Video & Transcript : 'community preparedness' :

Page 345 of 500
CA

California 2025-2026 Regular Session

Assembly Health Committee Apr 14th, 2026

Transcript Highlights:
  • They don't have the... ...pathway to effectively be in the community.
  • It is a... ...communicated to the county behavioral health system responsible for supervision.
  • The Hobbs case made it clear that gaps in judgment or communication can have real consequences.
  • And certainly my community in Oakland very much appreciates this as well.
  • as well as a Latino community.
Summary: The committee heard several health-related bills. AB 1825 by Krell would clarify California’s offenders with mental health disorders program by tightening the standard for determining “substantial danger of physical harm,” improving exit planning, and expanding Medi-Cal access for people released after a successful challenge. Supporters, including psychiatrists, prosecutors, and medical groups, said the bill would close gaps in care and protect public safety; county behavioral health directors and Disability Rights California registered concerns. AB 1696 by Stephanie would state that nurse midwives do not need physician supervision when providing care within their existing scope, including EMTALA-related evaluation in labor and delivery settings. Nurse midwives and nursing groups supported the bill, while emergency physicians opposed it unless amended, arguing emergency department screening should remain under physician supervision; the author said she would keep working on the issue. AB 1949 by Lee would make acupuncture a separate Medi-Cal benefit and allow up to 24 visits per year. The author and supporters from acupuncture, health access, and integrative medicine groups said the current monthly cap is too restrictive and that acupuncture is an effective, cost-saving alternative for pain management and other conditions. There was no opposition. AB 2330 by Patterson would create a distinct regulatory category for cold spas, with standards for construction, operation, and disinfection. Fitness and wellness groups supported the bill, environmental health administrators had no formal position but thanked the author for amendments, and a committee member raised concerns about local officials interpreting the bill to require separate enclosures from saunas; the author said she would continue working on the language. AB 2000 by Aguirre-Curry would limit mid-year changes to prescription drug formularies and add notice, exceptions, reporting, and enforcement provisions. Family physicians, chronic care advocates, nurses, pharmacists, and patient groups supported the bill, citing non-medical switching and treatment disruptions; health plans and insurers opposed it, warning of higher costs, reduced flexibility, and premium increases. AB 1929 by Ortega would require health plans to disclose investments, including in private prisons and immigrant detention centers. Supporters framed it as a transparency measure tied to patient premiums and public values, while opponents argued the bill was duplicative, burdensome, and potentially harmful to investment confidentiality. AB 2746 by Schiavo would classify medical credit card debt as medical debt so it would not appear on credit reports. Consumer advocates and legal aid groups supported the bill, describing abusive marketing and housing harms; banks, debt collectors, and industry groups opposed it as unworkable and privacy-invasive. The committee took roll on AB 2746 and passed it on a due pass motion to Banking and Finance, with several members voting aye and a few no votes recorded.
MA

Massachusetts 2025-2026 Regular Session

Senate Committee on Post Audit and Oversight Mar 24th, 2026

Senate Committee on Post Audit and Oversight

Transcript Highlights:
  • Number two, communications with Applegreen and Suffolk Construction.
  • Strategic Officer's communications.
  • I mean, there's no actual way to understand what the communication is.
  • Does access to communication with an RFP, explicitly saying that there should be no communication between
  • I know I would not have had that communication myself.
Summary: The committee met to review MassDOT’s failed service plaza procurement and the Inspector General’s findings. Chair Montigny opened with a broad critique of procurement culture, conflict-of-interest risks, and the need for stronger oversight, saying the committee’s role is bipartisan and investigative and that subpoenas would be used if necessary. Inspector General Jeffrey Shapiro then summarized his investigatory letter, saying MassDOT had created procedures that could have supported a fair process but did not follow them. He identified eight major problems, including inadequate conflict-of-interest disclosures, undisclosed relationships and communications with Applegreen and Suffolk Construction, violations of contact rules, inconsistent weighting of evaluation subfactors, weak documentation of scoring, unclear information-sharing with subject matter experts, live roll-call scoring that increased perceived bias, and insufficient board/committee review before approval. He recommended clearer disclosure forms, stronger training, better documentation, sealed scoring, clearer rules for internal communications, and more public board involvement. Committee members pressed the Inspector General on whether the conduct violated law, how to define and police “appearance” of conflicts, whether employees should be held accountable, and whether prior evaluators should be excluded from the new process. Shapiro said his report did not conclude that laws were violated, but that the process was seriously flawed and that accountability should be handled within agencies. He also said he would provide additional written recommendations on broader procurement standards and noted that some oversight functions may need clearer definitions and better recordkeeping across agencies and quasi-public entities. The chair and members emphasized that the problems appeared systemic rather than limited to one administration or one contract. MassDOT Interim Secretary Phil Ting and Undersecretary Jonathan Gulliver then described the new procurement approach. They said the prior process had been a failure, but that the new effort is a complete reset with no one from the prior evaluation participating. MassDOT plans to split the plazas into three geographic packages, use a design-build/public-private partnership framework, and create a P3 Commission with appointments from the governor, legislative leaders, and treasurer, plus review by the Inspector General and Attorney General. They said the new scoring will be more objective, with financial scoring set at 60% and based on a guaranteed maximum price and other mathematical measures rather than projected revenues, and that technical and financial evaluations will be separated in a double-blind process. Members signaled cautious support for the changes but continued to question whether the new structure and oversight will be enough to prevent a repeat of the earlier procurement failures.
KY
Transcript Highlights:
  • </c> our medical staff in our community. our medical staff in our community.
  • So part of living in that community helps orient them to the community, and we'll go out of our way to
  • So part of living in that community helps orient them to the community, and we'll go out of our way to
  • So part of living in that community helps orient them to the community, and we'll go out of our way to
  • </c> community. But thank you Mr. Chair. community. But thank you Mr. Chair.
Keywords: 958, all
Summary: The committee first heard Senate Bill 173 from Senator David Givens, which would create a legislative review process for the state health plan and state plan amendments, modeled after the administrative regulations process. Givens argued the legislature should have a stronger policy role in reviewing the plan, saying the bill would allow lawmakers to find components deficient rather than approve them outright. He tied the proposal to Medicaid spending growth and projected enrollment changes, saying the state needs a new oversight tool. Committee members generally supported the concept, though Senator Berg expressed concern that the legislature lacks the executive branch’s healthcare expertise. The bill was reported favorably on a unanimous roll call vote. The committee then took up Senate Bill 137, sponsored by Chairman Meredith, which would create a pathway for certain internationally trained physicians to practice in Kentucky without repeating residency in the United States. Supporters said the bill is aimed at addressing Kentucky’s physician shortage, especially in rural areas, and cited projections of a statewide shortage of about 3,000 physicians by 2030 and a shortage of primary care doctors in particular. Testimony from Cicero Action and Baptist Health emphasized that many foreign-trained physicians are already fully trained, that residency slots are limited, and that the bill could help fill shortages in underserved counties while preserving quality through existing exams, ECFMG certification, English proficiency requirements, primary source verification, and mentoring/oversight. Several members raised questions and concerns. Senator Berg asked about verification, required exams, and oversight, and Senator Tishner raised concerns about fraudulent credentials in some countries and whether the bill could admit underqualified physicians. Witnesses responded that applicants would still have to pass the same exams, obtain ECFMG certification, and undergo primary-source credentialing and employer oversight. Supporters also argued the bill would not displace U.S.-trained physicians because it would use otherwise limited residency capacity more efficiently. After discussion, the committee adopted the bill and reported it favorably by unanimous vote.
AZ

Arizona 2026 Regular Session

02/19/2026 - Joint Legislative Audit Committee

Joint Legislative Audit Committee

Transcript Highlights:
  • So there's been communication there. I understand.
  • So we're being strategic in rolling that out and communicating with them.
  • Community activities are unfortunately limited, and we are actively involved in community school youth
  • community.
  • We have great rapport from our school, our community.
Keywords: 1182, all
KY

Kentucky 2026 Regular Session

Senate Legislative Session Day 14 (1-27-26)

Kentucky Senate Floor Meeting

Transcript Highlights:
  • </c><00:08:39.360><c> with</c> the House is here to communicate with the House is here to communicate
  • </c><00:10:45.920><c> based</c> just Department of Community based just Department of Community based
  • Senate Bill 181 is our traceable communications law that has prevented direct private communications
  • ><c> law</c><00:18:11.760><c> that</c> our traceable communications law that our traceable communications
  • </c> communicate with students. communicate with students. taking<00:18:22.240><c> into</c><00:18:22.640
Keywords: 958, all
HI

Hawaii 2025 Regular Session

HWN Public Hearing 03-06-2025

Hawaiian Affairs

Transcript Highlights:
  • He is also a very active member in the community.
  • Community Federal Credit Union as the president and CEO.
  • He has my full support, as well as the community of Molokaʻi.
  • He is a respected educator, cultural practitioner, and community leader.
  • He is a respected educator, cultural practitioner, and community leader.
Keywords: 912, senate, all
Summary: The Committee on Hawaiian Affairs heard Governor’s Message 590, the nomination of Archie Kappa Kappa Kappa to the Hawaiian Homes Commission, and received extensive testimony in support from Department of Hawaiian Home Lands staff, labor representatives, and community members. Supporters emphasized his leadership during the Maui wildfire response, his cultural standing, his long community service, and his experience with the Polynesian Voyaging Society. In his own remarks, Kappa described his background as a lifelong Lahaina resident, former lifeguard supervisor, and community organizer, and said he would prioritize commission duties while balancing his voyaging commitments. Members questioned Kappa about attendance, his understanding of the Hawaiian Homes Commission’s responsibilities, and his views on commercialization and revenue generation. He said commission meetings would be his priority, acknowledged he could not guarantee attendance at every meeting, and explained that commercialization meant using commercial properties and leases to generate revenue for Hawaiian Homes communities. He also said he supported using land assets to reduce reliance on legislative appropriations. A senator raised Act 279 and the need to focus spending on reducing the waitlist; Kappa said the act was complex and that he did not yet know enough to speak confidently beyond what he had read. The committee did not vote on the nomination in the portion provided and said it would return to voting later. The committee then took up Governor’s Message 591, the nomination of Lawrence Luua to the Hawaiian Homes Commission. Testimony described his background in banking, military service, Maui County planning, and long involvement with Molokaʻi homestead matters. Luua told the committee he had lived the challenges of homestead life, including housing and road issues, and said he wanted to continue the work of Prince Kūhiō by helping Native Hawaiians return to and live on the land. In response to questions, he said he began attending DHHL meetings regularly in July 2024, discussed concerns about county road obligations versus homestead responsibilities, and said he had struggled with Act 279 because he was concerned about moving funds away from other projects even though he supported its goal of reducing the waitlist. The committee then moved on to the next governor’s message and testimony for another nominee, with a SHPD representative briefly introducing the background of that nominee, but no action was taken in the excerpt provided.
MN

Minnesota 2025-2026 Regular Session

Committee on Commerce and Consumer Protection - 04/08/25

Commerce and Consumer Protection

Transcript Highlights:
  • These sections establish a common interest community ombudsman and a common interest community register
  • in a common interest community on person in a common interest community on person and<00:13:40.079><c
  • :41.600><c> register</c> and a common interest community register and a common interest community register
  • We to protect others in her community.
  • 00:57:45.359><c> we're</c> understanding that the communities we're understanding that the communities
Keywords: 1187, senate, all
MN

Minnesota 2025-2026 Regular Session

House Legacy Finance Committee 2/26/25

Legacy Finance

Transcript Highlights:
  • </c> intended to do is support communities intended to do is support communities who<00:26:23.039><c>
  • </c> supportive Partnerships the communities supportive Partnerships the communities can<00:26:40.200
  • Community uh anyway uh but we had a Community uh anyway uh but we had a pleasure<00:35:57.079><c> to<
  • And so our investments do, I believe, benefit those communities as well as a variety of other communities
  • 52.640><c> really</c> of other communities too and we really of other communities too and we really try
Keywords: 1183, house
NH

New Hampshire 2025 Regular Session

Senate Education (04/22/2025)

Education

Transcript Highlights:
  • based out of the Community College System of New Hampshire.
  • </c> building a community of these teachers. building a community of these teachers.
  • 18:41.600><c> service</c> communities like ambulance service communities like ambulance service providers
  • </c> our communities our communities apart.<01:59:55.880><c> And</c><01:59:56.880><c> I</c><01:59:57.280
  • </c><02:13:49.119><c> We</c> communities. And guess what they say? We communities.
Committee: Senate Education
Keywords: 1191, senate, all
TX

Texas 89th Regular

Finance (Part II) Jan 28th, 2025

Finance

Transcript Highlights:
  • Rachel Gandy: That's a good fit for us and a community.
  • Are they stationed in the communities or working out of mobile units?
  • Speaker: ...that you have a community care clinic there.
  • Chair: ...to the community.
  • Chair: ...to the community.
Bills: SB1
Committee: Senate Finance
Summary: The committee heard a Legislative Budget Board presentation and then testimony from the Department of Public Safety on the Article 5 public safety budget. LBB said DPS’s 2026-27 recommendation totals $3.7 billion, down from the prior base, while FTEs rise by 856.7. Major items included increased funding for driver license services and customer support, new trooper funding and recruit schools, crime lab operations, border security, and reductions tied to one-time facility, vehicle, and aircraft spending. The committee also discussed new riders, including one to lapse unused trooper funds and require reporting after recruit schools. Members focused heavily on driver license operations, questioning why prior staffing increases and a prior efficiency study had not solved long wait times, high call abandonment, and appointment delays. DPS and LBB said the agency receives about 22,000 calls per day, answers only about 9 percent, and is seeking more staff plus technology upgrades such as automation, kiosks, and better online processing. Senators also raised concerns about rural access, REAL ID document requirements, and whether the department should rethink its processes rather than simply add employees. DPS leadership then described needs for the Williamson County training academy, additional troopers, Capitol and Alamo security, border operations, aircraft and vehicle replacement, and regional headquarters in El Paso and San Antonio. Members asked about Operation Lone Star costs, overtime, pursuit safety, border crime, oilfield theft, and sexual assault kit and toxicology backlogs. DPS said border deployments remain focused on criminal threats, that overtime is partly driven by deployments and staffing shortages, and that the sexual assault kit backlog is down to 118 cases with a goal of zero by April. The committee later recessed and began the Texas Alcoholic Beverage Commission budget presentation, where LBB outlined a $115.1 million recommendation and noted ongoing costs for the AIMS technology project.
MA
Transcript Highlights:
  • If you want to become a community advisor to participate in some of the...
  • So it's really exciting to see the corporate community... Above $250,000.
  • Some are doing it through their library communities. It's really coming together of communities.
  • Coming together of communities.
  • And will the Time Capsule be a community-based event as well?
Keywords: 995, all
Summary: The Special Commission on the 250th Anniversary of the American Revolution met without a quorum, so no votes were taken and any items requiring action were deferred to a future meeting. Representative Sean Garballey welcomed new commission member Mona Roy and thanked outgoing members Susie Berry and Abigail Chandler, noting that the governor’s office would be contacted about open appointments to help restore quorum. The commission then heard a presentation from the Massachusetts Civic Learning Coalition, which outlined civics and history education programs tied to Mass 250 and America 250, including Civic Learning Week, teacher professional development, student civic projects, online courses, and curriculum resources from partners such as iCivics, Harvard’s Democratic Knowledge Project, GBH, Facing History and Ourselves, EDC, Revolutionary Spaces, and others. The Massachusetts Office of Travel and Tourism reported on the state’s 250th anniversary campaign, including a November event at the Old South Meeting House with the governor, lieutenant governor, and Boston Symphony Orchestra, strong media coverage, over $6 million in sponsorships, new TV spots tied to Ken Burns’ American Revolution documentary, and a new Massachusetts First webpage and merchandise. Revolutionary 250 gave an update on upcoming Henry Knox Trail commemorations, including events beginning in January at the state line and continuing in Great Barrington, Springfield, Worcester, Framingham, Cambridge, Roxbury, and Dorchester Heights, with related planning for the St. Patrick’s/Evacuation Day parade and other Revolutionary-era observances. The commission also discussed possible future initiatives for member working groups: contributing to an America 250 time capsule, organizing community-level “America’s potluck dinner” events on July 5, and coordinating readings of the Declaration of Independence on July 8. Members asked clarifying questions about how the potluck and time capsule efforts would work, and staff said an email would be sent after the meeting to gather interest and form small planning groups. The meeting ended with a motion to adjourn, a second, and unanimous approval.
MA

Massachusetts 2025-2026 Regular Session

Joint Committee on Public Service Jun 21st, 2026 at 01:00 pm

Joint Committee on Public Service

Transcript Highlights:
  • that are often committed to their communities.
  • that are often committed to their communities.
  • in the community and try to identify with that.
  • in the community and try to identify with that so I really would appreciate that you guys would please
  • AFT Massachusetts members care deeply about their students and communities.
Keywords: 995, all
Summary: The Joint Committee on Public Service heard testimony on a wide range of bills affecting public employees, retirees, and public safety personnel. Early testimony focused on House Bill 2859, which would make Massachusetts Department of Correction industrial instructors permanent civil service employees after years of provisional status, and House Bill 2995, which would reduce the Boston Fire Cadet Program service requirement from two years to one year. Supporters of the Boston fire cadet bill argued it would improve equity, expand opportunities for Boston residents, and help diversify the Boston Fire Department; committee members asked about the current makeup of academy classes and the effect of a hybrid model, and the Boston Police Patrolmen’s Association was described as neutral on a separate age-related police bill. The committee also heard several proposals related to post-retirement earnings and civil service rules for police and fire retirees. Testimony supported bills including H. 2903 and H. 2966, which would loosen earnings limits for retired public safety workers returning to work, and related measures affecting civil service exemptions and professional services for retirement boards. Speakers argued the current limits are confusing, discourage experienced workers from filling needed municipal jobs, and can create safety issues on public works and construction sites. One witness from Worcester Police supported raising the police academy age limit from 32 to 39 to improve recruitment, especially in BIPOC communities, while Boston City Councilor Gabriela Coletta Zapata supported a separate bill to raise the Boston Police Academy age cap from 39 to 45. A substantial portion of the hearing was devoted to H. 2812 and S. 1817, which would increase the pension COLA base from $13,000 to $18,000 and freeze certain retiree health insurance contribution rates, with additional testimony about capping out-of-pocket health costs for some retirees. Educators and union representatives said the current COLA structure has eroded pension value and leaves retirees struggling with rising costs, while one witness described long delays and confusion in navigating retiree health coverage. The committee took no substantive votes on the bills during the hearing and adjourned after hearing all testimony.
MA

Massachusetts 2025-2026 Regular Session

Formal House Session 103 Jun 21st, 2026 at 11:00 am

Massachusetts House Floor Meeting

Transcript Highlights:
  • , she touches many people's ...up a room, and if you've seen her out and about in the community, she
  • She uses her alternative communication device, we call it her talker.
  • members in the community.
  • Instead of just verbally communicating when it was time for the spouse to put her shoes on, this home
  • They are a silent workforce and heroes in our community, caring for our loved ones and our community
Keywords: 995, all
Summary: The House opened with routine ceremonial business, including the Pledge of Allegiance and adoption of several resolutions, such as congratulations to the Williamsburg Grange on its 125th anniversary and to Fire Captain Melissa Blodgett on her retirement. The chamber also concurred in a Senate petition to establish a sick leave bank for a Bristol County Sheriff’s Department employee and suspended Joint Rule 12 to advance local petitions, including one involving the Dalton Fire District and another renaming a Chelmsford bridge. The main floor action centered on several Ways and Means bills. The House advanced a bill amending laws relative to individuals with disabilities, replacing outdated and offensive terminology in the General Laws with person-first language; members spoke at length in support, emphasizing dignity, inclusion, and the bill’s non-substantive nature. The bill was engrossed by a roll call vote, 152-0. The House also took up and engrossed a bill to improve Massachusetts home care, which would create a licensing and oversight framework for private-pay home care agencies, establish standards for contracts, background checks, training, insurance, and consumer protections, and create advisory committees to guide implementation. An amendment establishing a Family Caregiver Commission was adopted 154-0, and the bill itself was then engrossed 153-1. In addition, the House passed or engrossed several other measures, including a bill authorizing the Massachusetts Water Resources Authority to provide sewer services to land in Sharon, a sick leave bank bill for a Trial Court employee, a Marblehead parking fines bill, a Hingham municipal property bill for a center for active living, and a Taunton bill allowing continued employment of Police Chief Edward J. Walsh. The chamber also handled numerous calendar items, holding or passing over many while advancing a few. The session ended with a special adjournment in memory of former Representative George L. Sacco Jr., and the House adjourned to meet the next day at 11 a.m. in informal session.
MN

Minnesota 2025-2026 Regular Session

Advancing Gun and School Safety Measures | Senator Zaynab Mohamed May 15th, 2026

Minnesota Senate Floor Meeting

Transcript Highlights:
  • Um, the entire community was a part of this.
  • asked for us to ban the community asked for us to ban weapons<00:05:04.720><c> of</c><00:05:04.840><
  • ><c> are</c><00:05:29.080><c> asking</c><00:05:29.560><c> for</c> I think their communities are asking
  • </c><00:09:35.440><c> members</c><00:09:35.800><c> and</c> and families and community members and and
  • </c> about the issues that impact communities about the issues that impact communities and<00:10:12.520
Keywords: 1187, senate, all
CA
Transcript Highlights:
  • They have done dangerous, skilled work, protecting our homes, our communities, and our loved ones.
  • We are ready to continue protecting our communities. ...individuals actually work for Cal Fire today.
  • By passing AB 2017, we are updating our approach to community building.
  • My name is Azam Mastabha, a community member and university student, and I support this bill.
  • This is resonating across California throughout Muslim communities.
Summary: The Committee on Public Employment and Retirement heard several bills, beginning with AB 2483, which would create a permanent pathway for formerly incarcerated Cal Fire fire crew members to receive certification and pursue firefighting jobs after release. The author and supporters described incarcerated firefighters as highly trained workers who perform dangerous frontline fire suppression work but often leave without credentials or a clear hiring path. The chair strongly supported the bill, and there was no opposition. The committee then considered AB 1619, which would raise trustee stipend limits for retirement board members from $100 to $320 per meeting for county retirement systems, CalSTRS, and CalPERS, subject to local approval. Supporters argued the current stipend is nearly 40 years old and no longer reflects the complexity and fiduciary responsibility of overseeing large pension systems, and that higher stipends could improve diversity and participation. The bill was passed on a 7-0 vote and sent to Appropriations. The committee also passed its cleanup bill, AB 2780, making technical and conforming changes to retirement laws, and AB 2519, which corrects an unintended consequence of prior CalSTRS legislation so certain charter school employees can remain eligible for CalSTRS membership; both bills advanced unanimously to Appropriations. AB 2017, the California Eid State Holiday Act, was heard next. The bill would recognize Eid al-Fitr and Eid al-Adha in California and provide excused absences for students observing the holidays. Supporters, including Muslim students, educators, and advocacy organizations, said the measure would promote inclusion and help Muslim Californians feel seen and respected. Members spoke in favor, and the bill passed 7-0 to Appropriations. Finally, AB 2656 would require public employers to give employee organizations 45 days’ written notice before developing or using generative AI in represented job classifications. Supporters said the bill would ensure transparency and labor input, while county and special district groups raised concerns about scope and implementation but expressed willingness to keep working on the measure. It also passed 7-0 to Appropriations, and the meeting adjourned.
CA

California 2025-2026 Regular Session

Assembly Public Employment and Retirement Committee Apr 22nd, 2026

Public Employment and Retirement

Transcript Highlights:
  • They have done dangerous, skilled work, protecting our homes, our communities, and our loved ones.
  • And we are ready to continue protecting our communities.
  • By passing AB 2017, we are updating our approach to community building.
  • My name is an Azam Mastabha, community member and university student, and I support this bill.
  • This is resonating across California throughout Muslim communities.
Keywords: 988, house, all
AZ

Arizona 2026 Regular Session

02/05/2026 - House Rural Economic Development

Rural Economic Development

Transcript Highlights:
  • I want to focus on getting out of the state financial investment to Arizona to help rural communities
  • The entire community extends its deepest sympathy.
  • In rural communities... Hardest to finance in rural Arizona.
  • to streamline zoning processes, all with the goal of creating more housing in our community.
  • I just want to assure a few years. ...to a community-driven revitalization or redevelopment plan.
Bills: HB2388 , HB2804 , HB2926
OK

Oklahoma 2026 Regular Session

Public Health Oct 23rd, 2025

Public Health

Transcript Highlights:
  • We want to be more and more to the community of Oklahoma City as well as Oklahoma, as many of you can
  • What are the risks to communities? Increased wait times in the emergency departments.
  • Discharging these patients into the shelter communities with these patients that have ongoing medical
  • The community, and you hear the grumbling there.
  • The health systems in Oklahoma City found them in the 2024 community health needs assessments.
Committee: House Public Health
Summary: The meeting focused on hospital “avoidable days” and the difficulty of discharging medically stable patients who still need post-acute placement or social services. Presenters from Saint Anthony Hospital Midtown, the Oklahoma Hospital Association, City Care, and OU Health described common barriers including lack of skilled nursing, rehab, long-term care, behavioral health, and hospice placements; insurance prior authorization delays; Medicaid and Social Security eligibility delays; guardianship and Adult Protective Services bottlenecks; limited home health and private duty nursing; and the challenge of placing unhoused, uninsured, or medically complex patients. Several speakers emphasized that these delays reduce bed availability, increase emergency department boarding, contribute to staff burnout, and expose patients to hospital-acquired conditions and other harms. The testimony included multiple examples of patients remaining in acute care for days, weeks, or even months after being medically ready for discharge, including patients awaiting guardianship, disability determinations, or placement in facilities willing to accept them. Speakers also highlighted special populations such as patients with behavioral health or substance use disorders, medically fragile children, patients with criminal histories, and unhoused individuals who need respite or hospice care. City Care described its planned 40-bed medical respite facility, set to open in 2027, as a way to provide clinical support and housing navigation for patients too sick to recover on the street or in shelters. Witnesses recommended policy and system changes such as standardizing preauthorization protocols, expanding rural swing-bed and home-based services, increasing public guardianship resources, improving data collection on homelessness, expanding private duty nursing hours, and creating more placement options for complex patients. They also suggested better coordination between hospitals, DHS, APS, the Health Department, and post-acute facilities, including a database of facility services to improve discharge planning and keep patients closer to home. No votes or formal committee actions were taken in the transcript, but the chair indicated the issue would require collaboration across multiple agencies and partners.
ND

North Dakota 2025-2026 Regular Session

Senate Appropriations - Education and Environment Division Apr 3rd, 2025 at 02:30 pm

Appropriations - Education and Environment Division

Transcript Highlights:
  • Community supervision fees, which would be better handled by the Department of Corrections.
  • Admissions to prison for community supervision violations have grown significantly over the years.
  • Admissions to prison for community supervision violations have grown significantly over the years.
  • First, it updates and adds definitions to Century Code related to community supervision.
  • First, it updates and adds definitions to Century Code related to community supervision.
Keywords: 908, all
Summary: The committee met to review fiscal aspects of House Bills 1417 and 1425, both part of a broader criminal justice reentry package. HB 1417 would eliminate the $35 public defender application fee and end court-ordered reimbursement of indigent defense costs, while also removing the $55 monthly community supervision fee. Testimony from the Commission on Legal Counsel for Indigents and the Department of Corrections said the bill would replace lost revenue with general fund appropriations of about $310,000 for indigent defense and $1.5 million for supervision fees, and that the fees are rarely collected and can hinder reentry. Representative Clemene said the bill is intended to reduce barriers to successful community reintegration and improve data and supervision practices. HB 1425 would create and fund front-end diversion, deflection, and pretrial services programs. Supporters described it as allowing prosecutors and local jurisdictions to divert appropriate low-level offenders from prosecution, establish deflection programs for people with behavioral health needs, and expand pretrial services. The bill includes a pilot program in three counties, a $1 million appropriation to DOCR for one FTE and contracts with local providers, $750,000 to DHS for treatment services, and $55,000 for a study of pretrial services cost savings. Committee members asked several questions about how the pilot counties would be chosen, how the consultant study would be procured, and what services the DHS funds would cover. The committee also heard House Bill 1603, which would provide a $500,000 matching grant for Native American Graves Protection and Repatriation Act compliance, with $100,000 available to each of North Dakota’s five tribes if matched. Sponsor testimony said the funds would support a Historical Society NAGPRA compliance committee and help catalog and repatriate human remains and cultural items in coordination with tribes. After questions about the federal mandate and the difficulty of identifying artifacts, the committee voted 4-0 to give HB 1603 a do-pass recommendation, with Senator Meyer assigned to carry it forward.
HI
Transcript Highlights:
  • </c> authorizes DLNR to enter into community authorizes DLNR to enter into community co-management<01
  • </c><01:10:24.360><c> Thank</c> infrastructure or the community Thank infrastructure or the community
  • </c><01:13:03.160><c> uh</c><01:13:03.200><c> community</c> within that the community uh community within
  • that the community uh community co-management<01:13:03.960><c> agreement</c><01:13:04.320><c> that</
  • </c> engage on these um community engage on these um community co-management<01:13:09.600><c> agreement
Keywords: 912, senate, all
Summary: The committee first heard HB 649, which would create a small boat harbor commercial vessel special fund and raise mortgage fees on commercial vessels to fund harbor improvements. DLNR stood on written testimony in support, while the Ocean Tourism Coalition, Activity and Attractions Association of Hawaii, Calypso Charters, and a local commercial operator all opposed the bill, arguing that the fee increase would burden thin-margin businesses without fixing procurement and staffing problems and that the bill’s fee language and fund allocations were too vague. A DLNR witness also noted a prior bill, HB 2477, had sought to broaden the fee base to more ocean operators statewide rather than increase the percentage. No vote was taken on HB 649 during the portion shown. The committee then heard HB 2599 on aquatic protection, which would prioritize ecosystem integrity and use of best available science in managing aquatic resources and set coral reef resilience goals. DLNR supported the measure, and a testifier from the public urged stronger coral goals for Oahu and a broader framework including water quality, herbivore management, fishery management, enforcement, and coral restoration. There was no opposition or vote shown on HB 2599 before the committee recessed to a joint hearing. In the joint Economic Development and Tourism / Water, Land, Culture, and the Arts hearing, members heard HB 2118 on transferring the State Foundation on Culture and the Arts and the King Kamehameha Celebration Commission from DAGS to DBED, HB 2474 on authorizing non-binding international cooperative agreements, HB 1863 on creating an honorary ambassador to Canada, HB 1943 on out-of-state DBED offices and export promotion, and HB 2604 on a performing arts ticket surcharge. Testimony was generally supportive for HB 2118, HB 2474, HB 1863, and HB 1943, with questions focused on agency placement, sister-state relationships, and the rationale for overseas offices. HB 2604 drew opposition from the Tax Foundation and others, who argued the surcharge functioned as a tax and would make arts participation more expensive; the chair recommended deferring it. During decision-making, both committees passed HB 2118, HB 2474, HB 1863, and HB 1943 with amendments, including technical changes and revised effective dates. For HB 2474, the amendments were described as clarifying definitions for sister-state and international cooperative agreements, allowing relationships with national governments, and preserving legislative approval and transparency. HB 1943 was amended to require an office in Laoag City, Philippines, rather than a non-existent DBED Philippines office. HB 2604 was deferred. After the joint session, the Water, Land, Culture, and the Arts committee resumed and heard HB 2395 on permits for taking marine deposits and HB 2361 on administrative support for the Kahului Bay Regional Council, both of which drew only DLNR written testimony and no further action in the excerpt. The committee then began HB 1823 on Coastal Zone Management Act exemptions, with the Office of Hawaiian Affairs testifying first, but the transcript cuts off before further testimony or action.