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

Page 298 of 500
FL

Florida 2026 Regular Session

Appropriations Mar 2nd, 2026

Appropriations

Transcript Highlights:
  • I’m sure there are problems on the other end of the system in terms of people not being cared for properly
  • , but there’s abuse. ...and the other end of the system in terms of people not being cared for properly
  • But when you look at how you're going to do this long term, you need to put together a very careful,
  • Many require extensive medical care, mobility assistance, and long-term treatment that FDC is not designed
  • FDC is not designed to function as a long-term geriatric or medical care system, and taxpayers, we, are
Keywords: 999, senate, all
CA

California 2025-2026 Regular Session

Assembly Health Committee Apr 14th, 2026

Health

Transcript Highlights:
  • system, taking away time from patient care.
  • We're going to move on now to item number eight, AB 2135 by Calra, long-term health care facilities.
  • We're going to move on now to item number eight, AB 2135 by Calra, long-term health care facilities.
  • AB 2135 strengthens eviction protections for residents in nursing homes and long-term health care facilities
  • My name is Jason Sullivan Halpern, and I'm director of the California Long-Term Care Ombudsman Association
Committee: House Health
Keywords: 988, house, all
NH

New Hampshire 2025 Regular Session

Senate Finance (05/06/2025)

Finance

Transcript Highlights:
  • Thank you. services for long-term care. And so I services for long-term care.
  • This would create a revolving fund for our long-term care providers so that they can draw down and receive
  • these patients that need to be seen in a long-term care facility as opposed to staying at the hospital
  • Thank you. our um long-term care providers so that our um long-term care providers so that they<01:58
  • </c><01:58:11.360><c> to</c> long-term care facility as opposed to long-term care facility as opposed
Committee: Senate Finance
Keywords: 1191, senate, all
CA
Transcript Highlights:
  • In terms of processing the complaints, we are doing continuous process reengineering, but our system
  • So the Legislature will want to know what other alternatives the department has thought of long term.
  • So this proposal solves the near-term issue while long-term solutions can be considered or discussed.
  • This is trust being built in communities that have long been left out of the systems of care.
  • I want you to know that our association supports the long-term goal of creating a true one-stop shop.
Keywords: 987, senate, all
ND
Transcript Highlights:
  • And, you know, is it sustainable long term?
  • sustainability of rural health care systems.
  • So this is not going to be good long term for them.
  • And then the last one, beyond recruiting and retention, was just the long-term...
  • And then the last one, beyond recruiting and retention, was just the long-term state structure of public
Keywords: 908, all
Summary: The committee was called to order, a quorum was established, and the minutes from the prior meeting were approved. The first major presentation came from Montana Public Employees Retirement System executive director William Hollahan, who gave an overview of Montana’s Volunteer Firefighters’ Compensation Act plan. He explained that the plan covers volunteer firefighters in unincorporated areas, is funded by 5% of state fire insurance premium taxes, and currently serves 228 departments with about 2,936 active members and 1,242 retirees. He described eligibility rules, annual training and reporting requirements, benefit levels for partial and full pensions, disability, death, medical, and funeral benefits, and said the plan is actuarially sound with roughly $60 million in assets and a funded ratio slightly above 100%. Committee members asked about prior-service credit, whether EMS personnel are included, the effect on recruitment and retention, and whether expanding coverage would require a funding analysis; Hollahan said prior service is not credited, EMS is not currently included, and any expansion would need financial review. Tim Walleen of Workforce Safety and Insurance then presented a draft North Dakota workers’ compensation solution for volunteer firefighters and volunteer EMS personnel. He explained that volunteer responders are already covered by workers’ comp for medical and wage-loss benefits, but the proposal would set a minimum annual wage of $30,000 for calculating wage-loss benefits for qualifying volunteers, with the benefit paid at two-thirds of that amount. Representative Porter suggested tying the volunteer definition to existing code rather than a fixed dollar amount, and Walleen agreed. Questions focused on whether search and rescue or other volunteer emergency services could be included, whether departments would face new paperwork, and whether volunteer organizations can already elect coverage; Walleen said there would be no additional paperwork and that volunteer coverage is already available. The committee also heard from volunteer fire service representatives and the state fire marshal. An Oakes-area firefighter, Mr. Olson, testified that small departments are struggling with retention, communication, and administrative burdens, especially around separate bookkeeping and funding rules for donated or fundraising money, and he said departments need clearer guidance from the state. State Fire Marshal Dr. Matthew Clark introduced himself and outlined a broader effort to improve education, support, and coordination for fire departments, including a planned 10% audit of certificates of existence beginning in 2027, more outreach through his office, and better assistance with training, reporting, and grant access. He said his office is authorized under current law to provide these services, but the role has been vague and underused. Finally, Arnagard Rural Fire District Chief Rick Schreiber testified in favor of new recruitment and retention ideas, including retirement-style benefits, health insurance, tax incentives, scholarships, grants, and more remote or regional training. He said volunteer departments are losing members, that local tax and donation funds are already stretched, and that any new retirement or incentive program should be sustainable and likely involve a mix of state and local support.
CA

California 2025-2026 Regular Session

Assembly Health Committee Apr 7th, 2026

Health

Transcript Highlights:
  • AB 1570 is a vital, cost-effective policy that improves outcomes and reduces long-term health care costs
  • We provide free guidance and advocacy services for consumers of long-term care in California.
  • We provide free guidance and advocacy services for consumers of long-term care in California.
  • long-term health.
  • health care systems.
Committee: House Health
Keywords: 988, house, all
WA
Transcript Highlights:
  • , or managing our child care system.
  • , or managing our child care system.
  • The conversation has both a potential short-term and long-term impact.
  • The people in the state of Washington will be poorly served long term.
  • The people in the state of Washington will be poorly served long term.
Keywords: 904, all
Summary: Senate and House Republican leaders held a joint media availability focused on affordability, budget concerns, and opposition to several Democratic tax proposals. John Braun and Drew Stokesbary said Washingtonians are still struggling with the cost of food, gas, housing, child care, and health care, and argued Democrats are not advancing bills that would ease those pressures. They criticized a draft income tax proposal they said would function as a small business tax, especially because it would disallow loss carryforwards and could discourage investment in housing and other capital-intensive sectors. They also objected to a proposed tire fee and a bill they said would prevent tire sellers from telling customers about the tax. The Republicans said they planned to raise budget and tax concerns in an upcoming meeting with Governor Ferguson, and Stokesbary said he had introduced a budget-savings bill to consolidate University of Washington investment management with the State Investment Board. They also discussed a bill to make it harder to qualify citizen initiatives, calling it anti-democratic, and said they want stronger oversight and legal reforms related to DCYF and state liability in child welfare cases. Braun and Stokesbary said they were open to discussing tort reform and a civil claims process, but emphasized the underlying problem is state failure in protecting children. On health care, they said they were still reviewing a bill to eliminate interest on medical debt and a separate 340B drug-pricing proposal, warning both could have unintended effects on hospitals, patients, and drug innovation. They also said they support the idea of protecting children online and in schools, but want any social media, AI chatbot, or cell phone-related bills written carefully to avoid First Amendment problems and unintended consequences. On public safety, they expressed concern about a bill restricting police retention of automatic license plate reader data, arguing law enforcement needs such tools to solve crimes. No votes were taken, and the event ended with the Republicans reiterating their opposition to tax increases and their focus on affordability.
MN
Transcript Highlights:
  • They are noble stopgaps, not long-term solutions.
  • They are noble stop gaps, not<00:08:25.759><c> long-term</c><00:08:26.400><c> solutions.
  • </c><00:08:27.599><c> State</c><00:08:27.919><c> emergency</c> not long-term solutions.
  • State emergency not long-term solutions.
  • Without short-term support, a temporary setback can quickly turn into a long-term housing crisis.
Keywords: 919, house, all
Summary: The committee took up House File 3403, authored by Vice Chair Rep. Kazowski, and first adopted an A1 amendment. The amendment made technical and implementation changes recommended by the Department of Revenue, allowed a small portion of funds for county and tribal administrative costs, and clarified timing and reporting for spent and unspent funds. After the amendment was adopted, the bill was moved to Ways and Means. Rep. Kazowski described HF 3403 as a $50 million emergency rental assistance measure to help stabilize households facing eviction, with $44 million directed to counties and $6 million reserved for tribal nations, administered through the Department of Revenue using the existing local homeless prevention aid formula. Supporters said the bill would provide immediate, targeted help to renters and landlords, prevent evictions, and reduce downstream costs to shelters, schools, employers, and health systems. Several testifiers, including representatives from Greater Twin Cities United Way, St. Louis County, Hennepin County, Minneapolis, social workers, a resident, and tribal housing leaders, said local resources were insufficient to meet rising need and emphasized the impact of federal immigration enforcement and related economic disruption on families, workers, and communities. Testimony highlighted sharp increases in rental assistance requests, rising eviction filings, depleted county funds, and the strain on nonprofit and mutual aid efforts. County and city officials said emergency rental assistance and related legal services had already prevented thousands of evictions, but current funding was not enough. Tribal testimony stressed disproportionate homelessness among Native Americans and supported the bill’s tribal allocation. During member discussion, Rep. Amani Hiltsley said the bill was an economic stabilization tool and requested a roll call vote, noting safeguards against fraud and the broader costs of inaction.
CA

California 2025-2026 Regular Session

Assembly Health Committee Jun 30th, 2026

Transcript Highlights:
  • at a long-term care facility.
  • And that is one of the reasons why we have that... ...the health care system overall.
  • I'll just end by saying the health care system, as you say, is obviously...
  • they don't actually come down, but there's systemic issues in the health care system that I think everybody's
  • While these coupons often lower or eliminate the patient's co-pays in the short term, in the long term
Summary: The Assembly Health Committee heard several measures, beginning with SB 331 by Sen. Menjivar, which would require large-group health plans to cover hearing aids for children. The author and supporters described the bill as a long-running effort to address a developmental emergency and reduce out-of-pocket costs for families, while opponents were absent. Testimony from parents, advocates, medical experts, and organizations emphasized the importance of early access to hearing aids; committee members voiced strong support, and the bill was moved on a do-pass basis to Appropriations, with several members requesting to be added as coauthors. The committee then heard SB 608, also by Sen. Menjivar, to expand access to condoms in school-based health centers and related settings and to prevent barriers such as ID checks. Supporters, including students and school health advocates, argued the bill would improve sexual health and reduce stigma, while opponents from family and faith groups argued it would undermine parental authority and normalize early sexual activity. The bill was supported by committee members and moved forward on a do-pass basis to Appropriations. Next, SB 971 by Sen. Choi proposed community-based healthy aging partnerships for older adults, with testimony from the California Senior Legislature and supporters from aging and dementia organizations. The measure was described as voluntary and focused on connection, independence, and local collaboration; there was no opposition, and the committee moved it on a do-pass basis to Appropriations. The committee also heard SB 869 by Sen. Weber Pierson, which would require warning icons and statements on chain restaurant menus for beverages with very high added sugar content. Supporters framed it as a transparency and public health measure, while restaurant and beverage industry representatives opposed it unless amended, citing cost and menu-space concerns; the bill was nevertheless moved on a do-pass basis to Appropriations after a roll call vote, with some members voting no and the measure placed on call. The committee also considered SB 950 by Sen. Weber Pierson, aimed at ensuring timely coverage of FDA-approved, medically necessary treatments for early-onset Alzheimer’s disease on commercial plans. Supporters, including the Alzheimer’s Association and a patient advocate, said the bill would reduce delays and barriers to care, while health plan representatives opposed it over step therapy and utilization-management concerns. Members discussed the limited treatment window and the need for early access, and the bill was moved on a do-pass basis to Appropriations. In addition, SB 490 by Sen. Umberg would set timelines for DHCS investigations of unlicensed sober living homes and allow counties to assist if the department cannot act in time; supporters from Anaheim and a patient-brokering survivor described serious abuse and oversight gaps, while county behavioral health representatives opposed the county role as an unfunded and potentially liability-creating burden. After discussion, the bill was also moved on a do-pass basis to Appropriations. Finally, the committee began hearing SB 1037 by Sen. Weber Pierson on health insurance affordability and rate review, with supporters arguing it would tie premium increases more closely to affordability targets and public reporting; the transcript cuts off before the committee completed action on that measure.
MA

Massachusetts 2025-2026 Regular Session

Joint Committee on State Administration and Regulatory Oversight Jun 21st, 2026 at 01:00 pm

Joint Committee on State Administration and Regulatory Oversight

Transcript Highlights:
  • And what that being said, the unconstitutionality of it is that we are not getting adequate care in terms
  • shade of a tree outside of a train station, because we've refused to invest the dollars in things like long-term
  • to the housing crisis and things like paying caseworkers to assist these families to actually find long-term
  • would love to see is for our state to invest these tens of millions of dollars into some of these long-term
  • behind in Framingham who urgently need to be released because they are elderly and suffering with long-term
Keywords: 995, all
Summary: The committee on State Administration and Regulatory Oversight held a hybrid hearing covering public construction, business regulations, and honorary designations, with most of the discussion focused on two matters: a five-year moratorium on new jail and prison construction (S. 2114/H. 3422) and a bill designating June 7 as Tourette Syndrome Awareness Day (S. 2152/H. 3305). The chair emphasized that the hearing was public, testimony would be recorded, and speakers should generally keep remarks to three minutes. Senator Comerford introduced the prison moratorium bill, saying it would pause new construction while allowing renovations, and Senator Friedman introduced the Tourette awareness bill and a separate Tuskegee Airmen commemoration measure, asking for favorable action on both honorary designations. A large portion of the hearing featured remote testimony from incarcerated people at MCI Framingham and MCI Shirley in support of the prison moratorium. Witnesses repeatedly argued that Massachusetts does not need a new women’s prison, that the incarcerated population is declining, and that funds would be better spent on mental health care, addiction treatment, vocational training, pre-release programming, housing, and repairs to existing facilities. Several speakers described poor conditions, limited programming, and the need to address trauma, domestic violence, and substance use as root causes of incarceration. One committee member responded to testimony by noting that incarceration numbers are going down, that the state is working on housing and workforce opportunities for people returning home, and that the committee wants to expand pathways to employment and reentry. The Tourette Syndrome Awareness Day bill drew testimony from the bill’s young sponsor, Owen Rosenthal, his parents, medical professionals, and advocates. They described Tourette syndrome as a misunderstood neurodevelopmental condition, said awareness would reduce stigma and improve diagnosis and support, and cited the need for education in schools, workplaces, and the medical community. The Tourette Association of America supported the bill, noting underdiagnosis, co-occurring conditions, pain, and mental health risks associated with Tourette syndrome. Committee members praised the youth advocates and asked that written testimony be submitted electronically. The hearing ended without any recorded votes or final committee action in the transcript provided.
CA
Transcript Highlights:
  • more defendants with substance use disorder into treatment and long-term recovery.
  • Those delayed evaluation and delayed admission rates, the inability to secure long-term housing, are
  • creating a problem for getting people to accept treatment. feasible opportunity for long-term housing
  • You brought up housing, short-term, long-term, but do you believe that the treatment aspect of collaborative
  • As far as the foster care system, we do represent parents and children in dependency proceedings.
Summary: The committee heard extensive testimony on Proposition 36 and its implementation, with judicial and budget officials describing it as a major shift from misdemeanor to felony processing for repeat drug possession and certain theft offenses. Witnesses explained that the law creates a treatment-mandated felony process that can lead to dismissal if a defendant completes treatment, but also requires evaluations, court monitoring, and potentially long, open-ended supervision. Judicial representatives said the new law is already generating large numbers of filings, creating workload, staffing, courtroom, and facility pressures, and that access to treatment beds, housing, and evaluation capacity is limiting participation. Several speakers emphasized that collaborative courts are effective but are not a perfect fit for Prop. 36 because those programs are typically probation-based and serve different risk/need populations. Court officials from San Bernardino and Orange counties said the impacts vary by county but are severe, with some counties seeing hundreds or more filings in a short period and others moving more slowly to build treatment infrastructure first. They argued that Prop. 36 is effectively an unfunded mandate unless the state provides more resources for judges, staff, facilities, treatment, housing, and supervision. The Legislative Analyst’s Office noted that Prop. 36 will reduce the Proposition 47 savings that fund mental health and substance use treatment grants, but said the near-term reduction is relatively modest and that the full effect will take time to appear because of the way those savings are calculated. Members of the committee repeatedly raised concerns that the state is underfunding the courts and counties needed to carry out the new law. The committee also reviewed the Governor’s proposed trial court operations budget, including a partial restoration of a prior $97 million cut and additional ongoing funding. Judicial branch officials said the restoration helped avoid furloughs, hiring freezes, and service reductions, and supported cybersecurity, technology, staffing, and records management. The LAO recommended that the Legislature seek more detail on how midyear restorations are handled and consider clarifying language for transferring unspent trial court trust fund monies to the General Fund. Finance said the flexibility in the ongoing funding was intentional and would be taken back for consideration. In a separate item, the committee heard testimony on a $6.3 million increase for Supreme Court and Courts of Appeal appointed counsel programs. Judicial officials and appellate project representatives said the system is facing a crisis because indigent appeals have risen sharply while the number of panel attorneys has fallen, leaving many cases waiting months for counsel. They argued the proposed increase would help but is still below what is needed to recruit and retain attorneys and prevent delays that affect criminal, juvenile, and child welfare cases. The committee also discussed the Tracy courthouse project in San Joaquin County, where local officials said reopening a courthouse closed since 2011 is necessary to serve a growing population and relieve overcrowding elsewhere. The LAO and Finance both noted the project is next in line under the facilities plan, though LAO suggested the Legislature could consider whether other facility priorities should come first.
NH

New Hampshire 2025 Regular Session

House Finance Division III (03/10/2025)

Transcript Highlights:
  • Can you give us some numbers of how many aging adults are in long-term facilities versus home care, and
  • Can you give us some numbers of how many aging adults are in long-term facilities versus home care, and
  • </c> visual on the system of care for healthy visual on the system of care for healthy aging<00:37:02.440
  • He added that nursing facilities play a vital role in the whole system of care, whether providing short-term
  • </c><01:54:19.079><c> managed</c> thinking around long-term managed thinking around long-term managed
Keywords: 928, house, all
Summary: The Division of Long-Term Supports and Services presented its budget and program overview as part of the Department of Health and Human Services operating budget review. Leadership described the division’s three bureaus—Aging and Adult Services, Developmental Services, and Family-Centered Services—and explained that the division provides guidance, technical assistance, quality monitoring, and contracted provider oversight across the lifespan. Members also discussed staffing, with reported vacancy rates of 4% in Aging and Adult Services, 15% in Developmental Services, and 6% in Family-Centered Services; the division said the higher BDS vacancy rate is partly due to the small number of authorized positions. The governor’s budget had left eight positions unfunded in the division, including three in Aging and Adult Services and five in BDS. A major topic was the division’s roadmap initiatives, especially building a system of care for healthy aging and strengthening developmental disabilities systems through a new reimbursement rate structure. The division said it contracted with an actuary to study DD service costs and found rates had not been reviewed since 2017 and were significantly below actual costs and other states’ rates, contributing to provider shortages even when services are authorized. Members asked about the impact on service delivery and whether rates would need to rise overall; the division said its strategy is to focus on lower-cost services that help people remain in the community. The division also reported waiver enrollment figures, including about 4,161 people on the Choices for Independence waiver, 3,688 average nursing facility residents, 5,061 people on the DD waiver, 228 on the acquired brain disorder waiver, and 488 children on the in-home support waiver, while noting there is no funding waitlist but provider availability remains a constraint. The division highlighted IT modernization as a major accomplishment, especially moving Adult Protective Services and Developmental Services into the New Heights system. Officials said these changes improve case-note access, data retrieval, service authorization tracking, and transparency for providers, and they asked for future oversight discussion focused on IT leverage. Members noted that New Heights maintenance is budgeted in the Office of the Commissioner under class 27 and suggested better transparency on system costs and benefits. The division also reported that it closed out a long-running CMS corrective action plan for BDS on July 1, 2023, and said it is now focused on strengthening the system rather than compliance alone. Other discussion covered the Aging and Adult Services bureau’s name change from Elderly and Adult Services to Adult and Aging Services, intended to avoid negative connotations and better reflect preventative services. The bureau described Adult Protective Services trends involving scams, financial exploitation, self-neglect, and isolation, and explained that it administers the CFI waiver, determines medical eligibility for nursing facility level of care, and braids funding from Medicaid, state funds, Older Americans Act money, Social Service Block Grants, and other grants. Members asked about waiver growth targets and federal consequences if enrollment remains below projections; the division said it would explain the shortfall in a future waiver amendment and did not anticipate a federal penalty. The meeting ended without any votes or formal actions taken.
MO

Missouri 2026 Regular Session

Budget Jan 20th, 2026 at 01:00 pm

Budget

Transcript Highlights:
  • And so the 10 that we're requesting now would be long-term FTEs.
  • Yes, but they would be considered the long-term positions. Correct. Permanent positions. Yes.
  • And so the 10 that we're requesting now would be long-term FTEs.
  • So my, my... like permanent positions or long-term positions.
  • I don't care. I'm going to wait here and see how long it takes.
Committee: House Budget
Keywords: 959, house, all
FL

Florida 2025 Regular Session

January 15, 2025 - 01:00 PM

Transcript Highlights:
  • Our Long-Term Care Ombudsman program is also part of the Older Americans Act and is a requirement for
  • Our Long-Term Care Ombudsman program is also part of the Older Americans Act and it's a requirement for
  • in long-term care communities.
  • Some of our biggest accomplishments in the health care line of effort is redefining long-term care services
  • Some of our biggest accomplishments is really in the health care line of effort is redefining long-term
Summary: The Health Care Budget Subcommittee met to organize the new term, take roll, and hear introductory presentations from the six agencies under its jurisdiction: the Agency for Health Care Administration, Agency for Persons with Disabilities, Department of Children and Families, Department of Elder Affairs, Department of Health, and Department of Veterans’ Affairs. The chair outlined the committee process, including assigning members to review agencies and make budget recommendations. Each agency head gave a high-level overview of their budget, staffing, major programs, and priorities, with recurring themes including Medicaid, long-term care, disability services, child welfare, mental health, aging services, public health, and veterans’ health care. Several agency leaders highlighted recent initiatives and funding priorities. AHCA emphasized Medicaid managed care, provider regulation, Hope Florida, hospital-at-home, and cancer-related efforts; APD discussed iBudget services, Hope Florida, a managed-care pilot, online applications, and forensic care costs; DCF focused on child protection, foster care, adult protective services, food/cash/medical assistance, mental health, and opioid treatment; Elder Affairs highlighted Alzheimer’s services, community-based senior care, guardianship, ombudsman services, and disaster outreach; DOH covered cancer innovation, maternal telehealth, cybersecurity, HIV/hepatitis/syphilis screening, and school nursing; and Veterans Affairs described benefits and health care access for veterans, long-term care, and federal reimbursement. Several speakers also raised concerns about rising costs, provider rates, disaster response, and access to services. The committee heard two public comments from disability advocates about Medicaid redeterminations affecting iBudget waiver recipients and provider payment delays. In response, AHCA and APD said they were coordinating on data sharing, early outreach, escalation processes, and efforts to reduce disenrollments and make recertification smoother. Members then asked questions about provider rates, opioid settlement spending, managed care quality measures, pediatric rare disease grants, group home transparency, senior outreach, ABA services moving into managed care, annual Medicaid recertification, veterans’ service utilization, waiting lists for elder services, and prevention spending. No formal votes were taken during the meeting.
NH

New Hampshire 2026 Regular Session

Senate Health and Human Services (02/18/2026)

Health and Human Services

Transcript Highlights:
  • </c> care systems. care systems.
  • </c><01:03:30.319><c> care,</c> substance use providers, long-term care, substance use providers, long-term
  • </c><01:16:58.320><c> system,</c> Operations of a health care system, Operations of a health care system
  • care system sets the our local health care system sets the CEO's<01:49:35.600><c> salary.
  • </c> long-term planning. long-term planning.
Keywords: 1191, senate, all
WA

Washington 2025-2026 Regular Session

House Finance Feb 24th, 2026

Transcript Highlights:
  • I've also cared for patients whose blood pressure went unmanaged for too long, ultimately leading to
  • Between the capital gains tax, the long-term care payroll tax, B&O increases, and other new taxes, the
  • She is one of nearly 3,000 immigrants who will lose their access to long-term care this October, simply
  • This bill strengthens long-term stability while protecting small businesses.
  • support and relief for working families while blowing... ...wealthy while offering little long-term
Summary: House Finance held a public hearing on Gross Substitute Senate Bill 6346, a proposal to impose a 9.9% tax beginning in 2028 on Washington taxable income over $1 million for individuals, with related rules for residents, nonresidents, pass-through entities, estimated payments, penalties, credits, and revenue distribution. Staff explained that the bill would also fund several tax changes, including an expanded Working Families Tax Credit, sales tax exemptions for grooming and hygiene products, higher small business B&O credits, an early end to the B&O surcharge on very large businesses, and repeal of most retail services sales tax changes from last session. The fiscal note projected about $2.53 billion in additional state revenue in FY 2029 and $3.21 billion in FY 2030, with local revenue losses and significant Department of Revenue implementation costs. The chair also announced concerns about apparent fraud and duplicate records in the public sign-in system and set testimony rules limiting questions and shortening testimony time as the hearing progressed. The prime sponsor, Senator Jamie Peterson, said the bill was intended to make Washington’s tax system less regressive and to raise revenue for schools, health care, higher education, and other public needs while reducing the burden on lower- and middle-income residents. Supporters from labor, education, health care, child care, housing, poverty-reduction, and social service organizations argued that the bill would help fund essential services, expand the Working Families Tax Credit, and improve fairness by asking the wealthiest households to contribute more. Several individual supporters, including business owners and workers, said they were willing to pay more and described the need for better-funded schools, health care, child care, and public defense. Opponents, including former Attorney General Rob McKenna, business groups, construction and real estate representatives, and taxpayer advocates, argued the measure would function as an unconstitutional income tax, would be unstable and likely expanded over time, and would harm small businesses organized as pass-through entities. They said the bill would reduce investment, discourage entrepreneurship, and could drive businesses and high earners out of Washington. Some local government representatives supported the public defense funding but asked for more dedicated revenue and protection against local revenue losses from the bill’s sales tax exemptions. No committee vote or final action was taken during the hearing.
WA

Washington 2025-2026 Regular Session

Senate Health & Long-Term Care Jan 15th, 2026 at 08:00 am

Health & Long-Term Care

Transcript Highlights:
  • This is our first meeting of the Senate Health and Long-Term Care Committee of the 2026 legislative session
  • that primary care is really the backbone of our health care system.
  • that primary care is really the backbone over our healthcare system.
  • I think we have a weak primary care system.
  • system here in the state. hopefully with public trust in our health care system here in the state.
Bills: SB5877 , SB5967
CA
Transcript Highlights:
  • Progress that requires a tribe to fight this hard for this long is not a functioning system.
  • Institutions cannot fulfill their responsibilities without real long-term investment from the government
  • This is a basic duty of care.
  • I know it's a long day, a long couple days. I appreciate the UC Office of the President.
  • I know it's a long day, a long couple days.
Keywords: 988, house, all
LA

Louisiana 2026 Regular Session

Labor and Industrial Relations Mar 26th, 2026

Labor & Industrial Relations

Transcript Highlights:
  • And a system that invites disputes instead of delivering the care that our constituents deserve.
  • care for their treatment.
  • They are getting injured mostly through no fault of their own, and they deserve a system that takes care
  • They deserve a system that provides them with good-quality medical care that will allow them to get back
  • We need to create stability in the system. 357 does not create stability in the system.
Keywords: 965, house, all
Summary: The committee first took up House Bill 680 by Representative Weibel, which would modernize Louisiana’s workforce development system by consolidating strategy and administrative functions at the state level while preserving local input. After adopting two sets of technical amendments and a larger amendment package that added a transition advisory team, consultation requirements with local workforce partners, and other planning and governance changes, the committee heard extensive testimony from the author, the Secretary of Louisiana Works, parish and local workforce representatives, and a witness from Utah describing that state’s consolidation experience. Supporters said the bill would reduce overhead, direct more money to training and services, improve coordination, and better align workforce programs with regional labor needs, while several members pressed for assurances that local boards, parishes, cities, and small businesses would remain involved. The committee ultimately adopted the amendments and reported HB 680 favorably with amendments. The committee then heard House Bill 780 by Representative Furman, a workers’ compensation bill aimed at reducing litigation and speeding dispute resolution. After adopting technical amendments and a separate amendment set allowing authorized agents or attorneys to prepare certain notices, members also adopted a committee amendment deleting a statutory definition of “arbitrary and capricious” after concerns were raised that the language could create confusion or conflict with existing jurisprudence. The author and supporting attorneys argued the bill would restore an expedited preliminary determination process, create a single standard for attorney fees, and reduce costs for employers by limiting unnecessary litigation and delays. They said the changes would not affect an injured worker’s choice of physician or existing penalty provisions, and that the bill mainly addressed notice and dispute procedures. Opponents, including attorneys representing injured workers, argued the bill would make it harder for workers to recover penalties and attorney’s fees when benefits are delayed or denied, and said the new standard could favor insurers that are understaffed or slow to process claims. They also criticized the shift from reasonableness to a more restrictive standard and raised concerns about delayed payments and the lack of transparency around defense costs. After hearing testimony from both sides, the committee continued discussion of the bill with these issues still under consideration.
FL

Florida 2025 Regular Session

December 2, 2025 - 01:00 PM

Transcript Highlights:
  • TERM CARE AND JOINT COMMISSION ACCREDITED.
  • RIVER GARDEN SPENDS APPROXIMATELY $3,700 ANNUALLY TO SURVEY THE LONG TERM CARE AND SHORT STAY RESIDENTS
  • I'M A FIFTH GENERATION FLORIDIAN I HAVE WORKED IN LONG TERM CARE THIS WONDERFUL PROFESSION FOR 40 YEARS
  • I AM PROUD OF WHAT IS OFFERED TO ATTRACT PEOPLE TO FLORIDA INCLUDING HIGH PERFORMING LONG TERM CARE SYSTEMS
  • IT IS JUST THE SYSTEM AND APPLICATION FOR LONG TERM CARE AND THE ORDER THE APPLICATION IS IN. >> Chair