Video & Transcript : 'direct care services' :

Page 306 of 500
AR

Arkansas 2026 Regular Session

JOINT BUDGET COMMITTEE Mar 4th, 2026

JOINT BUDGET COMMITTEE

Transcript Highlights:
  • What about the actual care that they're getting?
  • What about the actual care that they're getting?
  • So the inmate care and custody line item that you see in this division, the residential services programs
  • services for departments.
  • Arkansas forward initiative for the centralization of some of the services, shared services for departments
Keywords: 1204, all
CA
Transcript Highlights:
  • The work that we do is home care, so caregiving in the city.
  • But shelter care itself is also very intermittent.
  • The care that goes with it is super important.
  • Does anybody, any other industry, pay for that type of service?
  • estate brokers to perform the same service.
Summary: The Assembly Budget Subcommittee 5 on State Administration heard presentations from Go-Biz and the Department of Financial Protection and Innovation on the Governor’s budget proposals. Go-Biz described California Jobs First, the state’s 10-year economic development strategy, and emphasized support for small businesses, workforce development, and targeted investment in sectors such as ag tech, life sciences, semiconductors, and advanced manufacturing. Members raised concerns about federal policy changes, tariffs, tourism, housing, child care, and whether state incentives are truly additive; Go-Biz responded that it tracks federal actions closely, works with chambers and advocates, and uses programs like California Competes to target jobs that would not otherwise come to California. The committee then reviewed the proposal to restore the California Competes grant program with $60 million. Go-Biz said the grant would help businesses that cannot use the nonrefundable tax credit, and explained the program’s five-year contracts, milestone-based awards, and recapture provisions. The Legislative Analyst’s Office said the grant could be effective but recommended stronger oversight and clearer eligibility criteria, while also noting the 30% cap in trailer bill language may be too restrictive given the smaller funding level. Public testimony supported the grant and suggested considering refundability or transferability for the tax credit to broaden access for smaller and startup businesses. Members also heard the CHIPS-related proposal for $25 million to support Natcast’s semiconductor design and collaboration facility in Sunnyvale. Go-Biz and public witnesses argued the state investment would help secure a major federal research facility, retain engineering talent, and leverage billions in broader investment, while the LAO recommended rejecting the item because of its dependence on uncertain federal funding and the state’s budget condition. The committee also considered a $17 million continuation of CA RISE, which supports employment social enterprises; Go-Biz and several grantees cited strong job placement and workforce outcomes, while the LAO recommended rejection absent a more rigorous evaluation, noting prior LA RISE evidence did not show long-term employment gains. Finally, the Department of Financial Protection and Innovation presented budget requests for IT security and rent increases, and a trailer bill to raise fees across several programs. DFPI said decades-old fee schedules, inflation, and new regulatory responsibilities have created a structural deficit and warned the department could face insolvency without adjustments. The LAO recommended approving the fee increases only on a three-year limited-term basis and asked for more detailed revenue plans for programs not covered by the proposal, so the Legislature can assess actual collections and market impacts before making the changes permanent.
NM

New Mexico 2025 Regular Session

IC - Legislative Health and Human Services Aug 19th, 2025

Legislative Health & Human Services Committee

Transcript Highlights:
  • That's not foster care anymore. That's congregate care under another name.
  • to foster care.
  • services, I would say...
  • care, and residential care.
  • Treatment foster care is for kids who require a higher level of care than traditional foster care but
CA
Transcript Highlights:
  • care services, increasing public awareness of the profession, and supporting the development and education
  • of respiratory care practitioners.
  • . ...remain current, and, most importantly, continue to protect patients receiving respiratory care services
  • care.
  • most CLHFs from the basic respiratory care tasks and services.
Keywords: 988, house, all
MN

Minnesota 2025-2026 Regular Session

House DFL Press Conference 5/6/25

Transcript Highlights:
  • It was an attack on our agencies that provide these services.
  • </c> chair makmud from the human services chair makmud from the human services committee.<00:05:01.520
  • <00:20:25.840><c> and</c><00:20:26.000><c> chair</c> services and chair services and chair schemacher
  • </c><00:21:21.679><c> that</c> protecting people and the services that protecting people and the services
  • care of<00:30:09.120><c> people.
Keywords: 1183, house
NH

New Hampshire 2025 Regular Session

House Session (01/09/2025)

New Hampshire House Floor Meeting

Transcript Highlights:
  • </c><00:53:49.200><c> to</c> children for your dedicated service to children for your dedicated service
  • </c> Jak I've spent my life in public service Jak I've spent my life in public service first<00:56:42.000
  • to our state. service can take on so many service can take on so many forms<00:57:05.240><c> and</c>
  • We all need to work together and take care of each other together.
  • We all need to work together and take care of each other together.
Keywords: 1189, house, all
MN
Transcript Highlights:
  • the core services to our citizens. citizens. citizens.
  • </c> sure that Minnesotans are taken care of. sure that Minnesotans are taken care of.
  • What's What services?
  • </c><00:09:12.440><c> What</c> services? What do you want to do?" What services?
  • </c><00:14:51.120><c> they</c> in their operation and services they in their operation and services they
Keywords: 1187, senate, all
Summary: Republican senators held a Tax Day press event focused on affordability, arguing that DFL control has led to overspending, higher taxes, and reduced competitiveness in Minnesota. They criticized recent state tax increases and proposed new taxes, including taxes on social media and advertising, extending sales tax to legal and accounting services, a higher income tax tier, a statewide property tax, and a housing-related sales tax amendment. They also contrasted Minnesota policy with federal tax relief, saying Minnesotans need spending restraint, fraud reduction, and a smaller, more efficient state government instead of additional revenue measures. Senator Dziedzic focused on transportation costs, especially high license tab fees, saying residents are overwhelmed by taxes and fees and that the state should fund roads and bridges with existing money rather than raising fees. He cited a House proposal to quintuple tab fees and said Minnesota’s vehicle ownership costs are far higher than neighboring states. Senator Kunesh focused on property taxes, saying homeownership is becoming unaffordable because of state spending and unfunded mandates passed on to local governments. He argued that Democrats’ 2023 spending drove up property taxes and warned that a proposed statewide property tax would worsen the housing crisis and hurt families, seniors, and first-time buyers. In response to questions, the senators said their caucus is open to companion bills and some targeted tax relief measures, including conformity with federal changes such as tax treatment of tips and overtime and Section 179 business provisions. They said they support transportation investment but want it funded through existing resources and better prioritization, not new taxes or fees. They also discussed possible bonding negotiations and said they are still evaluating proposals related to HCMC and a one-time property tax rebate, which they described as insufficient compared with the need for permanent relief. No votes or formal actions were taken.
MN

Minnesota 2025-2026 Regular Session

House Ways and Means Committee 3/2/26

Ways and Means

Transcript Highlights:
  • We see a positive shift in health care use from crisis to preventative care.
  • </c> are called continuums of care. are called continuums of care.
  • , getting people the services they need, which many of the continuums of care that we have in the state
  • , getting people the continuum of care, getting people the services<00:08:54.240><c> they</c><00:08:54.360
  • </c> these services. these services.
Bills: HF3425
WA

Washington 2025-2026 Regular Session

House Health Care & Wellness Feb 10th, 2026 at 08:30 am

Health Care & Wellness

Transcript Highlights:
  • Engrossed Senate Bill 5142 relates to Medicaid network adequacy requirements for post-acute care services
  • Specifically, the bill directs the Health Care Authority to adopt network adequacy standards for nursing
  • care local to an enrollee's community, providing availability in a regional service area, timeliness
  • Thank you. network adequacy requirements for post-acute care services.
  • care local to an enrollee's community, providing availability in a regional service area, timeliness
Keywords: 904, all
VT

Vermont 2025-2026 Regular Session

House Session - 2026-05-26 - 4:20PM

Vermont House Floor Meeting

Transcript Highlights:
  • </c><00:12:41.839><c> made</c> a website or online service made a website or online service made available
  • Additionally, the Attorney General's office is explicitly directed to provide guidance along the way.
  • Additionally, the Attorney General's office is explicitly directed to provide guidance along the way.
  • is explicitly directed to provide guidance<00:21:11.400><c> along</c><00:21:11.640><c> the</c><00:21
  • ,</c> where a Vermonter goes for health care, where a Vermonter goes for health care, what<00:21:30.600
Keywords: 926, house, all
WA

Washington 2025-2026 Regular Session

Senate Transportation Mar 2nd, 2026

Transcript Highlights:
  • I wonder why we care about Yakima, Senator King.
  • We're one of six regions within the state, the largest land area that we take care of.
  • I don't know if the county says they don't care about their liability.
  • I don't know if the county says they don't care about their liability.
  • Finally, it directs passenger-only service districts to add a surcharge to fares for the Department of
Summary: The Senate Transportation Committee held a work session on two major corridor projects before moving to public hearing and executive session. In the Yakima area, WSDOT, Yakima County, and Ecology described the Interstate 82/east-west connector work as a coordinated effort to add capacity, improve interchanges, and address the Boise Cascade mill site contamination that sits in the project footprint. County and Ecology witnesses said the county is ready to remove wood waste and contaminated material, but the project is stalled pending a draft work plan and a de minimis consent decree; several senators pressed for faster action and clearer direction from Ecology. The committee then heard an update on the SR 3 Belfair freight corridor, where WSDOT said environmental review is complete and the next major step is an access hearing this summer, followed by right-of-way acquisition and construction likely in late 2027 or early 2028. Local and tribal partners emphasized the project’s importance for freight mobility, housing growth, emergency access, and regional economic development. The public hearing was on engrossed substitute House Bill 2711, a transportation resources bill that largely tracks provisions from prior legislation but also adds or changes several tax and account provisions. Staff explained that the bill clarifies fuel tax and peer-to-peer tax distributions, treats trade-in value differently for recreational vessel and luxury vehicle taxes, provides a six-month motor home exemption and penalty waiver for the luxury vehicle tax, allows lease payments to be made over time, exempts tribal members and nonresidents, creates a Preserve Washington account, changes some transfer timing, and repeals the luxury aircraft tax. Testimony was mixed: aviation groups supported repealing the luxury aircraft tax; trucking and some citizens opposed fuel tax and diesel tax increases; Sound Transit, transit advocates, labor, and ferry interests asked for amendments such as 75-year bonding authority, mobile driver’s licenses, ferry funding, and bike education funding. Alaska Airlines and Delta also supported adding mobile ID language. In executive session, the committee advanced several bills, including SHB 1823, SHB 2114, E2SHB 2251, SHB 2323, SHB 2410, EHB 2588, 2SHB 1923, and HB 2495, all with due pass recommendations after adopting amendments where applicable. The committee adopted a striking amendment to E2SHB 2251 adjusting Climate Commitment Act account distributions and a striking amendment to EHB 2588 limiting the ferry district changes to Whatcom County and removing the voter-approval tax provision. It also adopted an amendment to 2SHB 1923 that added further conditions for passenger-only ferry districts, including whale-protection and fare-related provisions. Senator King voted no on E2SHB 2251, objecting that the bill reduced the transportation share of Climate Commitment Act revenues. The chair announced one more executive action meeting would be held Wednesday morning, with amendment requests due the prior day.
ND

North Dakota 2025-2026 Regular Session

Senate Appropriations - Human Resources Division Apr 3rd, 2025 at 09:00 am

Appropriations - Human Resources Division

Transcript Highlights:
  • Is there a need for some complex patients to receive kind of an additional care coordination service
  • more than personal care service,' or vice versa, right?
  • ... ...services to the DD population and long-term care are the three major ones and others.
  • counties, we are able to have the care coordination provider be the same as a service delivery provider
  • Basic care?
Keywords: 908, all
Summary: The Senate Appropriations HR Division met with all members present to review the medical services portion of the HHS budget. Sarah Aker, Executive Director of Medical Services, walked the committee through several budget items, including HCBS cost-to-continue adjustments, the DD bed assessment, expansion of value-based purchasing, targeted rate increases for home health and QSP services, and the cross-disability waiver. Members generally supported the targeted increases for home health and QSP, and Aker explained that the cross-disability waiver funding would support startup work, service design, and infrastructure ahead of a planned July 1, 2028 implementation. The committee spent significant time on rate-setting and provider payment issues. Members discussed ambulance rate rebasing, with several senators expressing concern that the proposed increase was too high relative to peer states; the committee ultimately moved toward reducing that item to $1 million rather than zero so it could be revisited in conference committee. They also discussed a House-added critical access hospital networking grant and similarly leaned toward reducing it to $1 million. Aker explained the department’s value-based purchasing plans, including use of a vendor selected through RFP, and clarified how the department’s existing Medicaid managed care and hospital value-based programs work. A major portion of the meeting focused on long-term care and basic care payments, including a House-added extension of the $5 per day basic care add-on and a proposed shift in nursing facility incentive grants toward a withhold-based model. Senator Mathern indicated he would bring an amendment to delay or modify the withhold change, and Aker said the department would prefer language that directly addresses whether a withhold may be implemented. Members also discussed 1915(i) services, FMAP changes, the Medicaid legacy system modernization carryover, and a House-added legislative intent section on medical assistance. The committee adjourned for the morning with plans to return later to continue Human Services budget work and revisit unresolved items in conference committee.
WY

Wyoming 2026 Regular Session

Joint Appropriations Committee, April 30, 2026 - AM

Appropriations

Transcript Highlights:
  • They care.
  • care especially.
  • service?
  • That that service must provide service.
  • </c> And so our service is really twofold. And so our service is really twofold.
Keywords: 916, all
TX
Transcript Highlights:
  • The area there, and we provide water service and wastewater service to multiple pieces of property that
  • Social services, and their families have more.
  • The service provided special districts rely on property tax revenue to service debt issued to finance
  • infrastructure and provide service. ...such as water utility service or emergency services within the
  • We provide critical utility infrastructure and services for our constituents, and the cost of services
MO

Missouri 2026 Regular Session

2026 Legislative Session - Day Forty Nine - Thursday, April 9

Missouri House Floor Meeting

Transcript Highlights:
  • I think it's a step in the right direction.
  • I think it's a step in the right direction.
  • It directs the Department of Social Services to pursue a waiver.
  • It does not deny care in crisis situations.
  • So they're already servicing me. They upgrade their equipment servicing me.
Keywords: 959, house, all
CA

California 2025-2026 Regular Session

Senate Public Safety Committee Mar 17th, 2026

Public Safety

Transcript Highlights:
  • Harms to the direct users include hypoxic brain injuries.
  • The harms are not limited to the direct users.
  • We're also the nation's largest comprehensive service provider to survivors of human trafficking.
  • We're also the nation's largest comprehensive service provider to survivors of human trafficking.
  • One, thank you for your point, Chair, there about the wraparound services.
Keywords: 987, senate, all
FL

Florida 2026 Regular Session

Appropriations Committee on Agriculture, Environment, and General Government Feb 5th, 2025

Appropriations Committee on Agriculture, Environment, and General Government

Transcript Highlights:
  • See if I go the right direction on this. Look at that.
  • Operations and maintenance: somebody has to take care of these facilities.
  • Thirty-six thousand annual service calls.
  • And they do janitorial service, lawn care services.
  • Again, it's the care and feeding of the buildings.
Summary: The committee heard three informational presentations. First, Lieutenant Rob Rowe of the Florida Fish and Wildlife Conservation Commission discussed derelict vessel removal, explaining the legal definition of derelict and at-risk vessels, the causes of vessel abandonment, and the impact of recent hurricanes on the number of cases. He said FWC has nearly 1,000 active derelict vessel cases, with 576 ready for removal, and described the agency’s use of ARPA funds, grants to local governments, contractor lists, and the V-TIP vessel turn-in program to speed removals and prevent vessels from becoming derelict. Senators asked about how to expedite removals, insurance coverage, due process timelines, and storage challenges; Rowe said the 21-day process is constrained by constitutional due process and that more staffing and prevention funding would help. Next, Stephen Fielder of the Department of Financial Services presented on the My Safe Florida Home program, which provides grants for homeowners to harden homes before storms. He reviewed program eligibility, grant types, reimbursement averages, and performance data, and said the program has received $633 million in appropriations overall. He noted that the program is outsourced to private vendors, has low administrative overhead, and has processed large numbers of inspections and reimbursements. Senators questioned contractor requirements, permits, overhead costs, and whether the program should be brought in-house; Fielder said permits are required before reimbursement, contractor licensing is verified, and the department is considering several administrative clarifications, including townhome roof work, inspection expiration, and whether grants should be limited per person or per home. A retired educator also testified in support of more assistance for homeowners facing insurance problems. Finally, Tom Berger of the Department of Management Services outlined the Florida Facilities Pool and the state’s real estate development and management work. He described the bonded facility program, the state’s 112 managed facilities, lease administration, parking contracts, maintenance operations, and more than $1 billion in active construction projects. He highlighted major projects such as the Emergency Operations Center, Capitol complex upgrades, a new visitor screening center, and facilities for other agencies including veterans’ services, juvenile justice, and the courts. Senators asked about lease terms, appropriation language, vacancy in leased space, and whether the state uses a uniform lease form; Berger said the lease document is standardized and that agencies determine their space needs. The meeting ended with no further business and adjournment by motion.
MN
Transcript Highlights:
  • So there are services.
  • </c> use that service. use that service. &gt;&gt; Mr.<00:13:24.240><c> Kerser,</c> &gt;&gt; Mr.
  • </c> which people get medical care. which people get medical care.
  • </c> medical services recently. medical services recently.
  • </c> hear um is the direct opposite of thing. hear um is the direct opposite of thing.
Keywords: 919, house, all
Summary: The Legislative Audit Commission Evaluation Subcommittee met on October 6, 2025, to choose additional program evaluation topics for the Office of the Legislative Auditor. Deputy Legislative Auditor Jody Mson Rodriguez explained that the commission had previously selected seven topics from an initial list of 11, with background papers already prepared on five of those items, and that the subcommittee was now being asked to select five more topics for background papers before narrowing the full set to four recommendations later in the fall or early spring. Members discussed several possible topics, especially emergency medical services, non-emergency medical transportation, MinnesotaCare eligibility, child care assistance, medical assistance fraud prevention, and U.S. Bank Stadium. David Kersner of OLA said emergency medical services and non-emergency medical transportation are distinct programs, and noted the EMS topic was evaluated in 2022 while non-emergency medical transportation had not been reviewed since 2011. Auditor Judy Randall said MinnesotaCare eligibility, child care assistance, and medical assistance fraud prevention are better suited to OLA’s financial audit division or special review unit rather than program evaluation, and that financial audits and special reviews do not require Legislative Audit Commission nomination. On process, Mson Rodriguez said the subcommittee had already met its minimum required selections under the commission’s policy and was free to choose additional topics. The discussion also covered whether to broaden the stadium topic beyond U.S. Bank Stadium; staff said the U.S. Bank financing structure alone would be a major undertaking, but they could help craft a future topic focused on maintenance across multiple facilities. No final vote or motion was taken in the portion of the meeting provided, and the chair indicated the committee would continue nominations and discussion.
CA

California 2025-2026 Regular Session

Senate Transportation Committee Apr 14th, 2026

Transportation

Transcript Highlights:
  • These services include Metrolink, Coaster, Caltrain, SMART, and ACE.
  • These regional services are also locally managed.
  • However, these services include more frequent train stops than intercity rail services, and they're funded
  • These strategies include service with a one-seat ride, single integrated timetable listing all services
  • through service with a one-seat ride, single integrated timetable listing all services, ticket cross-honoring
Summary: The Senate Transportation Committee heard several bills on transportation, privacy, enforcement, and high-speed rail, with most measures discussed under a quorum and then formally voted on later. SB 953 by Senator Nilo would add two DMV points for misdemeanor vehicular manslaughter cases that are dismissed through diversion; the author, a victim’s mother, and CHP representatives argued it would help identify high-risk drivers, while no opposition witnesses appeared. SB 1292 by Senator Richardson, as amended, would let certain cities use stationary cameras or sensors to enforce curb and loading-zone rules, with human review of citations; supporters said it would improve compliance and safety, while a privacy group remained cautious but said the amendments improved the bill. SB 1228 by Senator Rubio would create a permanent compliance path for a small number of existing redevelopment-era LED messaging signs; supporters said it preserves local revenue and avoids fines, while billboard industry opponents warned about federal compliance and highway funding risk. SB 1013 by Senator Cervantes would tighten ALPR privacy rules through DOJ audits, employee training, hot-list limits, and a 30-day retention cap; privacy advocates supported it as a needed safeguard, while law enforcement groups opposed the retention limit and query restrictions as too restrictive. SB 1218 by Senator Arreguín would block DMV registration renewal for vehicles with unpaid illegal dumping fines, modeled on parking citation enforcement; Oakland officials and local government groups strongly supported it as an accountability tool, and the bill drew no opposition in the room. SB 1136 by Senator Blakespear would require intercity and regional rail operators to better coordinate service, fares, and trip planning for large events; transit and rail advocates supported it, while some agencies were neutral or “work with author” pending further changes. SB 1425, the chair’s bill, would create a permitting process for encroachments in the high-speed rail right-of-way; supporters said it would streamline construction and protect the project, while utilities and the City of Burbank raised concerns about reciprocity, enforcement, and local infrastructure impacts. SB 1411 by Senator Stern would expand high-speed rail authority to pursue public-private partnerships and early works, removing a project cap; supporters said it could leverage private capital and save costs, while local agencies from Merced expressed concerns but noted amendments addressed some issues. After roll calls, SB 1013 failed to advance on a 4-1 vote and remained on call, while the consent calendar and the other bills moved forward on unanimous or near-unanimous committee votes and remained on call pending final action.
US

US Federal 2025-2026 Regular Session

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

US Federal House Floor Meeting

Transcript Highlights:
  • Nonetheless, like gods in our lives, our desires have Become more directive and your direction less desirable
  • Service in the great Commonwealth of Puerto Rico. Thank you, Mr. Speaker.
  • His milestone life included service in this House from 1979 to 1993.
  • I just said, 47% of U.S. health care was related to obesity.
  • the price of health care?