Video & Transcript : 'direct care services' :

Page 454 of 500
CA
Transcript Highlights:
  • Dan Reagan, Deputy Director of the Fiscal Service Division for the department.
  • What I think is more important for our purposes is not the direct loss issue.
  • Certainly, I want to thank you, Secretary, for years of service to the state.
  • But now, not even that would be taken care of.
  • to support housing tax services as well as other additional needed resources.
Summary: The subcommittee heard an overview of the May Revision from the Department of Finance and the Legislative Analyst’s Office, focused on resources, environmental protection, energy, and related budget issues. Finance said the May Revision keeps the budget balanced in 2026-27 and 2027-28, narrows the structural deficit, and proposes major investments in natural resources, including Proposition 4 bond funding for the Golden Gate Fields acquisition, wildlife refuge and wetland projects, Fort Ord Dunes campground operations, Healthy Rivers and Landscapes, wildfire-human coexistence, and beverage container recycling. The LAO praised stronger-than-expected revenues but argued the state still has a structural deficit and is relying too heavily on reserves, recommending more reserve deposits and fewer new discretionary expenditures. Members questioned several proposals, especially the Golden Gate Fields purchase and the Healthy Rivers and Landscapes Program. Agency officials said the Golden Gate Fields site is a time-limited opportunity, would be remediated by the current owner, transferred to East Bay Regional Park District after closing, and restricted to park/open-space uses rather than commercial development. On Healthy Rivers and Landscapes, Finance and the Natural Resources Agency said the $25 million request would help launch year one of the program, support scientific monitoring, and maintain commitments to environmental flows and habitat restoration; the LAO said the request was premature because the Bay-Delta plan has not yet been formally adopted and the state’s total funding commitment remains unclear. Officials also discussed water storage, subsidence, and the need for ongoing investments in aquifer recharge, aqueduct repairs, and recycling. The committee also reviewed a proposed $1 million shift for the Coexisting with Wildlife Initiative. Fish and Wildlife and the Cattlemen’s Association said the money would support limited-term staffing, deterrence tools, and livestock-loss compensation, while acknowledging the amount is modest compared with the need. Members emphasized the growing human-wildlife conflict problem and the importance of nonlethal deterrence and public education. The discussion then turned to greenhouse gas reduction fund revenues and transit; members warned that lower auction revenues and possible CARB rule changes could leave little or nothing for Tier 3 programs such as transit, clean water, and air-quality programs. Finance and the LAO said the Legislature should plan for multiple revenue scenarios and consider whether the existing cap-and-invest spending framework still matches current revenue expectations and priorities.
MN

Minnesota 2025-2026 Regular Session

House Commerce Finance and Policy Committee 3/11/26

Commerce Finance and Policy

Transcript Highlights:
  • There's a large run on health care services, such as if a pandemic happens.
  • a</c> on health care services such as a on health care services such as a pandemic<00:28:13.080><c>
  • </c> utilization of care. utilization of care.
  • , the Minnesota Care Minnesota Care, the Minnesota Care program?
  • </c> Human Services. Human Services.
Bills: HF3766 , HF3972 , HF3437 , HF4118
MN

Minnesota 2025-2026 Regular Session

House Public Safety Finance and Policy Committee 2/12/25

Public Safety Finance and Policy

Transcript Highlights:
  • , and in some cases legal, health, and health care services.
  • </c> partner with nonprofit Support Services partner with nonprofit Support Services organizations<00
  • </c><00:04:17.120><c> are</c> tribal Nations and others services are tribal Nations and others services
  • </c><00:04:23.120><c> which</c> Department of Human Services which Department of Human Services which
  • 07:44.319><c> the</c><00:07:44.440><c> services</c><00:07:44.960><c> they</c> satisfied with the services
VT

Vermont 2025-2026 Regular Session

House Session - 2026-05-13 - 1:00PM

Vermont House Floor Meeting

Transcript Highlights:
  • Someone noticed and someone cared. me. Someone noticed and someone cared.
  • </c> his outstanding public service career. his outstanding public service career.
  • Her record of service is Vermont.
  • <c> requests</c> human services respectfully requests human services respectfully requests your<01:16
  • The amendment also directs the Department of Buildings and General Services to assist the Vermont Language
MN
Transcript Highlights:
  • </c><00:08:41.599><c> and</c> access to housing and health care and access to housing and health care
  • </c> public service to our state. public service to our state.
  • However, adults often assume that students just don't care or are being disrespectful.
  • </c> council is a step in the right direction council is a step in the right direction for<00:23:55.919
  • Seems like this should have a vision, a goal, a direction, and a conclusion at some point in time.
Summary: The committee heard House File 3585, as amended, which would create an interagency council on student attendance and re-refer the bill to education finance. Representative Keeler moved the bill and an A1 amendment that corrected the council’s placement from the Department of Children, Youth, and Families to the Department of Education; the amendment was adopted. Keeler and Representative Bakeberg described the bill as the product of several years of bipartisan work on chronic absenteeism and truancy, emphasizing that attendance problems involve multiple systems and require ongoing coordination rather than a single-agency response. Testimony was strongly supportive. Matt Shaver of Allies cited statewide chronic absenteeism data and argued that schools cannot solve the problem alone because root causes such as housing, transportation, health, and economic instability lie outside school control. Assistant Commissioner Angela Mansfield of MDE said the task force and pilot districts showed coordination gaps and supported the council, while also noting MDE’s Compass staff would need permanent funding to carry out the work. Ashley High Totower of Hennepin County’s BEET program said attendance is a public health, child welfare, transportation, housing, and economic issue, and Kenneth Avon of the Minneapolis Foundation said absenteeism is an ecological problem requiring cross-sector coordination. Student witnesses also supported the bill but urged stronger youth representation. Henry Brick of Catalyst for Systems Change said students understand the causes of absenteeism best and proposed expanding student seats on the council from one to five. Ava Northrup of the Minnesota Youth Council said youth voices should be more than symbolic and suggested two youth representatives, one from the metro and one from greater Minnesota, plus additional youth task forces or panels. In member discussion, Representative Lawrence questioned whether the council duplicated existing MDE work, asked who would coordinate the group, and raised the lack of a sunset; Keeler and Bakeberg said the Department of Education would coordinate and that a sunset could be considered later. Other members asked about fiscal impact, and the chair said a fiscal note had been requested and the bill would move on to education finance.
NH

New Hampshire 2026 Regular Session

House Labor, Industrial and Rehabilitative Services (01/20/2026)

Labor, Industrial and Rehabilitative Services

Transcript Highlights:
  • </c><00:45:12.000><c> coming</c> so there may be some direction coming so there may be some direction
  • </c><01:05:56.160><c> A</c> "Services were rendered on X date. A "Services were rendered on X date.
  • Um, mediators this type of service.
  • Services. Um clearly this is not a Services.
  • </c> that care. that care.
Summary: The committee began with procedural announcements about report turnaround, amendment submission methods during split operations, a possible January 29 session, the governor’s State of the State on February 5, parking, cafeteria opening, and the plan to finish work by February 10. It then moved into executive session on HB 1123, which would require certain companies to post salary ranges on public job listings. Representative Granger moved ITL, arguing the bill would interfere with negotiations, especially for higher-level jobs, and raise compelled-speech concerns. Supporters, including Representatives Schultz, Sullivan, Cahill, Staub, and others, said salary ranges help applicants avoid wasted time and travel, improve transparency, and are already a common workplace disclosure. The committee voted 10-9 to ITL HB 1123. The committee next took up HB 177, concerning a definition of remote work in labor law. Representative Murphy moved ITL, saying the bill could burden employers, create vague obligations, duplicate existing protections, and potentially require intrusive compliance measures. Representative Sullivan described a proposed amendment that would narrow the bill to a definition of remote work and remove broader requirements, but the committee ultimately voted 11-9 to ITL HB 177. Members also noted that the amendment had not been fully circulated in time and that the issue might merit further review. Finally, the committee opened HB 1352, a workers’ compensation bill focused on repricing and payment practices. The sponsor withdrew an initial ITL motion and moved OTP after amendment review. Members discussed concerns raised at the hearing about delayed payments, third-party administrators, and the need for better accountability. Representative McKenzie’s amendment would define good faith, create a voluntary three-year dispute-resolution pilot, restore fines to prior levels, and add reporting/accountability requirements for carriers that miss the 30-day payment deadline. Several members supported the amendment as a way to help small businesses and providers, while others said repricing needed broader study through the workers’ compensation advisory council. The Department of Labor explained that the amendment would require carriers and related payers to report missed determinations to the department and would increase oversight of payment timeliness.
AR

Arkansas 2026 1st Special Session

LEGISLATIVE JOINT AUDITING-COUNTIES AND MUNICIPALITIES Jun 4th, 2026

LEGISLATIVE JOINT AUDITING-COUNTIES AND MUNICIPALITIES

Transcript Highlights:
  • Did we get the same answers the last time they got audited, that we're going to take care of this, and
  • It could be a public service announcement or other forms of media that would be free. Pardon me.
  • Because sometimes if you don't take care of your business, somebody will take care of it for you.
  • “We're very much aware when it comes to health care and other things.
  • And so I appreciate you caring for your community. And so do we. Thank you, Mr. Chair.”
Summary: The committee approved the prior minutes and then received a series of audit and compliance updates. Staff reported on delinquent private water and sewer reports, delinquent 2013-2023 water reports, and several municipal accounting code noncompliance cases. Denning and Gum Springs were recommended to be removed from the 60-day clock after staff visits showed improved records, while Fargo, Lead Hill, Almy, Jericho, Haynes, Biggers, Gilmore, and Holly Grove were discussed for repeat findings involving missing audits, poor bookkeeping, unpaid or misapplied street funds, deficit balances, and other accounting deficiencies. Several of these entities were given additional time or had reports filed without objection, while others were deferred for later review. Fargo’s mayor said the town had been understaffed and was working to improve its accounting systems; the committee voted to defer the matter to the August meeting. Lead Hill’s mayor described efforts to complete overdue water audits and improve office procedures, and the committee also postponed action for 60 days. Almy’s mayor and recorder-treasurer were present, and the committee placed the town on the 60-day clock for repeat accounting issues. Biggers and Gilmore both acknowledged long-running audit problems and said they were working with auditors and the IRS; their reports were filed. Holly Grove’s treasurer said she had only recently taken the position, and that report was filed as well. The committee spent considerable time on the street-fund misuse cases for Jericho and Haynes. Jericho was found to have exceeded the statutory threshold tied to fines and costs, with staff noting the town had since become current on its repayment plan; the committee deferred the report to September. Haynes was also behind on its repayment plan for street funds, with staff saying the town had recently made up the shortfall and was current as of the meeting, but the committee still deferred the report to September. Members and staff also discussed how the speed-trap law is applied, whether certain fines and costs count toward the threshold, and the role of the prosecuting attorney in deciding whether to take further action. The committee then reviewed a special report on the Pulaski County Regional Solid Waste Management District, which had six findings involving board approval of payroll and contracts, credit card documentation, vehicle and cell phone use, competitive bidding, electronic funds controls, and unusually high advertising spending. District Director Craig Douglas said the board had delegated some authority, that receipts were missing during a temporary staffing gap, and that advertising was needed to educate the public; he also defended the sale of trailers and other equipment as a way to exit the trailer business. Several members questioned the explanations and the low resale value of equipment, but the committee ultimately deferred the report to September. The meeting also included a recognition of accounting students interning with audit staff and a final set of actions on deferred water and sewer reports: 11 were filed, seven were deferred for lack of proper responses, and a private report on Shannon Hills Water, Sewer, and Fire Department was noted as involving misappropriation by an office manager and inadequate internal controls.
MN

Minnesota 2025-2026 Regular Session

Committee on Environment, Climate and Legacy - 02/27/25

Environment, Climate, and Legacy

Transcript Highlights:
  • of it or can't take care of it.
  • </c><00:53:55.319><c> of</c><00:53:55.400><c> it</c> care of it uh or can't take care of it care of it
  • There are direct payments to tribes to establish food sovereignty food rescue programs.
  • There are direct payments to tribes to establish food sovereignty food rescue programs.
  • There are direct payments to tribes to establish food sovereignty food rescue programs.
AZ

Arizona 2026 Regular Session

03/23/2026 - House Land, Agriculture & Rural Affairs

Land, Agriculture & Rural Affairs

Transcript Highlights:
  • Forest Service and the Department of Agriculture, which is what directs the agreement between the Department
  • And I just think that we should take care of it in statute.
  • providing services.
  • I don't care what committee it is.
  • I'd like to thank the speakers for their service.
Bills: SB1198 , SB1199 , SB1286 , SB1683 , SB1761
WA

Washington 2025-2026 Regular Session

Senate Floor Session Mar 11th, 2026 at 02:15 pm

Washington Senate Floor Meeting

Transcript Highlights:
  • We have child care centers on the one hand and then we have home child care on the other hand.
  • And then we have home child care on the other hand. One is organized at home child care.
  • took over leadership and labor, and she cares deeply about people and vulnerable people, and she cares
  • And she couldn't care, it's not possible to care more about her district than Senator Saldaña does.
  • It has been a privilege these last three years of my service in the Senate to serve on the Human Services
Bills: SCR8410
Summary: The Senate took up several bills on final passage, beginning with Substitute House Bill 2689 on the Working Connections Child Care program. The chamber adopted a Ways and Means striking amendment, then passed the bill 33-16. Supporters said it would change provider payment to attendance-based reimbursement, require subsidy rates to reach at least the 75th percentile of market rates, update use of market rate surveys, and remove previously scheduled income-eligibility expansions. Opponents argued it would not treat all child care providers equally and could create unfair workarounds. The bill was immediately transmitted to the House. The Senate then passed Engrossed House Bill 2487, which clarifies how insurance companies and their affiliates are taxed, and Substitute House Bill 2089, which narrows a tax preference for certain financial institutions and dedicates the revenue to the Wildfire Mitigation Fund. HB 2487 drew criticism for applying the tax retroactively to 2019 despite prior court rulings, while HB 2089 was opposed on affordability grounds because it affects mortgage-related taxation. The chamber also passed Engrossed House Bill 2681, raising annual license fees for cannabis producers, processors, and retailers; opponents said the increase reflected broader budget pressures. A major portion of the meeting was devoted to Senate Resolution 8704 honoring Senator Rebecca Saldaña. Numerous senators from both parties praised her work on labor, environmental justice, child welfare, immigrant and worker rights, and her habit of centering marginalized communities and checking on colleagues personally. Saldaña responded with remarks about organizing, democracy, and the importance of collective action, saying she was grateful for the chamber and looking forward to the next chapter. The Senate adopted the resolution unanimously, and members agreed to add all senators’ names as co-sponsors. The Senate also adopted Senate Resolution 8702 honoring Senator Judy Warnick, with speakers from both parties highlighting her long service, agricultural background, calm leadership, bipartisan approach, and work on rural economic development, children and families, and capital projects. Warnick thanked colleagues and said she looked forward to spending more time with her family, farm, and horses. The meeting also included routine motions to move between orders of business and a message from the House concurring in Senate amendments to several bills.
LA

Louisiana 2026 Regular Session

Finance May 11th, 2026

Finance

Transcript Highlights:
  • We simply ask that our essential services no longer be deferred.
  • Sounds like we're streamlining things, getting it going in the right direction.
  • Nearly 20,000 youth age out of the foster care system in our nation every year.
  • Fortunately, in our state we have created an extended foster care system.
  • Department of Family and Children's Services.
Bills: SB25 , SB250 , HB22 , HB27 , HB33 , HB47 , HB233 , HB290 , HB308 , HB324 , HB382 , HB533 , HB559 , HB575 , HB980 , HB1157 , HB1207 , HB1236 , HCR45
Committee: Senate Finance
AZ

Arizona 2026 Regular Session

04/07/2026 - House Floor Session

Arizona House Floor Meeting

Transcript Highlights:
  • Let us pursue peace over division, truth over convenience, and service over self-interest.
  • Taken care of. I urge a no vote on this bill. Thank you, Mr. Chair. Thank you.
  • Yes, this is an important amendment to recruit and retain health care providers.
  • It has to do with access to care, in this case, anesthesia care.
  • Anesthesia care.
Summary: The House convened, opened with prayer and the Pledge of Allegiance, approved the prior journal, and recognized the Doctor of the Day, Dr. Sarah Coles. Members also introduced a number of guests in the gallery, including representatives from the Arizona LEND Program, Friends of the Salt River Wild Horses, and other visitors. The House then received communications from the Governor and moved into Committee of the Whole to consider Calendar One. In Committee of the Whole, members debated SB 1280, a bill concerning Mexican gray wolves and the use of public funds to transport them. An amendment offered by Representative Gutierrez, nicknamed the “Cruella DeVille Act,” was adopted after extended discussion about wolf conservation, ecosystem impacts, and whether the bill would interfere with wildlife recovery efforts. The underlying bill then received a due pass recommendation. The committee also recommended due pass for SB 1418 and SB 1785, and the House later adopted the Committee of the Whole report, placing SB 1280, SB 1418, and SB 1785 on third reading while retaining SB 1200 on the calendar. The House then considered Calendar Two. SB 1053, dealing with concealed carry permit fees, drew debate over whether the fee reduction was revenue-neutral and whether the bill should instead focus on training requirements; it received a due pass recommendation. SB 1259 also received due pass without debate. SB 1372, relating to health care provider recruitment and anesthesia access, was amended and then recommended do pass. SB 1475, which would bar students convicted of certain serious offenses from participating in interscholastic activities, prompted strong debate over student discipline versus second chances, and it too received a due pass recommendation. SB 1478 received a technical floor amendment changing its effective date and was then recommended do pass as amended. The House adopted the committee report, sending SB 1053, SB 1259, and SB 1475 to third reading and properly engrossing SB 1372 and SB 1478. On third reading, the House passed SB 1078, SB 1107, SB 1123, and SB 1142. SB 1142, a federal education tax credit bill, generated the most debate, with opponents arguing it would divert resources from public schools and primarily benefit wealthier families, while supporters said it would not affect state revenues and would allow Arizona families to benefit from an existing federal credit. The final vote on SB 1142 was 33 ayes to 26 nays, and the House then adjourned until 10 a.m. on Wednesday, April 8, 2026.
US

US Federal 2025-2026 Regular Session

US House Floor Proceedings (Wednesday, July 2, 2025)

US Federal House Floor Meeting

Transcript Highlights:
  • Speaker, by direction of the Mr.
  • care on this<02:35:30.319><c> bill.
  • Let's do the public a service. Mr.
  • As a provider of health care myself, as a doctor, and as a recipient of Medicaid services, my first three
  • All to give defunds health care.
Bills: HR1 , HR566
US
Transcript Highlights:
  • Why are we not buying some factories as a service?
  • Gertz, thanks for your service to U.S. SOCOM.
  • When the price of a good or service goes up by 25 percent.
  • But the services also have a lot of skin in the game.
  • That needs to be a wildly agile factory as a service.
KY
Transcript Highlights:
  • </c><00:08:52.399><c> We're</c> in need of intensive services. We're in need of intensive services.
  • </c><00:11:37.760><c> Uh</c> and require 24-hour a day care. Uh and require 24-hour a day care.
  • </c> services. We're also doing uh that work. services. We're also doing uh that work.
  • </c><00:16:04.560><c> to</c><00:16:05.120><c> care</c> highest need of services to care highest need
  • of services to care coordinate<00:16:05.920><c> across</c><00:16:06.320><c> so</c><00:16:06.560><c> many
Summary: The meeting was the first of the year for the Capital Planning Advisory Board. Members were called, a quorum was confirmed, new co-chairs and members were welcomed, and the board approved the prior year’s meeting minutes. The chair also reviewed the capital planning timeline, packet organization, and the list of agencies that submitted plans but would not testify. The Cabinet for Health and Family Services presented first, outlining priorities centered on public safety, protecting existing infrastructure, preventive maintenance, and improving service delivery. Its major requests included a $21 million maintenance pool for 14 campuses and 175 buildings, phase 2 construction funding for a new public health laboratory, an 18-bed psychiatric hospital for children and adolescents with severe mental health needs, and several projects at Western State Hospital, Western State Nursing Facility, Hazlewood, and Oakwood. Members asked about the youth facility’s relationship to a separate DJJ project, vacant buildings, the high per-bed cost of the children’s hospital, and how the cabinet determined the need for the youth facility. CHFS said the youth project would be a separate facility serving high-acuity youth, the cost reflected the specialized nature of the unit and an 18-bed cap, and the broader youth plan also includes prevention, in-home services, and coordination across agencies. The Kentucky Department of Education then described projects for its three state-operated facilities: the Kentucky School for the Deaf, the Kentucky School for the Blind, and the FFA leadership training center. It requested additional funding for the FFA classroom and activity building after bids came in higher than expected, plus funding for a new education finance application system to support SEEK budgeting. Other priorities included a maintenance pool, FFA pool renovation, electrical upgrades, campus education enhancements, lighting improvements, safety and security work, door and window replacements, and HVAC maintenance. Members asked about student outcomes, the size of the FFA pool, and construction cost assumptions; the department said it tracks students through the schools and short-course programs, the pool size figure may have been a typo, and current construction estimates are being adjusted upward because of inflation and supply-chain pressures. The Education and Labor Cabinet began its presentation with 12 priority projects, including a state labor exchange system to connect job seekers and employers, renovation of the McDow Vocational Rehabilitation Center, and a new adult education and family literacy management information system. The cabinet said the labor exchange would help match workers with employers at no cost, while the McDow renovation was needed because the 30-year-old facility has safety and code concerns. The adult education system was described as outdated and lacking adequate case-management and tracking capabilities.
FL

Florida 2025 Regular Session

Senate in Session Apr 3rd, 2025

Florida Senate Floor Meeting

Transcript Highlights:
  • Colleagues, under current law, insurance companies can preapprove service and pay in advance and have
  • SB 944 would simply correct that oversight and put our health care providers back on the same page.
  • SB 944 would simply correct that oversight and put our health care providers back on the same page.
  • just said... ...in the right direction.
  • SB 282, Home and Service Warranty Association Financial Requirements.
Summary: The Senate opened with prayer, the Pledge of Allegiance, and several recognitions, including state championship athletic teams, visiting chambers of commerce, apprentices, students, and other guests. The chamber then moved through a long third-reading calendar and special order calendar, with no committee reports or executive messages on the desk. A moment of silence was held for Walton County Deputy William Will May, who died in the line of duty. Among the major bills passed was SB 234, which strengthens restrictions on resisting law enforcement officers and increases penalties related to manslaughter of an officer; an amendment clarifying “good faith” in an officer’s duties was adopted, and the bill passed 37-0. The Senate also passed SB 7020 on open government review of certain cybersecurity information, SM 1488 urging Congress to create a U.S. sovereign wealth fund, SB 944 reducing the overpayment claim period for insurers/HMOs seeking reimbursement from licensed psychologists from 30 months to 12 months, SB 878 extending probation treatment options for misdemeanor offenses involving controlled substances, SB 538 updating the state court system, SB 480 expanding nonprofit agricultural medical benefit plans, SB 472 giving correctional education credit toward professional licensure, SB 86/House companion 421 expanding peer support for first responders to include support personnel, SB 164 on vessel accountability, SB 282 on warranty association financial requirements, SB 316 creating Series LLC rules, and SB 384 requiring notice to legislative delegations before municipal annexation of state-owned lands. The most debated measure was CS/CS/SB 56 on geoengineering and weather modification, which Garcia said would prohibit unauthorized atmospheric interventions, create reporting and enforcement mechanisms through DEP, and impose felony penalties; Polsky questioned the bill’s practicality, federal preemption issues, and agency capacity, while supporters said it would address public concerns and close loopholes. The Senate also passed CS/SB 166 on public school administrative efficiency after adopting several amendments affecting school purchasing timelines, third-grade retention exemptions, teacher contracts, certification, facilities planning, and an OPPAGA study of cost-per-student-station limits; senators debated testing, teacher evaluations, and school accountability. At the end of the day, the Senate waived rules to immediately certify all passed bills to the House, received budget process guidance from Appropriations Chair Hooper on SB 2500 and SB 2502 amendment deadlines, and then adjourned until April 9.
MN

Minnesota 2025-2026 Regular Session

Committee on Energy, Utilities, Environment and Climate - 03/23/26

Energy, Utilities, Environment, and Climate

Transcript Highlights:
  • </c><00:09:48.240><c> executive</c> Central Farm Service chief executive Central Farm Service chief executive
  • Central Farm Service has skin in the game as well.
  • Central Farm Service has skin in else.
  • </c> service since last summer. service since last summer.
  • </c> third-party service. third-party service.
OR
Transcript Highlights:
  • It is National Health Care Fraud Takedown Day.
  • nurse services that he did not provide.
  • I don't care whether you're a Republican or Democrat.
  • I don't care whether you're a Republican or Democrat.
  • or claiming money for services they haven't provided.
Summary: Oregon Attorney General Dan Rayfield held a press event marking National Health Care Fraud Takedown Day to highlight the state’s Medicaid fraud enforcement work and announce four new criminal filings. He said the Oregon Department of Justice’s Medicaid Fraud Unit, which includes investigators, auditors, attorneys, data analysts, and a nurse investigator, has secured hundreds of convictions and settlements since 2010 and recently received additional staffing from the legislature. He framed the work as bipartisan and aimed at protecting vulnerable Oregonians, recovering taxpayer dollars, and deterring fraud. The announced cases involved alleged provider or vendor fraud rather than Medicaid recipients: Ed Morgan of Beaverton was charged in connection with housing assistance funds tied to a health-related social needs program; Linda Thomas and her company, Gateway of Willamette Valley, were charged with billing Medicaid for day support services not provided; and Amanda Thorne, a former Lane County employee, was charged with using a government credit card for personal purchases. Rayfield also noted recent progress in other cases, including a nurse who pleaded no contest to false billing and theft and was sentenced to jail, probation, and restitution, and a medical transportation company owner recently charged with billing for services not provided. In response to questions, Rayfield said Oregon staff attended a federal meeting on Medicaid fraud despite late notice and political tensions, emphasizing that fraud enforcement should remain bipartisan. He said the federal landscape is complicated by cuts to enforcement staff even as there is talk of increased enforcement, and that states have had to step up. He also said Oregon’s managed care system has not been a major barrier to investigations, which typically begin with complaints and are developed with partner agencies. No votes or formal legislative actions were taken at the event.
PA

Pennsylvania 2025-2026 Regular Session

Senate Session (Jun 25 2026)

Pennsylvania Senate Floor Meeting

Transcript Highlights:
  • The Pennsylvania Supreme Court handed us a specific directive. We can meet it.
  • This is a direct and fair way to help close our $6 billion budget gap.
  • What services will we cut? No one is answering those questions, and no one will.
  • What services will we cut? No one is answering those questions, and no one will.
  • This biblical directive for longevity in the land was not lost on American leaders.
LA
Transcript Highlights:
  • Victims of human trafficking will receive appropriate health care services and an individualized extraction
  • That would be continuity of care for that patient. So you’re saying resources for victim services?
  • And so we have advocacy services and statewide care coordination, and so what that looks like is every
  • So that care coordination team has the Department of Children and Family Services, it has that care coordinator
  • with those service providers.
Summary: The first meeting of the Human Trafficking and Emergency Department Task Force focused on implementing Act 267 of 2025, which created the body to develop a statewide human trafficking protocol to be incorporated into regional sexual assault response plans. Chair Rep. Kelly Hennessy Dickerson and Office of Human Trafficking Prevention Director Mary Kate Andrepont outlined the task force’s goal of producing a practical, transferable protocol for hospitals and emergency departments across Louisiana, with help from Heal Trafficking. Members and presenters repeatedly emphasized that the protocol should be trauma-informed, survivor-centered, multidisciplinary, and adaptable to different regions and health systems. Hospital, SANE, and advocacy presenters described current practices and gaps. Ochsner LSU Health Shreveport’s Operation Rahab and FMOLHS’s policies highlighted staff education, badge buddies, private screening, reporting pathways, and coordination with the National Human Trafficking Hotline, law enforcement, DCFS, and local advocates. SANE nurses and forensic staff stressed that most trafficking victims pass through emergency departments and that subtle behavioral indicators, rapport-building, and broad staff education are critical. LaFASA described statewide sexual assault advocacy services, emphasizing 24-hour crisis response, legal support, and the role of advocates in helping survivors understand options and regain control. Child and youth trafficking specialists from DCFS-contracted programs, including Unbound Now and BCFS/Common Thread, explained Louisiana’s Act 662 response for minors, which routes reports into coordinated advocacy and care coordination. They said their teams respond statewide within 90 minutes, provide crisis support, and work with CACs, hospitals, and law enforcement. Members raised concerns about major service gaps, especially for adults, transportation, safe housing, and specialized placements for survivors with disabilities. Presenters also noted that male survivor housing remains limited, though Eden Centers now offers some beds. The task force also reviewed a needs assessment showing many hospitals lack mandatory trafficking training, screening practices, written protocols, and confidence in identifying victims. Members discussed expanding education beyond ED staff to residents, nursing schools, student health, mental health, housekeeping, maintenance, and law enforcement. No formal votes were taken, but the chair said the survey results and testimony would be used to draft a protocol before the next meeting, with a final draft to follow after further review and feedback.