Video & Transcript : 'direct care' :
Page 316 of 500
CA
California 2025-2026 Regular Session
Senate Local Government Committee Apr 22nd, 2026
Local Government
Transcript Highlights:
- And the other part is, and I think you took care of this in some of the amendments, which I was glad
- And we're not asking for them to make a direct commitment in the bill, right?
- Direct commitments or mandates?
- We want to make sure that the care that's provided in the centers is the best care possible.
- I don't care what the dispute is; the trash gets picked up.
TX
Transcript Highlights:
- It is an irreplaceable link. ...the chain of indigent medical care in the city of Houston.
- It presents a clear and direct danger to the patients receiving care within that hospital.
- This bill is not just a direct answer to a serious problem that my community faces.
- Which would be a treatment care facility.
- Initial treatment, initial entry, and then transfer to higher care after stabilization.
Keywords:
concrete crushing, hospital proximity, environmental regulation, public health, zoning laws, SB 2203, Texas Commission on Environmental Quality, TCEQ, State Office of Administrative Hearings, SOAH, contested case, administrative law judge, ALJ, discovery, scope of discovery, certification, administrative procedure, permit dispute, agency rules, Government Code
ID
Transcript Highlights:
- , then, and these folks have to have care.
- of these people and be able to make sure that they need that level of care.
- Managed care is the law of the land.
- We have to take care of the problem.
- Because in the Rezhab area, there are three different levels of care, and the highest level of care is
Summary:
The House Health and Welfare Committee approved the February 2, 2026 minutes and then introduced RS 33180, the Idaho Prior Authorization Reform Act. Representative Josh Wheeler said the proposal would require insurers to disclose prior authorization rules and criteria, use standardized electronic processes, set decision timelines, ensure appeals are reviewed by appropriately licensed specialists, and protect patients from retroactive denials after approval. Members raised questions about whether the bill would increase administrative burden and whether its physician language could unintentionally exclude advanced practice providers; Wheeler said the intent was to ensure the right specialty reviews the request and that the language may need adjustment.
The committee then held an extended discussion on Health and Welfare budget options ahead of JFAC. Members floated a wide range of ideas, including reducing or trimming optional Medicaid services such as adult vision, hearing, chiropractic, and podiatry; using state reserves to soften cuts; tightening Medicaid expansion eligibility or repealing expansion; renegotiating contracts; and increasing audits and fraud, waste, and abuse reviews. Several members argued that cuts should not fall on disability, home- and community-based, or RESHAB services, while others said those programs should be reviewed for overutilization and more precise eligibility tools. There was also discussion of provider reimbursement rates, with some members opposing the 4% reduction and others saying it could be reduced if offset by smaller cuts elsewhere.
Members also debated department efficiency and administrative costs, including Medicaid re-evaluations, prior authorization processing, staffing levels, and the possibility of delaying or restructuring large contracts. Representative Kaler raised concerns about Youth Safety and Permanency, suggesting possible savings from repealing the extended foster care age increase, reducing full-time positions, and adjusting employee benefit costs. Representative Healy emphasized that therapy prior authorizations are common in private insurance and said the department should improve timeliness rather than eliminate the practice. The meeting ended with the chair saying Health and Welfare would present its budget the next day and that members could send additional ideas and numbers before then.
HI
Hawaii 2026 Regular Session
TRN Public Hearing - Tue Mar 31, 2026 @ 10:00 AM HST
Transcript Highlights:
- No, that's good to bridge taken care of.
- And then the DOT would take care of all...
- ><c> in</c><00:44:56.800><c> the</c> From my direct engagement in the From my direct engagement in the
- And so, if DOT is moving in this direction or can move in this direction, I think it could make a huge
- or can move in moving in this direction or can move in this<01:12:23.360><c> direction,</c><01:12:23.800
Summary:
The House Transportation Committee met on March 31 and heard a series of resolutions focused on roadway safety, transportation access, and infrastructure coordination. Early measures included HCR 104/HR 96 on advancing coastal trails on O‘ahu’s North Shore and HCR 63/HR 57 on clarifying responsibility for Honouliuli Bridge and addressing safety, wildfire, and emergency access concerns. The Department of Transportation supported both, and a resident testified that the Honouliuli bridge is a single-lane emergency replacement on state land that has limited access for fire protection, heavy vehicles, permits, and repairs. DOT said it was working with DLNR and that jurisdiction may ultimately lie with the County of Maui, with research ongoing. The committee also heard HCR 62/HR 56 on alternative vegetation management along Hana Highway, HCR 43/HR 39 on raised crosswalks near Ala Wai Elementary, and HCR 52/HR 48 on integrating the safe system approach into county road design; these drew support testimony and no opposition.
The committee then considered HCR 120/HR 112 on regulating transportation network companies under motor carrier law. DOT and the Public Utilities Commission offered comments, while Lyft opposed, arguing the legislature already created a TNC-specific framework in 2022 and that motor carrier law is not a good fit for app-based ride platforms. In questioning, PUC explained that TNCs would fall under both PUC motor carrier jurisdiction and DOT permitting, and DOT said it would follow up on enforcement questions. Members also discussed HCR 119/HR 111 on an indirect traffic disruption grant program, with the chair asking DOT to clarify how it enforces penalties when contractors or others fail to follow road closure requirements.
Other measures discussed included HCR 96/HR 88 on moving to a demerit-point driver licensing system, which DOT supported; HCR 128/HR 120 on coordinating capital improvement planning for Hawaiian Home Lands developments, which DOT and DHHL supported; HCR 127/HR 119 on a state highway police force, which DOT supported; and HCR 125/HR 117 on a statewide plan for derelict utility poles and lines, which drew support from DOT, Hawaiian Electric, and Hawaiian Telcom, with DOT acknowledging it lacks current statutory authority to force immediate removal. The committee also heard HCR 58/HR 54 on school crosswalk safety for Mililani Elementary, HCR 55/HR 51 on using artificial intelligence to mitigate traffic and improve road safety, and HCR 54/HR 146 on expanding the Hele-On Shared Ride program on Hawai‘i Island. Supporters of the Hele-On measure said expanded service would help rural residents, kupuna, and people with disabilities reach medical appointments and daily activities, while noting cost and technology-access concerns; they said missed or delayed appointments are a real issue in remote areas. The final item discussed in the excerpt was HCR 64/HR 58 on minimizing rumble strip dimensions on Kūhiō Highway on Moloka‘i, with DOT saying it had already removed some strips where large emergency vehicles were affected on narrow curves.
CO
Colorado 2026 Regular Session
Colorado Senate 2026 Legislative Day 037 Feb 20th, 2026
Colorado Senate Floor Meeting
Transcript Highlights:
- maternal health care.
- There's a direct relationship to not reimbursing at an appropriate level to health care services closing
- </c> are not getting care. are not getting care.
- </c> They are not getting care. They are not getting care.
- A direct relationship. our state. A direct relationship.
MN
Transcript Highlights:
- long-term care uh to quality of care in long-term care settings settings settings uh<00:01:08.640><c
- </c> rather than delivering care rather than delivering care um<00:01:22.720><c> drives</c><00:01:23.320
- </c><00:02:13.760><c> about,</c> that we love and care about, that we love and care about, uh,<00:02:
- </c><00:07:17.919><c> care</c><00:07:18.160><c> of</c> funds received on the direct care of funds received
- on the direct care of residents,<00:07:18.960><c> that</c><00:07:19.160><c> there</c><00:07:19.919><
CA
Transcript Highlights:
- AB 2233 addresses a narrow but important gap in our health care system, ensuring that when care is authorized
- AB 2233 addresses a narrow but important gap in our health care system, ensuring that when care is authorized
- Even after the doctor, bridge, right care, and health care plan authorizes, families often cannot fully
- Families are not declining care.
- From a clinical perspective, what matters is the total amount of care over time.
HI
Hawaii 2026 Regular Session
ECD Public Hearing - Fri Mar 20, 2026 @ 9:30 AM HST
Economic Development & Technology
Transcript Highlights:
- </c> it such a positive direction. it such a positive direction.
- It sounds like not the best direction.
- No, that's not hoc and and no direction. No, that's not the<00:36:04.560><c> case.
- And it's an important step in the right direction.
- </c><00:44:39.160><c> That's</c><00:44:39.480><c> how</c> person they're caring for.
Bills:
SB2580, SB2578, SB2259, SB3084, SB2816, SB2928, SB2075, SB3322, SB2377, SB2436, SB2835, SB3248
Keywords:
SB2580, Hawaii film tax credit, motion picture tax credit, digital media credit, film production incentive, income tax credit, general excise tax exemption, DBEDT, DOTAX, local hires, local workforce, film industry, movie production, television production, streaming platform, streaming series, loan-out companies, motion picture project employer, qualified production, qualified production costs
Summary:
The committee opened by reviewing hearing procedures and then took up SB 2580, which concerns Hawaii’s film production tax credit and related incentives. Testimony was strongly supportive overall, with witnesses saying the measure would help attract productions, extend the sunset date, include streaming platforms, and strengthen the state’s competitiveness. Several supporters asked for cleanup language on grant administration, tax credit management, local-hire uplifts, and limits on third-party audit requirements for smaller productions. The state film office said the bill was generally strong but suggested clarifying language and noted that DBEDT and DOTAX already provide oversight of the current credit. No vote was taken in the transcript, but the bill drew broad support with a few comments and one opposition noted later in the hearing.
The committee then heard SB 2578 SD1, a measure to create a film commission and related grant structure. Testifiers said the proposal would formalize industry input, improve accountability, and help the state compete globally, but they also raised concerns about how a new grant program would interact with the existing tax credit system. The film office said the grant program and tax credit should be separated operationally, that the advisory structure should include industry voices and possibly union representation, and that county film commissioner language may need technical adjustment. A testifier also suggested a Hawaii film museum and related tourism opportunities. The measure was described as having 42 supporters, one opposition, and five comments, with no final action shown.
The committee next considered SB 2259, a dementia training measure. Supporters, including the bill’s drafter and the Alzheimer’s Association, described personal caregiving experiences and said free dementia training could help workers and families. Suggested amendments focused on clarifying the relationship between EOA and DBED and allowing retraining every two years because of workforce turnover. DBED said the bill is worthwhile but is not really an economic development initiative, and it should align with existing dementia programs and be easy for businesses to use, preferably online. The committee then moved to SB 3084 SD1, which HTDC said would expand its R&D matching program beyond SBIR to other federal research grants because of uncertainty at the federal level; the transcript ends as testimony begins, with no vote or final action recorded.
FL
Florida 2026 Regular Session
FL House Floor Session - 2026-02-26 (9:00AM Session)
Florida House Floor Meeting
Transcript Highlights:
- The Related to connective tissue repair, wound care, or pain management.
- You have the courage to challenge and the compassion to care.
- And I don't care who you are, that's a big deal. I'm proud of that. I love you.
- , child care, and food insecurity.
- This is a very strong step in the right direction of regulating data centers.
NM
Transcript Highlights:
- If you have a hospital that's providing reckless care or bad care, that's not going to impact their revenue
- So there's not a market check on bad care or reckless care.
- Point me in the right direction.
- You'd be careful about that.
- You'd be careful about that.
Keywords:
sexual crimes, statute of limitations, criminal justice, victim rights, child abuse, procurement, contracting, small business, local government, disaster recovery, emergency procurement, certification, public spending, juvenile justice, delinquency, rehabilitation, community corrections, risk assessment, public safety, health regulations
TX
Transcript Highlights:
- We also manage two health care programs, the first being TRS Care, which is for our retirees.
- I just want to ask about TRS Active Care to clarify a couple of things.
- Contribution for TRS care active care.
- Now usually most home rule cities can try to take care of their communities on their own.
- And so through the direction of. leadership of this committee.
Keywords:
infrastructure, water supply, flood mitigation, Texas Water Fund, community projects, funding allocations
Summary:
During this committee meeting, the focus was on discussing critical infrastructure funding, especially related to water supply and flood mitigation projects. Chairwoman Stepney and the Water Development Board presented extensive details regarding the Texas Water Fund, which included $1 billion appropriated to assist various financial programs and tackle pressing water and wastewater issues. Additionally, funding allocations aimed at compromising the state's flood risk and improving water conservation were hotly debated, emphasizing collaboration among committee members and the necessity of addressing community needs in such projects.
AZ
Arizona 2026 Regular Session
01/28/2026 - House Federalism, Military Affairs & Elections
House Federalism, Military Affairs & Elections Committee of Reference
Transcript Highlights:
- This should be taken care of by the state. They're your soldiers. You should take care of them.
- They need health care.
- We have to really be careful in how we're exploring. Right?
- Powell, I personally, I don't care. I don't care. I don't care.
- I don't care about that data faster.
Summary:
The committee first heard House Bill 2348, which would appropriate state funds for Arizona Department of Emergency and Military Affairs training-center needs, including Wi-Fi for reserve units at joint facilities, a reimbursement program for service members using personal computers, lodging and kind for drill weekends, and HVAC upgrades and maintenance. Two amendments were considered: the Marquez Amendment, which filled in dollar amounts for each purpose, failed; and the Gillette Amendment, which added national-security restrictions on networking equipment, removed the reimbursement and lodging provisions from the underlying bill, and adjusted the funding language, passed. The sponsor and several military witnesses testified that reserve and Guard members at places like Buckeye lack Wi-Fi, adequate HVAC, and lodging, forcing soldiers to use public libraries, personal devices, or sleep in cars or on armory floors. After debate over whether the state should fund needs tied to federal reserve units and how the money would be sourced, the committee recommended HB 2348 as amended by a 4-3 vote.
The committee then took up House Concurrent Resolution 2016, a ballot referral that would cap precinct size at 2,500 registered voters and eliminate county authority to use vote centers, emergency voting centers, and certain on-site early voting options. The sponsor said the measure was intended to restore precinct-based voting and reflect voter preference, noting the change from an earlier 1,000-voter cap to 2,500 after feedback from county officials. County and advocacy witnesses opposed the resolution, arguing that vote centers provide flexibility, are often more cost-effective, and are necessary in rural counties and large counties like Maricopa; they also said precinct voting would require many more locations, staff, and equipment, and could force some counties into central-count tabulation. Supporters argued precinct voting improves voter confidence and access. The committee approved HCR 2016 for the ballot by a 4-3 vote.
Finally, the committee heard House Bill 2165, which exempts veterans from Arizona State Parks admission fees, and adopted the Marquez Amendment to extend the exemption to active military, National Guard, and reserve members and to broaden acceptable identification. Arizona State Parks testified in a neutral position, saying the agency is self-funded through user fees and already offers discounts to active duty, veterans, and disabled veterans, but warned that expanding free admission could affect park revenue and rural economies. The bill discussion ended with the amendment adopted and the measure moving forward.
WA
Washington 2025-2026 Regular Session
Senate State Government, Tribal Affairs & Elections Feb 16th, 2026 at 08:30 am
State Government, Tribal Affairs & Elections
Transcript Highlights:
- Hilltop was a community that faced real economic challenges, but it was also a place where neighbors cared
- I have worked alongside public servants and agencies across this state, people who care deeply about
- That would effectively water down our community's direct voice to the legislature.
- That would effectively water down our community's direct voice to the legislature.
- I'm the founder and health care administrator and lab director of Children's Nursing Services.
Keywords:
state employment, classified service, civil service, job qualifications, degree requirements, postgraduate degree, master's degree, doctorate, higher education, Office of Financial Management, OFM, classification plan, salary survey, market rate pay, compensation, workforce diversity, hiring reform, employment eligibility, work authorization, DACA
MN
Minnesota 2025-2026 Regular Session
House public safety committee debate on HF16 - Pt. 2 3/12/25
Transcript Highlights:
- </c> whole host of people who provided care whole host of people who provided care to<00:05:22.319><c
- </c><00:05:28.919><c> provided</c> such a shortage of that care provided such a shortage of that care
- </c> immigrants who are doing our elder care immigrants who are doing our elder care right<00:06:36.240
- </c><00:07:30.919><c> or</c> you know Medicare or Minnesota care or you know Medicare or Minnesota care
- </c> adjudicated because people really cared adjudicated because people really cared about<00:37:02.040
Summary:
The committee heard extended debate on a bill requiring cooperation with ICE and reporting related to undocumented people in certain criminal contexts. Representative Rymer argued the measure was meant to align with federal priorities focused on violent offenders and to ensure local governments respond to federal inquiries, not proactively target immigrants. He also said the bill was intended to address serious crimes and protect victims, citing examples of violent offenders and trafficking-related cases.
Several members raised concerns that the bill’s language was broader than described and could affect family court matters, health care, elder care, and routine interactions with government agencies. Testifiers and members warned it could be used as leverage against undocumented people in custody, child support, domestic violence, and labor exploitation situations, and could discourage people from reporting crimes or seeking help. The sheriff’s association and county attorneys’ association letters were cited as raising due process, equal protection, civil rights, and public safety concerns.
The discussion also focused on the bill’s definitions and mechanics, especially whether section three would require reporting after arrests that do not lead to charges and how county attorneys would know when to report. Representative Pinto pressed on the bill’s reference to “violent crime” and whether drug possession could be swept in, while Rymer argued the bill was narrower than critics suggested. No vote or final action was taken in the portion provided; the exchange remained at the discussion and questioning stage.
FL
Transcript Highlights:
- We know that Senator Trumbull cares deeply about beaches in Florida, as I know all of you do.
- And so as we move forward, and hopefully in the right direction, we would hope that we could get some
- I don't know whether that's good policy or not, but I like the direction it's going in.
- It's a small amendment that could save lives if we care about protecting families and prevent...
- If we care about protecting families and preventing unnecessary tragedy, this is where we start.
Summary:
The Finance and Tax Committee met and first heard SB 674, which would allow county property appraisers, like tax collectors already can, to budget for and pay hiring or retention bonuses if approved in their Department of Revenue budget. Support came from property appraiser representatives, who said the bill would help them compete for specialized staff without requiring new funding. The bill was reported favorably.
The committee then considered SJR 318, a proposed constitutional amendment on tangible personal property used on agricultural land, along with an amendment clarifying the exemption’s scope and allowing the Legislature to set conditions by general law. Farm Bureau and the Florida Chamber supported the measure, and the committee adopted the amendment and reported the joint resolution favorably. Members also took up CS for SB 1664, which would require voter reapproval of local discretionary taxes when they expire; an amendment changed the bill to require expiration dates and tied reapproval to tax expiration rather than a fixed eight-year cycle. Local government and tourism groups raised concerns about impacts on tourist development taxes, transportation surtaxes, beaches funding, and long-term financing, while supporters argued voters should periodically affirm local taxes. The committee adopted the amendment and reported the bill favorably.
Next, the committee considered SJR 1510 and its implementing bill SB 1512, both dealing with a homestead-style property tax benefit for certain long-term leased residential properties. After multiple amendments narrowed the proposal substantially, limiting it to one qualifying property and then to single-family homes, mobile homes, and condominium units, counties and cities still opposed the measures as a tax shift to other taxpayers. The sponsor said the changes reduced the scope and fiscal impact, and both measures were reported favorably.
Finally, the committee heard SPB 7034, the Senate tax package, which includes permanent sales tax exemptions, multiple tax holidays, motor vehicle fee reductions, a property tax study, rural investment tax credits, a freeze on local communications services tax rates, and other tax changes, with an estimated $2.1 billion revenue reduction. Testimony was mixed: property appraisers supported the property tax study, while many public commenters opposed the firearm and ammunition tax holiday and urged inclusion of gun safes and locks instead. County, city, tourism, and lodging representatives raised concerns about tourist development tax limits and other local revenue impacts, while supporters emphasized tax relief and the study’s value. After debate, the committee adopted a motion to submit SPB 7034 as a committee bill and reported it favorably.
MO
Missouri 2026 Regular Session
2026 Legislative Session - Day Seventy One - Friday, May 15 - Morning Session
Missouri House Floor Meeting
Transcript Highlights:
- Thanks for taking care of me in my absence.
- With that, I'm happy to answer any questions or direct you to the bill's sponsors.
- Members of the Missouri House, please direct your attention to the dais.
- We're taxing people out of their homes, but yet nobody cares.
- Nobody cares that their neighbors down the road are getting taxed out of their house.
CA
California 2025-2026 Regular Session
Assembly Budget Subcommittee No. 3 on Education Finance Apr 2nd, 2025
Transcript Highlights:
- Those institutions are now to the point where they are starting to remove teaching faculty and direct
- Those institutions are now to the point where they are starting to remove teaching faculty and direct
- admissions program, now the largest direct admission program in the nation.
- I'm presuming that you're directing that toward me at the Chancellor's Office.
- Campus by offering direct access to a civil rights attorney and specialist.
Summary:
The Assembly Budget Subcommittee on Education Finance met to review CSU and State Library budget issues, enrollment trends, the Capital Fellows program, and a Title IX update. Chair David Alvarez opened by stressing that CSU faces serious financial pressure, including a systemwide deficit and proposed cuts that he and several members said were too large and likely to harm access, course offerings, and student services. Public comment focused heavily on the Braille Institute Library, with patrons, staff, veterans, and advocates urging restoration of funding and warning that the proposed cut would severely affect blind and visually impaired Californians across Southern California. Several CSU faculty, staff, and union representatives also opposed the proposed reductions and warned of larger class sizes, fewer sections, and layoffs.
On the CSU core operations item, the Department of Finance explained the Governor’s proposal to reduce ongoing General Fund support by about $375 million and defer a 5% base increase, while the LAO said CSU core funding would be roughly flat once tuition and targeted augmentations were considered, but warned that rising costs and prior shortfalls would still force campuses to cut spending. CSU’s Chancellor’s Office said the proposed cut would deepen existing problems, citing prior-year budget gaps, job losses, reduced course sections, and student-service reductions. Members pressed Finance and the LAO on whether cuts could be made more surgically, especially at the Chancellor’s Office or in institutional support rather than in instruction, and the LAO said the Legislature has flexibility to target cuts more specifically. CSU also described ongoing consolidation efforts, including shared services among campuses and the planned Cal Maritime/Cal Poly San Luis Obispo integration, while cautioning that savings are not yet fully known.
The committee then discussed CSU enrollment. The LAO recommended holding enrollment targets flat because the budget does not add new funding, while CSU reported strong recent growth, including more California residents, record first-year enrollment, and expanded direct admissions and transfer pathways. Members questioned why some campuses with high demand turn away many applicants while others continue to lose enrollment, and CSU said it is shifting resources from campuses with sustained declines to those with demand, using a 10% below-target threshold. The committee also discussed whether enrollment declines mirror local population trends, how to improve marketing and program alignment, and whether lessons from Cal Poly Humboldt’s conversion could inform other campuses such as Sonoma State. The Capital Fellows item drew a Finance proposal for a salary increase and an LAO counterproposal for a smaller raise plus future COLA language; the committee kept the item open. Finally, CSU reported progress on Title IX compliance, saying it has completed most State Auditor recommendations, expanded civil rights staffing, and increased training, prevention, and case-management efforts, though members asked how proposed budget cuts might affect those services.
FL
Florida 2025 Regular Session
Appropriations Feb 12th, 2025
Transcript Highlights:
- Is it less or more who's desk directed to whoever can answer?
- And I hope you can find it in your hearts to take care of these kids. Thanks.
- Get free education and free health care. But none of the students.
- What is guidance and direction look like as it manifest itself to us.
- We should have sought that guidance and direction before.
ND
North Dakota 2025-2026 Regular Session
Judiciary Committee Jun 17th, 2026
Transcript Highlights:
- They can be a direct release to expiration. They can be a direct release probation. Sure. Okay.
- Presky... or foster care individuals.
- We have to be exceedingly careful when we talk about these things. Exceedingly careful.
- Ness said, there's also accountability and very clear direction for the judge, very clear direction for
- clear directions for the endgame.
Summary:
The committee opened with a moment of silence for a deceased member, then approved the April minutes and heard a presentation from HHS on the Diversion Task Force and related youth services grants. Chelsea Florey described the $750,000 one-time appropriation from HB 1012, the five awarded grants, and how programs in Bismarck, Fargo, Grand Forks, and Minot are using the funds for youth diversion, including school-based groups, physical activity, and services for problematic sexual behavior. Members raised concerns about staffing shortages, family engagement, service silos, and whether diversion eligibility rules are too rigid; Florey said the task force is focused on better coordination, broader education about available services, and possible changes to diversion criteria, with the Children’s Cabinet likely to drive broader recommendations.
The committee then received a North Dakota Lottery biennium report from Director Thomas Lawler, who reviewed the lottery’s history, games, retailer commissions, player programs, and revenue distribution. He reported about $67 million in ticket sales for the 2023-2025 biennium, about $16.2 million transferred overall, including roughly $13.6 million to the general fund, plus transfers to drug task force and compulsive gambling funds. Members asked about the compulsive gambling allocation and whether it is set by statute.
Next, the Department of Corrections presented on criminal justice data sharing and reentry. Adam Anderson explained that jails, courts, DOCR, HHS, and other entities use separate systems with limited interoperability, making real-time communication largely manual. He outlined possible hub or point-to-point IT solutions, but noted cost, vendor, identifier, and data-definition challenges. Robin Schmolenberger followed with an update on a Medicaid data exchange project between DOCR and HHS to suspend and reactivate inmate Medicaid coverage automatically and improve care coordination, with full bi-directional exchange expected in fall 2026. The committee also heard from county representatives on 24-7 sobriety program fees and an AG opinion allowing local sheriffs to use cheaper testing options when courts waive fees.
Finally, the North Dakota Racing Commission reviewed a troubling audit. Bruce Johnson acknowledged serious findings involving overspending from the promotion fund, missing grant documentation, a reversed decision on breeders fund eligibility, and repeated procurement violations. He said the commission has begun corrective actions, including monthly tracking of the promotion fund cap, stricter grant documentation, written procurement procedures, and clearer eligibility rules in condition books. Members pressed him on how the overspending occurred, whether the commission board would impose consequences, and whether statutory clarification is needed on the promotion fund limit and related spending rules.
FL
Florida 2026 Regular Session
FL House Floor Session - 2026-02-20 (9:00AM Session)
Florida House Floor Meeting
Transcript Highlights:
- Though you are high and lifted up, you care deeply about lowly mankind.
- they deserve, and ultimately ensuring delivery of care that benefits all Floridians.
- We are funding for $4 million for a new direct-buy program.
- President, if it's all right, in the health care silo for Chair Trumbull. Yes, sir. Go ahead.
- Senator Davis, we are just aligning the existing managed-care programs with the other managed-care programs