Video & Transcript : 'mortality review' :

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WA

Washington 2025-2026 Regular Session

Senate Floor Session Feb 11th, 2026 at 06:30 pm

Washington Senate Floor Meeting

Transcript Highlights:
  • The second thing it does is it requires an assistant attorney general to review it.
  • civil investigative process as asserted by the Attorney General and not have any sort of independent review
WA

Washington 2025-2026 Regular Session

Senate Floor Session Feb 11th, 2026 at 01:00 pm

Washington Senate Floor Meeting

Transcript Highlights:
  • Substitute Senate Bill 6009, the Secretary will read: An act relating to direct review of administrative
  • An act relating to direct review of administrative decisions by the Court of Appeals, amending RCW 34.05
  • And we had enacted this expedited review right soon after COVID to make sure that our judicial system
WA

Washington 2025-2026 Regular Session

Senate Floor Session Feb 11th, 2026

Washington Senate Floor Meeting

Summary: The Senate convened with roll call, the colors presented by the Sons of the American Revolution Color Guard, the Pledge of Allegiance, and a prayer by Pastor Jesse Bradley. The journal was approved, and the chamber received House messages announcing passage of several bills, including House Bill 1687, Engrossed Substitute House Bill 1960, House Bill 102, and Substitute House Bill 1. The Senate then adopted Senate Resolution 8684, which honored Washingtonians with ties to Team USA at the 2026 Olympic and Paralympic Winter Games in Milano-Cortina. Senator Riccelli spoke in support, praising the athletes’ determination and Washington connections. The resolution passed by voice vote. The Senate next considered gubernatorial appointments. Brian C. Bennett was confirmed 49-0 as Director of the Washington State Lottery, with Senator Lovick speaking in support and highlighting Bennett’s public service and transition-team work. Angela Ramirez was then confirmed 49-0 as Secretary of the Department of Social and Health Services, with Senators Claire Wilson and Christian praising her experience, commitment, and attention to human services issues. After the confirmations, the Senate stood at ease for caucuses.
TX

Texas 89th Regular

Appropriations - S/C on Articles I, IV, & V Feb 26th, 2025

Appropriations - S/C on Articles I, IV, & V

Transcript Highlights:
  • Item seven discusses strategic fiscal review findings.
  • TDCJ did go under, was under sunset review this cycle and there's a summary of those findings in your
  • Number two, and I'm glad you mentioned the Sunset Roof... review because we agree it was a very good
  • review and we're very fortunate to have that process go through and we've made many of the changes that
  • So we're approved. being about 40% of offenders that we review.
MA

Massachusetts 2025-2026 Regular Session

Joint Committee on Children, Families and Persons with Disabilities Jun 21st, 2026 at 01:00 pm

Joint Committee on Children, Families and Persons with Disabilities

Transcript Highlights:
  • ensure... ...accountability from these state and local agencies by requiring them to consistently review
  • These are resolves to create a special commission to do a comprehensive review of regulations within
  • With that, I'm here to support this bill to establish the review of regulations and practices within
  • Two: the nurse will review the discharge...
  • We have reviewed research, available literature, and data on universal...
Summary: The Joint Committee on Children, Families and Persons with Disabilities held a hybrid hearing focused largely on DDS-related bills, with chairs Kennedy and Livingstone outlining strict time limits, accessibility procedures, and a 5 p.m. stop to preserve ASL and CART services. The committee heard testimony on several measures, including a bill from Sen. Mike Moore to create a centralized electronic education records system for students in out-of-home placements, which supporters said would improve communication, preserve IEP continuity, and reduce missed services. Paul DePaulo also testified in support, describing the educational and justice-system harms that can follow when foster youth do not receive coordinated records and supports. A major portion of the hearing centered on H. 242/S. 149, a bill to enhance standards of care for people with autism and intellectual and developmental disabilities. Rep. Garballey and many advocates, parents, clinicians, and disability leaders supported the bill, saying it would require provider training, statewide standards, and better emergency department practices to reduce misdiagnosis, trauma, and unnecessary ER boarding. Testimony described sensory and communication barriers in medical settings, lack of provider training, and the need for continuing education and license-related requirements. Related testimony also supported H. 213/S. 111, which would improve access to behavioral health services for children involved with state agencies by requiring better discharge planning, coordination with hospitals and agencies, and more appropriate post-hospital placements. The committee also heard strong support for H. 256/S. 102, requiring universal changing stations in public buildings, from parents, advocates, and the Massachusetts Developmental Disabilities Council. Witnesses said current restroom accommodations often force unsafe or undignified changes on floors, in cars, or in inaccessible spaces, and argued the cost of adding changing stations to new or renovated buildings would be modest compared with the benefits to dignity, safety, and community access. Another major topic was H. 261/S. 155 on supported decision-making agreements for certain adults, which supporters described as a less restrictive alternative to guardianship that preserves autonomy while providing trusted support. Finally, testimony on Tommy’s bill (S. 168/H. 282) described a preventable death after a hospital discharge and urged clearer communication and training requirements for residential staff handling life-sustaining equipment; the bill was presented as a safeguard for people with disabilities relying on such equipment.
PA

Pennsylvania 2025-2026 Regular Session

Senate Session (Jul 12 2026)

Pennsylvania Senate Floor Meeting

Transcript Highlights:
  • After reviewing in great detail the budget, and I thought Senator Martin was going to take care of this
  • currency, medicine, hospitality, military rations, extending the season's harvest, and even... ...mortality
  • Haywood would have been adopted, which would have narrowed the scope of the Budget and Finance Auditor Review
  • terms of its content, and I'm glad that I had that opportunity to at least have one night of sleep to review
  • I'm glad that I had that opportunity to at least have one night of sleep to review this and think about
Summary: The Senate opened with prayer, the Pledge of Allegiance, communications, committee reports, and leaves of absence. The journal was approved 50-0. The chamber then took up House Bill 1505, which drew extended debate over school funding and adequacy/tax equity. Senators Coleman and Keefer argued the bill continued to pour money into districts like Allentown without accountability or improved results, while Senators Costa, Miller, Haywood, and Anthony Williams defended the funding as a response to historic underfunding and the Commonwealth Court decision. A motion allowing Senator Coleman a third speaking turn was adopted 27-23, and the bill ultimately passed 45-5. The Senate then considered House Bill 2400, the General Appropriation Act. Supporters, including Senators Martin, Dush, Phillips-Hill, Costa, Ward, Street, Hughes, and Pittman, emphasized that the budget was balanced without using the rainy day fund or raising taxes, reduced the governor’s proposal, increased education and child care funding, supported nursing homes, rape crisis centers, infrastructure, and workforce programs, and shifted money from lapsed or unused accounts to current priorities. Opponents, including Senators Saval and Muth, said the budget failed to address structural deficits and omitted new revenue options, emergency services funding, and other major issues. The bill passed 44-6 with amendments and was returned to the House for concurrence. The Senate also passed a series of other bills, including House Bills 2412, 2413, 96, 858, 1042, 1286, 1646, 1851, 1862, 2017, 2024, 2401, and 2559, with varying margins, and sent them to the House, some with amendments. House Bill 1042 drew a negative recommendation from Senator Costa over a late amendment involving second-degree murder/felony language, but after reconsideration and vote changes it passed 30-20 with amendments. House Bill 1862, creating an Ignition Interlock Driver’s License, passed 45-5 after support from Senator Judy Ward. House Bill 1248 passed 43-7 and designates Pennsylvania rye whiskey as the official state spirit, with Senators Bartolotta and Robinson speaking in support. The chamber also adopted Senate Resolution 216, after defeating Senator Haywood’s amendment to narrow the scope of a proposed Legislative Budget and Finance Committee study of managed care organizations; the resolution passed 31-19. Several other bills were held over in their order, and the Senate later moved toward a condolence resolution.
CA

California 2025-2026 Regular Session

Assembly Floor Session May 19th, 2025

California House Floor Meeting

Transcript Highlights:
  • I was just reviewing his bill.
  • say that you can definitely say that anyone who wants this to go to the Supreme Court for another review
  • Indigenous women also face alarming high rates of maternal mortality and mental health conditions but
  • Speaker, AB 1103 expedites the state's review and approval of federally sanctioned trials and clinical
  • The expedited review process responds to the state's approval process delaying the commencement of vital
FL

Florida 2026 Regular Session

Appropriations Committee on Health and Human Services Apr 15th, 2025

Appropriations Committee on Health and Human Services

Transcript Highlights:
  • getting a blood clot, many of whom will have long-term complications, a leading cause of maternal mortality
  • Over the last decade, there have been several studies, peer-reviewed studies, that have shown that not
  • The web page must be live by January 1, 2026, and be reviewed and updated annually by October 1.
  • This bill establishes a joint oversight committee tasked with reviewing and monitoring the operation
  • It provides the legislature with an actuarial process for reviewing that decision and conducts metrics-based
Summary: The committee took up a series of health and human services bills, beginning with CS/SB 1602, which would require emergency departments to have evidence-based pediatric care protocols, training, appropriate child-sized equipment and medications, a designated care coordinator, and participation in a pediatric readiness assessment. It was reported favorably. CS/SB 1224 followed, aligning Florida law with federal requirements so paramedics may administer controlled substances in the field under physician or nurse practitioner protocols; it also passed favorably after supportive testimony from fire chiefs. The committee then adopted a strike-all for SB 890, the Emily Adkins Family Protection Act, which addresses venous thromboembolism by creating a statewide registry, requiring screening and training in hospitals and long-term care settings, and adding assisted living facility response requirements. Assisted living representatives objected to the ALF provisions as unrealistic and potentially harmful, while supporters argued the bill would save lives; the bill was reported favorably. CS/SB 1182, requiring continuous glucose monitors to be covered as both durable medical equipment and a pharmacy benefit, also passed favorably with support from AARP. The committee next considered CS/SB 12, a claim bill for a child severely injured after a DCF home visit allegedly failed to meet standards, and it was reported favorably without opposition. CS/CS/SB 954, dealing with substance abuse treatment centers and recovery residences, drew substantial debate. The bill would limit local zoning restrictions on treatment facilities and allow larger recovery residences if staffing ratios are increased; a late-filed amendment reduced the maximum active patients from 500 to 300. Municipal and county representatives warned that the bill could override local reasonable-accommodation efforts and create institutional-scale facilities, while supporters said housing is essential to recovery and that clustering concerns are overstated. The committee ultimately reported the bill favorably. CS/SB 1050, expanding the developmental disabilities pilot program statewide and creating a statewide family care council, also passed after extensive testimony from families and advocates. Supporters emphasized the long waitlist and the need for more services, while some speakers opposed managed care and warned about provider shortages and loss of individualized supports. Later, CS/SB 614, requiring a public educational webpage about background screening clearinghouse and level two screening requirements, was reported favorably. CS/SB 1578, which would require coverage for mammograms and supplemental breast cancer screening in certain circumstances, was also reported favorably. CS/SB 1060 created a joint legislative oversight committee to review Medicaid operations and financing; members discussed the need for stronger oversight of large midyear spending adjustments, and the bill passed favorably. CS/SB 1240, a Department of Children and Families substance abuse and mental health bill, was amended to clarify Baker Act transfer timing and notification requirements after debate over whether facilities could hold patients too long; it was then reported favorably. Finally, Senator Harrell presented CS/SB 526, a major nursing education bill aimed at Florida’s low NCLEX passage rates. The bill would require nursing programs to use exit exams, remediation, reporting, and stricter oversight, and the strike-all would add graduate preceptorships for low-performing programs and temporary provisional licenses for graduates pending NCLEX passage. The transcript ended while that bill was still being explained, before final action was taken.
CA
Transcript Highlights:
  • And we really do defer to them in a very broad sense with all of these reviews for people wanting to
  • Thank you so much, and we are all so sorry for your last Yes, my review. legislation.
  • It is my review blessing. Good afternoon chair and committee members.
  • We're reviewing the amendments and we look forward to continuing to work with you. Thank you.
  • County health departments have support programs for pregnancy, fetal and infant mortality review, and
Summary: The committee heard several privacy and consumer protection bills, with most of the discussion focused on AI and social media. AB 1405 would create a state registry for AI auditors and set basic transparency, ethics, and qualification standards for those auditors; supporters said it would build trust and provide a foundation for future AI oversight, while some members questioned whether government should define auditor qualifications instead of industry groups. The bill was moved out on a 5-1 vote to Appropriations, with the roll left open. AB 2, by Assemblymember Lowenthal, would impose enhanced financial penalties on large social media companies when their negligence causes harm to children and teens. Supporters, including a grieving parent and Common Sense Media, argued the bill would create accountability for harmful algorithms and design choices, while opponents from TechNet, EFF, CCIA, and CalChamber warned it was vague, could chill speech, invite censorship, and raise Section 230 and First Amendment concerns. Committee members debated private right of action versus public enforcement, possible shakedown lawsuits, and whether the bill should be narrowed; the bill passed 6-0 to Judiciary with the roll left open. AB 410 would expand California’s bot disclosure law so bots must identify themselves up front and truthfully if asked, rather than only prohibiting deceptive bots in limited commercial or election contexts. Supporters said the measure would help users, especially youth and vulnerable people, know when they are interacting with AI and reduce deception online; one privacy group withdrew opposition after amendments, and other industry groups said they were no longer opposed or had no formal position. The bill passed 9-1 to Appropriations with the roll left open. The committee also approved AB 1327, which lets consumers cancel home improvement contracts by email instead of only by mail and requires phone assistance for cancellations; the Contractor State License Board withdrew opposition after amendments, and the bill passed 11-0 to Judiciary with the roll left open.
CA
Transcript Highlights:
  • Climate-driven extremes, prolonged drought, historic tree mortality, and decades of fuel accumulation
  • We also have another 95 projects under review by FEMA for $577 million in federal funds.
  • and approval policy. ...due to the DHS Secretary $100,000 review and approval policy.
  • “We are still, the team is reviewing several hundred more.
  • This review does happen in these ways.
Summary: The joint Senate hearing focused on California wildfire resilience funding, the SB 254 report on natural catastrophe resilience, and how the state should better prioritize community hardening, recovery, and financing. Senators emphasized that catastrophic wildfires have driven major property losses, insurance cancellations, and affordability problems, and several members argued that prevention and home/community hardening should receive far more attention than they have to date. Members also raised concerns about CEQA and other permitting delays, the need for ongoing rather than one-time funding, and whether the state should rely more on the General Fund, utilities, or other sources such as polluter-pays approaches. The Legislative Analyst’s Office said the state has appropriated about $4.7 billion for wildfire resilience since 2018-19, with most funding going to forest health, fuels reduction, and related landscape work, while only about $65 million has been specifically targeted to community hardening. LAO also noted that future one-time funding is likely to decline, that GGRF revenues may be limited under the new cap-and-invest structure, and that maintenance costs for treated areas could be substantial over time. Senators pressed LAO on why wildfire resilience is not more often funded through the General Fund and on whether current spending matches the scale of the risk. Cal Fire’s State Fire Marshal described the state’s community wildfire preparedness strategy, centered on home hardening, defensible space, and neighborhood-scale mitigation, and said the SB 254 report aligns with Cal Fire’s direction. He said California has roughly 4 million homes in the wildland-urban interface, most built before modern wildfire-resistant standards, and highlighted recent streamlining that approved 383 fuels-reduction projects in under 30 days during an emergency proclamation. Cal OES described the AB 38 pilot and FEMA hazard mitigation work, saying federal approval delays have been a major barrier and that the state has hardened 155 properties so far through the pilot, with many more in process. The Wildfire and Forest Resilience Task Force said the state has coordinated more than $6 billion in state and federal investments, treated over 700,000 acres annually, and is shifting toward more regional, data-driven planning and block grants. Task force staff and Cal Fire both said they are moving beyond simple acreage metrics toward models that estimate avoided loss and community risk reduction, but acknowledged major data gaps on parcel-level home hardening and defensible space. No formal votes were taken; the hearing was informational, with members discussing possible future legislation and budget changes, including home inspection reforms and continued CEQA streamlining.
KY

Kentucky 2026 Regular Session

Senate Legislative Session Day 11 (1-21-26)

Kentucky Senate Floor Meeting

Transcript Highlights:
  • 25.520><c> of</c><00:25:25.679><c> our</c><00:25:25.840><c> Medicaid</c> He gave us kind of a 50-year review
  • We've had great discussions about maternal mortality across the state has declined, and we could go on
MO

Missouri 2026 Regular Session

Health and Mental Health Feb 26th, 2026

Health and Mental Health

Transcript Highlights:
  • He said the state could go back to 2011, when the essential benefits were set up, and review what the
  • He said there is not simply one rule that is never adjusted, and that individual cases are reviewed.
  • And I think that would probably be part of the discussion during that peer-to-peer review to say, hey
  • And I think that's all taken into consideration when we go through these reviews on what the physician
  • has asked for, when we go through these reviews on what the physician has asked for us to provide for
Summary: The House Committee on Health and Mental Health met in executive session and advanced several bills. HB 1881 was voted do pass without discussion. HB 3010 was amended with a committee substitute that removed a subsection allowing payers to remove “gold carding” based on procedure volume changes, then passed 10-0. HB 2355, the “Food is Medicine” bill, received a committee amendment to align terminology with other partnerships and then passed 11-0. HB 1855, dealing with alpha-gal reporting, was substantially revised: the substitute narrowed the bill to alpha-gal, removed Lyme disease, changed a department duty from mandatory to discretionary in one section, and delayed reporting implementation; it then passed 14-0 after members discussed the need for better disease tracking and the department’s workload. The committee then heard testimony on HB 2034, which would require insurance coverage for activity-based prostheses, orthotics, and high-performance or mobility-supportive wheelchairs. Sponsor Representative Carolyn Caton said the bill is intended to cover devices that help people live, exercise, and avoid secondary health problems, while preserving prior authorization and medical-necessity review. Supporters included clinicians, parents, amputees, and athletes who described being denied running blades, water-safe prostheses, or durable wheelchairs and said the devices are essential for health, independence, mental well-being, and participation in school, work, and sports. Several witnesses said the bill would reduce long-term costs and reliance on charity. Opponents, including the Missouri Insurance Coalition and America’s Health Insurance Plans, argued the bill is an expansion of coverage with unclear definitions and potentially significant costs, especially for Medicaid and other state-regulated plans. They cited the fiscal note, warned about possible federal ACA rule changes that could shift costs to states, and questioned whether the bill’s language on Medicare supplemental coverage and “perceived disability” was workable or preempted. Committee members pressed both sides on cost savings, definitions of “normal” activity, and whether the bill could be narrowed or otherwise revised, and several said they were willing to keep working on the issue. The hearing on HB 2034 was left open and then recessed after testimony, with no vote taken in the portion provided.
PA

Pennsylvania 2025-2026 Regular Session

Senate Session (Jun 30 2026)

Pennsylvania Senate Floor Meeting

Transcript Highlights:
  • immunity protection for outpatient infants with debilitating health conditions, thus decreasing mortality
Summary: The Senate convened with prayer and the Pledge of Allegiance, then received committee reports from Banking and Insurance and Judiciary. Several leaves of absence were granted, and the chamber took up calendar and procedural motions, including re-referrals and tabling actions on multiple bills. House Bill 1102 and Senate Bill 911 were re-referred to Appropriations, House Bill 96 and Senate Bill 599 were briefly laid on the table and then returned to the calendar, and House Bill 2400 and Senate Bill 746 were also sent to Appropriations. The Senate later agreed to consider a discharge-related motion on minimum wage, but the motion to make it a special order of business failed by a vote of 23-27. On final passage, Senate Bill 1182 passed 50-0 after Senator Boscola described it as a modernization of the Board of Vehicles Act to address software-based vehicle features, warranty reimbursement, data protections, loaner vehicles, and related dealer/manufacturer issues; she noted amendments had been adopted to address stakeholder concerns. Senate Bill 1334 also passed, 29-21, after the Senate rejected Amendment A44049, which would have exempted certain cardiology technicians from licensing requirements if credentialed and supervised; supporters argued the exemption reflected existing practice and credentialing, while opponents said the bill was needed for patient safety and consistent oversight. Senate Bill 1372 passed 50-0, and House Bill 2426 was re-referred to Appropriations. The latter part of the session focused heavily on minimum wage and budget timing. Senators Tartaglione, Hughes, and Costa argued Pennsylvania had gone 20 years without raising the minimum wage and urged action on a House-passed minimum wage measure, while Senator Pittman said Republicans were willing to “meet in the middle” but opposed the House proposal as written. Members also discussed the state budget, the rainy day fund, and whether the Senate should remain in session; after debate, Senator Pittman’s motion to recess to the call of the President pro tempore was adopted 27-23, and the Senate stood in recess.
MA
Transcript Highlights:
  • It contributes to increased mortality, greater residual disability and handicap, increased costs because
Summary: The Massachusetts Permanent Commission on the Status of Persons with Disabilities held a public hearing focused on health equity for people with disabilities. The chair opened by explaining that the session was not about specific legislation, but about sharing data, lived experience, and strategies to inform more inclusive health systems. Presenters included representatives from the Health Equity Compact, the Department of Public Health, MassHealth, UnitedHealthcare Community Plan, the Brain Injury Association of Massachusetts, UMass Chan Medical School, Spaulding Rehabilitation, and the Arc of Massachusetts/Operation House Call. Speakers described how structural racism and ableism contribute to poor health outcomes, unemployment, poverty, and barriers to care for disabled people, especially disabled people of color. Testimony highlighted access problems such as inaccessible medical equipment, transportation, inadequate provider training, lack of culturally competent care, and insurance barriers. Several speakers emphasized the importance of collecting and disaggregating disability data, training providers in disability-competent care, and screening for accommodation needs. MassHealth described its Quality and Equity Incentive Program under the 1115 waiver, including disability-related metrics on data completeness, staff training, and accommodation screening, and reported early increases in hospitals collecting self-reported disability data. Brain injury advocates focused on inequities in rehabilitation access, including the impact of CMS’s “three-hour rule,” which they argued denies needed inpatient rehab to people with severe traumatic brain injury. They called for policy changes, a TBI task force, and possibly bipartisan legislation if CMS cannot revise the rule. Other testimony described DPH efforts such as one-to-one navigation, health promotion workshops, mini-grants for accessible recreation, and the Massachusetts Health and Disability Partnership. The hearing also highlighted medical education efforts like Operation House Call, which uses home visits and disability-led teaching to reduce bias and improve provider competence. No votes were taken and no formal actions were announced.
WA

Washington 2025-2026 Regular Session

House Health Care & Wellness Jan 27th, 2026

Transcript Highlights:
  • The research team, of which I was a member, found huge variation in mortality for heart attacks and strokes
Summary: The House Health Care & Wellness Committee held public hearings on several bills. House Bill 2232 would create a Department of Health-operated time-sensitive emergency data repository covering trauma, cardiac, and stroke events, with quality improvement reporting and support for rural facilities; it drew strong support from emergency physicians, nurses, and the Department of Health, while the Washington State Hospital Association said hospitals support the goal but lack the resources to absorb the added requirements. House Bill 1812, as a proposed substitute, would bar insurers and public plans from imposing anesthesia time limits or related reimbursement caps; the sponsor and anesthesia providers said it protects patient safety and fair payment, and the Washington State Society of Anesthesiologists asked for a clarifying amendment on physical status modifiers. House Bill 2250 would limit hospital charity care to Washington residents, while preserving emergency care access; supporters from rural hospitals and the Washington State Hospital Association said the change would help border hospitals facing rising nonresident charity care, and opponents from legal aid, patient advocacy, and LGBTQ groups warned it would create barriers, chill access for immigrants and other vulnerable patients, and conflict with Washington’s safety-net values. The committee also heard House Bill 2340, which would extend existing substance-use monitoring program protections and stipend eligibility to nursing assistants under the Board of Nursing’s CARES program. The sponsor described it as a simple equity measure, and the Board of Nursing supported it, saying it would improve access and reduce stigma; members asked where the stipend funding comes from, and staff and the board said it is currently general-fund supported at about $25,000 annually. House Bill 2577 would change hospital inspection law by requiring acute care hospital inspections every 18 months rather than on average, allowing some accredited inspections to satisfy the requirement every 36 months, and clarifying fire-protection reinspection standards; the sponsor and Department of Health said it responds to a JLARC audit and provides needed clarity, while DOH said it is still working to catch up from inspection delays caused by the public health emergency. The meeting ended after public testimony on the bills was closed and the committee adjourned.