Video & Transcript : 'direct care' :
Page 480 of 500
MA
Massachusetts 2025-2026 Regular Session
Joint Committee on Financial Services Jun 21st, 2026 at 10:30 am
Joint Committee on Financial Services
Transcript Highlights:
- psychosocial care.
- This bill isn't about expanding care.
- I was greatly harmed by gender-affirming health care professionals in a health care system that allows
- consistent patient-centered care.
- One is that there are no formal health care guidelines for the care of detransitioners.
Committee:
Joint Joint Committee on Financial Services
Summary:
The committee heard testimony on a wide range of health insurance and public health bills, with most speakers focused on expanding coverage for specific treatments and services. Bills discussed included H. 1187/S. 792 on rehabilitation counselors, H. 1173/S. 692 on patient navigation, S. 2600 on scalp cooling for chemotherapy patients, S. 2599 on medically necessary treatment for port wine birthmarks, H. 1164 on licensed educational psychologists for child and adolescent mental health services, S. 754/H. 1254 on autism diagnosis and treatment by nurse practitioners and psychiatric nurse mental health clinical specialists, S. 714/H. 1137 on infectious disease response and coverage, and S. 791 on making nature a prescriptive therapeutic intervention. Speakers generally argued these bills would improve access, reduce out-of-pocket costs, and address gaps in current insurance reimbursement rules.
Testimony in support emphasized personal stories and clinical evidence. Cancer patients and providers described the benefits of patient navigation and scalp cooling for dignity and quality of life during treatment. Boston Children’s Hospital staff and families said port wine birthmark treatment is medically necessary, can prevent complications, and should not be denied as cosmetic. Rehabilitation counselors and school psychologists argued their services are effective, cost-saving, and underused because they cannot bill insurance. Autism advocates said current insurance statutes are outdated because nurse practitioners and psychiatric nurse mental health clinical specialists already provide evaluations and should be recognized for reimbursement to avoid delays in early intervention. Public health and GLAD Law testimony supported stronger infectious disease coverage to remove barriers to testing, treatment, and PrEP access.
The hearing also included extensive testimony on H. 1172, a bill requiring insurance coverage for detransition-related care. Supporters said it would ensure coverage for medically necessary care for people who regret or reverse gender transition, while opponents argued it would legitimize anti-trans narratives or, conversely, that detransition care is needed because transition procedures can cause harm. The committee also heard strong support for S. 791 from advocates who described nature access as a health intervention that could help with trauma, anxiety, substance use recovery, and environmental justice, with claims that insurance coverage and reduced park fees would improve access. No votes were taken during the transcript, and the chair repeatedly thanked speakers and moved through the long list of public testimony.
NH
New Hampshire 2025 Regular Session
House Science, Technology and Energy (04/14/2025)
Science, Technology and Energy
Transcript Highlights:
- Right would take care of that problem.
- </c> it that it it it takes care of that. it that it it it takes care of that.
- </c> that that we have to be careful of here. that that we have to be careful of here.
- </c> it to you just so you know the direction it to you just so you know the direction that<00:43:09.520
- Um, that in fact, because direction.
Committee:
House Science, Technology and Energy
MO
Missouri 2026 Regular Session
Professional Registration and Licensing Mar 4th, 2026
Professional Registration and Licensing
Transcript Highlights:
- wait for us to pass that standard of care?
- Whereas my care and the surgical care I perform is technically regulated by the State Board for Registration
- We're going from medical care, which only 30% of optometrists perform currently, to surgical care in
- that care, I agree, but you're compromising.
- So it's going to be the Level of care.
Summary:
The committee first took up House Bill 3111, which concerns bail bonds oversight. Representative Phelps offered a committee substitute that moved bail bondsmen into the existing Board of Private Investigators, Private Fire Investigators, and Professional Surety Bail Bonds to avoid a fiscal note. An amendment was adopted to remove fee caps in the substitute, and the committee then adopted the revised substitute and voted it do pass 21-0.
The committee then heard Senate Substitute No. 2 for Senate Bill 1233, the CPA licensure bill, along with related provisions for social work supervisors and speech pathologists. Senator Trent and supporters from the Missouri Society of CPAs, the speech-language association, the social work community, and the State Auditor’s Office said the bill would address CPA shortages by creating a new licensure path based more on experience, while preserving exam standards and adding reciprocity. No opposition was offered, and the hearing concluded without a vote.
House Bill 2999 on optometry scope of practice drew extensive testimony and debate. The sponsor and ophthalmology witnesses described the bill as a negotiated compromise that would codify specific procedures optometrists may perform, while opponents from optometry argued it would freeze scope in statute, limit modernization, and require repeated legislative action as standards change. Witnesses disagreed sharply over whether the bill improved patient safety and access, whether the procedures were already within current practice, and whether surgical procedures such as lasers should be included. The bill was heard but no committee action was taken in the transcript.
Finally, the committee heard House Bill 2957 on respiratory therapist licensure. Representative Castile and respiratory care witnesses said the bill would phase out the CRT as the entry credential for new applicants in favor of the higher RRT standard, while grandfathering current CRTs and adding renewal audits to confirm active credentials. Supporters said the change reflects current training standards and would raise patient-care quality without reducing workforce numbers. No opposition testimony was presented, and the hearing adjourned without a vote.
MN
Minnesota 2025-2026 Regular Session
House Higher Education Finance and Policy Committee 2/26/26
Higher Education Finance and Policy
Transcript Highlights:
- Some are now caring directly impacted.
- We care deeply about our students and their well-being.
- , some directed personally by ICE.
- ,</c><00:57:39.480><c> transportation,</c> changes to child care, transportation, changes to child care
- </c><01:18:04.160><c> space,</c> those in the health care space, those in the health care space, um<01
Committee:
House Higher Education Finance and Policy
Summary:
The committee adopted the minutes from its February 24, 2026 meeting after a motion by Vice Chair Coulter. The hearing then focused on the impact of federal immigration enforcement, referred to throughout as Operation Metro Surge, on Minnesota college campuses. The chair said the purpose was to document alleged abuses, campus fear, and racial discrimination, and to hear from testifiers about effects on students, faculty, and staff. Representative Novotny briefly objected to the framing, saying the committee should be finding facts rather than making a predetermined presentation, and the chair responded that members should remain respectful and that questions would be held until after all presenters testified.
Augsburg University President Paul Pribbenow described what he called relentless and unprecedented disruption, including student stops and interrogations, family separations, and an ICE operation on campus in which armed masked agents allegedly detained a student without a warrant and pointed weapons at students and staff. He said the campus received bomb threats afterward, increased virtual learning options, and saw spikes in student support needs, housing assistance, and leaves of absence. Jenna Chernega of the Inter Faculty Organization said faculty across Minnesota State universities reported widespread student and colleague stress, increased workload, disappearing students, and a need for clearer sensitive-location protections and academic freedom guidance. Mark Grant of Minnesota State College Faculty said community conditions inevitably affect classrooms, that campuses have not yet had an ICE incident but are bracing for one, and that faculty want to support students and may need financial help if enrollment declines.
Jennifer Irwin of AFSCME said fear from ICE activity extends beyond campus boundaries and is affecting attendance, work, and daily life for staff and students; she cited a member detained in St. Paul while trying to prove legal status. Student testifiers Brendan Frazier of Concordia University, St. Paul, Jonathan Fitzgerald of Minnesota State Mankato, Sudi Adow of Lead MN, and Will Luther of the University of Minnesota Twin Cities described panic, reduced attendance, food insecurity, disrupted classes, and fear of leaving home or commuting to campus. They urged stronger student privacy protections, support for international and immigrant students, emergency aid, and policies to keep campuses safe. No further committee action or votes were taken after the minutes approval.
US
US Federal 2025-2026 Regular Session
US House Floor Proceedings (Wednesday, May 7, 2025)
US Federal House Floor Meeting
Transcript Highlights:
- A direct care worker holds someone's universe for $16 an hour.
- A direct care worker holds someone's universe for $16 an hour.
- A direct care worker holds mercy.
- A direct care worker holds someone's<00:49:37.839><c> universe</c><00:49:38.160><c> for</c><00:49:38.480
- </c> reliable access to the care I need. reliable access to the care I need.
MN
Minnesota 2025-2026 Regular Session
Minnesota House passes bill to fund enhanced security at State Capitol, courtrooms 5/6/26
Minnesota House Floor Meeting
Transcript Highlights:
- And at the same time, we can have those disagreements in this room and personally care about and care
- </c> care about and care for one another. care about and care for one another.
- </c> We are objectively less safe as a direct We are objectively less safe as a direct result<00:53:57.599
- </c> to take care of this core function. to take care of this core function.
- </c> Let's get this done, but let's take care Let's get this done, but let's take care of<01:28:29.280
CA
California 2025-2026 Regular Session
Assembly Governmental Organization Committee Apr 22nd, 2026
Governmental Organization
Transcript Highlights:
- Second, it creates a tribal advisory committee made up of tribal leaders that provide direct ongoing
- input to the Secretary of Tribal Affairs so programs can... ...direct ongoing input to the Secretary
- I think that this is a small step in the right direction, but I'm honored to support the bill today.
- And there's many examples of how that has happened, and there's a direct correlation between what is
- Yeah, but don't we have to be careful when we tell people what they should say and can't say?
Committee:
House Governmental Organization
US
US Federal 2025-2026 Regular Session
Hearings to examine options to reduce catastrophic wildfire, including H.R.471, to expedite under the National Environmental Policy Act of 1969 and improve forest management activities on National Forest System lands, on public lands under the jurisd Mar 6th, 2025 at 10:00 am
Conservation, Climate, Forestry, and Natural Resources Subcommittee
Transcript Highlights:
- Forest Service employees are real people, family, friends, and neighbors dedicated to caring for the
- to a variety of forest laws, codifying existing programs, granting new authorities, fine-tuning directions
- Fix Our Forest Act and ways we should strengthen. the bill to ensure that wildfire responses are directed
- The executives out there are moving in this direction in a bipartisan basis, and Congress should help
- All of this is moving us in the wrong direction. direction and so it's hard to make the case for the
Bills:
HB471
Keywords:
forest management, wildfire prevention, public lands, Tribal jurisdiction, Fix Our Forests Act, wildfire, forest health, hazardous fuels reduction, fuels treatment, prescribed burning, mechanical thinning, mastication, fuel breaks, fire breaks, wildland-urban interface, WUI, fireshed, fireshed management area, fireshed registry, Fireshed Center
Summary:
The meeting primarily focused on H.R. 471, the Fix Our Forests Act, which aims to address the ongoing crisis of wildfires exacerbated by climate change and the need for updated forest management practices. Various committee members voiced concerns about past federal management failures and emphasized the necessity for collaborative approaches involving local communities and stakeholders in forest management. As discussions unfolded, there were varying perspectives on the implications of certain provisions in the bill, particularly around regulatory changes and their likely impacts on public participation and environmental reviews.
WA
Washington 2025-2026 Regular Session
House Civil Rights & Judiciary Feb 24th, 2026 at 10:30 am
Civil Rights & Judiciary
Transcript Highlights:
- We would love for you to email the committee so that we can review all of those in direct detail.
- We would love for you to email the committee so that we can review all of those in direct detail.
- Thank you so much for testifying, and it appears that there are no direct testimony on this.
- care up front.
- care up front.
Committee:
House Civil Rights & Judiciary
Keywords:
divorce, dissolution, marriage, domestic partnership, property division, real property, community property, separate property, liabilities, family law, equitable distribution, court order, personal jurisdiction, absent spouse, absent domestic partner, creditors, secured creditors, unsecured creditors, home equity, family home
UT
Utah 2025 Regular Session
Natural Resources, Agriculture, and Environment Interim Committee - November 19, 2025
Natural Resources, Agriculture, and Environment Interim Committee
Transcript Highlights:
- This is a good step in a direction of addressing an issue with our weed... ...step in a direction of
- Others were directed to the office.
- But I think it's in the right direction.
- We had the mayor standing down on University Avenue directing traffic to get people from sitting and
- But, you know, we need this amount of money to take care of the needs for our infrastructure.
MN
Transcript Highlights:
- ><c> access</c><00:11:32.959><c> to</c> Effective health care requires access to Effective health care
- </c><00:11:45.519><c> has</c> state's health care workforce has state's health care workforce has unequal
- </c><00:12:24.160><c> from</c> Minnesota, she received care from Minnesota, she received care from several
- </c> make informed patient care decisions. make informed patient care decisions.
- </c> confidence in our healthc care choices. confidence in our healthc care choices.
Committee:
Senate Higher Education
MN
Transcript Highlights:
- And so instead of accusing the other side of not caring about an issue that we, you know, we deeply care
- We're going after the direct motans.
- </c> accusing the other side of not caring accusing the other side of not caring about<01:43:11.360><
- We're going after the direct<01:44:14.719><c> motans.
- We heard the author say direct motans.
AR
Arkansas 2026 1st Special Session
PUBLIC HEALTH, WELFARE AND LABOR COMMITTEE - SENATE AND HOUSE May 21st, 2026
Transcript Highlights:
- Three Continuums of Care.
- Three continuums of care.
- It's child care policy.
- This is a health care matter.
- And, you know, it's a health care matter and health care is messy. So yeah.
Summary:
The committee first approved a motion, then heard a lengthy presentation on homelessness policy and behavioral health. Testimony focused on the view that Arkansas should shift toward more data-driven, outcomes-based responses to homelessness, including stronger treatment options for serious mental illness and substance use disorder, better data collection, provider accountability, and possible statewide use of the Certified Community Behavioral Health Clinic (CCBHC) model. Speakers from Fort Smith, Restore Hope, Our House, and Western Arkansas Counseling described local work, the need for better coordination across providers, and the role of crisis services, ACT teams, and employment support. Members asked about sex offender tracking, the difference between sheltered and unsheltered homelessness, how to scale successful programs statewide, and whether Arkansas could apply for a statewide Continuum of Care or CCBHC planning grant. The discussion also touched on camping bans, civil commitment, and federal funding changes, with several speakers urging the state to pursue the CCBHC planning grant and more transparent reporting systems.
After the homelessness discussion, the committee moved through a series of Department of Energy and Board of Nursing rule reviews. DEQ proposed updating the post-closure cleanup threshold for solid waste matters from $50,000 to $2 million to match Act 791 of 2025, and members asked about financial assurance and oversight; the rule was reviewed without objection. The Board of Nursing then presented multiple rule changes tied to recent acts, including adding fees for dialysis patient care technician registration, expanding contact-information requirements, implementing APRN delegation authority to unlicensed workers, clarifying APRN authority for death certificates and durable medical equipment prescriptions, updating certified medication assistant training and insulin-injection authority, and conforming independent-practice rules for clinical nurse specialists. Each rule was reviewed without objection.
Near the end of the meeting, Senator Irvin announced that UAMS had completed its NCI designation submission for the Winthrop Rockefeller Cancer Institute, calling it an important milestone for the state. The committee then adjourned.
MN
Minnesota 2025-2026 Regular Session
House Public Safety Finance and Policy Committee 1/22/25
Public Safety Finance and Policy
Transcript Highlights:
- This is an unprecedented level of violence directed towards our law enforcement, and the tragic loss
- towards our law enforcement and directed towards our law enforcement and the<00:37:08.400><c> tragic
- I really appreciate the direction that the NPPA came up with for adding Corrections, and uh, we will
- A substantial amount of that increase was directed to non-agency spending.
- A substantial amount of that increase was directed to non-agency spending.
Committee:
House Public Safety Finance and Policy
ID
Transcript Highlights:
- I have cared for fragile infants in the NICU.
- I have taken care of kids that have been harmed by their parents in the pediatric intensive care unit
- I have taken care of kids that have been harmed by their parents in the pediatric intensive care unit
- I have taken care of kids that have been harmed by their parents in the pediatric intensive care unit
- I have taken care of kids that have been harmed by their parents in the pediatric intensive care unit
Committee:
House Health and Welfare
NH
Transcript Highlights:
- It's the continuity of care that happens, and that's what we hear, or what I've heard about from the
- It's the continuity of care that happens, and that's what we hear, or what I've heard about from the
- It's the continuity of care that happens, and that's what we hear, or what I've heard about from the
- It's the continuity of care that happens, and that's what we hear, or what I've heard about from the
- </c><01:31:34.280><c> reports</c> species that I have some direct reports species that I have some direct
Committee:
Senate Commerce
MO
Missouri 2026 Regular Session
2026 Legislative Session - Day Seventeen - Monday, February 9
Missouri House Floor Meeting
Transcript Highlights:
- We care about our children.
- And so I am very in support of this removal of sunset because we care about kids and we care about their
- Gender-affirming care is medically necessary, evidence-based care that improves the physical and mental
- access to care.
- I very much care about these kiddos.
MN
Minnesota 2025-2026 Regular Session
House Floor Session 4/27/26 - Part 1
Minnesota House Floor Meeting
Transcript Highlights:
- People care about you, and you deserve to be healthy, happy, and whole. Thank you.
- People care<00:27:27.720><c> about</c><00:27:28.080><c> you,</c><00:27:28.440><c> and</c><00:27:28.679
- ><c> you</c><00:27:28.840><c> deserve</c><00:27:29.400><c> to</c><00:27:29.560><c> be</c> care about
- you, and you deserve to be care about you, and you deserve to be healthy,<00:27:30.720><c> happy,</c>
- of our educators with extreme the care of our educators with extreme gratitude. gratitude. gratitude
MO
Missouri 2026 Regular Session
Special Committee on Rural Issues Mar 25th, 2026
Special Committee on Rural Issues
Transcript Highlights:
- And if a brush hog goes through or some type of maintainer would go through there to take care of that
- , that would be incredibly expensive to always be... ...going through there to take care of that.
- We're going to take care of that fiscal note because I think the way that it's written, there is some
- It does increase their cost because that was the direct line.
- And it could work both directions against the landowner, against the condemnation authority.
Committee:
House Special Committee on Rural Issues
MO
Missouri 2026 Regular Session
Special Committee on Property Tax Reform Feb 10th, 2026
Special Committee on Property Tax Reform
Transcript Highlights:
- I understand you wanting to take care of the people you serve, but also I would like that option, and
- Careful on the time limit with me. Well, good afternoon, everyone. My name is Cole, R. R.
- One direction or the other. Right. I definitely misspoke over on that part.
- But I will say, you know, looking back, we did not give the counties any direction.
- Where do we take one direction or the other, I guess? And this comes back to that, you know.
Summary:
The committee heard extensive testimony on House Bill 2651, a broad property tax reform bill sponsored by Representative Burns. Burns said the bill is intended to close perceived loopholes in the Hancock Amendment, including moving tax-related elections to November, eliminating the new-construction exclusion, allowing multiple subclass rates, and preventing counties from opting out of multiple levies. Supporters argued the bill would better protect homeowners from large tax increases, while opponents and several members raised concerns about the loss of local control, the impact on growing communities, and whether the proposal was revenue neutral. No vote was taken; the bill remained in public testimony.
The committee then heard House Bill 2944, which would change Missouri’s senior homestead property tax relief so eligible seniors would only have to apply once instead of annually. Representative Billington said the current yearly paperwork burdens older residents on fixed incomes and can contribute to them losing their homes. Some members supported simplifying the process, but others and the Missouri Association of Counties opposed the bill as written, arguing annual recertification helps ensure only eligible taxpayers receive the credit and that counties need a way to verify continued eligibility. Questions also focused on how to handle deaths, moves, and possible recapture of improperly granted credits. No action was taken.
Finally, the committee heard House Bill 1786/2060, a joint short-term rental property tax classification proposal from Representatives Brown and Vernetti. The sponsors argued that single-family homes used as short-term rentals should remain classified as residential, not commercial, and said some assessors have reclassified them in a way that sharply raises taxes. They cited case law and IRS treatment to support their position and said the bill would protect homeowners and local tourism economies. The Missouri Hotel Lodging Association opposed the measure, saying short-term rentals used as a business should be taxed accordingly, while the Missouri Realtors supported it. Testimony highlighted concerns about local control, the effect on housing availability, and whether short-term rentals should be treated differently based on frequency of use. No vote was taken on this bill either.