Video & Transcript : 'direct care' :

Page 321 of 500
CA
Transcript Highlights:
  • It says, “Don’t touch the microphone,” so I’m trying to, like, follow directions.
  • It applies to everybody under the governor's direction in the executive branch.
  • Personal impacts, of course, are child care.
  • So whether you're a scientist or working for our hospital or doing child care.
  • State workers are working-class Californians, and we have families to take care of.
Summary: The subcommittee heard an informational update on the state’s generative AI implementation and related oversight. Administration officials said several proof-of-concept projects have moved into minimum viable product phases, including work at CDTFA and Caltrans, and that CDPH has a May Revision request for up to $8 million to scale up its healthcare facilities inspections project. The Legislative Analyst’s Office urged the administration to publish a report on lessons learned from each POC and recommended limiting the new generative AI approval process to a pilot through the first two rounds of projects, with continued monthly meetings and stronger legislative oversight. Members pressed for more transparency and questioned why the CDPH request was not included in January; the administration said the cost estimate was not available then and that only one project is seeking additional resources beyond existing departmental budgets. The committee then reviewed a proposed $400 million loan from the Labor and Workforce Development Fund to the General Fund. Finance and the Labor Agency said the fund has grown because civil penalty revenues have risen sharply, and the loan would be repaid in 2029-30 with provisional language allowing earlier repayment if needed. The LAO agreed the fund could support the loan but warned that recent PAGA reforms may reduce future revenues. Public commenters, including labor and community groups, argued the money should instead support labor-law enforcement and outreach programs such as CWOP, and urged rejection of the loan. Members also heard a Department of Industrial Relations request for $19.1 million for phase two of Public Works Information Technology System Enhancements, which officials said will support labor-law enforcement and apprenticeship registration. The department said the project was delayed because a prior procurement did not result in a contract award and that completion is now expected in October 2026. The committee then took up an EDD Next reappropriation technical adjustment to extend UI fund spending authority through June 30, 2026; the LAO said the request was fine but again raised concerns about oversight of the larger modernization effort, which EDD said now totals more than $660 million and is expected to continue through 2029. Finally, the committee discussed DGS’s request for new parking facilities near the May Lee Building and a trailer bill shifting statewide telework policy language from DGS to CalHR while also expanding NDI eligibility for certain CEA employees. The LAO said the telework trailer bill should likely go through the policy committee process instead of budget, and union and employee witnesses strongly opposed it, arguing it would undermine bargaining rights and could be used to narrow telework. In a separate item on the governor’s return-to-office order, administration officials said departments are being directed to move to a four-day in-office expectation starting July 1, 2025, but they had no statewide cost estimate yet because departments are still assessing vacancies, exemptions, and space needs. Members criticized the lack of analysis and said the state should have clearer numbers before moving forward.
OK

Oklahoma 2026 Regular Session

Appropriations and Budget Transportation Subcommittee Feb 9th, 2026 at 10:30 am

A&B Transportation Subcommittee

Transcript Highlights:
  • gets expended, represented, and controlled, but I hear you saying is in the past we've just done directive
  • However, when it's funded, it's kind of funded through it's just a line item directed inside the ODOT's
  • and you're exactly right for county Roads, so but there is roads that ODOT's supposed to be taking care
  • of, and you and I both have a lot of lake access roads, and they do not take care of their roads.
  • This one is what I would call the direct increase. But what we're gonna do is take the.
ND

North Dakota 2025-2026 Regular Session

Tribal and State Relations Committee Apr 13th, 2026

Transcript Highlights:
  • So these are levels of care or settings of care where individuals with very high and complex needs receive
  • of care and services.
  • Similarly, care providers and primary care providers need more training to ensure direct connection to
  • And one of the things I didn’t get to mention earlier was with CARES—” “With the CARES Act, the tribe
  • We discussed it a lot, but I think the Health Care Committee should take care of that, and Representative
Summary: The meeting focused heavily on behavioral health and substance use treatment, especially the IMD exclusion and whether North Dakota should pursue a Section 1115 waiver to allow Medicaid reimbursement for services in institutions for mental diseases for adults ages 21 to 64. Turtle Mountain representatives described major local needs, including limited access to care, high syphilis rates, and the importance of timely public health data. They also discussed the tribe’s recovery center, which opened the prior year, now operating five levels of care with 16 beds, and the desire to expand capacity, possibly through an IMD waiver or related policy changes. Committee members also raised related issues such as rural health transformation funding, telehealth, workforce retention, and the need for better coordination between tribal and state public health systems. A central issue was Turtle Mountain Public Health’s long-running effort to secure a data use agreement with the state so it can receive surveillance data and respond directly to infectious disease cases among tribal members. Speakers said the tribe had a successful COVID-era agreement that allowed faster contact tracing and case management, but that agreement ended with the pandemic. They argued that current delays in sharing data, especially for sexually transmitted infections, leave the tribe unable to respond quickly, while the state and county epidemiology workload is too distant and stretched to be effective. Committee members expressed support and said they would look into the issue, noting that other tribes have secured similar agreements. The committee also heard a detailed presentation from the National Health Law Program on the IMD exclusion. The presenter explained that federal Medicaid law generally bars payment for care in facilities with more than 16 beds, but that states can use other tools such as state plan amendments, managed care arrangements, telehealth, and community-based services. He said IMD waivers are administratively complex, time-limited, and have shown mixed results in other states, with some gains in residential treatment access but limited evidence of improved overdose outcomes or stronger community-based care. He urged the committee to consider broader continuum-of-care solutions and cautioned that waivers alone are not a cure-all. No final vote was taken on the bill draft during the portion shown, but the committee discussed the proposal to appropriate $49,000 and one FTE to HHS to pursue an IMD waiver and report back in the next interim. Members also debated the policy rationale for the 16-bed limit, the role of the state versus tribal sovereignty, and whether the bill should move through the Health Care or Human Services committee in the future.
MA
Transcript Highlights:
  • health care needs.
  • who's deeply rooted in direct care, first as a nurse practitioner, and then as a home health agency
  • and our One Care Program.
  • If we can't improve care, we can't improve care if we can't study it.
  • They might visit a primary care doctor or receive no care at all.
Keywords: 995, all
Summary: The Massachusetts Permanent Commission on the Status of Persons with Disabilities held a public hearing focused on health equity for people with disabilities. The chair opened by explaining that the session was not about specific legislation, but about sharing data, lived experience, and strategies to inform more inclusive health systems. Presenters included representatives from the Health Equity Compact, the Department of Public Health, MassHealth, UnitedHealthcare Community Plan, the Brain Injury Association of Massachusetts, UMass Chan Medical School, Spaulding Rehabilitation, and the Arc of Massachusetts/Operation House Call. Speakers described how structural racism and ableism contribute to poor health outcomes, unemployment, poverty, and barriers to care for disabled people, especially disabled people of color. Testimony highlighted access problems such as inaccessible medical equipment, transportation, inadequate provider training, lack of culturally competent care, and insurance barriers. Several speakers emphasized the importance of collecting and disaggregating disability data, training providers in disability-competent care, and screening for accommodation needs. MassHealth described its Quality and Equity Incentive Program under the 1115 waiver, including disability-related metrics on data completeness, staff training, and accommodation screening, and reported early increases in hospitals collecting self-reported disability data. Brain injury advocates focused on inequities in rehabilitation access, including the impact of CMS’s “three-hour rule,” which they argued denies needed inpatient rehab to people with severe traumatic brain injury. They called for policy changes, a TBI task force, and possibly bipartisan legislation if CMS cannot revise the rule. Other testimony described DPH efforts such as one-to-one navigation, health promotion workshops, mini-grants for accessible recreation, and the Massachusetts Health and Disability Partnership. The hearing also highlighted medical education efforts like Operation House Call, which uses home visits and disability-led teaching to reduce bias and improve provider competence. No votes were taken and no formal actions were announced.
US

US Federal 2025-2026 Regular Session

US House Floor Proceedings (Tuesday, February 11, 2025)

US Federal House Floor Meeting

Transcript Highlights:
  • I don't care.
  • I don't care.
  • I don't care.
  • I don't care.
  • I don't care.
ID

Idaho 2026 Regular Session

Agenda Mar 19th, 2026

Transcript Highlights:
  • This was likely compounded by misinformation circulated primarily on social media, directing hunters
  • Does either one of the directors care to comment on this? Oh, are they? Oh, Mr.
  • Now, seeing no further lights, Representative Raymond, do you care to make any closing comments?
  • Just to speak to those concerns, I think I want to direct everyone...
  • And I want everyone who cares about this as a concept, about maintaining public access to lands.
Summary: The committee first took up House Bill 895, which would require data centers using water for cooling to use non-consumptive closed-loop systems or secure water from a municipality or other water user so they do not draw more from the system than can be sustained. Representative Raybould presented the bill, and Representative Mickelsen moved it to the floor with a due pass recommendation. The committee approved that motion by voice vote. The bulk of the meeting focused on Idaho Fish and Game’s advanced hunting technology rule package, including restrictions on transmitting trail cameras, thermal optics, night vision, drones, and related technologies. Fish and Game staff and Director Jim Frederick described a lengthy public process, survey results showing broad hunter opposition to many technologies, and the commission’s effort to balance hunter opportunity, fair chase concerns, and enforceability. Several committee members objected to the rule package, arguing it conflicted with state law, changed substantially from the original proposal, and should have been handled by legislation rather than rulemaking. After debate, the committee adopted a motion to hold the docket until an odd-numbered day the following week, effectively delaying action. The committee then heard House Bill 910, which would create a statutory framework for the Department of Lands and Parks and Recreation to jointly manage recreation opportunities on endowment lands while protecting existing uses and maximizing revenue to the endowment. The bill drew questions about approval authority, existing MOUs, impacts on grazing and other current uses, and whether it would expand recreation development. Supporters said it would streamline management and generate revenue; opponents worried it would promote more recreation on endowment lands and create conflicts. The committee approved the bill on a 9-6 roll call vote. It also sent Senate Bill 1303, updating renewable energy language in a state fund statute, and Senate Concurrent Resolution 124, recognizing wildlife crossing projects, to the floor with due pass recommendations. House Bill 878, dealing with firefighter pay and fire suppression fund issues, was sent to House General Orders. Finally, the committee heard Senate Joint Memorial 111 on protecting federal public lands from disposal; after testimony and debate over public access, fragmented parcels, and federal land management, the committee had not yet reached a final disposition in the portion provided.
WA

Washington 2025-2026 Regular Session

Senate Law & Justice Feb 23rd, 2026

Transcript Highlights:
  • Normally, negligence is the failure to exercise ordinary care.
  • Normally, negligence is the failure to exercise ordinary care, and ordinary care just means the care
  • Madam Chair, the votes both directions on this.
  • Madam Chair, the votes both direction on this.
  • You might have votes both directions. Thank you so much. Any further?
Summary: The committee began by waiving the five-day notice rule for engrossed substitute House Bill 2095 so it could be heard that day. It then took public testimony on House Bill 2248, a technical cleanup bill affecting Secretary of State corporate and nonprofit filings, trademarks, foreign entities, and apostille procedures. The prime sponsor said the bill makes no policy changes or fee increases, while the Secretary of State’s office supported it as a clarification measure. One testifier raised concerns about multiple LLCs and transparency in manufactured home communities, asking for stronger oversight and verification. The committee then heard engrossed substitute House Bill 2508, which expands the Office of Independent Investigations’ jurisdiction over deadly-force and related non-deadly-force incidents, broadens notification and records access requirements, and exempts certain records from disclosure. The sponsor and OII testified in support, emphasizing that the bill clarifies authority and procedures; members asked about how far back investigations could go, and staff confirmed there was no time limit for deadly-force cases under the bill. The committee also heard Substitute House Bill 2203, creating the offense of reckless interference with emergency operations for driving around closures on hazardous roadways. The sponsor described it as a response to flood and disaster rescues, and fire chiefs supported it as a safety and accountability measure. Defense attorneys opposed it as unnecessary and disproportionate, warning of criminal penalties, license suspensions, restitution, and fiscal costs for conduct they viewed as more appropriately handled civilly. Next, Second Substitute House Bill 1909 proposed a Court Unification Task Force to study inefficiencies and inequities in Washington’s fragmented court system; the sponsor and a legal aid attorney supported it as an access-to-justice reform, while the committee noted a large number of signed-in opponents. Finally, engrossed substitute House Bill 2095 would create a rebuttable presumption of negligence for drivers who injure or kill vulnerable road users in designated areas, along with education requirements and damages provisions. Supporters, including a widow, bicycling advocates, and a bike commuter, said it would improve accountability and help injured people who cannot easily prove fault; opponents from cities, trucking, and defense groups argued it would expand litigation, create liability and fee-shifting problems, and go beyond existing negligence law. After public hearings, the committee moved into executive session and advanced several bills. Substitute House Bill 2158 received a do pass recommendation. Substitute House Bill 2239, concerning family burial grounds on private property, was amended to increase a setback from public rights-of-way and easements and then received a do pass recommendation as amended. Substitute House Bill 2178 on court rules and procedures also received a do pass recommendation. House Bill 2543 on county clerk fees was advanced despite concerns about fee increases. Engrossed Substitute House Bill 2165 on false identification as a peace officer was amended to clarify intent and then passed out of committee. The committee also adopted an amendment to Engrossed Substitute House Bill 2320 on firearm manufacturing, including a change allowing certain digital code and manufacturing activity for repair purposes, and discussed another amendment removing some possession prohibitions for personal use.
HI

Hawaii 2026 Regular Session

House Chamber - Wed May 6, 2026, 9:00AM HST - Day 57

Hawaii House Floor Meeting

Transcript Highlights:
  • board-directed position, professional board-directed position, not<02:06:24.000><c> a</c><02:06:24.320
  • But those who are not, why, care of.
  • </c> committee on higher education, I care committee on higher education, I care deeply<04:27:06.880>
  • </c> care, higher education, and health care care, higher education, and health care are<04:43:35.760
  • </c> in that direction. Thank you. in that direction. Thank you.
Keywords: 910, house, all
TX
Transcript Highlights:
  • Of anything of that sort, you have said that in Texas it's okay not to care about diversity, not to care
  • It sends a signal that it's okay to be racist, to be prejudiced, and not to care to include all people
  • This directed passion ought to be spent on the things that are truly ailing us, not on the things and
  • I think this is a sad day for us in the Senate, and we should have acted with more care.
  • Of anything of that sort, you have said that in Texas it's okay not to care about diversity, not to care
Summary: During this meeting of the committee, significant discussions centered around Senate Bill 688 and Senate Bill 9, with members expressing deep concerns over the implications of the proposed legislation. Chair Carol Alvarado initiated the meeting by addressing the audience and highlighting the need for robust dialogue regarding the bills in question. Senator Royce West actively contributed to the discussions, emphasizing the necessity to reform existing policies that some believe would regress social progress in the state. The debate revealed a passionate division among committee members, as they navigated the complexities of equity and meritocracy in legislation.
KY
Transcript Highlights:
  • </c> uh notes um to move in those directions. uh notes um to move in those directions.
  • </c> as medical liaison to the healthc care as medical liaison to the healthc care hospital<00:41:48.880
  • But we have managed medical care.
  • But we have managed medical care. But we have managed medical<01:11:15.280><c> care.
  • We cannot have this medical care.
Keywords: 958, all
Summary: The committee first approved the April 13 minutes and then turned to a large agenda of contracts. Chairman Douglas said there were 52 contracts totaling about $369.3 million, and noted that most vendors were registered with the Secretary of State except for item 118 on the routine personal services green list and item 19 involving Morehead State University and Kentucky State University. The committee voted to defer item 118 to the June 26 meeting and later also deferred the Kentucky State University contract on the deferred list to the June 26 meeting. The main discussion centered on a deferred personal services contract for the Kentucky Board of Optometric Examiners, involving outside legal counsel. Senator Meredith raised concerns about KRS 320 and whether the board had authority to hire outside counsel when the statute says the Attorney General shall provide legal services to the board. Dr. Mary Beth Morris, the board president, and Christopher Thacker of the Attorney General’s office testified after being sworn in. Thacker explained that the statute and related law allow both Attorney General assistance and independent counsel, and argued that outside counsel is appropriate for day-to-day legal work because it avoids conflicts, especially on open records issues, regulatory advice, and disciplinary hearings. Senator Meredith said he agreed with approving the contract but questioned how the board had reached this point and whether the current statutes reflect modern practice. He raised concerns about transparency and accountability, referencing a prior advisory opinion involving the board’s handling of exam requirements during COVID and saying the board should have consulted the Attorney General before acting. Thacker responded that the Attorney General’s office serves the Commonwealth as a whole, not as counsel to one board, and that the board’s use of outside counsel is a reasonable and economical arrangement. The exchange ended with Meredith suggesting that broader legislative action may be needed to clarify reporting relationships and oversight for the board.
ND

North Dakota 2026 1st Special Session

Tribal and State Relations Committee Apr 13th, 2026 at 01:00 pm

Tribal and State Relations Committee

Transcript Highlights:
  • So these are levels of care or settings of care where individuals with very high and complex needs receive
  • of care and services.
  • Similarly, primary care providers need more training to ensure direct connection to opioid treatment
  • Similarly, care providers, primary care providers need more training to ensure direct connection to opioid
  • and all-around care for SUD, but mostly on an... ...provide comprehensive care and all-around care for
Keywords: 908, all
CA
Transcript Highlights:
  • So that's why whether you have such your own office direct, office-directed efforts to have a team or
  • So we're using those allocated... ...did not receive direct implementation funds in 2025.
  • First, I want to congratulate you on taking care of this backlog.
  • And just my thought on that, as you direct the department... ...and as you direct the department to make
  • problems that were there long before you became the director. ...take care of the problems that were
Summary: The Senate Budget Subcommittee No. 2 on Resources, Environmental Protection and Energy heard budget overviews and several budget change proposals from CalRecycle, CalEPA, and DTSC. CalRecycle outlined its proposed 2026-27 budget of 987 positions and $1.9 billion, and members focused on edible food recovery funding under SB 1383, beverage container recycling fees and infrastructure under SB 1013, plastic packaging reduction under SB 54, and composting implementation under SB 279. CalRecycle said edible food recovery has recovered more than 300 million meals but lacks ongoing funding, explained that beverage container processing fees are set by statute and reflect higher recycling costs for difficult-to-recycle materials, and noted that SB 54 implementation will include a pollution prevention mitigation fund for legacy plastic cleanup. The committee also discussed the need for more composting capacity and the role of volunteer cleanup groups, while public commenters urged continued funding for food recovery, composting, and landfill response. CalEPA presented its department overview and a proposal to strengthen landfill response and enforcement, emphasizing climate, air quality, water, and cleanup priorities. Secretary Garcia described the agency’s work on methane monitoring, toxics reduction, drinking water compliance, Exide cleanup, pesticide alternatives, and implementation of AB 617, while also noting the agency’s response to federal rollbacks. Members pressed CalEPA on landfill fires and subsurface elevated temperature events, especially at Chiquita Canyon, asking about authority, scientific resources, and when intervention should occur. CalEPA said it has authority to respond but needs more coordinated technical and enforcement capacity, and later presented a $5.1 million, 12-position multi-agency proposal involving CalEPA, CalRecycle, DTSC, and the Water Board to address current landfill events and improve future prevention and response. DTSC and the Board of Environmental Safety presented several proposals tied to reform implementation, hazardous waste oversight, and emerging waste streams. DTSC reported progress in clearing its permit backlog, advancing safer consumer products regulations, and continuing Exide cleanup, while seeking additional resources for cost recovery and enforcement, PFAS work, recycling infrastructure for solar panels and lithium batteries, and a new statewide planning division to implement the hazardous waste management plan and consolidate reporting systems. The Board of Environmental Safety described its oversight role, public meetings, permit appeals process, and fee-setting authority, and said its priorities include permit appeals, hazardous waste plan oversight, and performance metrics. Members questioned whether DTSC was creating too many new subdivisions, but the department said the new structure is needed to handle growing workload and modernize regulation. Public testimony generally supported the landfill proposal, DTSC consumer product enforcement, water board staffing, and continued funding for food recovery and composting programs.
CA
Transcript Highlights:
  • So that's why whether you have such your own office direct, office directed efforts to have a team or
  • So we're using those allocated Did not receive direct implementation funds in 2025.
  • First, I want to congratulate you on taking care of this backlog.
  • And just my thought on that, as you direct the department, And as you direct the department to make sure
  • problems that were there long before you became the director. ...take care of the problems that were
Summary: The Senate Budget Subcommittee No. 2 on Resources, Environmental Protection and Energy heard department budget overviews and several budget change proposals from CalRecycle, CalEPA, and DTSC. CalRecycle presented its 2026-27 budget and discussed priorities including edible food recovery, composting, beverage container recycling, and landfill response. Members asked about funding for food recovery grants, processing fees for wine and spirits containers under SB 1013, plastic packaging generation under SB 54, restaurant food waste requirements under SB 1383, and litter cleanup efforts. CalRecycle said edible food recovery has helped recover more than 300 million meals, but there is no sustained funding source; it also explained that beverage container processing fees are set by statute and that new producer responsibility and infrastructure investments are intended to improve recycling rates over time. The committee then heard CalEPA’s overview, including the agency’s response to climate, air quality, water, toxics, and enforcement challenges. Secretary Garcia emphasized federal rollbacks, methane monitoring, AB 617 implementation, safe drinking water progress, Exide cleanup, and pesticide reduction efforts. Members questioned the agency about regional gasoline blends, authority and technical thresholds for landfill intervention, and the growth in the Secretary’s office staffing and budget. CalEPA said the budget increase reflects expanded coordination, technology modernization, hazardous materials response, and legal capacity. The committee also discussed a proposed landfill support, response, and enforcement package for subsurface elevated temperature events, with CalEPA describing a coordinated multi-agency approach and the need for stronger early response tools. DTSC presented its department overview and several BCPs. Director Butler highlighted progress on permit backlog reduction, safer consumer products rulemaking, Exide cleanup, PFAS work, and planning for emerging waste streams such as solar panels and lithium batteries. The Board of Environmental Safety described its oversight role, public meetings, permit appeals, and fee-setting authority, and identified community concerns about cumulative impacts, hazardous waste planning, accessible data, and engagement. The committee also heard a proposal to expand DTSC’s Office of Policy into a statewide planning division to implement hazardous waste management plan recommendations and improve reporting systems. Members raised concerns about whether the new division duplicated existing work, but DTSC said it would fill identified gaps and improve coordination. Public testimony largely supported the proposals, especially ongoing funding for edible food recovery, composting, safer consumer products enforcement, and the coordinated landfill response package. Witnesses from StopWaste, California Against Waste, Waste Management, Breast Cancer Prevention Partners, and water advocacy groups urged continued or increased funding for these programs. No votes were taken; the chair held all items open and adjourned the hearing after public comment.
WA
Transcript Highlights:
  • It directs the board to hire an executive director by June 2027, and it directs Commerce to provide administrative
  • And it directs that information obtained by WITA is critical energy infrastructure information.
  • I have health care. I have resources. And we are still all getting sick right here.
  • I have health care. I have resources. heap of filters all in my house.
  • I have health care. I have resources. And we are still all getting sick right here.
Summary: The committee heard public testimony on three bills. SB 5652 would require the University of Washington, Commerce, the King County Department of Public Health, and the Port of Seattle to study and mitigate aviation-related air quality and noise impacts around Sea-Tac, create a work group and grant program, address failed noise insulation “port packages,” and require a state auditor review. The sponsor and supporters from affected cities and community groups described serious health and quality-of-life harms from airport noise and pollution, while the Port of Seattle, Washington Public Ports Association, and AWB opposed the bill, arguing it would impose new mandates, raise cost and governance concerns, and interfere with airport operations. Testimony on the bill was reopened after other business and then closed; no vote was taken. SB 6124 would direct Commerce to study an appliance affordability index that would consider repairability, maintenance, recyclability, performance life, and related factors. The sponsor said the bill is meant to help consumers compare lifetime costs and repair options, drawing on family experience with durable appliances. Consumer and environmental advocates supported the idea as a way to improve transparency and encourage repairable products, while industry groups opposed a state-specific index, warning it would create a patchwork of standards and compliance burdens. The hearing closed after testimony, with no action reported. SB 5466 would create a Washington Electric Transmission Authority, give it powers to support transmission development and, in some cases, acquire property and own or sell transmission projects, and provide a SEPA categorical exemption for certain transmission upgrades with tribal and resource-protection conditions. Supporters from clean energy, labor, utilities, and state agencies said the bill is needed to expand grid capacity, improve reliability, speed clean energy interconnection, and create jobs, though many asked for bonding or financing authority and refinements to the exemption language. Some utilities and business groups supported parts of the bill but opposed state ownership or said the authority should focus more on permitting and coordination; others raised concerns about ratepayer risk and duplication. The hearing closed after extensive testimony, with no vote announced.
HI

Hawaii 2025 Regular Session

WAM-FIN Informational Briefing 02-14-2025

Hawaii Senate Floor Meeting

Transcript Highlights:
  • </c> Care Services benefits paliative care Care Services benefits paliative care provides<00:18:49.440
  • </c><00:53:19.119><c> for</c> Grace provides Solution by caring for Grace provides Solution by caring
  • Next we have Partners in Care, Oʻahu Continuum of Care. Aloha, thank you all.
  • </c><02:15:50.599><c> training</c> healthc care training healthc care training hello<02:15:52.960><c>
  • </c> patients families and healthc Care patients families and healthc Care Professionals<02:43:33.040
Keywords: 912, senate, all
Summary: The joint Ways and Means and Finance informational briefing on grants and aids was held February 14 and was organized as a high-volume public testimony session with strict procedures: no Q&A, one representative per applicant, one minute per testimony, in-person testimony first, and then Zoom participants. The chairs also announced a recess at 11:00 a.m. for floor sessions and a reconvening at 1:00 p.m. Testimony was heard first from neighbor island applicants, then Oʻahu applicants, with members repeatedly directing speakers to line up and keep remarks brief. Neighbor island testimony focused on a wide range of capital and operating requests. Health and community projects included Hawaii Island Community Health Center’s workforce housing in Kau, Wuli Hawaiian Homestead Association’s learning center and predevelopment work, Rescue Tube Foundation’s beach rescue tube expansion, Puna Community Medical Center’s planned hospital/ER campus, Maui Humane Society’s free veterinary care after the wildfires, Hawaiʻi Care Choices’ palliative care readiness, and the Lyman Museum’s HVAC replacement. Other requests included the Maui Advanced Manufacturing Alliance’s Pāʻia Mill redevelopment, Laua 2020’s preschool and learning lab, Mālama Aina’s USDA-compliant meat processing facility, the Hawaiian Lifeguard Association’s water safety programs, Kaha P Organization’s agriculture education support, Ohana Arts’ youth performance project, Friends of the Children’s Justice Center’s emergency closet, EOA Pacific’s Marshall Islands teacher training, and the Central Pacific Youth Athletic Club’s new facility. Oʻahu testimony included the YWCA Oʻahu/Pythink Center’s renovation of Juliet M. Atherton Hall and its community kitchen, West Oʻahu Community Health Center’s wildfire protection and security needs, the Early School’s playground improvements, Surfing the Nations’ food distribution center expansion, and Sounding Joy Music Therapy’s weekly services for people with disabilities. Speakers generally emphasized community benefit, workforce development, health access, food security, disaster recovery, and support for children, seniors, and underserved populations. No votes or formal committee actions were taken during the briefing.
ND

North Dakota 2026 1st Special Session

Legacy and Budget Stabilization Fund Advisory Board Mar 31st, 2026 at 11:00 am

Legacy and Budget Stabilization Fund Advisory Board

Transcript Highlights:
  • And we haven't seen really a direct impact yet from rigs being stacked. Okay.
  • So the plans in your and SIB's care had much lower fees.
  • What we're doing is we're going direct to GP with our internal private markets team.
  • The cost at $2.2 million, that's the total cost of the internal direct public market team.
  • I say we, the SIB and the client fund cares for the assets that... ...and the client fund cares for
Keywords: 908, all
KY
Transcript Highlights:
  • The pressure in our health care system and on our health care people is tremendous, and if we add in,
  • you care.
  • :02:13.280><c> is</c> care people is care people is tremendous<00:02:15.959><c> and</c><00:02:16.080>
  • </c> system of care where the level of care system of care where the level of care patient<00:32:20.080
  • </c> follow to care care for that victim follow to care care for that victim that's<00:47:58.559><c>
Summary: The committee heard testimony on Senate Bill 132, which would create conscience protections for health care professionals who object to participating in certain procedures or services on religious, moral, or ethical grounds. Senator Donald Douglas and several supporters argued the bill is a recruitment and retention tool for Kentucky’s health care workforce, emphasizing provider shortages, maldistribution, and the need to protect individual conscience rights. Supporters said the bill would not apply to emergency care, would not permit denial of care based on a patient’s identity, and would mainly protect professionals from being forced to perform procedures they believe are unethical. They also cited similar laws in six other states and said the bill would have a cause of action to give it enforcement teeth. Supportive testimony came from an emergency physician, a registered nurse, and others who described personal experiences or examples involving objections to abortion-related care, opioid prescribing, and pressure to participate in procedures that conflicted with conscience. They said conscience protections would help attract providers, preserve ethical integrity, and allow clinicians to make professional judgments without corporate or institutional coercion. In questioning, senators asked about practical examples, the scope of the bill, whether it would cover hypothetical cases involving patients of particular religions or identities, and which states have similar laws. The sponsor and supporters repeatedly said the bill is about procedures, not patients, and that it should not be read to allow discrimination against individuals. Opponents, including pediatricians and a registered nurse/minister, warned that the bill is overly broad and could allow refusals of care by not only physicians but also pharmacists, clerks, and ambulance drivers. They argued it could delay treatment, increase discrimination, and worsen access problems in rural areas, especially for contraception, Plan B, blood transfusions, and other services. Critics said existing professional ethics already require patient care and that the bill could undermine evidence-based medicine and worsen Kentucky’s provider shortage. The committee took testimony and questions; no final vote or disposition was announced in the portion provided.
WA

Washington 2025-2026 Regular Session

Senate Local Government Jan 12th, 2026 at 01:30 pm

Local Government

Transcript Highlights:
  • So how does policy get translated into direct... ...focused on what happens after adoption.
  • So this does require careful sequencing and coordination, So this does require careful sequencing and
  • They don't care if the fire marshal is the Applicants don't know the difference, though.
  • They don't care if the fire marshal is the reviewer or the building department.
  • The direction of more recent bills addressing middle housing, lot splits, and unit lots divisions has
Keywords: 904, all
MN

Minnesota 2025-2026 Regular Session

Committee on Judiciary and Public Safety - Part 1 - 03/27/25

Judiciary and Public Safety

Transcript Highlights:
  • I would direct uh members community.
  • We was care and love for one another.
  • </c><00:26:26.240><c> to</c><00:26:26.640><c> a</c> just direct members attention to a just direct members
  • Um and uh the bill care we receive.
  • </c> direct connection between fire direct connection between fire suppression<02:52:26.319><c> efforts
Keywords: 1187, senate, all
ND

North Dakota 2025-2026 Regular Session

Advanced Nuclear Energy Committee Mar 24th, 2026

Transcript Highlights:
  • They take care of us very, very well, very philanthropic.
  • They take care of us very, very well, very philanthropic.
  • You know, take care of us very, very well, very philanthropic.
  • We can see the direction that a lot of this supports going.
  • We're not a state-directed economy here.
Summary: The Advanced Nuclear Energy Committee met to hear a series of presentations on the economics, financing, workforce, and community impacts of advanced nuclear deployment in North Dakota. William Bridge of Nucleon Energy presented the committee’s economic impacts and private-sector financing report, estimating construction and operating job impacts, local spending, and state/local tax effects for hypothetical SMR projects. He said the report assumes first-of-a-kind costs are still high, used a $6 million per megawatt nth-of-a-kind proxy, and estimated peak construction workforces of about 500 for a 200-MW plant and 1,000 for a larger facility, with roughly 100 operating jobs for a 200-MW plant. Committee members questioned security costs, capital cost assumptions, water and transmission siting constraints, and whether the model included fuel and waste; Bridge said the report included initial fuel in capital cost and that waste disposal is funded through existing federal mechanisms. Lori Brady of the Nuclear Energy Institute then outlined national nuclear workforce needs and NEI’s strategic workforce planning efforts. She described declining labor-force participation, retirements, and the need for a much larger future workforce, and said NEI has organized recommendations around career awareness, pipelines, training and qualification, policy support, retention, and nontraditional recruitment. She highlighted tools such as the Nuclear Works career website, the Nuclear Energy Academic Roadmap, the new federal Energy and Natural Resources career cluster, and the Nuclear Uniform Curriculum Program for community colleges. Members asked about AI, timing for training relative to plant development, and whether advanced manufacturing would reduce staffing needs; Brady said AI is not expected to replace workers and that training timelines depend on the specific project and staffing plan. The committee also heard from Gary Yaco, mayor of Red Wing, Minnesota, who described Prairie Island’s role in his community. He said the plant provides a large share of local property tax revenue, supports well-paid jobs, contributes to emergency preparedness funding and training, and is broadly supported by the city despite periodic protests and public concerns. He emphasized the plant’s security, regular drills with local and federal responders, and the absence of problems with dry cask storage. Later, Benton Arnett of NEI discussed the current financing landscape for advanced nuclear, explaining how tax credits, federal loan support, off-take agreements, and new business models are helping projects move forward. He said early projects face high upfront costs and long lead-time procurement, but that investor confidence is improving as federal policy and regulatory streamlining continue. The committee asked about waste funding, comparisons with natural gas, the effect of political shifts on investor confidence, and whether the market will narrow to a few winning technologies; Arnett said the industry is still sorting that out, but expects clearer winners in the late 2020s and early 2030s. The meeting concluded with an introductory presentation from Julie Kazeraki of DOE’s Office of Energy Dominance Financing, who said the office is focused on accelerating nuclear deployment through financing support.