Video & Transcript : 'provider network' :
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KY
Kentucky 2025 Regular Session
Budget Review Subcommittee on Health and Family Service (9-17-25) - Reupload
Transcript Highlights:
- Just to reiterate what these homes provide, they provide staffing and daily resident supports.
- We provide three daily snacks.
- </c> both instate and outofstate providers. both instate and outofstate providers.
- So the provider that they are with then becomes the waiver provider. So there are 150 for HCB.
- So the provider that they are with then becomes the waiver provider. So there are 150 for HCB.
Summary:
The Health and Family Services committee heard an informational presentation on Kentucky personal care homes from representatives of the Kentucky Association of Healthcare Facilities, Management Systems of Kentucky, and Elder Care Partners. Witnesses described personal care homes as a lower-cost, 24/7 residential option for adults, often with serious mental illness, who do not meet nursing home criteria but need structured supervision, medication assistance, meals, and daily support. They said the homes are regulated by the Cabinet for Health and Family Services, are not Medicaid-funded, and are supported largely through state supplementation payments and residents’ SSI income.
The presenters argued that the current reimbursement rate of about $50.70 per day is no longer sufficient to cover staffing, food, insurance, utilities, maintenance, and other costs, and said the sector has shrunk significantly over time. They cited figures showing a decline from 64 to 34 homes serving the seriously mentally ill since 2002, with 30 closures over 23 years, and said the loss of beds contributes to homelessness, hospital overcrowding, and longer psychiatric stays. They also gave examples of residents who had spent many months in hospitals before being successfully placed in personal care homes, which they said can prevent more costly institutional care.
Committee members asked about staffing credentials, fraud controls, referral processes, and how reimbursement works in other states. The presenters said Kentucky does not require licensed or certified staff in these facilities, though some homes use certified medication technicians or an LPN, and they described a county case-manager-based assessment process used to set individualized rates in other states such as Minnesota. Members expressed support for the work but emphasized the need for documentation of savings and budget offsets. The presenters said they are seeking an incremental reimbursement increase over two years, roughly 25% to 50% in the first year and another 50% after that, and urged the committee to support the homes to prevent further closures.
KY
Transcript Highlights:
- 04:04.080><c> be</c> Participating providers would also be Participating providers would also be required
- We all provide this care currently.
- So I mean, it would benefit the providers within those hospitals, but those providers aren't getting
- within those hospitals but providers within those hospitals but those<00:13:12.880><c> providers</c>
- Then you have, you know, I'll provide this service across the streets, providing that service.
Committee:
House Health Services
Keywords:
00:00:00 - Call to Order/Roll Call
00:01:25 - Discussion of 26RS HB 689
00:15:15 - Roll Call Vote on 26RS HB 689
00:17:02 - Discussion of 26RS HB 407
00:45:40 - Roll Call Vote on 26RS HB 407
00:49:25 - Discussion of 26RS HB 713
00:55:50 - Roll Call Vote on 26RS HB 713
00:56:54 - Discussion of 26RS HB 676
01:06:42 - Roll Call Vote on 26RS HB 676
01:08:43 - Adjournment, 958, all
WA
Washington 2025-2026 Regular Session
Senate Law & Justice Feb 2nd, 2026
Transcript Highlights:
- transportation, as well as the daycare providers.
- The SRA provides Of Senate Bill 6203.
- We support providing help to those who need help.
- We want to provide help to those who need help.
- King County also provided support.
Summary:
The committee began with Senate Bill 5962 on spring blade knives, first suspending the five-day notice requirement. Staff explained the bill would remove spring blade knives from the list of dangerous weapons while keeping restrictions on carrying them in schools, child care, and other protected locations. Proponents, including Knife Rights and the prime sponsor Sen. T’wina Nobles, described the measure as a modernization and cleanup bill that would reduce confusion and support lawful use and manufacturing; one testifier strongly objected to the bill’s added location-based restrictions. Public testimony was overwhelmingly in support, and the hearing then moved on without a vote.
Senate Bill 6105 would raise the wage exemption from garnishment for medical debt judgments from 30 to 60 times the state minimum wage, while keeping the 80% disposable earnings exemption and adding notice requirements identifying the debt as medical. Sen. Marko Liias said the bill is intended to protect low-wage workers from severe financial hardship and reduce incentives to work off the books. Supporters from patient, consumer, AARP, and anti-poverty groups said medical debt is often unexpected and garnishment can destabilize families; opponents from collectors and trade groups argued the bill was too broad, lacked stakeholder input, could hurt providers, and should define medical debt more clearly. The hearing closed with no action taken.
The committee then heard Senate Bill 6203, which would clarify that out-of-state convictions can include foreign-country convictions for offender scoring if obtained with sufficient due process safeguards. The sponsor, Sen. Matt Boehnke, said the bill closes a gap in sentencing law; prosecutors supported the concept and suggested simplifying the language, while the Sentencing Guidelines Commission, defense attorneys, and public defense opposed it, citing undefined standards, difficulty verifying foreign convictions, and due process concerns. The committee also heard Senate Bill 6296 on involuntary treatment, which would expand who may petition for detention, change rules for assisted outpatient treatment and police assistance, require firearm surrender compliance procedures, and make other ITA changes. The sponsor and several providers and family members supported the bill as a needed modernization, while DCRs, disability advocates, behavioral health organizations, hospitals, and others raised concerns about due process, implementation, rural transport, capacity, and unintended consequences. No votes were taken on either bill during the hearing.
TX
Transcript Highlights:
- That can be provided.
- And we will provide recommendations within a report.
- Under property tax relief, $51 billion is provided to maintain tax relief provided since HB 3 of the
- Um, so I've provided some written testimony.
- We still have to provide police service, we still have to provide fire, uh, we still have to fund the
Committee:
House Ways & Means
ND
North Dakota 2025-2026 Regular Session
Tribal and State Relations Committee May 13th, 2026
Transcript Highlights:
- So there's also a major function that we provide, or service that we provide, to the community.
- day if multiple different services are provided, up to $2,478 in a day if they provided distinct SUD
- for the providers in this state.
- Second, I want to provide a unique perspective as a hospital provider.
- We're not following the provider.
Summary:
The committee met at Spirit Lake Tribe and first heard welcoming remarks and introductions from tribal leaders and program directors. Chairwoman Street and other tribal representatives outlined a range of concerns and requests for state action, including taxation of reservation lands, support for non-beneficiary students at the tribal school, homelessness funding, Indian-managed health care, gaming and e-tabs, Feather Alert improvements, industrial farming near waterways, tourism, and better state-tribal consultation. Committee members responded that the meeting was intended to improve understanding and communication, and several members suggested future legislation or resolutions could be used to advance some of the issues. The tribe also offered to provide training on treaties, IHS 638, and compact services to legislators and staff.
A major portion of the discussion focused on Spirit Lake fish and wildlife jurisdiction and the lake boundary. Tribal representatives asked for an MOU or co-stewardship agreement with the state to clarify hunting and fishing rights, recognize tribal licenses, and reduce recurring disputes over “gray areas” on the reservation and lake. Committee members discussed whether to draft a bill or resolution directing the executive branch and state agencies to negotiate such an agreement, and asked that North Dakota Game and Fish be invited to a future meeting. Related concerns included aquatic nuisance species prevention, with both sides agreeing that more aggressive boat inspection and cleaning measures would be beneficial.
The committee also discussed taxation and county relations. Tribal leaders raised concerns about county resistance to fee-to-trust transfers and about property and vehicle taxation affecting members living on or near reservation lands. Committee members and tribal counsel reviewed federal treaty principles and court cases, and one member noted that the committee had previously taken no formal action on similar issues. Later, Benson County’s tax equalization director explained how the county values taxable land, handles inundated land applications, and tracks land coming off the tax rolls when the tribe repurchases acreage. The discussion ended with a presentation from the president of Sisseton Wahpeton College, who described the college’s programs, economic impact, and funding needs, followed by an HHS presentation on 1115 Medicaid waivers and the IMD exclusion as the committee moved to its next topic.
LA
Transcript Highlights:
- fund, to provide for definitions, to provide for initial financial requirements, to provide for technical
- changes by the Louisiana State Law Institute, to provide for an effective date, and to provide for related
- provide for related matters.
- This instrument provides relative to coverage for severe obesity treatment, to provide...
- provide for changes to minimum coverage standards, to provide for an effective date, and to provide
Committee:
House Insurance
Summary:
The House Insurance Committee met on May 12 with a quorum present and first took up Senate Bill 341, which would expand the Louisiana churches and nonprofit religious organizations self-insured fund from property-only coverage to broader commercial coverage, including liability, contents, wind and hail, and loss-of-use protections. The sponsor and Department of Insurance said the bill was the product of agreement among the parties and was intended to help churches and nonprofits, including smaller congregations, obtain affordable coverage. After adopting technical amendments, the committee reported SB 341 as amended without objection.
The committee then considered Senate Bill 509 on bank-owned life insurance (BOLI), which would clarify insurable interest and allow exchanges of underperforming policies. The sponsor, industry representatives, and the Department of Insurance discussed how banks use these policies for employee benefit funding, the role of 1035 exchanges, consent requirements, and concerns about federal tax issues and state insurable-interest language. Because the parties were still working toward a solution, the committee adopted a technical amendment but voluntarily deferred SB 509 until the following week.
Finally, the committee heard Senate Bill 464 on coverage for severe obesity treatment, which would create a framework for partially implementing the bariatric surgery mandate based on available appropriations. The sponsor and the Department of Insurance said the bill would let the state cover a proportional share of expected surgeries if only part of the required funding is provided. The committee reported SB 464 favorably without objection, and then adjourned.
LA
Transcript Highlights:
- fund, to provide for definitions, to provide for initial financial requirements, to provide for technical
- This instrument provides relative to bank-owned life insurance, to provide for an insurable interest,
- provide for related matters.
- This instrument provides relative to coverage for severe obesity treatment, to provide...
- provide for changes to minimum coverage standards, to provide for an effective date, and to provide
Committee:
House Insurance
MN
Minnesota 2025-2026 Regular Session
Conference Committee on S.F. 3432 - Omnibus Judiciary and Public Safety Appropriations - 05/13/26
Transcript Highlights:
- </c><00:19:27.400><c> for</c> we there's a provision that provides for we there's a provision that provides
- :29.160><c> their</c> elected officials to provide their elected officials to provide their contact<00
- </c><00:19:41.360><c> the</c> require elected officials to provide the require elected officials to provide
- </c> um, and information provided back. um, and information provided back.
- </c> would provide additional training. would provide additional training.
Summary:
The Safety and Security Conference Committee met on May 13, 2026, with a quorum present and no immediate vote taken. Chairs explained the committee was working ahead of a possible target so it could act quickly later if needed, then proceeded with member introductions and a reminder about committee decorum. Staff noted a microphone delay and said the meeting would include a side-by-side walk-through of the House and Senate policy language and a review of the fiscal spreadsheet.
Fiscal staff summarized major differences in court, public safety, and legislative security funding. The House and Senate proposals differed on safety and security funding for the Supreme Court, Court of Appeals, and District Courts, as well as on courthouse grants, capital security enhancements, and a new legislative/protective services unit. Staff also reviewed Senate-only and House-only items, including a Senate proposal to require removal of insignia from public safety vehicles sold to the public, and House provisions for a security services task force and member security costs. Total general fund impacts were reviewed, with the House total corrected to include an open appropriation that had been omitted from the spreadsheet totals.
Nonpartisan staff then walked through the policy differences. The Senate language focused on a Protective Services Unit and security for principal state officials, while the House language focused on a Legislative Services Unit and security for legislators. Both bills included provisions on Capitol Complex Security, reporting requirements, and reimbursement arrangements with local law enforcement, but differed on details such as whether elected officials must provide contact information to DPS and how requests for personal protective services are handled. The House-only amendment A8 was presented for discussion; it would revise emergency contact provisions, replace the House’s personal protective services request language with a more detailed threat assessment and mitigation framework, direct implementation of the new unit, and make related reimbursement and technical changes.
Judge Richard Kyle, president of the Minnesota District Judges Association, testified in support of stronger judicial and court safety measures. He described rising threats against judges, citing survey results showing high rates of judges limiting personal information, receiving inappropriate communications, changing personal behavior, and experiencing threats to themselves and family members. He said the association supports legislative authorization and funding for home security and personal data protections for judicial officers, and emphasized that safety concerns for judges and court staff have become more serious in recent years.
MN
Minnesota 2025-2026 Regular Session
House Fraud Prevention and State Agency Oversight Policy Committee 3/9/26
Fraud Prevention and State Agency Oversight Policy
Transcript Highlights:
- The road map provides suggestions that could be part of a workable improvement plan.
- They provided any information.
- So they provide the funding, they start enrolling applicants.
- We have, in many cases, thousands of providers, some public, some not.
- This is similar to the requirements of of enrollments and applicants, providers.
CA
California 2025-2026 Regular Session
Senate Budget and Fiscal Review Subcommittee No. 5 On Corrections, Public Safety, Judiciary, Labor and Transportation Feb 26th, 2026
Transcript Highlights:
- What I'm saying to you, and what I don't see in what you provide or what was provided to us, is how you
- So I'm going to respectfully ask for you to provide to the committee your notes.
- So I'm going to respectfully ask for you to provide to the committee your notes.
- So we look forward to you providing us with the information that's been requested.
- We look forward to you providing us with the information that's been requested.
TX
Transcript Highlights:
- That's 88 percent of Texas that does not have enough providers.
- That's 88% of Texas that does not have enough providers.
- But at the same time, we're going to expand a market of already well-provided providers, well-schooled
- providers—people delivering this healthcare already.
- If we release the barriers that APRNs have to provide...
Keywords:
Maverick County, recognition, economic development, Texas Senate, community celebration, 1185, senate, all
MO
Transcript Highlights:
- early childhood services to Lindbergh providing those.
- early childhood services to Lindbergh providing those.
- early childhood services to Lindbergh providing those.
- Would you be able to provide these?
- Would you be able to provide these?
Committee:
House General Laws
KY
Kentucky 2025 Regular Session
House Standing Committee on Agriculture (3-12-25)
Transcript Highlights:
- </c> holistic approach to dental provider holistic approach to dental provider that<00:14:49.320><c>
- Dental provider.
- what's actually being provided, which is the floating of teeth.
- you would use what's actually provider you would use what's actually being<00:26:02.440><c> provided
- Rainbow for providing their testimony and what you sent out to us as well.
Keywords:
00:00 – Introduction
00:17 – Attendance Roll Call
02:09-- Discussion of SB 69
26:57 – Roll Call Vote, 958, all
Summary:
The House Agriculture Committee met briefly and took up Senate Bill 69, a measure creating a certification path for non-veterinarians who perform equine dental work, especially floating teeth. Sponsor Sen. Robin Webb and supporters said the bill was the product of about two years of open meetings and stakeholder discussions, and that it would provide accountability, insurance access, and a way to grandfather in long-time practitioners with additional training. They framed it as a rural access and affordability issue, arguing that many horse owners, especially in remote areas, cannot easily reach or afford large-animal veterinarians and that the bill would preserve a long-standing husbandry practice while setting limits so certified providers could not perform surgery.
Opposition came from equine veterinarians Dr. Brad Tanner and Dr. William Rainbow, who agreed there is a shortage of large-animal veterinarians and that floating teeth is necessary, but argued the bill’s scope goes beyond simple husbandry. They said the proposed authority would include procedures such as tooth removal and other work they consider surgery, which should remain within veterinary practice because of the need for sedation, pain management, and broader oral and physical exams. They also objected to the title “equine dental provider,” saying it could mislead owners into thinking the person has dentist-like training, and suggested a term like “equine teeth floater” would be clearer. Tanner cited a KVMA survey he said showed only 14 of 214 respondents supported indirect veterinary supervision in the bill.
Members asked about continuing education, the “good moral character” licensing language, and whether people with past criminal records could be excluded. Supporters said continuing education would be required through certification programs and that character determinations would be handled case by case, with reference to broader second-chance licensing efforts moving through the legislature. Rep. Stalker asked for clearer terminology and educational guidance for consumers; the witnesses reiterated that the public should understand the difference between floating teeth and a full dental exam. After discussion, the committee moved to a roll call vote on the bill, but the transcript cuts off before the final vote result is fully shown.
CA
California 2025-2026 Regular Session
Assembly Budget Subcommittee No. 2 on Human Services Aug 5th, 2026
Transcript Highlights:
- We'll next provide more details about each part of the proposal.
- I appreciate the opportunity to provide public comment.
- Families and service providers are partners in the system.
- Before she leaves, can you provide translation? Ma'am, can you provide translation to her?
- I have had to provide an advocate for that at school.
Summary:
The Assembly Budget Subcommittee on Human Services held an informational hearing on several Department of Developmental Services proposals, with no votes taken. The first item focused on equitable access to intake and services for regional center clients, including standardizing eligibility assessments and modernizing the strengths-and-needs evaluation used to inform individual program plans. DDS said the changes would create a more consistent, equitable, and evidence-based process statewide, while the LAO explained the proposals as a response to disparities and inconsistent regional center practices. Advocates and regional center representatives were divided: Disability Rights California, the State Council on Developmental Disabilities, and some providers supported modernization but urged clearer safeguards, more community co-design, and stronger legislative review; others, including some regional center leaders and family advocates, warned against replacing the CEDER too quickly and stressed the need to preserve the person-centered IPP process. Committee members emphasized fair process, fidelity, and the need for a validated tool, while also noting that the proposals would not change eligibility definitions or replace IPPs.
The second major item addressed state-operated transitional and rehabilitative services, including proposed time limits for stays at Porterville Developmental Center and Canyon Springs, plus the merger of the Community Placement Program and Community Resource Development Program. DDS argued that people should not remain in locked facilities for years and that the proposal would create urgency, clearer transition planning, a right of return, and a more efficient single program for community resource development. Supporters, including Disability Rights California, the State Council, the Public Defenders Association, and some service providers, said the proposals align with Olmstead and the Lanterman Act, reduce overreliance on institutions, and should be paired with stronger mental health supports, oversight, and notice to counsel. Opponents, including a district attorney representative, argued that a blanket 24-month limit could endanger public safety and that some individuals require longer, case-by-case commitments. Committee members said they wanted a more comprehensive plan showing that community placements and supports will be ready before people are moved, and they questioned whether an arbitrary timeline could work for such a complex population.
Throughout the hearing, members repeatedly stressed that any implementation must be fair, transparent, and backed by valid tools, adequate community capacity, and public input. DDS said both sets of proposals would require legislative approval and that the department is still open to changes in trailer bill language and further stakeholder consultation. The hearing ended with the committee indicating it would continue reviewing the proposals and hear public comment, but no formal action was taken.
TX
Transcript Highlights:
- the future with funds from our surplus to provide border security as we provide compression. dollars
- The great state of Texas provides school choice for higher education.
- I had a question regarding regarding the education service providers.
- This amendment provides an additional $500 on top of the $2,000.
- seeking to be included in the comptroller's list of approved providers.
Keywords:
Maverick County, recognition, economic development, Texas Senate, community celebration, 1185, senate, all
MN
Minnesota 2025-2026 Regular Session
Bill to establish a supplemental energy assistance program, HF771, heard in energy committee 3/25/25
Transcript Highlights:
- Currently, Minnesota does not provide any funding in this program.
- </c> Dakota Minnesota does not provide Dakota Minnesota does not provide assistance<00:01:29.600><c>
- to provide a proposal to address these problems in an efficient manner.
- to provide a proposal to address these problems in an efficient manner.
- </c> South Central Minnesota mvac provided South Central Minnesota mvac provided energy<00:09:34.640>
Summary:
House File 771, as amended, was laid over for possible inclusion. The bill would create a state supplemental grant program to build on LIHEAP, with the goal of expanding energy assistance beyond the winter season to cover summer cooling needs and reduce utility shutoffs. Representative Craft said the proposal would use existing LIHEAP systems, help more eligible households, and support related services like weatherization. The committee adopted the author’s amendment, DE2, without objection.
Supporters testified that energy costs remain unaffordable for many Minnesotans, especially in rural areas and among low-income households, seniors, and people using delivered fuels. Annie Levenson-Faulk of the Citizens Utility Board said only about a quarter of eligible households receive assistance, summer shutoffs are common, and cooling needs have grown significantly. Trisha Leite of the Minnesota Rural Electric Association, Amanda Macky of Minnesota Valley Action Council, and Ken Schum of the Minnesota Municipal Utilities Association all supported the bill, saying year-round assistance would help households, reduce disconnects, stabilize demand for aid, and ease pressure on utility rates. Michael Schmitz of the Department of Commerce said Minnesota has received about $112 million in LIHEAP funds so far this year and is awaiting additional federal money; he also noted recent funding has been lower than in prior years and inflation has reduced its value.
Members discussed the scale of utility shutoffs, the increase in cooling demand, and whether the bill addresses root causes or serves as a temporary fix. Representative Weiner argued that the state should focus on keeping more money in taxpayers’ pockets and reducing the need for subsidies, while Representative Craft responded that the underlying issue is low incomes and widening wealth inequality, and that policies like the child tax credit are better ways to address poverty. The chair also asked how LIHEAP dollars flow, and Commerce said most benefits are paid directly to utilities on behalf of households rather than as direct cash payments to recipients.
FL
Florida 2025 Regular Session
Agriculture Feb 4th, 2025
Transcript Highlights:
- That's a good thing we provide opera for.
- We provide species habitat for wildlife.
- Those are important because they provided a base level of recurring revenue in.
- that provided a little bit of a snapshot table that that summarizes this.
- per statute. provide the appropriate notice on per statute.
MN
Minnesota 2025-2026 Regular Session
Committee on State and Local Government - 02/18/25
State and Local Government
Transcript Highlights:
- </c><00:02:06.000><c> collaborative</c> priorities we provide collaborative priorities we provide collaborative
- </c><00:05:07.000><c> Statewide</c> Relations team provides Statewide Relations team provides Statewide
- </c><00:10:29.320><c> additional</c> Relations to provide additional Relations to provide additional
- </c> million this change would provide million this change would provide agencies<00:15:39.720><c> with
- Another challenge is substance use disorder billing practices, resulting in some providers providing
Committee:
Senate State and Local Government
CA
California 2025-2026 Regular Session
Assembly Higher Education Committee Apr 21st, 2026
Higher Education
Transcript Highlights:
- Coastline Community College and our instructors can provide that education.
- Coastline Community College and our instructors can provide that education, and we can also provide it
- We have to provide them a pathway. That's what this bill is about.
- health care centers, via telehealth or through contracted providers.
- health care centers, via telehealth or through contracted providers.
Committee:
House Higher Education
KY
Kentucky 2026 Regular Session
House Budget Review Sub. on Economic Development, Pub. Protection, Tourism, and Energy (2-17-26)
Transcript Highlights:
- </c><00:03:14.879><c> those</c> strive to do programs that provide those strive to do programs that provide
- And and typically do provide for that.
- </c> economic development side to provide economic development side to provide good<00:21:02.720><c>
- Everything else is tied to the discipline of providing those funds that can provide the kind of lift
- The secretary said everything else is tied to the discipline of providing those funds that can provide
Summary:
The Budget Subcommittee on Economic Development, Public Protection, Energy and Environment, and Tourism met for its fourth meeting and approved the February 10 minutes. The committee then heard a presentation from the Cabinet for Economic Development, led by Secretary Jeff Noel, with staff from the cabinet and Kentucky Innovation. The presentation focused on the cabinet’s strategy, including workforce, entrepreneurship, innovation, infrastructure, and placemaking, and emphasized a goal of supporting higher-wage jobs while tailoring programs to urban, non-urban, and rural “heritage communities.”
The cabinet reviewed several funding tools and programs, including economic development bond funds, EDF funds, KBI, the Kentucky Innovation Pool, KSTC-related startup and commercialization programs, veteran workforce programs, and Bluegrass State Skills Corporation training funds. Officials said many projects take years to close and that funds are often committed before they are actually disbursed because reimbursements occur after project completion. They also said Kentucky is less competitive than before because of changes in tax policy and that EDF funds are increasingly important to remain competitive with other states.
Members asked about whether previously allocated money remained available, whether some funds could be clawed back, and the status of the Blue Oval project. The cabinet said it is oversubscribed, with some committed dollars likely to go unused and be reoffered to other projects. On Blue Oval, officials said progress had been made and described negotiations tied to repayment and job creation requirements. They also discussed the Ford/SK loan structure, saying the companies may assume the full $250 million obligation and that repayments would be required if job targets are not met. The presentation closed with discussion of workforce coordination and the need to connect economic development projects with training and support systems, including possible ripple effects for rural suppliers and related businesses.