Video & Transcript : 'H.R. 6039' :

Page 31 of 72
US

US Federal 2025-2026 Regular Session

US House Floor Proceedings (Friday, January 16, 2026)

US Federal House Floor Meeting

Transcript Highlights:
  • .: That the Senate agrees to return the papers to the House at their request, H.R. 1834; that the Senate
  • pass without amendment H.R. 6938.
CO

Colorado 2026 Regular Session

Colorado House 2026 Legislative Day 030 Feb 13th, 2026

Colorado House Floor Meeting

Transcript Highlights:
  • And what we got was H.R. 1. We got cuts to health care, and we got cuts to SNAP.
  • And with the passage of H.R. 1, we can no longer do what we wanted to do to support caregivers.
  • And I'll digress just for a little bit to cover SNAP because that was also an impact of H.R. 1, where
  • I keep hearing H.R. 1. H.R. 1 is an address to that we have a $35 trillion debt.
  • What H.R. 1 did is it limited the spending on things with money that did not exist.
OR
Transcript Highlights:
  • program, one to check in on how things are going with the Rural Health Transformation Program as part of H.R
  • state of Oregon and what's going on with the marketplace in light of some things from last year in H.R
  • Check in on how things are going with the Rural Health Transformation Program as part of H.R. 1.
  • state of Oregon and what's going on with the marketplace in light of some things from last year in H.R
  • This is all pre-H.R. 1, sure. Yes. There are some people who... H.R. 1, sure. Yes.
Summary: The committee held an informational hearing focused first on Oregon Medicaid coordinated care organization (CCO) finances and rate setting. Oregon Health Authority staff explained how 2025 CCO financial results will inform 2027 capitation rates, including reserve requirements, subcapitation arrangements, and major cost drivers such as behavioral health, pharmacy, rural hospital costs, and dental directed payments. They said the Legislature’s added 2025 funding materially improved CCO margins and that, without it, the program would have been negative overall. Members asked about retained earnings, subcapitation, behavioral health utilization, ABA therapy, and whether outcomes are being evaluated; OHA said rate setting is actuarial and that CCOs, OHA, and other partners all play roles in monitoring efficacy and access. OHA also reviewed House Bill 4039 changes intended to increase transparency and give CCOs earlier access to rate information and reconciliation exhibits. CCO representatives then testified that the system is under significant financial pressure and that behavioral health state-directed payments, benefit changes, and federal uncertainty from H.R. 1 are reducing flexibility. CareOregon said it has lost more than $500 million over the last couple of years and is now making provider terminations and other network changes to align spending with available funding, while emphasizing that CCOs must make hard decisions about which services and providers can be sustained. Eastern Oregon CCO said rural and frontier factors, cost-based hospitals, air ambulance needs, and statewide efficiency adjustments are not fully reflected in rates, and that dental funding is especially strained. Trillium similarly warned that state-directed payments and benefit expansion pressures are constraining the global budget model and that H.R. 1 could worsen acuity and volatility. Members pressed the witnesses on who is responsible for evaluating treatment effectiveness, especially for ABA and psychotherapy, and on how utilization limits and reimbursement changes are being used to control costs. The committee then shifted to an overview of the Affordable Care Act and Oregon’s commercial insurance market. Department of Consumer and Business Services staff explained actuarial value, metal tiers, premium tax credits, medical loss ratio rules, and the main drivers of premium rates: cost trend, utilization trend, and administrative costs. They said mandates have likely added only a limited amount to premiums over the past decade, though the exact effect is difficult to isolate, and they gave examples of how high-cost, low-volume services versus broad, high-utilization services can affect rates differently. Staff also noted that Providence Health Plan and PacificSource Health Plans are withdrawing from the individual market, though consumers should still have at least three insurer options in every county and may have four in many counties. The division said it is in the middle of reviewing proposed 2027 rates and will continue its public rate review process, including hearings and written comment.
CA
Transcript Highlights:
  • For favor, no agraven the cruelty of H.R.1.
  • Please do not put H.R.1 in this state of California? Sorry. No in English, it's okay. Sorry.
  • For favor, no agraven the cruelty of H.R.1.
  • Please do not put H.R.1 in this state of California? Sorry. No in English, it's okay. Sorry.
  • Particularly with H.R. 1, working families are hurting while these exact companies achieve record profits
CA
Transcript Highlights:
  • For favor, no agraven the cruelty of H.R. 1.
  • Please do not put H.R. 1 in this state of California. Sorry. Really sorry.
  • For favor, no agraven the cruelty of H.R.1.
  • Please do not put H.R.1 in this state of California. Sorry. Really sorry.
  • Particularly with H.R. 1, working families are hurting while these exact companies achieve record profits
Summary: The joint informational hearing examined California’s taxation of multinational corporations, especially the state’s water’s-edge election versus worldwide combined reporting. The LAO and Franchise Tax Board explained the basic mechanics of unitary taxation, apportionment, and how water’s-edge generally excludes most foreign subsidiaries while worldwide reporting includes the full unitary group. FTB officials said water’s-edge filers are a small share of corporate filers but account for a large share of tax liability, and they described filing trends, industry mix, and the administrative steps needed to administer either system. Members and witnesses debated the policy trade-offs. Supporters of moving away from water’s-edge argued that it enables profit shifting, especially for large multinational and IP-heavy firms, and that eliminating it could raise significant revenue and improve fairness for smaller domestic businesses. They cited estimates of billions in potential revenue and said California already has the audit and reporting infrastructure to handle worldwide reporting, though some transition time would be needed. Opponents argued that worldwide reporting would tax foreign activity unrelated to California, create double taxation, increase compliance burdens and litigation, and could be difficult for foreign-based multinationals to document. They also warned that some of the revenue estimates are highly uncertain because foreign affiliate income is not directly observable. Committee members asked about foreign government pushback, the risk of companies leaving California, the effect on intellectual property shifting, and whether federal or Supreme Court action could block a change. Witnesses generally said major firms would be unlikely to leave because California taxes sales rather than physical presence, but some costs could be passed on to consumers. The panel also discussed alternatives such as conforming to federal international tax rules like NCTI/GILTI and adding anti-abuse rules. No vote or bill action was taken; the hearing was informational only.
NM

New Mexico 2025 Regular Session

IC - Federal Funding Stabilization Subcommittee Jul 1st, 2025

Federal Funding Stabilization Subcommittee

Transcript Highlights:
  • It's going to be impacted by H.R. 1, the one big beautiful bill, whether it's the House version, the
  • The timing of that was really important because a lot of the language in H.R. 1 could impact that depending
  • This is a program that does require annual approval by CMS, and some of the language that's in H.R. 1
  • You can't look at any one provision, and you can't look at just H.R. 1 as it came out of the House.
  • the implications that they're trying to achieve, trying to also negotiate and get into the statute of H.R
CA
Transcript Highlights:
  • There was a question specifically about the impact of H.R. 1 and how we're thinking about that, so OCA
  • H.R. 1 and how we're thinking about that.
  • So OCA has publicly discussed the impacts of H.R. 1 with the Health Care Affordability Board, which has
  • I appreciate the response and then H.R. 1, given that the board mentioned that they're not going to be
  • Transformation Program is the state’s implementation of a $50 billion national program authorized by H.R
Summary: The hearing began with testimony from Let California Kids Hear and supporters urging action on pediatric hearing aid coverage. Advocates said California has repeatedly failed to enact a workable solution over the past eight years and argued that children need early access to sound to support development. The proposal discussed would limit the coverage mandate to the large-group market, which advocates said would cover roughly 70% to 80% of affected children and avoid the exchange-related cost issue that contributed to prior vetoes. Supporters, including parents, audiologists, and children’s health groups, backed the proposal, and the chair expressed sympathy and support while noting hope for a federal solution for exchange plans. The Department of Finance then gave opening remarks about the state’s structural deficit and the need to balance new investments against projected out-year shortfalls. HCAI followed with a broad overview of its programs, including CalRx insulin and naloxone initiatives, reproductive health grants, the Office of Health Care Affordability, hospital seismic compliance, workforce programs, and the diaper access initiative. Members asked about geographic targeting of workforce funds, the behavioral health workforce pipeline, and the status of the 21st Century Nursing Initiative, which HCAI said had reverted funds. The committee also discussed a proposed transfer of the Data Exchange Framework and Office of the Patient Advocate to HCAI, new reporting on long-term care staffing and health coverage waiting periods, and a Behavioral Health Services Act workforce proposal that would use BHSA funds to support training, stipends, and technical assistance while offsetting $100 million in General Fund spending; members and LAO questioned the offset and asked for more detail, and the item was held open. HCAI also presented the Rural Health Transformation Program, explaining that California received $233.6 million in federal funds for the first year and had to revise its proposal so that $35 million in provider payments would be tied to specific transformative activities rather than general financial relief. The program will fund rural care model redesign, workforce development, and technology/infrastructure improvements, with grants to be rolled out on a tight timeline and subject to CMS approval. Members asked about the size of California’s award, the use of funds for maternity care, labor and delivery access, dialysis, tribal set-asides, and the role of a technical assistance contractor. The department said the program will use supply-and-demand workforce modeling to target funding and that all funds must be obligated by October 30. Finally, the Department of Managed Health Care outlined its budget and two major bill-related proposals: SB 41 on PBM reform and SB 306 on prior authorization transparency. DMHC said SB 41 would require PBM licensure, ban spread pricing, require rebate pass-through, and regulate pharmacy network practices, while SB 306 would require reporting on prior authorization and create a list of services exempt from prior authorization. DMHC requested additional positions and funding to implement both measures.
LA

Louisiana 2026 Regular Session

Natural Resources and Environment May 26th, 2026

Natural Resources & Environment

Transcript Highlights:
  • There is a motion by Vice Chair Ogeron to move favorable on H.R. 279. Is there objection?
  • We have 10 yeas and three nays, and we'll report H.R. 279 favorable.
  • H.R. 279? Ms. Stalder, could you read that in, please? Thank you, Mr. Chairman.
  • Okay, move favorable is the motion by Representative McHugh on H.R. 289.
  • Seeing no objection, H.R. 289 is reported favorable.
LA

Louisiana 2026 Regular Session

Senate May 21st, 2026

Louisiana Senate Floor Meeting

Transcript Highlights:
  • H.R. Senator Presley. Richard. Thank you. Thank you, Mr. Thank you, Mr. President, members.
  • H.R. has H.R. 1. No questions? And move final passage? Senator Preston, final passage.
  • All right, we have an H.R. Thank you. Okay, there you know.
  • So we're going to jump over to page six, take up H.R. 41, and then we're going to start on House Bills
Bills: SR134 , SR135 , SR136 , SR137 , SR140 , SR141 , SR142 , SCR75 , SCR77 , SCR12 , HB75 , HB1199 , HB221 , HCR89 , HCR96 , HCR103 , HCR108 , HCR58 , HB9 , HB177 , HB181 , HB198 , HB202 , HB223 , HB225 , HB387 , HB398 , HB457 , HB459 , HB540 , HB591 , HB616 , HB766 , HB775 , HB783 , HB797 , HB895 , HB906 , HB950 , HB975 , HB1028 , HB1052 , HB1057 , HB1076 , HB1100 , HB1139 , HB1155 , HB1160 , HB1182 , HB1186 , HB1220 , HB1222 , HB1223 , HB1224 , HB1228 , HB1231 , HB1245 , HB1256 , SCR3 , SB393 , SB401 , SB415 , SB426 , SB435 , SB487 , SB488 , SB523 , SB56 , SB163 , SB341 , SB504 , SB322 , SCR9 , SCR58 , SB35 , SB65 , SB215 , SB246 , SB249 , SB269 , SB282 , SB296 , SB323 , SB363 , SB369 , SB474 , SB490 , SB492 , SB500 , SB514 , HCR27 , HCR28 , HCR66 , HCR67 , HCR72 , HCR31 , HCR47 , HCR41 , HB363 , HB368 , HB377 , HB380 , HB386 , HB392 , HB431 , HB441 , HB559 , HB664 , HB685 , HB715 , HB741 , HB822 , HB856 , HB908 , HB980 , HB990 , HB999 , HB1010 , HB1243 , HB54 , HB137 , HB180 , HB192 , HB310 , HB321 , HB396 , HB512 , HB552 , HB578 , HB638 , HB663 , HB708 , HB717 , HB718 , HB1009 , HB1082 , HB1104 , HB1107 , HB1198 , HB1246 , HB27 , HB143 , HB205 , HB259 , HB267 , HB288 , HB308 , HB403 , HB405 , HB414 , HB417 , HB478 , HB546 , HB548 , HB555 , HB557 , HB609 , HB670 , HB672 , HB740 , HB779 , HB786 , HB796 , HB812 , HB848 , HB915 , HB917 , HB921 , HB930 , HB933 , HB1095 , HB1096 , HB1103 , HB1129 , HB1154 , HB1166 , HB1187 , HB1195 , HB1230 , HB316 , HB511 , HB799 , HB1039 , HB12 , HB66 , HB145 , HB167 , HB196 , HB213 , HB218 , HB222 , HB256 , HB291 , HB326 , HB352 , HB401 , HB430 , HB433 , HB434 , HB448 , HB456 , HB476 , HB481 , HB487 , HB492 , HB549 , HB579 , HB608 , HB621 , HB624 , HB626 , HB632 , HB637 , HB656 , HB722 , HB745 , HB804 , HB818 , HB821 , HB833 , HB864 , HB867 , HB874 , HB893 , HB909 , HB951 , HB968 , HB969 , HB978 , HB979 , HB988 , HB989 , HB1001 , HB1005 , HB1007 , HB1024 , HB1032 , HB1038 , HB1050 , HB1051 , HB1056 , HB1059 , HB1077 , HB1080 , HB1081 , HB1086 , HB1108 , HB1112 , HB1153 , HB1172 , HB1173 , HB1175 , HB1192 , HB1193 , HB1204 , HB1218 , HB1242 , HB1244 , HB1249 , HB1252 , HB1254 , HB17 , HB36 , HB41 , HB47 , HB73 , HB126 , HB133 , HB140 , HB159 , HB166 , HB211 , HB226 , HB271 , HB324 , HB337 , HB351 , HB399 , HB571 , HB712 , HB723 , HB726 , HB750 , HB759 , HB844 , HB966 , HB1006 , HB1018 , HB1036 , SB29 , SB42 , SB43 , SB78 , SB208 , SB217 , SB274 , SB300 , SB379 , SB382 , SB387 , SB441 , SB449 , HB74 , HB134 , HB258 , HB359 , HB468 , HB956 , HB1117 , SB149
CA

California 2025-2026 Regular Session

Senate Local Government Committee Apr 15th, 2026

Local Government

Transcript Highlights:
  • will lead to outpatient sites closing, including behavioral health services, because of the impacts of H.R
  • Moreover, to put this in context as well, because of the impacts of H.R. 1, the county... ...and moreover
  • , to put this in context as well, because of the impacts of H.R. 1, the county is stepping in.
  • Bates, the health care policy environment has become significantly more complex, with the passage of H.R
  • As the Senator mentioned, we looked at the stark realities of H.R. 1.
Summary: The committee heard a series of housing, local government, and governance bills, with most of the discussion focused on housing production, permitting, and local accountability. SB 1003, by Senator Grayson, would create an Infrastructure Partnership Financing Program to help local jurisdictions and developers jointly fund infill housing infrastructure; it drew support from housing advocates and senior housing groups, while Senator Seyarto questioned whether the state would actually fund another program. The bill was moved on a 3-1 vote and remained on call. SB 1014 would require local jurisdictions to provide good-faith estimates of on-site and off-site improvements within 30 business days of a preliminary application and limit later surprise requirements; Habitat for Humanity, SPUR, and other housing groups supported it, while the City of San Mateo and local government associations raised concerns about accuracy and timing. It passed 4-2 and remained on call. SB 1036, which would require credit under the Mitigation Fee Act for prior site uses when redeveloping a site, passed unanimously to the Senate floor. SB 1145 would streamline CEQA and federal reuse review for qualifying projects at the former Concord Naval Weapons Station; it drew broad labor and local support, but housing and legal advocates sought stronger affordability and enforceability provisions. The bill passed 6-0 to the Committee on Environmental Quality. The committee also considered SB 908, which would streamline permits for energy-code-compliant residential window replacements and limit local design restrictions and HOA barriers. Supporters said the bill would let homeowners and affordable housing providers reduce energy costs, while opponents argued it could override local design standards; it passed 3-1 and remained on call. SB 1172, the Local Tax Savings Act, would add guardrails and transparency to local tax-sharing and consultant agreements; it was supported by the City of Shafter and the League of California Cities and passed 4-0 to Revenue and Taxation, remaining on call. SB 1283 would expand ministerial approval for EV charging stations to include canopies and on-site energy storage systems and require local ordinance updates by 2027; EV industry groups supported it, while cities and counties warned about safety, liability, and local review. Members discussed battery storage safety and litigation concerns, and the bill passed 4-0 to Judiciary, remaining on call. The committee also heard SB 1379, which would separate the Riverside County Sheriff-Coroner offices and create an independent medical examiner in response to in-custody death concerns. Supporters cited high death rates, settlements, and the need for independent investigations, while the sheriff’s association and county representatives argued the change would be costly, duplicate services, and override local control. The bill passed 4-1 to Public Safety and remained on call. Finally, SB 1414 would create an independent redistricting commission for San Bernardino County; supporters said it would improve transparency and remove conflicts of interest, while the county opposed the estimated $2 million cost and noted its existing advisory commission. Members generally supported independent redistricting, and the bill was discussed but no final vote was recorded in the excerpt.
CA

California 2025-2026 Regular Session

Senate Local Government Committee Apr 15th, 2026

Transcript Highlights:
  • will lead to outpatient sites closing, including behavioral health services, because of the impacts of H.R
  • Moreover, to put this in context as well, because of the impacts of H.R. 1, the county... ...and moreover
  • , to put this in context as well, because of the impacts of H.R. 1, the county is stepping in.
  • Bates, the health care policy environment has become significantly more complex, with the passage of H.R
  • As the Senator mentioned, we looked at the stark realities of H.R. 1.
Summary: The committee heard a long agenda of housing, local government, and governance bills, beginning without a quorum and proceeding as a subcommittee until quorum was established. SB 1003, by Senator Grayson, would create an Infrastructure Partnership Financing Program to help local governments and developers fund infill housing infrastructure; supporters said infrastructure costs often prevent projects from penciling out, while a senator questioned whether the state would actually fund the new program. The bill passed the committee 3-1 on call. The committee also adopted a consent calendar covering SB 1169, SB 1086, SB 1126, and SB 1439-1442, also 3-1 on call. SB 1014 would require local jurisdictions to provide early good-faith estimates of on-site and off-site improvements and bar undisclosed later requirements; Habitat for Humanity, SPUR, and housing advocates supported the bill, while the City of San Mateo opposed the preliminary-application timing. Members raised questions about the 30-business-day deadline and coordination with other agencies. The bill passed 4-2 on call. SB 1036, which would require fee credits for prior site uses when redeveloping a site with similar prior uses, drew broad support and no opposition and passed 5-0 on call. SB 1145, a district bill for the Concord Naval Weapons Station reuse project, would streamline CEQA and federal base-closure review for qualifying projects; labor, the city, and county supported it, while housing legal advocates opposed unless amended over Surplus Land Act concerns. The bill passed 6-0 on call after discussion of affordability and enforceability amendments. The committee then heard SB 908, which would streamline permits for energy-code-compliant residential window replacements and limit city/HOA design restrictions; supporters said it would let homeowners and affordable housing providers lower energy costs, while local government groups opposed, citing local control and design standards. It passed 3-1 on call. SB 1172, the Local Tax Savings Act, would add guardrails and transparency to local tax-sharing consultant agreements; the City of Shafter and League of California Cities supported it, and it passed 4-0 on call. SB 1379 would separate the Riverside County Sheriff-Coroner offices and create an independent medical examiner; supporters cited in-custody death rates and public trust concerns, while the sheriff’s association and county representatives opposed on cost and local control grounds. The bill passed 4-1 on call. Finally, SB 1283 would expand streamlined permitting for EV charging stations to include canopies and on-site energy storage systems; EV industry supporters said the bill updates outdated rules, while cities and counties warned about safety review, liability, and litigation risk. Members discussed battery storage safety and local permitting authority, and the bill passed 4-0 on call. The committee also heard SB 1414, which would create an independent redistricting commission for San Bernardino County; supporters argued it would improve transparency and reduce political self-interest, while the county opposed due to its existing advisory commission and estimated implementation costs. The transcript cuts off during questioning on SB 1414, with no final vote shown.
LA

Louisiana 2026 Regular Session

Education Apr 14th, 2026

Education

Transcript Highlights:
  • Madam Chair, members, this is H.R. 17 by Representative Turner.
  • Madam Chair, members, this is H.R. 17 by Representative Turner.
  • Freiberg has made a motion to report H.R. 17 as amended. Committee, Rep.
  • Freiberg has made a motion to report H.R. 17 as amended. Would you like to close on your bill, Rep.
  • H.R. 17 will be reported with amendments. Thank you, committee. Thank you, Rep. Turner.
Committee: House Education
Summary: The committee heard several higher education and K-12 bills centered on TOPS, school accountability, and curriculum alignment. It first welcomed University of Louisiana at Lafayette’s new president, Ramesh Kuluru, who spoke about student success, workforce alignment, and the university’s financial recovery. The committee then adopted amendments and reported HR 17 favorably, directing a study of TOPS return on investment with the Board of Regents, Louisiana Works, LED, and the Blanco Public Policy Center. Testimony from business and policy groups supported the study as a way to assess whether state financial aid is producing workforce and retention outcomes. Members then considered HB 385 by Rep. Bamberg, which would require repayment of TOPS awards under certain circumstances when students lose eligibility, with exemptions for hardship and a pathway into LCTCS or career-technical programs. The bill drew strong debate over whether merit scholarships should ever be repaid; opponents argued TOPS is earned for the semester and should only be lost going forward, while supporters emphasized taxpayer accountability. After amendments, the committee narrowly approved the bill by roll call vote, with Chair Schlegel casting the deciding yes to report it favorably as amended. The committee also unanimously reported HB 1058 favorably, which requires the Board of Regents to maintain a uniform data system for state financial assistance; independent colleges and business groups supported the measure as a way to improve accountability and analysis. The committee next heard HB 406 by Speaker Pro Tem Johnson, which asks the Department of Education to study the feasibility of moving oversight of interscholastic athletics to a more accountable model after a legislative study found widespread complaints about the private LHSAA’s transparency and consistency. Supporters said the bill is a cautious step toward reform and a possible 2028–2029 transition, while an LHSAA representative defended current audits and governance and opposed the premise of the bill. Despite objections, the committee reported HB 406 favorably. It then heard HB 787 by Rep. McMakin, as substituted, which would exempt non-public high school students from the TOPS computer science requirement; BESE and the Department of Education opposed the bill, saying it would separate diploma and TOPS requirements and create scheduling confusion, while Catholic school representatives said the requirement conflicts with their theology curriculum. McMakin asked to defer the bill for two weeks. Finally, the committee unanimously reported HB 1059 favorably, which aligns TOPS math requirements with BESE’s integrated math pathways, and began hearing HB 1021 by Rep. Egan on repayment of certain TOPS awards, though the transcript cuts off before that bill was completed.
LA

Louisiana 2026 Regular Session

Education Apr 14th, 2026

Education

Transcript Highlights:
  • Madam Chair, members, this is H.R. 17 by Representative Turner.
  • Madam Chair, members, this is H.R. 17 by Representative Turner.
  • Freiberg has made a motion to report H.R. 17 as amended. Rep.
  • Freiberg has made a motion to report H.R. 17 as amended. Are there any objections? No objections.
  • H.R. 17 will be reported with amendments. Thank you, committee. Thank you, Rep. Turner.
Bills: HR17 , HB385 , HB406 , HB787 , HB1021 , HB1058 , HB1059
Committee: House Education
WA

Washington 2025-2026 Regular Session

House Health Care & Wellness Dec 5th, 2025 at 08:00 am

Health Care & Wellness

Transcript Highlights:
  • When the state cuts were put into place, we had no idea what H.R. 1 would be coming next and showing
  • So the next slide shows that some of the early Medicaid dates in H.R. 1 that we're tracking.
  • state is going to have to do a lot of work to get up to speed in terms of meeting these requirements of H.R
  • And H.R. 1 moves this to Medicare rates. And what's the problem with that?
  • making a number of major changes to the exchange marketplace based on federal changes, regulatory, H.R
Summary: The committee heard a JLARC audit presentation on the Department of Health’s oversight of hospital inspections, complaints, and hospital data reporting. JLARC said DOH was late on 72% of acute care hospital inspections as of December 2024, had not verified that third-party accrediting standards were substantially equivalent to state requirements, did not consistently collect proof of those inspections, and was not reviewing adverse health event corrective action plans as required. JLARC also said DOH’s complaint system may have language-access barriers and that hospital data posted online is difficult for the public to use. JLARC made five recommendations to DOH and one to the Legislature; DOH concurred with the recommendations. DOH then outlined a response plan and said it had already begun work on several items. Officials said they would develop staffing and performance plans for inspections, verify accrediting body standards and require proof of third-party inspections, expand complaint forms into additional languages, seek funding and legal updates for adverse event review, and improve public access to hospital data, including a possible dashboard. They said annual progress updates would be provided to the Legislature and noted some improvement in inspection timeliness, while also emphasizing staffing, funding, and pandemic-related backlogs as constraints. The committee also received a DOH presentation on certificate of need modernization. DOH described the current program as a tool to assess community need, financial feasibility, quality, and cost containment for certain facility expansions and new services, and recommended a phased modernization focused on clarifying statutory purpose, creating a planning entity, adding flexibility, reducing legal costs, modernizing access standards, expanding oversight to freestanding emergency departments and urgent care, addressing equity, improving cost control coordination, securing ongoing funding, and using new state data systems. Members asked about streamlining overlapping inspections and whether triggers could be used to target inspections more efficiently. A final panel discussed artificial intelligence in health care, with a Coalition for Health AI representative describing industry efforts to create standards for responsible AI, including principles of usefulness, fairness, safety, transparency, security, and privacy, plus tools such as model cards and quality-assurance frameworks. The committee then heard testimony on federal and state health care funding changes from the Washington State Hospital Association and Providence Swedish, which warned that state cuts, taxes, and federal HR1 changes would worsen already thin margins, lead to service reductions, layoffs, and delayed capital investments, and increase charity care and uncompensated care. The Washington Health Benefit Exchange also began a presentation on expiring federal ACA premium tax credits and the state’s Cascade Care Savings program, warning that coverage affordability for exchange customers could be affected if federal enhancements are not extended.
AZ
Transcript Highlights:
  • oversight to ensure that the state is eligible for the federal scholarship-granting organizations in H.R
  • In H.R. 1 that provides scholarships for private and public school students.
  • So this is the H.R. 1 voucher bill? Madam Chair, yes. Okay. All right, seeing no hands. Whip Cruz?
Summary: The committee heard a long list of Senate bills, mostly on consent, covering appropriations, public records, workers’ compensation, state hiring, burial costs, military flags in HOAs, court-ordered treatment, mental health service of process, medical examiner authority, tribal MOUs for DCS, controlled substances scheduling, EMT privacy, mammography notices, assisted living referral disclosures, accommodation school GED eligibility, released-time religious instruction, school board and charter governance issues, firearm safety instruction, student eligibility for extracurriculars after criminal convictions, Celebrate Freedom Week, tax-credit scholarship administration, CPA and insurance licensing pathways, immigration-related arrest notifications, defamation standards, peace officer certification for veterans, mandatory child abuse reporting, attorney licensing, business emergency-call penalties, unlawful occupant removals, attorney discipline costs, fentanyl sentencing thresholds, concealed weapons on campuses, firearm muffling devices, utility-worker assault penalties, water planning, environmental review for power plants and SMRs, groundwater recovery, voter registration rules, campaign address privacy, and federal land acquisition notifications. Several bills were pulled from consent for further discussion, including SB 1078, SB 1435, SB 1567, SB 1665, SB 1184, SB 1586, SB 1741, SB 1424, SB 1475, SB 1572, SB 1142, SB 1055, SB 1099, SB 1107, SB 1148, SB 1068, and SB 1069. Members raised concerns about constitutional issues, due process, school funding, public safety, and whether some proposals were unnecessary or duplicative. Supportive comments were also made on a few measures, such as expanded pathways for students in accommodation schools, child welfare coordination with tribes, and alternative certification or licensing pathways. The discussion included notable debate on SB 1166, which would allow some 11th graders and students over 16 in accommodation schools to receive GED preparation; members split between concerns about encouraging students to leave high school early and support for youth in detention, emancipation, or unstable situations. SB 1127 on mandatory reporting was clarified to require direct reporting of known abuse or neglect to DCS rather than delegation to another person. SB 1188 on controlled substances drew questions about how federal rescheduling would be mirrored in state law. The meeting ended with announcements and an “Affordability Award” recognizing Rep. Stahl Hamilton, followed by a request for guests to leave for a closed caucus.
CA
Transcript Highlights:
  • H.R. 1, which was passed, includes major reductions to programs such as Medi-Cal, which millions of Californians
  • Similarly, H.R. 1 will cut funding for the Supplemental Nutrition Assistance Program, which one in seven
Summary: The Senate Labor and Public Employment Committee held an oversight hearing on federal policy impacts on California’s labor market. The chair and members framed the hearing around weak job growth, inflation, affordability pressures, federal cuts to safety-net programs, tariffs, and immigration enforcement, arguing these policies are harming workers, employers, and communities. The committee heard from economists, researchers, worker representatives, and employers about labor-market conditions and the effects of federal actions on employment, wages, and business stability. UC Berkeley economist Enrique Lopez Lira described a sluggish labor market, with job growth near zero since early 2023, low-wage work affecting about 35% of California workers, and housing and child care costs outpacing wages. He said federal cuts to Medi-Cal and SNAP/CalFresh and increased immigration enforcement would worsen insecurity, especially in health care, retail, leisure, hospitality, agriculture, construction, and care work. Committee members asked about recession indicators, sector-specific layoffs, and the role of unions, and Lopez Lira said worker organizing offered some hope. A second panel focused on immigration enforcement. UC Merced’s Edward Orozco Flores said private-sector employment in targeted states fell during escalated enforcement periods and that California’s 2025 declines were unprecedented in the historical record. LAEDC’s Shannon Sedgwick said undocumented workers are deeply embedded in Los Angeles County’s economy, supporting more than a million jobs and substantial economic activity, and that intensified enforcement hurt businesses, transit ridership, and consumer activity; she also cited major losses from a temporary downtown curfew. Members asked about tax revenue, small-business impacts, recovery, and preparedness, and witnesses pointed to local resiliency funds, business toolkits, and worker resource guides. Worker testimony highlighted direct impacts in car washes, health care, higher education, and federal employment. Clean Car Wash Worker Center director Flore Melendres said more than 100 car washes had been targeted, hundreds of workers detained, and many businesses disrupted or closed. California Nurses Association president Michelle Gutierrez-Vos warned that federal health cuts and immigration enforcement were threatening hospital services, staffing, and patient safety, and urged support for CalCare and a moratorium on hospital closures. UAW 4811 president Rafael Jaime said federal research cuts were already reducing UC postdoctoral employment and threatening California’s research economy, while AFGE representatives described shutdown-related unpaid work, staffing losses, and the strain on TSA and other federal workers. The committee also heard from employers later in the hearing, but the transcript provided ends as the retailers’ representative begins her remarks.
US

US Federal 2025-2026 Regular Session

US House Floor Proceedings (Thursday, January 16, 2025)

US Federal House Floor Meeting

Transcript Highlights:
  • I rise in support of H.R. 30, the Preventing Violence Against Women by Illegal Aliens Act.
  • H.R. 30 does nothing to advance these solutions.
  • H.R. 30 doesn't strengthen the protection of survivors; it weaponizes them.
  • H.R. 30 doesn't do this work.
  • I hope that my colleagues on the other side of the aisle will join us in supporting H.R. 30.
Bills: HR30
KY
Transcript Highlights:
  • Earlier this year, Congress passed H.R. 1.
  • So these are the two big cost-sharing pieces that H.R. 1 represents with SNAP.
  • H.R. 1 changes it to 18 to 64 years old.
  • H.R. 1 has moved it down to 14.
  • So, we're broadening work requirements across the board in H.R. 1.
Summary: The committee first approved the minutes from its September 24 meeting after a motion and second. It then heard a presentation from New Mexico Early Childhood Education and Care Secretary Elizabeth Gragensky on that state’s early childhood system and planned universal child care rollout. She described how New Mexico consolidated multiple prenatal-to-age-five programs into a cabinet-level department, expanded pre-K to a longer day, and uses a cost model to set reimbursement rates intended to cover true provider costs, including wages, benefits, occupancy, food, and reserves. She also said the state created an Early Childhood Trust Fund and secured a constitutional amendment to dedicate 0.60% of the land grant permanent fund to early care and education, with the department’s budget growing from about $400 million in 2021 to just under $1 billion this year. Gragensky said families can begin applying for universal child care on November 1, with participation voluntary for both families and providers. She reported that New Mexico is aiming to expand capacity by adding 1,000 registered home providers, 120 group homes, and about 55 more centers, supported in part by a $13 million low-interest loan fund and a request for an additional $20 million. She said the state has seen growth in early childhood professionals, including a 64% increase over the last three to four years, and pointed to reported outcomes such as a 21% increase in literacy and a 75% kindergarten readiness rate, while noting that some measures are new and baseline comparisons are still being developed. Members asked about the funding sources, provider profitability, workforce development, and measurable outcomes. Gragensky said the program is designed to support provider sustainability through rates tied to true cost and includes allowances for sick leave, vacation, benefits, and reserves. She also said maternal labor force participation is 10% higher than the national rate and attributed that in part to child care access. The committee then moved to a separate presentation by Department for Community Based Services Commissioner Lisa Dennis and Division of Family Support Director Roger McCann on anticipated cuts to TANF and SNAP, beginning with an overview of TANF as a federal block grant with a fixed annual Kentucky allocation of about $180.7 million.
US

US Federal 2025-2026 Regular Session

US House Floor Proceedings (Friday, February 7, 2025)

US Federal House Floor Meeting

Transcript Highlights:
  • I rise today in support of H.R. 26, the Protecting American Energy Production Act.
  • Today I rise in strong opposition to H.R. 26.
  • I am proud to support H.R. 26, the Protecting American Energy Production Act.
  • I urge my colleagues to join me in supporting H.R. 26, and I thank Mr.
  • I urge my colleagues to join me in supporting H.R. 26, and I thank Mr.
Bills: HR26
AZ

Arizona 2026 Regular Session

02/11/2026 - House Floor Session

Arizona House Floor Meeting

Transcript Highlights:
  • So thanks to H.R. 1, the big horrible bill, we're in this predicament.
  • This is just an amendment referred by JLBC to mirror the exemptions in H.R. 1 over in Washington, so
  • Members, quarterly determinations would require a federal waiver, as it would go beyond the H.R. 1 requirements
  • DES has to pay the contracted business that is running them money, and this bill, like H.R. 1, is adding