Video & Transcript Research : 'step therapy'

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TX

Texas 89th Regular

89th Legislative Session May 8th, 2025

Texas House Floor Meeting

Transcript Highlights:
  • I'm not an expert on the CFIUS process, on the step-by-step process.
  • This is a step in the right direction.
  • Immigrants stepped in; they opened...
  • Singing when they get correct music therapy. That's a great example.
  • stepping into a case for representation, then we should make them congruent.
Bills: SB17, SB1569, SB2420, HB5138, HJR161, HB1937, HB3334, HB5444, HB5137, HB361, HB321, HB5447, HB464, HB678, HB2294, HB4172, HB3225, HB1769, HB5394, HB1837, HB1787, HB2271, HB2440, HB5134, HB5149, HB2151, HB2073, HB2186, HB2025, HB1936, HB1777, HB1663, HB 1306, HB 1290, HB1527, HB4802, HB3462, HB2963, HB2462, HB2560, HB644, HB2725, HB2621, HB2588, HB1443, HB1403, HB3032, HB1557, HB1664, HB2811, HB2088, HB2598, HB3062, HB3134, HB3940, HB4027, HB4097, HB4862, HB4170, HB4157, HB4205, HB4279, HB4377, HB4838, HB5424, HB5294, HB4870, HB4763, HB5639, HB4112, HB2275, HB1677, HB5014, HB3848, HB3797, HB3727, HB3709, HB3177, HB3057, HB4176, HB4202, HB2180, HB3528, HB3658, HCR76, HCR127, SB906, SB1229, SB855, SB703, SB1025, SB888, SB1119, SB1080, SB929, SB1355, SB2231, SB1877, SB1998, SB552, SB17, SB1569, SB2420, HB2697, HB3801, HB3488, HB3477, HB3466, HB3469, HB2594, HB2564, HB2298, HB5331, HB5646, HB5247, HB5323, HB4384, HB3896, HB4014, HB3627, HB3594, HB2524, HB510, HB561, HB 1181, HB3963, HB5111, HB2785, HB1661, HB200, HB1803, HB249, HB721, HB851, HB 1128, HB1904, HB30, HB1916, HB541, HB5560, HB3071, HB5627, HB5435, HB2688, HB3045, HB3483, HB4213, HB4226, HB783, HB175, HB4735, HB5155, HB5057, HB4813, HB5339, HB5196, HB5033, HB3486, HB4211, HB74, HB4730, HB4743, HB4463, HB4139, HB4752, HB4486, HB4437, HB4426, HB4396, HB4263, HB3487, HB3418, HB2266, HB2229, HB2189, HB5224, HB5195, HB3947, HB3358, HB3370, HB3745, HB3697, HB2001, HB1968, HB3371, HB3909, HB4944, HB2284, HB4506, HB3317, HB4166, HB3913, HB1768, HB4603, HB2494, HB3099, HJR138, HB133, HB3832, HB1988, HCR34, HB3421, HB3892, HB5138, HJR161, HB1937, HB3334, HB5444, HB5137, HB361, HB321, HB5447, HB464, HB678, HB2294, HB4172, HB3225, HB1769, HB5394, HB1837, HB1787, HB2271, HB2440, HB5134, HB5149, HB2151, HB2073, HB2186, HB2025, HB1936, HB1777, HB1663, HB 1306, HB 1290, HB1527, HB4802, HB3462, HB2963, HB2462, HB2560, HB644, HB2725, HB2621, HB2588, HB1443, HB1403, HB3032, HB1557, HB1664, HB2811, HB2088, HB2598, HB3062, HB3134, HB3940, HB4027, HB4097, HB4862, HB4170, HB4157, HB4205, HB4279, HB4377, HB4838, HB5424, HB5294, HB4870, HB4763, HB5639, HB4112, HB2275, HB1677, HB5014, HB3848, HB3797, HB3727, HB3709, HB3177, HB3057, HB4176, HB4202, HB2180, HB3528, HB3658, HCR76, HCR127
NH
Transcript Highlights:
  • So I think we, in this committee, can step up to our responsibilities today.
  • So I think we, in this committee, can step up to our responsibilities today.
  • So I think we, in this committee, can step up to our responsibilities today.
  • So I think we, in this committee, can step up to our responsibilities today.
  • DCYF and I think that that goes a step DCYF and I think that that goes a step too<01:09:44.280><
Keywords: 928, house, all
Summary: The committee took up Senate Bill 206, which requires public schools to adopt policies limiting student cell phone use. Supporters argued that cell phones and personal devices contribute to student mental health problems, bullying, distraction, and disruptive behavior, and said teachers and administrators want a clear statewide rule rather than having to enforce policies themselves. Opponents raised concerns about local control, the breadth of the term “personal communication device,” and whether the bill would interfere with instructional uses of devices, especially in schools that rely on bring-your-own-device or have limited access to school-issued laptops. Members debated Amendment 2249H, which added an exception for teacher-led instruction and clarified that superintendent-approved exceptions could still apply for medical, disability, or language-proficiency needs. After discussion about whether the amendment was too restrictive or too broad, the committee adopted the amendment on a 9-8 vote, with one member not voting. The committee then voted 9-8, with one not voting, to recommend Senate Bill 206 ought to pass as amended. The committee then moved to Senate Bill 96, concerning mandatory disclosure by school district employees to parents. The sponsor offered Amendment 2199H to replace language that would have required referral to DCYF whenever an educator withheld information due to concern about possible abuse at home. The amendment instead allows a district to withhold information if a reasonably prudent person would believe disclosure would result in abuse, abandonment, or neglect, and requires the decision to be documented in the student record. The amendment was discussed as a narrower, more workable safeguard, and the committee was still in discussion on the bill at the end of the transcript.
OK
Transcript Highlights:
  • We are continuing to step through all areas of the organization to figure out how we can unload unnecessary
  • That would be the last step in the process that would allow us to meet the statutory requirements that
  • Some of the specialty services we offer at the hospital are occupational therapy, physical therapy, speech
  • great example of that is if we do a screening on a kiddo and maybe they need outpatient physical therapy
Keywords: 914, all
LA

Louisiana 2026 Regular Session

Civil Law and Procedure Apr 27th, 2026

Civil Law and Procedure

Transcript Highlights:
  • all, and we're writing out a $25,000 check that I know that they're not going to get some of this therapy
  • So I just think they should either go get the therapy that it was awarded for, and larger claims are
  • If he doesn't show for physical therapy, they're not going to bill for something he didn't get.
  • So I see a chiropractor, I have to do massage therapy in order to move my bones.
  • Insurance doesn’t pay for massage therapy. It also doesn’t pay for that holistic care.”
Summary: The committee first heard Senate Bill 476, which would add clearer warning language for garnishees responding to interrogatories and create a limited procedure for a new trial when a garnishee can show it never held property or owed the debtor during the garnishment period. After brief questions about how garnishment works, the bill was reported favorably without objection. Senate Bill 260, a youth athletics coaches training bill, was then amended to remove language about the department using donated funds to purchase courses and was reported as amended. House Bill 79, by Chairman Carter, would remove the damages cap for carbon capture release claims. Carter argued carbon capture should be treated like other industries and not receive special liability protection, and the committee reported the bill favorably without objection. The committee also took up Senate Bill 424, which clarifies that electronic service applies only to counsel of record representing a party, and Senate Bill 180, a constitutional amendment allowing a surviving spouse of a deceased disabled veteran to make a one-time transfer of an expanded property tax exemption to another qualifying homestead. SB 180 received a ballot-language amendment and a 6.88 report before being reported as amended. The longest discussion centered on House Bill 1089, which creates “care accounts” for future medical damages in delictual actions. Supporters said the bill would ensure future medical awards are used for medical care, reduce abuse, and function like a restricted account with a card or similar payment mechanism; opponents raised concerns about the account being owned by the judgment debtor, possible reversion of unused funds to the wrong party, administrative confusion, and impacts on survivors of trafficking and sexual abuse who may need flexible, trauma-informed care outside standard billing codes. After extensive testimony and debate, the committee adopted an amendment set and reported the bill favorably by a 6-1 vote, with Representative Carter voting no. Finally, House Bill 437 was heard and amended. The bill would prohibit expert witnesses from having a pecuniary interest in the outcome of the case, while still allowing inquiry into an expert’s prior testimony history. An amendment excluded criminal traffic and juvenile proceedings, and the committee continued discussion with testimony from supporters and opponents as the transcript ended.
LA

Louisiana 2026 Regular Session

Civil Law and Procedure Apr 27th, 2026

Civil Law and Procedure

Transcript Highlights:
  • all, and we're writing out a $25,000 check that I know that they're not going to get some of this therapy
  • So I just think they should either go get the therapy that it was awarded for, and larger claims are
  • If he doesn't show for physical therapy, they're not going to bill for something he didn't get.
  • , let's say in a car accident, a person will need a follow-up surgery and some follow-up physical therapy
  • I have to do massage therapy in order to move my bones. Insurance doesn't pay for massage therapy.
Summary: The committee first heard Senate Bill 476, which would add clearer warning language for garnishees responding to interrogatories and create a limited procedure for a new trial when a garnishee shows it never held property of, or owed money to, the judgment debtor. After brief questioning about how garnishment works, the bill was reported favorably without objection. The committee then took up Senate Bill 260 on youth athletics, which establishes required injury-mitigation training content for youth sports coaches, including emergency preparedness, concussions, heat injuries, overuse injuries, equipment, heart defects, and sudden cardiac effects. An amendment was adopted to remove language allowing the department to spend donated funds to purchase the courses, and the bill was reported as amended. House Bill 79, which removes the damage threshold for carbon capture release, was also reported favorably after sponsor testimony that carbon capture should be treated like other industries and not receive a special liability cap. Senate Bill 424, clarifying service by mail, delivery, or electronic means by defining “counsel of record” as someone who actually represents a party, was reported favorably as well. Senate Bill 180, a constitutional amendment allowing the surviving spouse of a deceased disabled veteran to make a one-time transfer of an expanded property tax exemption to another qualifying property, received a ballot-language amendment and a 6.8A report, then was reported as amended. The committee spent the most time on House Bill 1089, which creates “care accounts” for future medical damages in delictual actions. The sponsor and supporters said the bill would ensure future medical awards are actually used for medical care, function like a money market/HSA-style account, and potentially reduce costs; opponents raised concerns about the account being owned by the judgment debtor, possible reversion of unused funds to the wrong party, unclear mechanics for payment, and the impact on survivors of trafficking and sexual abuse who may need flexible, non-billing-code-based care. Several members suggested exclusions or clarifying amendments for med-mal, intentional torts, and sexual abuse victims, and the bill was reported favorably on a 6-1 vote after amendment. Finally, House Bill 437 was taken up, which bars expert witnesses from having a pecuniary interest in the outcome of the case. An amendment excluding criminal traffic and juvenile proceedings was adopted, and members discussed that the bill would prohibit contingent-style expert fee arrangements while still allowing cross-examination about an expert’s prior testimony and payment history. The discussion emphasized that the rule would apply to both plaintiffs and defendants.
NH

New Hampshire 2025 Regular Session

Senate Health and Human Services (05/21/2025)

Health and Human Services

Transcript Highlights:
  • This is the first step toward being synchronized without making them go today, but making the commitment
  • This is the first step toward being synchronized without making them go today, but making the commitment
  • Previously there was a date, I believe, of January 1, where they would have to stop therapy.
  • <00:20:44.480> have<00:20:44.640> to<00:20:44.799> stop<00:20:45.120> therapy
  • where they would have to stop therapy. where they would have to stop therapy.
Keywords: 1191, senate, all
TX

Texas 89th 2nd C.S.

Higher Education Apr 8th, 2025

Higher Education

Transcript Highlights:
  • Let me take a step back and ask if there's anybody who does wish to testify. Okay.
  • this project from the A&M Board of Regents last February, and he is here today to tell you about the steps
  • We will have our doctorate of occupational therapy, doctorate of physical therapy... ...along with their
  • We will have our doctorate of occupational therapy, doctorate of physical therapy, along with their CRNA
Bills: HB42, HB125
Summary: The Committee on Higher Education met to hear several bills and first corrected the minutes from its April 1, 2025 meeting to reflect that a committee substitute for HB 271 had been adopted before the bill was reported favorably. The committee then heard HB 3326, which would help Texas higher education employees, especially adjunct faculty, qualify for federal Public Service Loan Forgiveness by counting classroom hours toward full-time status, requiring institutions to verify employment within 60 days, and requiring annual notice to eligible employees. No witnesses testified against the bill, and it was left pending. Members then heard HB 2853, authorizing UTEP to phase in a student union fee increase to fund demolition and reconstruction of its aging student union. Representative Perez and UTEP student and university witnesses said the current facility is outdated and insufficient for a campus of more than 25,000 students, while some members raised concerns about the size of the fee increase and its impact on low-income students. UTEP representatives said most students receive aid, the fee would be phased in over time, and the project was student-approved; the bill was left pending. The committee also heard HB 4066, a one-line bill to abolish the Texas Research Incentive Program after the state cleared its backlog of matching obligations, with the author saying the program was no longer needed in light of newer research funding approaches. The bill was left pending. The committee spent substantial time on HB 125, which would create the Tarleton State University College of Osteopathic Medicine. Supporters, including Tarleton leadership, the founding dean, a rural hospital CEO, and a feasibility consultant, argued the school would address severe rural physician shortages by recruiting Texas and rural students, training them in rural settings, and developing new residency slots rather than competing for existing ones. Members asked about affordability, residency placement, and whether the school would draw students from rural Texas; Tarleton said it would seek to keep tuition and debt low, had already raised private donations, and would request $25 million in state support over the biennium. The bill was left pending. Finally, the committee heard HB 42, which would increase the annual Higher Education Fund appropriation and adjust its allocation methodology. The chair and university witnesses described rising deferred maintenance, inflation, cybersecurity needs, and enrollment growth at HEAF-eligible institutions, with witnesses from Texas Tech, Sam Houston State, and UNT saying the additional funding would help address aging facilities and technology needs. After testimony, the committee left HB 42 pending and recessed.
NH
Transcript Highlights:
  • and yes indeed they did have a physical therapy appointment, but does it allow for records meshing as
  • and yes indeed they did have a physical therapy appointment, but does it allow for records meshing as
  • and yes indeed they did have a physical therapy appointment, but does it allow for records meshing as
  • <00:10:41.440> and Yes, indeed, they did have a physical therapy appointment.
  • That's the Granite Steps for Quality that New Hampshire uses to sort of rate child care programs.
Keywords: 1189, house, all
Summary: The meeting opened without a quorum, so approval of the prior draft minutes was deferred until later. The committee then heard a DHS update from Commissioner Lori Weaver and COO David Weers, who described the recent flood at the Brown building and the relocation of nearly 400 DHS staff while operations are restored. They also outlined New Hampshire Care Connections, a privacy- and consent-focused closed-loop referral platform intended to improve referrals among providers, reduce duplication, and support continuity of care, with an Upper Valley implementation partnered with Dartmouth Health and an Epic integration already underway. Members asked whether the system would merge medical records or simply track referrals. DHS said it is not intended to store or transmit full medical records, but to integrate with providers’ electronic health record systems so referrals can be sent, received, and tracked, with consent controls limiting what information can be shared. Officials said the project will be tested over the coming months, with metrics, governance, and advisory committee oversight, and that it is tied to broader rural health transformation efforts and statewide implementation after the regional pilot. The committee also received the annual report from the Child Care Advisory Council. Maryanne Barter and Jessica Carver said the council worked with licensing to streamline the child care licensing rules, reducing the handbook by about 30%, and is now helping develop an informal dispute resolution process, revising the Granite Steps for Quality system, and creating a clearer handbook for providers handling state scholarship audits. They reported ongoing concern about child care closures and workforce shortages, said there is currently no wait list for child care assistance, and discussed questions about federal CCDF immunization requirements, which DHS said it would follow up on with federal technical assistance partners. After quorum was established, the committee moved to approve the minutes from the prior meeting.
NH

New Hampshire 2025 Regular Session

Senate Finance (05/06/2025)

Finance

Transcript Highlights:
  • And guess significant step backwards.
  • restoration does not signify a step restoration does not signify a step backwards<01:01:06.880><
  • My agency and step-up, step-down programs in general play a vital role in reducing the cost to My name
  • My agency and step-up, step-down programs in general play a vital role in reducing the cost to Funding
  • vital step to making this a reality. vital step to making this a reality.
Keywords: 1191, senate, all
TX
Transcript Highlights:
  • I think it's a great first step for reforming our child support system. ...system.
  • want to ensure parents are involved with their children, and I think once again this is a great first step
  • sure you did, he mentioned that this is high-stakes adversarial litigation and not a collaborative therapy
  • Unfortunately, there are a lot of attorneys who treat it as collaborative. ...therapy session, do not
DE
Transcript Highlights:
  • And I noticed several of my colleagues taking advantage of a little doggy therapy.
  • dog therapy visits.
  • And then the next step is a dispositional hearing where they set in case plans for reunification.
  • She said, well, when can you step out? I said, well, I'd have two bills.
  • She said, I need you to step out now.
Summary: The House received a series of Senate communications and committee reports, then took up a long consent calendar and several individual measures. Early actions included passing consent calendar items, recognizing Freedom of Speech Week and Juneteenth, and hearing numerous introductions and tributes, including remarks honoring House fellows, Father’s Day, and Representative Mara Gorman. The chamber also adopted several procedural motions and recesses, with roll calls recorded throughout. Among the bills considered, the House passed House Bill 134 on animal cruelty, increasing penalties for repeat offenses; House Bill 131 with Senate Amendment 1 on pet stores and animal welfare; House Substitute 1 for House Bill 320 on technical corrections to the Delaware Constitution; House Substitute 1 for House Bill 407 on technical updates to the Hazardous Substance Control Act; House Substitute 1 for House Bill 425 on salary supplements for certain school employees; House Substitute 1 for House Bill 450, the Road Delaware Act, on land use and permitting reform; House Bill 459 on restricting energy drink sales in schools; House Substitute 1 for House Bill 439 on electric moped and motorcycle disclosures; and House Bill 444, the Delaware John Lewis Voting Rights Act, after amendment delaying its effective date to July 1, 2027. House Amendment 1 to House Bill 459 was adopted, and House Amendment 1 to House Bill 444 was adopted before final passage. The House also rejected House Amendment 1 to House Substitute 1 for House Bill 425 after debate over salary supplement policy for school-related certifications, then passed the substitute bill itself. House Bill 407 prompted questions about the increase in civil penalties, which DENREC said was intended to update outdated fines and align the penalty structure with other laws. House Bill 444 drew floor speeches emphasizing voting rights protections and concerns about voter suppression and dilution. The session ended with the House moving to recess after continuing consideration of House Bill 355, the Speaker Truth Act, which had just adopted an amendment changing damages language to attorney’s fees and costs.
MN
Transcript Highlights:
  • c><00:18:40.920> to their waiver budgets and access to their waiver budgets and access to therapies
  • that traditional Medicaid does therapies that traditional Medicaid does not<00:18:43.640> cover.
  • 00:30:39.680> take lottery, and legislators should take lottery, and legislators should take steps
  • steps to enforce our existing laws. steps to enforce our existing laws.
  • If you'd like to step up to the committee and, um, state your name for the record and let us know what
Keywords: 918, senate, all
Summary: The committee heard public testimony on a health insurance/home care nursing provision and on other consumer protection items. Nick Keis and Emily Walters, both parents of medically complex children, testified that commercial health plans had recently begun capping home care nursing as if it were intermittent home health visits, which they said was contrary to Minnesota law and legislative intent dating to 2010. They described severe impacts on their families, including hospitalizations, loss of nursing coverage, strain on waiver budgets, and the risk of children being forced out of the home and into institutions. Representative Bierman echoed that the bill was a straightforward clarification of existing law, not a new mandate or added cost, and a staff member later cited the statutory definition of home care nursing as ongoing, continuous nursing services that cannot be met through intermittent or visit-based care. The committee also discussed the practical difference between home health visits and private duty/home care nursing, with testimony emphasizing that the latter is medically necessary, assessed, and not unlimited in practice. Laura Sales of the Minnesota Attorney General’s Office testified on changes to the Consumer Protection Restitution Fund (CIPRA). She said the fund has begun distributing restitution, starting with consumers harmed by the closure of Woodbury Dental Arts, but that current statutory language limits the office’s flexibility to prorate payments. She asked for an amendment allowing the AGO to distribute available funds more equitably so more eligible consumers can receive some payment, rather than requiring full payment to the oldest claims first. Annette Meeks, representing Citizens Against Gambling Expansion, testified in support of banning sweepstakes gambling in the Commerce Committee omnibus report. She argued that online sweepstakes casinos are an illegal gray-market form of gambling, cited rapid growth and billions in revenue, and said other states have acted through enforcement and legislation to stop them. She urged the committee to include language from Senate File 4474 to clarify state law and prohibit sweepstakes gambling. No votes were taken in the portion of the meeting shown; members mainly asked questions and received testimony.
TX

Texas 89th Regular

Higher Education Mar 4th, 2025

Higher Education

Transcript Highlights:
  • So it's a two-factor. step to getting them the success that they're pursuing. Thank you. Thank you.
  • My role this morning is to take a step back and just very briefly share with you the broader story of
  • lead to the class and would love to get into more dialogue in terms of what would be the next next step
  • , occupational therapy, and many more.
  • Becker as a 26-year-old first-generation student in our Occupational Therapy program.
Keywords: 1184, house, all
NE

Nebraska 2025-2026 Regular Session

Legislative Afternoon Session Apr 7th, 2026

Nebraska Unicameral Floor Meeting

Transcript Highlights:
  • But we have to start somewhere, and this is a good first step.
  • Sometimes they may say that speech therapy, the needs have been met.
  • It could be speech therapy, occupational therapy.
  • So I think this is a step in the right direction.
  • So we need to make steps in favor of this.
DE

Delaware 2025-2026 Regular Session

Senate Health & Social Services Committee Meeting Jun 17th, 2026

Health & Social Services

Transcript Highlights:
  • House Bill 385 represents a meaningful step toward bolstering our workforce pipeline.
  • coverage, disrupt placements, and place financial strain on foster and kinship caregivers who are stepping
  • forward, to make sure that there's continuity for those children as well as their caregivers who are stepping
  • This bill takes a simple but critically important step, ensuring that children entering foster care are
  • long conversation for many years, especially because you find all of the training in under physical therapy
Bills: HB359, HB385, HB165
Summary: The Senate Health and Social Services Committee met with a quorum, approved the minutes from the prior two meetings, and briefly acknowledged the tragedy at Christiana Care before moving to legislation. The committee heard House Bill 385, which creates a statewide nurse preceptor grant program to expand clinical training placements for nursing students; testimony from nursing organizations, health care associations, and educators emphasized workforce shortages, the need for preceptor stipends and training, and the bill’s potential to help students complete programs and remain in Delaware. Members asked about eligibility and reporting, and several senators asked to be added as co-sponsors. Public comment was uniformly supportive, and the bill was advanced out of committee. The committee then considered House Bill 424, which repeals Delaware’s Autism Surveillance and Registration Program and requires DHSS to expunge protected health information collected through the registry. The sponsor and DHSS said the registry is no longer used for research or policy development and that repeal would reduce outdated reporting burdens; Autism Delaware, the Delaware Health Care Association, and the State Council for Persons with Disabilities support the change. A committee member raised the question of whether families would be notified before records are expunged, and DHSS said that process was not yet clear and would need further verification. Members discussed the issue, and the bill also moved forward. House Bill 419 was next, making children in foster care automatically eligible for the Purchase of Care child care subsidy and extending the same treatment to certain kinship and safety-plan placements through House Amendment 1. The Children’s Department and advocacy groups said the bill would provide immediate stability for children and caregivers, reduce delays from applications and income verification, and support working foster and kinship families. The committee also heard House Bill 359, which would allow cremation as an option for unclaimed and indigent remains when there is no family objection or next of kin cannot be found, addressing a shortage of burial plots and lowering costs; funeral industry testimony focused on preserving next-of-kin rights. Finally, the committee heard House Bill 475, creating a Delaware Nursing Advancement Fund financed by a $10 surcharge on nursing licenses and disciplinary fines to support workforce data collection and analysis through a nonprofit partner, and House Bill 165, authorizing physician associates, occupational therapists, and APRNs to perform dry needling under training and practice standards set by the Board of Medical Licensure and Discipline. All of the bills received supportive testimony, several members added their names as co-sponsors, and the committee adjourned after moving through the agenda.
NM

New Mexico 2026 Regular Session

House - Health and Human Services Feb 6th, 2026 at 08:33 am

House Health & Human Services

Transcript Highlights:
  • We stand in strong support of House Bill 66 and thank the sponsors for the addition of physical therapy
  • HB 38 is a vital step in helping our state do better.
  • Linda Siegel, for the Occupational Therapy Association and the PT Association, our Ranger has said it
  • Linda Siegel, for the Occupational Therapy Association and the PT Association, our Ranger has said it
  • If anyone in the room is in opposition, okay, if you would like to step forward, please do so.
Keywords: 996, all
NM

New Mexico 2025 Regular Session

IC - Federal Funding Stabilization Subcommittee Aug 1st, 2025

Federal Funding Stabilization Subcommittee

Transcript Highlights:
  • The biggest fear on that is that it does not have a stair-step down like the OBBA does.
  • But that doesn't mean that we can reduce those services to students. requires physical therapy or some
  • Is again like physical therapy.
  • Decreased availability of individualized therapies, as well as loss in specialized staff.
  • Some steps in the next...
NH
Transcript Highlights:
  • For example, if it's a speech or occupational therapy or physical therapy, the services can be provided
  • therapy or physical therapy,<00:37:31.760> the<00:37:32.079> services<00:37:32.480>
  • I work for Booth Therapy Services.
  • We're a for Booth Therapy Services.
  • >> Can I but let me go to the next step >> Can I but let me go to the next step then
Keywords: 1189, house, all
Summary: The commission to study special education costs under SB 57 met for its second meeting, with members introducing themselves and reviewing background materials on New Hampshire special education identification rates, NAEP results, and a Wall Street Journal article about the rise in autism diagnoses. The chair explained that the commission is examining special education aid formulas, including how New Hampshire’s current catastrophic aid threshold works and how changes to that threshold might affect school districts, but noted that the needed data on how many students would shift into the aid system at lower thresholds is not yet available. The main testimony came from Henry Litman of HHS on Medicaid reimbursement in schools. He explained that school-based Medicaid funding is tied to health-related services, not all special education services, and that federal rules are changing in state fiscal year 2027. Under the new approach, schools will move away from an in-kind methodology to a certified public expenditure model that may also allow recovery of some overhead costs, such as support staff time. He said the state won a federal grant to help build the new system, hired a vendor, and is setting up training and a help center for districts. Members asked about why Medicaid claims have declined and whether districts are leaving money on the table. Litman said claims are down about 25% from pre-pandemic levels, with declines tied to federal and state rule changes, documentation requirements, provider qualification rules, and the end of temporary pandemic flexibilities. He said some districts adapted better than others depending on local medical-provider access and administrative capacity. He also said the new federal legislation does not directly affect schools, while New Hampshire’s return to pre-pandemic eligibility rules has reduced enrollment somewhat. No votes were taken, and the discussion ended with agreement that the commission needs better data to determine how much special education spending is truly Medicaid-eligible and whether additional legislation is needed.
TX

Texas 89th Regular

Education K-16 Apr 29th, 2025

Education K-16

Transcript Highlights:
  • When our children turn three years old, they have access to education and therapies with their local
  • When our children turn three years old, they have access to education and therapies with their local
  • We pay NICU bills, therapy bills, special equipment, medications.
  • And they've been appealing every step of the way, so we've now gone through two due process hearings
  • down and Aaron Kinsey stepped up, many times Aaron reached out to me and said, hey, can you help with
Summary: The Committee on Education K-16 heard several bills focused largely on special education transparency, school safety, and student support services. Senate Bill 1908, by Senator Zaffirini, would direct the Higher Education Coordinating Board to study the feasibility of a statewide system for coordinating clinical training placements, including regional portals for healthcare clinical slots, with a report due by December 1, 2026. A representative of the Texas Nurses Association and the Nursing Legislative Agenda Coalition testified in support. The bill was left pending subject to the call of the chair. The committee then took up Senate Bill 111, by Senator Hall, which in its committee substitute was narrowed to a reporting bill requiring school districts to disclose legal proceedings involving special education due process complaints when legal fees exceed $10,000, rather than capping spending. Several parents and advocates testified that districts spend large sums on litigation against families of children with disabilities and that greater transparency is needed; some senators raised concerns about unintended consequences, including possible pressure to settle cases. The committee adopted the substitute and left the bill pending. The committee also heard Senate Bill 1551 on automated external defibrillators in public schools, Senate Bill 865 on CPR instruction requirements for certain volunteers, Senate Bill 1032 on the Governor’s University Research Initiative, and Senate Bill 571 on school employee misconduct reporting and access to the Do Not Hire Registry; each was reported favorably after committee substitute adoption and roll-call votes. Additional bills discussed included Senate Bill 1884, which would formalize and expand dedicated staff support for the State Board of Education and give the board chair hiring authority over that staff; members questioned whether it duplicated TEA functions, while a witness argued the workload increase justified the change, and the bill was left pending. Senate Bill 625 would replace the current half-credit economics requirement with a half-credit in personal financial literacy; educators and advocates strongly supported making the course required, and the bill was left pending. Senate Bill 582 would make TEA settlement agreements in special investigations publicly available when sanctions are imposed, and Senate Bill 2600 would bar transportation fees for students living within two miles of campus unless districts do not receive state transportation funding; both were left pending. The committee also heard Senate Bill 2751, which would require TEA inspections of non-public special education programs to consider medical standards of care and crisis-prevention training; testimony from a program operator described severe student behaviors and the need for more flexibility, and the bill was left pending after the substitute was adopted.
MO

Missouri 2026 Regular Session

Joint Committee on Administrative Rules Jun 12th, 2026 at 10:00 am

Joint Committee on Administrative Rules

Transcript Highlights:
  • And it was decided at that time, after their presentation, that again, we'll take the steps.
  • It was decided at that time, after their presentation, that, again, we'll take the steps.
  • So there's steps in there. So a licensed clinical worker, social worker...
  • So there's steps in there.
  • , and occupational therapy.
Keywords: 959, house, all