Video & Transcript : 'hospital protocols' :

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MO

Missouri 2026 Regular Session

Emerging Issues Feb 16th, 2026

Emerging Issues

Transcript Highlights:
  • bill mandates that any administration of ibogaine must be supervised by a licensed physician in a hospital
  • You know, there's a couple different states that have protocols for this.
  • The protocols vary.
  • I've seen protocols that have done three weeks, including screening, That have done three weeks, including
  • And I've seen protocols that have done three months, six months.
CA

California 2025-2026 Regular Session

Assembly Appropriations Committee Jun 24th, 2026

Transcript Highlights:
  • But that's just the normal protocol for these types of things.
  • But that's just the normal protocol for these types of things.
  • Josh Gagra on behalf of the California Association of Public Hospitals and Health Systems in support.
Summary: The Assembly Appropriations Committee met on June 24, 2026, but initially lacked a quorum and began by hearing presentations only. SB 308 was presented as a bill to streamline fiscal reporting for California community colleges by combining two overlapping annual audit reports into one. SB 895, the California Science and Health Research Bond, drew extensive testimony from the authors and many supporters, who argued it would help offset federal research cuts, protect California’s science infrastructure, support jobs, and preserve life-saving research in areas such as cancer, HIV, Parkinson’s, ALS, climate resilience, and quantum computing. The bill was described as a bond measure that would require a three-party agreement and was sent to suspense. After quorum was established, the committee took up the consent and suspense calendars. Several bills were approved on consent, including SB 308 and a large group of other measures, while the suspense calendar was deemed approved, including SB 895 and other bills listed by the chair. Public comment on SB 895 continued for a long period, with many researchers, students, labor representatives, university officials, and patient advocates speaking in strong support and urging the bill be moved to the floor. The committee also heard SB 1350, which would expand green hydrogen by allowing renewable portfolio standard credits for certain hydrogen use in power generation; the author and supporters said it would help clean energy development, create jobs, and support projects like ARCHES and Element. Later, SB 1306 was presented to align California law with federal exemptions for certain chemical mixtures containing GBL used in semiconductor manufacturing research. The author and SEMI’s representative said the bill would reduce unnecessary regulatory burdens, avoid disrupting semiconductor supply chains, and not change rules for pure GBL. The bill passed out of committee on a roll call vote, with one no vote and one not voting. The hearing then adjourned.
MO

Missouri 2026 Regular Session

2026 Legislative Session - Day Eighteen - Tuesday, February 10 -Morning Session-

Missouri House Floor Meeting

Transcript Highlights:
  • Missouri controls infection control protocols.
  • Missouri controls infection control protocols.
  • Heather wrote on a piece of paper from her hospital bed what happened and said that her will to live
FL
Transcript Highlights:
  • There is another existing rule of Medicaid services, inpatient hospital services, a rule on reimbursement
  • Seeing none, ladies and gentlemen, this is not a traditional committee as far as the protocols, etc.
  • Seeing none, ladies and gentlemen, this is not a traditional committee as far as the protocols, etc.
Summary: The Joint Administrative Procedures Committee met on February 3, 2025, with a quorum present and took up three main items. First, the committee considered a large set of recommended objections to Agency for Health Care Administration rules, all centered on sunset provisions stating the rules would expire after five years. AHCA asked for another deferral while it reviewed the rules, arguing the sunset language was a form of self-restraint rather than an invalid exercise of rulemaking authority. Committee leadership disagreed that further delay would resolve the issue and moved to a single vote covering all objections. The motion passed by roll call, and the committee informed AHCA that an objection would be filed unless the agency amended the rules within 30 days. The committee then heard an informational briefing from the Department of Environmental Protection on its Outstanding Florida Springs rule and stormwater rule. DEP explained that it did not prepare a statement of estimated regulatory cost for the springs rule because the proposed standards largely mirror existing water management district rules and the Central Florida Water Initiative framework, so DEP said there was no new regulatory burden. Members asked about permit authority, costs, and whether the rules were functionally different from prior rules. DEP maintained the rules set minimum standards and did not add costs beyond what regulated parties were already doing. DEP also described implementation of the stormwater rule adopted under the 2020 Clean Waterways Act and later ratified by the Legislature in 2024. DEP said the rule was the product of years of workshops and technical advisory committee meetings, and that the final version included lower-cost alternatives, grandfathering, and phased implementation. DEP estimated the rule’s cost at about $2,600 per acre in the revised CERC, while industry witnesses said the real cost could be much higher, especially if land costs are included. A home builders representative argued the estimate understated impacts, while a stormwater engineer said the rule gives more flexible, performance-based tools and could become more cost-effective over time. Finally, Senator Graal presented proposed Chapter 120 changes in SB 108, aimed at tightening and modernizing rulemaking. The proposal would require five-year rule reviews, annual agency reporting, faster notice of proposed rulemaking after authorizing legislation, electronic filing, public access to incorporated materials, clearer tracking of technical changes, and limits on how long rules can remain pending ratification. Members discussed whether the Legislature should be more specific in statutes about rulemaking deadlines and whether agencies should be more accountable when rules stall. No formal action was taken on the Chapter 120 proposals, and the committee adjourned after discussion.
TX

Texas 89th Regular

Senate Session (Part I) Apr 16th, 2025

Texas Senate Floor Meeting

Transcript Highlights:
  • But at the same time, they shut down communications for hospitals, for 9-1-1 systems, for... or traffic
  • And by third, standardizing. trial protocols and jury instructions statewide to allow for uniform application
  • prejudice against the defendant in a case like this and so I think it is reasonable to put uniform protocols
  • He lived for a day in the hospital, I mean for a week, I'm sorry.
  • agreed that someone should be able to get... millions of dollars if they die or if they're in a hospital
Bills: SCR37 , SB60 , SB226 , SB231 , SB264 , SB387 , SB570 , SB596 , SB651 , SB769 , SB855 , SB863 , SB991 , SB1079 , SB1085 , SB1151 , SB1191 , SB1214 , SB1243 , SB1247 , SB1314 , SB1364 , SB1372 , SB1401 , SB1409 , SB1504 , SB1522 , SB1625 , SB1662 , SB1663 , SB1728 , SB1759 , SB1762 , SB1804 , SB1818 , SB1838 , SB1839 , SB1851 , SB1855 , SB1872 , SB1873 , SB1874 , SB1877 , SB1879 , SB1901 , SB1919 , SB1921 , SB1923 , SB1936 , SB1937 , SB1968 , SB1977 , SB2034 , SB2053 , SB2066 , SB2077 , SB2124 , SB2143 , SB2166 , SB2180 , SB2204 , SB2231 , SB2237 , SB2243 , SB2321 , SB2569 , SJR39 , SJR68 , SCR29 , SCR42 , SB22 , SB30 , SB33 , SB37 , SB75 , SB217 , SB240 , SB331 , SB393 , SB505 , SB530 , SB546 , SB552 , SB584 , SB586 , SB618 , SB626 , SB636 , SB732 , SB762 , SB769 , SB825 , SB844 , SB870 , SB884 , SB926 , SB964 , SB1080 , SB1099 , SB1150 , SB1177 , SB1184 , SB1261 , SB1262 , SB1314 , SB1325 , SB1364 , SB1398 , SB1455 , SB1506 , SB1524 , SB1577 , SB1596 , SB1620 , SB1624 , SB1642 , SB1643 , SB1646 , SB1667 , SB1727 , SB1760 , SB1789 , SB1791 , SB1804 , SB1806 , SB1851 , SB1868 , SB1870 , SB1901 , SB1923 , SB1927 , SB1951 , SB1960 , SB1962 , SB2010 , SB2023 , SB2024 , SB2037 , SB2051 , SB2052 , SB2056 , SB2066 , SB2122 , SB2129 , SB2180 , SB2183 , SB2185 , SB2207 , SB2226 , SB2252 , SB2323 , SB2361 , SB2368 , SB2405 , SB2420 , SB2425 , SB2569 , SB2717 , SB2949 , SB1 , SJR36 , SJR50 , SJR39 , SJR63 , SJR68 , SCR12 , SCR39 , SCR38 , SCR37 , SCR42 , SCR29 , SB1596 , SB33 , SB505 , SB37 , SB62 , SB666 , SB847 , SB284 , SB854 , SB1073 , SB810 , SB1539 , SB1505 , SB583 , SB957 , SB1502 , SB507 , SB1026 , SB1349 , SB1433 , SB1434 , SB264 , SB1364 , SB1376 , SB1585 , SB1772 , SB2016 , SB1163 , SB619 , SB1122 , SB1877 , SB732 , SB731 , SB397 , SB508 , SB1436 , SB964 , SB287 , SB2143 , SB261 , SB1247 , SB1882 , SB618 , SB393 , SB2243 , SB2226 , SB1919 , SB1791 , SB22 , SB651 , SB1080 , SB826 , SB1079 , SB1243 , SB1504 , SB1851 , SB1879 , SB2237 , SB1257 , SB2034 , SB1522 , SB1151 , SB596 , SB1191 , SB226 , SB570 , SB870 , SB991 , SB60 , SB1401 , SB1728 , SB586 , SB529 , SB217 , SB209 , SB1923 , SB1839 , SB387 , SB1874 , SB1872 , SB1873 , SB1921 , SB1883 , SB1620 , SB1838 , SB2024 , SB2429 , SB1999 , SB511 , SB2309 , SB2166 , SB510 , SB2420 , SB1860 , SB1314 , SB1398 , SB855 , SB2425 , SB2037 , SB1759 , SB1924 , SB1818 , SB1762 , SB1968 , SB1977 , SB2077 , SB2321 , SB1662 , SB1663 , SB2124 , SB2204 , SB1855 , SB863 , SB2252 , SB1962 , SB2253 , SB825 , SB1577 , SB1184 , SB2018 , SB2206 , SB1901 , SB2368 , SB1963 , SB1960 , SB1643 , SB1625 , SB1299 , SB841 , SB668 , SB584 , SB231 , SB1085 , SB2431 , SB2231 , SB1490 , SB530 , SB1261 , SB552 , SB1099 , SB1646 , SB2180 , SB1804 , SB1937 , SB1936 , SB2569 , SB1372 , SB1506 , SB1806 , SB1868 , SB2361 , SB2314 , SB769 , SB1409 , SB2122 , SB434 , SB1214 , SB1951 , SB2183 , SB2046 , SB1667 , SB1870 , SB1727 , SB2405 , SB2127 , SB1975 , SB1760 , SB1734 , SB1335 , SB2066 , SB2129 , SB2246 , SB2439 , SB1624 , SB1244 , SB1468 , SB2717 , SB1612 , SB1262 , SB604 , SB2395 , SB2185 , SB1832 , SB1745 , SB1746 , SB2207 , SB2023 , SB1784 , SB1524 , SB626 , SB528 , SB437 , SB269 , SB1137 , SB968 , SB636 , SB747 , SB1325 , SB1789 , SB1455 , SB2056 , SB75 , SB1940 , SB2052 , SB1927 , SB2010 , SB1579 , SB2068 , SB3034 , SB844 , SB1920 , SB1177 , SB1558 , SB1236 , SB1044 , SB926 , SB884 , SB463 , SB331 , SB227 , SB240 , SB517 , SB1200 , SB1410 , SB1626 , SB1845 , SB1863 , SB2216 , SB2681 , SB1717 , SB2053 , SB546 , SB2141 , SB2949 , SB2323 , SB2200 , SB2332 , SB2199 , SB1642 , SB1150 , SB1757 , SB2050 , SB1138 , SB2051 , SB2626 , SB2458 , SB1864 , SB30 , SB2201 , SB1862 , SB1583 , SB1055 , SB2660 , SB1898 , SB2662 , SB2161 , SB2964 , SB2881 , SB1065 , SB801 , SB2743 , SB2533 , SB1413 , HJR4 , SB2073 , SB3014 , SB3013 , SB2774 , SB2702 , SB2629 , SB2443 , SB2349 , SB2167 , SB2145 , SB2121 , SB758 , SB648 , SB647 , SB512 , SB438 , SB1721 , SB2268 , SB1495 , SB2705 , SB2366 , SB1422 , SB1369 , SB1013 , SB682 , SB2692 , SB2570 , SB2797 , SB2111 , SB1896 , SB1164 , SB1020 , SB663 , SB2371 , SB1152 , SB2196 , SB2383 , SB2581 , SB2798 , SB330 , SB646 , SB843 , SB1998 , SB1418 , SB2788 , SB1169 , SB2873 , SB1754 , SB1534 , SB1718 , SB2779 , SB2004 , SB1143 , SB1756 , SB912 , SB2119 , SB2032 , SB527 , SB1580 , SB1952 , SB2601
MA

Massachusetts 2025-2026 Regular Session

Joint Committee on Bonding, Capital Expenditures and State Assets Jul 2nd, 2026

Joint Committee on Bonding, Capital Expenditures and State Assets

Transcript Highlights:
  • We should be bullish on the future, but it's not lost on me that one of two hospital systems is about
  • If this behavior shows up in an important real-world setting, like a hospital or a power plant, it could
  • First, to publish and follow safety and security protocols for the most advanced AI models.
  • Fourth, to have a third-party auditor verify if the companies comply with the wrong protocols, and if
Summary: The House Bonding Committee met to hear testimony on H. 5527, the Mass Wins Act, with Secretary of Economic Development Eric Paley opening by describing the bill as a follow-on to Mass Leads. He said the proposal includes $305 million in bond authorizations, with $180 million for new programs and $125 million to expand existing ones, plus $140 million in deauthorizations of unused or redundant authorizations. He highlighted investments in applied AI and quantum, robotics, business expansion capital, defense innovation, global business attraction, ag tech and food science, downtowns, and the creative economy, and said the bill is intended to support geographic equity and small business growth across the Commonwealth. Committee members questioned the administration on several policy sections, including the MassCEC climate-tech certification language, housing-related provisions tied to 40B compliance and site plan review, the removal of the LCSW exam, AI transparency and federal preemption concerns, and the effect of lower LLC filing fees. Paley generally said some contested sections were added by the Economic Development Committee rather than the administration, defended the MassCEC discretion language as necessary for climate certification, and said the administration would follow up on committee-added provisions. He also said the bill’s housing provisions were meant to help address the state’s need for more homes and that the deauthorizations were housekeeping measures that did not affect current capital plan projects. Public testimony covered a wide range of topics. AARP and local advocates urged a statewide ban on cryptocurrency ATMs, arguing they are heavily used in scams, impose high fees, and drain money from seniors and local economies. Housing groups supported codifying site plan review and adding parking reform and YIGBY-style housing on faith-owned land. Building trades asked to include off-site fabrication in prevailing wage law. The Massachusetts Public Banking Campaign backed the bill and urged inclusion of a public bank concept. Several witnesses supported Section 106, the Transparency and Frontier AI Act, as a way to require safety plans, audits, incident reporting, and whistleblower protections for the largest AI companies, while an AI startup group argued the section would overregulate smaller firms and should be separated from the bond bill. No votes were taken during the hearing.
MA

Massachusetts 2025-2026 Regular Session

Joint Committee on Bonding, Capital Expenditures and State Assets Jul 2nd, 2026

Joint Committee on Bonding, Capital Expenditures and State Assets

Transcript Highlights:
  • Like, you know, we should be bullish on the future, but it's not lost on me that one of two hospital
  • If this behavior shows up in an important real-world setting, like a hospital or a power plant, it could
  • First, to publish and follow safety and security protocols for the most advanced AI models.
  • Fourth, to have a third-party auditor verify whether the companies comply with the right protocols, and
FL

Florida 2026 4th Special Session

February 17, 2026 - 08:30 AM

Education & Employment Committee

Transcript Highlights:
  • I even had to take him to a rural hospital.
  • THEY   924 While I sat here, I received a text from a parent who is right now at a major hospital
  • It establishes protocols that allow the state to respond while ensuring fit parents are not stripped
  • 1162 173 DOES NOT CREATE IMPULSE FOR  ABUSE, IT DOES THE OPPOSITE, IT  1163 ESTABLISHES PROTOCOLS
Summary: The committee met with a quorum and began by welcoming students and coaches participating in the inaugural Sunshine State Debate. Members then heard and voted on a series of education-related bills, with most measures receiving favorable reports by unanimous or near-unanimous votes. The first bill, HB 1081, created a Cybersecurity Internship Clearance Readiness Program in the Department of Commerce for NCACE-designated universities and Florida College System institutions; a friendly amendment expanded access to private schools, and the bill passed 19-0. HB 1201 updated Florida’s epilepsy/seizure plan law to clarify protections for charter school students, require acceptance of physician-submitted plans, extend training validity to five years, and expand training to regular bus drivers; epilepsy advocates supported it, and it passed 19-0. HB 851 required annual autism-specific professional learning opportunities for teachers and school-based administrators, and it also passed 19-0. HB 615, dealing with IEPs, required quicker parent notice when services are missed, faster access to service logs, individualized parent orientation, and standardized district service logs; parents and advocates testified strongly in support, and the bill was reported favorably. HB 1503 added technology-related competencies to education courses and directed the Department of Education to develop computer science certification coverage; it passed 19-0. HB 371 required public schools to display portraits of Abraham Lincoln and George Washington in common areas and passed 19-0 after testimony both for and against. HB 731 revised extracurricular eligibility rules and allowed local policies for compensating coaches and activity sponsors; an amendment broadened manual requirements and clarified fee actions, and the bill passed 18-0. The committee also took up HB 173, a parental rights bill that drew the most extensive debate and public testimony. The bill would require parental consent for many medical decisions for minors, give parents access to medical records, and expand parental review/opt-in rights for certain school surveys and biofeedback devices. Supporters argued it restores parental authority, improves safety, and prevents children from being cut out of important medical decisions; opponents warned it would remove confidential access to STI treatment, crisis mental health care, and other services for minors in unsafe or abusive homes. Members raised questions about abuse exceptions, emergency care, and how the bill would affect routine treatment and time-sensitive care. The bill was not voted on in the portion provided, and debate continued through multiple rounds of sponsor responses and member comments.
NM

New Mexico 2026 Regular Session

Senate - Finance Feb 11th, 2026

House Appropriations & Finance

Transcript Highlights:
  • Chair, we put monies into the hospital, but not in this area.
  • How much money did you put into the hospital and for what? I would have to look at my list, Mr.
  • What was the other capital requests that you had for the hospital? Mr.
  • And we are planning to get some money to the hospital through the COG. Mr.
  • I mean, they could get a loan to do that, but the hospital couldn't get the loan.
Bills: SB152 , SB145 , HB2 , SB190 , HB247
Summary: The committee first set aside Senate Bill 247 because the Attorney General and bill sponsor were not present. It then heard Senate Bill 190, which would authorize bonding to help Healer Regional Medical Center in rural southwest New Mexico replace an aging linear accelerator used for cancer radiation treatment. The sponsor and hospital representatives said the equipment is at end of life and that replacing it would keep patients from having to travel long distances for care. The committee adopted a friendly amendment adding an emergency clause, but members then questioned the financing, noting the $5.7 million cost, the lack of local matching funds, and the fact that the equipment’s useful life is only about 10 years while the proposed bonds would run for 30 years. After extended discussion about interest costs and timing, committee members explored alternatives to reduce the state’s borrowing burden, including using existing rural health care funds, federal grant money, or structuring a county lease arrangement rather than issuing bonds. The bill was left pending while staff and the sponsor were asked to look into those options and report back. The committee also briefly heard from the Department of Justice about concerns raised by the Public Education Department regarding Gallup-McKinley and online learning companies; DOJ said investigations were ongoing but it could not say whether a lawsuit would be filed. Members expressed concern about possible large liabilities and discussed bringing the Attorney General and PED Secretary back in executive session. The meeting then shifted to House Bill 2 and related budget matters. Staff walked members through numerous line items, flagging some as potentially duplicative, unspent, or in need of further review, including attorney general litigation funds, rural health, education, transportation, tourism, energy, and economic development items. The committee adopted the “grow” spreadsheet after members said they had reviewed it, and then discussed reserve targets. Staff presented several scenarios to raise reserves from about 26.7% toward the 27.5% target, including cuts to natural resource, environmental, higher education, and transportation appropriations. Members generally favored a flexible “scenario five” approach and were reluctant to sweep older capital outlay projects immediately, preferring to wait until the capital outlay changes bill is resolved. The committee planned to continue the budget discussion the next morning.
MN

Minnesota 2025-2026 Regular Session

Child Committee Meeting - 2025-04-08

Children and Families Finance and Policy

Transcript Highlights:
  • child maltreatment reporting to address situations where a child has to continue staying in the hospital
  • It has to continue staying in the hospital or emergency department if the child has a mental, physical
  • We followed the police recommendations and had Cassian checked at Children's Hospital.
  • The severity of these bruises is what caused us to go into the hospital.
  • We have to have the proper protocols, like requiring a subpoena and warrant.
Bills: HF2436
CA
Transcript Highlights:
  • often dispensed in multi-dose packaging, inhalers, topical creams, eardrops, and so forth, from hospital
  • While patients begin using these medications in the hospital, current law prohibits them from actually
  • taking the remaining dose home once they're given it in the hospital emergency room itself.
  • Since these products are not designed, home once they're given it in the hospital emergency room itself
  • Vanessa Gonzalez with the California Hospital Association.
Summary: The Assembly Business and Professions Committee heard a long agenda of licensing, health care, and workforce bills. Measures discussed included AB 957, which would prohibit tobacco sales in licensed pharmacies; AB 447, which would allow patients to take home certain unopened medications started in emergency rooms; AB 427, joining the Social Work Licensure Compact; AB 667, allowing interpreters for certain licensing exams; AB 742, prioritizing descendants of slaves in licensing review; AB 873, changing infection-control training timing for dental assistants; AB 360, requiring a report on menopause education for physicians; and AB 1175, modernizing CPA licensure requirements and mobility. Testimony generally emphasized public health, access to care, workforce shortages, language access, and economic opportunity, while opposition or concerns focused on implementation, worker protections, compact authority, and constitutional issues in AB 742. Several bills drew broad support from sponsors, professional associations, and advocacy groups. AB 957 was backed by cancer and pharmacy advocates and pharmacists who said pharmacies should not sell tobacco; AB 447 was supported by emergency medicine and hospital representatives as a way to reduce waste and help patients leave with needed medication; AB 427 drew support from social work and mental health groups but concerns from AFSCME about standards and displacement; AB 667 was supported by immigrant-rights and community groups, with questions about whether translated exams would be preferable to interpreters; AB 360 received extensive support from women’s health advocates and medical groups, and opposition from CMA and ACOG was removed after amendments; and AB 1175 was supported by the Board of Accountancy and CPA groups as a way to expand the pipeline and improve mobility. The committee took votes after quorum was established. AB 360, AB 427, AB 447, AB 667, AB 873, AB 1175, and AB 742 were all approved and sent to their next committees, with AB 742 going to Judiciary and AB 1175 to Appropriations. AB 957 was initially held on call, then later passed after additional votes were recorded. The consent calendar bills AB 375, AB 1107, and AB 1496 were also approved. Most measures passed on largely party-line or near-unanimous votes, with some members not voting on certain items during the roll calls.
CA
Transcript Highlights:
  • to hospitals on this.
  • Those costs fall directly on Medi-Cal, county hospitals, and city emergency services.
  • and the health care system. ...strains on hospitals and the health care system.
  • We run the second-largest public hospital system in the state.
  • My colleagues from the public hospitals will talk about the unique impact of H.R. 1 on public hospitals
Summary: The Senate Budget and Fiscal Review Subcommittee held an oversight hearing on the impacts of H.R. 1 on California’s safety net, focusing on Medi-Cal and CalFresh. The chair and vice chair framed the issue as a major federal disruption that would reduce benefits and shift costs to the state, counties, hospitals, and other local systems. The first panel included the Legislative Analyst’s Office, the Department of Finance, the UC Berkeley Labor Center, and the Food Research and Action Center, each describing projected enrollment losses, higher state and county costs, and implementation challenges. The LAO outlined H.R. 1’s main changes: new and expanded work requirements, more frequent eligibility redeterminations, restrictions on certain non-citizen eligibility, and financing changes affecting provider taxes and federal matching rates. The LAO estimated that 1 to 2 million people could be disenrolled from Medi-Cal and more than 600,000 could lose CalFresh, with additional costs from reduced federal support and possible state and county administrative burdens. The Department of Finance said the Governor’s budget includes about $1.4 billion General Fund in 2026-27 to respond to H.R. 1, with larger out-year reductions in federal funds and projected Medi-Cal caseload losses of up to 2 million by 2029-30. The UC Berkeley Labor Center projected up to 3 million Californians could lose full-scope Medi-Cal by 2028 when H.R. 1 is combined with state budget changes, while noting the state could choose policies that would reduce some of those losses. The Food Research and Action Center warned that CalFresh cuts and time limits would increase hunger, worsen health outcomes, and strain local economies and emergency systems. Members questioned the witnesses about procedural disenrollments, regional variation, the overall growth in Medi-Cal spending, the future of the MCO tax, the CalFresh error rate, and the downstream effects on hospitals and county indigent care. Several senators argued that the federal law was driven by tax cuts for high-income earners and would disproportionately harm low-income Californians, immigrants, and communities of color. Administration witnesses said some impacts are still being analyzed, that counties and departments are working on implementation, and that the Legislature may need to use statute, reporting, and oversight tools as federal guidance develops. No votes or formal actions were taken during this portion of the hearing.
NM

New Mexico 2026 Regular Session

Senate - Finance Jan 27th, 2026 at 09:18 am

Senate Finance

Transcript Highlights:
  • The hospital will have to enroll in Medicaid at that point.
  • The hospital will have to enroll in Medicaid at that point.
  • I'll pick hospital beds as just one example because so much of the... ...hospital beds as just one example
  • But when those residents leave and go to someone else's hospital, a rural hospital or a rural clinic,
  • Leave and go to someone else's hospital, a rural hospital or a rural clinic, the cost of that resident
Bills: SB37 , SB29 , SB37 , SB29
WA

Washington 2025-2026 Regular Session

Joint Legislative Executive Committee on Planning for Aging and Disability Issues Jun 18th, 2025

Joint Legislative Executive Committee on Planning for Aging and Disability Issues

Transcript Highlights:
  • and community psychiatric hospitals to their own home.
  • We see that group of folks really are at risk for hospitalization and are hospitalized and really need
  • You know, we have a lot of conversations with the hospitals.
  • They were case managers that were hospital-based.
  • They were case managers that were hospital-based.
Summary: The committee met for what was described as its final meeting, with members and staff reflecting on the work of the Joint Legislative Executive Committee on Aging and Long-Term Care and noting that future work would likely shift to standing health and wellness committees. The meeting began with introductions and then moved into updates on major initiatives that originated from the committee, including Washington Cares, the Dementia Action Collaborative, and Medicaid long-term care programs. Presenters emphasized that these efforts were developed through long-term legislative-executive collaboration and were intended to help Washington prepare for the state’s aging population. On Washington Cares, DSHS described the program’s development from a 2014 research effort to its 2019 enactment, premium collection beginning in 2023, portability improvements in 2024, and 2025 changes including a grandfathered opt-out fix and a framework for supplemental private long-term care insurance. The agency said benefits are expected to go fully live next summer, with a pilot of up to 400 applicants planned for next January. On dementia policy, the Dementia Action Collaborative reported on the state dementia plan, Project ECHO training for providers, and pilot dementia-capable community programs at area agencies on aging, citing preliminary results that about 85% of family caregivers said services helped people remain at home. DSHS also reviewed Medicaid Transformation Project initiatives, including Medicaid Alternative Care, Tailored Supports for Older Adults, presumptive eligibility, and health-related social needs benefits such as rental assistance, nutrition support, and home modifications. The committee then heard an emerging issues panel from ombuds and disability advocates. Patricia Hunter of the long-term care ombuds program raised concerns about staffing shortages, resident rights, surveillance technology, private equity ownership of facilities, and illegal discharges or evictions. Betty Sweeterman of the Developmental Disabilities Ombuds discussed people stuck in hospitals without medical need, gaps in behavioral health services for people with developmental disabilities, and the need for better workforce training. Todd Carlyle of Disability Rights Washington urged expansion and bundling of community supports such as PACT, GOSH, and peer bridgers to reduce repeated institutionalization and support discharge from inpatient psychiatric settings. Provider and labor panels followed, with nursing home, assisted living, supported living, and union representatives all emphasizing workforce shortages, low wages, Medicaid rate inadequacy, case management bottlenecks, behavioral health complexity, and the need for more flexible care models and stronger accountability for rate increases. No formal votes were taken; the meeting ended with public comment on manufactured housing and closing remarks thanking staff and participants for the committee’s work.
CA

California 2025-2026 Regular Session

Senate Budget and Fiscal Review Committee Feb 11th, 2026

Budget and Fiscal Review

Transcript Highlights:
  • happen to hospitals on this.
  • We estimate that this will result in ongoing annual private hospitals.
  • So our data-sharing protocols...
  • We run the second-largest public hospital system in the state.
  • My colleagues from the public hospitals will talk about the unique impact of H.R. 1 on public hospitals
CA

California 2025-2026 Regular Session

Assembly Health Committee Aug 4th, 2026

Health

Transcript Highlights:
  • These are visits after people have been hospitalized, usually occurring within 7 to 14 days, to help
  • And it's a review of their medications, their hospital experience, labs, x-rays.
  • Kelly Brooks, on behalf of the California Association of Public Hospitals and Health Systems.
  • a year, and provide more than a third of Medi-Cal and uninsured hospital care in the state.
  • a year and provide more than a third of Medi-Cal and uninsured hospital care in the state.
Committee: House Health
TX

Texas 89th Regular

Senate Session (Part II) Apr 28th, 2025

Texas Senate Floor Meeting

Transcript Highlights:
  • “The hospital that they work at under this bill, they would have to honor it?”
  • What if it's the same scenario, but in a rural hospital?
  • Isn't that similar to a hospital?” “Our whole safety is collective.
  • Isn't that similar to a hospital where we all are going to trust that that hospital has done everything
  • I mean, we're trusting that that hospital has done everything they can.
Bills: SCR46 , SB31 , SB39 , SB227 , SB330 , SB401 , SB407 , SB467 , SB482 , SB500 , SB506 , SB512 , SB527 , SB584 , SB619 , SB636 , SB646 , SB647 , SB648 , SB659 , SB663 , SB715 , SB732 , SB758 , SB801 , SB816 , SB847 , SB870 , SB884 , SB1020 , SB1055 , SB1065 , SB1137 , SB1169 , SB1181 , SB1283 , SB1383 , SB1395 , SB1410 , SB1433 , SB1490 , SB1558 , SB1574 , SB1626 , SB1666 , SB1718 , SB1727 , SB1756 , SB1757 , SB1845 , SB1924 , SB1964 , SB1972 , SB2018 , SB2031 , SB2075 , SB2076 , SB2080 , SB2111 , SB2117 , SB2154 , SB2161 , SB2173 , SB2206 , SB2225 , SB2253 , SB2268 , SB2314 , SB2322 , SB2351 , SB2371 , SB2476 , SB2533 , SB2540 , SB2570 , SB2589 , SB2623 , SB2658 , SB2660 , SB2692 , SB2693 , SB2717 , SB2722 , SB2753 , SB2779 , SB2877 , SB2880 , SB2900 , SB2920 , SB3031 , HJR4 , SB5 , SB260 , SB1786 , SJR3 , SJR18 , SB1 , SJR36 , SJR50 , SJR63 , SJR84 , SJR59 , SCR12 , SCR39 , SCR46 , SCR48 , SCR19 , SB2023 , SB62 , SB666 , SB847 , SB284 , SB854 , SB1073 , SB810 , SB1505 , SB583 , SB1502 , SB507 , SB1026 , SB1433 , SB1434 , SB1376 , SB1585 , SB1772 , SB2016 , SB1163 , SB619 , SB1122 , SB732 , SB731 , SB397 , SB508 , SB1436 , SB287 , SB261 , SB1882 , SB393 , SB1791 , SB529 , SB209 , SB2429 , SB1999 , SB511 , SB2309 , SB510 , SB1924 , SB2253 , SB2018 , SB2206 , SB584 , SB1085 , SB1490 , SB2314 , SB2046 , SB1975 , SB2717 , SB1262 , SB1524 , SB1137 , SB636 , SB2056 , SB1558 , SB884 , SB227 , SB517 , SB1200 , SB1410 , SB1626 , SB1845 , SB1863 , SB2681 , SB2200 , SB2199 , SB1757 , SB2050 , SB2458 , SB2201 , SB1055 , SB2660 , SB2662 , SB1065 , SB801 , SB2533 , SB3014 , SB3013 , SB758 , SB648 , SB647 , SB512 , SB1721 , SB2268 , SB2366 , SB1013 , SB2692 , SB2570 , SB2797 , SB2111 , SB2371 , SB2383 , SB646 , SB1169 , SB1754 , SB1718 , SB2779 , SB2004 , SB1756 , SB2119 , SB527 , SB2322 , SB2448 , SB1777 , SB1283 , SB407 , SB2392 , SB2076 , SB2786 , SB3031 , SB2877 , SB2876 , SB2284 , SB2225 , SB1540 , SB2920 , SB2929 , SB1395 , SB1972 , SB2540 , SB2742 , SB2595 , SB2217 , SB2117 , SB715 , SB2330 , SB1964 , SB1383 , SB500 , SB1640 , SB2001 , SB2080 , SB2722 , SB506 , SB2514 , SB2623 , SB2658 , SB1574 , SB2900 , SB2753 , SB2398 , SB401 , SB1241 , SB2927 , SB2173 , SB2538 , SB898 , SB467 , SB1449 , SB2529 , SB1531 , SB2846 , SB2476 , SB2031 , SB986 , SB1181 , SB2075 , SB2154 , SB2864 , SB31 , SB2880 , SB1359 , SB2386 , SB771 , SB2844 , SB2550 , SB1351 , SB1423 , SB1931 , SB2245 , SB2589 , SB2707 , SB2807 , SB2351 , SB410 , SB659 , SB816 , SB2776 , SB2693 , SB2580 , SB1980 , SB1886 , SB1234 , SB739 , SB482 , SB456 , SB127 , SB1666 , SB2843 , SB2801 , SB800 , SB2055 , SB784 , SB2986 , SB735 , SB1012 , SB324 , SB2926 , SB2938 , SB2007 , SB2138 , SB1242 , HJR4 , HB135 , HB 1109 , SCR30 , SCR3 , SB2615 , SB1049 , SB2310 , SB1224 , SB2972 , SB1568 , SB2841 , SB2885 , SB3016 , SB2858 , SB2610 , SB2139 , SB1856 , SB2035 , SB2308 , SB2306 , SB2041 , SB1528 , SB1681 , SB1141 , SB2401 , SB2530 , SB2375 , SB547 , SB1266 , SB1373 , SB1467 , SB2069 , SB2269 , SB2480 , SB2544 , SB672 , SB904 , SB2695 , SB2891 , SB2422 , SB2543 , SB1854 , SB317 , SB2539 , SB2532 , SB2925 , SB1250 , SB2082 , SB2203 , SB457 , SB2357 , HCR35 , HCR64
Summary: The Senate first adopted a motion to move the intent calendar deadline to 4 p.m. and then took up several bills by suspending the regular order of business. Senate Bill 2031, concerning removal of high fences around breeder deer release sites, passed after an amendment shortened the testing period from five years to three, tied visible identification requirements to the date Parks and Wildlife began requiring them, and made the bill effective immediately. Senate Bill 1490, a cleanup to adult charter high school funding, and Committee Substitute Senate Bill 2227, creating a process for delayed birth certificates and renamed the Charles E. Barton Act, both passed unanimously after floor amendments. Committee Substitute Senate Bill 1964, regulating artificial intelligence systems used by state agencies, also passed unanimously after the author described guardrails for high-risk AI and disclosure requirements. The Senate then considered Senate Bill 2877, which increases penalties for election fraud and related attempts; after debate over whether existing law already covers some conduct and whether the bill was necessary given the small number of convictions, it passed to engrossment and later final passage on a 21-10 vote. Committee Substitute Senate Bill 2658, on brackish groundwater production and study, passed after four amendments, including one giving water districts authority to stop production if monitoring shows harm to freshwater supplies or subsidence and another returning a portion of transported water revenue to districts. Committee Substitute Senate Bill 648, strengthening recording requirements for real property instruments to help prevent deed theft, also passed on a 26-4 vote. Other measures approved included Committee Substitute Senate Bill 401, making it easier for homeschool students to participate in UIL activities through local district opt-in/nearest-district participation rules; Committee Substitute Senate Bill 407, requiring health care facilities to honor conscience or religious vaccine exemptions for employees, despite extensive questioning about patient safety and immunocompromised patients; Committee Substitute Senate Bill 2117, creating a Texas Committee on Foreign Investment to review risky foreign acquisitions; Senate Bill 1718, adding the NRA annual meeting to the major events reimbursement program after a failed amendment seeking equal space for gun-control advocacy; Committee Substitute Senate Bill 1626, clarifying limits on censorship and interference with digital expression by social media platforms; and Senate Bill 2206, updating the state R&D franchise tax credit and related sales tax treatment, which passed 31-0. The chamber also debated Senate Bill 1395 on school health advisory councils. An initial amendment to restore voting seats for teachers and school employees failed, but a later amendment by Senator West added students back in an advisory, non-voting capacity. The Senate then handled routine motions, committee scheduling, first-reading referrals, and adjourned until April 29, with the session ending in memory of two constituents.
CA
Transcript Highlights:
  • So I think schools, hospitals, for example, those have 1,600-foot setbacks.
  • Hospitals, for example, have 1,600-foot setbacks.
  • emissions from natural and fugitive sources, promote cross-agency coordination, establish preparedness protocols
  • And I think, to bring it just quickly to point, there aren't any protocols in existence to address this
  • Point, there aren't any protocols in existence to address this scenario at all.
Summary: The committee heard several bills, with SB 1350 by Senator McNerney presented first. The measure would expand California’s use of renewable hydrogen in the power sector by allowing renewable portfolio standard credit for power plants using green hydrogen, with supporters emphasizing grid reliability, clean-energy goals, in-state investment, and construction jobs. Support came from labor, clean-energy, municipal utility, and local government representatives; NRDC Action Fund withdrew opposition after amendments, while a few groups remained opposed or neutral. The committee later took a roll call and SB 1350 passed out on a due pass recommendation. The committee also heard SB 1180 by Senator Allen, which would set operational rules for the Plastic Pollution Mitigation Fund created under SB 54, including clearer eligible uses, transparency, technical assistance, and access for tribes and smaller community groups. Environmental justice, ocean, conservation, and local government groups strongly supported the bill, saying it would ensure the fund addresses plastic pollution’s public health and environmental harms. Industry and manufacturing groups opposed unless amended, arguing the bill should stay tightly tied to plastic waste reduction and not broaden into source-reduction policy. After quorum was established, the committee approved SB 1180 on a due pass recommendation to Appropriations. SB 1326 by Senator Wahab was then heard to strengthen tribal consultation and tribal cultural resource protections under CEQA by recognizing tribal registers and requiring feasible avoidance or mitigation measures when tribes identify resources. Tribal representatives and supporters said the bill would better protect sacred sites and tribal knowledge, while cities, counties, utilities, builders, and rural county groups opposed unless amended, citing implementation concerns, possible litigation, and uncertainty for infrastructure and housing projects. The committee voted the bill out on a due pass recommendation to Appropriations. Finally, SB 954 by Senator Blakespear was presented as a cleanup of last year’s SB 131 advanced-manufacturing CEQA exemption, narrowing eligible projects and adding guardrails such as setbacks, air-quality limits, tribal consultation, labor standards, and habitat protections. Environmental and labor groups supported the bill as a needed correction to an overly broad exemption, while business, manufacturing, housing, and local-government groups opposed, warning it could make the exemption unusable and slow investment. Members debated the balance between environmental protection and manufacturing competitiveness, and the committee voted SB 954 out on a due pass recommendation to the Labor and Employment Committee; the transcript then moved on to SB 1031 on compostable plastics, which was introduced but not acted on in the portion provided.
ND

North Dakota 2025-2026 Regular Session

Kratom Working Group Aug 12th, 2026

Transcript Highlights:
  • I am board certified in both general pediatrics and pediatric hospital medicine.
  • I practice at Sanford Hospital here in Bismarck.
  • Exposures involving multiple substances were associated with hospitalization in 44 to 56 percent of cases
  • Is it now part of that prenatal protocol when mothers are in their appointments leading up to birth to
  • about including referral to maternal and fetal medicine if a mother is using kratom as standard protocol
Summary: The Kratom Working Group met to hear public testimony and expert presentations on whether North Dakota should prohibit or regulate kratom and 7-OH products. Early testimony split sharply between speakers who described natural kratom as a helpful, lower-risk alternative for chronic pain, opioid withdrawal, PTSD, and recovery, and speakers who urged prohibition because of dependence, overdose risk, and the growth of concentrated or synthetic 7-OH products sold in gas stations, smoke shops, and online. Several witnesses, including consumers and shop owners, argued that banning kratom would push people to more dangerous drugs or unregulated internet sources, while public health and medical witnesses said the marketplace is confusing and inadequately controlled. A number of witnesses, including representatives of the North Dakota Public Health Association, the state crime lab, and addiction-treatment and pediatric clinicians, emphasized risks from adulterated or concentrated products, lack of labeling and age restrictions, contamination concerns, and harms to adolescents, pregnant patients, and newborns. The crime lab described recent cases involving mitragynine, 7-OH, and pseudoindoxyl, and said products purchased in a smoke shop were inaccurately labeled. A Sanford pediatric hospitalist testified that kratom exposure in pregnancy can cause severe neonatal withdrawal and that adolescents are using the product. By contrast, American Kratom Association representatives and other advocates argued that natural leaf kratom should be distinguished from synthetic 7-OH, that deaths usually involve other substances, and that a regulatory framework with testing, labeling, age limits, and product registration would better protect consumers than a blanket ban. No formal bill was debated or voted on in this transcript. The working group heard testimony, asked questions, and took no final action before breaking for lunch and later resuming with additional presentations.
MA

Massachusetts 2025-2026 Regular Session

Joint Committee on Racial Equity, Civil Rights, and Inclusion Jun 21st, 2026 at 01:00 pm

Joint Committee on Racial Equity, Civil Rights, and Inclusion

Transcript Highlights:
  • So if you think of community hospitals like Merrimack or Holyoke, if you think of the community health
  • Many of the largest employers in Boston have trusted us with their data for years because of the protocol
  • Many employers in Boston have trusted us with their data for years because of the protocol we follow.
  • Lee at Boston Children's Hospital.
  • or hospitals themselves.
Summary: The Joint Committee on Racial Equity, Civil Rights, and Inclusion held a hearing on the impact of federal policy on the racial wealth gap in Massachusetts, the fourth in a series on federal impacts on racial equity. Chair Bud Williams and Chair Miranda opened by emphasizing that no bills were being heard and that the committee would instead take testimony from invited witnesses; public written testimony was also accepted. The chairs and witnesses repeatedly cited long-standing wealth disparities affecting Black and brown communities, including homeownership, wages, business ownership, and access to capital, and linked those disparities to federal policy changes, housing, education, health care, and workforce development. Administration officials testified first. Secretary of Labor and Workforce Development Lauren Jones described persistent labor market disparities, including higher unemployment for Black and Latino residents, lower median hourly wages, and underemployment among degree holders, and highlighted state efforts such as ESOL-for-work funding, workforce training grants, MassHire career centers, skills-based hiring, and the state equity dashboards. Secretary of Health and Human Services Kiami Mahania argued that poverty drives poor health, not the reverse, and said wealth gaps contribute to chronic disease, maternal health inequities, medical debt, and shorter life expectancy; she pointed to the Advancing Health Equity Massachusetts initiative, a health care affordability working group, and the governor’s push to bar medical debt from credit reporting. Assistant Secretary Juan Vega of EOED focused on entrepreneurship and procurement, citing technical assistance grants, founder support programs, place-based investment, the Business Front Door, and the need to broaden access to contracts, capital, and business growth opportunities. Committee members pressed the panel on the effects of the federal “big beautiful bill” on households, especially single-parent and Black women-led households, and on whether the state could develop more timely data systems instead of relying on federal numbers. Officials said the impacts were still being monitored, but warned that Medicaid and SNAP changes would likely hit lower-income households and community institutions hard. Members also asked about unions and apprenticeships, microbusiness definitions, supplier diversity, pay equity, and degree inflation; the administration said registered apprenticeships and skills-based hiring are key tools, and noted that wage equity reporting is still in its early stages. Later testimony from BECMA’s Nicole O’Bean stressed that tariffs, DEI rollbacks, immigration enforcement, capital gaps, and federal funding cuts are constraining Black-owned businesses and inclusive procurement, while Gastón Institute researchers described severe Latino homeownership and rent burdens, educational inequities, and the need for housing, labor, and education policy changes to close the wealth gap.