Video & Transcript : 'Arizona Long Term Care System' :

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FL

Florida 2026 Regular Session

Judiciary Mar 25th, 2025

Judiciary

Transcript Highlights:
  • She was failed by the system. I was failed by the system.
  • She was failed by the system. I was failed by the system.
  • She was placed in foster care for five and a half months.
  • Inpatient psychiatric care for suicidal thoughts.
  • She was placed in foster care for five and a half months.
Committee: Senate Judiciary
Summary: The committee first took up CS for Senate Bill 304, which would address child protective investigations involving children with certain pre-existing genetic or medical conditions. Senator Sharif said the bill is intended to prevent children from being wrongly removed from their families when symptoms of conditions such as Ehlers-Danlos syndrome, osteogenesis imperfecta, rickets, or vitamin deficiencies are mistaken for abuse. Several parents and advocates testified in support, describing long dependency cases and removals they said were caused by misdiagnosis. The committee adopted a substitute amendment that removed language requiring certain medical personnel to provide differential-diagnosis analysis, and the bill then passed favorably with unanimous support. The committee then heard SB 1430 on post-judgment execution proceedings relating to terrorism, sponsored by Senator Collins, who described the long effort by U.S. victims of the FARC to enforce a federal judgment and recover assets. The bill would clarify procedures for terrorism-related judgments, modernize intangible asset law, and help prevent terrorists from hiding assets or blocking wire transfers. After one supportive appearance form and no debate, the bill passed favorably. The committee also approved SB 96, a local claims bill for Jacob Rogers, and SB 382, an affordable housing rent bill that was amended to define base rent and apply to certain shorter-term rental agreements entered after July 1, 2026; SB 382 drew support from housing advocates and some opposition, but passed unanimously. Several claims bills were also approved: SB 4 for Patricia Armini, SB 6 for Jose Correa, SB 28 for Darlene Engerville and J.R., SB 30 for the estate of M.N., and SB 24 for Mandy Penny Lemon, each involving injuries or damages caused by local government or hospital district negligence and each reported favorably after brief testimony and roll calls. The committee also passed SB 658 on waiver or release of liens after discussion about form language and enforceability. SB 72, which would allow campaign funds to pay certain child care expenses incurred while a candidate is actively campaigning, prompted questions about definitions and safeguards; the sponsor said the bill would require the expense to exist only because of campaign activity, and the bill was reported favorably. Finally, the committee approved SB 1142 on release of conservation easements, which would create a statewide process for releasing certain small, low-value parcels from conservation easements if mitigation credits are secured elsewhere. The bill drew support from the sponsor and a property representative, but environmental advocates and President Passidomo raised concerns about flood control, wildlife corridors, and whether the bill was too property-specific; the sponsor said he would continue working on the language. The committee also heard extensive testimony on SB 1622, which would repeal the 2018 customary use law and restore local authority over public beach access. Supporters argued the current law has privatized beaches, hurt tourism, and led to harassment and conflict, while opponents defended private property rights and warned against taking away owners’ ability to exclude others. The transcript ends during testimony on SB 1622, before a final vote is shown.
HI

Hawaii 2025 Regular Session

CPC/CPN Joint Info Briefing - Thu Apr 3, 2025 @ 9:30 AM HST

Hawaii House Floor Meeting

Transcript Highlights:
  • After a rigorous selection process, we retained Aon to assist in developing a strategic long-term plan
  • The long-term consideration is to be able to expand the HHF appetite and attract new insurers to provide
  • consideration is to be the long-term consideration is to be able<00:15:02.759><c> to</c><00:15:03.079
  • First is the HHF is supposed to be actuarially appropriate in the prices that it sells to be long-term
  • </c> prices that it sells to be long-term prices that it sells to be long-term viable<00:27:25.080><c
MN

Minnesota 2025-2026 Regular Session

Committee on Education Policy - 01/29/25

Education Policy

Transcript Highlights:
  • The reality is that our schools are increasingly relying on long-term substitutes, underprepared candidates
  • They're not the long-term solution, yet these special permissions are providing invaluable relief in
  • substitutes in general filling long-term substitutes in general um<01:22:30.120><c> I</c><01:22:30.239
  • sub rate of $251 a day if you long-term sub rate of $251 a day if you are<01:25:51.000><c> a</c><01:
  • It could be long-term substitutes. It could be half-day substitutes.
MN

Minnesota 2025-2026 Regular Session

House Agriculture Finance and Policy Committee 3/11/26

Agriculture Finance and Policy

Transcript Highlights:
  • Long-term low levels of paraquat exposure is linked to Parkinson's disease, childhood leukemia, and more
  • term.
  • </c><01:09:15.520><c> From</c> want to farm obviously long term.
  • From want to farm obviously long term.
  • Statute 17.80 states that it is the policy of the state to preserve agricultural land and conserve its long-term
Bills: HF3965 , HF3704 , HF3260 , HF3718
CA
Transcript Highlights:
  • So it'll be very expensive and it's a long-term land-use planning program.
  • It'll be very expensive, and it's a long-term land-use planning program.
  • That's going to be a long-term cost, so there's an opportunity there.
  • The Port of San Diego did assess its vulnerabilities to long-term sea level rise in San Diego Bay.
  • So we're focused at the port to reduce our greenhouse gas emissions, lower that long-term warming.
Summary: The hearing of the Select Committee on Sea Level Rise and the California Economy focused on infrastructure, pollution, climate resilience, public health, access, and economic impacts of sea level rise in California, with an emphasis on San Diego and the Bay Area. Chair Tasha Boerner Horvath opened by describing the committee’s purpose, the state’s sea level rise action planning, and the need for better monitoring and early warning systems. She also referenced her prior bills AB 66 and AB 72, which supported Scripps research on coastal bluff collapse warning capabilities. Assembly Members David Alvarez and Jessica Caloza later joined and emphasized that sea level rise affects not only coastal communities but inland areas as well, and that the issue should inform future legislative and budget decisions. In the first panel, Dr. Mark Merrifield of Scripps Institution of Oceanography described observed sea level rise of roughly 0.8 to 0.9 feet since the early 1900s, with acceleration expected by mid-century and potentially much greater rise by 2100 depending on emissions. He highlighted flooding, groundwater rise, beach and cliff erosion, salinization, and risks to transportation, sewage, ports, and national security. Dave Gibson of the San Diego Regional Water Quality Control Board discussed how sea level rise affects wastewater systems, stormwater, contaminated sites, wetlands, and coastal groundwater basins, and said the board is requiring climate adaptation planning, updating stormwater permits, and seeking more flexible state permitting and mitigation tools. Members and witnesses also discussed the need for better mapping, more monitoring, and more state funding, especially if federal support from NOAA and other agencies declines. The second panel addressed public health, equitable access, and local economies. Ramon Chiras of Un Mar de Colores described how sea level rise, pollution, and access barriers threaten the Tijuana River Valley and Imperial Beach, especially for underserved communities and youth programs that rely on safe, welcoming access to the ocean. He stressed the cultural and spiritual importance of coastal access and the need for water safety and environmental education. Jessica Fane of the San Francisco Bay Conservation and Development Commission explained that the Bay Area faces major economic exposure from sea level rise, citing a regional estimate of $96 billion in adaptation costs versus $230 billion in potential losses from inaction, and said BCDC is working with local governments under SB 272 on shoreline adaptation planning, funding, and regulatory innovation. Members discussed the tension between environmental permitting and the need to move projects faster, including the possibility of planned retreat in some areas and the use of simultaneous permitting and longer-term state authority to streamline adaptation work. In the final panel, Philip Gibbons of the Port of San Diego described the port’s climate adaptation efforts and its vulnerability assessments under AB 691. He said the port manages state tidelands, supports maritime commerce and recreation, and is already seeing flooding at king tides and during El Niño events, including storm-drain backflow and damage to bikeways and parks. He explained that future sea level rise could inundate major port areas and disrupt operations, underscoring the need for continued planning, mitigation, and infrastructure investment. The hearing did not take formal votes, but it concluded with a clear call for more science, funding, coordination, and regulatory streamlining to prepare California’s coast and nearby communities for worsening sea level rise impacts.
NH

New Hampshire 2026 Regular Session

House Criminal Justice and Public Safety (01/14/2026)

Criminal Justice and Public Safety

Transcript Highlights:
  • 20-year-olds whose prefrontal cortexes, the part of the brain responsible for impulse control and long-term
  • responsible for impulse the brain responsible for impulse control<01:28:28.400><c> and</c><01:28:28.639><c> long-term
  • </c><01:28:29.199><c> qu</c><01:28:29.760><c> consequences</c> control and long-term qu consequences
  • control and long-term qu consequences are<01:28:30.960><c> still</c><01:28:31.199><c> developing.
  • ><c> prioritizing</c><04:00:50.640><c> care</c> care should not be prioritizing care care should not
NH

New Hampshire 2026 Regular Session

House Criminal Justice and Public Safety (02/04/2026)

Criminal Justice and Public Safety

Transcript Highlights:
  • <c> the</c><01:02:00.160><c> firearms</c> system of ordering the firearms system of ordering the firearms
  • </c> care of. care of.
  • Um, with regard to my taken care of.
  • , not the court system, or in conjunction with the court system.
  • </c><01:50:56.400><c> or</c> up that system not the court system or up that system not the court system
CA

California 2025-2026 Regular Session

Assembly Housing and Community Development Committee Mar 11th, 2026

Housing and Community Development

Transcript Highlights:
  • That's how we've been able to make long-term contracts happen.
  • So stabilizing costs through long-term funding commitments allows us to make long-term partnerships happen
  • Thank you. ...funding commitments allows us to make long-term partnerships happen.
  • Tying capital investments to long-term operational efficiency.
  • There is no long-term lease agreement. It's nightly housing.
CA

California 2025-2026 Regular Session

Senate Transportation Committee Apr 14th, 2026

Transcript Highlights:
  • The DMV point system is designed to identify high-risk drivers.
  • So it has a very long pole, but it's a monument sign.
  • I will be brief here, and now you've had a long hearing.
  • is really about ensuring that the High-Speed Rail Authority has all the tools it needs to meet its long-term
  • Metro has long supported the state high-speed rail project.
Summary: The Senate Transportation Committee heard several bills, with testimony focused on transportation safety, enforcement, privacy, curb management, rail service, and high-speed rail. SB 953 by Senator Nilo would require two DMV points to be applied in misdemeanor vehicular manslaughter cases even if the criminal case is dismissed through diversion; supporters, including a victim’s mother and the California Association of Highway Patrolmen, said the bill would prevent serious fatal crashes from disappearing from driving records, while no opposition was presented. SB 1292 by Senator Richardson would authorize selected cities to use stationary cameras or sensors to enforce curb and loading-zone rules, with human review of citations and a pilot-style, optional local framework; supporters argued it would improve safety, turnover, and compliance, while privacy concerns were noted but softened by amendments, and the bill drew neutral or conditional support from some groups. The committee also heard SB 1228 by Senator Rubio, which would create a permanent compliance path for a small number of existing redevelopment-era outdoor advertising displays. Supporters said the bill would preserve local revenue and avoid penalties for legally established signs, while the California State Outdoor Advertising Association opposed it over federal highway beautification compliance and fairness concerns. SB 1013 by Senator Cervantes would tighten safeguards for automated license plate reader systems by requiring DOJ audits, employee training, limits on data retention, and restrictions on hot lists and queries; privacy advocates supported the bill as a response to documented misuse, while sheriffs and narcotics officers opposed it as an unnecessary restriction on a valuable law-enforcement tool. The committee voted to move SB 1013, but the roll call was 4-1 and the bill remained on call. Other measures discussed included SB 1218 by Senator Arreguín, which would block vehicle registration renewal for owners with unpaid illegal dumping fines, using a process similar to unpaid parking citations; Oakland officials and several local government and waste-management groups supported it as an accountability tool, and the bill passed committee on an 8-0 vote and remained on call. SB 1136 by Senator Blakespear would require rail agencies to better coordinate service, fares, and trip planning for large events and intercity/regional rail connections; supporters said it could boost ridership and make rail more useful for major venues, and it also passed 8-0 and remained on call. The committee also advanced the chair’s SB 1425, which would create a permitting program for new encroachments along the high-speed rail right-of-way; supporters said it would help protect the project and manage utilities and other uses, while some utilities and the City of Burbank raised concerns, and the bill passed 8-1 and remained on call. Finally, SB 1411 by Senator Stern would expand high-speed rail authority to pursue public-private partnerships and early works, remove a project cap, and support bookend investments; it drew broad support from transit, labor, and rail groups, with some local agencies noting amended concerns, and the discussion continued as the hearing moved toward the final bill.
MN

Minnesota 2025-2026 Regular Session

House Housing Finance and Policy Committee 3/4/25

Housing Finance and Policy

Transcript Highlights:
  • We support these changes to prepare HOAs to be successful in the long term. Thank you.
  • We support these changes to prepare HOAs to be successful in the long term. Thank you.
  • We support these changes to prepare HOAs to be successful in the long term. Thank you.
  • We support these changes to prepare HOAs to be successful in the long term. Thank you.
  • We support these changes to prepare HOAs to be successful in the long term. Thank you.
CA

California 2025-2026 Regular Session

Assembly Insurance Committee Jul 9th, 2025

Transcript Highlights:
  • public hurricane loss model, which Florida Insurance Commissioner Mike Yaworski touts as a tremendous long-term
  • Family care not related to baby bonding or military exigency is only 3.7% of all claims.
  • Caregiving for chosen family will account for only 2.5% of all family care claims.
  • and help can receive care from the loved ones they depend on and rely upon.
  • Good morning, Maria Kalina, here on behalf of the California Collaborative for Long-Term Services and
Summary: The Assembly Insurance Committee met to hear several bills related to insurance coverage, wildfire risk, workers’ compensation, and paid family leave. SB 8 by Senator Ashby would extend workers’ compensation and disability protections to Sacramento County park rangers, with testimony emphasizing that they perform law-enforcement-like duties and should receive the same protections as comparable officers. SB 429 by Senator Cortese would create a public wildfire catastrophe model and related wildfire safety program, with support from the Department of Insurance and consumer advocates who said public access to modeling data would improve transparency and help evaluate private insurance risk models. The committee also heard SB 525 by Senator Jones, which would require the FAIR Plan to offer coverage options for manufactured and mobile home owners, including replacement cost coverage. Supporters said the bill would help lower-income residents obtain meaningful insurance protection, while no opposition testified. SB 495 by Senator Allen, as amended, would require insurers to provide a larger contents-coverage advance after a total loss during a declared emergency without requiring an immediate itemized inventory, extend proof-of-loss deadlines, and require insurers to provide catastrophe modeling and reinsurance data to the Department of Insurance. Several insurers withdrew opposition after amendments, and the Department of Insurance and United Policyholders supported the measure. SB 590 by Senator Durazo would expand paid family leave to cover care for designated persons or chosen family members, with strong support from AARP, labor, civil rights, caregiving, and health organizations, and testimony from a parent describing the need to care for a non-legal family member during surgery recovery. The committee also took up consent items SB 230 and SB 854. After roll calls, SB 8, SB 429, SB 495, SB 525, and SB 590 all received do-pass votes, with SB 429 sent to the Committee on Emergency Management, SB 495 to Judiciary, and SB 525 and SB 590 to Appropriations. The consent calendar bills were also approved, and the committee adjourned.
AL

Alabama 2026 Regular Session

Alabama Senate Feb 3rd, 2026

Alabama Senate Floor Meeting

Transcript Highlights:
  • Long roll." guests in the gallery. You care if I guests in the gallery.
  • </c><00:37:59.359><c> Long</c><00:37:59.680><c> roll.</c> >> All right. Long roll. >> Okay.
  • It's hard to get a septic system in that will give them the proper safety system.
  • We need to call the long roll and use the long roll, please. >> All right.
  • &gt;&gt; Long<02:15:29.440><c> roll.</c> &gt;&gt; Long roll. &gt;&gt; Long roll.
Summary: The Alabama Senate convened with a prayer by Pastor Jeremy Ward and the Pledge of Allegiance led by Sophia Woods. A quorum was established with 27 senators present, and the Senate adopted routine motions to excuse absent senators, dispense with the previous day’s journal, and allow bills and committee reports to be introduced throughout the day. The chamber also referred Executive Message 69, appointing Brandy Williams to the Alabama Fire College and Personnel Standards and Education Commission, to the Committee on Confirmations. The Senate received several Judiciary Committee reports. House Bills 41 and 149 and Senate Bills 230, 87, 169, 238, and 233 were reported favorably, with amendments on Senate Bills 87, 169, and 233. Those measures received second reading and were placed on the calendar for the next legislative day. The Senate also adopted Senate Joint Resolution 31, commending Mackenzie Grace Stigel, and Senate Joint Resolution 32, recognizing the Alabama School of Mathematics and Science for its national ranking; guests from the school were welcomed in the gallery. The Rules Committee report was then adopted by a 33-0 vote, setting a special order calendar that included Senate Bill 71 on administrative rules, along with several other bills on dredging, county subdivisions, legislative matters, public corruption, rural hospital investment, minority affairs, campaign finance, and natural resources. The chamber then took up Senate Bill 71, the “sound science” bill, which would limit state agencies from adopting environmental rules more stringent than federal law and require science-based standards where federal law is absent. Senator Coleman-Madison offered an amendment to preserve stronger scientific and causal standards, arguing the bill could weaken protections in heavily burdened communities; the amendment failed on a roll call vote of 25 nays to 1 yea. Senators then continued debating the bill’s effect on ADEM’s authority, emergency rulemaking, federal standards, and environmental enforcement in Alabama.
MO

Missouri 2026 Regular Session

Special Committee on Rural Issues Feb 25th, 2026

Special Committee on Rural Issues

Transcript Highlights:
  • And if you're not familiar with the cooperative system in electrical systems, there's actually two levels
  • They were down here not too long ago, and we wouldn't have the great system we have without them, and
  • They were down here not too long ago, and we wouldn't have the great system we have without them.
  • I've heard a lot about how the virtue of this system is like, well, it's a member-based system, and the
  • The board cares about because this is what most people care about that are their constituents.
Summary: The committee heard House Bill 3114, which would require operating railroads in Missouri to provide digital copies of valuation and station maps to the state land surveyor for inclusion in a public repository. The sponsor said the bill is intended to help surveyors locate abandoned railroad rights-of-way and determine center lines for adjoining landowners’ reversionary rights. Committee members asked about whether the bill would apply to active versus abandoned lines, whether records still exist for older railroads, and whether a deadline should be added for compliance. Railroad testimony raised concerns about the breadth of the request, potential security and proprietary issues, and the burden of compiling historical records, while indicating a willingness to continue discussions and possibly work with surveyors on a more targeted process. The committee then heard House Bill 2298, which would remove the current exemption for electric cooperatives from the requirement that condemning entities pay 150% of appraised value in eminent domain cases. The sponsor argued that co-ops should be treated the same as regulated utilities because landowners face the same burden when transmission lines cross their property, and he cited examples where co-op offers were far below what he believed comparable utility projects would pay. Landowners and a lawyer testifying in favor described alleged unfair treatment, uneven compensation, and the impact of transmission lines on farm operations and property value, while emphasizing that the bill would simply put co-ops on the same footing as other utilities. Opposition testimony from Associated Industries of Missouri and the Missouri Electric Cooperatives argued that the bill would interfere with the cooperative model, which is member-owned and governed by elected boards, and would reduce flexibility in negotiating easements. The co-op representative said the organizations are not partnered with Grain Belt Express, that any interconnection compensation is separate from the project itself, and that most easement acquisitions are settled by negotiation rather than condemnation. Committee members questioned whether co-ops already pay comparable amounts in practice, whether the bill would affect transmission projects tied to Grain Belt Express, and how co-op governance and member oversight should factor into eminent domain policy.
LA

Louisiana 2026 Regular Session

Judiciary B May 14th, 2026

Judiciary B

Transcript Highlights:
  • Our two city court systems, as expanded per the representative's bill, would allow these city court systems
  • In 2018, I was elected mayor of Bunkie and served for one term.
  • And I just wish that the court system would stay as it is.
  • We're asking you to defer it long enough to do...
  • We did, but not for that long a period of time.
Committee: Senate Judiciary B
CA

California 2025-2026 Regular Session

Assembly Insurance Committee Apr 23rd, 2025

Transcript Highlights:
  • SIBTF obviously has a long and proud history.
  • And it's just driving providers out of the system.
  • that would increase delays in a system intended to provide care to injured workers.
  • that would increase delays in a system intended to provide care to injured workers.
  • I have no choice as long as farmworkers die from preventable causes.
Summary: The Assembly Committee on Insurance met as a subcommittee and heard several bills related to workers’ compensation, insurance access, climate resilience, and farmworker protections. AB 815 would prevent social service workers who use personal vehicles to transport clients from being misclassified as commercial or for-hire drivers under personal auto policies; supporters said the current practice leads to unaffordable premiums and denied claims, while no opposition testified. AB 1329 would revise the Subsequent Injury Benefit Trust Fund to reduce litigation and medical-legal costs and lower employer assessments; insurers and business groups opposed unless amended, citing concerns about eligibility standards and the QME process, but the bill advanced after amendments were discussed. AB 1048 would allow disputed unauthorized payment reductions for medical providers to be reviewed through independent bill review; supporters framed it as a transparency measure, while opposition argued IBR is the wrong forum and existing contract dispute processes should control, though the bill also passed. AB 1236 would create a Department of Insurance grant program for climate and sustainability risk-reduction projects, with broad support from the department, environmental groups, and insurers, and it passed unanimously. The committee also heard AB 1336, the Farmworker Heat Illness Prevention Act, which would create a rebuttable presumption that a heat-related injury arose out of employment when an agricultural employer fails to comply with heat illness prevention standards. Supporters, including United Farm Workers, argued the bill would help protect farmworkers amid extreme heat and enforcement gaps; opponents from the workers’ compensation and agricultural sectors said the measure improperly uses the compensation system to enforce OSHA rules and could create unclear adjudication and delay issues. Members discussed Cal/OSHA enforcement limits, undocumented workers’ reluctance to report violations, and the relationship between the bill and existing workers’ compensation procedures. Despite opposition, AB 1336 passed on a divided vote. The committee also took up a consent calendar including AB 1125, AB 1293, and AB 1398, which were approved together. Roll calls were held open and later completed, and the bills that advanced were sent to the Committee on Appropriations. The meeting concluded with the committee adjourning after final votes were recorded.
NH

New Hampshire 2026 Regular Session

House Criminal Justice and Public Safety (01/16/2026)

Criminal Justice and Public Safety

Transcript Highlights:
  • It's the same um system<00:45:34.400><c> that</c> system that system that 173B,<00:45:37.040><c> the<
  • </c> person who can't get free of the system. person who can't get free of the system.
  • Another year-long saga.
  • Why did it last that long?
  • I don't know the system. Write whatever. I don't know the system.
Summary: The committee held a public hearing on House Bill 1651, which would create a civil sexual assault protective order for survivors who do not have a domestic violence or stalking relationship with the offender, and would also update the sexual assault survivors’ bill of rights regarding evidence kit retention and tracking. Representative Jennifer Rhodes, the sponsor, said the bill is intended to fill gaps for survivors assaulted by strangers, acquaintances, or others outside existing protective-order categories, and to ensure evidence is preserved for the longer of the statute of limitations or the retention period. Committee members asked whether the new order could be misused and how the bill would prevent frivolous petitions; the sponsor said the same legal process would apply and a victim would still have to prove they were actually assaulted. Representative Eileen Kelly and Lynn Shallet of the New Hampshire Coalition Against Domestic and Sexual Violence testified in support, saying current law leaves many sexual assault survivors without a meaningful civil remedy unless they qualify for domestic violence or stalking relief. Shallet said the gap has existed for decades and noted that other states already have standalone sexual assault protective orders. She also said the bill would clarify survivors’ rights to know the status and location of their evidence kits. Shauna Foster of New Beginnings Without Violence and Abuse described local cases where survivors were denied protective orders because they lacked the required relationship with the offender, including a co-worker assault and an assault involving an unhoused survivor. Lisa Curtis, a survivor and founder of Safe Haven Ballet, gave emotional testimony in support, describing her own sexual assault and the difficulty of seeking protection and justice. She said survivors need safety to recover and that the bill would better align the justice system with trauma-informed support. Janet Carroll, a sexual assault nurse examiner and advisory board co-chair, testified that the bill’s evidence-kit provisions reflect federal changes and existing tracking practices. She explained that New Hampshire uses a kit tracking system that lets patients and professionals follow kits through the process, and said the bill would codify the right to be informed of a kit’s status and location. No vote was taken during the hearing.
WA

Washington 2025-2026 Regular Session

House Health Care & Wellness Feb 4th, 2026

Transcript Highlights:
  • Parent caregivers are not replacing the health care system by any means, but they are holding it together
  • system.
  • With a complex care system model, we'll be able to hire trusted family to care for Colby, so my husband
  • Some examples of how it can be covered under PCCA for PDN are bowel care, wound care, central line care
  • So in terms of how we got to developing the complex care assistant model, first and foremost, and I know
Summary: The House Health Care and Wellness Committee met at policy cutoff and first took up executive session on four bills. It considered a proposed substitute for HB 1589 on health carrier contracting practices, which would require carriers to provide providers advance notice and clean copies of contract changes and payment methodologies, and would also add notice requirements for significant payer contract modifications. The committee also considered HB 2402 on phthalates in IV solution containers and tubing, with a substitute delaying implementation dates and creating shortage and FDA-related exemptions. HB 2555, concerning Medicaid coverage of traditional health care practices, and HB 2685, concerning tribal data and disease reporting to tribal health jurisdictions, were also before the committee. HB 2599 was deferred. The committee reported HB 1589, HB 2402, HB 2555, and HB 2685 out of committee with do pass recommendations, with recorded votes showing some members voting no or no without recommendation on the more contested bills. The committee then held a work session on private duty nursing in the Medically Intensive Children’s Program. Health Care Authority and DSHS staff described how the program serves children with complex medical needs through managed care and fee-for-service pathways, the role of prior authorization and medical necessity review, and the ongoing shortage of nursing staff. They said many approved hours are not filled, especially in rural areas, and that family members often provide unpaid care to fill gaps. Committee members asked about the structure of the children’s and adult PDN programs and about how many authorized hours are actually being served. The committee also heard testimony from a home care agency representative and a parent caregiver, both of whom described severe staffing shortages and the burden on families when nursing shifts go unfilled. They supported models that would allow trusted family caregivers to be paid for some of the skilled care they already provide. The committee then heard examples from Montana and Massachusetts of similar family caregiver or complex care assistant programs. Montana described its pediatric complex care assistant model as a gap-filling service with prior authorization and a set hourly rate, while Massachusetts outlined its complex care assistant program, including training, supervision, wage pass-through requirements, and early growth in participation. The meeting concluded after the work session.
US

US Federal 2025-2026 Regular Session

US House Floor Proceedings (Thursday, September 11, 2025)

US Federal House Floor Meeting

Transcript Highlights:
  • distances to access care.
  • distances to access care.
  • He understood that caring for the land means caring for the fish, and caring for the fish means caring
  • ><c> and</c> the land means caring for the fish and the land means caring for the fish and caring<02:
  • </c><02:33:07.280><c> for</c> caring for the fish means caring for caring for the fish means caring for
NH

New Hampshire 2026 Regular Session

House Transportation (01/23/2026)

Transportation

Transcript Highlights:
  • In terms of pass them individually.
  • </c><03:21:20.000><c> of</c> about you know what it is in terms of about you know what it is in terms
  • I get it in terms of informing the I get it in terms of informing the parents<04:28:35.680><c> before
  • I don't care. I don't think DMV cares.
  • I don't<04:32:18.800><c> care.</c><04:32:19.359><c> Yeah.</c> don't care. Yeah. don't care. Yeah.
MN

Minnesota 2025-2026 Regular Session

House Health Finance and Policy Committee 3/10/25

Health Finance and Policy

Transcript Highlights:
  • The state system will automatically take care of it for them every 24 hours.
  • The state system will automatically take care of it for them every 24 hours.
  • The state system will automatically take care of it for them every 24 hours.
  • The state system will automatically take care of it for them every 24 hours.
  • The state system will automatically take care of it for them every 24 hours.
Bills: HF696 , HF1429 , HF1379