Video & Transcript : 'Arizona Long Term Care System' :
Page 450 of 500
NM
New Mexico 2025 Regular Session
IC - Investments and Pensions Oversight Nov 5th, 2025
Investments & Pensions Oversight Committee
Transcript Highlights:
- An immensely long-term project.
- We are faced, retirees in general, with changing requirements such as caring for grandchildren, caring
- Safeguarding the long-term benefits and financial security for our current members and future members
- So, I mean, we've had these systems for a long time.
- If in the long term, like, because you've got people switching.
MA
Massachusetts 2025-2026 Regular Session
Status of Persons with Disabilities Jun 21st, 2026 at 11:00 am
Transcript Highlights:
- And today we are hosting the Long-Term Services and Supports and Health Equity Subcommittee.
- But luckily, in Massachusetts, so folks, Folks who have been paying attention to health care for a long
- MassHealth where we cover things that the federal government does not require us to cover sits in long-term
- Does not require us to cover sits in long-term services and supports.
- And so, you know, you think about the PCA program, adult foster care, group adult foster care, adult
Summary:
The subcommittee opened with roll call and approved the November 2025 minutes. Commissioner Charlie Carr then introduced Leslie Darcy, chief of LTSS at MassHealth, who provided an update on the PCA working group and on federal and state budget pressures affecting MassHealth and long-term services and supports. Darcy said the PCA working group had completed its work and submitted recommendations, including reinstating the 66-hour overtime cap, strengthening program integrity, and ending paid paperwork time for EVV users; she said those changes were implemented on 11/26 and were expected to save $7.4 million. She also described additional consensus recommendations to lower the overtime cap from 66 to 60 hours, create a seven-hour weekly meal-prep support limit, and continue exploring benchmarks, though the group could not reach consensus on a benchmark standard.
Darcy warned that a federal bill enacted about six months earlier would significantly affect MassHealth, with an estimated $3.5 billion loss to the Commonwealth by 2028. She outlined upcoming changes including revised immigrant eligibility rules in October 2026, work requirements for certain non-disabled adults beginning in January 2027, six-month redeterminations for some adults, and shorter retroactive coverage periods. In response to questions, she said people with disabilities and Medicare beneficiaries would be exempt from the work and six-month redetermination requirements. She also explained that reduced federal ACA subsidies were being offset in Massachusetts by state spending, including $250 million in additional state support to keep premiums lower for middle-income families.
Members raised concerns about community hospitals, the health safety net, and the impact of federal funding changes on provider rates and uncompensated care. Darcy said restrictions on provider taxes would limit MassHealth’s ability to use those revenues to support rates, and she noted a current $300 million shortfall in the health safety net. She said FY27 would likely include a rate freeze, targeted reductions, one-time budget measures, and further work groups to examine programs such as adult foster care, which she said had grown 40% in two years. Carr emphasized that the situation was serious but potentially fluid, and the meeting ended with no further business; the subcommittee agreed to adjourn before the next meeting and noted an upcoming February presentation from the Department of Public Health.
MN
Minnesota 2025-2026 Regular Session
House lawmakers OK bill to bring Minnesota into compliance with 'One Big Beautiful Bill' 5/7/26
Minnesota House Floor Meeting
Transcript Highlights:
- The H.R. alignment portion of this bill would further destabilize our health care system by reducing
- Number two, it asks taxpayers to fund additional months in the long term.
- organizations, as you know, are a very important component right now in our health care system.
- who are aging out of the in foster care who are aging out of the system<02:26:44.800><c> have</c><02
- How long will we wait for real systemic change to a broken system?
VT
Transcript Highlights:
- recognizing May as Older Americans Month and marking the third anniversary of Age Strong Vermont, our long-term
- anniversary of Age Strong<00:10:39.000><c> Vermont,</c><00:10:39.560><c> our</c><00:10:39.720><c> long-term
- </c> Strong Vermont, our long-term Strong Vermont, our long-term multi-sector<00:10:41.320><c> plan</
- system for all Vermonters and helping stabilize the rising cost of health care.
- system for all Vermonters and helping stabilize the rising cost of health care.
CA
California 2025-2026 Regular Session
Senate Budget and Fiscal Review Subcommittee No. 1 on Education Mar 19th, 2026
Transcript Highlights:
- We have the disparate systems.
- Ultimately, if the state is not able to sustain it long term, that's when we would end up with the rationing
- Ultimately, if the state is not able to sustain it long term, that's when we would end up with the rationing
- has an online system.
- some of the specific considerations and challenges in implementing such an approach with respect to long-term
Summary:
The Senate Budget Subcommittee on Education heard updates on several higher education budget items, beginning with a pulled follow-up item on the State Library’s administration of the Imagination Library. The chair said the committee had received new documentation from the State Library and the Department of Finance late the prior evening, and staff would review it before deciding whether additional oversight or accountability measures are needed. The committee then turned to the California Community Colleges budget request, with Chancellor Christian outlining strong post-pandemic enrollment recovery, asking for 3% enrollment growth funding, changes to the three-year average formula, removal of the 10% growth cap, and support for several one-time and ongoing initiatives including the Common Cloud Data Platform, credit for prior learning, AI literacy, Rebuild L.A., veterans services, Calbright College, and the Chancellor’s Office. Senators raised concerns about district reserves, part-time faculty conditions, veterans’ credit pathways, and fraud prevention in enrollment systems; the chancellor said the system is using DMV and other identity verification tools, AI screening, and audits, and that reported final enrollment numbers are clean.
The committee then reviewed the student-centered funding formula. The Department of Finance described the governor’s proposal to fully repay $408.4 million in deferrals, provide a 2.41% COLA, and add one-time funding to cover current-year apportionment costs, while the Legislative Analyst’s Office recommended prioritizing the proposals within available Proposition 98 funding. Community college finance staff said most districts are growing, many would benefit from current-year funding rules, and that without the proposed apportionment funding districts could face a deficit factor and reduced course access. Members asked about infrastructure prioritization, deferred maintenance, safety, accessibility, and campus police; staff explained that life safety projects are prioritized first, followed by modernization and growth-related facilities, and that colleges are built to high safety standards under the Field Act.
Enrollment growth was discussed separately, with Finance and LAO supporting the governor’s 1.5% growth proposal split across two fiscal years, while noting that growth is being driven in part by dual enrollment, regional demographic shifts, and unemployment. The Chancellor’s Office said 54 of 72 districts grew year over year and that funding more growth could help districts move off hold harmless status, though some districts face long-term demographic challenges. The committee also heard from Calbright College President Agita Menon, who described Calbright’s role serving adult learners statewide, its completion and wage gains, and the governor’s proposed $38 million ongoing funding. The LAO recommended transitioning Calbright to the student-centered funding formula beginning in 2027-28, arguing that the current proposal lacks a clear funding rationale and performance linkage; Calbright responded that its competency-based, non-credit model is structurally different and should be funded separately, while agreeing to continued accountability reporting.
Finally, the committee received an update on the Community College Higher Education Student Housing Program. Finance said the governor proposes about $11 million ongoing General Fund for debt service on approved student housing projects, and that 11 projects are in the financing pipeline, with two completed, three under construction, four in working drawings, and two in preliminary plans. Finance also noted that some projects have withdrawn and that about $81 million in bond authority remains unallocated, which the Legislature may need to address going forward.
CA
California 2025-2026 Regular Session
Assembly Budget Subcommittee No. 4 on Climate Crisis, Resources, Energy, and Transportation Mar 12th, 2025
Transcript Highlights:
- It's a long-term effort because it requires collaboration on many levels.
- This work is long-term, spanning into the next decade and beyond.
- The short-term denial of approval, if we, in the long run, get approval, we need to be ready to take
- This is the best way to ensure we have long-term resources. in the **Greenhouse Gas Reduction Fund**
- We need long-term certainty. There's no **GGRF** without cap-and-trade. Thank you.
ND
North Dakota 2025-2026 Regular Session
Senate Floor Session Apr 11th, 2025 at 12:30 pm
North Dakota Senate Floor Meeting
Transcript Highlights:
- , and anything to do with education of these systems.
- So this is a one-time investment with long-term statewide impact, Madam President.
- On page 8, this was in their coordination with the North Dakota Long-Term Care Association.
- They just changed language so that it includes basic care facilities as well.
- Support their health care.
Summary:
The Senate opened with prayer, the Pledge of Allegiance, and a quorum call showing 46 members present. It then took up multiple House messages and amendments, appointing conference committees on several measures, including SB 2007, SCR 4007, SB 2374, SB 233, and House bills 1029, 1218, and 1022. The chamber also considered a series of House bills on the sixth and 14th orders, often adopting committee amendments before final passage or, in some cases, rejecting the bill outright.
Among the major policy items, the Senate passed HB 1524 on regional planning council grants, HB 1143 increasing a food bank appropriation to $10 million, HB 1126 modernizing cosmetology licensing and inspections, HB 1542 making student applications for admission exempt records, HB 1613 regulating law enforcement use of robots, HB 1582 directing a study on false reports and accusations, HB 1214 revising school transportation funding, HB 1448 creating a study on advanced technologies, HB 1280 on drainage project voting rules, HB 1499 protecting records related to federal judges, and several Senate bills returned from the House, including SB 2221, SB 2117, SB 2198, SB 2120, and SB 2214. The Senate also adopted amendments to HB 1541 on septic systems before rejecting it on final passage.
Several high-profile bills failed after debate. HB 1566, dealing with kratom regulation, saw an amendment to convert it to a study fail on a 21-25 vote, after which the chamber laid the bill over for one legislative day rather than take final action. HB 1283, which would have eliminated cost-sharing for diagnostic and supplemental breast exams in the state employee plan, was defeated 22-24 after extensive debate over cost, precedent, and insurance impacts. HB 1527, requiring Holocaust education in statute, also failed 22-24, with supporters emphasizing the importance of the subject and opponents arguing curriculum belongs in standards rather than statute. The Senate adjourned after announcements, scheduling its next meeting for Monday, April 14, 2025.
TX
Texas 89th Regular
Disaster Preparedness & Flooding, Select Jul 23rd, 2025
Disaster Preparedness & Flooding, Select
Transcript Highlights:
- up, and we'll continue to collaborate with our local partners to find solutions for temporary and long-term
- I don't think that they did irreparable harm or damage on a long-term basis, but that's just one aspect
- communities by providing federal funds, FEMA funds, for cost-effective measures to reduce or eliminate the long-term
- However, I have no expertise in terms of how the radio system works or any of that.
- Number three, long-term investment.
NM
New Mexico 2026 Regular Session
Senate - Tax, Business and Transportation Feb 10th, 2026
Transcript Highlights:
- period of time, there really is no reason for a long period of time.
- This year, the Aging and Long-Term Services Department was convinced that it would assist people, seniors
- validation and verification of quantum systems.
- Abortions are health care.
- for our earth, air, and water also care for those oppressed among us.
Summary:
The committee first heard SB 20, as amended, which would limit prior authorization for certain medications used to treat serious mental illness and extend prior authorization approvals for other chronic maintenance drugs to three years. The sponsor and supporters said the bill would reduce treatment interruptions and administrative burden for patients, clinicians, and pharmacies, while opponents argued the three-year period could raise safety concerns, reduce annual clinical review, and increase costs and premiums. After public testimony and committee discussion, the bill passed on a 7-2 vote.
The committee then considered SB 21, as amended, establishing an annual Medigap open enrollment period with guaranteed issue protections for eligible Medicare beneficiaries already enrolled in Medigap plans. The Aging and Long-Term Services Department said the measure would give seniors more flexibility to change plans as their needs and premiums change, and OSI said premium impacts were expected to be limited. An amendment setting the effective date at January 1, 2027 was adopted, and the bill passed unanimously.
Next, the committee heard SB 177, a large economic development package centered on quantum, advanced energy, defense, and related workforce and research investments. The sponsor and administration witnesses described New Mexico as uniquely positioned to attract major private and federal investment, while members raised questions about guardrails, reporting, use of the Research and Development Fund, and whether EDD could manage the spending and educational components. An amendment removed the public safety section, a technical title fix was adopted, and the bill passed 9-1.
The committee also took up SB 189, which would protect existing coverage and expand insurance coverage for reproductive and gender-affirming care, including mid-year enrollment options for pregnancy and coverage for double electric breast pumps. Supporters said the bill would prevent abrupt coverage changes and ensure access to care, while opponents objected to abortion-related coverage and argued existing law and Medicaid already cover much of the care. A motion to table failed, and the bill then passed 6-4. Finally, the committee unanimously passed Senate Memorial 6 honoring golfer Nancy Lopez and her New Mexico roots and achievements.
FL
Florida 2025 Regular Session
Criminal Justice Apr 1st, 2025
Transcript Highlights:
- punished with a short stay in jail if they successfully complete the program with within half the term
- If they're part of this, it's part of the overall system and to make sure that they are extended the
- We know that they're staying in a long-term rental or an extended stay because they are having financial
- It tells you how long you stayed and what the rate of the room was for the night.
- There is no automatic system.
FL
Florida 2025 Regular Session
Health Policy Oct 7th, 2025
Transcript Highlights:
- , MAYBE YOU WANT TO GO TO YOUR PRIMARY CARE PHYSICIAN FOR OR SEEK AN URGENT CARE CENTER.
- THE APPLICABLE IS IN NETWORK AND PRIMARY CARE PHYSICIAN USING THE FLORIDA HIE AND S SYSTEM THE HOSPITAL
- ARE KEY COMPONENTS WITH ANY DATA SYSTEM THROUGH OUR E AS THAT MAY BE MANAGED CARE ORGANIZATIONS WERE
- I THINK IN TERMS OF THE KID CARE PROGRAM HERE IN 121 OF THE ISSUE IS NOT SO MUCH AROUND DETERMINING WHETHER
- OF CARE FOR MONITORING AND PROVIDING PRENATAL CARE BUT ALSO DELIVERY OF POSTPARTUM CARE. >> Chair: YOU
MO
Missouri 2026 Regular Session
Health and Mental Health Feb 5th, 2026 at 08:00 am
Health and Mental Health
Transcript Highlights:
- It allows all these health care providers, or health care systems, to say, here is a legitimate, highly
- system because the health care system will say, I can't bill for your services.
- So by opening up the credentialing process, the health care system can say, I can bill for these... .
- provider to the system who can then provide the care that everybody is looking for, whether it's the
- The term delivery device to now say delivery system.
Committee:
House Health and Mental Health
FL
Florida 2025 Regular Session
February 20, 2025 - 09:00 AM
Transcript Highlights:
- , such as subscription fees, data storage, and potential increases in security management, and the long-term
- term.
- And day one, I was on the old system, and then day two, I'm on the new system.
- So clearly, there should be a system... Actually utilize that system.
- Modernization refers to bringing SunBiz into the 21st century in terms of data management systems, system
Summary:
The subcommittee first heard a panel on state cloud modernization efforts after canceling an LBR on the Department of Corrections’ OBIS project because the presentation materials were not submitted on time. Florida Digital Service, the Northwest Regional Data Center, and several agencies described how the state is assessing and migrating applications to cloud environments under the cloud-first policy. Northwest explained its 2023 cloud readiness assessment of 890 applications from 24 agencies, the criteria used to rate readiness and risk, and its recommendation to tackle lower-risk applications first. Agency updates covered the Department of Corrections’ modernization of 98 legacy applications tied to OBIS and cloud-native infrastructure, the Department of Elder Affairs’ Microsoft Power Platform modernization, the Department of Health’s health management and child protection systems, and FDOT’s large cloud program for transportation systems. Members repeatedly asked about costs, data ownership, disaster recovery, single sign-on, security tools, and whether cloud migration actually saves money; presenters generally said the focus is more on modernization, resilience, and efficiency than immediate savings, and that cost analyses are often application-specific rather than enterprise-wide.
The discussion also covered governance and architecture questions. Florida Digital Service said agencies remain responsible for their own databases and cloud tenants, while FLDS provides advice and an enterprise architecture framework; it does not have statutory oversight over most projects, except for OBIS project oversight due to its size. Northwest said it is acting as a cloud broker for some agencies and is consolidating Azure and AWS payer tenants to seek better pricing, but agencies still make system-by-system decisions based on business needs, risk, latency, and total cost of ownership. Members raised concerns about fragmented data structures, the lack of a complete statewide application inventory, and the need for better interoperability and enterprise standards. Several agencies said disaster recovery is built into their cloud plans, and FDOT and Corrections described ongoing efforts to keep systems current through core platforms, training, and ongoing support.
In the second half of the meeting, the Department of State presented two new technology requests. Secretary Byrd described the SunBiz corporate registry system as a 34-year-old platform supporting more than 3.5 million business entities and generating over $575 million in annual general revenue. He said the department had already virtualized the legacy hardware after earlier modernization efforts failed and is now seeking $800,000 recurring for password protection and $5 million nonrecurring to continue procurement for a replacement system. The department also presented the Florida Voter Registration System modernization request, noting that the current system is outdated and requires manual workarounds for some statutory changes. The department requested $2.4948 million nonrecurring and $44,000 recurring to procure a modernized FVRS solution, and staff said the feasibility study recommended a hybrid approach. Members asked about the study’s findings and about creating a database for voter eligibility information for returning citizens; the department said that would require data sharing with all 67 clerks of court and other entities such as DOC.
MN
Transcript Highlights:
- It is important to provide immediate intensive supervision while also simultaneously drafting the long-term
- drafting</c><00:19:02.400><c> the</c> also simultaneously drafting the also simultaneously drafting the long-term
- 03.240><c> required</c><00:19:03.760><c> for</c><00:19:03.880><c> a</c><00:19:03.919><c> student's</c> long-term
- plan required for a student's long-term plan required for a student's success.<00:19:05.400><c> I</c
- being strong stewards of public resources, but the question is whether proposed solutions create a long-term
Committee:
House Education Finance
CA
California 2025-2026 Regular Session
Senate Labor, Public Employment and Retirement Committee Jun 10th, 2026
Labor, Public Employment and Retirement
Transcript Highlights:
- holistically to see: is the system working, or is the system in need of systemic change?
- , and One Call Care Management, respectfully opposing.
- I will mention that the retirement system is 94% funded.
- That says the retirement system has been managed very well over a long period of time.
- So even $25 or $50 goes a long way.
MN
Minnesota 2025-2026 Regular Session
House Floor Session 3/17/25 - Part 2
Minnesota House Floor Meeting
Transcript Highlights:
- access fund to make sure that the critical support for our nursing homes, for our long-term care, for
- </c> for our nursing homes for our long-term for our nursing homes for our long-term care<01:18:51.280
- A private equity firm that's hollowing out our economy by coming and purchasing long-term care and nursing
- A private equity firm that's hollowing out our economy by coming and purchasing long-term care and nursing
- </c> long-term care and nursing home long-term care and nursing home facilities<02:03:36.639><c> hoping
MN
Minnesota 2025-2026 Regular Session
Committee on Health and Human Services - 03/25/25
Health and Human Services
Transcript Highlights:
- It's about closing a glaring gap in our health care system.
- health care systems.
- health care systems.
- </c> less expensive than long-term less expensive than long-term contraceptive<00:20:02.720><c> methods
- </c> long-term savings for health care long-term savings for health care systems.<00:20:11.360><c> By
Committee:
Senate Health and Human Services
CA
California 2025-2026 Regular Session
Senate Floor Session Feb 17th, 2026
California Senate Floor Meeting
Transcript Highlights:
- Clyburn during the Affordable Care Act, and I'll never— And I'll never forget it.
- And he did make a difference, not only in terms of the joy... ...world.
- Mayor Foster served two terms from 2006 to 2014 and left a lasting impact on the Long Beach community
- Mayor Foster served two terms from 2006 to 2014 and left a lasting impact on the Long Beach community
- He cared deeply about California energy policy.
Summary:
The Senate convened with a quorum, observed a moment of silence for civil rights leader Reverend Jesse Jackson, offered a prayer and pledge, and welcomed several guest delegations, including Hubert Humphrey Fellows and Congressman Jim Clyburn. Members gave extended remarks honoring Clyburn’s civil rights and congressional leadership, as well as his work on rural issues, the Affordable Care Act, and bipartisan relationships. The chamber also announced a joint hearing of the Joint Legislative Audit Committee and the Assembly Committee on Business and Professions to be held upon adjournment.
The main floor action was on Senate Resolution 72 by Senator Wahab, celebrating Lunar New Year. Senators from multiple caucuses spoke in support, highlighting the holiday’s significance across Asian cultures, its themes of family, renewal, courage, and community, and California’s large Asian American population. Several members also noted the history of Chinese immigrants in California and the importance of recognizing and supporting Asian American communities amid ongoing concerns about anti-Asian hate. The resolution was adopted by a roll call vote of 37-0.
The remainder of the session was devoted to adjournment-in-memory tributes. Senator Becker honored Niles Telenius, a young climate and aviation advocate; Senator Gonzalez, joined by Senators Strickland, Laird, Cabaldon, and Umberg, honored former Long Beach Mayor Bob Foster for his leadership in city government, energy policy, and public service; and Senator Wiener honored Terence Allen for his work in San Francisco’s cannabis, LGBTQ, small business, and nightlife communities. The Senate then announced it would reconvene on Thursday, February 19, at 9 a.m., with recess until 3:30 p.m. for adjournment proceedings.
CA
California 2025-2026 Regular Session
Assembly Budget Subcommittee No. 4 on Climate Crisis, Resources, Energy, and Transportation May 20th, 2025
Transcript Highlights:
- prospects for us in terms of the long-term structural gap that you have thank you chair we're always
- It's a long-term investment in California. A long, what's what?
- Long-term investment in California, infrastructure, economy, and the environment.
- effective project and a long-term effective financing plan and if it requires private investment and
- We urge permanent funding for Ally WP through the Cap and Invest reauthorization to ensure long-term
TX
Transcript Highlights:
- Um, our understanding of biological systems have come a long way since I studied biology in Stanford
- So this bill will help universities conduct long term systems-based research that reflects real world
- sizes improve soil health, retain water, reduce reliance on costly chemical inputs, and increase the long-term
- It also supports regenerative practices that reduce harm and improve long-term outcomes.
- And we've barely scratched the surface on when it comes to studying long-term impacts on our gut health
Committee:
House Higher Education