Video & Transcript : 'direct care' :
Page 434 of 500
KY
Kentucky 2025 Regular Session
House Standing Committee BR Sub. on General Government (2-13-25)
Transcript Highlights:
- This is just a short overview so that you have some direction as you're beginning to formulate what you
- This is just a short overview so that you have some direction as you're beginning to formulate what you
- This is just a short overview so that you have some direction as you're beginning to formulate what you
- One of them is one that was directed by me because of an issue that came to light the summer of last
- year, and that was the kinship care funding issue.
Keywords:
Meeting Start 00:00:00
Attendance Roll Call 00:00:19
Auditor of Public Accounts 00:01:07
Office of Secretary of State 00:10:22
Kentucky State Treasury 00:17:51
Office of Attorney General 00:28:50, 958, all
Summary:
The Budget Review Subcommittee on General Government met for its first meeting and heard budget-related presentations from the Auditor of Public Accounts and the Secretary of State, with the Treasurer beginning a presentation at the end of the transcript. Auditor Allison Ball reviewed her office’s 2024 and early 2025 work, including hundreds of county and state audits, several special examinations, and ongoing reviews such as the kinship care funding issue, the Kentucky Department of Education audit, and the Jefferson County Public Schools audit. She said her office is focused on waste, fraud, abuse, and legal compliance, and asked the committee to consider future budget changes, including aligning her appropriation with restricted funding and restoring a stronger performance-audit function. She also highlighted audits that exposed serious problems, including the Department of Juvenile Justice review, and said those reports are intended to serve as models for other entities to avoid similar failures.
Secretary of State Michael Adams said his office is self-sustaining through fees and does not need tax dollars, but asked for greater access to its own revenues and more flexibility in using them. He highlighted the Safe at Home address confidentiality program, saying recent changes expanded protections for survivors of domestic violence, sexual assault, and human trafficking, and that the program has grown rapidly while remaining funded by offender fines. Adams also urged lawmakers to again adjust county election funding for inflation, noting the current per-voter and per-precinct amounts were set decades ago. In questioning, Representative Hart asked whether the Safe at Home program was self-funding; Adams replied that it covers only about 10% of its operating cost and said the best solution would be to let the office use more of the revenue it already collects rather than rely on tax dollars.
Treasurer Martin Medcafe, introduced with staff member Russell Weber, praised the General Assembly’s fiscal discipline and described the Treasury’s work in managing state funds. He reported strong results from the Unclaimed Property Fund, saying the office returned $35.5 million to Kentuckians in its first year and $3.8 million in the first month of the current year, and said the State Investments Commission generated $682 million in returns last year. He also highlighted financial literacy efforts through the Kentucky Financial Empowerment Commission and said the Treasury is helping manage opioid settlement funds, which are now earning up to $200,000 per month through investment. No votes or formal actions were taken in the portion of the meeting provided.
US
US Federal 2025-2026 Regular Session
US House Floor Proceedings (Wednesday, April 22, 2026)
US Federal House Floor Meeting
Transcript Highlights:
- </c> it and make sure he took care of you. it and make sure he took care of you.
- Hospitals in rural communities are shutting down maternity care units and laying off health care workers
- The $1 trillion in health care cuts will compound over time, devastating the health care safety net in
- </c><02:35:51.840><c> hit</c> survival necessity that is a direct hit survival necessity that is a direct
- </c> We passed the first free child care We passed the first free child care policy<02:47:53.120><c>
CA
California 2025-2026 Regular Session
Assembly Select Committee on Effective Postsecondary Career Technical Education and Workforce Development Programs Dec 11th, 2025
Transcript Highlights:
- Employers across the state are reporting persistent and growing shortages, especially in health care,
- Health care apprenticeships alone have grown by over 400%, and manufacturing by more than 470%.
- As mentioned, education and health care are leading the pathways in growth, as you can see there.
- County's Justice Care Opportunities Department.
- It's having someone there that lets you know, you know, we care about you. You're important.
Summary:
The hearing opened the Select Committee on Effective Postsecondary Career, Technical Education, and Workforce Development Programs at Santa Ana College, with Assemblymember Mike Fong emphasizing the need for affordable, accelerated pathways into high-demand careers and noting his bill AB 1098 creating the California Interagency Education Council. Chancellor Marvin Martinez welcomed the committee and urged changes to AB 927 to remove the “duplication” barrier for community college bachelor’s degrees, arguing that applied baccalaureate programs can lead to high-wage jobs and expand access for low- and middle-income students.
The first panel focused on statewide workforce trends and policy. California Community Colleges Vice Chancellor Anthony Cordova highlighted credit for prior learning, Strong Workforce funding, dual enrollment, and apprenticeship growth, asking the Legislature to restore and increase Strong Workforce funding and expand applied baccalaureate degrees. LAEDC’s Josep Bilayo described regional labor market data showing growth in health care, education, construction, bioscience, and clean energy, while stressing the need for employer-led, data-driven programs, wraparound supports, and flexible funding. Andrew Gonzalez of the Building and Construction Trades Council argued that registered apprenticeship must be paid, combine classroom and on-the-job training, and end in a portable credential; he also promoted apprenticeship readiness programs, community workforce agreements, and stronger exposure to trades starting in K-12. Eric Morrison Smith of the Alliance for Boys and Men of Color discussed the California Opportunity Youth Apprenticeship Grant Program and related youth apprenticeship recommendations, including bridge programs, intermediary infrastructure, reduced employer barriers, and better coordination of state funding.
A later panel highlighted Santa Ana College’s fire technology and firefighting academy programs. President Annabelle Neri and Vice President Jeffrey Lamb said the college is one of the state’s largest fire training providers, with strong partnerships with local fire agencies, law enforcement, and the U.S. Forest Service, and with high job placement and six-figure starting salaries for some graduates. They also described related certificates, advanced officer training, wellness services, and workforce preparation such as mock interviews and sponsorships. Throughout the hearing, members and panelists repeatedly stressed the importance of aligning education with labor market demand, expanding apprenticeships and work-based learning, and using regional collaboration to connect students to living-wage careers.
MN
Minnesota 2025-2026 Regular Session
House Housing Finance and Policy Committee 4/1/25
Housing Finance and Policy
Transcript Highlights:
- </c> a good Motion in the right direction a good Motion in the right direction thank<00:20:56.679><c>
- It doesn't cover lawn care, and it doesn't cover snow removal for our lots.
- It doesn't cover lawn care, and it doesn't cover snow removal for our lots.
- It doesn't cover lawn care, and it doesn't cover snow removal for our lots.
- And I have been to a manufactured park in my city, and these homes are cared for and loved.
Bills:
HF1143 , HF1548 , HF1340 , HF2549 , HF2559 , HF1673 , HF2740 , HF2507 , HF2461 , HF2381 , HF2695
Committee:
House Housing Finance and Policy
Keywords:
education funding, unemployment aid, special education, Minnesota statutes, appropriations, housing, redevelopment, local government, trust funds, community development, HF1340, housing infrastructure bonds, Minnesota Housing Finance Agency, MHFA, affordable housing, supportive housing, permanent housing, adaptive reuse, area median income, AMI
KY
Kentucky 2026 Regular Session
Budget Review Subcommittee on Education. (6-3-26)
Transcript Highlights:
- .<00:24:38.320><c> KRS</c><00:24:39.240><c> 164.092</c> direction.
- KRS 164.092 direction.
- </c> something that, you know, a directive something that, you know, a directive that<00:46:37.240><c
- , child care, and unmet financial<01:26:09.640><c> need.
- </c> tuition absolutely have a direct impact. tuition absolutely have a direct impact.
Summary:
The Interim Joint Budget Review Subcommittee on Education met for its first summer interim meeting, opened with prayer and the Pledge of Allegiance, and took roll. The first presentation came from Jerry Gels, principal of Ignite Institute in Erlanger, who focused on the rising cost of dual credit. He said dual credit tuition has increased from about $150 to $290 for a three-credit course over roughly five years, which he argued is discouraging participation, especially for working-class and low-income students. He cited Ignite data and broader college outcomes to argue dual credit improves college persistence, shortens time to degree, and reduces student debt, noting that many of his students enter college with substantial credit and that low-income students at Ignite have increasingly participated after targeted efforts and scholarship use. He also said the instructional labor is largely paid by county school systems, so he questioned the size of the tuition increase and said the committee should examine how the costs are being set and whether college tuition should be stabilizing as more students arrive with credits already earned.
Members asked about who pays for dual credit, the role of state scholarship support, and whether tuition varies by institution. Gels said students in his district generally pay the dual credit cost themselves, though some districts may cover it, and he noted the dual credit scholarship now covers fewer classes than before. He said the price appears to be set centrally rather than varying by university, and he emphasized that the higher cost is creating barriers even though the courses are taught largely by local teachers on school payrolls. He also described Ignite’s efforts to expand access for free- and reduced-lunch students, saying participation among that group rose from 27% with no dual credit to about 90-92% taking at least one dual credit class.
The committee then heard from the Goldwater Institute, represented by Michael Frazier and Dr. Tim Minella by Zoom. They argued Kentucky’s public universities should face stronger accountability and transparency, citing declining public confidence in higher education, rising costs, and what they described as administrative growth and research spending that does not clearly benefit students or the Commonwealth. They proposed requiring a 10-year accounting of staffing growth by category, comparing it to enrollment and low-income Kentucky enrollment, and limiting non-STEM faculty teaching releases for research unless approved under a baseline consent process. They also criticized certain university-funded research projects as examples of misdirected spending and said public reporting should distinguish Kentucky residents from non-residents more clearly, pointing to a reported decline in low-income in-state undergraduate enrollment. No votes or formal actions were taken during the meeting.
MN
Minnesota 2025-2026 Regular Session
House Transportation Finance and Policy Committee 3/11/26
Transportation Finance and Policy
Transcript Highlights:
- </c> themselves is somebody that we care themselves is somebody that we care deeply<00:25:56.320><c>
- We do have a in the right direction.
- Now if there's somebody coming the other direction, they have to give the right away.
- ,</c><00:37:49.359><c> you</c><00:37:49.520><c> you</c> traffic in either direction, you you traffic
- ><c> to</c><01:48:17.280><c> the</c> direction and authority to the direction and authority to the Department
Committee:
House Transportation Finance and Policy
Keywords:
Safe at Home, address confidentiality, domestic violence, sexual assault, stalking, harassment, victim privacy, survivor protection, confidential address, protected address, secret address, identity protection, residential confidentiality, program participant, nondiscrimination, court disclosure, protective order, service of process, driver's license, state ID
CA
California 2025-2026 Regular Session
Assembly Governmental Organization Committee Aug 11th, 2026
Transcript Highlights:
- These negotiated compacts are the culmination of a lengthy negotiation process, compromises, and careful
- These negotiated compacts are the culmination of a lengthy negotiation process, compromises, and careful
- This revenue is what allows our tribal government to take care of our people, exercise our sovereignty
- It means caring for an elder. It means helping a young citizen get an education.
- Gaming revenues allow our tribal government to provide health care, education, social welfare services
Summary:
The Assembly Committee on Governmental Organization held an informational hearing on seven tribal-state gaming compacts and amendments, with Chair Blanca Rubio noting that no formal vote would be taken because the Legislature cannot amend the compacts. The committee heard briefings from the Governor’s Office and tribal representatives on the Pechanga Band of Indians, Agua Caliente Band of Cahuilla Indians, Fort Mojave Indian Tribe, Picayune Rancheria of Chukchansi Indians, Yocha Dehe Wintun Nation, Santa Ynez Band of Chumash Indians, and the Urok Tribe. A recurring theme was updating compact terms in light of the Ninth Circuit’s Chicken Ranch decision, including narrowing or clarifying revenue-sharing, regulatory, labor, and liability provisions while preserving state and tribal interests.
For the Pechanga, Agua Caliente, and Yocha Dehe amendments, witnesses described commitments not to sue over certain revenue terms, additional gaming-device flexibility, and continued or enhanced payments to the special distribution fund, revenue-sharing trust fund, and tribal nation grant fund. Pechanga and Yocha Dehe each sought flexibility for 1,000 additional devices, while Agua Caliente sought 500 additional devices and a restructuring of its trust-fund contributions. Tribal leaders emphasized economic development, government services, public safety, education, cultural preservation, and community investments, and local government representatives from San Bernardino County and other jurisdictions spoke in support of the agreements.
The committee also heard two new compacts: Fort Mojave’s compact, which replaces an expired 2004 agreement and allows up to 1,200 devices at up to two facilities, including a future site near Needles subject to federal approval and gubernatorial concurrence; and the Urok Tribe’s compact, which replaces an expiring 1999 compact and allows up to 349 devices at up to three facilities. The Picayune Rancheria of Chukchansi Indians sought a fifth amendment extending its existing compact while litigation continues, and the Santa Ynez Band of Chumash Indians sought a second amendment extending its compact term and refining liability and insurance provisions. After hearing testimony and brief public comment, the chair closed the hearing and indicated the measures would move to the floor for formal consideration.
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 have a bunch of the ladies that take care of me around theirs.
- I have a bunch of the ladies that take care of me around theirs.
Committee:
All JBC-SPECIAL LANGUAGE
CA
California 2025-2026 Regular Session
Assembly Health Committee Jul 15th, 2025
Transcript Highlights:
- care ecosystem.
- Care that is delayed is care that is denied.
- And the ratios have different requirements, whether it's care in the ER, care in the NICU, or care in
- And the ratios have different requirements, whether it's care in the ER, care in the NICU, or care in
- health care outcomes.
Summary:
The Assembly Health Committee heard several bills focused on health care access, oversight, and affordability. The first major item was SB 306 by Senator Becker, a prior authorization reform bill. Becker and supporters, including the California Medical Association and California Hospital Association, argued that prior authorization delays care, adds administrative burden, and can lead to serious patient harm. The bill was substantially amended late in the process to have DMHC and CDI identify services and drugs to exempt from prior authorization based on utilization data, with safeguards for fraud, waste, abuse, and patient safety. Health plans and insurers opposed the measure as written, saying prior authorization remains an important utilization-management tool and raising concerns about the 90% threshold, drug inclusion, and how modifications are counted. The committee also heard SB 35 by Senator Umberg, which would let cities or counties inspect unlicensed sober living homes if DHCS does not act promptly on complaints. Supporters said the bill would address weak enforcement and protect residents, while one behavioral health directors group opposed it unless amended. Members generally supported the measure, citing problems with unlicensed facilities and the need for local enforcement backup.
The committee then heard SB 62, which would codify California’s updated essential health benefits benchmark if approved by the federal government. Senator Wiener said the package would add hearing aids, durable medical equipment, and infertility treatment including IVF, acknowledging that premiums could rise but arguing the benefits were worth it. Health Access California and other advocates supported the bill, while the California Family Council opposed it. The committee also took up SB 596 by Senator Menjivar, which would tighten the rules for hospitals claiming an on-call list as a defense to nurse staffing ratio penalties. Supporters, including nurses and SEIU, said hospitals have used vague or ineffective on-call practices to avoid accountability and that the bill would improve enforcement and patient safety. Hospital groups opposed it, arguing that staffing is highly dynamic, that hospitals need flexibility to manage acuity and emergencies, and that the bill could increase costs and interfere with collective bargaining arrangements.
Finally, the committee heard SB 40 by Senator Wiener, the Insulin Affordability Act, which would cap insulin copays at $35 for a 30-day supply and restrict step therapy unless a plan covers at least one insulin in each drug type. Supporters, including physicians, diabetes advocates, nurses, students, and patient groups, said insulin is life-saving and too often unaffordable, forcing patients to ration or choose between medication and basic needs. There was no formal opposition testimony, though one member questioned why insulin remains so expensive. The committee also began discussion of SB 363, but the transcript cuts off before that bill’s full presentation or any action on the measures. No votes are recorded in the portion provided, and several bills were noted as consent items earlier in the hearing.
FL
Transcript Highlights:
- where care is too often out of reach.
- I don't care about your race, your creed, your color, your gender. I don't care.
- I don't care about your race, your creed, your color, your gender. I don't care.
- I don't care about your race, your creed, your color, your gender. I don't care.
- I don't care what color your skin was. I don't care what religion you were.
Summary:
The Senate convened with a quorum, opened with prayer, and heard several announcements and recognitions, including remarks from the new Democratic caucus leader, Senator Berman, who emphasized bipartisan work on education, health care, the environment, and family issues. The chamber also recognized military leaders, an intern, and guests connected to later bills. No committee reports or executive messages were on the desk at the start of the session.
The Senate then took up a series of bills, many of them with House companion substitutions and technical amendments. Major measures included the Pam Rock Act on dangerous dogs, which passed 36-0; a local government land regulation bill that was amended after questions about quasi-judicial hearings, impact fees, and county costs, then passed 26-8; a vessels/boating bill that incorporated related legislation and passed 35-0; a blood clot screening and treatment bill creating the Emily Adkins Family Protection Act, which passed 36-0; a fleeing or eluding law enforcement bill, amended to remove vehicle impoundment in the House version, which passed 36-0; a concealed carry/firearms bill for certain law enforcement and military personnel, which passed 33-3; and a timeshare management bill, which passed 36-0.
The chamber also passed a disability history and awareness instruction bill, the Evan B. Hartzell Act, after extensive debate about language and the meaning of disability versus “unique abilities”; it received 35 co-sponsors and passed 35-0. Other bills passed included manufacturing and related fee legislation, public education on background screening requirements, utility service restrictions, educational opportunities for military children, Medicaid oversight, health facilities authorities, and veteran and spouse nursing home beds, most by unanimous or near-unanimous votes. Several bills were temporarily postponed, including measures on human trafficking, waste management, Bright Futures, mammogram coverage, Parkinson’s disease, and others.
KY
Kentucky 2026 Regular Session
Senate Standing Committee on Health Service (2-11-26)
Transcript Highlights:
- </c> health care space or for any other job. health care space or for any other job.
- But I would argue that patient care, good patient care, was truly the end product.
- Every day I care for patients from all walks of life seeking time-sensitive care.
- </c> care service very broadly. care service very broadly.
- care they need.
Summary:
The Senate Standing Committee on Health Services met with a quorum and first moved through administrative regulations without comment. The committee then heard Senate Bill 56, sponsored by Senator Gerald Neal, which would require Medicaid and its managed care entities to treat non-opioid pain medications on equal footing with opioid analgesics by prohibiting more restrictive coverage controls, prior authorization, or step therapy for non-opioids. Neal argued the bill would improve access to safer pain treatment options and reduce the risk of opioid use disorder, and Billy O'Brien of Young People in Recovery testified in support, describing personal experiences where non-opioid options were difficult to obtain despite a desire to avoid opioids. After discussion, the bill received a motion and second and passed the committee on a 10-0 vote.
The committee then took up Senate Bill 72, sponsored by Senator Don Douglas and presented with Greg Chaffin of Alliance Defending Freedom. Douglas described the bill as a provider recruitment and retention measure intended to protect health care workers from being compelled to act against their conscience and to address workforce shortages and pressure in health care settings. He said the bill would protect individual beliefs while maintaining professionalism. A large number of witnesses then testified, and the chair limited public comments to two minutes each because of the number of speakers and the controversy surrounding the bill.
Most public testimony opposed SB 72. Speakers including representatives of the Kentucky Council of Churches, a psychologist, an ordained minister and nurse, a nurse practitioner, and an ACLU policy strategist argued the bill was overly broad, could allow refusals of care by a wide range of health care workers, and could delay or deny treatment, especially for vulnerable patients and in rural or emergency settings. Several cited concerns about discrimination, patient safety, and the lack of adequate protections for patients. One witness recounted the death of an 18-year-old pregnant patient as an example of the harm that can result from delayed care. The transcript ends during additional testimony on SB 72, before any committee vote or final action on that bill is shown.
CA
California 2025-2026 Regular Session
Senate Governmental Organization Committee Mar 24th, 2026
Governmental Organization
Transcript Highlights:
- We must be careful not to define small businesses only by their constraints.
- We believe SB 1044 is a vital step in the right direction.
- We also have this particularly with child care providers, which is an urgent need in the state.
- And yet, you know, it can take almost a year to get a child care license.
- And yet, you know, it can take almost a year to get a child care license.
Committee:
Senate Governmental Organization
AZ
Transcript Highlights:
- Most brands would employ these influencers through either agencies or networks or direct contact.
- On the flip side, we know from small business one of their number one concerns is rising health care
- As a small business owner, restaurants especially, yeah, the health care costs go up every year.
- And so that may take care of some concerns, but they did want us to step forward right now so that we
- They don't care about getting those clients. They don't care about getting those clients.
Committee:
House Commerce
Keywords:
digital goods, advertising, ownership, license, consumer protection, refund policies, streaming services, minors, content creators, online platforms, compensation, trust accounts, child protection, video content, privacy, employment, mobile homes, recreational vehicles, landlord tenant laws, tenant rights
OK
Oklahoma 2026 Regular Session
Appropriations and Budget Judiciary Subcommittee - Morning Session Jan 13th, 2026 at 09:00 am
A&B Judiciary Subcommittee
Transcript Highlights:
- They care and they are dedicated.
- Our attorneys are drowning, but they care. They love their jobs.
- And if they care about these cases we need to keep them.
- And we care.
- Really, it's just carrying forth the directive of this body, which was a good directive, and it has done
Committee:
House A&B Judiciary Subcommittee
TX
Transcript Highlights:
- Last session the legislature directed TIDC to continue conduct a rural public defense needs assessment
- Members, our final panel of two members is primarily directed... to the juvenile justice system and as
- This has also led to a loss of contract care for secure facilities.
- This DOJ report, I don't care if they did stuff in 2021, right?
- It's like, oh well, you know, it was just a one-time incident, it was no big deal, it was taken care
Committee:
House Criminal Jurisprudence
ID
Transcript Highlights:
- Managed care for our full Medicaid system in the state.
- That fund is very, very healthy and can certainly take care of the $288,000.
- That fund is very, very healthy and can certainly take care of the $288,000.
- It's a direct response to the OPE study that J. Lock commissioned in 2024.
- We already said that they are responsible for caring for these kids.
Summary:
The Senate convened with a quorum, heard prayer and the pledge, approved the journal, and received committee reports and messages from the Governor and House. Several bills and resolutions were moved through the calendar, including committee referrals, enrollments, and transmittals of already-passed measures. The chamber also received new first-reading bills, including appropriations measures and policy bills on elections, education, and endowment land leases.
On the floor, the Senate adopted Senate Resolution 117 recognizing Idaho’s ties with Italy and the opening of an Idaho office in Italy. The resolution was supported with remarks about historical Italian immigration to Idaho and wartime cooperation involving Italian POW labor in Idaho agriculture. The Senate also adopted House Concurrent Resolution 30, which directs the Medicaid Legislative Review Panel to study and provide guidance on implementing comprehensive Medicaid-managed care; that measure passed by roll call, 20-10 with one absent.
The Senate then adopted Senate Concurrent Resolution 114, adding a new joint rule to limit the number of bill drafts and RSs a legislator may bring in a year, with exceptions for budget bills, amendments, trailer bills, interim committee legislation, and leadership-approved exceptions; it passed 35-0. The chamber also adopted Senate Joint Memorial 115 urging federal action on pelican impacts to Idaho fisheries, and Senate Resolution 120 honoring State Police K-9 Kimber for her service. Later, House Bill 723 on child care licensing and protections for children in residential care facilities passed 32-3 after debate focused on abuse prevention, unannounced inspections, and a bill of rights notice for children.
In the afternoon session, the Senate passed several appropriation bills, including Senate Bills 1380, 1381, 1382, 1383, 1384, 1385, and 1386, covering the Endowment Fund Investment Board, Idaho State Lottery, Fish and Game, Veterans Services, Public Utilities Commission, Industrial Commission, and Pardons and Parole. Most were described as enhancement or maintenance budgets funded largely through dedicated or federal funds, with debate emphasizing small hardware purchases, program restorations, and agency operating needs. Senate Bill 1382 for Fish and Game passed 23-12, and House Bill 848, the legislative branch appropriation bill, was brought up for consideration as the transcript ended.
MO
Missouri 2026 Regular Session
2026 Legislative Session - Day Thirty Three - Thursday, March 5
Missouri House Floor Meeting
Transcript Highlights:
- I know we're directive on saying two years.
- I grew up knowing that sharing is caring.
- Sharing is caring. Thank you. It is. It absolutely is. Sharing is caring. Thank you. It is.
- Sharing is caring. Thank you. It is. It absolutely is. Let's see.
- But again, these are professional health care providers.
HI
Transcript Highlights:
- As numerous public health organizations have said, gender-affirming care is health care, and health care
- health care.
- care.
- gender-affirming care, but for all care, primary care, preventative care, um, I think that the community
- care, but for just for gender affirming care, but for all<00:49:48.079><c> care,</c><00:49:48.400><c>
Committee:
House Health
Keywords:
accessible parking, disability, kupuna, public accommodations, small business exemptions, Hawaii Revised Statutes, parking permit, blind, deaf, accessibility, deafness, traffic safety, law enforcement, vehicle registration, communication, emergency services, commercial driver's license, first responders, public safety, authorized emergency vehicle
Summary:
The joint hearing covered House Bill 251, which would require hospitals to report costs associated with Medicare and uninsured patients, and House Bill 1875, which would expand protections for gender-affirming health care services. On HB 251, the Department of Health said it supported the intent but described the bill as complicated and potentially impractical as drafted because the department lacks the expertise to produce the required analyses without outside help. Hawaii Health Systems Corporation echoed those concerns, while the Queen’s Health System said it was willing to work with the department to provide the information. In committee discussion, officials explained that hospital support in Hawaii includes public hospital appropriations and the provider tax program, which uses hospital and nursing home contributions to draw federal matching funds; a department witness estimated the net benefit at about $150 million for hospitals and $20 million for nursing facilities, though exact figures would be provided later.
On HB 1875, the Insurance Division testified with concerns that the bill’s language on prohibited actions by malpractice insurers was broad and vague, and that a rate-increase prohibition could conflict with actuarially based insurance pricing. The division also noted it was not the primary enforcement agency for the statute. In contrast, many testifiers strongly supported the bill, including the Hawaii State Commission on the Status of Women, the Hawaii State LGBTQ+ Commission, the Hawaii Public Health Institute, PFLAG Oahu, the ACLU of Hawaii, the Drug Policy Forum of Hawaii, the Hawaii County Democratic Party, and others. Supporters argued that gender-affirming care is medically necessary, evidence-based, and protected by privacy and bodily autonomy principles, and that the bill would protect patients and providers from outside political interference. No votes or final committee actions were taken during the portion of the hearing provided.
MN
Minnesota 2025-2026 Regular Session
Committee on Energy, Utilities, Environment and Climate - 02/17/25
Energy, Utilities, Environment, and Climate
Transcript Highlights:
- and we are working and charged direction and we are working and charged by<00:08:46.920><c> the</c><
- Orange is the same thing, but it says maybe you don't care about those non-electric bill benefits.
- </c><00:13:22.720><c> about</c><00:13:23.160><c> those</c> says maybe you don't care about those says
- Do you have a member of the testifiers that you're directing that to, or let them pick whoever wants
- </c><01:42:06.960><c> they</c> state senator and they don't care they state senator and they don't care
LA
Louisiana 2026 Regular Session
Special Committee on Regulatory Reform Mar 4th, 2026
Transcript Highlights:
- that the economic growth rate in that province rose by more than one percentage point annually as a direct
- So we're measuring something that has a very real effect on economic outcomes that we care about.
- is. ...do this or can't do this or that, whatever the direction is, certainly the subject matter experts
- So being more careful with the wording of delegations is another place that some states are looking at
- Can you take care? Okay, there we go. Thank you, Mr. Chairman. Thank you for being here today.
Summary:
The Special Committee on Regulatory Reform met to hear from Patrick McLaughlin of the Hoover Institution and Pacific Legal Foundation about regulatory accumulation and reform. Chair Mark Wright explained the meeting was a study hearing only, with no votes planned or quorum for action. McLaughlin described his research measuring regulation by counting binding words such as “shall” and “must,” and said Louisiana ranks among the most regulated states, with about 183,000 restrictions and growth in regulatory stock outpacing the national average. He argued that excessive regulation slows GDP growth, raises consumer prices, and disproportionately burdens small businesses and low-income households.
McLaughlin pointed to reform examples in British Columbia, Idaho, and Virginia, where centralized oversight, periodic review, one-in-one-out or similar rules, and simplified benefit-cost analysis were used to reduce regulations without harming safety. He said Virginia’s regulatory modernization effort, including use of AI and a regulatory management office, helped cut requirements and lower homebuilding costs. Committee members asked about how the data were measured, how regulation affects housing, licensing, and population growth, and whether Louisiana could use similar tools. McLaughlin emphasized that AI should assist human reviewers, not replace them, by identifying outdated, duplicative, or overly burdensome rules.
Members also discussed Louisiana’s own reform efforts, including LaDOGE, permit streamlining, and prior bills to create public hearings and legislative review of regulations. Wright and others asked about federal mandates, “gold plating” of state rules, and how to identify unnecessary state-level additions. McLaughlin said some state rules are required by federal law, but many others are not, and AI can help distinguish required language from added burdens. No votes were taken, and the committee adjourned after members expressed interest in following up on McLaughlin’s report and examples from other states.