Video & Transcript : 'direct care' :

Page 392 of 500
US

US Federal 2025-2026 Regular Session

US House Floor Proceedings (Tuesday, January 21, 2025)

US Federal House Floor Meeting

Transcript Highlights:
  • </c> invasion of Iraq and for healthc care invasion of Iraq and for healthc care for<00:11:26.040><c>
  • He need to be directing his people on the Water Commission, directing people on this water control board
  • </c><00:24:21.559><c> his</c> California he need to be directing his California he need to be directing
  • </c> people on Water Commission directing people on Water Commission directing people<00:24:23.799><c
  • </c><02:33:46.600><c> the</c> the bill HR 207 a bill to direct the the bill HR 207 a bill to direct the
MN

Minnesota 2025-2026 Regular Session

Committee on Education Policy - 03/19/25

Education Policy

Transcript Highlights:
  • the uh coordinated care between medical and<00:13:49.360><c> health</c><00:13:49.600><c> care</c><00
  • And I didn't long-term care facility.
  • </c><00:59:24.640><c> about</c> update the I guess the direction about update the I guess the direction
  • Um and I I would that we care about it.
  • </c> generally heading in the same direction. generally heading in the same direction. we'd<01:46:11.360
Keywords: 1187, senate, all
NH

New Hampshire 2025 Regular Session

Senate Executive Departments and Administration (01/15/2025)

Executive Departments and Administration

Transcript Highlights:
  • Because right now, as it's written, it's a direct disbursement, not a payment to the loan. solve the
  • </c><01:01:44.079><c> dispersement</c> it's written it's a direct dispersement it's written it's a direct
  • </c><01:35:50.239><c> organizations</c> Hampstead and Urgent Care organizations Hampstead and Urgent
  • </c> um we know that our health care um we know that our health care Workforce<01:37:57.119><c> is</c
  • </c> Association we represent all acute care Association we represent all acute care hospitals<01:39:
Keywords: 1191, senate, all
MN

Minnesota 2025-2026 Regular Session

House Fraud Prevention and State Agency Oversight Policy Committee 12/17/25

Fraud Prevention and State Agency Oversight Policy

Transcript Highlights:
  • have that dementia care license.
  • </c> facilities are housing plus health care facilities are housing plus health care and<00:03:00.959
  • </c> of that care plan. of that care plan.
  • </c> care of? care of? Take<00:51:16.000><c> that.</c> Take that. Take that.
  • . care. care.
Keywords: 1183, house
MN

Minnesota 2025-2026 Regular Session

Committee on Environment, Climate and Legacy - 04/10/25

Environment, Climate, and Legacy

Transcript Highlights:
  • </c> we're asking people to be very careful we're asking people to be very careful and<00:46:23.359><
  • </c> um, this is it feels like a direct um, this is it feels like a direct attack<01:49:28.080><c> on
  • </c><02:08:57.920><c> to</c> legislative auditor is directed to legislative auditor is directed to conduct
  • </c> street didn't take care of for years. street didn't take care of for years.
  • They have child care guaranteed. They have elder care guaranteed. Why don't we have these things?
Keywords: 1187, senate, all
MN

Minnesota 2025-2026 Regular Session

House Floor Session - part 3 May 19th, 2025

Minnesota House Floor Meeting

Transcript Highlights:
  • We have seen this behavior when we're extolling care for workers while some members of this body seek
  • We want them to be able to take care of their families, and we hope that they get to go back to work.
  • the entire economy relies on to fuel local businesses and ensure that families and kids are taken care
  • Because we all take care of each other and look after everybody.
  • This is about doing what is right—taking care of our fellow Minnesotans.
ID

Idaho 2026 Regular Session

Agenda Feb 13th, 2026

Transcript Highlights:
  • So that's everything from the injury care, police, event rental, et cetera.
  • The injury care, police, event rental, et cetera.
  • And so the entire budget request is $196,600, and I believe we can take care of the motion for this,
  • a second from Treasurer Ellsworth to approve the proposed America 250 budget as presented, and it directs
  • Directs what to do with those funds afterwards. I think Senator Guthrie said it very well.
Summary: The America 250 and Idaho Advisory Council met to approve prior minutes and authorize several funding items tied to Idaho’s 250th anniversary celebrations. Members approved January 19 minutes and a reimbursement of up to $20,882 to the State Superintendent of Public Education for additional Spirit of U.S. box materials for schools. They also approved a broader America 250 budget proposal that includes the July 4 Capitol celebration, ambassador programs, and authority to solicit and accept private donations, with funds to be managed separately by the treasurer’s office and the A250 subcommittee. Representative Galaviz and Treasurer Ellsworth outlined plans for the July 4 celebration at the Capitol and Cecil Andrus Park, including a parade, concert, bands, family activities, and open Capitol offices and exhibits. They described cost-sharing with the We the People parade organizers, who are covering most parade-related expenses, and discussed related projects such as the Liberty Bell carriage, go bags for ambassador materials, the Veterans Mustang Ride, challenge coins, heritage fountain plans, flags across Idaho, Liberty quilts, and the service challenge. The treasurer reported strong statewide participation, including 1,100 ambassadors across cities, counties, businesses, schools, and veterans groups, and noted that service challenge participation had surpassed 11,000 acts. Director Gallimore gave a task force update on statewide and national America 250 efforts, including the Idaho Lottery’s planned scratch ticket, the Moments That Made Us downloadable exhibit, Reading the Republic, the Four Score exhibit opening, and a complementary exhibit later in March. She also noted coordination for events at Signature Point and the Old Pen, and said the museum would be open on July 4 with free admission. Hannah Laurie Hine reported on federal America 250 initiatives such as the White House’s Freedom Truck mobile museums, the Great American State Fair in Washington, D.C., a prayer-focused event, the Presidential 1776 Award civics contest, and other national story-collection and volunteer efforts. The committee agreed to meet again on March 9 and then adjourned.
ND

North Dakota 2026 1st Special Session

Education Committee Apr 1st, 2026

Education Committee

Transcript Highlights:
  • A high school kid doesn't care how these formulas work.
  • Committee discussion and staff directives.
  • Why do you care?' Well, we were just talking about it. I'm concerned about it. I care about you.
  • Community discussion and staff directives.
  • Community discussion and staff directives.
Summary: The meeting focused heavily on dual credit programming across North Dakota, with presentations from Valley City State University, Lake Region State College, Fargo Public Schools, and teachers from West Fargo and Drake-Anamoose. Speakers described dual credit as a way to give high school students college-level rigor, reduce future tuition costs, and help students explore academic and career pathways. Several presenters emphasized that strong local relationships between colleges and school districts are central to program quality, especially in rural areas where access to advanced coursework can be limited. Valley City State University outlined its quality-control model, including annual teacher trainings, syllabus and outcomes alignment, faculty evaluations, qualification standards, school visits, and a goal of building 24-credit College Studies Certificates. The university reported about 504 students in the fall and 559 in the spring, with roughly 5,539 projected credit hours and about 130 students expected to earn the 24-credit certificate. Members asked about faculty qualifications, online versus in-person delivery, student retention, revenue, and whether a more centralized statewide model might be more efficient; the presenter said centralization could reduce duplication but might weaken local relationships and choice. Lake Region State College described a broader regional model, with about 913 dual credit students last fall across 44 school districts, roughly half of them taking online college courses and half taking face-to-face courses taught by qualified high school teachers serving as adjuncts. The college said it has paid for graduate credits to help teachers meet credentialing requirements and reimburses districts for teacher support and materials. Fargo Public Schools reported 50 dual credit courses through multiple higher-ed partners, 1,571 enrollments, and a 12.61% increase in participation, while also raising concerns about inconsistent registration systems, credentialing requirements, and transfer clarity across institutions. Teachers from West Fargo and Drake-Anamoose reinforced the value of dual credit, while noting concerns about retention in foundational science courses and the importance of maintaining rigor and support for students.
NY

New York 2025-2026 Regular Session

Senate Standing Committee on Finance - 05/12/2026

Finance

Transcript Highlights:
  • Health Department's review of correctional health services by including a biennial study of health care
  • Health Department's review of correctional health services by including a biennial study of health care
  • Directs Empire State Development, in conjunction with the Office of General Services, to create a plan
  • Directs such plans to be completed and made available for public comment no later than 180 days after
  • Directs the Commissioner to convene statewide and regional conventions to bring together underrepresented
Keywords: 993, senate, all
Summary: The Senate Finance Committee, chaired for the day by Senator John Liu, took up a long agenda of bills covering labor and benefits, corrections, health, taxation, government transparency, and public services. Early measures included increasing short-term disability benefits, adjusting a poverty-level-related earned income disregard, expanding correctional health staffing review, and authorizing the Inspector General to investigate sexual assault complaints in correctional facilities; each of these advanced to the floor. The committee also advanced bills on ovarian cancer screening access, retirement system membership changes, a trail stewardship program, live agency representative access, FOIL/open meetings fee awards, a Harriman campus development plan, court data reporting, educator conventions, park water testing, an energy storage tax abatement, a Native American Affairs office, adult changing tables in public facilities, Medicaid Inspector General audit standards, remote training certification for agency personnel, newborn Gaucher disease testing, electronic self-exclusion requests for gambling, and child daycare inspections and opioid antagonist requirements. Several bills drew discussion. The prescription drug transparency bill (Print 488A) prompted questions about possible overlap with federal Hatch-Waxman/FTC oversight and whether a New York notice requirement could slow generic-drug settlements; sponsors and staff said it was intended as a supplemental transparency measure for consumers. The court reporting bill (Print 1849A) raised concerns about mandates on local governments, but supporters said it mainly required OCA to compile data in one format. The Medicaid local-share phaseout bill (Print 5519) generated the most debate, with supporters arguing it would provide major property tax relief and should be addressed in the budget, while opponents emphasized the need to curb Medicaid fraud, waste, and abuse first. Two major fiscal oversight proposals were defeated. Print 8661, which would have required the Comptroller to hire an independent private auditing firm to review state-funded programs for fraud and abuse, was opposed despite support from some members who argued outside auditing was overdue; it failed by one vote. Print 5519 was also ultimately defeated after a recount confirmed it lacked the required majority of the full 22-member committee. Most other bills were approved and sent either to the floor or, in the case of the drug transparency bill, to the Rules Committee.
CA

California 2025-2026 Regular Session

Assembly Floor Session May 15th, 2025

California House Floor Meeting

Transcript Highlights:
  • aren't receiving the quality of care they deserve.
  • over private equity and health care entities impacting costs in our care system.
  • And not to provide them health care.
  • I think you've taken care of that at this point.
  • Child care providers who care.
Keywords: 988, house, all
US
Transcript Highlights:
  • Thankfully, our nation continues to evolve in the right direction.
  • A lot of these debanking is a direct result of regulators kind of doing a wink and a nod.
  • I think big banks pick and choose winners that they care about.
  • Of reputational risk, a directive from Congress or found anywhere in law?
  • , careful access to the data would be important.
FL

Florida 2026 4th Special Session

February 11, 2026 - 08:00 AM

Transcript Highlights:
  • I think this is a great step in the right direction.
  • Cold words for, we don't like the direction in which this country is going.
  • So I just have, like, a very direct question, because this is about trans people.
  • We just heard a bill about DEI, and this bill is a direct DEI violation.
  • So this bill moves us into the opposite direction. I have a lot more to say.
Summary: The subcommittee first took up HB 339, which would create liability for vaccine manufacturers that advertise in Florida and require them to stand behind their products if consumers are harmed. The sponsor argued the bill is meant to restore trust in vaccines, improve informed consent, and address inadequate federal vaccine-injury compensation systems; he said he was open to amendments and noted the bill was modeled on Texas law. Opponents, including a former vaccine-court official, a Florida Justice Reform Institute representative, and a physician, argued the bill is preempted by federal law, raises First Amendment concerns, is vague, and is unnecessary because existing federal compensation programs already provide a remedy. After an amendment delaying the effective date by three months was adopted, the committee heard extensive public testimony, mostly opposed, and then approved HB 339 as amended by a 12-4 vote. The committee then began HB 1001, a strike-all on official actions of local governments that would bar counties and municipalities from official DEI-related actions and spending, define DEI and related terms, add enforcement provisions, and include broad exceptions for holidays, observances, and certain content-neutral civic events. The sponsor said the measure is intended to curb what he described as divisive and wasteful DEI activity in local government while preserving compliance with anti-discrimination laws and other listed exceptions. Members questioned the lack of definitions for terms like “preferential treatment” and the bill’s possible effects on local festivals, language-access services, Pride events, memorials, and community programs; the sponsor said some concerns were addressed by exceptions and that he was open to further changes. Public testimony was overwhelmingly opposed, with speakers warning of overbreadth, preemption, frivolous lawsuits, harm to local autonomy, and impacts on marginalized communities, while supporters said the bill would restore neutrality, accountability, and merit-based governance. The amendment to HB 1001 was adopted, and the committee continued hearing testimony and debate on the bill as amended.
KY
Transcript Highlights:
  • I pray you'd guide the hands of the surgeons, that you'd give them wisdom as they take care of her, Lord
  • </c><00:26:55.200><c> of</c><00:26:55.440><c> funding</c><00:26:55.840><c> that's</c> and taking care
  • </c> maintenance equipment necessary to care maintenance equipment necessary to care for<00:29:04.799
  • </c><00:53:57.520><c> Uh</c> that was going to be took care of.
  • Uh that was going to be took care of.
Summary: The House Budget Review Subcommittee on Economic Development, Public Protection, Tourism, and Energy received an update from Kentucky State Parks and the Finance Cabinet on the status of major capital projects funded through recent legislative appropriations. Commissioner Mark Keelin, Deputy Commissioner Chris Perry, and Finance Cabinet/DECA representatives described progress on campground upgrades, utility and broadband improvements, building systems repairs, life-safety work, accommodations and hospitality renovations, pool and beach projects, playgrounds, golf course improvements, marina work, and wastewater upgrades across the state park system. They emphasized that Kentucky has 44 state parks and that the funding has supported completed work and projects still under construction or in design. The presentation highlighted funding tied to House Joint Resolution 76, House Joint Resolution 56, and House Bill 6. Parks reported roughly $72 million invested to date, with 66 projects completed and 17 under construction, including campground renovations at sites such as My Old Kentucky Home, Kin Lake, Carter Caves, Cumberland Falls, and others; broadband projects at several campgrounds; electrical grid resilience work at parks including Kentucky Dam Village and Kin Lake; and completed life-safety upgrades such as lock systems. Officials also noted pool and beach work, ADA improvements, lodge and guest room renovations, marina replacements, and wastewater plant upgrades. DECA said it currently manages 1,335 active capital projects statewide, including 149 for Parks, and credited additional project management capacity and regular coordination meetings for accelerating delivery. Committee members asked for a copy of the presentation and pressed the department for more detailed accounting of House Joint Resolution 56, including how much money remains, which projects are complete, and whether current appropriations are sufficient to finish the listed work. The department also requested a larger maintenance pool appropriation of $40 million for the next budget, arguing that routine and emergency maintenance needs across 44 parks exceed current resources and that preventative maintenance would reduce long-term costs. No votes were taken during the meeting.
CA

California 2025-2026 Regular Session

Senate Judiciary Committee Jan 13th, 2026

Transcript Highlights:
  • We definitely believe they move the bill in the right direction.
  • I was born into foster care and adopted. It took me 40 years to find my birth mother.
  • I adopted my daughter through Alameda County foster care.
  • No phone call, no lawyer, no medical care, even though my skin burned from the chemicals.
  • As I understand the bill, I suppose I'll first direct it to the author.
Summary: The committee heard and acted on several bills. SB 479 by Senator Arreguín would allow Berkeley, Long Beach, and Pasadena, as local health jurisdictions, to use multidisciplinary homeless response teams and share specified information across departments; supporters said it would improve coordination and services for unsheltered residents, and the bill passed 9-0 to Appropriations. SB 46 by Senator Umberg would direct the Secretary of State to keep constitutionally ineligible presidential candidates off the California ballot, including anyone who has already served two terms; supporters argued it was a constitutional enforcement measure, while Senator Niello questioned whether it was needed, and it passed 6-1 to Appropriations. SB 99 by Senator Blakespear would improve coordination between military and civilian systems by requiring courts and law enforcement to account for military protective orders and notify military authorities of possible violations; the Department of Defense supported it, while the ACLU raised due process concerns, and it passed 6-0 to Appropriations. SB 719 by Senator Cabaldon would extend the sunset on state reporting about high-risk automated decision systems from 2029 to 2032, and it passed 6-0 to Appropriations. SB 300 by Senator Padilla would strengthen California’s new AI chatbot law by requiring operators to prevent minors from being exposed to sexually explicit material; supporters said the existing law was insufficient, while industry groups warned against expanding a brand-new regime before it had been tested, and it passed 9-0 to Appropriations. SB 381 by Senator Wahab would allow adult adoptees, and descendants of adoptees, to obtain original birth certificates and create a nonbinding contact preference form for birth parents; supporters described health, identity, and dignity concerns, while some members raised privacy concerns, and it passed 13-0 to the Senate Health Committee. SB 33 by Senator Cortese would eliminate the sunset on the public works contractor claim-resolution process, with supporters saying it reduces litigation and speeds payment, and it passed 10-0 to Appropriations.
HI
Transcript Highlights:
  • </c> I think, a step in the wrong direction I think, a step in the wrong direction to<00:32:51.360><c
  • </c> direct funding. direct funding.
  • care about them and that we all care care about them and that we all care about<01:20:00.840><c> each
  • </c><01:53:42.320><c> our</c> commitments that we're directing our commitments that we're directing our
  • </c><02:19:32.719><c> that</c> don't know if that's the direction that don't know if that's the direction
Bills: HB1890, HB1888, HB1676
Summary: The committees heard three measures, beginning with HB 1890 HD3, which would provide automatic step increases and a COVID-era retention bonus for teachers. Supporters included HSTA, the Democratic Party’s Education Caucus, and a student who said higher pay and predictable salary growth would help retain teachers in Hawaii. The Department of Education supported the intent but asked that the bill be expanded to cover all department employees. The Attorney General’s office said the draft needed clarification to avoid conflict with Chapter 89 and to make clear any funding was subject to legislative appropriation. The Office of the Public Defender and B&F testified in opposition, and committee members questioned whether the step increases were already in the current contract and whether the bill was needed. HSTA said the current contract includes automatic step increases subject to funding, but argued the bill was still needed because funding is not guaranteed and the measure would codify the policy. HSTA also said the COVID bonus would apply only to active teachers who worked during the pandemic and estimated the total cost at roughly $150 million to $200 million over four years. No vote was taken in the portion provided. The committee then took up HB 1888 HD3, which would require DOE and charter schools to report harassment incidents and strengthen penalties for harassment of educational workers from a petty misdemeanor to a misdemeanor. DOE supported the bill and suggested narrowing language about assisting workers with temporary restraining orders, saying that function would be better handled through the Attorney General’s pilot program. The Office of the Public Defender opposed the bill, arguing the harassment language was overly broad, vague, and potentially unconstitutional, and that existing assault and terroristic threatening statutes already protect educational workers. HSTA, the State Commission on the Status of Women, and several individual testifiers supported the measure, describing increased intimidation and harassment of teachers and other school staff, especially since COVID. The Special Education Advisory Council opposed the bill’s language on “disrupting and interfering” with school functions, saying it could chill parents of students with IEPs from advocating for their children. Testimony was split, with the chair noting 20 in support and 16 in opposition in the portion shown. A final witness, Michelle Pestana, testified in opposition based on her family’s experience with special education services, describing alleged seclusion and restraint of her daughter and expressing concern that DOE testimony in prior hearings had targeted special education parents. Her remarks were cut off as time expired. The transcript ends before any committee action or vote on HB 1888 was taken.
FL

Florida 2026 Regular Session

Appropriations Committee on Criminal and Civil Justice Feb 25th, 2026

Appropriations Committee on Criminal and Civil Justice

Transcript Highlights:
  • I would direct you back to what it is to actually be designated as a terrorist organization, and that
  • I would direct you back to what it is to actually be designated as a terrorist organization, and that
  • So shouldn't we be, I mean, we're talking about felonies, so shouldn't we be much more careful in our
  • So we know that the governor has declared CARE as a domestic terrorist organization.
  • Laws that increase authority while reducing safeguards deserve a lot more careful consideration.
Summary: The committee first considered SB 536, which updates Florida’s criminal gang statutes to reflect modern recruitment and communication methods, including social media and encrypted messaging. Senator Martin and supporters said the bill does not criminalize gang membership, but helps law enforcement and prosecutors establish gang-related connections for warrants and sentencing enhancements. Senator Smith raised concerns about the lowered threshold for being observed with gang members and possible unintended impacts on business owners and others; Martin said the language was not intended to cover ordinary business interactions and that a gang tattoo must be one used by the gang. After an amendment aligning the Senate bill with the House version was adopted, the committee reported CS/SB 536 favorably. The committee also favorably reported CS/SB 762, which allows chief judges to assign capital conflict cases across regional counsel offices, with an amendment requiring judges to consider judicial economy and geographic proximity. Testimony from regional counsel emphasized projected long-term savings, estimated at about $150 million over 10 years. The committee then approved CS/SB 1742, creating a new indecent exposure offense involving sexual conduct directed at minors, and CS/SB 1750, which increases penalties for serious sex crimes and child sexual abuse material offenses; both bills were amended before passage, with law enforcement groups appearing in support. The committee next took up SB 1582, which creates statewide data sharing for secondhand dealer and pawnbroker transactions without creating a new state-run database, while preserving confidentiality protections and law enforcement access. An amendment was adopted, and pawnbroker and recycling stakeholders testified in support. The linked public records bill, SB 1792, creating an exemption for those transaction records while allowing certain information to be released to alleged owners, was also reported favorably. The committee then approved CS/SB 500, which provides FDLE protective security details to major party nominees for governor, lieutenant governor, and cabinet offices after primary certification and until the general election is resolved; a technical amendment was adopted, and the bill was described as mirroring federal candidate protection practices. The longest and most contentious discussion was on CS/SB 1632, which would bar Florida courts from enforcing foreign or religious law in a way that overrides the U.S. or Florida constitutions and would create a process for designating foreign or domestic terrorist organizations, with related consequences for schools, funding, and student conduct. Senator Grall said the bill is intended to protect constitutional principles and target violent, criminal conduct rather than protected speech or religious practice, and she explained that designations would follow a public process with judicial review. Senators Smith and Polsky pressed repeatedly on First Amendment, due process, vagueness, and academic-speech concerns, asking how “promotion” would be defined and whether students, attorneys, or advocacy groups could be swept in; Grall said she was open to clarifying language but maintained the bill is aimed at furthering illegal acts, not mere opinion. Numerous speakers opposed the bill, warning it could be used to target Muslim students, religious communities, advocacy groups, and political dissent, while a few supporters argued it was needed for public safety. The transcript ends during public testimony on SB 1632, with no final committee vote shown in the excerpt.
MN

Minnesota 2025-2026 Regular Session

Committee on Judiciary and Public Safety - Part 2 - 03/25/26

Judiciary and Public Safety

Transcript Highlights:
  • ,</c> and allows for short-term care, and allows for short-term care, assessment,<00:02:20.720><c> evaluation
  • </c> and appropriate care. and appropriate care.
  • different direction or whatever. So, different direction or whatever.
  • </c> We need caring teachers. We need caring teachers.
  • </c> you know, harm teachers that are caring you know, harm teachers that are caring teachers. teachers
Keywords: 1187, senate, all
HI

Hawaii 2026 Regular Session

WAM-HHS, WAM-EDU Informational Briefings 01-14-2026

Hawaii Senate Floor Meeting

Transcript Highlights:
  • </c> do want to um be able to allow um direct do want to um be able to allow um direct our<00:43:45.119
  • /c><00:58:06.799><c> in</c> launched directed to direct to uh in launched directed to direct to uh in
  • </c> specialties limiting access to care specialties limiting access to care especially<01:02:23.119>
  • </c><02:14:18.480><c> or</c> strategically go in this direction or strategically go in this direction
  • </c> direct negotiations? direct negotiations?
Keywords: 912, senate, all
KY
Transcript Highlights:
  • </c> &gt;&gt; It's Care. He's talking about Care. &gt;&gt; It's Care. He's talking about Care.
  • . care. care.
  • . care. care.
  • . care. care.
  • . care. care.
Keywords: 958, all
Summary: The Medicaid Oversight and Advisory Board met on September 24, 2025, approved the minutes from the September 9 meeting, and then continued its discussion of Medicaid waivers with Leslie Hoffman and Carmen Hancock from the Department for Medicaid Services. Members asked for updates on the 2024 waiver waitlist management assessment recommendations, including aligning waiver policies, standardizing applications and waitlist placement, and modernizing data systems. DMS said that work is being done jointly with Aging and Independent Living and Behavioral Health/Developmental and Intellectual Disabilities through task forces, that ARPA spending delayed action, and that implementation timelines extend through March 2027. The board also reviewed per-member waiver cost averages for fiscal years 2023 through 2025 for ABI, ABI long-term care, HCBS, Model II, Michelle P, and SCL. DMS emphasized these figures were benefit-only averages based on paid claims, not full waiver costs, and explained that true budget neutrality is calculated on an aggregate basis against institutional care comparisons approved by CMS. DMS said all six waivers remain in compliance with budget neutrality and that the most recent 18-month lag review for FY 2022 and FY 2023 found costs at or below institutional care. Members also asked about unused waiver slots; DMS said slots generally cannot be reallocated mid-year if they have been used, except in cases such as death or reserved capacity, because CMS treats participants as unduplicated for the waiver year. A major portion of the meeting focused on the new child waiver created under House Bill 6. Legislators questioned whether the waiver’s design, including the exclusion of participant-directed services and the emphasis on high-acuity children with behavioral health, DCBS, or juvenile justice involvement, matched the bill’s intent to keep children at home. DMS said it used the $14.7 million appropriated for FY 2026 to develop the program, that there is no priority list, and that the waiver is intended to serve the highest-acuity children while also addressing residential needs for those sleeping in offices or placed out of state. Members also raised concerns about the rapid growth of the HCBS waiting list and asked for more detail on age and timing patterns, which DMS said it would provide later. Finally, DMS gave average processing times from application to eligibility determination and from approval to service start, and said the overall average from application to services beginning was about 80 days, while members requested follow-up information on the Carewise assessment contract and related costs.
NM

New Mexico 2025 Regular Session

IC - Courts, Corrections and Justice Nov 6th, 2025

Courts, Corrections & Justice Committee

Transcript Highlights:
  • Okay, I thought you were giving me some other direction. Thank you, Mr. Chair.
  • We have limited access to health care because doctors are mass exiting the state.
  • Nobody seemed to care until today. Why now?
  • I don't care. Thank you. Thank you, Mr. Chairman.
  • We could ask for that information from the health care authorities.