Video & Transcript : 'Arizona Long Term Care System' :
Page 294 of 500
FL
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 featured a series of member introductions recognizing guests, interns, firefighters, a newly awarded PhD, and the day’s doctor. The chamber also adopted a Senate resolution honoring Indiana University quarterback Fernando Mendoza for winning the Heisman Trophy. After routine business, the Senate moved to special order bills.
The first measures taken up were CS/SB 68 on health care patient protection, which required hospitals with emergency departments to adopt pediatric emergency care policies, training, readiness assessments, and a designated pediatric coordinator; it passed 36-0. CS/SB 350 on public records, protecting victim identities and temporarily exempting the names of law enforcement officers who are victims in the line of duty, passed 33-4 after questions about access for victims’ attorneys. CS/SB 576 on local government cybersecurity established a state-administered cybersecurity protection program for local governments, prioritized rural and fiscally constrained communities, and was amended before passing 37-0. CS/SB 532 on clerks of court, allowing clerks to retain all revenue above projections and incorporating related provisions on legal notices, traffic citation distributions, and municipal fee splits, passed 38-0. CS/SB 696 on trademark registration modernized the filing system and passed 38-0. CS/SB 698 on septic system permits, addressing permit delays and aligning House and Senate language on liability if construction begins early, also passed 38-0.
The longest debate centered on CS/SB 1334 / CS/HB 991 on elections and election integrity. The bill would use REAL ID data to verify citizenship for voter registration and list maintenance, revise candidate-qualification rules, change acceptable voter IDs, add citizenship markers to driver licenses and ID cards by July 1, 2027, and make other election-administration changes. Multiple amendments were offered and defeated, including proposals to allow attestations in lieu of documentation, exempt seniors, require human review over automated systems, preserve student and retirement-center IDs, and delay implementation to July 1, 2027. One amendment was adopted to retain a stock-trading disclosure for candidates. The chamber then continued debate on the underlying bill, with supporters citing state reports of non-citizen registrations/voting and opponents warning of disenfranchisement for students, seniors, and others who may lack the required documents.
CA
California 2025-2026 Regular Session
Assembly Budget Subcommittee No. 7 on Accountability and Oversight Jan 28th, 2026
Transcript Highlights:
- system at risk by freezing important child care payments.
- Every dollar invested in high-quality child care yields $7 to $12 in social returns, including long-term
- and our child care system, under the guise of waste, fraud, and abuse.
- And the long term multiplied.
- And the long term multiplied.
MA
Massachusetts 2025-2026 Regular Session
Joint Committee on Health Care Financing Jun 21st, 2026 at 11:00 am
Joint Committee on Health Care Financing
Transcript Highlights:
- Unfortunately, the overall health care system has not changed in terms of the impacts of the health insurance
- Unfortunately, the overall health care system has not changed in terms of the impacts of the health insurance
- drugs, long-term care, medical devices, mental or behavioral health, physical therapy, and rehabilitative
- And there are additional vulnerabilities for those in need of long-term care.
- supporting useful research, certainly protecting women, babies, and elders in long-term care, and so
Summary:
The Joint Committee on Health Care Financing held a public hearing on 16 bills, with the chairs noting a busy legislative day and asking speakers to keep testimony brief. The committee first heard testimony on Senate 860/House 1405, the Medicare for All bill, with Sen. Jamie Eldridge and many advocates, clinicians, municipal officials, and patients arguing that a single-payer system would make care a right, reduce administrative waste, lower costs, and protect residents from rising premiums, medical debt, and hospital closures. Several speakers cited the Steward hospital crisis, affordability problems, and polling or ballot questions showing public support for single-payer coverage. No vote was taken during the hearing.
The committee then took testimony on S. 863, a bill on non-opioid options for chronic pain. Pain specialists, patients, and advocates said the bill would improve care coordination for MassHealth members, expand access to non-opioid medications, require provider education, and collect data on chronic pain. Testifiers described long delays in diagnosis and treatment, stigma toward pain patients, and the need for multidisciplinary care and transportation support. Again, the committee heard testimony only and took no action.
A large portion of the hearing focused on H. 1360/S. 869, which would prevent discrimination against people with disabilities in health care. Disability advocates, clinicians, and patients described being denied or delayed care, pressured into DNR orders, or treated based on assumptions about quality of life rather than medical facts. Speakers referenced COVID-era crisis standards of care, discriminatory metrics, and personal stories involving canceled procedures, inadequate accommodations, and poor treatment in hospitals. Committee members thanked speakers for their testimony and said they would review the bill and its implications, but no vote was announced.
The committee also heard testimony on H. 1399, an individual Medicare marketplace option for municipal retirees, where supporters said it would give cities and towns a lower-cost alternative for retiree health benefits through HRAs and individual Medicare plans. The hearing then returned to Medicare for All testimony, with additional supporters repeating arguments about cost, access, municipal budget pressure, and the need for global budgeting and universal coverage. The transcript ends with continued testimony and no recorded committee vote or final action on any bill.
KY
Kentucky 2025 Regular Session
Medicaid Oversight and Advisory Board (12-10-25)
Transcript Highlights:
- </c> inadequate for healing and long-term inadequate for healing and long-term recovery.<00:10:08.640
- of stay for long-term recovery to be<00:10:18.560><c> successful.
- </c> long term. long term.
- So, uh, those are kind of evolving practices I think that can be useful in terms of that long-term follow-up
- You all have supported palliative care for a long time.
Summary:
The Medicaid Oversight Advisory Board met with a quorum, approved the November 12 minutes by voice vote, and then heard a presentation from former Governor Ernie Fletcher and Dave Johnson on Medicaid reimbursement for substance use disorder (SUD) treatment. Fletcher argued that addiction should be treated as a chronic disease requiring a longer continuum of care, not just short residential stays, and said recovery should combine clinical treatment with social supports such as housing, transportation, employment, peer coaching, and recovery housing. He cited data on overdose trends, low treatment rates, and high costs for people with SUD, and said current reimbursement models create poor incentives and do not adequately support long-term recovery or measure outcomes well.
Fletcher proposed a “carve through” model administered at the MCO level with standardized metrics, data sharing, and an independent recovery coordinator that would assess patients, coordinate care, and connect them to clinical and social recovery services. He suggested using bundled payments, shared savings, and partial risk arrangements, with recovery housing reimbursed on a PMPM or weekly basis and funded in part through existing Medicaid spending and other sources such as opioid abatement funds. He also emphasized peer support, telemedicine, criminal justice coordination, workforce and education supports, and the use of technology, including text messaging and possibly AI, to maintain long-term follow-up and identify relapse risk.
Members questioned how the model would work in practice, especially the education and staffing requirements for recovery coordinators, reimbursement levels, and how many patients each coordinator or peer would serve. Fletcher said peers could be certified and would need additional training in assessments such as ASAM and recovery residence standards, but he did not give a precise salary figure, saying the market and bundled rates would determine that. He also said follow-up should continue for years, noting relapse risk over the first 18 to 24 months and that meaningful employment and ongoing peer contact help sustain recovery. No formal vote or action was taken on the substance use presentation.
MA
Massachusetts 2025-2026 Regular Session
Joint Committee on Health Care Financing Jun 21st, 2026 at 10:00 am
Joint Committee on Health Care Financing
Transcript Highlights:
- I would like to recognize the caregivers who do much of the hard work of providing long-term care to
- Our population is aging rapidly, and family caregivers are the bedrock of the long-term care system.
- Like health care... ...residents of long-term care facilities at 46%.
- of its vital role in our health care system.
- Agencies cannot compete with hospitals and long-term care facilities that can offer higher compensation
Summary:
The Joint Committee on Health Care Financing held a public hearing focused on two broad sets of issues: home- and community-based care, and school-based Medicaid reimbursement. In the morning session, legislators and advocates testified on bills affecting children and disabled enrollees, including proposals to clarify rate-setting for home health and home care services (H. 767/S. 870), allow family members and spouses to be paid caregivers under MassHealth (H. 1394/S. 886 and related bills), extend MassHealth coverage for applied behavior analysis and other therapies beyond age 21 for adults with autism and developmental disabilities (H. 1351/S. 871), and protect medically fragile children by improving access to continuous skilled nursing. In the later portion of the hearing, testimony shifted to a bill to improve MassHealth reimbursement for schools (S. 862), with speakers describing the school mental health crisis and the need to reinvest Medicaid funds directly into school health services.
Witnesses on the home care rate-setting bill said current reimbursement methods are opaque and outdated, contributing to workforce shortages, unfilled shifts, long waitlists, and patients remaining in hospitals longer than necessary. Home care providers and trade groups argued the bill would not set rates directly but would require more transparent methodology and fuller consideration of real costs such as wages, benefits, taxes, training, and technology. On caregiver bills, many family members and provider organizations described the financial and emotional strain of caring for disabled or medically fragile relatives, especially when parents, spouses, or guardians are barred from being paid caregivers. They argued the bills would recognize existing unpaid care, help families remain at home, and reduce reliance on more expensive institutional care. Advocates for adult ABA coverage said services remain medically necessary after age 21 and that ending coverage at that age creates an inequitable “cliff” for MassHealth members compared with those with private insurance.
For the PACE/community care bill, elder law attorneys and PACE advocates said current MassHealth income rules force some older adults with modestly higher incomes to spend down to $542 per month, making community living unrealistic and pushing people toward nursing homes. They supported changing the eligibility structure to a premium-based approach that would allow more people to remain in the community. On the school Medicaid bill, advocates said schools are providing effective, preventive mental health care, but reimbursement currently flows to municipalities rather than directly back to school health budgets, limiting districts’ ability to hire and retain staff. No votes were taken during the hearing; the committee heard testimony and several witnesses requested favorable reports on the bills.
ND
North Dakota 2025-2026 Regular Session
House Floor Session Apr 16th, 2025 at 12:30 pm
North Dakota House Floor Meeting
Transcript Highlights:
- Members of the 69th Assembly, the passage of 2160 is one of the ways we can balance the long-term stewardship
- And I would agree that, on a long-term basis, that likely does reduce our costs going forward.
- And the long-term effect of that will be to drive cost... ...And the long-term effect of that will be
- term.
- Because prevention is really, really good in the long term.
Summary:
The House convened with prayer, roll call, and a quorum present, then took up several procedural motions, including suspending House rules for three legislative days and replacing conference committee members on Senate Bill 2282 and SCR 4007. The chamber also recognized visiting student groups from Grafton/Pleasant Valley and Shiloh School. Later, the House agreed to several conference committee reports and moved a number of measures through final passage or final disposition.
House Bill 1428, which would have created a sales tax exemption for clothing sold by thrift stores or nonprofit corporations, drew extensive debate over tax policy, revenue loss, and possible conflicts with streamlined sales tax rules. Supporters argued it would help lower-income shoppers and nonprofit thrift stores, while opponents said it created an unfair advantage and could reduce state and local revenue. The conference report was adopted, but the bill ultimately failed on final vote, 37-54. House Bill 1440, relating to cigar lounges, was amended in conference and then passed 75-17. House Bill 1460, concerning adult foster care for private-pay adults, electronic monitoring, and a legislative study, was also adopted and passed overwhelmingly, 91-1.
The House then passed Senate Bill 2224, which revises gaming commission structure and gaming stamp requirements, adds Attorney General enforcement provisions, and includes a $25,000 general fund appropriation, by a vote of 88-0. Senate Bill 2327, which expands uses of the agriculture diversification and development fund and appropriates $15 million to it, passed 74-17 after a member was excused from voting due to a personal interest. Senate Bill 2267, creating a regulatory framework for on-site wastewater treatment systems and shifting licensing authority to the Department of Environmental Quality, passed 82-10, and Senate Bill 2276, addressing joint water resource boards for cross-county projects, passed 90-1.
The most contentious debate centered on Senate Bill 2160, which would move the state employee health plan from grandfathered status to a non-grandfathered ACA-compliant plan and appropriate about $6.6 million for the transition. Supporters said it would give the PERS board more flexibility, expand preventive and other benefits, and potentially slow premium growth without charging employees premiums. Opponents warned it could raise out-of-pocket costs, add mandated benefits, and shift costs to employees, while also arguing the bill had not been adequately studied. After extended debate, the House passed SB 2160 by a vote of 55-37. The chamber also concurred in Senate amendments to House Bill 1318, a pesticide labeling bill, and placed it on final passage, but the transcript ends before the final vote on that measure.
CA
California 2025-2026 Regular Session
Assembly Health Committee May 6th, 2025
Transcript Highlights:
- We will begin now the Kaiser Permanente's behavioral health care system informational hearing set for
- overhaul of its behavioral health care delivery system to improve member experience, access to care,
- Another foundational question: when we are looking at access to care in the behavioral health system,
- preferred approach, and either by statute or regulation, in terms of ensuring that that access to care
- not only for these plan members, but for our state's entire health care system.
Summary:
The Assembly Health Committee held an informational hearing on Kaiser Permanente’s behavioral health care system, focusing on Department of Managed Health Care enforcement actions, Kaiser’s corrective action work plan, and testimony from patients, advocates, and union representatives. DMHC officials reviewed a long history of complaints, surveys, fines, and settlements involving Kaiser’s access to behavioral health services, including deficiencies found in 2012 and 2016, a 2022 non-routine survey, and a 2023 settlement that imposed a $50 million penalty and required $150 million in community investments over five years. DMHC said it continues to monitor Kaiser through quarterly meetings, complaint review, follow-up surveys, and a reimbursement process for members who could not obtain timely in-network care.
Committee members pressed DMHC on what “timely access” and continuity of care mean in practice, how virtual care and group therapy fit into the standards, and what triggers a non-routine survey. DMHC said initial behavioral health appointments generally should not take more than two weeks, urgent care should be within days, and follow-up care within 10 days, with out-of-network care required when plans cannot meet standards. Officials also said Kaiser’s initial corrective action work plan lacked detail, but the revised plan was accepted and will be tracked through quarterly reporting and possible additional enforcement if Kaiser fails to comply.
The second panel featured testimony from a Kaiser enrollee, a behavioral health policy expert, a Kaiser therapist, and the NUHW president. The enrollee described serious delays and inadequate treatment for his daughter after a suicide attempt, while the therapist and union leader said Kaiser’s behavioral health system is understaffed, relies too heavily on short appointments, group therapy, and webinars, and treats behavioral health as less important than medical-surgical care. They argued Kaiser’s one-appointment-at-a-time scheduling rule and limited treatment time violate parity requirements and harm continuity of care. Several members criticized Kaiser for not appearing at the hearing and said the testimony underscored the need for stronger oversight, clearer metrics, and faster remedies for patients.
CA
California 2025-2026 Regular Session
Assembly Budget Subcommittee No. 6 on Public Safety May 18th, 2026
Transcript Highlights:
- So it can create some hiring challenges as well as continuity of care when we do limited term.
- Now moving on to the next gen 911 system. We had a long ...to the next gen 911 system.
- So in terms of, we talk a lot about moving to this new system, but we have a legacy system that's in
- So in terms of, we talk a lot about moving to this new system, but we have a legacy system that's in
- That approach moves California toward a smaller prison system and a lower long-term correctional cost
Summary:
Assembly Budget Subcommittee No. 6 heard the Governor’s May Revision proposals for the judicial branch, the Board of State and Community Corrections, the Department of Justice, and the California Department of Corrections and Rehabilitation. The Legislative Analyst’s Office opened with a warning that the state budget remains structurally imbalanced and urged the Legislature to avoid new ongoing spending unless offset by reductions elsewhere. In the judicial branch discussion, the Judicial Council highlighted language access funding, appellate court security, a backfill for the state court facilities construction fund, and an extension of the lactation room mandate; Finance supported most items but suggested reporting language on interpreter costs and reducing the General Fund backfill. Members raised concerns about judicial vacancies, long-term salary freezes, remote hearings, and the lack of progress on court staffing in some counties.
For the Board of State and Community Corrections, the administration proposed $10 million one-time each for the Missing and Murdered Indigenous People grant program and a human trafficking vertical prosecution grant program. The LAO said both should be weighed against other priorities and suggested the Legislature consider whether the Tribal Nations Grant Fund could support MMIP work, while Finance said it preferred General Fund support and wanted more review before any fund swap. Members strongly supported MMIP funding and asked whether ongoing support would be considered. On the human trafficking grant, Finance said BSC was a good fit because of its grant administration experience and prior vertical prosecution work, while legislators asked why the program was not placed with the Office of Emergency Services as originally contemplated in prior legislation.
The Department of Justice presented antitrust litigation funding, Medi-Cal Fraud and Elder Abuse staffing, completion of organized retail criminal enterprise cases, and trailer bill language for a continuous appropriation from the Victims of Consumer Fraud Restitution Fund. The LAO supported the antitrust account use but questioned the Unfair Competition Law Fund’s ability to cover the full request without General Fund repayment, and recommended against a continuous appropriation for the restitution fund in favor of a more limited mechanism with legislative oversight. Finance said the fund would remain solvent and defended the continuous appropriation as necessary to pay victims promptly. In the CDCR portion, the largest discussion centered on the Boston Consulting Group efficiency review and sharply reduced savings estimates; LAO said the department had not fully explained the proposed position eliminations or future $100 million savings target, while Finance said the work reflected deeper analysis and ongoing efforts to find savings. Members repeatedly pressed CDCR and Finance on the gap between earlier promised savings and the revised figures.
CDCR also outlined population projections showing continued declines in prison and parole populations, while LAO again urged the state to close an additional prison to save ongoing costs. The department then walked through several May Revision items, including workers’ compensation funding, a Corcoran honor housing dorm, incarcerated firefighter pay implementation, an incarcerated menopause program, mental health receiver staffing, mental health resource teams and crisis intervention teams, medical classification staffing changes, and AI note-taking for the electronic health record. LAO generally recommended limiting-term funding and more reporting for many of these proposals, while Finance defended them as necessary ongoing investments or court-ordered obligations. Members questioned the cost of workers’ compensation, the need for more prison closures, the lack of funding for women’s facility violence prevention, and the timing and transparency of the BCG savings process. No votes were taken.
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:
- One, because it's long term. They keep people engaged.
- I think that might be a long-term thing to look at.
- It would be increasing long-term funding and support for care coordination and peer support services.
- So I really appreciate your focus on the importance of long-term care, chronic care for chronic condition
- And I'm curious if that has helped with long-term retention.
ND
North Dakota 2026 1st Special Session
Higher Education Institutions Committee Jun 18th, 2026 at 10:00 am
Higher Education Institutions Committee
Transcript Highlights:
- I'd like to stay a long time. And so I'm being careful there.
- Revenue volatility makes, excuse me, makes long-term planning difficult.
- I don't know what was in the mind of the respondent about what near-term or long-term would be, but those
- Now, CTS has been going for a long time, operating the ERP system.
- Now, CTS has been going for a long time, operating the ERP system.
TX
Texas 89th 2nd C.S.
Senate Committee on Health and Human Services Jul 8th, 2026
Health & Human Services
Transcript Highlights:
- foster care system each year who would love to have a forever home, Commissioner.
- And so I wouldn't have gotten anything other than long-term repercussions.
- So those camps may continue to operate as long as they have two redundant systems.
- Michelle Dionne-Vaholic is our Deputy Executive Commissioner for Long-Term Care Regulation, and she is
- Other people don't want a long-term relationship with the parents.
Committee:
Senate Health & Human Services
HI
Transcript Highlights:
- </c> bring in patients into our long-term bring in patients into our long-term care<00:19:00.799><c>
- </c><00:19:52.159><c> care</c> appropriate in the Malia long-term care appropriate in the Malia long-term
- </c> long-term care programs we need long-term care programs we need additional<01:14:45.880><c> funding
- </c><02:08:32.520><c> they</c> long-term care uh providers and they long-term care uh providers and they
- </c><02:10:08.960><c> a</c> long-term care facility that has a long-term care facility that has a skilled
Summary:
The joint Ways and Means and Health and Human Services committees heard Hawaii Health Systems Corporation’s biennium budget request, with testimony from HHSC leadership on the Hilo/Big Island region (HTH 212) and the Oahu region (HTH 215), plus discussion of capital improvement projects and systemwide partnerships. HHSC described its role as the rural healthcare safety net, serving a high share of Medicare, Medicaid/Quest, and uninsured patients, and said its costs are elevated by state employee fringe benefits, which it said are about 64% compared with roughly 30% in the private sector. HHSC also said pandemic-era federal aid, including relief funds and PPP loans totaling about $100 million, reduced the need for general fund support in prior years.
For HTH 212, HHSC said its general fund request for fiscal years 2026 and 2027 was higher than the governor’s recommendation because of rising insurance, pharmaceutical, and contractor labor costs, and because it includes $13.2 million in FY 2026 and $2.3 million in FY 2027 for Epic electronic medical record implementation in East Hawaii. For HTH 215, HHSC said the requested general funds were aligned with the governor’s recommendation, in part because of increased Medicaid reimbursement rates for long-term care facilities under prior legislation. HHSC also said it was restoring a special fund ceiling so the region could spend its cash collections on operations.
Members asked about the 64% fringe rate, and HHSC explained the difference was mainly due to defined-benefit pension and retiree health insurance costs, which private hospitals generally do not bear at the same level. Members also asked about the Daniel K. Akaka State Veterans Home, and HHSC said operations would be funded through the general fund corporation for the home when it opens, with management by Ohana Pacific, but no additional legislative operating funds were being requested at that time. Other questions focused on staffing and vacancies, including an abolished procurement position and an ongoing IT help desk recruitment need.
HHSC highlighted several capital and partnership projects, including a $25 million state CIP request matched by $25 million from the Benioff family for the Benioff Health Center, an ER expansion and reconfiguration at Corner Community Hospital, and $7.5 million in each fiscal year for Kauai EMR capital funds to join the Epic platform. Testimony also described collaborations with Queen’s, the University of California San Francisco, Hawaii Pacific Health, the Hawaii Cancer Consortium, the Department of Health, and the state hospital to improve specialty access, clinical trials, behavioral health, and patient placement across the system.
MA
Massachusetts 2025-2026 Regular Session
Senate Committee on Climate Change and Global Warming Jun 21st, 2026 at 10:00 am
Senate Committee on Climate Change and Global Warming
Transcript Highlights:
- And this could be a better mechanism for long-term planning.
- However, the utilities need long-term clarity.
- We also looked at the long-term costs.
- We also looked at the long-term costs. We also looked at the long-term costs.
- We're thinking policy, we got to think long term.
Summary:
The committee heard testimony on two related issues: gas utilities’ climate compliance plans filed with the Department of Public Utilities and the recent DPU orders reforming the Gas System Enhancement Program (GSEP). Chair Creem and other senators emphasized that Massachusetts must reduce gas use, shrink the gas distribution footprint, and move customers to alternatives such as heat pumps, network geothermal, and non-gas pipeline alternatives (NPAs). DPU Chair Jamie Van Nostrand said the new GSEP orders lower the annual revenue cap from 3.0% to 2.5%, phase it down toward 1.5%, eliminate carrying charges, require more rigorous risk prioritization, and push utilities to consider advanced leak technology, relining, repairs, and NPAs. He also described the climate compliance plans as the start of a longer process covering decommissioning, stranded costs, line extension allowances, integrated energy planning, and targeted electrification demonstrations.
Senators pressed the DPU and utility witnesses on the lack of specificity in the climate compliance plans, especially the absence of numeric goals for gas usage reduction, customer conversions, and near-term deployment of NPAs. Utility representatives from Eversource and National Grid said their plans include NPA frameworks, integrated energy planning, targeted electrification pilots, network geothermal, and workforce transition efforts, but argued that implementation takes time, requires customer participation, and depends on coordination with electric utilities and communities. They said some NPA and electrification projects are being evaluated now, while larger-scale deployment is expected later in the decade. Senators also raised concerns about line extension allowances, with utilities explaining that new customers may be charged based on whether existing ratepayers would otherwise be harmed, while National Grid said it has begun increasing customer contributions to send stronger price signals.
Attorney General Mary Gardner supported the DPU’s GSEP reforms and said the office favors eventually stepping the GSEP cap down to zero by 2030, with repair and replacement costs recovered in base rate cases instead. She argued that the utilities’ plans still rely too heavily on business-as-usual approaches, do not adequately quantify scope 3 emissions, and leave unresolved questions about the obligation to serve and the future of line extension allowances. Advocacy witnesses from the Conservation Law Foundation and Acadia Center were more critical, saying the plans lack the detailed modeling, targets, and transparency needed to show how the utilities will help meet the Commonwealth’s heating and cooling sublimits and broader climate goals. No votes were taken; the hearing consisted of testimony and questioning.
TX
Transcript Highlights:
- We are a long-term care support agency throughout the state of Texas.
- I am here today to encourage this committee to allocate more funds towards long-term care settings for
- Thank you for your time, your leadership, and your commitment to improving long-term care for Texans
- and already in the foster care system.
- So we're very, very critical to our long-term care facilities.
Committee:
Senate Finance
CA
California 2025-2026 Regular Session
Assembly Human Services Committee Apr 23rd, 2026
Human Services
Transcript Highlights:
- That's one of the important parts of our child care system to keep children safe.
- That's one of the important parts of our child care system to keep children safe.
- In doing so, this bill supports healthier choices, reduces long-term health care costs, and helps prevent
- The Legislature has made an important investment in our child care system.
- The Legislature has made an important investment in our child care system.
Committee:
House Human Services
MA
Massachusetts 2025-2026 Regular Session
Joint Committee on Ways and Means Mar 23rd, 2026
Joint Committee on Ways and Means
Transcript Highlights:
- Through our health care system, through our education system, I'm concerned with a good idea comes a
- Through our health care system, through our education system, I'm concerned with with the, Right.
- Through our health care system, through our education system, I'm concerned with a good idea comes a
- When families cannot access child care, the entire system suffers.
- We need a plan in place to ensure the long-term health and success of our public schools.
Committee:
Joint Joint Committee on Ways and Means
Summary:
The Joint Committee on Ways and Means held a public hearing in Lawrence focused on the governor’s proposed FY27 budget for education and local aid. Opening remarks from Senator Pavel Payano, Representative Pat Duffy, and local leaders emphasized the importance of education funding for Lawrence and other Gateway Cities, with Acting Mayor Giovanni Rodriguez and Superintendent Ralph Carrero highlighting the city’s high-need student population, Chapter 70 and Student Opportunity Act funding, early college and career pathways, and the need for sustained support to close achievement gaps.
The Education Secretariat testified in support of the budget, with Acting Secretary Amy Kershaw outlining investments in early literacy, universal pre-K, student mental health, school meals, high school redesign, higher education affordability, and early childhood systems. Commissioner Noi Ortega described higher education proposals including expanded free community college, continued free tuition at public four-year institutions, student success funding, early college and dual enrollment investments, and the Bright Act and Drive Act. Commissioner Pedro Martinez detailed K-12 proposals such as full Student Opportunity Act funding, increased Chapter 70 aid, special education circuit breaker funding, transportation aid, literacy initiatives, and a new Accelerating Achievement Initiative aimed at schools with the greatest needs. Commissioner Kershaw also described early education proposals including funding for C3, child care financial assistance, CPPI, workforce supports, and administrative funding restoration.
Committee members questioned the administration about the pending local contribution formula study, the final year of Student Opportunity Act implementation, and the need to address health care and other cost drivers in school funding. Officials said the local contribution report is expected by the end of June and that a draft will be shared for public comment after data analysis is complete. Members also raised concerns about Chapter 70 disparities between districts and urged a broader review of the formula. In response, the commissioners said the Student Opportunity Act narrowed funding gaps but further work is needed, and they pointed to the new achievement initiative, literacy efforts, and early college expansion as ways to improve outcomes. No votes were taken at the hearing.
CA
California 2025-2026 Regular Session
Senate Budget and Fiscal Review Subcommittee No. 3 on Health and Human Services Mar 12th, 2026
Transcript Highlights:
- And the third area would be long-term services and supports financing.
- efficiency, strengthens internal controls, and reduces long-term operational risk for the department
- Strengthens internal controls and reduces long-term operational risk for the Department of Social Services
- surrendered by the licensee in October of 2025, and our department did work with Tulare County and with the long-term
- other long-term services and support programs.
AL
Alabama 2025 Regular Session
Alabama Joint Reentry Committee Mar 20th, 2025
Transcript Highlights:
- I mean, that's a long-term effort to identify the funding. Where is this going to work?
- develop resources for individuals coming out, but some of these other things are going to be more of a long-term
- ... not so much low-hanging... long-term, not so much low-hanging fruit, but still that you know are
- And then I think within each category, having a short-term versus... having short-term versus long-term
- versus... are short-term versus these are going to be long-term, more resource-intensive ideas.
MO
Missouri 2026 Regular Session
Special Committee on Property Tax Reform Jan 20th, 2026 at 12:00 pm
Special Committee on Property Tax Reform
Transcript Highlights:
- bill, the piece that relates to long-term care facilities in 137-016.
- To tax assisted living and long-term care is not the path.
- To move away from the income tax, but this is not the path to tax assisted living and long-term care.
- LeadingAge is an association of mostly nonprofit long-term care facilities.
- We don't think that ALFs, SNFs, or any other long-term care facilities should be reclassified as commercial
LA
Louisiana 2026 Regular Session
House Select Committee on Women and Children Mar 5th, 2026
Transcript Highlights:
- spans the whole gamut of services in order to, again, ensure their restoration and long-term recovery
- about this, and it extends on to long-term sustainability and funding for this type of work.
- opportunities, a new obstetric system of care, and focused public health outreach campaigns.
- , and then that can further inspire policy in the medium and long term for interventions that can be
- It starts with the long-term health of the future parent.
Summary:
The committee held its inaugural meeting on March 5, 2026, with opening remarks from Chair Freiberg and Vice Chair Marcelle describing the panel’s purpose as studying issues affecting women and children, including health, education, economic opportunity, safety, and criminal justice. After roll call, the chair noted the meeting was informational only and not requiring a quorum. The committee then heard presentations and asked questions on human trafficking and child exploitation, followed by an audit report on the treatment and care of incarcerated women.
Mary Kate Andrepont of the Governor’s Office of Human Trafficking Prevention presented 2025 data showing 2,963 victims identified, 15,437 service instances, and 33% of victims remaining in services at least nine months. She said 93% of reported victims were sex trafficking victims, most were under 18, and 62 of 64 parishes had trafficking reports. She explained familial trafficking, described screening and coordinated response procedures, and highlighted new tools and outreach campaigns. She also discussed two priority bills: HB 321 by Rep. LaFleur, which would create immunity from prostitution offenses for child trafficking victims under Safe Harbor principles, and SB 83 by Sen. Edmonds, which would require school board trafficking policies and expand victim advocacy services to labor trafficking victims and survivors up to age 21. Committee members asked about reporting procedures, data trends, service gaps, and the reach of the screening tools.
Chris Masters of the Attorney General’s office then presented on online child exploitation and child sexual abuse material through the Louisiana ICAC Task Force. He reported 31,203 tips in 2025, 545 arrests, more than 80 children identified or rescued, over 1,500 search warrants, and more than 100 community presentations. He said the task force is expanding statewide, including an Orleans Metro unit, and asked for more analysts and outreach personnel to handle a projected rise in cyber tips. Members asked about community presentations, the scope of the investigations, sex offender social media restrictions, interstate cases, sentencing, and how online enticement and live abuse are prosecuted. The discussion emphasized parental monitoring, school outreach, and coordination with federal partners.
The final item introduced an audit report on the treatment and care of incarcerated females. Legislative Auditor staff said the review, requested by a 2023 resolution, found that Louisiana’s jails and guidance documents had not fully addressed the key laws and standards governing women’s incarceration, including restraint use during pregnancy and childbirth, health care, hygiene, dignity, and reentry. They noted that local jails still house a majority of incarcerated women despite the opening of a new state facility, and that several facilities had confirmed prohibited restraint use or failed to provide required written advisements. The staff said the report included legislative considerations for improving compliance and care.