Video & Transcript Research : 'stroke system'

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HI

Hawaii 2026 Regular Session

FIN Info Briefing - Tue Jan 13, 2026 @ 9:00 AM HST

Hawaii House Floor Meeting

Transcript Highlights:
  • for the wine irrigation system for the wine irrigation system improvements.<00:34:23.599> This
  • , the USDA, the resilient food systems, the USDA, the resilient food systems, infrastructure,<00:
  • So I just irrigation system improvement.
  • Moka irrigation system is not<00:52:40.319> needed.
  • So that capacity building is for the personnel and also for systems.
Keywords: 910, house, all
SC

South Carolina 2025-2026 Regular Session

Healthcare and Regulatory Subcommittee Jun 24th, 2026

Transcript Highlights:
  • We had an electronic travel reimbursement system implemented.
  • system called S/4HANA.
  • So the systems updates.
  • So the systems updates.
  • that those systems are connected and not fragmented.
Keywords: 977, all
Summary: The committee met to receive a detailed financial operations presentation from the South Carolina Vocational Rehabilitation (VR) agency, with staff walking members through funding sources, budgeting, accounts receivable, accounts payable, and grants management. Sabrina Walker explained VR’s blended funding structure, including federal grants, state appropriations, program income, and interagency contracts, and emphasized that state funds are essential to meeting the federal match and maintenance-of-effort requirements. Members asked repeatedly about transparency, audit controls, and the risk that state cuts could reduce federal drawdowns; staff responded that all reports reconcile back to the SCEIS accounting system, are subject to state audits and internal reviews, and that even modest state reductions could significantly reduce total available funding. The committee also discussed pre-employment transition services for students with disabilities, with staff confirming services are offered through school districts, charters, and private schools, and that contracts are monitored for performance and compliance. The presentation then shifted to budgeting and internal controls. Walker described a zero-based departmental budgeting process, monthly monitoring reports, contingency reserves for unexpected expenses, and a formal annual cycle that culminates in board approval. Members asked about facilities tracking, culture, and how the agency maintains accountability; staff said facilities staff inspect buildings and equipment, supervisors justify line-item requests, and the process has become smoother over time as departments learned the system. Cynthia Johnson followed with an accounts receivable overview, describing invoicing, receipting, aging, customer verification, year-end reporting, and the use of cross-training, shared email inboxes, and spreadsheets as checks and balances. She also explained work training center billing, interdepartmental transfers, and the revolving fund used to issue consumer checks more quickly than standard vendor payments. Olivia Perez presented accounts payable operations, including invoice processing through SCEIS and OnBase, the three-way match, travel reimbursements, revolving fund checks, State Treasury Office interactions, and handling of reversals, rejections, and levy notices. She reported that AP processed 67,723 SCEIS payments, 13,670 case management system invoices, 3,379 travel reimbursements, and 15,693 revolving fund checks in fiscal year 2025, with only 70 payment rejections. The final portion of the meeting covered Grants and Funds Management, where Walker explained federal reporting, drawdowns, payroll allocation, asset tracking, lease and IT contract reviews, cost allocation, and closing packages. She noted upcoming system changes such as S/4HANA, Workiva, and SC Pro, but said the agency is receiving training and feedback opportunities. No formal votes or legislative actions were taken during the presentation portion beyond approval of the prior minutes and a brief recess.
MI

Michigan 2025-2026 Regular Session

Labor 26-06-18

Labor

Transcript Highlights:
  • At one health system in particular, where we represent multiple bargaining units, virtually every issue
  • At one health system in particular, where we represent multiple bargaining units, virtually every issue
  • I know you're having a stroke.
  • We have problems with our medical system here in the state of Michigan.
  • And she had other underlying issues, but she didn't have the fight, she didn't have the immune system
Summary: The Senate Committee on Labor met with a quorum, adopted the June 4 minutes, and then took up Senate Bill 948, the Workplace Employees Boundaries Act (WEB Act), after adopting an S-1 substitute by a 4-1 vote. Senator Geis presented the bill as a Michigan “right to disconnect” measure that would generally bar employers from requiring employees to access or respond to work communications outside usual work hours, allow employees to set availability hours, prohibit retaliation, direct LEO to write rules, and provide complaint and enforcement procedures with exceptions for emergencies and existing collective bargaining agreements. In questioning, Senator Albert raised concerns about how the bill would apply in small businesses and practical situations like staffing calls, school notifications, and emergency-like circumstances; Geis said the bill was meant to protect non-work time while preserving emergency carve-outs and informational messages. NFIB’s Amanda Fisher opposed the bill, arguing it was too broad, difficult to define across industries and schedules, potentially duplicative of existing wage-and-hour law, and likely to create confusion and reduce flexibility, especially for small employers. The committee then shifted to testimony on health care workforce and labor disputes. Nurses from Teamsters Local 332 described a 291-day strike at Henry Ford/Genesis over safe staffing, return-to-work terms, and alleged union-busting, saying the hospital’s staffing levels and use of replacement workers threatened patient safety and could displace experienced specialty nurses. Michigan Nurses Association president Aaron McCormick and Marquette RN union president Christina Hanson said Michigan’s problem is not a shortage of licensed nurses but of nurses willing to stay in overworked, hostile workplaces; they cited retaliation, slow grievance/arbitration processes, hospital consolidation, rural OB closures, and unsafe staffing ratios as drivers of burnout and departures. They urged stronger protections and faster dispute resolution, especially given the limited effectiveness of the NLRB and delays in labor processes. Additional testimony came from UAW Local 4911’s Kim Wheeler, who said UMH Sparrow was outsourcing two low-paid support groups—patient transport/housekeeping and food and nutrition—despite their importance to hospital operations and despite a recently ratified contract, and asked for transparency and limits on corporate outsourcing. Don Hill of SEIU Health Care Michigan described chronic understaffing in nursing homes, mandatory overtime, burnout, retaliation fears, and the need for enforceable patient-to-staff ratios and stronger wage support; he also noted that home care workers are negotiating first contracts after restored bargaining rights. The committee took no vote on SB 948 beyond adopting the substitute, heard extensive testimony, and adjourned without further business.
NM

New Mexico 2026 Regular Session

House - Commerce and Economic Development Feb 13th, 2026 at 05:24 pm

House Commerce & Economic Development Committee

Transcript Highlights:
  • I understand this, Madam Chair and presenters, is that what we're really talking about is battery systems
  • Those battery systems for energy storage for both.
  • that when we are looking at legislation for health care, we don't want to just paint with a broad stroke
  • Blackstone is managing it, and there are a number of retirement systems involved.
  • Blackstone is managing it, and there are a number of retirement systems that are investing in it.
Bills: HB303, SB96, HM6
NH

New Hampshire 2025 Regular Session

Senate Executive Departments and Administration (02/19/2025)

Executive Departments and Administration

Transcript Highlights:
  • <00:16:24.440> as I hear me referring to our system as NERVS Plus.
  • The system that we have is not trying to create a new system, and I'd like, for the record, if it's okay
  • These groups already have a system to evaluate these types of requests.
  • violation you know it's the court system violation you know it's the court system spending<01:02
  • Client information system and create real-time data dashboards.
Keywords: 1191, senate, all
OK
Transcript Highlights:
  • I didn't get started in this until my beautiful girlfriend was in the hospital with stroke-like symptoms
  • So that way, you know, we come out of this thing with a great system.
  • I wish that the processes were faster, but unfortunately, it's the legal system works very slowly at
  • So if that is the case, maybe change the system to where you know on the back end, you can see all the
Keywords: 914, all
TX

Texas 89th 2nd C.S.

89th Legislative Session Feb 26th, 2025

Texas House Floor Meeting

Transcript Highlights:
  • It can lead to heart failure, atrial fibrillation, stroke, and in rare cases, sudden cardiac death. because
  • Known for our outstanding education system, thriving economy, and strong neighborhoods, Plano is a shining
  • providing excellence in education, and promoting a safe, dependable, and effective motor transportation system
  • But my focus will be on systemic reforms that make legal services more affordable for everybody.
ND

North Dakota 2025-2026 Regular Session

Senate State and Local Government Apr 4th, 2025 at 09:00 am

State and Local Government

Transcript Highlights:
  • the same rules in place nationally as we do here in North Dakota, I think most of us would have a stroke
  • Oh, are you in those systems, though?
Bills: HCR3025
Summary: The State and Local Government Committee first heard House Concurrent Resolution 3025, a resolution honoring the police and first responders of Fargo. Representative Hendricks presented it as a straightforward tribute tied to a tragic incident, and several members and a representative of the Chiefs of Police Association and North Dakota League of Cities spoke in support. There was no opposition, and the committee closed the hearing and later gave the resolution a 6-0 do pass recommendation, with Senator Braunberger volunteering to carry it. The committee then heard House Concurrent Resolution 3010, which would direct Legislative Management to study legislative responsibility to review existing law before proposing new law. Representative Kempinock said the idea was to reduce repetitive or duplicative bills and improve legislative education, but also noted that current efforts by Legislative Council and leadership had made the resolution largely unnecessary. Members generally agreed with the premise but questioned whether a study was needed, and the committee ultimately gave it a 4-2 do pass recommendation, with Senator Lee volunteering to carry it. Next, the committee heard House Concurrent Resolution 3003, which would raise the threshold for approving constitutional amendments from 50% to 60%. Speaker Wise argued constitutional changes should be difficult and cited other states’ higher thresholds, while Eric Spencer of the Greater North Dakota Chamber supported the measure and emphasized how often North Dakota’s Constitution has been amended. Members discussed the irony of asking voters to raise the threshold by a simple majority and the broader issue of an overused constitution, but the committee still recommended it do pass on a 6-0 vote. The committee then spent considerable time on House Bill 1297 and related House Bill 1307 amendments dealing with approval voting, ranked-choice voting, and a Fargo-specific exemption. Members and witnesses from the Secretary of State’s office and the League of Cities debated whether Fargo should be exempted and how to avoid conflicts between the two bills. An amendment to strip approval voting from 1297 failed on a 3-3 tie, after which the committee gave 1297 a 4-2 do pass recommendation so the floor could decide the issue, with plans to reconcile 1307 afterward based on that outcome.
MN

Minnesota 2025-2026 Regular Session

Task Force on Homeowners and Commercial Property Insurance 12/16/25

Minnesota House Floor Meeting

Transcript Highlights:
  • We'd have to bring in our IT people to see what kind of system changes we'd have to make.
  • <00:26:43.840> Uh of system changes we'd have to make.
  • Uh of system changes we'd have to make.
  • I think the the broad<00:47:37.839> strokes<00:47:38.319> of broad strokes of broad strokes
  • And so that was my thought is that we already kind of have a system in place for that.
Keywords: 919, house, all
Summary: The task force approved the minutes from the previous meeting and then reviewed the structure and statutory requirements for its final report. Staff explained that the report must go to the commissioners of commerce, housing finance, and economic development, as well as relevant legislative leaders, and must include a summary of task force activities, adopted findings and recommendations, tort reform recommendations to reduce insurance costs, any draft legislation, and other necessary information. A draft report, likely excluding recommendations and draft legislation, is expected to be circulated before the first January meeting. Most of the meeting focused on the Fair Plan and whether it could be expanded to help homeowners associations, affordable housing, and common interest communities that are struggling to obtain coverage. Supporters said these groups are facing availability problems and often end up in the surplus lines market, which lacks the consumer protections of the admitted market. They argued the Fair Plan could serve as a third-market option with stronger protections and better access, especially for properties that are having difficulty getting quotes. Several members and witnesses raised concerns that the Fair Plan was never intended to be a broad affordability solution and warned against using it to artificially lower prices below risk-based levels. They said doing so could shift losses onto other policyholders through assessments and potentially weaken the broader insurance market. The Fair Plan administrator explained that any expansion would require substantial research, staffing, actuarial and underwriting expertise, reinsurance planning, IT changes, and likely assessments or other capitalization decisions, and that the plan would need to focus on a limited subset of properties rather than the entire market. No votes were taken on policy recommendations, and the discussion ended with agreement that more information and scoping work are needed before any formal recommendation is made.
MN

Minnesota 2025-2026 Regular Session

House Floor Session Feb 27th, 2025

Minnesota House Floor Meeting

Transcript Highlights:
  • While some critical systems were restored within days, key city services remained disrupted for weeks
  • Online payment systems weren't restored until May, and law enforcement and digital operations took until
  • If there is a Huge cyber attack and systems are down, our citizens, our constituents will want us to
  • With the stroke of a pen and a loyal party supporting him in the legislature, Governor Walz unilaterally
  • slavery's abolition, the struggle for true freedom continued through Jim Crow, segregation, and systemic
AL

Alabama 2025 Regular Session

Alabama Senate May 6th, 2025

Alabama Senate Floor Meeting

Transcript Highlights:
  • system by the state employees retirement system by Senator Chamblas.
  • So, it's been a school system. Yeah. So, it's been a school system. Yeah.
  • The junior college system that's system. The junior college system that's system.
  • We've had that for a college systems. We've had that for a college systems.
  • She's had a health care system, program. She's had a health care system, program.
Bills: SB 66, SB 317, SB 393, SB 397, SB 456, SB 614, SB 628, SB 629, SB 636, SB 715, SB 731, SB 801, SB 872, SB 905, SB 986, SB 1012, SB 1013, SB 1015, SB 1032, SB 1113, SB 1181, SB 1212, SB 1241, SB 1250, SB 1278, SB 1285, SB 1376, SB 1444, SB 1449, SB 1524, SB 1525, SB 1528, SB 1556, SB 1588, SB 1660, SB 1704, SB 1708, SB 1802, SB 1833, SB 1844, SB 1854, SB 1863, SB 1957, SB 1959, SB 1965, SB 1999, SB 2035, SB 2056, SB 2082, SB 2119, SB 2138, SB 2165, SB 2199, SB 2201, SB 2203, SB 2245, SB 2284, SB 2419, SB 2422, SB 2452, SB 2487, SB 2523, SB 2529, SB 2533, SB 2541, SB 2586, SB 2595, SB 2605, SB 2615, SB 2675, SB 2690, SB 2717, SB 2753, SB 2778, SB 2835, SB 2841, SB 2891, SB 2929, SB 2933, SB 3016, SB 3039, SB 3044, HB 912, HB 2525, SJR 3, SB 5, SB 29, SB 326, SB 494, SB 530, SB 769, SB 783, SB 963, SB 1238, SB 1271, SB 1786, SB 1967, SB 2312, SB 72, SB 616, SB 1143, SB 1172, SB 1267, SB 1273, SB 1506, SB 1759, SB 2361, SB 1, SB 260, SB 1637, SJR 36, SJR 50, SJR 63, SJR 59, SCR 12, SCR 39, SCR 48, SCR 19, SB 2023, SB 1524, SB 2422, SB 2119, SB 2753, SB 1863, SB 62, SB 666, SB 847, SB 284, SB 854, SB 1073, SB 810, SB 1505, SB 583, SB 507, SB 1434, SB 1376, SB 1772, SB 2016, SB 1163, SB 1122, SB 731, SB 397, SB 508, SB 1436, SB 287, SB 261, SB 1882, SB 393, SB 1791, SB 209, SB 2429, SB 1999, SB 511, SB 2309, SB 510, SB 1085, SB 1975, SB 2717, SB 1262, SB 636, SB 2056, SB 884, SB 517, SB 1200, SB 1845, SB 2681, SB 2199, SB 2458, SB 801, SB 2533, SB 3014, SB 3013, SB 758, SB 1013, SB 2797, SB 2076, SB 2876, SB 2284, SB 2929, SB 2595, SB 715, SB 1640, SB 1241, SB 2538, SB 1449, SB 2529, SB 986, SB 1181, SB 1359, SB 2245, SB 410, SB 1234, SB 456, SB 1012, SB 2926, SB 2138, SB 2615, SB 2972, SB 2841, SB 3016, SB 1856, SB 2035, SB 1528, SB 1373, SB 672, SB 2891, SB 1854, SB 317, SB 2539, SB 2532, SB 1250, SB 2082, SB 2203, SB 1285, SB 1959, SB 1454, SB 2520, SB 2541, SB 1708, SB 1237, SB 1844, SB 1586, SB 3039, SB 2819, SB 66, SB 629, SB 1015, SB 2342, SB 2903, SB 2933, SB 1965, SB 2477, SB 3029, SB 2605, SB 2419, SB 1957, SB 375, SB 250, SB 777, SB 628, SB 2523, SB 2367, SB 2703, SB 2608, SB 2778, SB 3044, SB 2965, SB 2521, SB 865, SB 1032, SB 2165, SB 2501, SB 2675, SB 2452, SB 2835, SB 872, SB 1212, SB 1278, SB 1588, SB 1602, SB 1704, SB 1723, SB 1833, SB 1858, SB 1946, SB 2009, SB 2177, SB 2460, SB 2785, SB 2373, SB 1660, SB 614, SB 867, SB 1608, SB 1525, SB 905, SB 640, SB 2487, SB 1698, SB 383, SB 705, SB 748, SB 1113, SB 1117, SB 1802, SB 2340, SB 2586, SB 2680, SB 2690, SB 2994, SB 2747, SB 1950, SB 913, SB 1071, SB 1086, SB 1087, SB 1483, SB 1444, SB 1553, SB 1556, SB 1703, SB 2133, SB 2297, SB 2298, SB 2622, SB 2955, SB 3059, SB 2782, SB 2781, SB 2637, SB 2633, SB 2337, SB 2334, SB 1861, SB 2043, SB 1367, SB 946, SB 945, SB 2857, SB 128, SB 571, SB 1263, SB 3058, SB 612, SB 2221, SB 2587, SB 2044, SB 2363, SB 2713, HB 1109, HB 1392, HB 22, HB 2525, HB 3093, HB 517, HB 912, HB 1130, HB 142, HB 1689, HB 2018, SB 2311, SB 1986, SB 2565, SB 2943, SB 1888, SB 2417, SB 3048, SB 3052, SB 3053, SB 3036, SB 3057, SB 3056, SB 3043, SB 3037, SB 3050, SB 3063, SB 3047, SB 3035, HJR 98, HJR 99, HB 136, HB 2884, HB 1393, HB 2730, HB 1399, HB 1244, HB 467, HB 331, HB 2559, SB 66, SB 456, SB 628, SB 1012, SB 1015, SB 1032, SB 1241, SB 1376, SB 1708, SB 1959, SB 1965, SB 2035, SB 2199, SB 2245, SB 2284, SB 2419, SB 2523, SB 2529, SB 2541, SB 2595, SB 2605, SB 2778, SB 2933, SB 3039, SB 3044, SB 1524, SB 1863, SB 2119, SB 2422, SB 2753, SB 1844, SB 2533, SR 417, SR 500, SR 501, SR 502, HCR 128, HB 23, HB 45, HB 104, HB 519, HB 748, HB 791, HB 1056, HB 1481, HB 3181, HB 3211, HB 4044, HB 4290, HB 23, HB 45, HB 104, HB 519, HB 748, HB 791, HB 1056, HB 1481, HB 3181, HB 3211, HB 4044, HB 4290
TX

Texas 89th 2nd C.S.

Judiciary & Civil Jurisprudence Apr 2nd, 2025

Judiciary & Civil Jurisprudence

Transcript Highlights:
  • public education system is performing.
  • effectiveness of our public education system.
  • And so I agree we want safe systems.
  • If you're putting in a warning system.
  • Implicit bias in the justice system can impact people's access and interaction with the legal system,
CA

California 2025-2026 Regular Session

Assembly Transportation Committee Jul 14th, 2025

Transcript Highlights:
  • But these consequences can impact California's transportation system, too.
  • We should have a statewide rail system.
  • It's actually systemic for multi-jurisdictional projects.
  • And again, just to make sure that it is the entire system. Yes.
  • to contest a violation, easing the burden on our court system and our 911 services.
Summary: The committee first took up SB 712, which would expand California’s smog-check exemption for classic vehicles by adding model years 1976 through 1986 in phases, with a sunset in 2032. The author and supporters, including lowrider advocates and the Specialty Equipment Market Association, argued the bill would preserve car culture, support a small class of rarely driven collector vehicles, and reduce burdens on owners who struggle to find equipment for older smog tests. Opponents, including air district officials, the American Lung Association, and other environmental groups, warned the bill would weaken an important emissions-control program and increase pollution. After discussion, the committee adopted the motion to do pass as amended to Appropriations on a roll call vote of 10-0, with the roll held open for additional votes. The committee then heard SB 800, which requires Caltrans, working with local governments, to assess mitigation measures for suicide prevention on locally owned overpasses crossing state highways. The bill was presented as a response to recent tragedies in Rancho Cucamonga and was supported by local officials, health organizations, and suicide-prevention advocates, who said the measure would help identify high-risk locations and lead to life-saving interventions. There was no registered opposition. The committee members expressed support, and SB 800 was passed to Appropriations on a unanimous roll call vote, with the roll held open. Next, the committee considered SB 30, which would prohibit California public entities from selling, donating, or transferring decommissioned diesel locomotives and railroad equipment with Tier 1 or older engines unless the engine is removed, while allowing Tier 2 and newer transfers under certain conditions. The author and supporters framed the bill as a climate and public-health measure to prevent older, dirtier locomotives from continuing to pollute elsewhere, while transit agencies opposed it, arguing it could limit useful transfers of equipment that still supports passenger service and could be better handled through case-by-case air-quality review. After debate, the committee voted 6-4 to pass SB 30 as amended to Appropriations, with the roll held open for later additions. The committee also heard SB 791, which replaces the flat dealer document processing charge cap with a 1% fee capped at $350, along with new disclosure requirements. Dealers and industry groups supported the bill as a way to recover costs and improve transparency, while consumer advocates opposed it as an unjustified increase that would burden buyers. The committee approved SB 791 on a 8-? roll call vote and held the roll open. The meeting then moved on to SB 34, a port-air-quality bill presented by Senator Richardson, but the transcript ends during testimony and debate on that measure.
OK
Transcript Highlights:
  • A person becomes secondary; the system becomes primary. Mr.
  • We don't abandon the system because they're imperfect.
  • To me, that's we're going against the judicial system.
  • The juvenile system allows people 4 to be charged with murder.
  • And if we had a system that works and immigration system that actually worked for our nation, we would
OK
MA
Transcript Highlights:
  • As you know, home care services are a vital and growing part of the health care delivery system.
  • Home care is a much-needed, cost-effective, and humane part of the health care system.
  • Let's expose the bad actors that abuse the system for their own gain.
  • Sadly, we are one of only four states that do not have a licensure system.
  • Sadly, we are one of only four states that do not have a licensure system.
Keywords: 995, all
Summary: The Joint Committee on Aging and Independence held a hearing on several bills, led by Chair Tom Stanley and Senate Chair Patricia Jehlen. The committee first heard testimony on H. 765/S. 487, an act relative to councils on aging, which would update outdated statutory language and allow directors of councils on aging to make staffing decisions when a council is structured as an advisory body. Representative Donahue and Betsy Connell of the Massachusetts Association of Councils on Aging said the change reflects how most councils now operate and would resolve conflicts like the one that arose in Sherborn. Members asked about whether the bill would affect town managers, volunteer roles, and whether the language should more clearly exempt informal volunteer help; supporters said the bill is aimed at municipal staffing structures, not unpaid volunteer assistance. The committee then took extensive testimony on H. 789/S. 470, an act to improve Massachusetts home care, which would create a statewide licensure system for non-medical home care agencies and entities. Julie Watt, Jay Krillovich, Betsy Krimmins, Lisa Gargoni, Tim Foley, and several providers and advocates supported the bill, arguing that licensure would establish baseline standards for background checks, training, service plans, insurance, complaint procedures, and labor-law compliance, while helping consumers identify legitimate providers and reducing fraud and abuse. Several witnesses described problems with unlicensed or poorly supervised providers, and family members and dementia advocates emphasized the need for dementia-specific training and better oversight for vulnerable clients. Tim Foley also raised concerns about private equity’s growing role in home care and said stronger regulation is needed to protect consumers and workers. Committee members focused on practical questions about the bill’s scope, including whether it would reach informal paid helpers, volunteers, or people doing occasional household tasks, and what agency would enforce the rules. Supporters said the bill is intended to cover entities advertising home care services, not unpaid volunteer help, though they acknowledged regulators would need to work out details. John Sneeth of Tribute Home Care offered a more cautious view, saying licensure should not unduly burden smaller providers or reduce competition, and that enforcement would be key. The hearing also included testimony from the Alzheimer’s Association and family caregivers, who strongly supported the bill’s dementia-training provisions and described how trained caregivers improved safety and quality of life for people living with Alzheimer’s and dementia. At the end of the hearing, the committee also heard support for H. 778/S. 473, regarding the Commission on LGBTQ Aging, with Lisa Krinsky urging funding for a full-time director and continued support for the commission’s strategic plan. After public testimony concluded, the committee adjourned the hearing by motion and voice vote.
FL

Florida 2026 Regular Session

Appropriations Committee on Health and Human Services Jan 14th, 2026

Appropriations Committee on Health and Human Services

Transcript Highlights:
  • The last item I want to discuss is funding for the health care connection system, also affectionately
  • It also includes supports for our IT system.
  • That's the system that, if you're applying for benefits, you utilize.
  • It's also the system that our team works within to determine benefit eligibility.
  • And that covers both the maintenance and operations, as well as enhancements to that system.
Summary: The Appropriations Committee on Health and Human Services heard presentations on the governor’s proposed fiscal year 2026-2027 budget for the health and human services agencies. Kendall Kelly outlined the overall HHS budget at $48.5 billion, with AHCA accounting for the largest share, and agency heads then highlighted major proposals for Medicaid behavioral health redesign, APD waiver enrollment and facility needs, DCF child welfare, opioid, and mental health investments, DOEA funding for Alzheimer’s, home care, and community services, DOH funding for cancer research, public health initiatives, and lab capacity, and VA funding for facility improvements, cybersecurity, and medication management. Several members praised specific proposals, including increased reimbursement for private duty nursing, Alzheimer’s supports, and the Florida FIRST blood-in-ambulance initiative. Senators also questioned the proposed changes to the AIDS Drug Assistance Program (ADAP), with the Surgeon General explaining that the department expects a reduction in covered patients from about 30,000 to about 20,000 because of funding pressures tied to rebates, federal changes, and premium tax credit issues. Public testimony strongly criticized the ADAP changes, citing lack of transparency and warning that many patients could lose access to medications. Other questions focused on the Office of Minority Health and Health Equity, DCF’s substance abuse and mental health data dashboard, Kids Care/CHIP expansion implementation, APD bed and facility planning, and the FX Medicaid technology project. DCF said about $7 million is set aside for the dashboard system, and AHCA said the governor’s budget includes $124.4 million for FX maintenance and continued module development, with $13.5 million to begin claims processing work. The committee did not take a substantive vote on the budget presentations and adjourned after questions and public testimony.
FL
Transcript Highlights:
  • Of that $51.2 million, $47.7 million is for the continued modernization of the system.
  • It also includes supports for our IT system.
  • That's the system that, if you're applying for benefits, you utilize.
  • It's also the system that our team works within to determine benefit eligibility.
  • And that covers both the maintenance and operations as well as enhancements to that system.
Summary: The Appropriations Committee on Health and Human Services heard a presentation on the governor’s proposed fiscal year 2026-27 budget for the health and human services silo, which totals $48.5 billion. Agency leaders outlined major requests for AHCA, APD, DCF, DOEA, DOH, and the Department of Veterans’ Affairs, including behavioral health redesign, Medicaid rate changes, developmental disability services, child welfare and opioid programs, senior services, cancer research, public health initiatives, and veterans’ facility and technology needs. The committee also received an overview of the overall state budget, which was described as $117.4 billion, up 1.1% from the current year. AHCA’s presentation focused on $71.6 million for a Medicaid behavioral health redesign, including funding for residential treatment, a serious mental illness waiver, and higher inpatient psychiatric rates for youth, plus $7.1 million to raise private duty nursing reimbursement in fee-for-service Medicaid, $2.5 million for the background screening clearinghouse, and $124.4 million for the Health Care Connection System (FX). APD requested funding to continue moving people off the pre-enrollment list and to support developmental disability centers, a new forensic facility, an electronic health record system, and higher operating costs. DCF highlighted $81.9 million for eligibility and system integrity, $187.5 million for opioid prevention and treatment, $35.5 million for community-based care lead agencies, and $72.7 million to expand behavioral health bed capacity, including 474 new beds at state hospitals. DOEA sought additional funding for Alzheimer’s services, home care, and community care for the elderly. DOH emphasized $278 million for cancer research and innovation, $5 million for food and product safety testing, $5 million for the Florida FIRST blood-on-ambulance initiative, and $5.7 million for a public lab feasibility study. Veterans Affairs requested funds for facility improvements, cybersecurity, and medication management equipment. Members asked detailed questions about several items, especially the proposed changes to the AIDS Drug Assistance Program (ADAP), which would reduce eligibility and the number of people served. Senators and public witnesses criticized the lack of transparency and urged the department to pause the changes and work with stakeholders; the Surgeon General said the issue was driven by funding constraints and federal changes, not a legal barrier, and that the agency was exploring alternatives. Questions also addressed the Office of Minority Health and Health Equity, the Kids Care/CHIP expansion implementation, the cancer research funding structure, and the timeline and cost of the FX system. Public testimony focused heavily on ADAP, with speakers warning that thousands could lose medication access and calling for community involvement and a review of the program’s finances. The committee adjourned after the presentations and questions, with no votes taken on the budget items during this meeting.
KY
Transcript Highlights:
  • dyslexia, all the way up to adults who are perhaps relearning that ability to communicate following a stroke
Summary: The committee met with a quorum and heard four House bills, adjusting the order to accommodate members’ schedules. House Bill 510, on organ donation procedures, would require health care providers involved in organ procurement to pause the process if any signs of life are observed and restart the process if needed. The bill was presented as a consensus measure, received no opposition, and passed with favorable expression by unanimous vote and consent. House Bill 176 would create a framework for insurers to implement a waiver program reducing prior authorization requirements before care is provided. The sponsor said the language had been worked out with insurers to cut red tape and improve transparency. The committee approved the bill unanimously with favorable expression and then consent. House Bill 266 would add audiology and speech-language pathology to the Kentucky Healthcare Workforce Investment Fund eligibility list. Testimony emphasized that these professions are essential to patient care across the lifespan and meet the fund’s training and licensure standards. The bill passed unanimously with favorable expression and consent. House Bill 393 concerned Alzheimer’s-related statutory cleanup, adding a caregiver council seat and requiring the council to develop and distribute an early detection and diagnosis toolkit for health care providers. The bill was supported as a way to improve Alzheimer’s awareness and care, with one senator explaining a yes vote in memory of a parent who had Alzheimer’s. It also passed unanimously with favorable expression and consent. The chair announced the next committee meeting would be Wednesday, March 25 at 8:00 a.m.
CA
Transcript Highlights:
  • Similarly, right, in the education system, libraries are an essential part of the education system, but
  • people in our positions, but that is the system that we work in.
  • Those come from systemic problems in our society that stem from genocide.
  • So the foundational aspects of these programs permeate the system.
  • They don't feel like they have a support system that they can fall back on.
Summary: The joint informational hearing focused on how recent federal actions are affecting arts, culture, humanities, libraries, museums, and the creative economy in California. Chair Ben Allen and Vice Chair Chris Ward opened by describing the hearing as a response to proposed and ongoing federal cuts to the NEA, NEH, IMLS, and public broadcasting, as well as grant terminations and leadership changes at cultural institutions. Several members emphasized the economic and civic importance of the arts, while one Republican member argued for greater ideological diversity in the arts and noted the loss of music programs in small schools. Testimony from Aaron Harky of Americans for the Arts and Jolie Fisher of SAG-AFTRA described the impact of federal policy on grants, jobs, and production. Harky said executive orders and the FY 2026 budget proposal threaten arts agencies and arts education, and that rescinded grants are causing hiring freezes, shutdowns, and losses for small organizations, especially in rural and underserved communities. Fisher focused on runaway film and television production, outdated tax rules, and the need for federal incentives, intellectual property protections, and action on AI and digital replicas. Members also discussed bipartisan support, the role of business and tourism partners, and the need to include more diverse voices in arts advocacy. The second panel featured Rick Noguchi of California Humanities, Greg Lucas of the State Library, and Danielle Purcell of the California Arts Council. Noguchi said NEH funding was cut immediately, putting California Humanities’ grantmaking and documentary programs at risk and prompting consideration of litigation and possible state support. Lucas reported that IMLS funding for California libraries was briefly canceled but partly restored, though a budget gap remains. Purcell said the California Arts Council is still awaiting federal award language for state partnership funds, but NEA grant terminations and the proposed elimination of federal cultural agencies create major uncertainty; she also said the council is assessing the damage and tracking impacts on grantees. Members asked about measuring outcomes, AI’s threat to creative work, documentary funding losses, and possible state and national strategies to protect cultural institutions and jobs.