Video & Transcript : 'Arizona Long Term Care System' :
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MN
Minnesota 2025-2026 Regular Session
Fraud Committee Meeting - 2025-07-08
Fraud Prevention and State Agency Oversight Policy
Transcript Highlights:
- systems.
- system.
- Care provided to its people, and that is probably the largest driver in terms of per capita spending
- With downtime, it is a system that the state should have invested in upgrading a long time ago.
- With what the Association of Minnesota Counties and MAXA has told us in terms of our other aging systems
NM
New Mexico 2025 Regular Session
IC - New Mexico Finance Authority Oversight Jun 2nd, 2025
New Mexico Finance Authority Oversight Committee
Transcript Highlights:
- , long term, uh, period.
- it takes a really long time.
- It overextending when you're a public body and not able to take on the project long term is not in anyone's
- for our long-term success for us to be able to keep up, because our folks have been with us for a long
- I don't care who you are.
MO
Missouri 2026 Regular Session
Judiciary Mar 25th, 2026
Judiciary and Civil and Criminal Jurisprudence
Transcript Highlights:
- Gaps as far as the EMS system is concerned? Yep.
- Gaps as far as the EMS system is concerned? Yep.
- Do you believe the current MOU system as it exists interrupts the delivery of care to certain areas?
- I know they worked long and hard.
- It's designed for the long term, but it's also designed to bring balance, just like the business community
Summary:
The committee first heard testimony on Senate Bill 975, which dealt with ambulance district mergers and community paramedic/mobile integrated health services. Supporters said the merger provisions would help rural districts combine resources, reduce costs, and improve patient care, while community paramedic programs have been effective in reducing emergency room use and supporting early hospital discharges. An EMS chief described situations where neighboring services cooperated and one where a service refused access to community paramedic care, arguing the bill should address those jurisdictional barriers. Opposition from the Missouri State Council of Firefighters focused on concerns about the Senate-added jurisdictional language, saying they did not oppose the underlying bill but wanted the jurisdictional issues resolved so services could continue in rural areas. No vote was taken, and testimony on SB 975 was closed.
The committee then took up House Bill 3496, which updates county official salary schedules and assessed valuation ranges. Representative Reedy said the bill is intended to modernize salary minimums that have not been changed in about 45 years while preserving local control through county salary commissions, which can set pay below the maximum based on what each county can afford. Missouri Association of Counties staff testified in support, explaining that a task force spent about two years developing the proposal and that the updated schedule and growth factor were designed to reflect current county economics and avoid abrupt salary jumps. Committee members asked about alternative training options, coordination with other salary legislation, and whether the bill could create public misunderstandings about pay increases. A county commissioner also testified in support. The hearing closed without any vote or other action.
NH
New Hampshire 2026 Regular Session
House Children and Family Law (03/24/2026)
Children and Family Law
Transcript Highlights:
- I I we last year for a long long time.
- long stretches of time and putting him in danger. had to quit her job to provide his care had to quit
- , resulting in long-term care savings for the state.
- <02:31:44.479><c> resulting</c><02:31:44.880><c> in</c><02:31:45.120><c> the</c><02:31:45.280><c> long-term
- </c><02:31:45.600><c> care</c> care resulting in the long-term care care resulting in the long-term care
Committee:
House Children and Family Law
CA
Transcript Highlights:
- It's a system issue. Care Court does not fix that. SB 28 does not fix that.
- care leads to better engagement and long-term outcomes.
- term.
- And right now, our system has gaps that leave those children exposed and families without care.
- Health care providers operate within an increasingly complex claims system.
Committee:
House Health
CA
Transcript Highlights:
- We're very pro-tech as long as it doesn't take away from my patient care.
- Trauma can lead to long-term harm and cycles of continued violence.
- Research has shown that timely access to mental health care protects against those long-term consequences
- Trauma can lead to long-term harm and cycles of continued violence.
- Research has shown that timely access to mental health care protects against those long-term consequences
Committee:
Senate Health
AR
Arkansas 2026 1st Special Session
ALC-HOSPITAL, MEDICAID, & DEVELOPMENTAL DISABILITIES STUDY SUBCOMMITTEE Jun 15th, 2026
ALC-HOSPITAL, MEDICAID, & DEVELOPMENTAL DISABILITIES STUDY SUBCOMMITTEE
Transcript Highlights:
- I think the term was it was really scattered across... ...workforce, I think the term was it was really
- Once you get past transportation and health care, there's a vast drop-off in terms of the next level
- Once you get past transportation and health care, there's a vast drop-off in terms of the next level
- You can't say that WIOA programs are a system. That's not a public workforce system.
- It impacts our home group, our kids A, our kids B, everything basically but long-term care, SSI, and
Summary:
The meeting focused on Arkansas’s workforce development reorganization and a set of federal waiver requests intended to consolidate and streamline the state’s WIOA system. Commerce officials said the department has already centralized shared services, split the old workforce agency into reemployment and Arkansas Workforce Connections, and submitted a combined WIOA/Perkins state plan. They described nine waiver requests, including replacing local workforce boards with a single statewide board, creating one planning and accountability structure, allowing more flexible movement of funds across regions, easing the “last-dollar” requirement for training and supportive services, reducing required youth program elements, and allowing affiliate sites instead of mandatory comprehensive centers. Officials said the goal is to reduce administrative costs and redirect more money to training, supportive services, and employer-driven programs.
Legislators raised concerns about rural representation, local employer relationships, and whether local offices would close. Commerce officials said local offices would remain open, some current staff could be rehired, and regional business councils would preserve local employer input. They said the current system is fragmented and expensive, with roughly $14 million in federal workforce funds flowing through local boards but only about $1.9 million spent on training and supportive services last year; they argued the reorganization could raise training spending to about $6 million to $7 million annually. Questions also addressed board composition, performance accountability, and how funds could be shifted between regions when needs change. The State Board of Workforce Development had approved the waiver package 11-3 before it was submitted to the U.S. Department of Labor.
Members also discussed workforce access for people with disabilities, child care and transportation supports, and the role of Arkansas Launch, apprenticeships, and career and technical education. Officials said vocational rehabilitation now has better access to the state job board and that referrals and data-sharing with DHS and other partners still need improvement. Several legislators emphasized the need for training to align more closely with employer demand, especially in manufacturing, technology, health care, and rural areas. The committee also heard a brief overview of Workforce Pell, with staff explaining that the new federal short-term Pell option has narrow eligibility rules and may not fit many existing programs, including some CDL and CNA programs.
FL
Transcript Highlights:
- and the long term.
- and the long term.
- They also can look at the long-term effects of graduate-level education.
- The long-term effects of graduate-level education, and they also can look at average student debt.
- We have many internships for students if they cannot do long-term internships.
Committee:
Senate Education Postsecondary
Summary:
The Committee on Education Postsecondary held an informational hearing focused on how Florida’s public colleges and universities are aligning bachelor’s degree programs with workforce needs and improving student outcomes. Chancellor Kathy Hebda described Florida College System enrollment growth, the state college system’s workforce-oriented bachelor’s degrees, approval and accountability processes for those programs, and outcomes data showing strong completion and wage results, especially in health care. Emily Sykes of the Board of Governors outlined the State University System’s program review practices, performance-based funding metrics, strategic emphasis programs, and the MyFloridaFuture tool that lets students compare earnings, debt, and employment outcomes by major and institution.
University and college leaders then described campus-level workforce initiatives. Florida Gulf Coast University highlighted employer-driven microcredentials, digital badges, internships, career fairs, service learning, and partnerships with regional employers. UCF discussed its career navigator requirements, major industry partnerships such as Lockheed Martin, nursing and faculty career-integration efforts, and a centralized career development center. Northwest Florida State College and the University of West Florida emphasized their bachelor’s programs, transfer pathways, teacher and nursing outcomes, military and defense-related workforce pipelines, cybersecurity training, and stackable credentials tied to regional labor needs.
During member questions, senators asked how microcredentials and military experience translate into college credit, whether credentials transfer across institutions, and what legislators can do to help. Witnesses said the state’s common course and articulation systems already support transfer, and they encouraged continued legislative support for innovation, faster curriculum alignment, internships, and specialized transfer degrees. No bills were voted on, and the meeting ended with no public comment and an adjournment motion adopted.
CA
California 2025-2026 Regular Session
Senate Governmental Organization Committee Mar 24th, 2026
Governmental Organization
Transcript Highlights:
- existing compact to preserve the status quo while Urock and the state engage in negotiations for a long-term
- Of automated decision systems within state government.
- And so, good bill, right approach, long overdue in terms of the overall framing.
- Well, I could not agree more in terms of the...
- these systems should be implemented. ...for how long these systems should be implemented, but they're
Committee:
Senate Governmental Organization
FL
Florida 2025 Regular Session
November 18, 2025 - 10:30 AM
Transcript Highlights:
- I have a question around kind of building off of representative grows hypothetical and long-term value
- I mean it. >> Yeah, I got to be careful because all these things for a long time.
- Agencies have to move systems to the cloud. We know which systems are to be moved.
- system, not procurement.
- But their long-term goal was way bigger.
MN
Minnesota 2025-2026 Regular Session
House Higher Education Finance and Policy Committee 3/27/25
Higher Education Finance and Policy
Transcript Highlights:
- The vast majority have entered long-term primary care practice.
- The vast majority have entered long-term primary care practice.
- > these</c> long-term primary care practice these long-term primary care practice these residents<00:
- The vast majority have entered long-term primary care practice.
- The vast majority have entered long-term primary care practice.
Committee:
House Higher Education Finance and Policy
MN
Minnesota 2025-2026 Regular Session
House Housing Finance and Policy Committee 4/1/25
Housing Finance and Policy
Transcript Highlights:
- This is not just an investment in affordable housing; it's an investment in long-term stability for our
- stability for our communities long-term stability for our communities ensuring<00:03:59.280><c> that
- When residents can purchase their manufactured home parks as cooperatives, they gain long-term control
- When residents can purchase their manufactured home parks as cooperatives, they gain long-term control
- </c><00:59:18.799><c> benefits</c> today will provide long-term benefits today will provide long-term
Bills:
HF1143 , HF1548 , HF1340 , HF2549 , HF2559 , HF1673 , HF2740 , HF2507 , HF2461 , HF2381 , HF2695
Committee:
House Housing Finance and Policy
Keywords:
education funding, unemployment aid, special education, Minnesota statutes, appropriations, housing, redevelopment, local government, trust funds, community development, HF1340, housing infrastructure bonds, Minnesota Housing Finance Agency, MHFA, affordable housing, supportive housing, permanent housing, adaptive reuse, area median income, AMI
FL
Florida 2025 Regular Session
Criminal Justice Jan 14th, 2025
Transcript Highlights:
- IMPLEMENTED A SYSTEM THAT HAS BEEN SUCCESSFUL IN INDIVIDUAL PRISONS FOR A LONG TIME.
- HAVE TO PROVE YOU ARE DESERVING TO GO TO A PLACE LIKE THAT SO NO CLOSE MANAGEMENT TIME WHERE THAT'S LONG-TERM
- A COUNTERBALANCE IS WHAT WE REFER TO AS ADMINISTRATIVE MANAGEMENT UNITS, THAT IS SHORT OF LONG-TERM AGGREGATION
- BUT THAT'S THE MOST DANGEROUS INMATES IN FLORIDA IN AN OPEN POPULATION SETTING AND SOME ESPECIALLY LONG-TERM
- BE A REENTRY CENTER AND IT'S NOT GOOD TO HOUSE INDIVIDUALS IN THEIR HOMETOWN OR NEAR THEIR HOMETOWN LONG-TERM
CA
California 2025-2026 Regular Session
Assembly Privacy and Consumer Protection Committee Apr 16th, 2026
Transcript Highlights:
- developed the executive functioning skills necessary for impulse control, emotional regulation, and long-term
- developed the executive functioning skills necessary for impulse control, for emotional regulation, and long-term
- We are trading the long-term health of California's cultural economy for a one-time middleman profit.
- Immigrants become reluctant to engage with systems for essential care.
- It's a long day.
Summary:
The committee heard AB 1988, which would require AI companion chatbots to respond to credible self-harm or violence-related crisis expressions by displaying the 988 Suicide and Crisis Lifeline, warning users, and pausing the chat for human review after repeated crisis signals. The author and supporters said the bill is a measured safety standard to redirect vulnerable users to human help, citing research and cases where chatbots worsened suicidal ideation or violent behavior. Support came from crisis and medical advocates, while no opposition testimony was offered. The chair and members expressed strong support, and the bill was held pending quorum before later action on the agenda.
The committee then took up AB 1709, which would set a minimum age of 16 for users to create or maintain accounts on social media platforms with harmful addictive features and would create an E-Safety Advisory Commission in the Attorney General’s office. The author argued the bill targets product design, not speech, and is intended to curb compulsive features such as infinite scroll, autoplay, and algorithmic feeds while allowing safer or non-addictive platforms to remain available. Supporters, including a psychologist and the Organization for Social Media Safety, described cyberbullying, predation, compulsive use, and mental health harms; opponents, including EFF, ACLU-Cal Action, TechNet, and youth advocacy groups, warned about privacy, First Amendment, and access-to-community concerns, especially for LGBTQ youth and other marginalized groups.
Committee members debated whether the bill is a ban or a delay, how age assurance would work, and whether the proposal would be effective or could push youth to less safe spaces. Several members said they would support the bill as a first step, while others raised concerns about enforceability, privacy, and constitutional issues. The author emphasized that the bill is limited to specific harmful design features, not content or general internet access, and that the new commission would monitor evolving technology and recommend future updates. No final vote was taken during the portion of the hearing provided.
CA
California 2025-2026 Regular Session
Senate Business, Professions and Economic Development Committee Jun 15th, 2026
Transcript Highlights:
- without state intervention, these veterans face real risks of unemployment, housing instability, and long-term
- ensure that those who serve our country are not pushed into unemployment, housing instability, or long-term
- system.
- And I want to make sure that we have the protections in there so that you're not locked into a long-term
- , otherwise known as CAPS systems. ...secondhand dealer systems, otherwise known as CAPS systems.
Summary:
The committee heard a series of bills on access to care, professional licensing, and consumer protection, beginning as a subcommittee because quorum was initially lacking. AB 1307 would create a pilot program allowing up to 30 qualified dentists from Mexico to work in underserved California areas for up to three years; the author and sponsor framed it as a cost-neutral way to address dental shortages, the California Dental Association moved from opposition to neutral after amendments, and members expressed support. AB 1703 would restrict use of osteopathic titles and osteopathic manipulative treatment to licensed DOs; supporters said it would prevent patient confusion and unlicensed practice, while non-physician osteopaths argued it would criminalize a long-standing, safe practice and reduce access. Members raised concerns about consumer clarity and access, and the author said she would continue working with opponents. AB 2250 made technical cleanup changes to last year’s hemp enforcement law, with support from the cannabis industry and no opposition. AB 1758 would raise the annual seller-of-travel assessment for the Travel Consumer Restitution Fund from $35 to $60, and AB 1794 would allow prescribed enteral nutrition formulas to be drop-shipped directly to patients’ homes with pharmacist oversight; both drew support and no opposition. AB 1775 would expand state licensing priority and related support for veterans discharged because of a federal transgender military policy, with emotional testimony from a transgender Army captain and support from equality and women’s organizations. AB 1939 would allow licensed professional fiduciaries to form corporations, and AB 2477 would create a limited provisional period for new pest control employees to work under supervision while licensing is pending; both were supported, though AB 2477 drew questions about supervision and committee amendments. AB 1999 would address veterinary workforce shortages by creating retired volunteer status, a shelter-veterinarian pathway, changes to VCPR rules, and narrowing the owner exemption to exclude surgical procedures; supporters cited animal welfare concerns, while some opponents warned about overreach. AB 2010 would permit high-quality, high-volume spay/neuter clinics in nontraditional settings to expand access, but the Veterinary Medical Board and some advocates opposed it unless amended over safety and clarity concerns. AB 2311 would let public health care district hospitals directly employ physicians, with supporters saying it would improve recruitment and access and opponents warning about erosion of physician autonomy; the author said the bill included safeguards, a sunset, and reporting requirements, and continued negotiations were ongoing. After quorum was established, the committee took roll-call votes and advanced the bills, generally on party-line or broad bipartisan votes, with several measures placed on call and others sent to Appropriations, Judiciary, Revenue and Taxation, Military and Veterans Affairs, or other committees as noted.
FL
Florida 2025 Regular Session
October 8, 2025 - 01:00 PM
Transcript Highlights:
- SOME SYSTEMS HAVE BEEN UPDATED.
- COVERAGE FOR LONG-TERM ELECTROCARDIOGRAMS. NO FEDERAL AUTHORITY CHANGES ARE NEEDED.
- ANOTHER THING WE'RE WORKING ON IS FOR YOU ALL WHO WORK IN THE LONG-TERM CARE SENIOR SPACE THERE'S FLORIDA
- TELL YOU FROM MY YEARS IN THE SENIOR LONG-TERM CARE COMMUNITY AND MY EXPERIENCE WITH SENIOR AND LONG-TERM
- MY EXPERIENCE IS YOU HAVE A COMPANY THAT'S SELECTED FOR THE PILOT AT MY EXPERIENCE FROM THE LONG-TERM
WA
Washington 2025-2026 Regular Session
Senate Housing Jan 23rd, 2026
Transcript Highlights:
- In Washington State, we have seniors living in long-term care like senior living facilities, skilled
- They also have access to a long-term care ombuds through federal law.
- That long-term care ombuds serves as an advocate, a resource, someone that can come and actually look
- And later on, the long-term care ombuds actually was able to send a letter, cite them, and they were
- They're living in a home and they have no access to the long-term care ombuds or any ombuds.
Summary:
The Senate Housing Committee heard public testimony on several bills. SB 6091 would prohibit real estate brokers from marketing residential properties to limited or exclusive groups unless the listing is also marketed to the general public and all brokers, with exceptions for health or safety and private party sales. The sponsor and supporters, including Washington Realtors, Habitat for Humanity, Zillow, the Fair Housing Center, and others, said the bill promotes transparency, competition, and fair housing by preventing “pocket listings” and insider access. Opponents, including Compass representatives and some brokers, argued it would limit homeowner autonomy, harm privacy-sensitive sellers such as seniors, and create legal risk for brokers; the Attorney General’s office said it supported the competitive goal but wanted a different enforcement mechanism than WLAD. The committee later closed testimony on SB 6091 without taking final action in the hearing.
The committee also heard SB 6200, which would allow tenants and residents in manufactured home communities to install portable cooling devices, subject to safety, code, and electrical restrictions, and would require landlords to notify tenants of their rights and limitations. The prime sponsor and many public health, tenant, and climate advocates said the bill is needed to prevent heat-related illness and death during extreme heat events, especially for renters in older or low-income housing who lack built-in cooling. Landlord and property management groups supported the idea of portable floor units but raised concerns about window-mounted devices, citing fall hazards, property damage, and insurance issues. Testimony emphasized that the bill includes liability protections for landlords and is intended as a narrow public health measure.
The committee then heard SB 6096, which would require cities and towns collecting water and sewer connection charges to offer a deferred payment option for qualifying residential construction until final inspection or certificate of occupancy. The sponsor and builders’ groups said deferral would reduce upfront financing costs and help housing production. Cities and utility districts opposed the bill, arguing it shifts financial risk to utilities and ratepayers, complicates infrastructure planning, and could delay or reduce needed system investments. Finally, the committee heard SB 6153, which would create a senior independent housing ombuds program, require registration of senior independent housing facilities, and make certain landlord-tenant violations subject to Consumer Protection Act enforcement. The sponsor said the bill responds to complaints from seniors in independent living settings who lack an ombuds or other practical recourse, while staff noted the bill carries an estimated $4.4 million biennial fiscal impact.
TX
Transcript Highlights:
- That level of oversight is critical for both public trust and long-term system sustainability.
- In terms of Like your facility set up to care for somebody that's in the county jail.
- Care, housing, therapy, and more.
- term.
- They trusted the system.
Committee:
House Public Health
WA
Washington 2025-2026 Regular Session
Senate Environment, Energy & Technology Jan 27th, 2026 at 01:30 pm
Environment, Energy & Technology
Transcript Highlights:
- How long did it take? How long has it been operational and just the cost associated with it? Yes.
- High-risk AI systems are defined as AI systems that are designed to make, or be a substantial factor
- the system.
- In health care, it's improving diagnostic accuracy for skin cancer to get people better care.
- In health care, it's improving diagnostic accuracy for skin cancer to get people better care.
Committee:
Senate Environment, Energy & Technology
CA
California 2025-2026 Regular Session
Senate Rules Committee Jan 21st, 2026
Transcript Highlights:
- There's a lot of resources in the health care space, and I think that having access to health care helps
- Get the care that they need. So that's why I'm here.
- Medi-Cal and the overall health care system, his leadership and expertise will be more important than
- Pear Team is a community care hub that works with CBOs and the medical managed care, excuse me, to deliver
- Pereteam is a community care hub who works with CBOs and the medical managed care, excuse me, to deliver
Summary:
The Senate Rules Committee established quorum and first approved several non-appearing gubernatorial appointees and procedural items on unanimous 5-0 votes, including Hampus Eitsiter to the Boating and Waterways Commission, Peter Stern to the California Horse Racing Board, Dean White to the State Mining and Geology Board, references of bills to committees, and floor acknowledgements. The committee then heard testimony on Tyler Sadwith’s appointment as Chief Deputy Director of Healthcare Programs at the Department of Health Care Services. Sadwith emphasized protecting Medi-Cal access and equity, continuing CalAIM and behavioral health transformation, and drawing on personal experience with family members needing care. Senators focused heavily on hospital financial distress, rural access, eligibility redeterminations, fraud oversight, provider reimbursement, dental access, labor and delivery closures, and the impact of federal changes; Sadwith said the department is working on expedited payments, monitoring distressed hospitals, county technical assistance, and strategies to reduce disenrollments and improve program integrity. Public commenters from county, hospital, and care organizations supported his confirmation, and the committee advanced his nomination to the full Senate on a 5-0 vote.
The committee next considered Chris Thayer, PhD, for Director of the Office of Environmental Health Hazard Assessment. Thayer described OEHHA’s role as providing transparent, scientifically rigorous health assessments and supporting tools such as Prop 65, CalEnviroScreen, and risk communication. Senators pressed him on the use of models versus real-world data, fenceline monitoring, PFAS, wildfire health impacts, and whether OEHHA’s work adequately reflects lived experience and local conditions. Thayer responded that the office often must rely on the best available evidence, including animal, human, and alternative methods, while continuing to improve communication and community engagement; he also discussed EnviroScreen updates, Prop 65 warning reforms, and research gaps. Public testimony in support highlighted OEHHA’s scientific role and the importance of biomonitoring and PFAS work. The committee approved Thayer’s nomination to the full Senate on a 3-1 vote, with Senator Grove voting no and Senator Jones not voting.