Video & Transcript : 'psychiatric advance directive' :
Page 34 of 500
MA
Massachusetts 2025-2026 Regular Session
Joint Committee on Children, Families and Persons with Disabilities Jun 21st, 2026 at 01:00 pm
Joint Committee on Children, Families and Persons with Disabilities
Transcript Highlights:
- And I also want to acknowledge the advances led by the child advocate... legislation.
- And I also want to acknowledge the advances led by the child advocate. it.
- We don't have anyone that signed up in advance to testify virtually on this, so we're going to move on
- We don't have anyone signed up in advance on that.
- MHLAC is a state agency that is dedicated to advancing the rights of those with disabilities.
Summary:
The Joint Committee on Children, Families, and Persons with Disabilities held a hybrid hearing on a series of child welfare bills focused on DCF, foster care, mandated reporting, educational records, and family support. Chair Kennedy and Chair Livingstone opened with accessibility and testimony rules, then heard testimony on bills including S.127 on expanding mandated reporters, S.107/H.235 on a Foster Children’s Bill of Rights, S.106/H.228 on transferring foster care review from DCF to the Office of the Child Advocate, H.258/S.125 on an electronic backpack for foster children’s educational records, H.205 on kinship foster care background checks, H.246/H.266 on minimizing trauma in care and protection cases, and S.159 on support for families after sudden unexpected infant death.
Supporters of the mandated reporter bill, led by Sen. Feeney and Foxborough advocates, described a local model that trains all adults who work with children and argued the state should scale that approach statewide to improve recognition and reporting of abuse. Testimony on the foster care bills emphasized the need for clearer rights, better notice to children and attorneys, stronger remedies, and independent oversight. Advocates, youth with lived experience, and legal organizations described placement instability, delayed notifications, abuse in care, poor educational continuity, and the need for rights around safety, family contact, culture, language, and access to records. Several witnesses urged that the Foster Children’s Bill of Rights include enforceable court remedies, not just reporting requirements.
On the oversight bill, supporters argued DCF should not review its own foster care system and pointed to poor outcomes, high placement instability, and recent investigative reporting as evidence for moving review responsibilities to the Office of the Child Advocate. On the electronic backpack bill, testimony focused on the need for real-time data sharing and a centralized system so schools can receive foster students’ records quickly and support continuity. On the trauma-minimization bill, Rep. Miskin framed the proposal as a set of practical changes to reduce harm during removals and court involvement. On the SUID bill, Sen. Lovely said families should be given information about available grief and support resources after an infant death. No votes were taken during the hearing; the committee primarily received testimony and questions.
AR
Transcript Highlights:
- This is for psychiatric services at the Southeast Arkansas Human Development Center.
- This is for psychiatric services at the Southeast Arkansas Human Development Center.
- that dynamic list so that not just our retailers, but also the individuals who are on SNAP can have direct
- And this waiver is a step in the direction of increasing the nutritional value of that program.
Summary:
The committee reviewed three DHS service contracts: a $690,000-plus sole-source contract for DCFS with Evident Change for maintenance and operation of the Child Welfare Structured Decision-Making Assessment tools; a $1.2 million contract with Sifter Solutions for a SNAP waiver compliance solution and related app; and a $156,000 contract with Samaritan Integrative Services for psychiatric services at the Southeast Arkansas Human Development Center. Staff said the Evident Change contract was needed to keep daily safety risk assessments, case planning, and reunification tools functioning, and that the vendor’s proprietary system made it sole source. Members questioned DHS about reliance on the vendor, the lack of an off-ramp, whether the state was paying more or less annually, and why the contracts were not aligned on the same cycle. DHS and the vendor said the new Evident Change contract was limited to maintenance and operations, that no additional services or employees were being added, and that the broader CQI/review contract would come up separately later.
For the SNAP waiver contract, DHS explained that the waiver is intended to exclude certain unhealthy foods from SNAP purchases to improve nutritional value, and that Sifter Solutions would provide a dynamic list for retailers and an app for clients to check products by barcode. DHS said the contract is sole source because it is tied to the waiver implementation and because the vendor can provide the needed dynamic list and education features. Staff said the contract would be funded with remaining federal SNAP Nutrition Education dollars that would otherwise revert to the federal government, and that the University of Pennsylvania would conduct the evaluation at no cost. Members asked about the public benefit, future renewals, and whether the state would own the application; DHS said the two-year term was designed to match the waiver period and allow time to reassess future procurement options.
Members also asked about the nutrition education component, and DHS said it is developing videos with a nutritionist on preparing budget-friendly healthy meals and plans to link them to the app and website. After discussion, no objections were raised, and the items were reported as reviewed. The meeting then adjourned.
ND
North Dakota 2025-2026 Regular Session
House Floor Session Apr 7th, 2025 at 01:00 pm
North Dakota House Floor Meeting
Transcript Highlights:
- It directs each school district to adhere to the parameters on page two, beginning on line 18.
- On page three, subsection four, I want to direct you to the provision where our school districts must
- On page three, subsection four, I want to direct you to the provision where our school districts must
- And I'd urge you to do that the proper way and direct... ...the proper way and direct human services,
- And we've gotten directives on how to do it, but please don't repeat history. Representative M.
Summary:
The North Dakota House convened with prayer, roll call, and recognition of guests and student visitors, then moved through a long calendar of resolutions and bills. Early in the session, members honored Mandan High School’s e-sports team for state championships and recognized House Minority Leader Zachary Ista’s birthday. The House then passed HCR 3037 unanimously, urging mandatory reporting requirements for public officials, after committee support and remarks emphasizing accountability in public office.
The chamber then considered numerous Senate amendments and final-passage votes on bills covering ambulance service grants (HB 1597), Public Service Commission records and open meetings (HB 1110 and HB 1063), squatter/trespass law (HB 1305), nonconforming structures in local governments (HB 1500), academic tenure policy (HB 1437), retirement eligibility for correctional officers and state radio dispatchers (HB 1274 and HB 1419), a Medicaid dental study (HB 1567), above-ground fuel storage tank regulation (HB 1058), gaming site authorization procedures (HB 1615), an oil extraction tax incentive outside the Bakken and Three Forks formations (HB 1483), and simple assault protections for hospital workers (HB 1341). Most of these measures passed, though HB 1231, which would have created a study on early discontinuation of sex offender registration, failed on final passage.
A major point of debate was Senate Bill 2354, which would restrict student use of personal electronic devices during the school day in public and nonpublic schools, with exceptions for medical and special education needs and annual reporting on impacts. Supporters argued it would improve focus, behavior, and mental health, while opponents raised concerns about private-school regulation, logistics, liability, and duplication with a similar bill. The House passed SB 2354, and also passed SB 2112, which temporarily authorizes the Life Skills and Transition Center to serve certain non-eligible youth in crisis, despite objections that the facility should remain focused on developmental disabilities and concerns about repeating past institutional problems. The House also debated and rejected HB 1300 on legislative term limits after extensive discussion about whether the Senate’s date change altered the effect of the voter-approved measure. The session ended with announcements, committee notices, and adjournment until April 8, 2025.
MO
Transcript Highlights:
- , and I'm going to just give you like a scenario, we have a rise in schizophrenia, bipolar with psychiatric
- , I'm sorry, with psychotic, bipolar with psychiatric, I'm sorry, with psychotic features in young people
- My only question is, on page 3, line 19, where you talk about the 96-hour psychiatric evaluation, how
- They do the psychiatric 96-hour hold? Yeah, that's using that in here.
Summary:
The committee met in executive session first and approved several measures. House Bill 2516 was voted do pass by a 6-yes, 1-present roll call. House Joint Resolution 171 was amended, rolled into a new House committee substitute, and then voted do pass by a 7-0 roll call. House Bill 3090 was also amended to remove three sections, rolled into a new House committee substitute, and then passed unanimously, 7-0.
The committee then returned to open session to hear House Bill 2512, sponsored by Representative Tricia Burns. The bill would replace the current “imminent danger” standard with “predictable harm,” create a “qualified petitioner” process, and expand court involvement in ordering treatment, including long-acting antipsychotic injections for certain patients with severe mental illness. Burns argued the bill is meant to help families and police intervene earlier in cases involving schizophrenia, bipolar disorder with psychotic features, and similar conditions, and said current law leaves families with too few tools and too little communication from providers.
Members asked about how the bill differs from current 96-hour psychiatric holds, how “predictable harm” would work in practice, and whether the proposal raises constitutional concerns. Burns said the bill is intended to allow earlier intervention based on documented patterns of behavior and to provide due process through the courts. In opposition, Lisa Pennett of Armour Vine raised concerns about court-ordered treatment against a patient’s will, unclear standards for incapacity, immunity provisions, funding penalties for noncompliant clinics, and criminal penalties for interference. The hearing on House Bill 2512 concluded without a vote, and the committee adjourned.
MA
Massachusetts 2025-2026 Regular Session
Joint Committee on Public Safety and Homeland Security Jun 21st, 2026 at 11:30 am
Joint Committee on Public Safety and Homeland Security
Transcript Highlights:
- And so therefore, I urge you, in the strongest possible terms, to support and advance this legislation
- And so therefore, I urge you, in the strongest possible terms, to support and advance this legislation
- We urge you to include these reforms in this and any legislation that's advanced to rein in state and
- Thank you, and I respectfully urge the committee to advance the Safe Communities Act.
- I think too much of it has gone in one direction. It looks like my time is up.
Summary:
The hearing focused on the Safe Communities Act, House 2580 and Senate 1681, along with related proposals to limit local and state cooperation with federal immigration enforcement, prohibit 287(g) agreements, and expand legal defense for immigrants. Most testimony came from advocates, attorneys, labor leaders, health care professionals, educators, and community members who argued that fear of ICE discourages immigrants from reporting crimes, seeking medical care, attending school, or cooperating with courts, and that a clear statewide policy would improve public safety, due process, and trust in institutions. Several speakers described personal or client experiences involving domestic violence, trafficking, workplace abuse, or children affected by deportation, and many emphasized economic harms to workers, families, and small businesses.
Health care witnesses said immigration enforcement is causing patients to miss appointments, avoid emergency rooms, and delay preventive care, with resulting public health consequences. Labor and education representatives said immigrant workers and students are increasingly fearful, and that the state should not allow local police to act as ICE agents or enter 287(g) agreements. ACLU and coalition witnesses cited examples they said showed existing or recent collaboration between local agencies and ICE, including courthouse alerts, vehicle stops, and use of municipal spaces, while also arguing that the bill would still allow cooperation on criminal matters and public safety emergencies. One witness opposed the bill, arguing that serious criminal offenders should be deported and defending ICE’s role.
Committee members asked several questions about whether the harms described were widespread or anecdotal, and about the distinction between assisting ICE in civil immigration arrests versus responding to violent or public safety emergencies. Witnesses said the bill was aimed at civil immigration enforcement, not criminal investigations or emergency situations. At the end of the hearing, a committee member requested a study on immigration enforcement’s effect on emergency room wait times, and the committee then adjourned without taking a vote on the legislation.
NH
New Hampshire 2025 Regular Session
House Criminal Justice and Public Safety (02/07/2025)
Criminal Justice and Public Safety
Transcript Highlights:
- that they would do it would direct that they would do it themselves<05:02:49.798><c> that</c><05:02:
- </c> security guard at the state psychiatric security guard at the state psychiatric facility<06:06:34.160
- John Hanam, representing the New Hampshire Psychiatric Society and the New Hampshire Medical Society,
- Psychiatric Society and Medical Medical Medical Society<06:13:54.520><c> strongly</c><06:13:54.840><
- knowledge because I appeared direct knowledge because I appeared before<06:31:15.120><c> the</c><06:
TX
Transcript Highlights:
- President, I am directed by the House to inform the Senate that the House has taken the following action
- Senate Bill 1621 rewrites our current child pornography statute to account for the advances in AI-generated
- duties previously. ...to conduct that was for a bona fide educational, medical, psychological, psychiatric
- Relating to the provision of direct patient care by physicians and health care practitioners.
- The Secretary will read the caption: House Bill 541 relating to the provision of direct patient care
Bills:
HB4, HB20, HB40, HB46, HB101, HB112, HB117, HB121, HB127, HB146, HB150, HB186, HB229, HB426, HB521, HB541, HB549, HB632, HB713, HB796, HB1052, HB1106, HB1135, HB1234, HB1306, HB1403, HB1523, HB1532, HB1690, HB1960, HB2035, HB2217, HB2399, HB2488, HB2517, HB2594, HB2655, HB2686, HB2731, HB2757, HB2820, HB2963, HB3005, HB3053, HB3073, HB3225, HB3320, HB3333, HB3336, HB3441, HB3483, HB3516, HB3520, HB3697, HB3748, HB3793, HB3848, HB4099, HB4134, HB4144, HB4158, HB4233, HB4236, HB4285, HB4350, HB4359, HB4464, HB4580, HB4690, HB4730, HB4848, HB4904, HB4995, HB5196, HB5294, HB5381, HB5435, HB5437, HB5509, HB5606, HB5646, HB5658, HB5661, HB5663, HB5666, HB5672, HCR40, HCR59, SB867, SB2919, SJR5, SJR27, SB4, SB6, SB7, SB9, SB13, SB15, SB23, SB27, SB30, SB40, SB57, SB66, SB140, SB268, SB293, SB331, SB413, SB447, SB457, SB467, SB506, SB510, SB512, SB571, SB650, SB763, SB777, SB785, SB800, SB850, SB863, SB865, SB973, SB974, SB1191, SB1281, SB1300, SB1362, SB1494, SB1522, SB1540, SB1567, SB1579, SB1580, SB1610, SB1660, SB1723, SB1760, SB1838, SB1923, SB1946, SB1957, SB1964, SB2018, SB2024, SB2121, SB2167, SB2217, SB2221, SB2321, SB2337, SB2368, SB2373, SB2407, SB2431, SB2477, SB2587, SB2615, SB2753, SB2807, SB2900, SB2965, SB2972, SB2986, SB3039, SB3047, SB3059, SB3070, SB1, SB17, SB21, SB260, SB379, SB509, SB1198, SB1405, SB1506, SB1637, SB1833, SB2155, SB2308, SB2601, SB2778, HB300, HB2011, HB2525, HB5246, HB100, HB101, HB119, HB227, HB252, HB322, HB346, HB654, HB705, HB718, HB721, HB824, HB1094, HB1234, HB1306, HB1506, HB1523, HB1629, HB1690, HB1868, HB1960, HB1973, HB2012, HB2035, HB2037, HB2078, HB2128, HB2213, HB2240, HB2348, HB2520, HB2598, HB2686, HB2694, HB2820, HB3005, HB3057, HB3092, HB3112, HB3171, HB3181, HB3185, HB3333, HB3388, HB3516, HB3546, HB3619, HB3623, HB3629, HB3642, HB3686, HB3697, HB3749, HB3793, HB3812, HB3815, HB3848, HB3909, HB4081, HB4145, HB4157, HB4158, HB4170, HB4202, HB4211, HB4214, HB4233, HB4285, HB4350, HB4361, HB4463, HB4464, HB4466, HB4559, HB4630, HB4748, HB4765, HB4848, HB4894, HB4904, HB4995, HB5093, HB5196, HB5320, HB5437, HB5624, HB5650, HB5651, HB5652, HB5654, HB5655, HB5656, HB5658, HB5661, HB5662, HB5664, HB5665, HB5666, HB5670, HB5672, HB5674, HB5677, HB5679, HB5682, HB5689, HB5690, HB5694, HB5695, HB5698, HB5699, HCR46, HCR76, HCR81, HCR83, HCR84, HCR111, HB748, HB5652, HB3395, HB180, HB1306, HB5650, HB4894, HB1629, HB5698, HB3171, HB2694, HB5664, HB4690, HB4464, HB3623, HB2520, HB2213, HB252, HB146, HB5596, HB3619, HB5320, HB5651, HB5670, HB5665, HB5437, HB5679, HB5661, HB5662, HB5654, HB5672, HB5656, HB2035, HB721, HB346, HB5695, HB5694, HB5674, HB3185, HB2348, HB1135, HB101, HB5666, HB5677, HB5682, HB5658, HB4144, HB3642, HB3815, HB2686, HB2012, HB1960, HB227, HB654, HB4158, HB4630, HB1523, HB1973, HB3333, HB3697, HB3546, HB3225, HB2820, HB186, HB119, HB4466, HB4170, HB3909, HB4081, HB4145, HB4285, HB4463, HB4995, HB5624, HB1449, HB2598, HB3629, HB4361, HB824, HB1868, HB4848, HB40, HB117, HB3686, HB3793, HB112, HB104, HB718, HB4904, HB4202, HB4765, HB4559, HB4350, HB4214, HB3388, HB3112, HB5196, HB3516, HB3092, HB4233, HB1094, HB2037, HB3005, HB3848, HB121, HB3336, HB5294, HB5646, HB4236, HB1052, HB5509, HB5435, HB3520, HB3320, HB2517, HB2488, HB5663, HB2731, HB3073, HB2655, HB2399, HB541, HB4099, HB111, HB1532, HB3483, HB2963, HB4580, HB3748, HB713, HB632, HB426, HB4730, HB127, HB5690, HB5689, HB5655, HB3385, HB2757, HB4359, HB5381, HB20, HB123, HB549, HB5606, HB2217, HB2594, HB796, HB1057, HB3664, HCR141, HCR40, HCR59, HCR76, HCR81, HCR46, HCR111, HCR83, HCR84, SJR36, SJR50, SJR63, SCR12, SCR39, SB2023, SB62, SB666, SB847, SB284, SB854, SB810, SB1505, SB583, SB507, SB1434, SB1772, SB2016, SB1122, SB731, SB397, SB508, SB1436, SB287, SB1882, SB393, SB1791, SB209, SB2429, SB1085, SB1975, SB2717, SB1262, SB636, SB2056, SB884, SB1200, SB1845, SB2458, SB801, SB3014, SB3013, SB758, SB2797, SB2076, SB2876, SB1640, SB1449, SB1181, SB1234, SB2926, SB2841, SB1528, SB1854, SB317, SB1250, SB2082, SB1237, SB2819, SB629, SB2608, SB1602, SB2009, SB867, SB640, SB1698, SB2680, SB913, SB1071, SB1086, SB1087, SB1483, SB1444, SB1553, SB1556, SB1703, SB2133, SB2297, SB2298, SB2622, SB2955, SB2334, SB1367, SB2044, SB2363, SB2565, SB1888, SB3036, SB3057, SB3043, SB3063, SB3035, SB203, SB2688, SB2522, SB2459, SB2655, SB2251, SB1884, SB2928, SB2566, SB2549, SB2553, SB2919, SB1944, SB1232, SB1798, SB2603, SB2607, SB2683, SB1319, SB3045, SB3071, HB40, HB117, HB121, HB426, HB541, HB713, HB1052, HB1532, HB2217, HB2488, HB2517, HB2655, HB2757, HB2963, HB3073, HB3697, HB4099, HB4144, HB4158, HB4236, HB4285, HB4848, HB5435, HB5437, HB5509, HB5646, HB5666, HB14, HB1240, HB796, HB1523, HB5294, SR559, SR587, SR614, SCR53, SJR59, SB10, SB22, SB25, SB34, SB36, SB38, SB261, SB777, SB924, SB1188, SB1318, SB1333, SB1398, SB1448, SB1621, SB1862, SB2405, SB2406, SB8, SB12, SB37, SB441, SB1566, SB2878, HB300, HB2011, HB5246, HB101, HB119, HB227, HB252, HB346, HB654, HB718, HB721, HB824, HB1306, HB1629, HB1868, HB1960, HB1973, HB2012, HB2035, HB2037, HB2213, HB2348, HB2520, HB2598, HB2686, HB2694, HB2820, HB3005, HB3092, HB3112, HB3185, HB3333, HB3388, HB3516, HB3546, HB3619, HB3623, HB3629, HB3642, HB3686, HB3815, HB3848, HB3909, HB4081, HB4145, HB4170, HB4202, HB4214, HB4350, HB4361, HB4463, HB4464, HB4466, HB4559, HB4630, HB4765, HB4894, HB4904, HB4995, HB5196, HB5320, HB5624, HB5650, HB5651, HB5652, HB5654, HB5655, HB5656, HB5658, HB5661, HB5662, HB5664, HB5665, HB5670, HB5672, HB5674, HB5677, HB5679, HB5682, HB5695, HB5698, HCR46, HCR76, HCR81, HCR83, HCR84, HCR111, HB1094, HB3171, HB3793, HB4233, HB5689, HB5690, HB5694
Keywords:
applied sciences, career education, high school diploma, certificate program, work-based learning, job placement, high-growth jobs, technical training, business court, civil procedure, litigation, jurisdiction, arbitration, low-THC cannabis, dispensing organization, Texas Compassionate-Use Program, medical use, patient access, registration, healthcare
ID
Transcript Highlights:
- Then after five years on the professional, you can advance or be eligible to advance into the advanced
- They advance on the ladder based on experience and based on performance.
- And in that fifth year is when you finally advance.
- And in that fifth year is when you finally advance.
- I currently run the office of my husband's psychiatric practice.
US
US Federal 2025-2026 Regular Session
Hearings to examine biomedical research, focusing on keeping America's edge in innovation. Apr 30th, 2025 at 09:30 am
Senate Appropriations
Transcript Highlights:
- We have worked together many times over the years, along with our colleagues, to invest in advancing
- It has led to major advancements in our understanding of women's health issues, especially in older women
- We also live in a world where the economic benefits of those advances have grown the U.S.
- I've directed major clinical research centers.
- Real-time advances continue to matter.
AZ
Transcript Highlights:
- Most of you have probably never been on an involuntary psychiatric unit. Well, I have.
- Most of you have probably never been on an involuntary psychiatric unit, well, I have.
- All involuntary psychiatric evaluations and medication treatment orders follow strict due process, with
- accredited service provider to obtain criminal history record information for new employees who have direct
Keywords:
mental health, involuntary evaluation, service of process, court-ordered treatment, evaluation agencies, AHCCCS, remote work, state agency, employment, public health, healthcare, behavioral health, prior authorization, American Indian health program, medicaid, medical examiner, death investigation, body disposal, autopsy, veteran burial
NH
New Hampshire 2025 Regular Session
Health and Human Services Oversight Committee (09/26/2025)
Transcript Highlights:
- Um, I think absent other direction from the commissioner, our record retention rules state, I believe
- </c><00:54:56.559><c> from</c> Um I think absent other direction from Um I think absent other direction
- <00:59:26.640><c> hospitals,</c><00:59:27.839><c> 15</c><00:59:28.160><c> ambulatory</c> psychiatric
- hospitals, 15 ambulatory psychiatric hospitals, 15 ambulatory surgery<00:59:29.520><c> centers,</c><00
- </c> in learning how technological advances in learning how technological advances and<01:04:13.599><
Summary:
The committee first approved the draft minutes of its May 16, 2025 meeting, with one correction removing Representative Dry from the attendance list because she was present as a guest rather than an appointed member. The committee then received a Department of Health and Human Services update from Commissioner Lori Weaver, who focused on the rural health transformation grant process. She said the department has been gathering stakeholder input since July, issued a request for information on September 22, and is working toward an end-of-October draft and a November 3 deadline, with a grant writer request expected to go before Governor and Council at no cost to the state.
The bulk of the meeting centered on federal changes affecting SNAP and Medicaid. Karen Heert explained that the federal law changes commonly referred to as the “Big Beautiful Bill” or HR1 will affect SNAP eligibility and state costs, including a shift in administrative cost sharing from 50/50 to 75/25 beginning in October 2026 and a possible state share of benefits if New Hampshire’s error rate is too high. She said the program affects about 43,000 households, that New Hampshire’s federal fiscal year 2024 error rate was 7.57% versus a national rate of 10.93%, and that the state must get below 6% to avoid liability. She also said DHS is preparing remediation steps, auditing cases, and seeking technology and staffing support, including a grant for automation and training.
Henry Litman then described Medicaid changes under HB2 and the new federal law. He said New Hampshire returned to pre-pandemic eligibility verification rules on July 1, including a 10% income compatibility standard and reduced ex parte renewals, which has increased manual work and contributed to a drop in enrollment from about 185,000 in late June to about 178,000 in early September. He also reviewed new child premiums, pharmacy copays, Granite Advantage premiums, and possible Medicaid work requirements, noting that DHS is working with CMS on implementation details and may use a state plan option rather than an 1115 waiver because it would be less expensive and faster. Members asked several questions about the SNAP error-rate rules, the distinction between administrative and client errors, the effect of unpaid copays, and the timing and legal risk of the Medicaid work requirement; no votes were taken on those policy issues.
HI
Transcript Highlights:
- So that it's not a direct subsidy from a state, but that is a state program that we use to help cover
- So that it's not<00:14:30.560><c> a</c><00:14:30.800><c> direct</c><00:14:31.040><c> subsidy</c><00:14
- 31.440><c> from</c><00:14:31.600><c> a</c><00:14:31.760><c> state,</c><00:14:31.920><c> but</c> not a direct
- subsidy from a state, but not a direct subsidy from a state, but that<00:14:32.240><c> is</c><00:14:
- It's directed, I guess, to the, I'll call you white coat since you're wearing your white coat.
Keywords:
accessible parking, disability, kupuna, public accommodations, small business exemptions, Hawaii Revised Statutes, parking permit, blind, deaf, accessibility, deafness, traffic safety, law enforcement, vehicle registration, communication, emergency services, commercial driver's license, first responders, public safety, authorized emergency vehicle
Summary:
The joint hearing covered House Bill 251, which would require hospitals to report costs associated with Medicare and uninsured patients, and House Bill 1875, which would expand protections for gender-affirming health care services. On HB 251, the Department of Health said it supported the intent but described the bill as complicated and potentially impractical as drafted because the department lacks the expertise to produce the required analyses without outside help. Hawaii Health Systems Corporation echoed those concerns, while the Queen’s Health System said it was willing to work with the department to provide the information. In committee discussion, officials explained that hospital support in Hawaii includes public hospital appropriations and the provider tax program, which uses hospital and nursing home contributions to draw federal matching funds; a department witness estimated the net benefit at about $150 million for hospitals and $20 million for nursing facilities, though exact figures would be provided later.
On HB 1875, the Insurance Division testified with concerns that the bill’s language on prohibited actions by malpractice insurers was broad and vague, and that a rate-increase prohibition could conflict with actuarially based insurance pricing. The division also noted it was not the primary enforcement agency for the statute. In contrast, many testifiers strongly supported the bill, including the Hawaii State Commission on the Status of Women, the Hawaii State LGBTQ+ Commission, the Hawaii Public Health Institute, PFLAG Oahu, the ACLU of Hawaii, the Drug Policy Forum of Hawaii, the Hawaii County Democratic Party, and others. Supporters argued that gender-affirming care is medically necessary, evidence-based, and protected by privacy and bodily autonomy principles, and that the bill would protect patients and providers from outside political interference. No votes or final committee actions were taken during the portion of the hearing provided.
OK
Oklahoma 2026 Regular Session
Senate Legislative Session May 14th, 2026
Oklahoma Senate Floor Meeting
Transcript Highlights:
- I'm going to declare the bill advanced.
- I'll be the bill advanced.
- The bill advanced.
- Are you in favor of the advancement, you vote aye. You oppose advancing, vote nay.
- House amendments not to have advanced.
Bills:
HJR1088, HJR1090, HJR1091, HB1370, SB2154, HJR1092, HJR1093, HJR1095, HJR1099, HJR1100, HB3021, SB893, SB206, SB248, SB259, SB423, SB563, SB604, SB633, HJR1077, SB667, SB1224, SB1257, SB1264, SB1319, SB1360, SB1437, SB1531, SB1543, SB1806, HB3004, SB1572, HB4342, SB1618, SB2, SB237, SB1632, SB1687, SB1726, SB1859, SB1894, SB1461, HB4432, SB1948, SB1589, SJR52, SR46, HCR1030, SB2071, SB2182, SB1451
Keywords:
education rules, administrative rules, joint resolution, Oklahoma State Department of Education, higher education, State Regents for Higher Education, Teachers' Retirement System, charter schools, Statewide Charter School Board, career and technology education, CTE, OEQA, rule approval, legislative oversight, permanent rules, school governance, teacher retirement, education agencies, Oklahoma Register, Department of Agriculture, Food, and Forestry
Summary:
The Senate met with a quorum, prayer, pledges, and recognition of two student pages before taking up a long agenda of House joint resolutions and bills, mostly related to administrative rules and agency approvals. The chamber advanced and passed H.J.R. 1088, 1090, 1091, 1092, 1093, 1095, 1099, and 1100, which approved permanent rules for education, energy and agriculture, business and commerce, building code, health-related agencies, general government agencies, the Oklahoma Health Care Authority, and OMES. Several senators criticized the process for moving rule resolutions quickly and without committee vetting, while supporters said the calendar delays required direct consideration. The Senate also adopted conference committee reports and passed SB 206, SB 248, and HB 3021, with HB 3021 making small changes to graduation requirements, including science/math course language, Oklahoma history flexibility for some military families, and personal financial literacy counting toward math in some cases.
A major portion of the meeting focused on House Bill 1370, which was described by its author as repealing an automatic state trigger that would replace any federal gasoline tax if the federal government suspended it. Supporters argued the bill would prevent Oklahoma drivers from paying more if the federal gas tax were repealed and framed it as tax relief; opponents argued it could reduce highway and bridge funding and create a budget hole. The Senate suspended several rules to bring the bill up, but rejected a motion to suspend the fiscal-impact rule for a proposed amendment. After debate, the chamber passed the measure 41-7 and then approved it as an emergency measure.
The Senate also took up Senate Bill 893, a conference report dealing with foreign ownership near critical infrastructure and agricultural land. The bill would restrict certain foreign adversary ownership or leasing within 10 miles of critical infrastructure, add training zones and other protected areas, delay implementation until July 1, 2027, and create an enforcement process involving Attorney General review and whistleblower-style reporting. Senators raised concerns about enforcement, possible misuse, and profiling, while the author said the bill was aimed at national security and infrastructure protection. The conference report was adopted and the bill passed. Later, the Senate received notice that the House was ready to convene in joint session, and the chamber briefly stood at ease before returning to continue its work.
MD
Transcript Highlights:
- The entire membership extends its best wishes on this memorable occasion and directs this resolution
- She wants to be a psychiatric nurse.
- She wants to be a psychiatric<00:09:23.120><c> nurse.</c> psychiatric nurse. psychiatric nurse.
Summary:
The Senate opened with an invocation by Father Mark Bilek of Westminster, introduced by the Senator from the 42nd District and praised by members for his community service and Lenten message of reconciliation. The prayer was journalized. The chamber then recognized several guests, including interns, family members, a shadowing student, and the doctor of the day, Dr. Ann Benfield, before moving to floor business. A scheduling note indicated a light floor agenda, with committee work later in the day and a longer floor session expected the next day.
The Senate considered several second-reading committee reports and moved multiple bills to third reading, generally without objection. These included House Bill 229, increasing Maryland Transportation Authority bond capacity from $4 billion to $5 billion; House Bill 266, allowing resource-sharing revenues to support state communications infrastructure, with an amendment conforming it to Senate Bill 85; House Bill 472, extending and adjusting the theatrical production tax credit; House Bill 607, setting constitutional officers’ salaries; House Bill 810, creating a study on blockchain-based lease recordation verification with an amendment adding the Maryland Blockchain Association; House Bill 1095, granting a Calvert County property tax credit for former tobacco barns; House Bill 1142, creating a task force on county and municipal revenue structures; and House Bill 1165, addressing apprenticeship program accountability and completion. The Senate also advanced Senate Bill 956, authorizing the Maryland Transportation Authority to waive portions of video tolls or civil penalties on delinquent accounts, with a sponsor amendment.
Members briefly joked about April Fools’ Day during the proceedings, but the chamber continued to adopt reports and amendments without recorded opposition. At the end of the session, leaders announced committee schedules for the afternoon and the next day, including Finance, Triple E, Budget and Taxation, and Judicial Proceedings meetings. The Senate then held a quorum call, confirmed 45 members present, and adjourned until Thursday, April 2 at 10:00 a.m.
MN
Minnesota 2025-2026 Regular Session
Committee on Health and Human Services - 04/09/26
Health and Human Services
Transcript Highlights:
- It's about how we will be able to meet the need of the psychiatric needs of our patients now and into
- And we anticipate that CentraCare will have 50% of its psychiatric FTEs in the next 5 to 6 years.
- And plan to expand the psychiatric residency program through collaboration with the state of Minnesota
- As Madam Chair mentioned, last year's bipartisan statewide directed payment program may be scaled back
- </c> appropriations directed to it. appropriations directed to it. Thank<01:53:03.920><c> you.
TX
Texas 89th 2nd C.S.
Senate Committee on Health and Human Services May 27th, 2026
Health & Human Services
Transcript Highlights:
- They provide advanced logistics, advancements, automation, cybersecurity, all in order to strengthen
- They provide advanced logistics, advancements, automation, cyber security, all in order to strengthen
- You made a comment about direct delivery, so I need to understand what direct delivery means because
- Direct Primary Care Alliance.
- my clinic, Texas Direct Medical Care, also using the direct primary care model.
CA
Transcript Highlights:
- Finally, the bill directs the Department of Health Care Services to develop a standardized referral form
- People are being discharged from psychiatric hospitals onto the streets because we don't have enough
- Last year, ...psychiatric hospitals onto the streets because we don't have enough housing.
- It's not just the rhetoric, but the directives of Stephen Miller, etc.
- First, principally, we oppose statewide public policy effectively directed at two companies.
FL
Transcript Highlights:
- So this would be an additional licensure for advanced birth centers.
- Advanced birthing centers.
- I want to go back to the advanced birthing centers.
- So there are no advanced birth centers. There's no forum.
- So we didn't have advanced birth centers, but we had birth centers.
Summary:
The Senate Health Policy Committee received updates from the Agency for Health Care Administration and the Department of Health on implementation of 2024 health care laws. AHCA reviewed progress on workforce and reimbursement measures in Senate Bill 7016 and related bills, including FRAME and TEACH funding, graduate medical education reporting, behavioral health teaching hospitals, acute hospital care at home, advanced birth centers, non-emergent care access plans, and rural emergency hospitals. Agency officials said several programs are already operational or have begun payments, while others are still in rulemaking, federal approval, or report-preparation stages. Senators asked about timing, funding reversion concerns, and whether appropriated dollars would be spent on schedule, especially for behavioral health teaching hospitals and the new birth center category.
The Department of Health then reported on practitioner licensure and public health programs. MQA described implementation of the Interstate Medical Licensure Compact, the Mobile Act licensure pathway, massage therapy enforcement changes, background screening expansion, liposuction safety requirements, pharmacist HIV post-exposure prophylaxis authority, and chiropractic dry needling. Public health staff updated the committee on FRAME and dental loan repayment, the Sinati screening grant program, the cancer research and innovation changes, the health care innovation council and loan program, the pediatric rare disease grant program, telehealth maternity care expansion, newborn screening for congenital CMV, the sickle cell registry and grants, and the swimming lesson voucher program. Members focused questions on how practitioners were being recruited to underserved areas, the pace of licensure approvals, and whether new programs were on track to use appropriated funds.
The committee also heard a lengthy update from the Office of Medical Marijuana Use. The director reported more than 900,000 qualified patients, real-time seed-to-sale tracking now integrated across most dispensaries and labs, and ongoing compliance work on product testing, advertising, diversion, and patient safety. Senators questioned the decline in qualified physicians, how THC potency is labeled and verified, and what the agency can do about diversion to non-patients. The director said the office relies on complaints, inspections, lab audits, and coordination with law enforcement, and that patients can be suspended if violations are confirmed.
NH
New Hampshire 2025 Regular Session
House Health, Human Services and Elderly Affairs (03/19/2025)
Health, Human Services & Elderly Affairs
Transcript Highlights:
- So 548 as amended extends the direct pay model currently available for primary care to the operation
- So 548 as amended extends the direct pay model currently available for primary care to the operation
- care workers mid managers about direct care workers mid managers senior<01:18:58.239><c> managers</c
- <01:23:31.880><c> will</c><01:23:32.080><c> be</c><01:23:32.239><c> very</c> direction will be very direction
- Bill search you can in the advanced Bill search you can tweak<02:26:40.319><c> a</c><02:26:40.439><c
TX
Transcript Highlights:
- Speaker, I'm directed by the Senate to inform the House that the Senate has taken the following— them
- The city is a regional leader in the medical field, ensuring access to quality care and advancing education
- Since its founding in 1981, the TAA has been a driving force. in advancing emergency medical services
- Relating to Requiring Parental Consent for Psychological or Psychiatric Examination Testing and Treatment
- HCR 11 by Bella Montgomery directing the Texas Department of Public Safety to consider opening a driver's