Video & Transcript Research : 'direct care'

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WA

Washington 2025-2026 Regular Session

Senate Floor Session Mar 3rd, 2026

Washington Senate Floor Meeting

Transcript Highlights:
  • act relating to permitting the medical use of cannabis by qualifying patients and specified health care
  • This bill directs hospitals, nursing homes, and hospice care centers to allow for the limited use of
  • This is truly for palliative care, end of life.
  • We love our acronyms in health care.
  • CCRCs are continuing care retirement communities, so hang with me.
Summary: The Senate considered and passed several House bills. Substitute House Bill 2152, known as Ryan’s Law, would allow limited medical cannabis use for qualifying end-of-life patients in hospitals, nursing homes, and hospice facilities; supporters said it would improve quality of life, and it passed 46-2. Engrossed Substitute House Bill 1604, dealing with search procedures for transgender and intersex individuals confined in local jails and codifying federal Prison Rape Elimination Act-related standards, drew debate over whether amendments were needed and whether the bill would burden or protect staff and inmates; two amendments were rejected, and the bill passed 30-19. Second Substitute House Bill 1906, as amended, increased transparency and consumer protections for water system rates, especially for older or smaller systems, and passed unanimously 49-0. Engrossed Substitute House Bill 1916 tightened voter registration challenge procedures and gave county auditors more discretion in handling challenges; an amendment to broaden who could challenge voters statewide was rejected, and the bill passed 49-0. Engrossed Substitute House Bill 2110, as amended, allowed registered nurses without EMT certification to staff certain inter-facility ambulance transports under specified conditions to reduce delays, and it also passed 49-0. The Senate also passed Second Substitute House Bill 2429, which extends and updates the Children and Youth Behavioral Health Work Group and aligns agency planning with the Washington Thriving Strategic Plan; a committee striker was adopted despite concerns about added government structure, and the bill passed 49-0. Second Substitute House Bill 2384, increasing oversight of continuing care retirement communities through actuarial review and Office of Insurance Commissioner oversight, passed 37-12 after the chamber rejected the committee striker and adopted a revised striking amendment. The session ended with a point of personal privilege from Senator Lovick and an adjournment motion, and the Senate adjourned until March 4, 2026.
AL

Alabama 2026 Regular Session

Alabama Senate Finance and Taxation Education Committee Mar 4th, 2026

Finance and Taxation Education

Transcript Highlights:
  • Chairman, this is simply putting uh another type of health care that is falls under the Affordable Care
  • Chairman, this is simply putting uh another type of health care that is falls under the Affordable Care
  • Can someone share with me what the definition of a health care sharing..."
  • </c> category of uh a ministry, a health care category of uh a ministry, a health care sharing<00:09:
  • </c> definition of a health care sharing? definition of a health care sharing?
NM

New Mexico 2026 Regular Session

House - Chamber Meeting Jan 30th, 2026 at 12:05 pm

New Mexico House Floor Meeting

Transcript Highlights:
  • Between food and medical care. Mr.
  • Both direct and indirect already, Mr.
  • We don't care about the 30%, right?
  • Speaker, gentleman, sort of that direct, the direct spend for them, Mr.
  • of an adverse health care outcome.
Bills: HM3, HM11, HM14, HM15, HM21, HM25, HB9, SB2, SB19
OK

Oklahoma 2026 Regular Session

Administrative Rules REVISED: Links Added Apr 28th, 2026

Administrative Rules

Transcript Highlights:
  • You will notice in the resolution there were a few pulled out regarding Oklahoma Health Care Authority
Summary: The committee took up several joint resolutions dealing with agency rules. H.J.R. 1090, approving energy- and agriculture-related agency rules, was adopted and passed 10-0. H.J.R. 1091, covering business and commerce rules, was also adopted and passed 10-0. H.J.R. 1092, which had been split out from the business and commerce packet because of a reported $10 million cost impact on one business, was adopted after discussions with regulators about delaying remodeling requirements and addressing safety concerns; it passed unanimously. H.J.R. 1093, approving health-related agency rules, passed 11-0, with some Oklahoma Health Care Authority major rules noted as being handled separately in the Senate. The committee then discussed H.C.R. 1094, a major rule from the Long-Range Capital Planning Commission. Members raised concerns that the agency’s rule impact statement contained errors, incorrect notice and hearing information, and an incomplete economic analysis. After debate over whether the resolution could be amended or had to be accepted or rejected as a whole, the committee voted 11-0 that it did not pass. The committee then considered H.J.R. 1095 with an amendment to specifically disapprove a proposed permanent rule change by the Long-Range Capital Planning Commission that would have allowed the commission to ignore its own rules in the “best interest of the state.” The amendment was adopted 11-1, and the resolution as amended passed. At the end of the meeting, the chair thanked members and staff for their work and said the committee would try to move the resolutions to the floor on Thursday, with another meeting likely needed to address additional major rules coming from the Senate. A committee member also suggested a brief educational review of a prior procedural issue at a future meeting, and the chair agreed to discuss broader concerns about the administrative rules process in a later wrap-up.
WA

Washington 2025-2026 Regular Session

House Health Care & Wellness Jan 30th, 2026 at 08:00 am

Health Care & Wellness

Transcript Highlights:
  • It's about who is providing the care, how that care is delivered, and to whom.
  • ASCs are designed for performing..." "...providing the care, how that care is delivered, and to whom.
  • Further, care delivered in ASCs is significantly less expensive than hospital-based care, which helps
  • care.
  • And 90% direct patient care with 10% administrative costs is a reasonable medical loss ratio for us to
Summary: The House Health Care and Wellness Committee held public hearings on House Bill 2545, which would direct the Department of Health to create rules allowing elective percutaneous coronary interventions (PCIs) at ambulatory surgical facilities, and House Bill 2613, which would add quality-assurance requirements for compounded drugs using bulk drug substances. On HB 2545, supporters including ambulatory surgery center representatives, cardiologists, and the prime sponsor argued the bill would improve access, reduce wait times, and lower costs while maintaining safety through patient selection and existing accreditation standards. Opponents from the hospital association argued that shifting PCI volume away from hospitals could undermine provider proficiency and the financial support hospitals use to maintain emergency cardiac services, and suggested the issue should be studied further. On HB 2613, the prime sponsor and several supporters said the bill was intended to address unsafe, large-scale compounding—especially weight-loss drugs—by requiring stronger sourcing, testing, and documentation of ingredients. Opponents from pharmacy, medical, hospital, clinic, and compounding groups argued the bill was overbroad, could restrict access to legitimate compounded medications, increase costs and delays, and in some cases conflict with existing federal and state compounding rules; some also urged narrowing the bill to focus on GLP-1 weight-loss products and exempt hospitals, nursing homes, and animal compounding. The sponsor of HB 2613 said amendments were being developed to narrow the scope and clarify the bill before executive session. In executive session, the committee considered six bills and then took final action on seven measures. It adopted amendments and advanced HB 1496, which limits fees for certain electronically stored health care information and changes attorney-fee provisions under the Uniform Health Care Information Act; HB 2283, which raises the medical loss ratio target for health plans to 90% with a delayed implementation date and added reporting authority for the insurance commissioner; HB 2425, which revises nurse delegation rules and delays implementation to 2028; and HB 2577, which clarifies hospital inspection timing and allows Department of Health flexibility in using CMS surveys as equivalent inspections. The committee also advanced HB 2155, addressing non-human entities using nursing titles; HB 2340, relating to substance use disorder monitoring program provisions for nursing assistants; and HB 2437, concerning Department of Health opioid treatment accreditation activities and associated fee authority. Votes were largely bipartisan, though several members voted no or without recommendation on some bills, especially HB 2283 and HB 2437. The meeting ended with all seven bills reported out of committee with due pass recommendations.
AZ

Arizona 2026 Regular Session

02/04/2026 - House Transportation & Infrastructure

Transportation & Infrastructure

Transcript Highlights:
  • Chair, for a pre-hospital medical care directive, like an organ donor or heart patient... ...or heart
  • care staff. ...direct care staff.
  • on orange background and on gives all this information... ...medical care directive shall be printed
  • and not an advanced care directive.
  • I personally have in my health care power of attorney advanced directives showing that I'm a DNR, and
WA

Washington 2025-2026 Regular Session

House Community Safety Jan 27th, 2026 at 04:00 pm

Community Safety

Transcript Highlights:
  • or if otherwise directed through a court order.
  • Funding for medical care, in which case alternative monitoring must be used.
  • payouts that are a direct result of that kind of care.
  • where they can get the care they need without litigation.
  • , and deaths of children in foster care.
Summary: The House Community Safety Committee held public hearings on several bills. House Bill 2508, concerning the Office of Independent Investigations (OII), would expand OII jurisdiction to more deadly-force and in-custody death cases, require broader agency notification and records access, add fire/EMS records access with health-information limits, and create Public Records Act exemptions for certain OII investigative materials. The prime sponsor and OII staff said the bill would improve independence, transparency, and data collection. Some members raised concerns about the meaning of when a case is “closed” and about safeguards against harassment or overreach; OII said completed formal reviews are referred to prosecutors, while administratively closed matters are not. Testimony was mixed but included support from law enforcement associations and public-interest advocates, with some concern about the secrecy provisions and notification language. House Bill 2539, as amended by a proposed substitute, would raise the Department of Corrections inmate indigency cap from $25 to $100. The sponsor said the change would help incarcerated people afford hygiene and other basic necessities, reduce conflict in facilities, and still allow legal financial obligations and other deductions above the cap. Testifying incarcerated individuals and advocates supported the bill, saying current commissary prices and low wages make the existing cap too low and that families bear too much of the burden. One member questioned whether DOC already provides basic items, and the sponsor responded that quality and durability are issues and that the bill is intended to preserve a small amount of spendable funds. House Bill 2490 would expand extraordinary medical placement eligibility for incarcerated people with serious chronic or degenerative conditions or terminal illness, extend the expected prognosis window from six months to about 18 months, and require DOC to provide written reasons for denials with review by the Office of Corrections Ombuds. The sponsor, DOC, disability advocates, and others said the current program is underused and that many seriously ill people remain in prison despite high costs and inadequate care. Testimony emphasized humane treatment, public safety protections, and potential savings through community placement and Medicaid coverage. Some members questioned the 18-month standard and how public safety determinations are made, and DOC said it was reviewing the revised language. House Bill 2387, related to elected sheriffs, would allow a sheriff to hold office even if not certified as a peace officer, and would tie certain decertification outcomes to recall procedures. The sponsor and sheriff supporters argued the bill preserves voter control over the office while adding accountability, and they said sheriffs should remain elected local officials rather than be removed by state administrative action. Opponents, including civil rights, immigrant rights, disability, and survivor advocacy groups, argued the bill weakens accountability, creates unequal standards for sheriffs, and could undermine public trust and safety. Several witnesses said recall is a constitutional voter process and that the bill’s mechanism may be constitutionally problematic. No votes were taken during the hearing.
TX
Transcript Highlights:
  • Today, members, we will be taking care of hearing and voting on bills.
  • American veterans of the Spanish-American War and the Philippine-American War to advocate for medical care
  • This is about supportive palliative care and hospice care.
  • better medical outcomes and better care for families.
  • The second Saturday in October would be designated as Hospice and Palliative Care Day.
MN

Minnesota 2025-2026 Regular Session

House Taxes Committee 4/9/26

Taxes

Transcript Highlights:
  • . care. care.
  • ,</c><00:19:14.800><c> care</c> such truly family-centered care, care such truly family-centered care
  • . care. care.
  • Care Care Health<01:02:26.560><c> Care</c><01:02:26.680><c> Committee.
  • care.
Bills: HF4841, HF4234, HF3697
KY

Kentucky 2026 Regular Session

Senate Legislative Session Day 56 (3-31-26)

Kentucky Senate Floor Meeting

Transcript Highlights:
  • </c> psychiatric collaborative care model. psychiatric collaborative care model.
  • House Bill directed payment program.
  • Kentucky counties, care is out year in Kentucky counties, care is out of<03:43:37.600><c> reach</c><
  • bureaucratic barriers to care.
  • </c><04:05:01.040><c> This</c> health care for their patients. This health care for their patients.
Bills: HB567, HB776, HB2, HB568, HB619
AL

Alabama 2026 Regular Session

Alabama House Agriculture and Forestry Committee Mar 4th, 2026

Agriculture and Forestry

Transcript Highlights:
  • This seems to tie you and your animals to a particular veterinarian that will supply you and take care
  • veterinarian that will supply you and veterinarian that will supply you and take<00:09:25.600><c> care
  • </c><00:09:27.040><c> Senator</c><00:09:27.519><c> would</c> take care of your animals.
  • Senator would take care of your animals.
  • </c> going to follow directions. Absolutely. going to follow directions. Absolutely.
Bills: SB85, SB85
NM

New Mexico 2026 Regular Session

Senate - Health and Public Affairs Feb 9th, 2026 at 02:06 pm

Senate Health & Public Affairs

Transcript Highlights:
  • This is an appropriation bill directed to the Health Care Authority to investigate the feasibility of
  • Or would this be primarily directed toward 543?
  • You can go and get your stubbed toe taken care of at an urgent care. But it's the topography.
  • This is a direct way to address that problem.
  • I've not discussed this bill with the Health Care Authority.
TX

Texas 89th Regular

89th Legislative Session May 8th, 2025 at 10:05 am

Texas House Floor Meeting

Transcript Highlights:
  • provided to children in foster care.
  • HB 541 by Shaheen, relating to the provision of direct patient care by physicians and health care practitioners
  • Shaheen to explain... ...care by physicians and health care practitioners. Chair recognizes Mr.
  • Members, House Bill 541 increases access to medical care by expanding the number of health care providers
  • thing, but like you are a listed direct vendor and you hold a direct contract with that government or
Summary: The House convened with a quorum, received the invocation and pledges, and heard several announcements and recognitions before moving into floor action. Members honored the University of Texas Rio Grande Valley chess team for winning a share of the 2025 President’s Cup, recognized educator Jessica Lopez, and paid memorial tribute to Jennifer Maddenly, along with recognitions for Jeanette Valdez Duran’s food pantry work, TAMACC’s 50th anniversary, and Bernardine Steptoe’s retirement from WFAA. The House also granted permission for committees to meet while the House was in session, set a local consent calendar, and suspended posting rules for a Public Health Committee hearing on SB 2721. The chamber then considered a long series of Senate and House bills, with many passing on record votes. Measures addressed local law enforcement authority (SB 906), veterans highway designation (SB 1229), foster care medical billing (SB 855), massage therapy trafficking safeguards (SB 703), tax ballot language (SB 1025), occupational licensing for people with convictions (SB 1080), lien deadlines (SB 929), liquor sales complaints (SB 1355), higher education application fee waivers (SB 2231), utility data access (SB 1877), pediatric preceptorships (SB 1998), and several House bills on bond forfeiture notice, health workforce coordination, indigent civil commitment representation, consumer transaction cancellations, bird dispersal rules, theft venue for digital property, military grant applications, AI cancer-detection grants, cybersecurity contract language, in-state tuition for military-related programs, utility capital recovery, energy waste advisory oversight, gas utility rate recovery, psychedelic therapy study, teacher retirement funding transparency, pension changes, tax payment plans, and voter registration security. Some measures drew notable debate or amendments, including HB 5247, where a ratepayer-credit amendment failed, and HB 2298, HB 4014, HB 510, HB 561, HB 1128, HB 1904, HB 30, HB 200, HB 3045, and HB 5111, which all passed after recorded votes with varying margins. A major point of contention was SB 2420, the app store age-verification bill, which prompted extended debate over whether the bill should also require app developers to verify users’ ages. Representative Bryant offered an amendment to preserve developer verification obligations, arguing the bill would otherwise shift responsibility away from app makers; the author opposed it, saying the bill’s approach was more workable and raised concerns about First Amendment issues. Multiple points of order were raised and withdrawn during the debate, and the amendment discussion remained unresolved in the excerpt. The House also postponed further consideration of SB 17, SB 552, and SB 2420 at different points, and recessed for lunch after completing a large block of third-reading votes.
WA

Washington 2025-2026 Regular Session

Senate Floor Session Feb 26th, 2026 at 10:00 am

Washington Senate Floor Meeting

Transcript Highlights:
  • They are the nannies who care for our children... ...of our communities.
  • They are the nannies who care for our children, the home care providers who tend to our loved ones, housekeepers
  • And I think that, you know, Seattle has been a pioneer in this direction.
  • She is taking care of my most precious assets.
  • who or what they are getting their health care advice from.
WA

Washington 2025-2026 Regular Session

Senate Floor Session Feb 26th, 2026

Washington Senate Floor Meeting

Transcript Highlights:
  • They are the nannies who care for our children.
  • They are the nannies who care for our children. of our communities.
  • They are the nannies who care for our children, the home care providers who tend to our loved ones, housekeepers
  • She is taking care of my most precious assets.
  • who or what they are getting their health care advice from.
Summary: The Senate opened with ceremonial remarks, approved the previous day’s journal, and then moved through introductions, committee referrals, and caucus breaks. A resolution recognizing Ramadan, Senate Resolution 8680, was adopted after remarks from Senator Trudeau emphasizing charity, self-reflection, and restraint, and several members spoke in support of religious inclusion and community recognition. The chamber then took up several bills on final passage. House Bill 2304, expanding warranty options to encourage more condominium construction, passed overwhelmingly. Substitute House Bill 2492, requiring behavioral health and wellness training in construction apprenticeships, also passed after supporters cited high rates of mental health struggles and suicides in the trades. Substitute House Bill 2228, directing work on scissors stairs to improve housing efficiency, passed as well, as did Second Engrossed Substitute House Bill 1541, which revises the Veterans Affairs Advisory Committee to add more military and veteran experience. The most extended debate centered on Substitute House Bill 2355, the Domestic Workers’ Bill of Rights. Supporters argued it would provide basic labor protections, written agreements, minimum wage, and remedies for domestic workers, while opponents warned it would burden families, independent contractors, and small jobs with contracts, notice requirements, and private lawsuits. Several proposed amendments to narrow coverage or remove the private right of action were rejected, and the bill ultimately passed 28–20. The Senate also passed House Bill 2155 on nursing title use in the context of AI, Engrossed Substitute House Bill 2242 on preventive services and state health guidance, Substitute House Bill 2269 on middle housing in unincorporated areas, and Engrossed House Bill 1501 on HOA/unit-owner inquiries after adopting a committee striking amendment. The Senate adjourned until the next morning.