Video & Transcript : 'Arizona Long Term Care System' :
Page 366 of 500
FL
Transcript Highlights:
- assignments, military spouses relocate every two to three years, making it extremely difficult to maintain long-term
- assignments, military spouses relocate every two to three years, making it extremely difficult to maintain long-term
- This is not a short-term issue.
- This is a long-term thing that hopefully will help our country fund critical national That hopefully
- term.
Committee:
Senate Commerce and Tourism
Summary:
The committee heard several bills on commerce, tourism, labor, technology, and public safety. SB 1666, by Senator Graal, would adopt Florida’s version of UCC Article 12 to address commercial transactions involving digital assets such as cryptocurrency, blockchain, smart contracts, and NFTs; after a technical amendment, it was reported favorably. CS/SB 480, by Senator DiCeglie, would create affordable health coverage options for farmers and ranchers through a nonprofit agricultural organization model similar to Tennessee’s; supporters said it would expand access in rural areas, while opponents and some senators raised concerns about ACA protections, preexisting conditions, and state fiscal impacts. The committee also approved CS/SB 1172, which expands business development incentives for veterans and military spouses, including procurement preferences, fee waivers, tax exemptions, and an entrepreneurship program, after an amendment expanding hiring preferences for military spouses was adopted.
The committee then took up SB 1400, which creates a process for removing nonconsensual AI-generated sexual deepfakes from covered online platforms within 24 to 48 hours and subjects noncompliant platforms to penalties under Florida’s deceptive trade practices law; an amendment carved out internet service providers, and the bill was reported favorably. SM 1488, a memorial urging Congress to create a sovereign wealth fund, drew opposition from a public school teacher who questioned its necessity and constitutionality, but it still passed. CS/SB 922, dealing with employment agreements, would strengthen enforcement of certain non-compete and garden leave agreements for employees with access to sensitive information; critics argued it would restrict workers and innovation, while supporters said it protects trade secrets and high-paying jobs. After an amendment, it was reported favorably.
The committee also approved SB 1252, which would create a statewide system for sharing pawn and secondhand dealer data among law enforcement agencies, with an initial feasibility study cost estimated at $250,000 and questions raised about enforcement if agencies do not participate. Finally, CS/SB 1776, under the Whistleblower’s Act, would require advance notice and an opportunity to cure alleged violations, narrow retaliation and disclosure definitions, and limit claims when another statutory remedy exists; members questioned whether the changes could reduce employee protections or allow employers time to destroy evidence, but the bill was still under debate as the transcript ended.
MO
Transcript Highlights:
- We're looking at other options, more long-term options that may be available in that area for parking
- We're looking at other options, more long-term options. all the spaces there, so we have to provide some
- We're looking at other options, more long-term options that may be available in that area for parking
- Sure, and the long term—or longer term, everything's relative, I guess—we're talking about time.
- term or longer term everything's relative I guess we're talking about time the longer term from the
Committee:
House Budget
WY
Wyoming 2026 Regular Session
House Labor, Health & Social Services Committee, February 23, 2026
Labor, Health & Social Services
Transcript Highlights:
- So 20 30 40 long-term uh revenue stream.
- Uh but should be a long-term incentive.
- Um and we are looking at this in terms of OB care.
- cover long-term?
- </c> does cover long-term? does cover long-term? >> Mr.<01:10:05.920><c> Springer.
Bills:
HB0004
Committee:
House Labor, Health & Social Services
CA
California 2025-2026 Regular Session
Assembly Appropriations Committee Apr 29th, 2026
Appropriations
Transcript Highlights:
- care.
- our attention are from closed-door pharmacies who focus on medication management for residents in long-term
- However, our outdated regulatory structure limits the ability of the health care system to fully utilize
- this proven model. ...structure limits the ability of the health care system to fully utilize this proven
- model of care.
Committee:
House Appropriations
MN
Minnesota 2025-2026 Regular Session
Investing in Disability Services – Senator Jim Abeler Feb 24th, 2025
Minnesota Senate Floor Meeting
Transcript Highlights:
- We have a system of assessments called MnCHOICES, which is frankly a disaster.
- Well, if you have a system that's got that many workarounds, let's fix the system.
- </c> on workarounds well if you have a system on workarounds well if you have a system that's<00:03:22.840
- </c><00:03:55.680><c> bills</c> way but then you have these long bills way but then you have these long
- </c><00:05:08.759><c> deeply</c> it's something that you care deeply it's something that you care deeply
NH
New Hampshire 2026 Regular Session
Joint Legislative Performance Audit Oversight Committee (03/06/2026)
Transcript Highlights:
- </c> and prosecutes fraud by healthc care and prosecutes fraud by healthc care providers<00:09:14.720
- </c><00:10:13.279><c> appointment</c> completing a one-year term appointment completing a one-year term
- </c> unjustifiable harm to a healthc care unjustifiable harm to a healthc care facility<00:15:03.920>
- ,</c><00:15:11.199><c> or</c> withholding necessary food, care, or withholding necessary food, care,
- Um, as the Medicaid fraud system.
Summary:
The committee chair opened by explaining that the committee has expanded from a traditional audit-follow-up role into an oversight role focused on whether audit recommendations are implemented and whether controls are in place to detect fraud. He said the committee was concerned about fraud uncovered in social service programs in other states and wanted to understand New Hampshire’s safeguards, especially around major contracts and program performance.
Charles Buchanan, director of the New Hampshire Medicaid Fraud Control Unit, and investigator Tim Brackett described the unit’s structure and mission. Buchanan said the unit, housed in the Attorney General’s Criminal Justice Bureau, investigates and prosecutes fraud by health care providers serving Medicaid beneficiaries, as well as abuse, neglect, and financial exploitation of residents in health care facilities. He outlined common Medicaid fraud schemes such as billing for services not rendered, upcoding, using unqualified staff, drug substitution, kickbacks, supplemental charges, and inflated customary charges. He also described resident abuse/neglect and drug diversion in hospitals, nursing homes, and assisted living settings. Brackett said his role is financial investigator/auditor and noted the unit is grant-funded and must include a prosecutor, investigator, and auditor.
The witnesses then explained how cases reach the unit and how they are handled. Most referrals come from the state Department of Health and Human Services’ program integrity unit and from managed care organizations’ special investigations units, which look for fraud, waste, and abuse and refer credible allegations. Other sources include qui tam whistleblower actions, the national Medicaid Fraud Control Units association, citizen complaints, provider referrals, adult protective services law-enforcement referrals, local law enforcement, and federal agencies. Once a referral is received, the unit can accept or deny it; accepted matters may be investigated criminally or civilly, while nonviable matters can be referred back to HHS or other agencies for administrative action, including repayment demands and reimbursement offsets. No votes or formal committee actions were taken in the portion provided.
CA
Transcript Highlights:
- This statute would allow those who have been long-term residents of the United States for at least seven
- Those who have been long-term residents of the United States for at least seven years to apply for legal
- A fairer appeal process makes a fairer health care system. I respectfully urge your aye vote.
- California has long been a place where people can access the health care they need and live authentically
- California has long been a place where people can access the health care they need and live authentically
Committee:
Senate Judiciary
FL
Transcript Highlights:
- Enrollees may face long waits, travel unreasonable distances, just to access basic care.
- Enrollees may face long waits, travel unreasonable distances, just to access basic care.
- This bill lays the groundwork for addressing our long-term teacher shortage.
- This bill lays the groundwork for addressing our long-term teacher shortage.
- This bill lays the groundwork for addressing our long-term teacher shortage and will help train teachers
Summary:
The Senate opened with prayer, the Pledge of Allegiance, and several recognitions, including interns, Denim Day awareness, and a resolution honoring Vietnam veterans exposed to Agent Orange. Senators also paid tribute to former Senator Karen Johnson Gendron with a moment of silence. The chamber then moved to special-order bills after routine announcements that no committee reports, governor’s messages, or House messages were on the desk.
The first major bill, SB 138/HB 687 on transportation offenses involving death, increased penalties for repeat DUI/BUI manslaughter and vehicular homicide offenses and added warnings and misdemeanor penalties for refusing lawful breath or urine tests. After a brief amendment and questions about attorney rights and prior impairing-substance language, the bill passed 37-0. SB 306 on Medicaid providers followed, requiring broader provider access, including after-hours availability and more primary care access for Medicaid enrollees; it also passed 37-0.
The chamber then took up the major condominium reform bill, SB 1742/HB 913, addressing post-Surfside safety, reserve funding, milestone inspections, budgeting, reserve flexibility, manager regulation, conflicts of interest, and condo sale rescission periods. Senators from both parties praised the sponsors for extensive stakeholder work and the bill passed 37-0 after multiple amendments. The final major item was SB 7016/HB 1205 on constitutional amendments and petition-gathering rules, with sponsors arguing the bill was needed to combat fraud in the 2024 petition process and opponents warning it would burden citizen initiatives. The Senate adopted the House bill and then considered numerous amendments on petition circulator rules, submission deadlines, invalid-signature thresholds, voter notification, and related enforcement provisions; several amendments were adopted, and the substitute was later withdrawn, leaving the chamber to continue on the underlying bill and remaining amendments.
WA
Washington 2025-2026 Regular Session
House Labor & Workplace Standards Jan 20th, 2026 at 10:30 am
Labor & Workplace Standards
Transcript Highlights:
- The workers' compensation system was created at a time when the cost of living, housing, and health care
- is economic security, health care...
- Modernize the system while staying true to its original purpose, which is economic security, health care
- provider, home care worker, personal care provider, housekeeper, cleaner, cook, gardener, or household
- Fire protection sprinkler system. Yes, Allison, is that correct? Fire protection sprinkler systems.
Committee:
House Labor & Workplace Standards
Keywords:
labor protections, domestic workers, wage standards, employment rights, worker safety, factory built housing, commercial structures, national standards, construction regulation, building safety, workers' compensation, benefits, employment, injury claims, insurance, liability, fire protection, sprinkler systems, licensed contractors, certified fitters
MN
Minnesota 2025-2026 Regular Session
House Taxes Committee debates bill to modify tax breaks for MN data centers, HF1277 2/27/25
Transcript Highlights:
- And now you can get more, um, but what is missing is the same treatment and long-term certainty that
- And now you can get more, um, but what is missing is the same treatment and long-term certainty that
- While these projects do create construction jobs, the long-term economic benefits are minimal.
- While these projects do create construction jobs, the long-term economic benefits are minimal.
- While these projects do create construction jobs, the long-term economic benefits are minimal.
TX
Texas 89th 2nd C.S.
S/C on County & Regional Government Apr 21st, 2025
S/C on County & Regional Government
Transcript Highlights:
- These animals are frequently purchased on impulse without proper consideration for long-term care or
- Without intervention, these gaps will limit access to care and strain local health care systems.
- Without intervention, these gaps will limit access to care and strain local health care systems.
- I believe my bill offers a responsible local solution to ensure long-term health care access for Nueces
- We would be working with the Christus health care system, which would be the main contractor that we
Bills:
HB240
Committee:
House S/C on County & Regional Government
Summary:
The subcommittee heard a series of county and regional government bills, with most measures left pending after testimony. HB 2097 would let counties that opt in give sheriff’s deputies an alternative appeal route for certain discipline cases through an independent hearing examiner instead of the Civil Service Commission. The author and a CLEET witness said it would be faster, cheaper, and fairer; questions focused on why the bill was needed and whether sheriffs could already use such a process. No opposition testified, and the bill was left pending.
HB 4642 drew extensive testimony after the author said it was prompted by a death involving an out-of-state jail contract. The bill would require counties contracting with out-of-state jail facilities to include Texas-like jail standards and oversight provisions. The author, a former detainee held in Louisiana, his wife, and a Texas Jail Project advocate described poor conditions, lack of accountability, and multiple deaths of Texans housed out of state. The Texas Commission on Jail Standards director said five counties are currently housing 1,251 Texas inmates out of state, mostly because of staffing shortages, and said the bill would give the commission more authority and oversight. The bill was left pending.
The committee also heard HB 4350, which would allow peace officers to request redaction of personal information from online real property records. Supporters said officers face retaliation risks and should have protections similar to judges and other officials; a title industry witness cautioned that redaction should not compromise the integrity of land records. The bill was left pending. HB 3687 would require county fire marshals in counties over 100,000 to meet specified training and certification standards, and HB 4105 and HB 4205 would give Harris County preferences in construction contracting and require pay parity for comparable law enforcement ranks within the county, respectively; all drew support from county officials and were left pending. HB 5403 would repeal a special rule requiring Dallas and Tarrant county sheriffs to get commissioners court approval for commissary disbursements, and it was also left pending.
Later, HB 4462 would let elected county officials in large counties choose outside counsel in civil cases involving them, rather than relying solely on the county attorney. Supporters argued this would reduce conflicts of interest and protect officials’ reputations; questions centered on who qualifies and whether it could conflict with county interests. Finally, HB 240 would restore a five-member quorum requirement for Harris County tax levies, effectively requiring all commissioners to be present before a new tax rate can be adopted; supporters framed it as a taxpayer protection, while the Conference of Urban Counties opposed it as giving one member a de facto veto and potentially disrupting the budget process. Both bills were left pending.
FL
Florida 2025 Regular Session
February 4, 2025 - 03:00 PM
Transcript Highlights:
- It's also known as Kid Care.
- It's also known as Kid Care.
- They have the subsidized care, whether it be health care, or you're going to hear a lot about it in pre-K
- But again, overall, the U.S. health care system is tiered in this structure.
- Consistently included premium requirements for Kid Care, and all the Kid Care partners have maintained
Summary:
The committee received a briefing from AHCA Deputy Secretary Brian Meyer and Florida Healthy Kids CMO Ashley Carr on implementation of HB 121, which was enacted in 2023 to expand Florida’s KidCare/CHIP eligibility from 200% to 300% of the federal poverty level and replace the sharp premium “benefits cliff” with a tiered premium glide path. Sponsor Rep. Bartleman described the bill as a bipartisan effort to help working families keep children insured while moving toward economic self-sufficiency. The presenters explained that the program remains a joint federal-state structure, with Medicaid unchanged and the bill affecting only the CHIP-related portions of KidCare.
AHCA said implementation has been delayed by federal CMS actions. The agency reported that CMS first rejected a state plan amendment approach, then required revisions to the premium tiers under a new maintenance-of-effort interpretation, and later issued a new interpretation of continuous 12-month eligibility that would prevent disenrollment for nonpayment of premiums. AHCA said it submitted an 1115 waiver, but negotiations over special terms and conditions reached an impasse, and the state has filed litigation challenging CMS’s interpretation. Members asked about the cost of litigation, the effect on future bills, the review process for CMS documents, disenrollment and reenrollment rules, and whether any additional legislative action is needed; AHCA said no further state action is needed at this time and that the key issue is the pending federal litigation.
Several members and the sponsor emphasized the need for immediate implementation and asked about possible interim relief. AHCA said current coverage remains in place under the preexisting program, that there is a 30-day grace period for premium payment, and that reenrollment does not require a penalty or back payment, though coverage is not active during lapsed periods. The committee also heard public comment from Nicholas Hessing of the Children’s Services Council of Broward County and the Florida Alliance of Children’s Councils and Trusts, who supported HB 121 and said the expansion could make about 17,600 additional children eligible in Broward County alone. The meeting ended with Rep. Bartleman thanking staff and expressing hope that the new federal administration would allow the program to move forward, and the chair adjourned the meeting.
WA
Washington 2025-2026 Regular Session
Legislative Democratic Leaders Media Availability Jan 13th, 2026 at 11:00 am
Transcript Highlights:
- And I mentioned this in my speech yesterday: challenges in terms of our ability to deliver health care
- My two kids went to an in-home child care center.
- Home family child care center.
- We've talked about child care a fair amount.
- or health care.
Summary:
State legislative leaders held a press availability focused on the upcoming session’s priorities, framing the federal government as the main source of pressure on Washington residents’ access to health care, food assistance, housing, and other services. They said the session would center on defending Washingtonians from federal overreach while also addressing affordability, with emphasis on a balanced 2025-27 budget, possible spending cuts, and longer-term tax reform. Leaders also said they expect to pursue measures on housing costs, transportation, child care, preventive health care, and energy/data-center impacts.
A major topic was a proposed “millionaire tax” or income tax on adjusted gross income over $1 million. Leaders said the basic mechanics are largely agreed upon between House and Senate sponsors, though a draft is still pending and stakeholder outreach remains ahead. They described the proposal as part of a broader effort to rebalance the tax code, with some revenue potentially used to reduce more regressive taxes such as property taxes or to support credits for working families and small businesses. They also said any major new revenue would likely not arrive in time to solve the current biennial budget gap, though smaller tax changes and loophole closures could contribute.
The leaders also discussed the House and Senate response to two citizen initiatives, saying the legislature will not hold hearings on them and that they will instead go to voters if certified. They rejected claims that the state constitution requires hearings or floor votes on such initiatives, and questioned the signature-gathering process described by the Secretary of State’s office. Another issue was a public records exemption bill related to child care providers; leaders said they were not tracking it closely but defended broader privacy and safety concerns for child care businesses and families.
The press availability included a lengthy exchange about allegations of fraud and reports of journalists or others knocking on child care doors. Leaders said concerns should be reported to DCYF, the state auditor, or legislative auditors rather than handled by ad hoc visits, and they tied those concerns to broader fears about masked individuals, ICE activity, and public safety. On the budget, they said the rainy day fund is likely to be considered this year, especially if it helps avoid cuts to education, child care, and health care, and noted that federal policy changes could impose significant state implementation costs.
MN
Minnesota 2025-2026 Regular Session
House Workforce, Labor, and Economic Development Finance and Policy Committee 3/12/26
Workforce, Labor, and Economic Development Finance and Policy
Transcript Highlights:
- Over the last two years, Minnesota has reversed a long-term enrollment decline and has outperformed the
- enrollment decline and has long-term enrollment decline and has outperformed<00:32:45.120><c> the</c
- Targeted efforts in that demographic could have outsized long-term impact.
- I hope this presentation helps you think more deeply about how Minnesota positions itself for long-term
- Uh our economist said it's too soon to tell if that's a long-term trend and something that we all should
NH
Transcript Highlights:
- But it doesn't talk specifically about including statistics on the reduction of long-term costs by the
- But it doesn't talk specifically about including statistics on the reduction of long-term costs by the
- But it doesn't talk specifically about including statistics on the reduction of long-term costs by the
- care systems compliance office.
- I think when you look at the long-term outcomes of appeals in cases where murder and potential death
Committee:
House Judiciary
CA
Transcript Highlights:
- paying into two systems. ...in which now they're paying into two systems on there.
- Under a current system.
- I think if we want this self-sufficiency on a long-term basis, these are the sorts of things that we
- a long acronym, PSSSA.
- It's a constitutional framework designed to build a stable, protected, long-term tool for the benefit
Committee:
Senate Education
FL
Florida 2026 Regular Session
Appropriations Committee on Pre-K - 12 Education Nov 19th, 2025
Appropriations Committee on Pre-K - 12 Education
Transcript Highlights:
- Accountability over the funding of the state system of pre-K through 12 education requires a robust system
- The system of pre-K through 12 education requires a robust system of controls and timely and accurate
- It's a multifaceted approach in terms of thinking about it.
- But in economic terms, we have to have penalties.
- But in economic terms, we have to have penalties.
Summary:
The Senate Appropriations Committee on Pre-K-12 Education met for its first meeting of the 2025 session to hear the Auditor General’s operational audit on 2024-25 school funding accountability challenges, focused largely on the Family Empowerment Scholarship and its interaction with the FEFP. Deputy Auditor General Matthew Tracy described rapid growth in scholarship enrollment, timing mismatches between scholarship payments and public-school funding calculations, delayed membership survey processing, weak cross-check and recoupment procedures, inconsistent handling of parent survey responses, and limited documentation for withholding and returning funds. The audit said these issues contributed to funding inequities, duplicate-payment risks, and an unexpected draw on state education funds, and it recommended separating scholarship funding from the FEFP, aligning application windows with budget timing, strengthening controls and staffing, and creating clearer, documented recoupment and balance-limit processes.
Committee members questioned whether current law gives the department and scholarship funding organizations enough authority and whether the system is effectively a pay-and-chase model. Several senators expressed concern about the lack of timely reconciliation, the size of the funds involved, and the absence of clear records showing how money was recovered or withheld. Adam Emerson, executive director of the Office of School Choice, said the department is working more closely with school districts and scholarship funding organizations, including pausing payments when districts identify students still enrolled in public schools, and said the office wants to improve the process.
President Gates then previewed legislation he said would address the audit’s findings by funding Family Empowerment Scholarships as a separate FEFP categorical, expanding the Education Stabilization Fund, setting clearer application and acceptance deadlines, moving to monthly payments with eligibility verification before each payment, assigning student IDs for scholarship assistance, lowering SFO management fees, requiring annual audits, and requiring prompt return of audit-related funds. Public comment included a private-school attorney describing losses from unpaid scholarship amounts. Members generally supported the need for reform, with several senators saying the program should be preserved but better structured and more accountable. The committee adjourned after the discussion, with no vote taken on the legislation.
AL
Transcript Highlights:
- As long as it's as long as qualify with. As long as it's as long as qualify with.
- by basically endorsing a product by lowering the lowering the lowering the taxes that we don't have long-term
- taxes that we don't have long-term taxes that we don't have long-term studies because this hasn't been
- to me we're doing stuff like this that to me we're doing stuff like this that to me it it just has long-term
- negative it it just has long-term negative it it just has long-term negative adverse impact on what
Keywords:
appropriations, budget, state funding, education, healthcare, infrastructure, state budget, mental health funding, education funding, infrastructure improvements, public safety, groundwater, water conservation, financial assistance, Texas Water Development Board, innovation fund, local conservation districts, transportation protection agreement, funeral services, insurance exemption
MN
Minnesota 2025-2026 Regular Session
Roadmap to Program Integrity and Fraud Prevention 3/9/26
Minnesota House Floor Meeting
Transcript Highlights:
- The intent of the roadmap is to set the stage for long-term planning by identifying nine pillars or areas
- A strong monitoring component is essential to achieve long-term success.
- </c> essential to achieve long-term success. essential to achieve long-term success.
- It was easier now for me than it would be long term. I would agree with that.
- </c> you talking about long-term you talking about long-term solutions<01:10:24.798><c> [clears throat
FL
Florida 2026 Regular Session
Children, Families, and Elder Affairs Jan 12th, 2026
Children, Families, and Elder Affairs
Transcript Highlights:
- By sharing our story, my hope is to help create a system that is fair, transparent, and careful, one
- In Level 1 and child care, as you probably have heard the terms, in the current CBC structure, they have
- that care.
- be neglecting the care.’”
- these are in the system.
Committee:
Senate Children, Families, and Elder Affairs
Keywords:
child protection, medical records, investigation, abuse, neglect, healthcare, Child Protection Team, diagnosis, Alzheimer's disease, Alzheimers, dementia, related dementias, brain health, early detection, caregiver support, elderly affairs, Department of Elderly Affairs, Department of Health, public health outreach, memory loss
Summary:
The committee met with a quorum and first heard SB 624, which would codify DCF’s current practice of allowing batterers intervention programs to offer supplemental faith-based activities so long as participation is voluntary. The bill drew support from faith-based and family organizations, which argued it would restore access to effective rehabilitation options and remove discriminatory barriers. SB 624 was reported favorably after a roll call vote.
The committee then heard SB 42, which would require child protective investigators and child protection teams to rely on qualified medical professionals when a child has a documented pre-existing diagnosis or when a parent requests an exam, and would require clearer notice to parents and custodians at the start of an investigation. Testimony overwhelmingly came from parents, advocates, and disability rights representatives describing cases in which medically complex children were allegedly misdiagnosed as abuse victims and families were separated unnecessarily. Members expressed sympathy and support, and SB 42 was reported favorably.
Next, the committee considered CS/SB 578, creating an Alzheimer’s disease awareness initiative within the Department of Elder Affairs to promote early detection, brain health education, research updates, and clinical trial awareness, with outreach focused on older adults and at-risk populations. An amendment was adopted to place the campaign within the Alzheimer’s Disease Initiative. A caregiver testified about the need for public education and early diagnosis, and the bill was reported favorably.
The committee also took up SPB 7018, a committee bill on child welfare that would extend the definition of “visitor” for foster homes to reduce repeated background checks, make the Step Into Success foster youth workforce pilot permanent and statewide, and create a program through the Florida Institute for Child Welfare to catalog best practices among community-based care lead agencies. The bill was approved as a committee bill and reported favorably. Finally, the Department of Children and Families presented its 2025-26 final funding methodology and rates report for community-based care. Members questioned the proposed tiered model, including insurance costs, risk corridors, prevention funding, performance measures, and regional funding disparities. No vote was taken on the presentation, but members discussed the possible need for follow-up legislation and additional stakeholder input.