Video & Transcript : 'direct care services' :
Page 304 of 500
LA
Transcript Highlights:
- He said the two committees have a direct impact on each other.
- He said they have a direct impact on each other.
- I'm going to be careful here.
- So, you know, that's a big step in the right direction.
- So, you know, that's a big step in the right direction.
Committee:
House Ways & Means
WA
Washington 2025-2026 Regular Session
Senate Floor Session Jan 28th, 2026
Washington Senate Floor Meeting
Transcript Highlights:
- I don't care what level of government we're talking about.
- Court directives would not be a bad thing.
- Look, child care is the work that makes all other work possible.
- And I think we all want affordable child care.
- And I think we all want affordable child care.
Bills:
SB5223 , SB5067 , SJM8002 , SB5855 , SB5865 , SB5272 , SCR8406 , SB5000 , SB5500 , SJM8006 , SB5325 , SB5286 , SB5937
Summary:
The Senate opened with ceremonial honors for the Washington National Guard, including the presentation of colors, a prayer, and recognition of Major General Welsh and other Guard members in the chamber. Senators then adopted Senate Resolution 8668, which praised the Guard’s service in emergencies, disaster response, elections support, counterdrug training, and youth programs. Several members spoke in support, citing recent flood response efforts and the Guard’s work during COVID, and the resolution was adopted unanimously with all members’ names added as co-sponsors.
The chamber then confirmed three gubernatorial appointments to college boards of trustees: Ann M. McQuaid to Bellingham Technical College, Elisa Munoz Estes to Grays Harbor College, and Felicia Hancock-Lewis to Wenatchee Valley College. Each confirmation passed by wide margins or unanimously after brief supporting remarks about the appointees’ education, military service, and community involvement.
The Senate also considered and passed several bills. Engrossed Substitute Senate Bill 5865, concerning garnishment forms, was amended to delay implementation and then passed 46-3 after supporters called it a technical fix and opponents focused on timing. Substitute Senate Bill 5855, dealing with face coverings by law enforcement officers, drew extensive debate and multiple failed amendments; supporters framed it as a transparency and accountability measure aimed at masked federal immigration enforcement, while opponents argued it was overbroad, ineffective against federal officers, and harmful to state and local law enforcement. The bill passed 38-19. The Senate also passed Second Engrossed Substitute Senate Bill 5105 on explicit depictions of minors, after an amendment clarifying liability and defenses, and Second Engrossed Substitute Senate Bill 5268 on community custody for unlawful firearm possession, after a date update amendment. Finally, Engrossed Senate Bill 5081 on unattended motor vehicles and Senate Joint Memorial 8002 urging action on Medicare Advantage overpayments and fraud were both adopted unanimously or by large margins. Later, the Senate took up Substitute Senate Bill 5067, lowering the DUI blood alcohol threshold from 0.08 to 0.05; the bill drew strong support from the sponsor and law enforcement-focused supporters, but also criticism that the lower threshold would not address the most dangerous impaired drivers and might have limited practical effect.
MN
Minnesota 2025-2026 Regular Session
Joint Hearing: Human Services Committee and Health and Human Services Committee - Part 2 - 05/04/26
Transcript Highlights:
- Um, so for example, personal care assistance or CFSS, community first services and supports is in that
- Um, so for example, personal care assistance or CFSS, community first services and supports is in that
- Um, so for example, personal care assistance or CFSS, community first services and supports is in that
- Um, so for example, personal care assistance or CFSS, community first services and supports is in that
- Um, so for example, personal care assistance or CFSS, community first services and supports is in that
Summary:
The committees resumed discussion of amendments to a bill dealing with licensing moratoria, change-of-ownership rules, and related provider oversight issues. Amendment A8 would prevent a licensing moratorium for certain intermediate care service settings from blocking a new license when the change is due to a change of ownership, including temporary licenses and transitional licenses. Department of Human Services staff said they were still reviewing the language but explained the department’s concern was maintaining program integrity and ensuring owners go through full change-of-ownership review so the agency can see who owns a provider and check compliance history. Senators supporting the amendment argued it would keep legitimate businesses from being harmed by a moratorium and could help preserve providers when ownership changes or family members take over after a death. A8 was adopted on a roll call, with both committees voting in support.
Amendment A9, also on the moratorium topic, would exempt a change of ownership from the moratorium so long as it does not increase license capacity or service scope. The department said it needed more analysis to avoid unintended consequences, but the amendment was added to the working bill. Amendment A10 proposed a more detailed, data-driven framework for the moratorium and included a provision about refunds after implementation; department staff said the language would add cost and would require technical assistance, while senators emphasized the need to address licensure backlogs and avoid making provider delays worse. A10 was approved by the committees, though not unanimously.
Amendment A11 would have set standards for how the commissioner designates provider types or program areas as moderate or high risk, with added transparency criteria. The department said the commissioner already has that authority and raised concerns about federal requirements and the state’s corrective action plan, and Senator Hoffman withdrew the amendment. Amendment A12, offered by Senator Fateh, would preserve remote supports by removing bill language that repealed the service and would add safeguards for remote overnight supervision, including staffing ratios to ensure emergency response times can be met. Several senators supported keeping remote services as an important, cost-effective option amid workforce shortages, while the department said it had program integrity concerns and supported the governor’s proposal to remove the service. The committee nevertheless advanced A12, with members noting the need to balance safety and integrity with access to services.
NM
New Mexico 2025 Regular Session
IC - Transportation Infrastructure Revenue Subcommitee Nov 3rd, 2025
Transcript Highlights:
- So, for social services, this has been a growing department in our community services division.
- We've expanded our contracted services.
- Instead, train and retain transit services.
- current debt service.
- debt service off in 2032.
MA
Massachusetts 2025-2026 Regular Session
Joint Committee on Ways and Means Mar 10th, 2026
Joint Committee on Ways and Means
Transcript Highlights:
- The RMV also services business customers at our service centers through a drop-off service.
- weekend service, and route expansions continuing across RTA service areas.
- Service on all service lines and eight frequent bus routes on Fridays and Saturdays, and extended service
- , bi-directional service, and more reliability, I need to start tackling single-track territory and start
- The immigration service that provides online direct information.
Committee:
Joint Joint Committee on Ways and Means
Summary:
The Joint Committee on Ways and Means held a hearing at UMass Amherst on Governor Healey’s fiscal year 2027 budget proposal, focusing on energy/environment-related transportation issues and the Massachusetts Department of Transportation. The hearing opened with welcomes from the co-chairs and local legislators, followed by remarks from UMass Amherst Chancellor Javier Reyes, who highlighted the university’s research, sustainability, transportation, and workforce contributions and thanked the administration and legislature for support of public higher education.
MassDOT Secretary and MBTA General Manager Phil Eng, along with agency leaders, presented the administration’s transportation budget package. They described a combined funding plan through House 2, a Fair Share supplemental budget, and a Chapter 90 bill, emphasizing investments in MassDOT operations, snow and ice response, regional transit authorities, the MBTA, bridge and pavement repair, housing-related transportation improvements, sustainable aviation fuel, microtransit, and local road programs. Officials also highlighted record highway construction activity, safety initiatives such as work zone speed cameras and pedestrian protections, RMV service and equity improvements, airport and drone technology programs, and MBTA gains in reliability, accessibility, ridership, and service expansion.
Committee members asked about Western Massachusetts priorities, especially Chapter 90 funding for rural road mileage, bridge repairs, and the Compass Rail/West-East Rail program. MassDOT officials said pending federal grants were moving forward, with some awards recently obligated and others expected as federal processes advance, and they said Palmer Station remains part of the long-term rail plan. Members also raised the Cape Cod bridges and the need for multi-year Chapter 90 funding. Officials said the Sagamore Bridge procurement would begin soon, with construction targeted for 2027, and reiterated that transportation investments support jobs, local economies, and municipal infrastructure statewide.
WA
Washington 2025-2026 Regular Session
House State Government & Tribal Relations Jan 14th, 2026
Transcript Highlights:
- So the contract between these two entities to provide services and increase access to care has been in
- safe enough to provide care rather than succumb to threats.
- safe enough to provide care rather than succumb to threats.
- I offer evidence-based, life-saving medical care with gender-affirming care.
- Protecting provider safety protects patients' access to care.
Summary:
The committee heard testimony on several bills, beginning with House Bill 2333, which would expand protections for elected officials, candidates, executive state officers, election officials, and criminal justice participants by allowing address confidentiality, redacting campaign and property records, increasing some penalties for threats, and authorizing security assessments and reimbursement for personal security measures. The prime sponsor and supporters described rising political violence and personal threats, while opponents and agency staff raised concerns about implementation, constitutional issues, public-records transparency, costs, and whether the bill would actually prevent determined actors from finding addresses through other sources. The Secretary of State’s office, county officials, and the Public Disclosure Commission said the bill would create major logistical and fiscal challenges, while prosecutors, judges, and advocacy groups testified that the protections were needed for safety and retention in public service.
House Bill 2176 would make collaborative drug therapy agreements confidential under the Public Records Act except when the agreement is the basis for a disciplinary action, in which case only relevant information would be disclosed with personal information redacted. The sponsor and supporters, including pharmacists, physicians, and reproductive-health advocates, said the bill would protect clinicians from harassment and out-of-state targeting while preserving accountability for misconduct. News media representatives and open-government advocates said the underlying agreements should remain accessible only in limited circumstances and emphasized the balance between privacy and transparency. Committee members also discussed how the bill would affect access to the agreements and the scope of disclosure.
House Bill 2120 would eliminate two JLARC reporting requirements: the biennial report on municipal lodging-tax revenues and the periodic evaluation of the training benefits program. The bill’s sponsor and JLARC leadership described it as a cost-saving measure that would free staff for other audits, while the hospitality industry supported tourism funding but warned that the lodging-tax report provides useful oversight and accountability. The committee also received staff briefings on House Bill 2244, which would implement multiple Public Records Exemptions Accountability Committee recommendations by changing confidentiality rules in 13 areas, including grand jury reports, accident reports, driver case records, certain health and social-service records, corporate interrogatories, family court files, and other records.
MO
Missouri 2026 Regular Session
2026 Legislative Session - Day Forty Six - Thursday, April 2
Missouri House Floor Meeting
Transcript Highlights:
- have access to health care.
- We all know that health care is not abstract.
- Do SLPs have a clear here. ...to meet their health care needs.
- This is an incredible health care bill.
- This is the child care legislation that will create affordable, reliable, quality, and safe child care
MO
Missouri 2026 Regular Session
Subcommittee on Appropriations - General Administration Mar 2nd, 2026
Subcommittee on Appropriations - General Administration
Transcript Highlights:
- Everything that we do touches IT, every service we do.
- And there's a lot coming from Social Services.
- Social Services has a number of mainframe solutions.
- Thank you for your service to our country and to our state.
- , commerce and insurance, revenue, and social services. ...and senior services, commerce and insurance
Summary:
The subcommittee held an informational hearing on the Information Technology Services Division (ITSD) within the Office of Administration, with no quorum present and no formal action taken. Chair Voss said the purpose was to review ITSD’s programs, budget needs, and future plans, and members emphasized the value of an informed appropriator. Representative Riggs cautioned that the state should avoid jeopardizing federal broadband funding and asked that AI-related work remain consistent with federal expectations.
ITSD leadership, including CIO John Loren and Deputy CIO Tara Damp, outlined the division’s scope and recent modernization efforts. They said ITSD supports 15 executive agencies plus the governor and lieutenant governor, manages about 1,200 production software solutions, handles roughly 35,000 help desk requests per month, and defends against billions of cyberattacks monthly. They highlighted investments in layered security, data center and network redundancy, a unified Microsoft 365 environment, modern development tools, and portal platforms. Damp reviewed the history of IT consolidation, noting budget reductions after 2007, then increased investment beginning in 2020 and especially with ARPA funds in fiscal 2023. Members asked about spending projections, subscription-based licensing, procurement modernization, and the role of non-consolidated agencies such as MoDOT and Conservation.
The committee also discussed future funding needs and benchmarking. ITSD said its current spending is about $287 million, with a projected ongoing need of about $345 million to maintain and modernize services, while Gartner comparisons suggested Missouri spends less per employee and as a share of operating budget than peer states. Members asked for more detailed fiscal-year spending profiles for major initiatives and for clarification on what is and is not included in the projections, including Social Services and HR1-related work. ITSD said it would provide additional detail.
A major portion of the hearing focused on AI strategy and governance. Tim Marsheski, ITSD’s director of AI and innovation, described a cautious, pilot-based approach centered on secure use, human oversight, and data governance. He cited examples such as an internal HR chatbot that reduced average response time from about 45 minutes to two minutes, pilots with DESE data transformation, and efforts to use AI for code assistance, document scanning, and workflow support. Members asked about workforce impacts, training, closed versus open models, and whether AI could help with auditing and fiscal analysis. ITSD said it is still early on workforce forecasting, but it is building governance, acceptable-use policies, and feedback loops to test tools, measure results, and scale only when they provide value and remain secure.
NM
New Mexico 2025 Regular Session
IC - Legislative Health and Human Services May 20th, 2025
Legislative Health & Human Services Committee
Transcript Highlights:
- to start with, um, quick introductions and for those of you who aren't on House Health and Human Services
- So that would include service coordination, therapy, um, you know, whatever.
- I mean, so, so our intent was that raises bring the, the direct service providers up to a level where
- Uh, 14 of our providers also provide family and to services.
- I'm a family physician and I represent the primary care in two guises.
NH
Transcript Highlights:
- </c> change, but I think this is a careful change, but I think this is a careful compromise<00:05:47.600
- restrictions</c><00:11:17.279><c> put</c> So there are careful restrictions put So there are careful
- </c><00:36:31.839><c> cash</c> not necessarily receiving direct cash not necessarily receiving direct
- </c> infrastructure upfront based on a direct infrastructure upfront based on a direct assessment<01:
- Careful there, Senator. All right. Well, we'll be sure to visit both.
Committee:
Senate Commerce
CA
California 2025-2026 Regular Session
Senate Floor Session Mar 19th, 2026
California Senate Floor Meeting
Transcript Highlights:
- Through mental health services, support groups, domestic violence, economic assistance, housing, and
- , regrets was not doing more on the issues he cared about.
- , So much of his life was devoted to public service.
- And nowhere was that clearer than in his care for foster youth.
- My dad ran foster care for the state of California at one point, and he was my business partner.
TX
Transcript Highlights:
- College of Health and Public Service at the University of North Texas.
- Specialists allowing better care for the children of our state.
- So much for your public service and being here and staying here with us.
- So. statewide, for service, statewide, and 10 other agencies that the. system had in its service across
- So medical school is more about sick care than health care. I think in some ways it is.
Committee:
House Higher Education
ND
North Dakota 2025-2026 Regular Session
Advanced Nuclear Energy Committee Jun 16th, 2026
Transcript Highlights:
- So this is really directed by the states.
- Next up, we have the Public Service Commission.
- We also do survey work for the child care system.
- . ...by North Dakota NDSU Extension Service.
- You're free to attend virtually if you care to. Actually, if you care to.
Summary:
The Advanced Nuclear Energy Committee met to review prior minutes and hear a series of presentations on advanced nuclear technology and state readiness. The committee approved the April 21, 2022 minutes. Nucleon’s William Bridge outlined the advanced nuclear landscape, distinguishing near-term light-water SMRs from more advanced Gen 4 reactors and microreactors, and emphasized that fuel supply, especially HALEU, remains a developing supply chain. He said light-water designs are the most deployable in the near term, while advanced reactors may be better suited for industrial heat applications and could face a 2- to 3-year delay from fuel availability.
Representatives from NASEO described how other states are supporting advanced nuclear through task forces, roadmaps, pilot programs, financing tools, workforce and supply-chain efforts, and regional coordination. They highlighted the Advanced Nuclear First Mover Initiative and stressed that states are focusing early on emergency preparedness, community engagement, waste management, affordability, and consumer protections. They also noted that some states are creating nuclear-ready community programs and cost-recovery guardrails, while public utility commissions are examining long-term lifecycle costs and rate impacts.
North Dakota agencies then outlined their potential roles. The Public Service Commission said it would likely be involved in public-interest review, siting, and rate regulation, but noted current statutes may not fully address long-term nuclear projects, co-location, or decommissioning. The Department of Environmental Quality said it would continue to regulate radioactive materials and likely support emergency planning, while fission reactor oversight remains federal. The Department of Emergency Services said it would serve as the lead off-site preparedness agency, needing a radiological emergency program, training, exercises, equipment, and possibly industry funding. The Department of Water Resources said North Dakota has sufficient surface water, especially from the Missouri River, but that water planning would be important; it did not recommend statutory or budget changes at this time. The committee recessed for lunch after these presentations, with no additional votes or actions taken.
ID
Transcript Highlights:
- Good gentlemen, be careful about reading our debate and not telling our debate.
- medical, behavioral, and mental health care providers.
- providers, and our health care providers.
- providers, and our health care providers.
- And these are professions that we can least afford to lose: educators, health care providers, child care
CA
Transcript Highlights:
- AB 1554 also directs California's Insurance Commissioner to convene a working group by January 1, 2020
- Tony Signorelli, Deputy Commissioner, Consumer Services, Department of Insurance: That's correct.
- The bill also addresses the growing role of direct-to-consumer genetic testing.
- Sequencing and genetic testing are becoming a standard part of clinical care.
- to repair major appliances and utility service lines at an affordable cost.
Committee:
Senate Insurance
ND
North Dakota 2025-2026 Regular Session
House Floor Session Apr 8th, 2025 at 01:00 pm
North Dakota House Floor Meeting
Transcript Highlights:
- as they seek direction and where they should be and where they should go.
- Speaker, your Human Services Committee, Representative M.
- It's not uncommon for women to stop prenatal care after a report to CPS is made or to avoid care altogether
- by the ambulance service that would close.
- And so it has a net negative effect on the surviving ambulance services.
Summary:
The House convened with prayer, the Pledge of Allegiance, and a quorum present. The chamber received notice that the governor had signed several bills, and the Speaker appointed conference committees after the Senate failed to concur with House amendments on Senate Bills 2180 and 2330. The House also approved several sixth-order amendments without objection before moving into reconsideration and final action on House Bill 1300, which concerns legislative term limits. After procedural motions to reconsider and undo concurrence, the House voted to do not concur on HB 1300, sending it back to the chair’s lap for further negotiation.
A major portion of the meeting focused on Senate Bill 2232, which changes mandatory reporting rules for prenatal exposure to controlled substances and alcohol. Supporters said the bill is intended to keep pregnant women in prenatal care by removing an automatic CPS report if a woman tests positive but enters and stays on a treatment plan; opponents argued it weakens protections for unborn children and creates vague standards for mandated reporters. The House passed the bill 57-36. The chamber also passed Senate Bill 2280 unanimously, establishing timelines and standards for prior authorization in health insurance, and passed Senate Bill 2186, which creates a civil remedy for interference with court-ordered parenting time, a child custody review task force, and related reporting requirements.
The House then took up Senate Bill 2239, an apprenticeship grant program with a $1.1 million appropriation, but rejected it 14-79 after the committee said the program lacked a clear administrative home. Senate Bill 2241, creating a framework for public charter schools, generated extensive debate over school choice, local control, funding, staffing, and rural impacts; supporters emphasized flexibility and community-driven options, while opponents warned about diversion of funds and weak guardrails. The bill passed 64-29. The House also passed Senate Bill 2024, the Department of Environmental Quality budget, after discussion about federal funding uncertainty; Senate Bill 2374, updating property insurance laws and market rules; Senate Bill 2216, creating a waterfowl habitat restoration stamp; Senate Bill 2245, allowing certain duck and goose hunting from anchored floating craft; and Senate Bill 233, establishing a distressed ambulance services process, which drew questions about how affected districts and neighboring services would be involved.
ND
North Dakota 2026 1st Special Session
Advanced Nuclear Energy Committee Jun 16th, 2026 at 10:00 am
Advanced Nuclear Energy Committee
Transcript Highlights:
- This initiative is really directed by the states.
- Next up, we have the Public Service Commission.
- Of the Department of Emergency Services do have these programs.
- We also do survey work for the child care system.
- You're free to attend virtually if you care to. Actually, if you care to.
Committee:
Joint Advanced Nuclear Energy Committee
TX
Transcript Highlights:
- I'll open enrollment contracting when in the state's best interest and permit direct negotiation of no
- A lot of times, these individuals that are on these services are dealing with multiple agencies.
- Get off TANF, get off a variety of different state services, and go about their lives.
- who are utilizing these services.
- Statutorily, fraud, waste, and abuse are only addressed in the subsidized child care program.
Bills:
HB1397 , HB1893 , HB1950 , HB2027 , HB2791 , HB3698 , HB3699 , HB3700 , SB2603 , SB2607 , SB2565
Committee:
Senate Economic Development
NH
New Hampshire 2025 Regular Session
House Health, Human Services and Elderly Affairs (03/12/2025)
Health, Human Services & Elderly Affairs
Transcript Highlights:
- I cannot take care of my house. I can even take care of myself.
- </c><02:37:44.680><c> women</c><02:37:45.160><c> who</c> does Direct Care work with um women who does
- Direct Care work with um women who are<02:37:45.840><c> navigating</c><02:37:46.399><c> substance</c
- ...accessing care without the quality oversight or without the types of wraparound services and additional
- </c> access to care but Mental Health Care access to care but Mental Health Care should<03:10:28.279>
Summary:
The House Committee on Health, Human Services and Elderly Affairs heard testimony on House Bill 606, as amended, a bill aimed at preventing physicians from denying medically necessary sterilizing or fertility-affecting treatment based on a patient’s age, number of children, marital status, or a doctor’s speculation about future reproductive intentions. Representative Ellen Reed, the sponsor, described the bill as a response to her own long experience with PCOS, heavy bleeding, and repeated refusals by doctors to perform a hysterectomy despite her clear wishes. She said the amendment narrows the bill to medically necessary care, adds definitions for “medical condition” and “appropriate reproductive care,” and removes earlier provisions about voluntary sterilization referrals. She also said the bill does not target religious objections, and that doctors could still refuse for medical, payment, or existing religious reasons not addressed by the bill.
Committee members asked about religious freedom, informed consent versus waivers, and the scope of the new definitions. Reed responded that religion was not added to the list of prohibited reasons for denial, and that the amendment is intended to protect doctors when patients sign informed consent or waivers. She explained that “appropriate reproductive care” includes procedures such as hysterectomy, oophorectomy, orchiectomy, salpingectomy, and endometrial ablation, and that the bill now focuses on medically necessary treatment rather than elective sterilization. She said the change was intended to make the proposal narrower and more tailored after earlier concerns.
Several witnesses supported the bill with personal accounts of being denied hysterectomies or other procedures despite serious symptoms. Representative Lauren Selig described a decade-long effort to obtain a hysterectomy after years of cycle problems and migraines, saying doctors dismissed her concerns and treated her symptoms as normal. Jade Flad also testified in support, saying she had long been told to simply endure her cycle problems and noted that her husband was offered a vasectomy without similar barriers. The sponsor said online support was strong and that there was little or no written opposition testimony. No vote or final committee action was taken during the portion of the hearing provided.
HI
Transcript Highlights:
- </c> hand-offs and a continuity of care. hand-offs and a continuity of care.
- </c> transforming it into a restorative care transforming it into a restorative care village<00:15:51.560
- </c> improve our repertoire re-entry services improve our repertoire re-entry services uh<00:35:28.359
- </c> treatment, uh job development services treatment, uh job development services for<00:35:34.440><
- </c> and medical and mental health services and medical and mental health services and<00:36:17.000><
Bills:
SR185 , HB2452 , HB2329 , HB2272 , HB2273 , HB2335 , HB1656 , HB2207 , HB2289 , HB1854 , HB2581 , HB20 , HB2296 , HB1707 , HB2297 , HB1890 , HB2241 , HB2474 , HB1688 , HB2546 , HB1574 , HB1546 , HB2218 , HB1163 , HB1514 , HB1749 , HB2385 , HB1576 , HB1974 , HB2022 , HB1973 , HB2005 , HB1894 , HB1515 , HB1718 , HB1591 , HB2475 , HB1721 , HB1864 , HB1946 , HB1920