Video & Transcript : 'direct care' :
Page 322 of 500
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
Keywords:
Senate Bill 688, Senate Bill 9, equity, meritocracy, social progress, policy reform, public testimony
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.
NH
New Hampshire 2025 Regular Session
Senate Children and Family Law (01/30/2025)
Children and Family Law
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
MA
Massachusetts 2025-2026 Regular Session
Status of Persons with Disabilities Jun 21st, 2026 at 11:00 am
Transcript Highlights:
- The direct support professional vacancy rate of 15% is much improved from 2024... ...vacancy rate of
- So there could have been other increases in health care.
- You added one question about health care, but the training issue, the turnover within an organization
- They were starting a work cohort on direct support professionals.
- But I do think the direct support professionals JVS track could be a good, you know, conversation.
Summary:
The Workforce Support Subcommittee of the Status of Persons with Disabilities met, approved the prior November minutes, and heard a presentation from the Association of Developmental Disabilities Providers (ADDP) on its 2025 workforce metrics survey. ADDP described its membership and the survey’s scope, noting 102 of 132 members responded. The report showed continued improvement in staffing: overall vacancy rates fell from 19% in 2024 to 15% in 2025, with declines across programs such as adult long-term residential, community-based day supports, supported employment, and day rehabilitation. However, vacancies remain high, especially for licensed practical nurses and clinicians, and nearly 4,000 positions were still unfilled. Providers also reported that almost 1,800 people remain waiting for day services.
A major new focus in the survey was health insurance costs. Nearly 90% of respondents reported premium increases averaging 11%, and providers said those increases make it harder to offer competitive wages and benefits and hurt recruitment and retention. ADDP said the survey will be repeated in the fall and emphasized that while Chapter 257 investments appear to have helped reduce vacancies, rising insurance costs, immigration-related workforce pressures, and other affordability issues could threaten progress. Commissioners and presenters discussed the need to maintain gains, the importance of keeping the survey manageable while preserving historical comparisons, and the role of immigration and workforce policy in staffing stability.
The subcommittee then elected new co-chairs, unanimously approving Rachel Caprillion and Leo Sarkisian. Members discussed possible topics and speakers for the next meeting, including training and turnover, direct support professional pipelines, apprenticeships, PCA training, and workforce models from other states. Several names and organizations were suggested for outreach, including Josh Cutler, Juan Vega, JVS, HSRI, and NASDDDS. The meeting ended with a motion to adjourn, which was seconded and approved.
AR
Transcript Highlights:
- approval of the governor, qualified by experience to administer and implement the policies and directives
- care.
- “Didn't have enough people for direct care. I don't think that's been happening in the past.”
- “Yes, well, let me tell you something right now: all direct care positions and institutions are totally
- we should probably have some sort of reporting data now to kind of see if it's going in the right direction
Summary:
The committee first considered a Department of Parks, Heritage and Tourism request to swap three administrative coordinator positions for one park superintendent, one maintenance supervisor, and one park manager for Blanchard Springs State Park. Members were told the change would be funded by conservation tax special revenues, would not increase total positions, and had OPM’s support. The item was reviewed and approved without objection.
Members then approved two special compensation plans: one from the Department of Commerce for lump-sum bonuses of up to $5,000 for employees involved in the unemployment insurance system migration to a cloud-based platform, and one from the Department of Veterans Affairs for $2,000 recruitment bonuses for certified nursing assistants at the Fayetteville and North Little Rock State Veterans Homes. The Department of Health also received approval to reinstate a previously frozen fiscal support manager position for the State Medical Board, with the agency noting the position was already authorized and would not increase total staffing.
The committee spent substantial time on a Commerce reduction-in-force affecting the Division of Services for the Blind and related workforce operations. Secretary Hugh McDonald said the layoffs were driven by over-obligated federal funds, lack of fiscal planning, and a need to realign operations; he said the RIF would be permanent and that 56 employees remained furloughed, with 17 positions slated for elimination. Senators questioned the division’s accountability structure, the role of the board and governor, and whether the cuts disproportionately affected African American employees; Commerce was asked to provide racial composition data for the workforce and the RIF.
The committee also reviewed quarterly employment and overtime reports. Members asked about overtime levels at DHS, Corrections, and Transportation, and whether higher staffing levels and the new pay plan were reducing overtime. OPM said overtime was being monitored, that direct-care positions are exempt from the hiring freeze, and that the state had hired more than 1,200 employees at DHS since the new system went live. No further action was taken on the report items, and the meeting adjourned.
AR
Transcript Highlights:
- approval of the governor, qualified by experience to administer and implement the policies and directives
- care.
- care.
- All direct care positions in institutions are totally exempt from the hiring freeze process.
- we should probably have some sort of reporting data now to kind of see if it's going in the right direction
TX
Transcript Highlights:
- My, my question relates to sort of the the direction of the bill.
- To help scope out lawsuits than to actually provide for for quality health care for patients.
- This bill will improve transparency for all Texans receiving medical care.
- We've got to be careful about preserving the record. I know you can understand that.
- So, um, I would, I think your, your questions are probably best directed.
ID
Transcript Highlights:
- Help us, O Lord, to love you deeply, and to search your direction diligently, and to protect us from
- I pray you direct them and lead them in their future endeavors.
- the Legislative Council to prepare the statements required by law, and directing the Secretary of State
- Hearing none, would the gentleman from 1 care to close the debate? Thank you, Mr. Speaker.
- I think the lady, I think the lady's going to do. ...really care about the sport.
Summary:
The House convened with 67 members present, approved the February 11, 2026 journal, and received several communications, including a temporary substitute appointment for Legislative District 19 and a Transportation and Defense Committee recommendation to approve most Idaho Transportation Department rules while rejecting one license-plate provision rule. The chamber also received notice that Governor Little signed House Bill 559 and committee reports on multiple bills and resolutions, including printing and referral actions for new legislation.
During third reading, House Bill 540 passed 69-0, expanding juvenile corrections records protections to match those of the Department of Corrections. House Bill 541 also passed 69-0, broadening child enticement law to include 16- and 17-year-olds when the offender is at least five years older, with supporters citing online grooming and sextortion concerns. Senate Bill 1222 passed 69-1, clarifying that prior water-related law applies prospectively and defining subdivisions as five or more lots, and Senate Joint Memorial 108 passed by voice vote urging federal agencies to stop discouraging graziers from seeking wolf and grizzly depredation compensation. House Bill 569, a bill to expand water skiing rules and safety requirements for certain early-morning open-water skiing, failed 31-38 after extended debate over its scope and safety provisions.
The House also advanced or held several other measures, including House Joint Memorial 12 and Senate Bill 1225, and announced upcoming committee meetings. The session ended with a motion to adjourn, which passed, and the House adjourned until 11:00 a.m. on Thursday, February 12, 2026.
MN
Minnesota 2025-2026 Regular Session
House DFL Press Conference 5/6/25
Transcript Highlights:
- Uh, we can certainly have your direct questions to him if you're interested.
- Uh we can certainly<00:05:09.520><c> have</c><00:05:09.600><c> your</c><00:05:09.759><c> direct</c><00
- :05:10.000><c> questions</c><00:05:10.240><c> to</c> certainly have your direct questions to certainly
- have your direct questions to him<00:05:10.479><c> if</c><00:05:10.639><c> you're</c><00:05:10.720><
- care of<00:30:09.120><c> people.
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.
WA
Washington 2025-2026 Regular Session
Senate Agriculture & Natural Resources Feb 19th, 2026 at 01:30 pm
Agriculture & Natural Resources
Transcript Highlights:
- First, the legislation directs the State Department of Agriculture to develop a statewide food security
- This legislation is an important step in the right direction.
- They're both directing the state to ignore treaty fishing rights. So we have never abided by them.
- As such, the bill appropriately directs WSDA in leading a coordinated statewide strategy.
- It directs the WSDA to develop this comprehensive strategy.
CA
Transcript Highlights:
- Direction. Thank you. Thank you. Thank you. Thank you. Thank you. Thank you.
- that and that having signs trying to figure out ways for them to be more... ...who care about that and
- If there is a direct connection here, we'll work on it. I don't think there is, though.
- If there is a direct connection here, we'll work on it. I don't think there is, though.
- If there is a direct connection here, we'll work on it. I don't think there is, though.
Summary:
The Senate Transportation Committee heard several bills on transportation, privacy, enforcement, and high-speed rail, with most measures discussed under a quorum and then formally voted on later. SB 953 by Senator Nilo would add two DMV points for misdemeanor vehicular manslaughter cases that are dismissed through diversion; the author, a victim’s mother, and CHP representatives argued it would help identify high-risk drivers, while no opposition witnesses appeared. SB 1292 by Senator Richardson, as amended, would let certain cities use stationary cameras or sensors to enforce curb and loading-zone rules, with human review of citations; supporters said it would improve compliance and safety, while a privacy group remained cautious but said the amendments improved the bill. SB 1228 by Senator Rubio would create a permanent compliance path for a small number of existing redevelopment-era LED messaging signs; supporters said it preserves local revenue and avoids fines, while billboard industry opponents warned about federal compliance and highway funding risk. SB 1013 by Senator Cervantes would tighten ALPR privacy rules through DOJ audits, employee training, hot-list limits, and a 30-day retention cap; privacy advocates supported it as a needed safeguard, while law enforcement groups opposed the retention limit and query restrictions as too restrictive. SB 1218 by Senator Arreguín would block DMV registration renewal for vehicles with unpaid illegal dumping fines, modeled on parking citation enforcement; Oakland officials and local government groups strongly supported it as an accountability tool, and the bill drew no opposition in the room. SB 1136 by Senator Blakespear would require intercity and regional rail operators to better coordinate service, fares, and trip planning for large events; transit and rail advocates supported it, while some agencies were neutral or “work with author” pending further changes. SB 1425, the chair’s bill, would create a permitting process for encroachments in the high-speed rail right-of-way; supporters said it would streamline construction and protect the project, while utilities and the City of Burbank raised concerns about reciprocity, enforcement, and local infrastructure impacts. SB 1411 by Senator Stern would expand high-speed rail authority to pursue public-private partnerships and early works, removing a project cap; supporters said it could leverage private capital and save costs, while local agencies from Merced expressed concerns but noted amendments addressed some issues. After roll calls, SB 1013 failed to advance on a 4-1 vote and remained on call, while the consent calendar and the other bills moved forward on unanimous or near-unanimous committee votes and remained on call pending final action.
MN
Transcript Highlights:
- And we know that Minnesotans care deeply about their quality of life.
- And we know that Minnesotans care deeply about their quality of life. And we are up.
- How do you direct? How do you block a show? And they also learn about puppetry.
- And so we have less of a direct connection with public television at the moment.
- I'd like to point out that direct appropriations is not a grant line.
HI
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
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.
CA
Transcript Highlights:
- In my role, I oversee the care of every major trauma patient in San Francisco.
- In my role, I oversee the care of every major trauma patient in San Francisco.
- So anything we can do in this direction.
- So I think it's a great bill in that right direction.
- He cared about people, and that's why the people cared about him.
MN
Minnesota 2025-2026 Regular Session
Public Safety Committee Meeting - 2025-03-28
Public Safety Finance and Policy
Transcript Highlights:
- Like I know that we, in our budget, have tried to strategically direct funding to make sure that people
- We work under the direction of our board, which consists of five members.
- Was that the direction? I think just when you're ready, whoever's speaking, before they speak.
- And certainly, you know, our employees are committed to delivering high-quality care and services to
- By having that focus together and moving in one direction, we can identify the best case, and if it's
Bills:
HF2432
Keywords:
HF2432, judiciary finance bill, public safety finance bill, corrections policy, crime victims, victim services, Minnesota victims of crime account, court fees, marriage license fee, financial crimes, fraud investigations, insurance fraud, Bureau of Criminal Apprehension, BCA, Commerce Fraud Bureau, wage theft, automobile theft prevention, nonprofit security grants, 911 funding, POST Board
VT
Transcript Highlights:
- The bill includes special protections for health care providers. less.
- Um, like a lot of ... uh, WCAX, a a health care professional, uh, WCAX, a a health care professional,
- Direct-to-consumer genetic testing companies are defined.
- genetic</c><00:38:03.599><c> testing</c> Direct to to consumer genetic testing Direct to to consumer
- </c> genetic testing companies are directed genetic testing companies are directed as<00:38:51.520><c
MO
Missouri 2026 Regular Session
Special Committee on Property Tax Reform Feb 3rd, 2026 at 12:00 pm
Special Committee on Property Tax Reform
Transcript Highlights:
- And you were directing that at the bill handler?
- So... ...and/or making it move in this direction with a percentage base.
- I don't care which way this thing goes, but I just...
- I do care about them, and I care about their well-being.
- I do care about them, and I care about their well-being.
MA
Massachusetts 2025-2026 Regular Session
Status of Persons with Disabilities Jun 21st, 2026 at 10:30 am
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.
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.
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