themes. Addiction researcher Keith Humphreys argued that many people enter treatment under pressure, that involuntary treatment can be ethically justified in the face of overdose risk, but that it should not be mandated unless high-quality services exist first; he emphasized the need for inpatient care when someone is a grave danger, followed by case management and outpatient support. MAMH’s Kate Alicante supported the bill, saying Massachusetts is the only state that commits people with substance use conditions to jails or prisons and that carceral settings add trauma and stigma; she pointed to prior legislative steps, including the Section 35 commission and the planned closure of DOC’s MESAC facility, as evidence that the Commonwealth is moving toward health-based settings. A major portion of the hearing focused on Stony Brook, a sheriff-run stabilization and treatment center in Hampden County. Boston City Councilor John Fitzgerald, several committee members, and multiple people in recovery described the facility as humane, well-run, and effective, with longer stays, medical monitoring, medication-assisted treatment, counseling, and warm handoffs to aftercare. Several witnesses said Stony Brook saved their lives or helped family members recover, and they argued that the sheriff’s office model should be expanded rather than eliminated. Others, including family members and advocates, countered that even a well-run correctional setting remains stigmatizing and that people should not be treated in facilities run by sheriffs or corrections when they have committed no crime. No vote was taken. The hearing concluded with continued testimony, including Senator Friedman’s support for Section 35 as a civil commitment tool but not in a criminal justice setting, and her separate support for a bill to speed inpatient mental health treatment.
MA

Massachusetts 2025-2026 Regular Session

Joint Committee on Ways and Means Jun 21st, 2026 at 11:00 am

Joint Committee on Ways and Means

Transcript Highlights:
  • This group of fiscal policy experts reviewed our policies for building reserves and financing long-term
  • and even start thinking about it a little bit more long term.
  • So there is a long-term strategy that I know Phil and Ang and the board are working toward in terms of
  • That is the issue of the day in terms of how they have designed these systems and these apparatuses to
  • That is the issue of the day in terms of how they have designed these systems and these apparatuses to
Keywords: 995, all
Summary: The joint budget hearing opened the FY27 budget process with remarks from the Senate and House Ways and Means chairs, who described the fiscal outlook as challenging because of slow revenue growth, rising health care and other costs, and uncertainty from federal policy changes. Governor Healey and Secretary of Administration and Finance Matthew Gorzkowicz then presented House 2, a $62.8 billion budget that they said grows by about 1% and does not raise taxes or fees. They emphasized affordability, fiscal discipline, protection of core services, and continued investment in education, transportation, housing, child care, health care, and public safety. The administration also discussed a separate bill to delay and phase in certain federal tax-code changes from the so-called OB3 law, especially research and experimental expense provisions, to reduce immediate budget impacts and preserve competitiveness. A major portion of the hearing focused on education and municipal aid. The administration said House 2 provides about $7.6 billion for Chapter 70 aid, fully funds the final year of the Student Opportunity Act, increases special education circuit breaker funding, and raises rural school aid. Senators and representatives from both parties raised concerns that Chapter 70 and other aid formulas are not equitable for small, rural, and low-wealth communities and are not keeping pace with inflation, and several called for broader review of the formula and related funding streams. The governor and secretary said they are open to further discussion, pointed to additional support through rural aid, special education, transportation reimbursements, and minimum aid, and said total Student Opportunity Act investment would reach about $2.1 billion over the life of the law. Transportation, housing, and fair share spending were also central topics. The administration said fair share revenues are being used holistically, with education-heavy spending in the operating budget and transportation-heavy spending in the supplemental budget, and estimated the overall split to date at roughly 57% education and 43% transportation. They highlighted MBTA stabilization, regional transit authority support, microtransit, fare-free regional transit, and bridge and commuter rail investments, while noting the MBTA remains a major fiscal concern. On housing, the governor stressed production, permitting reform, ADUs, down-payment assistance, and support for public housing authorities, while lawmakers pressed for more funding for local housing authorities and for ways to address out-migration, energy costs, and affordability. The governor also said the administration will not withhold fire safety grants from communities over MBTA Communities Act noncompliance and will handle such issues case by case. No votes were taken at the hearing; it was an informational presentation and question-and-answer session.
TX
Transcript Highlights:
  • Adjustments need to be made to facilitate long-lasting, sustainable care. Gary Vanderburg.
  • The system must be strengthened to provide better care and support.
  • He needed long-term civil commitment to where he could receive appropriate care.
  • My name is Elizabeth Henry, and I'm a woman in long-term recovery, living in Round Rock, Texas.
  • My name is Elizabeth Henry, and I'm a woman in long-term recovery. I live in Round Rock, Texas.
Bills: SB1 , SB 1
Committee: Senate Finance
CA
Transcript Highlights:
  • Their economic well-being is directly tied to California's long-term economic strength.
  • This matters because birth outcomes are strong predictors of long-term health, cognitive development,
  • We serve as the voice in the foster care system for dependent children and youth.
  • We serve as the voice in the foster care system for dependent children and youth.
  • We serve as the voice in the foster care system for dependent children and youth.
Summary: The Select Committee on Latina Inequities met at Los Angeles Mission College in Sylmar, hosted by Assemblymember Celeste Rodriguez and joined by Assemblymember Mia Bonta. Rodriguez opened by framing the committee’s work around the economic status of Latinas and the effects of federal policies on the economy and social safety net, while the college president welcomed the committee and described campus services for undocumented and housing-insecure students. Rodriguez also emphasized the local impact of immigration enforcement in the San Fernando Valley and said the hearing would focus on Latinas’ economic conditions, immigration enforcement impacts on the workforce and safety, and H.R. 1’s effects on the safety net. The first panel featured HOPE’s Maria Morales and Dr. Elsa Macias, who presented findings from HOPE’s National Economic Status of Latinas report. They said Latinas are a major and growing part of California’s population and workforce, but face persistent inequities, including a large wage gap, higher unemployment, high uninsured rates, student debt, and affordability pressures around child care, housing, and education. They also discussed entrepreneurship, noting both the growth of Latina-owned businesses and barriers such as limited access to capital, technical assistance, and retirement and health coverage. In response to committee questions, they said higher education can still offer a strong return on investment, but only if students can complete degrees without being overwhelmed by debt and care costs; they also pointed to policy solutions such as SB 642, mentorship, financial literacy, CalSavers access, and support for community development financial institutions. The second panel focused on immigration enforcement and Latina safety in the workforce. Luis Nolasco of the ACLU described arrests tied to apparent ethnicity and Spanish-speaking, the chilling effect on families, and the loss of wages, school attendance, and mobility. Dr. Amada Armenta said immigration enforcement harms California’s economy, public health, and mixed-status families, and noted that undocumented workers are concentrated in agriculture, construction, and child care. SEIU’s Jen Baca Beltran said raids and school-based enforcement traumatize children and families and highlighted the need for Know Your Rights trainings. Megan Ortiz of IDEPSCA described repeated Border Patrol raids on day labor centers, injuries to staff, and the need to protect worker centers, domestic workers, and street vendors. Inclusive Action’s Shannon Camacho said raids have forced many informal workers to stop working, prompted emergency cash assistance and rent relief efforts, and strengthened advocacy for vendor protections and CDFI support. CHIRLA’s Jeanette Zanipatine said the rapid response network has expanded, documented widespread arrests and detention conditions, and is providing direct support and legal referrals; committee members asked about detention, maternal health, and what the state can do, and panelists urged stronger oversight, more legal representation, and protections for pregnant and detained people.
MN

Minnesota 2025-2026 Regular Session

Rep. Joe Schomacker (R - Luverne) departing member remarks 5/18/26

Minnesota House Floor Meeting

Transcript Highlights:
  • for our long-term care nursing home system to the value-based reimbursement system.
  • And it was great because I was 29 years old and I was the chairman of the aging long-term care committee
  • . for our long-term care nursing home for our long-term care nursing home system<00:09:10.800><c> to<
  • With that, after we passed VBRI, I toured over 119 different long-term care centers throughout the state
  • Holly Iverson and Chelsea Olson helped me with the Aging Long-Term Care Committee.
Keywords: 1183, house
MA

Massachusetts 2025-2026 Regular Session

Senate Committee on Intergovernmental Affairs Feb 4th, 2026

Senate Committee on Intergovernmental Affairs

Transcript Highlights:
  • And we also estimated, using their numbers, longer-term impacts of federal changes on health care policy
  • But I think more importantly, we have seen in recent years a health care system that is fiscally under
  • Reducing $3 billion in federal resources and adding a lot of folks to the health care system who are
  • But I think more importantly, we have seen in recent years a health care system that is fiscally under
  • Reducing $3 billion in federal resources and adding a lot of folks to the health care system who are
Keywords: 1212, all
CA
Transcript Highlights:
  • It also affects continuity of care when we do limited term.
  • This proposal reflects short-term implementation costs to wind down the existing regional system, and
  • Now moving on to the Next Gen 911 system. We had a long... ...to the Next Gen 911 system.
  • In terms of, we talk a lot about moving to this new system, but we have a legacy system that's in place
  • That approach moves California toward a smaller prison system and a lower long-term correctional cost
Keywords: 988, house, all
MA

Massachusetts 2025-2026 Regular Session

Joint Committee on Ways and Means Jun 21st, 2026 at 11:00 am

Joint Committee on Ways and Means

Transcript Highlights:
  • Systems come down from either the institutional side or from our side, so there's long delays.
  • leases, particularly private long-term leases.
  • , very long-term lease.
  • So the driver is more expediency than cost, and I think if we can do long-term leases, that may make
  • In terms of the numbers that we have, both in the to make that a priority in the court system.
Keywords: 995, all
Summary: The hearing was held in Clinton Town Hall as part of the Joint Committee on Ways and Means’ budget review, with local officials welcoming legislators and noting the long agenda of many panels. The main presentation was from Secretary Terrence Reedy of the Executive Office of Public Safety and Security, who outlined the Healey-Driscoll administration’s FY26 proposal for the secretariat, including a $1.7 billion budget and a 7% increase over FY25. He described investments in emergency preparedness, hate-crime prevention, reentry programming, technology modernization, internships, and public safety training, while also noting some reductions driven by resource constraints, including cuts to certain grant programs and administrative costs. Committee members also raised concerns about federal uncertainty and how it could affect state budgets and public safety planning. A major portion of the questioning focused on the Department of Correction. Secretary Reedy and Commissioner Sean Jenkins said the biggest challenges are staffing, officer wellness, facility safety, and contraband—especially K2. They described steps taken at MCI Souza and other facilities, including reducing population at the maximum-security unit, changing management, removing metal products and free weights, improving screening and roll calls, adding a rapid response team, and increasing investigative and technological efforts to combat K2. They also discussed the closure of MCI Concord, saying it was driven by high maintenance costs and staffing needs, and explained that savings are being used to improve staffing patterns and address deferred maintenance over time rather than producing immediate large budget reductions. Members also questioned the budget’s impact on police training and community policing. The administration defended the increase in police academy tuition from $3,200 to $6,000 as reflecting true training costs and said it would still be subsidized by the state, while acknowledging the burden on small municipalities. They said the MPTC is expanding regional training and considering proposals such as Greenfield Community College’s. On community policing, officials emphasized uniform statewide training, de-escalation, and communication skills. The State Police also announced an outside review of the academy by the International Association of Chiefs of Police and said the next class will be split into two smaller groups to improve oversight and allow quicker implementation of recommendations. Other topics included ICE and federal immigration enforcement, with Reedy saying state law prohibits Massachusetts law enforcement from acting in a civil immigration capacity and that no state dollars were used in the Tufts-related ICE operation mentioned by a member. Senators and representatives also raised the upcoming FIFA World Cup, warning that it will require significant public safety resources and likely federal funding. Additional discussion covered restorative justice and juvenile diversion, health care costs in DOC, electronic health records, and the need for more diverse and culturally competent public safety staffing. No votes were taken during the hearing.
MA

Massachusetts 2025-2026 Regular Session

Joint Committee on Ways and Means Jun 21st, 2026 at 11:00 am

Joint Committee on Ways and Means

Transcript Highlights:
  • Pocasset also plays an essential role in diverting those who would otherwise end up in long-term care
  • That's long-term care.
  • Cutting mental health services doesn't save money in the long term.
  • And the care I needed was intensive long-term residential treatment, which is exactly what an IRTP provides
  • Housing is... ...long-term housing and relieve pressure on our emergency shelter system.
Keywords: 995, all
Summary: The Joint Ways and Means Committee held its final public hearing on the FY26 state budget, with chairs and members emphasizing that public testimony would help shape the budget and asking speakers to keep remarks brief. Committee leaders introduced members, explained the hearing process, and repeatedly thanked residents, students, and advocates for participating. No votes were taken during the hearing. Testimony focused heavily on education funding and the Chapter 70 formula. Students from Amherst, Northampton, Gateway Regional, Chester Elementary, and other districts described budget-driven cuts to electives, special education supports, paraprofessionals, counselors, transportation, and building maintenance. They urged higher Chapter 70 aid, increased minimum aid, rural school aid, and a reopening or restructuring of the funding formula, arguing that current formulas leave many districts unable to meet student needs and force local layoffs and overrides. Other speakers urged funding or protection for a range of programs and facilities, including the Louis D. Brown Peace Institute for homicide survivor services, the Museum of African American History, the Massachusetts Commission for the Deaf and Hard of Hearing and CART/interpreter services, the Access to Counsel housing legal aid program, the Department of Mental Health and Pocasset Mental Health Center, and Pappas Rehabilitation Hospital for Children. One speaker opposed offshore wind-related spending and urged a reset of the state’s energy approach, while another advocated ending the aircraft sales tax exemption. Committee members responded sympathetically to many speakers, asked a few follow-up questions, and several expressed support for maintaining or expanding the programs discussed.
WA

Washington 2025-2026 Regular Session

House Appropriations Jan 15th, 2026

Transcript Highlights:
  • We need health care.
  • We need health care.
  • I was in my second year and I'd done a lot of long-term jobs in the school, and I ended up finding out
  • And what I mean by that is some school districts hire what are called long-term subs.
  • the school year if they're starting in September because they're being designated as that type of long-term
Summary: The House Appropriations Committee heard staff briefings and testimony on four bills. House Bill 2124, a Department of Retirement Systems request, would raise the minimum monthly pension benefit that can be paid as a lump sum from $50 to $250, with future inflation adjustments by the director; staff said it would cost about $11,000 in administrative changes and have no actuarial impact on the pension funds. House Bill 2125 would remove a biennial restriction on using pension fund interest earnings for certain administrative and compliance expenses that protect the funds; DRS said it would have no fiscal impact and would continue existing practice. Seth Miller of DRS supported both bills as efforts to reduce complexity and improve consistency across retirement systems. House Bill 2179 would create a retroactive exemption from PERS membership for certain port district employees who are instead covered by federal railroad retirement or union-sponsored defined benefit plans. Staff said audits found a small number of affected employees, with a one-time administrative cost of about $18,000, and noted possible legal concerns because retroactive changes can implicate vested retirement rights. Testimony from the Washington Public Ports Association and the Port of Ponderay supported the bill as a narrow clarification needed to avoid dual coverage and large retroactive liabilities; the Port of Vancouver also supported it as a fix for building trades workers covered by union plans. House Bill 2160 would change SEBB eligibility rules for school employees, creating a presumption of coverage on day one for returning employees who previously worked 630 hours in prior years, effectively shortening the lookback period and extending it across SEBB employers. Supporters, including substitute teachers, WEA, SEIU, and other school workers, said the bill would reduce disruptive gaps in coverage, help workers and families maintain continuous insurance, and improve recruitment and retention. Opponents, including school administrators, business officials, and school directors, argued it would be an unfunded mandate that could significantly increase district costs and administrative complexity, especially because districts would have to track hours and rebut presumptive eligibility. The Health Care Authority explained that eligibility is determined by local benefits administrators using worksheets and appeals, that the current two-year presumption was built from earlier benefit rules, and that the bill could increase costs and create issues for retirees who currently manage hours to stay below the 630-hour threshold. The committee took no votes and adjourned after public hearing.