Video & Transcript : 'direct care' :

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MN

Minnesota 2025-2026 Regular Session

Committee on Health and Human Services - 03/26/26

Health and Human Services

Transcript Highlights:
  • Sections 11 and 12 move the development of a health care directive by a mobile crisis team from the crisis
  • health care.
  • health care.
  • health care.
  • health care.
Keywords: 1187, senate, all
ID

Idaho 2026 Regular Session

Legislative Session Day 72 Mar 24th, 2026

Idaho House Floor Meeting

Transcript Highlights:
  • The extended foster care is for those foster care kids that are ages 18 and up because they don't really
  • is for... the extended foster care which is for those foster care kids that are ages 18 and up because
  • is taken in. ...consideration when expedited foster care is taken into consideration.
  • I think we all see through it that we want to go and take care of our kids.
  • Hearing none, would the gentleman from 5 care to close debate? Thank you, Mr. Speaker.
Summary: The House convened with a quorum, approved the journal, received messages from the Senate and governor, and moved several enrolled bills and memorials through routine referral and signing actions. The chamber concurred in Senate amendments to House Bills 494, 728, and 703, and later concurred in Senate amendments to House Bills 825 and 788. Committee reports also advanced multiple measures, including House Bill 939 from Resources and Conservation, House Bills 940-942 for printing or referral, and House Bill 892 to second reading. House Resolution 29, changing call-of-the-House procedures, and House Joint Memorial 21, urging faster permitting for a tungsten mine in Lemhi County, were also taken up and passed. On the floor, the House passed Senate Bills 1266, 1316, 1288, and 1339. Senate Bill 1266 made technical foster-care corrections, removed extended foster care language, and expanded expedited placement to include kinship caregivers. Senate Bill 1316 updated newborn screening consent language so parents may simply decline certain newborn procedures without stating a medical or religious reason. Senate Bill 1288 created a funding mechanism for high-need special education students, drawing from driver’s education funds and interest from the Idaho Career Readiness Fund; supporters framed it as necessary to meet federal and constitutional obligations, while opponents argued it would create an ongoing spending commitment and reduce funds for other programs. Senate Bill 1339 replaced continuous improvement planning with longer-term strategic performance planning for public schools, with supporters emphasizing accountability and reduced reporting burdens. The House also passed House Bills 706, 888, 894, and 927. House Bill 706 allowed a single stairwell in certain four- to six-story condo and apartment buildings, with added fire-safety requirements, to reduce housing costs; supporters cited affordability and housing supply, while some raised safety concerns. House Bill 888 revised the state IT procurement framework to bring more agency technology purchases under the Office of Information Technology Services, with some agencies exempted. House Bill 894 required open meetings to allow recording, photography, and video with exemptions for corrections, parole, and executive sessions. House Bill 927 restored consequences for unpaid traffic infractions, including license-related enforcement after notice and a 60-day cure period, and was presented as a public safety and fiscal responsibility measure. The House then recessed and later resumed to continue the calendar and committee business.
NM

New Mexico 2026 Regular Session

Senate - Finance Feb 2nd, 2026 at 03:25 pm

Senate Finance

Transcript Highlights:
  • K States are direct support for our caseworkers.
  • It's direct support to the caseworker.
  • And that is also Foster Care Plus.
  • I direct this maybe to you.
  • We have a direct hire program.
Bills: SB48, SB64, SB100
CA

California 2025-2026 Regular Session

Assembly Health Committee Mar 25th, 2025

Transcript Highlights:
  • from maternal care to geriatrics, creating a Health care, from maternal care to geriatrics, creating
  • care.
  • specialty care needs, is not robust enough to manage quality of care for everyone.
  • health care.
  • and be denied that care.
Summary: The Assembly Health Committee met on March 25, 2025, with Chair Mia Bonta presiding and initially operating as a subcommittee until quorum was established. The committee heard several health-related bills, including AB 73 on creating a Black Mental Health Navigator certification, AB 499 on lowering the state reimbursement trigger for the Robert F. Kennedy Farm Workers Medical Plan, AB 843 on aligning California health insurance language-access rules with federal standards, AB 257 on a specialty care network using telehealth and virtual services for Medi-Cal and underserved communities, AB 64 on allowing diacritical marks on vital records, AB 315 on the Home and Community-Based Alternatives waiver, and AB 40 on clarifying that emergency services include reproductive health services such as abortion. Testimony generally emphasized disparities in access, culturally competent care, language access, rural provider shortages, and the importance of preserving or expanding programs that help vulnerable populations. Supporters included authors, state and local health organizations, advocacy groups, and affected individuals. AB 73 was backed as a way to address stigma, mistrust, and culturally competent mental health access for Black Californians. AB 499 was described as helping keep a self-insured farmworker health plan operational while maintaining a low-cost, labor-management model. AB 843 was supported as a way to prevent children and families from having to translate sensitive medical and insurance information and to protect limited-English-proficient Californians. AB 257 drew support as a demonstration project to improve specialty care access through California-based clinicians and virtual care, with examples of reduced wait times and costs. AB 64 received emotional testimony from the author, a child and his family, and others about the importance of accurately recording names with accents and other marks. AB 315 was presented as a cost-neutral or cost-saving way to expand home- and community-based care for medically fragile people, with strong support from disability, health, and provider groups. AB 40 drew support from reproductive health and medical organizations, while one opposition witness argued it could conflict with emergency care standards and overburden emergency departments. The committee took roll-call votes and advanced AB 499, AB 73, AB 843, AB 257, AB 64, AB 315, and AB 40 to Appropriations, with AB 40 receiving some no votes. The committee also adopted its 2025-26 rules and approved a consent calendar that included AB 225, AB 304, AB 403, AB 688, and AB 951. Several measures were initially placed on call and later lifted and recorded as passing out of committee before adjournment.
NM

New Mexico 2025 Regular Session

IC - Legislative Finance Jun 24th, 2025

Transcript Highlights:
  • But as we measure, as we hold people accountable, we have to be very careful about how we talk about
  • And I've talked to high school juniors and seniors who feel like nobody really cares about whether or
  • and help changing that direction, then why should we fund you?
  • From a producer today to take care of somebody else's mistake.
  • Chair, Senator, I will direct you to...
KY
Transcript Highlights:
  • We will hear from representatives of EMERGE to discuss issues with health care services for juvenile
  • Um, we don't we need one more person here in order for us to have a quorum to take care of the minute
  • Things like food and shelter, income, health care, safety, and security.
  • </c> health care, safety and security. health care, safety and security.
  • There was talk of maybe going another direction with a different vendor.
Keywords: 958, all
Summary: The subcommittee heard presentations from the Legal Aid Network of Kentucky, including Legal Aid of the Bluegrass, Kentucky Legal Aid, AppalRed Legal Aid, and the Legal Aid Society in Louisville. The presenters explained that the four nonprofit programs provide civil legal services in all 120 counties, focusing on low-income clients and matters such as domestic violence, family law, housing, expungement, public benefits, and veterans’ issues. They emphasized that they do not handle criminal defense cases and described statewide efforts such as the kyjustice.org website and Project Renew, which helps people in recovery with legal issues that affect stability, employment, housing, and family reunification. Each organization highlighted regional service challenges and examples of casework. Legal Aid of the Bluegrass described its 33-county service area, its mobile “justice bus,” and expungement work for people in recovery. Kentucky Legal Aid focused on disaster response after the December 2021 tornadoes, including insurance disputes and contractor fraud, and said it has continued to handle repeated FEMA-declared disasters. AppalRed described serving 37 rural counties with limited attorneys, the shortage of lawyers in “rural legal deserts,” and its disaster-response work after flooding and tornadoes, including FEMA appeals clinics and volunteer attorney support. The Legal Aid Society described its Louisville-area veteran services, including Social Security and VA disability cases, veterans treatment court referrals, and homeless outreach. Committee members praised the organizations’ work and noted the importance of their services. In response to questions about funding, the presenters said their support comes from a mix of Legal Services Corporation funds, state appropriations, federal grants such as VOCA, VAWA, and HUD, United Way, and foundation funding. They stressed that many grants are restricted, while state funding is more flexible and useful for emergencies and day-to-day operations. The presenters said current funding does not fully meet demand and requested an increase in the General Assembly’s appropriation from $500,000 per year to $1 million per year, or $2 million over the biennium.
US

US Federal 2025-2026 Regular Session

US House Floor Proceedings (Monday, June 29, 2026)

US Federal House Floor Meeting

Transcript Highlights:
  • Health care prices are too high.
  • Accountable care organizations, or ACOs, are groups of health care providers who are responsible for
  • health care while reducing burdens on health care providers.
  • with the aim of providing better care to the aim of providing better care to patients on Medicare.
  • Digital reporting of quality care.
HI

Hawaii 2025 Regular Session

HHS Informational Briefing 01-07-2025

Hawaii Senate Floor Meeting

Transcript Highlights:
  • </c> that we're directing that we're directing services<00:14:30.839><c> to</c><00:14:31.240><c> those
  • </c> overall minimum uh kapuna care overall minimum uh kapuna care eligibility<00:15:08.360><c> so</c
  • No, it was Kupuna Care.
  • care?
  • care?
Keywords: 912, senate, all
Summary: The Committee on Health and Human Services held an informational briefing on Kupuna Care funding, distribution, utilization, and the status of program rules. The Office of Aging explained that state Kupuna Care funds are distributed using the same federally approved interstate funding formula used for Older Americans Act funds, with eight weighted factors tailored to Hawaii’s conditions: older adults, greatest economic need, low-income minority status, disability, language barriers, geographic isolation, inverse population density, and older adults living alone in poverty. The department said the formula is based on census and American Community Survey data, with current county shares listed as Kauai 7.45%, Honolulu 69.61%, Maui 11.7%, and Hawaii County 17.88%. Officials said the formula is being reviewed with current data and will need federal approval and then public hearing before final adoption. Members questioned how the program works in practice, noting that the statute and eligibility language can sound like direct individual benefits even though services are delivered through area agencies on aging, ADRCs, and contracted providers such as meal and adult day care programs. The Office of Aging said ADRCs determine eligibility and then refer clients to authorized providers, who must meet service standards in their contracts. The chair pressed repeatedly for long-delayed rules, saying the Legislature had expected them years earlier and that clear rules are needed to ensure funds are spent properly and to avoid conflicts of interest. The department acknowledged the delay, said draft rules were written in 2023 after earlier commitments to finish sooner, and said it paused while federal Older Americans Act rules were being updated; it now expects to send the rules to the Deputy Attorney General, then out for public hearing, with a goal of completion in 2025. The department also reported utilization data for the last two fiscal years. In 2023, it expended about 93% of its allocation and served 5,473 older adults at an average annual cost of $1,358; in 2024, it expended about 97% and served 5,520 older adults, with the average cost down by about $200, which officials said may indicate fewer services per person. Eligibility was described as age 60 or older, U.S. citizen or qualified alien, with cognitive impairment or disability and functional deficits, and the statewide profile showed many participants were homebound, living alone, or below poverty. The most-used services were transportation, case management, and home-delivered meals. The chair also asked about the former Kupuna caregiver program; officials said the programs are now combined under Kupuna Care, with most funding going to adult day care to provide respite for working caregivers. County representatives then described local conditions, especially on Hawaii Island. Hawaii County officials said the county covers about 5,000 square miles, has about 208,000 residents, and roughly 24% are age 65 or older. They identified three main challenges: staffing shortages and retention problems among providers, shortages within the county department itself, and the loss of adult day care capacity, with only one center remaining on the island and none on the west side. They said these constraints limit service delivery even as demand grows. At the same time, they highlighted successes such as serving people in the community before they need higher levels of care, providing caregiver counseling and training through adult day care, serving 467 individuals locally, and ensuring the Resource Center answers calls from caregivers seeking help.
HI

Hawaii 2025 Regular Session

PSM Public Hearing 03-05-2025

Public Safety and Military Affairs

Transcript Highlights:
  • is, because each warden has a different direction.
  • I see that they really haven't had any direction, but also I really don't think that they care if they
  • I see that they really haven't had any direction, but also I really don't think that they care if they
  • I see that they really haven't had any direction, but also I really don't think that they care if they
  • I see that they really haven't had any direction, but also I really don't think that they care if they
Keywords: 912, senate, all
Summary: The committees heard advice-and-consent testimony on several gubernatorial nominations, beginning with GM 644 for Steven Logan to serve as Adjutant General of the Department of Defense through December 7, 2026. Testimony from multiple state officials and others was strongly supportive, citing Logan’s military leadership, service during the COVID-19 period, and coordination during the fireworks-related patient transfer. Logan described his 44 years of military service, 22 years with the Honolulu Police Department, and his approach of “unity of effort,” including how he would help operationalize the Office of the State Fire Marshal by coordinating with county fire chiefs, the State Fire Council, and emergency management to pursue funding and implement recommendations. The committee then took up GM 621 and GM 623 for the Correctional Industries Advisory Committee. Shante Asuda of Hawaii Correctional Industries supported both nominees and said the board is important for evaluating private-sector joint ventures that can provide work skills for incarcerated people. Carla Kashiwa said she wanted to help improve outcomes through public-private partnerships and vocational rehabilitation opportunities for people reentering society. Lee Shinato, however, gave a less prepared presentation, offering broad ideas such as crafts, lunch wagons, and ukulele-making, and acknowledged he was not fully clear on the board’s scope or goals. Committee members expressed concern about the lack of preparation and clarity around the board’s mission, and the administrator later explained that the board’s role is to review business plans for viability, return on investment, sustainability, and whether they provide marketable skills for inmates. The final item discussed was GM 568 for Aris Banag to serve on the Advisory Board of Veteran Services. Supporters described him as community-minded and deeply committed to veterans. Banag said he has over 30 years of service, has worked as a mental health therapist and veterans resource coordinator at the University of Hawaiʻi Maui College, and helped create the first veteran service center there. In response to questions about federal VA cutbacks and veterans nearing retirement, he said the board must be a strong independent voice for veterans, advocate against reductions in benefits, and help service members plan for post-military life, including disability benefits, retirement, and financial planning. No votes or final committee actions were stated in the portion provided.
NH

New Hampshire 2025 Regular Session

House Finance Division III (02/21/2025)

Transcript Highlights:
  • </c><00:48:46.280><c> and</c> reducing premiums for manage care and reducing premiums for manage care
  • compensated care, because she, let's say, is going to still need that emergency care treatment, she
  • ><c> she</c><01:26:55.880><c> let's</c> care compensated care because she let's care compensated care
  • </c> and the uncomp uncompensated care and the uncomp uncompensated care associated<02:00:34.239><c>
  • we make an estimate of what care we make an estimate of what uncompensated<02:05:58.480><c> care</c>
Keywords: 928, house, all
Summary: The House Finance Division Three work session on February 21, 2025 focused on the Division of Medicaid Services budget. The chair opened with procedural guidance, noting the division’s role is to make recommendations to the full Finance Committee, that the budget must be balanced, and that members should track possible amendments ahead of a March 26 target for House Bills 1 and 2. Members also discussed the importance of using official budget documents and online resources, and the chair said no motions would be taken at this session. A major early topic was concern over a five-point Medicaid policy document and the timing of House Bill 2. Representative Tarki objected that the document appeared to be an unofficial draft and argued that significant Medicaid policy changes should have been transmitted by February 15 under state law. He said the lack of an official, posted document raised transparency concerns because the changes could affect tens of thousands of residents. Committee leadership responded that the five-point document was a working document, that it would be posted online within minutes, and that House Bill 2 is often delayed while the Office of Legislative Services finalizes and formats the governor’s proposed trailer bill. DHHS Chief Financial Officer Nathan White and Medicaid Director Henry Litman then began the budget presentation. White said the committee would use the PowerPoint as the document of record, starting with the governor’s operating budget pages 885-893, and noted that Medicaid is the largest accounting area in the state budget. He said the governor’s budget reflects about $60 million in reductions within the Medicaid area, with Granite Advantage handled off-budget and another $10 million in reductions there, for roughly a $70 million difference overall. Members asked whether the comparison was being made against an efficiency budget or a prioritized-needs budget, and White said the department could look at it different ways. The presentation then outlined Medicaid’s role in New Hampshire: it provides health coverage, serves as the state’s direct interface with the federal Centers for Medicare & Medicaid Services, and helps finance related services such as long-term supports, school-based services, adult dental coverage, and re-entry programs for people leaving correctional settings. White also reviewed enrollment and program context, saying New Hampshire has about one in seven residents enrolled in Medicaid, making it the fourth smallest Medicaid program in the country by enrollment, and described recent efforts such as youth re-entry and the Medicaid unwind after the end of the federal continuous coverage period. He said the state had to process more than 238,000 redeterminations after the public health emergency and that the department tried to avoid unnecessary coverage loss during that transition.
MN

Minnesota 2025-2026 Regular Session

Going after late fees charged by utilities 3/10/26

Minnesota House Floor Meeting

Transcript Highlights:
  • arrears management program, or RAMP, which was at the direction of the commission to be funded by late
  • arrears management program, or RAMP, which was at the direction of the commission to be funded by late
  • of the commission to be funded direction of the commission to be funded by<00:10:05.680><c> late</c>
  • CenterPoint Energy cares about our customers, and we appreciate the opportunity to share with you some
  • ><c> our</c> Centerpoint Energy cares about our Centerpoint Energy cares about our customers<00:15:46.720
Keywords: 1183, house
FL

Florida 2025 Regular Session

Ethics and Elections Mar 10th, 2025

Transcript Highlights:
  • I REALLY CARE ABOUT THIS BUT I GOT MY THREE KIDS, GRANDMA IS IN THE HOUSE.
  • THE DIRECT CITIZENSHIP, DIRECT DEMOCRACY IS A POWERFUL THING THAT MANY STATES DON'T HAVE AND WE NEED
  • INITIATIVES DIRECTING FINANCIAL AND LOGISTICAL BARRIERS TO SILENCE GRASSROOTS MOVEMENTS.
  • EQUALITY FLOATED OPPOSES 7016 RECOGNIZING ITS ATTACK ON DIRECT DEMOCRACY.
  • WE SHOULD CARE ABOUT THIS BUT OTHER SIDE OF THAT ISSUE THAT IT IS.
Keywords: 999, senate, all
CA

California 2025-2026 Regular Session

Assembly Health Committee Apr 1st, 2025

Transcript Highlights:
  • and accessing care.
  • They can't get their health care taken care of.
  • health care access.
  • health care access.
  • care.
Summary: The Assembly Health Committee heard a long series of health-related bills, with most measures focused on access to care, administrative simplification, and behavioral health. Early items included AB 583, allowing nurse practitioners to sign death certificates; AB 492, requiring DHCS to notify local governments when new alcohol or drug recovery facilities are licensed; and AB 280, which would tighten provider directory accuracy requirements, add enforcement benchmarks, and allow use of a centralized database. Testimony on AB 280 highlighted the harms of “ghost networks,” while insurers and some provider groups opposed the bill as written, arguing it placed too much responsibility on plans and did not fully address provider-side data problems. AB 280 passed on a roll call vote, and several other bills were placed on consent and approved. The committee also advanced AB 636, expanding Medi-Cal coverage for medically necessary diapers for children up to age 21 and lowering the age threshold for access; AB 1041, streamlining physician credentialing with a uniform form and 90-day review deadline; and AB 787, requiring health plans to help enrollees find in-network providers quickly when directories fail. Supporters of these bills emphasized family financial strain, delays in care, and the burden of administrative red tape, while opponents of AB 1041 and AB 280 raised concerns about provider participation, accuracy, and liability. All three measures were approved and sent to Appropriations. The committee then took up AB 4 and AB 29. AB 4 would allow income-eligible Californians to buy Covered California coverage regardless of immigration status, and AB 29 would authorize Medi-Cal reimbursement for community health workers and doulas conducting ACE screenings. Both bills drew strong support from immigrant-rights, health access, and community-based organizations, and both passed on roll call votes, with AB 4 receiving some no votes. The committee also approved AB 416, which would allow emergency physicians to place 5150 holds in certain circumstances; supporters said it would reduce delays and overcrowding in emergency departments, while Disability Rights California and others warned it could increase unnecessary involuntary hospitalization and transfers to locked facilities. Despite those concerns, the bill passed and was sent onward for further consideration.
WA

Washington 2025-2026 Regular Session

House Community Safety Feb 3rd, 2026 at 04:00 pm

Community Safety

Transcript Highlights:
  • It requires 98% of the revenue from the fees assessed for the offense to be directed to community-based
  • But it is a huge, huge problem in our system, and one that deserves our time and attention and our care
  • But it is a huge, huge problem in our system, and one that deserves our time and attention and our care
  • This is an important issue that all of us should care about.
  • I don't think that this bill is going to move us in the right direction.
MN

Minnesota 2025-2026 Regular Session

House Capital Investment Committee 4/3/25

Capital Investment

Transcript Highlights:
  • </c><00:02:47.200><c> tide</c> their ability to grow and directing tide their ability to grow and directing
  • So we lose a child care facility.
  • </c> Um, so we lose a child care facility. Um, so we lose a child care facility.
  • What we and tried to take care of that.
  • <c> the</c><00:25:00.799><c> parent</c> direct communication with the parent direct communication with
NH

New Hampshire 2026 Regular Session

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

Commerce and Consumer Affairs

Transcript Highlights:
  • Trends going in this direction. direction. direction.
  • The care is a little different. They focus less on sick care and more on health care.
  • </c> care management. care management.
  • "<04:20:30.320><c> So,</c> care." So, care."
  • </c> they care for. they care for.
Keywords: 1189, house, all
TX
Transcript Highlights:
  • You raised us to care for everyone, and even though all of the students at our school we love and care
  • as I take care of my bodily needs?
  • SB 240 is a direct attack on the dignity and rights of transgender Texans.
  • I take care of business and leave.
  • But Round Rock ISD did. not go in that direction.
MD

Maryland 2026 Regular Session

Senate Floor Session, 2/10/2026 #1

Maryland Senate Floor Meeting

Transcript Highlights:
  • The entire membership extends its best wishes on this memorable occasion and directs this resolution
  • Um that is no longer the abortion care.
  • </c> to not provide emergency abortion care to not provide emergency abortion care previously<00:37:49.920
  • Jackson, Maryland Health Care Commission membership, favorable, two amendments.
  • </c> membership of the Maryland Healthc Care membership of the Maryland Healthc Care Commission<00:41
US

US Federal 2025-2026 Regular Session

US House Floor Proceedings (Thursday, June 25, 2026)

US Federal House Floor Meeting

Transcript Highlights:
  • Nonetheless, like gods in our lives, our desires have Become more directive and your direction less desirable
  • The Medicare trust fund only takes care of a portion of Medicare spending.
  • Design policies where we can actually disrupt the cost of delivering health care?
  • I just said, 47% of U.S. health care was related to obesity.
  • the price of health care?
CA

California 2025-2026 Regular Session

Assembly Floor Session May 22nd, 2026

California House Floor Meeting

Transcript Highlights:
  • Our individual ripples of sensibility and caring can positively impact those around us.
  • that peace begins within each of us, those eight billion ripples can become a wave of kindness and caring
  • Members, the health care conditions in the valley are unacceptable for a state as wealthy as California
  • Assembly Bill 1629 by Assembly Member Haney and others, an act relating to health care coverage.
  • Every month, millions of Californians pay for dental insurance but still struggle to access the care
Keywords: 988, house, all