Video & Transcript : 'Arizona Long Term Care System' :
Page 396 of 500
WY
Wyoming 2026 Regular Session
House Floor Session-Day 10, February 20, 2026-PM
Wyoming House Floor Meeting
Transcript Highlights:
- </c><03:16:38.880><c> home</c> to have long-term care in a nursing home to have long-term care in a nursing
- choice waiver cheaper than we can have them in long-term care.
- choice waiver cheaper than we can have them in long-term care.
- </c> long-term care. long-term care.
- A long-term care facility.
NM
New Mexico 2025 Regular Session
IC - Federal Funding Stabilization Subcommittee Jul 2nd, 2025
Federal Funding Stabilization Subcommittee
Transcript Highlights:
- No supplemental payment system that's eliminating uncompensated care for the large part.
- Well, as a matter of policy and through our budget, we've been trying to shore up our health care system
- The committee has been doing long-term revenue and spending forecasting over the past couple of years
- So, those are kind of concerning for the mid to long term. Of us getting a grapple on this.
- Given the long-term historic issues we've had with income, is it fair to say that New Mexicans will be
MN
Minnesota 2025-2026 Regular Session
Conference Committee on HF2432 5/16/25
Transcript Highlights:
- replacement at $18 million a year would have gone into a special revenue account, would have been long-term
- Uh, per phone line fee proposal that would add another long-term funding stream to support ambulance
- Um, and I hope we can keep working on finding that long-term solution, but our crime victims deserve
- </c><01:48:47.840><c> solution,</c><01:48:48.560><c> but</c> on finding that long-term solution, but
- on finding that long-term solution, but our<01:48:49.520><c> crime</c><01:48:49.840><c> victims</c><01
Summary:
The conference committee met late on Friday evening to discuss the Public Safety and Judiciary budget agreement, beginning with a brief exchange among members about concerns that the executive branch had been delaying the committee’s work by waiting to approve legislative decisions. Members emphasized that the legislature should retain its independence while still allowing normal collaboration with the governor’s office. The committee then moved through several outstanding policy items and adopted them without opposition, including the A38 amendment addressing data-sharing concerns involving disability-related information, a study of firefighting services by the state fire marshal, and an A46 amendment governing access to unredacted portable recording system data in collision investigations, with guardrails on disclosure and use.
The committee next reviewed the spreadsheet and budget targets. Fiscal staff explained the judiciary side of the agreement, including funding for court operating costs, a one-time Justice Partner Access Program appropriation, forensic exam rate increases, guardian ad litem funding, public defense, human rights, the competency attainment board, the cannabis expungement board, and fee increases for civil filings and motions. On the public safety side, staff described the target as well as the discretionary items funded, including nonprofit security grants, BCA staffing changes, fire marshal initiatives, a 10-year arson statute of limitations, prosecutor training grants, legal representation for children, E911 funding for critical infrastructure, Philando Castile Training Fund support, corrections-related savings from the Stillwater phased closure and sentence-to-serve elimination, a mandatory minimums task force, a victims of crime account transfer, a decommissioning study, in-service use-of-force training, and extensions of several expiring appropriations. The committee also noted a correction to a spreadsheet label related to the Stillwater closure item.
After the spreadsheet walkthrough, the committee took testimony from Chief Justice Natalie Hudson and State Court Administrator Jeff Shorban on behalf of the Minnesota Judicial Branch. Hudson thanked the committee for its work and said the agreement covers some unavoidable costs, including insurance, lease expenses, forensic examiner pay, and the new access system, but argued it does not adequately address the judiciary’s most urgent problem: staffing and judicial compensation. She said court employees are leaving for better-paying jobs, judicial salaries are frozen for two years, and applicant pools for judgeships have declined, especially in greater Minnesota. She also said the judicial branch was not meaningfully consulted on the budget target and urged lawmakers to recognize the courts as a constitutional obligation rather than a discretionary program.
AR
Arkansas 2026 1st Special Session
LEGISLATIVE JOINT AUDITING-MEDICAID SUBCOMMITTEE Feb 12th, 2026
LEGISLATIVE JOINT AUDITING-MEDICAID SUBCOMMITTEE
Transcript Highlights:
- So for our delivery system, Medicaid delivery system can be done in several different ways.
- Long-term care also has a medical determination, for example.
- Then you have your long-term supports and services, which do cover two waivers for independence and living
- We now can also prosecute neglect in long-term care facilities.
- We can prosecute abuse in long-term care facilities.
Summary:
The Medicaid Subcommittee of the Legislative Joint Auditing Committee met to receive a primer on the subcommittee’s history and on how Medicaid oversight works in Arkansas. Legislative audit staff reviewed the subcommittee’s origins in response to earlier Medicaid audit concerns and explained that Medicaid is audited every year in the statewide single audit because it is a high-risk, large federal program. Staff summarized recent audit findings, including issues with eligibility controls, data matching, contractor charging, incarcerated juveniles’ coverage handling, provider eligibility support, and the state’s Medicaid recovery audit contractor exception request. They also noted a DHS departmental audit finding involving employees who improperly received benefits, which was referred for possible prosecution.
The Department of Human Services gave an overview of the Medicaid program, describing eligibility groups, delivery systems (fee-for-service, managed care/PASSE, and premium assistance for expansion adults), the size of the program, and the agency’s budget and provider base. DHS also outlined the difference between state plan amendments and waivers and said other committee materials would be sent to members. The Office of Medicaid Inspector General described its role in detecting and preventing fraud, waste, and abuse, explaining that it investigates suspected intentional fraud, suspends providers when there is a credible allegation of fraud, recovers improper payments in mistake cases, and recommends policy changes when trends are identified.
The Attorney General’s Medicaid Fraud Control Unit explained that it prosecutes provider fraud criminally and civilly, handles neglect, abuse, and exploitation cases in long-term care settings, and works with DHS, OMIG, and federal partners. Members asked about where cases are filed, how provider suspensions work, whether beneficiary fraud is investigated, and how education is provided to providers. DHS confirmed that beneficiary fraud cases are referred to local prosecutors and said the expansion population will move toward community engagement/work requirements under federal changes, with a soft launch planned before full implementation. The meeting ended with no formal votes beyond adoption of the prior minutes and no other committee actions.
ID
Transcript Highlights:
- This is another step in improving the state's foster care system.
- He was a child that did have to endure a long time in foster care and a lot of trauma.
- He was a child that did have to endure a long time in foster care and a lot of trauma.
- Just to address the comment on what are the long-term consequences of this legislation: if we do not
- , and it will add cost to the health care system.
Committee:
House Health and Welfare
MN
Transcript Highlights:
- Their next step is ensuring the long-term sustainability of this role and continuing to bridge the gaps
- Their next step is ensuring<00:45:36.000><c> the</c><00:45:36.319><c> long-term</c><00:45:36.880><c>
- sustainability</c><00:45:37.680><c> of</c> ensuring the long-term sustainability of ensuring the long-term
- effects and on their longtime long-term effects and on their health,<01:04:46.000><c> education</c><
- </c> same building, forming long-term same building, forming long-term relationships<01:10:01.679><c>
Committee:
House Education Finance
NH
New Hampshire 2025 Regular Session
House Executive Departments and Administration (01/15/2025)
Transcript Highlights:
- </c><03:40:49.439><c> one</c><03:40:49.600><c> of</c> in the long term it relies on one of in the long
- We take a long-term approach. Twenty-five years is the horizon; some typically are 15 to 20 years.
- We take a long-term approach. Twenty-five years is the horizon; some typically are 15 to 20 years.
- We take a long-term approach. Twenty-five years is the horizon; some typically are 15 to 20 years.
- decision it's not a it's a long-term decision it's not a short-term<04:23:25.439><c> decision</c><04
Summary:
The committee held an orientation for new and returning members of the House committee on agencies and administration, with introductions from members and staff. Chair Carol Maguire outlined her expectations for hearings: keep questions focused on the bill, be respectful to witnesses, and use the committee’s orientation opportunities to learn about the jail staff, retirement system, and Office of Professional Licensure. Members also discussed related assignments on other bodies, including the Joint Legislative Committee on Administrative Rules and the Joint Committee on Employee Classification, and noted that some members already serve on those panels.
A substantial portion of the meeting focused on the State Building Code and the committee’s upcoming workload. Members explained how the state code is intended to provide a common baseline while allowing limited local options, and why municipalities must formally adopt and publish any local amendments. They reviewed several anticipated bills: a consolidation bill to gather building-code enforcement materials in one place, a bill to update the state energy code, a bill to restrict municipal adoption of building-code changes, and a bill to update the electrical code. Members also discussed how building codes apply to older homes and commercial buildings, and why code updates are important for safety and clarity.
The chair said the committee had 36 bills currently scheduled, including many early bills that must move by March 6 because they will be heard by two committees. She said the committee would use subcommittees for harder bills, with three subcommittees this year: pensions, licensing, and likely state building code. She also outlined the hearing schedule, including lighter bills on February 12 and the expectation of executive sessions later in the month. No votes were taken during the orientation, but members were told that public hearings do not require a quorum and that hard copies of bills would be distributed by committee staff.
TX
Texas 89th 2nd C.S.
Appropriations - S/C on Articles VI, VII, & VIII Feb 27th, 2025
Appropriations - S/C on Articles VI, VII, & VIII
Transcript Highlights:
- Some of these older wells that have been out there—how long have they been?
- Not because they're renewable in and of themselves—I don't really care.
- Hence, water and produced water is really important, and finding some long-term solutions are important
- Where the vehicles are in terms of 557 use.
- It's a, uh, parasite, the blood system, Babezia bovis or Bavivia 576 It's a parasite in the blood system
Summary:
The committee met with a quorum present to hear Article VI Natural Resources agency budget recommendations, beginning with the Railroad Commission. LBB staff summarized the commission’s 2026-27 base recommendation at $458.7 million, down from the prior biennium, with an increased FTE cap. The presentation highlighted reduced federal IIJA funding, volatility in oil and gas regulation account 5155, continued support for IT modernization, and rider changes. The commission’s major exceptional items were then presented, including requests for produced water and injection data reporting, an authorized pit registration system, regulatory filing/permitting upgrades, an underground injection well investigation team, site remediation support, and especially $100 million for orphan well plugging. Members asked about biennium-to-biennium comparisons, salary biennialization, the scale of orphan well risks, federal funding delays, bonding, and whether the state should rely more on industry or general revenue for plugging costs. Commission leadership explained that orphan wells can threaten water and public safety, that plugging costs have risen sharply, and that current funding is insufficient to keep up with emergency wells and the backlog; they also said the agency is moving to cloud-based systems with cybersecurity protections and that the proposed performance measure may need adjustment if funding does not increase.
The Railroad Commission testimony was followed by LBB and agency testimony for the Texas Animal Health Commission. LBB described a $42 million recommendation for 2026-27, an increase overall, but with a reduced FTE cap due to turnover and salary reallocation. The recommendation maintained funding for cattle fever tick work, chronic wasting disease, lab testing through an MOU with Texas A&M’s veterinary diagnostic lab, and a new $5 million spay-and-neuter pilot program, while deleting a capital budget rider and adjusting riders tied to entry point inspection stations and clinical trials. Agency leadership then outlined the commission’s mission to protect livestock health and the state’s $22 billion animal industry, and described major disease threats including highly pathogenic avian influenza, cattle fever ticks, New World screwworm, and chronic wasting disease. Their exceptional items focused on recruiting and retaining veterinarians, replacing fleet vehicles, creating an ectoparasite identification lab, adding field staff and IT support, improving records and epidemiology reporting, strengthening central administration, supporting secure food supply planning, expanding chronic wasting disease work, and staffing the new spay-and-neuter program. Members asked about field identification of ticks, the use of disinfectants and PPE, fleet management, the scale of cattle fever tick risk, and chronic wasting disease; the agency explained its current inspection and lab-confirmation process, its reliance on field disinfecting and biosecurity, and the need for more staff and better data systems to keep pace with growing workloads and disease threats.
AR
Transcript Highlights:
- The reason I'm here is because I care about this issue deeply. I care about my kids.
- I'll tell you the reason I care about this is I care about the future of our kids.
- I care about the future of Arkansasans.
- I know we've been here a long time today.
- And, you know, we can talk about this for a long time.
Committee:
All JBC-SPECIAL LANGUAGE
Summary:
The committee resumed consideration of several amendments to fiscal bills. It adopted Senator Johnson’s amendment to Senate Bill 15, which shifts responsibility for Keep Arkansas Beautiful-related functions and roadside litter cleanup coordination toward ARDOT, with the current commissioners becoming an advisory council. The committee also adopted Representative Perry’s amendment to Senate Bill 7, lowering from 50 to 25 the employee threshold for employers to request claims data from insurers for group health coverage, aimed at helping smaller businesses and municipalities obtain more competitive insurance quotes.
Representative McKinsey’s amendment to Senate Bill 41, which would have blocked a University of Arkansas at Fayetteville athletic funding transfer and imposed a one-year rider, was rejected after questions about the university’s finances and whether such a transfer had ever occurred. Senator Hester’s amendment to House Bill 1051, intended to cap online sports betting free play at 5% of gross receipts, also failed after debate over whether the proposal was properly fiscal language and whether the free-play incentives constituted a subsidy.
Representative Walker’s amendment to a Save the Children appropriation, which would have converted the funding into a matching grant to encourage private donations, failed for lack of a motion. Representative Vaught’s amendment related to an agricultural tax exemption for certain tractor parts and diesel exhaust fluid systems likewise failed, with concerns raised about drafting, enforcement, and whether it belonged in revenue tax committees. The committee then added two late items: Representative Johnson’s technical correction to a physician licensure pathway bill, which was adopted to broaden qualifying underserved-area definitions, and Senator Tucker’s amendment to Senate Bill 77, which deleted a fund-transfer section and created a matching appropriation mechanism to help Arkansas TV/PBS retain affiliation and pay dues. Senate Bill 77 passed as amended, and the meeting adjourned.
CA
California 2025-2026 Regular Session
Assembly Budget Subcommittee No. 5 on State Administration May 21st, 2025
Transcript Highlights:
- I know that's a long runway.
- estate leases that they're looking at in downtown that they're going to pull and that look at the long-term
- term.
- be able to afford a family that's not just my cockatiels, and be able to stay with this career for long-term
- term solutions.
FL
Transcript Highlights:
- SB 936 defines the term artificial intelligence to mean a machine-based learning system that can, for
- The neighborhood started to realize that the assistant state attorneys cared about kids, cared about
- It has 40 members, 12 of which are experts on incinerators and solid waste, long-term range plans.
- every investment made across the board in our state has the most focus possible on providing real long-term
- It deals with the emergency situation and, of course, long-term treatment for their medical issues.
Summary:
The Senate convened with a quorum, prayer, the Pledge of Allegiance, and several member introductions recognizing interns, guests, and advocates. The Rules Chair added CS for CS for SB 622 to the special order calendar, and SB 80 on state land management was temporarily postponed. The chamber then moved through a series of bills, often substituting House companions for Senate bills when the measures were identical or nearly identical.
The Senate passed SB 200/HB 295 on a comprehensive waste reduction and recycling plan, requiring DEP to develop a recycling and waste diversion roadmap by 2026; SB 492 on land development and mitigation banking, after adopting amendments related to mitigation credit use and former phosphate mine lands; and SB 494/HB 255 on aggravated animal cruelty, which increases sentencing consequences and creates a searchable FDLE database of convicted animal abusers, with an amendment clarifying the database language. The Senate also passed SB 500/HB 711 establishing the Spectrum Alert for missing children with autism, SB 524/HB 1089 adding Duchenne muscular dystrophy to newborn screening, SB 592/HB 393 revising the My Safe Florida Condominium Pilot Program, SB 742/HB 1145 on workforce education, SB 936/HB 827 on a statewide study of automation and workforce impact, SB 964/HB 181 on parole guidelines, SB 976/HB 901 on court-appointed psychologists, SB 1084/HB 1451 on sexual cyber harassment, and SB 1156 on a home health aid program for medically fragile children. Most of these bills were adopted after brief sponsor explanations, questions, and in some cases amendments or House-substitute motions.
Debate centered on several policy issues. Senators raised concerns about the constitutional and environmental implications of mitigation banking credits in SB 492, the scope and privacy implications of the animal abuse database in SB 494, the funding and eligibility details of the condo resilience program in SB 592, and the public-school/charter-school balance in SB 822, which drew extensive questioning about enrollment, governance, discipline, accountability, and data sharing before being placed on the third-reading calendar after amendments. The Spectrum Alert bill drew support from members who compared it to the Purple Alert and emphasized the risks faced by children with ASD. The medically fragile children home health aid bill also drew strong support, with senators describing it as a long-needed fix to help families provide in-home care without losing Medicaid coverage. Votes on the measures reported in the transcript were overwhelmingly favorable, with bills passing by margins such as 38-0, 35-3, 37-0, 36-0, and 35-0.
KY
Transcript Highlights:
- of and have a long-term viability and can grow in this industry as I have as a young, one-time salesman
- environment for that growth, for that creativity, where people can grow in this industry and make it a long-term
- > and</c><00:18:16.040><c> have</c><00:18:16.200><c> a</c><00:18:16.280><c> long-term</c><00:18:17.280
- ><c> viability</c><00:18:18.320><c> and</c> of and have a long-term viability and of and have a long-term
- /c><00:18:48.880><c> a</c> grow in this industry and make it a grow in this industry and make it a long-term
Committee:
Senate Transportation
CA
California 2025-2026 Regular Session
Assembly Judiciary Committee Apr 14th, 2026
Transcript Highlights:
- Food insecurity is linked to long-term diseases like diabetes, heart disease, poor child development,
- barriers to care.
- Insurance coverage for this care allows more people with disabilities to afford the care they need to
- These conditions are known to contribute to long-term disparities in health outcomes such as depression
- I do care about it.
Summary:
The committee heard several immigration-, health-, food access-, and tribal-rights-related bills. AB 1725 would require disclosure of oil wells near homes and sensitive sites and stronger methane monitoring; supporters described health and safety harms in communities near wells, while apartment, realtor, building, and chamber representatives opposed or sought amendments, arguing the bill should better target the responsible industry and fit existing disclosure processes. AB 1650 would require privately rented or leased vehicles used by government agencies for enforcement to be clearly identifiable and equipped with safety lighting; supporters, including immigrant-rights advocates and local officials, said unmarked vehicles create fear and confusion during ICE operations, while the chamber sought clarification and noted exemptions for ordinary undercover law enforcement. AB 1857 would prohibit grocery restrictive covenants that keep new supermarkets from opening after a store closes, with supporters framing it as a food-access and anti-hunger measure; grocers and retailers raised concerns but said amendments addressed many issues, and the committee moved the bill forward as amended to Appropriations on a recorded vote, with all members present voting aye except one absent member and the bill placed on call.
The committee also heard AB 1876, which would codify federal health-care nondiscrimination protections in state law. Supporters from Equality California, Disability Rights California, Planned Parenthood, and other health groups said it would preserve coverage protections for LGBTQ people, people with disabilities, and other protected classes amid federal rollbacks; opponents argued it would entrench gender-affirming-care standards and criticized the underlying medical framework. The bill passed to Appropriations on a recorded vote, with most members voting aye and one no vote, and was placed on call. AB 1908 would allow public entities to use judgment obligation bonds to finance self-funded victim compensation funds; Los Angeles County said the bill would fill a financing gap for faster compensation, and the committee advanced it on a recorded vote and placed it on call. AB 1881, the California Indian Freedom Act of 2026, would protect California tribes’ access to sacred sites and traditional practices on state public lands and require meaningful consultation; it drew extensive support from tribal leaders and Native organizations, while cities, counties, utilities, builders, and business groups were opposed unless amended, largely seeking clarification and narrowing. The bill was amended to focus on state public lands and passed to Appropriations on a recorded vote, then placed on call.
Later, AB 2465 would bar businesses that profit from private detention facilities or contract with immigration-enforcement agencies from receiving state grants, loans, or tax credits and create an immigrant resilience fund. Supporters said the state should not subsidize businesses tied to immigration raids and detention; opponents, including the chamber, bankers, and contractors, raised vagueness and scope concerns, especially over what contracts would be covered. Members said they supported the concept but wanted the bill tightened, and it passed to Revenue and Taxation on a recorded vote with one no vote and was placed on call. The committee then heard AB 2662, which would create a formal state process to monitor and report on federal immigration enforcement actions and their impacts; supporters from legal aid and health centers said raids have chilled access to work, schools, clinics, and naturalization, and the bill was presented as a modest accountability measure. The transcript cuts off before any vote on AB 2662. The committee also approved a consent calendar of several bills and resolutions, sending some to Appropriations and others to the floor.
CA
California 2025-2026 Regular Session
Assembly Natural Resources Committee Apr 13th, 2026
Transcript Highlights:
- AB 1812 provides clarity, protects compost quality, and supports the long-term success of our organic
- AB 1812 provides clarity, protects compost quality, and supports the long-term success of our organic
- Alvarez explain the nature of that long-term development planning process? Like, is that required?
- stewardship and long-term land preservation.
- I would not expand CEQA's coverage, but rather restore this long-held standard of care in considering
Summary:
The committee heard a series of bills focused on environmental policy, public infrastructure, housing, and energy. AB 1812, dealing with compostable plastics and compost contamination, drew strong support from farmers, composters, counties, cities, and waste companies, while manufacturers and compostable-product companies opposed it unless amended, arguing it would undermine compostable packaging and SB 54 goals. AB 2216 to expand the Delta Conservancy’s service area also received broad support and no opposition. AB 2481, which would allow leftover glass quality incentive funds to support recycled glass used in fiberglass insulation and other products, was supported by insulation manufacturers, recyclers, and waste advocates and passed with no opposition. AB 2152, streamlining fire station construction and tying CEQA relief to project labor agreement requirements, was supported by firefighters and construction trades but opposed by contractors and wildlife groups over the PLA mandate and environmental review provisions; the committee discussed amendments and sent it forward. AB 1536, the Save Our Shores Act, aimed at offshore oil and gas safety and decommissioning, was supported by coastal and environmental groups and opposed by the petroleum industry, with members debating pipeline safety, drilling risks, and carbon intensity before advancing the bill. AB 1849, a study bill on decarbonized gaseous fuels, split supporters from hydrogen, bioenergy, and propane interests against environmental and justice groups who said it favored biomethane and hydrogen without clear definitions; the author said it was only a study measure, and it moved ahead. AB 1732, which would expand CEQA streamlining for public university and community college housing projects, was backed by students, UC representatives, housing advocates, and labor, with no opposition heard; members raised concerns about environmental impacts and evacuation planning, but the bill was approved. Several measures were taken on consent and others were held open for absent members or quorum issues, with multiple bills receiving due pass recommendations as amended.
MN
Transcript Highlights:
- </c> Demolition is part of the long-term Demolition is part of the long-term strategy<00:37:33.839><c
- Is there a long-term plan that you're executing? Uh, is it separate from other renovations?
- Is there a long-term plan that you're executing? Uh, is it separate from other renovations?
- Is there a long-term plan that work.
- Is there a long-term plan that<00:47:46.000><c> you're</c><00:47:46.240><c> executing?
Committee:
House Capital Investment
NH
New Hampshire 2025 Regular Session
House Commerce and Consumer Affairs (02/05/2025)
Transcript Highlights:
- of their long-term affordability for coverage.
- of most of the present tension in care of most of the present tension in the system<01:37:39.639><c>
- </c> areas for improvement in our Health Care areas for improvement in our Health Care system<04:49:49.920
- </c><04:50:05.160><c> system</c> and patient centered Health Care system and patient centered Health
- ><c> with</c> healthc care system are in network with healthc care system are in network with insurers
Summary:
The committee took up HB 297 with a non-germane amendment proposed by the Insurance Department to create the Granite State Home Mitigation and Resiliency Program. Commissioner DJ Beton explained that the program is intended to help homeowners reduce rising insurance premiums and avoid surplus lines coverage by funding proactive home and property improvements such as roof fortification, exterior and foundation work, flood protection, and tree removal. He said the proposal was developed after leadership asked for more statutory detail and for the idea to be vetted through policy committees rather than handled only in the budget process.
Beton said the program would be funded by the first $1 million collected annually from the insurance premium tax, with grants of up to $10,000 awarded on a first-come, first-served basis. He described the program as modeled on similar efforts in other states, with means testing tied to the Department of Energy’s weatherization/home heating assistance criteria. He also said the department would administer the program using one existing staff position, with coordination through Treasury, and that unspent funds would roll over for several years before reverting to the general fund.
Members asked about the unusual use of a non-germane amendment and how the bill would be handled procedurally, since the underlying bill and the new insurance proposal were unrelated. The chair explained that the amendment was being used as a vehicle to move the department’s proposal through the committee process and that the committee could later accept one part, both parts, or neither. No vote was taken in the portion of the meeting shown; the discussion ended with questions about administration, staffing, and the relationship between the underlying bill and the amendment.
FL
Florida 2025 Regular Session
March 19, 2025 - 01:00 PM
Transcript Highlights:
- foster care pilot program.
- Do we have a system in place, you know, whether it's home health care, long-term care, respite, until
- term.
- Some were already enrolled in the long-term care waiver.
- Yeah, so in terms of financial information that the managed care plans report to us, there's this report
Summary:
The Health Care Budget Subcommittee took up two bills and then continued oversight discussions with APD and AHCA. CS/HB 27, the Social Work Licensure Interstate Compact, was presented as a way to let Florida social workers practice in other compact states and vice versa; AARP, the Florida Chamber, and NASW Florida supported it, and the bill passed favorably. HB 1127, a child welfare bill, would create a treatment foster care pilot for children with high behavioral needs, improve DCF data collection on commercially sexually exploited children, and expand recruitment for protective investigators and case managers; the bill also passed favorably after brief supportive testimony.
The committee then questioned APD at length about the iBudget waiver waitlist, enrollment pace, spending projections, and provider capacity. APD said it had sent more than 1,100 interest letters in categories 3, 4, and 5, enrolled 1,124 people so far this year, and expects to spend about 96.4% of its waiver appropriation, leaving roughly $82 million unspent. Members pressed APD on why prior discussions suggested more reserve was needed, how long the SANS process takes, whether category 6 could be expanded, and whether the agency has enough waiver support coordinators and direct support providers. APD said it has about 1,061 waiver support coordinators statewide, adequate capacity for current enrollees, but would need further analysis if the legislature directed a much larger enrollment increase. Members also asked about outreach, annual maintenance of the waitlist, portability for military families, and whether communication efforts should be privatized.
Finally, AHCA walked the committee through the 2023 Achieved Savings Rebate (ASR) report for Aetna and explained how the report is used for financial monitoring, rebate calculations, and transparency. AHCA said the ASR is separate from the medical loss ratio (MLR) calculation, though both are reviewed, and that Florida uses the ASR mechanism rather than an MLR remittance requirement to recover funds from plans. Members asked about related-party disclosures, CVS/Caremark relationships, expanded benefits, encounter data, network adequacy penalties, denials and appeals reporting, interest earned on capitation payments, and whether rate increases were reaching providers. AHCA and the outside auditors said they review the plans’ reported data, reconcile it to underlying records, and can assess liquidated damages for network adequacy violations; several members requested follow-up data on rebates, interest, provider capacity, and related-party reporting.
CA
California 2025-2026 Regular Session
Assembly Health Committee Mar 17th, 2026
Transcript Highlights:
- and systems that provide care for trans and gender diverse people.
- Many families are forced to travel long distances for care or pay high out-of-pocket costs due to inadequate
- provider networks. ...long distances for care or pay high out-of-pocket costs due to inadequate provider
- care.
- care access desert, really, but it's also becoming a dental care access desert.
Summary:
The Assembly Health Committee met on March 17 and first approved a consent calendar of several bills, then heard AB 1540 by Assemblymember Mark Gonzalez, which would restore the 988 “Press 3” LGBTQ youth crisis line. Supporters, including suicide prevention advocates, behavioral health groups, and local governments, argued the service is a vital, identity-affirming suicide prevention tool for LGBTQ youth. Opponents, including detransitioners and conservative advocacy groups, argued it would steer vulnerable youth toward organizations they viewed as harmful. The committee approved the bill on a due-pass-as-amended motion to the Communications and Conveyance Committee, with several no votes; the bill was later held on call and then advanced.
The committee next heard AB 1671 by Assemblymember Tangipa, creating a Rural Medical Provider Grant Program to help providers serving rural communities with operational costs, equipment, workforce needs, and related expenses. Supporters said the bill would help retain providers and improve access in areas where patients travel long distances for care; committee members also discussed telehealth as an important rural access tool. The bill passed on a due-pass-as-amended motion to Appropriations.
The committee then took up AB 1876 by Assemblymember Addis, the Fair Care for All Act, which would codify federal health care nondiscrimination protections into California law, including protections related to race, color, national origin, age, disability, sex, and gender identity. Supporters said the bill is needed because federal protections are vulnerable to rollback and because patients, especially transgender and intersex Californians, face coverage denials and care disruptions. Opponents argued the bill would force coverage of gender-affirming care and raised concerns about detransitioning. The committee approved the bill on a due-pass motion to Judiciary, with some no votes, and later held it on call before it advanced.
Finally, the committee heard AB 1629 by Assemblymember Haney, which would require dental plans to honor assignment-of-benefits requests and improve reporting on network adequacy. Supporters said the bill would reduce upfront costs for patients and improve transparency, while opponents, including Delta Dental and dental plan groups, warned it could weaken networks and increase out-of-pocket costs. After discussion about network participation and patient access, the committee passed the bill on a due-pass motion to Appropriations. The committee then completed the remaining votes, including the consent items, and adjourned.
AR
Arkansas 2026 Regular Session
REVENUE & TAXATION- HOUSE May 4th, 2026
REVENUE & TAXATION- HOUSE SALES, USE, MISC. TAXES & EXEMPTIONS SUBCOM.
Transcript Highlights:
- These tax cuts jeopardize those services in the long term, all of which contribute to human flourishing
- I pray for wisdom to see not merely short-term benefits, but long-range costs.
- I pray for wisdom to see not merely short-term benefits, but long-range costs.
- Please prioritize the funding of our health care system and food assistance programs.
- , whether it's retirement, whether it's their health care needs.
Summary:
The committee heard House Bill 1001, sponsored by Representative Les Eaves, which would lower the individual income tax rate to 3.7% retroactive to the current year and reduce the corporate rate to 4.1% beginning in 2027. Eaves argued the bill continues Arkansas’s recent tax-cut strategy, would provide broad relief to working families, and would keep the state competitive while preserving future surpluses rather than cutting existing services. He and Representative Bray emphasized that prior tax cuts have benefited taxpayers and supported economic growth.
Several opponents testified against the bill, including representatives from Arkansas Appleseed, Arkansas Advocates for Children and Families, a pastor, and individuals speaking about disability services and food insecurity. They argued Arkansas cannot afford further revenue reductions given needs in public education, early childhood care, Medicaid and food assistance, rural hospitals, and supported living services. Witnesses said the tax cut would disproportionately benefit higher earners while providing little or no relief to lower- and middle-income families, and urged the committee to prioritize public investments over tax cuts.
After debate, the committee adopted a motion to limit witness testimony to five minutes each. Representative Eaves closed on the bill and moved to pass it. Following discussion, the committee voted to pass HB 1001, and the meeting adjourned.
AR
Arkansas 2026 Regular Session
LEGISLATIVE JOINT AUDITING-MEDICAID SUBCOMMITTEE Feb 12th, 2026
LEGISLATIVE JOINT AUDITING-MEDICAID SUBCOMMITTEE
Transcript Highlights:
- Long-term care also has a medical determination, for example.
- Then you have your long-term supports and services, which does cover two waivers for independence and
- We now can also prosecute neglect in long-term care facilities.
- We can prosecute abuse in long-term care facilities.
- We work In long-term care facilities. We can prosecute abuse in long-term care facilities.