Video & Transcript : 'exam room access' :
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ND
North Dakota 2026 1st Special Session
Joint Appropriations Jan 21st, 2026 at 12:30 pm
Appropriations
Transcript Highlights:
- enough room then in your, you've got $11.9 million operating.
- And the big dog in the room is, you know, you're...
- The big dog in the room is, you know, you're a critical access hospital.
- There was a lawsuit on accessibility for digital content.
- Also the Critical Access Hospital-owned Rural Health Clinics.
Bills:
HB1623
Committee:
Joint Appropriations
Keywords:
HB 1623, North Dakota, rural health, rural health transformation program, medical facility infrastructure loan fund, medical facility infrastructure loan program, rural health loan program, Bank of North Dakota, Department of Health and Human Services, HHS, federal grant, health care infrastructure, rural hospitals, critical access hospitals, nonprofit health care providers, gap financing, loan fund, public health funding, healthcare financing, Medicaid
Summary:
The committee first heard House Bill 1624, the “Universal Lunch Bill,” from Rep. Mike Nathie. He argued the proposal should be placed in Century Code rather than the Constitution so future legislatures can adjust it if state finances tighten, and said the bill would start the program a year earlier with a $65 million appropriation for one school year. DPI testified that the estimate did not include nonpublic schools that do not participate, and members questioned the impact on Title I, free-and-reduced applications, private-school accountability, breakfast mandates for schools that do not currently serve breakfast, and whether the funding could come from the DPI budget or other sources. Supporters, including North Dakota United, the North Dakota Catholic Conference, a pediatrician, and the American Heart Association, said universal meals improve student health and learning, reduce family costs, and are better handled in statute than by constitutional amendment. No opposition testimony was offered, and the chair closed the hearing for later work-session action.
The committee then took up House Bill 1627, introduced by Rep. Tye Dressler, which would raise the income threshold for the state-funded school lunch program from 225% to 300% of poverty, with an estimated cost of about $7 million for 2026-27. Dressler said the bill is intended as a targeted, budget-friendly alternative to the ballot measure and emphasized that the state should maximize federal meal dollars while improving participation in the current program. Members questioned whether raising the threshold would actually increase utilization, whether a dollar amount would be clearer than a percentage, and how the change would affect federal reimbursements and application rates. DPI said it could quickly calculate additional percentage levels, and the chair closed the hearing, directing DPI to prepare more numbers for the work session.
Finally, the committee opened Senate Bill 2403, presented by Sen. Schiable, to create a short-term bridge-loan program for financially distressed hospitals, centered on Jacobson Memorial Hospital in Elgin. The bill would authorize up to $5 million per loan, with a $10 million appropriation available on a first-come, first-served basis, and would run only through June 30, 2027. Schiable said the hospital’s debt and operating problems threaten local health care, ambulance service, and the community’s economy, and that the proposal was designed narrowly with Bank of North Dakota review to avoid creating a broad precedent. Committee members asked whether the appropriation could be reduced and whether the bank would still apply commercial feasibility and repayment standards; Schiable said yes, the bank would still evaluate the loan and could reject it if it was not sound.
ND
North Dakota 2026 1st Special Session
Joint Appropriations Jan 21st, 2026 at 10:30 am
Appropriations
Transcript Highlights:
- I know the lawyers in the room get excited about stuff like that.
- Let that be their living room, their waiting room. So that's where our resources went.
- And the number one problem we have is we know they don't have access to care.
- It got in the room and took it and replicated across the state.
- Each of these critical access hospitals were generating vast amounts of data.
Bills:
HB1623
Committee:
Joint Appropriations
Keywords:
HB 1623, North Dakota, rural health, rural health transformation program, medical facility infrastructure loan fund, medical facility infrastructure loan program, rural health loan program, Bank of North Dakota, Department of Health and Human Services, HHS, federal grant, health care infrastructure, rural hospitals, critical access hospitals, nonprofit health care providers, gap financing, loan fund, public health funding, healthcare financing, Medicaid
Summary:
The committee heard House Bill 1623, the appropriations bill tied to North Dakota’s Rural Health Transformation Program, which is funded through a new federal rural health care grant. Senator Bekkedahl explained the bill’s background, the interim committee process that developed it, and the federal conditions attached to the award, including spending deadlines, administrative cost limits, and restrictions on uses such as new construction, supplanting existing funding, and certain other costs. Legislative staff then walked through the seven sections of the bill, including appropriation authority, transfer authority, contingent appropriations for pass-through grants, procurement and public improvement exemptions, recipient reporting, legislative reporting, and immediate effective date.
Commissioner Traynor and HHS staff described how the department plans to implement the program, emphasizing that the funding is intended to improve rural access, workforce recruitment and retention, technology and data connectivity, and community health initiatives. They said the department will rely on local applications, technical assistance, templates, listening sessions, and partnerships with providers, schools, public health units, tribal entities, and other community groups. Members asked about reimbursement timing, upfront costs, administrative expenses, sustainability after the five-year grant period, and whether CTE centers, public health units, gyms, grocery stores, and other community partners could participate; the department said yes, within program rules and with a focus on measurable outcomes and sustainability.
Several supporters testified in favor. Mental Health America of North Dakota and the Mental Health Advocacy Network supported the bill and urged investment in community-based mental health, crisis response, children’s services, peer support, and mobile crisis teams. HIA Health described the grant as a chance to expand home-based and hospice care, noting that rural providers already have workable models but need funding to scale them. A cybersecurity representative also supported the bill, warning that the large amount of health data and AI-related tools will require strong data protection and professional support. The hearing was closed with no opposition testimony, and the committee announced it would return later in the day for further work on the bill and other measures.
WA
Washington 2025-2026 Regular Session
Senate Early Learning & K-12 Education Jan 13th, 2026 at 08:00 am
Early Learning & K-12 Education
Transcript Highlights:
- Access these funds so we can open up those opportunities.
- to be given access to the parent, and it was so streamlined now.
- They have access to the WASAC data.
- We are trying to make housing as accessible and affordable as we can.
- The halls are narrow, the rooms are narrow.
Committee:
Senate Early Learning & K-12 Education
Keywords:
financial aid, postsecondary education, student support, application process, higher education access, school transportation, school buses, pupil transportation, transportation vehicle fund, school district finance, fund transfer, reimbursement schedule, depreciation schedule, zero-emission buses, electric school buses, bus electrification, charging stations, fueling stations, vehicle replacement, major repairs
TX
Committee:
Senate State Affairs
Keywords:
sexual assault, healthcare facilities, forensic examination, survivor support, emergency contraceptive, online impersonation, civil liability, social media, identity theft, defamation, counseling damages, injunctive relief, public health, safety regulations, community health, state standards, healthcare access, identification, real estate, proof of identity
TX
Committee:
House Culture, Recreation & Tourism
Keywords:
oyster mariculture, aquaculture, farming, water quality, regulations, outboard motors, certificate of title, vessel regulation, Texas Parks and Wildlife Code, marine documentation, hunter education, criminal charge, illegal hunting, mule deer, white-tailed deer, sustainability, wildlife conservation, unmanned aircraft, wildlife retrieval, Hunting
TX
Bills:
SB 393 , SB 414 , SB 472 , SB 578 , SB 617 , SB 710 , SB 785 , SB 973 , SB 1059 , SB 1062 , SB 1352 , SB 1450 , SB 1502 , SB 1547 , SB 1566 , SB 1567
Committee:
Senate Local Government
Keywords:
appraisal, tax code, property ownership, appraisal district, chief appraiser, homelessness, public notice, municipality, conversion of property, local government, housing, community engagement, electronic communications, municipal entities, transparency, public access, government accountability, property tax, reappraisal, data privacy
TX
Bills:
SB 393 , SB 414 , SB 472 , SB 578 , SB 617 , SB 710 , SB 785 , SB 973 , SB 1059 , SB 1062 , SB 1352 , SB 1450 , SB 1502 , SB 1547 , SB 1566 , SB 1567
Committee:
Senate Local Government
Keywords:
appraisal, tax code, property ownership, appraisal district, chief appraiser, homelessness, public notice, municipality, conversion of property, local government, housing, community engagement, electronic communications, municipal entities, transparency, public access, government accountability, property tax, reappraisal, data privacy
AL
Alabama 2025 Regular Session
Alabama Senate Education Policy Committee Feb 19th, 2025
Education Policy
Transcript Highlights:
- They don't have access to Jimmy Andrews of the have access to Jimmy Andrews of the world or the L canes
Committee:
Senate Education Policy
Keywords:
Coach Safely Act, youth athletics, noncompliance penalties, Department of Public Health, youth athlete, dual enrollment, high school, community college, university, educational access, high school credit, juvenile court, juvenile delinquency, school notification, student safety, K-12, public schools, private schools, superintendent, principal
NV
Nevada 2025 Regular Session
Assembly Committee on Ways and Means May 30th, 2025 at 08:00 am
Ways and Means
Transcript Highlights:
- Emergency room.
- emergency room and they’re connected to a hospital, how is that not a freestanding emergency room as
- They're open 24-7, have the same highly trained emergency room doctors, same access to advanced specialties
- But please, don't limit access to care. This community, this state needs more access to care.
- But please, don't limit access to care. This community, this state needs more access to care.
Bills:
AB568 , SB90 , SB133 , SB147 , SB229 , SB233 , SB240 , SB245 , SB280 , SB378 , SB393 , SB417 , SB434 , SB494 , SB495
Committee:
Assembly Ways and Means
Keywords:
higher education, Nevada System of Higher Education, operational expenses, instructional expenses, public funding, education funding, teacher grants, classroom supplies, instructional support, specialized personnel, civics education, Nevada Center for Civic Engagement, funding, youth programs, civic involvement, Southern Nevada, Clark County, Las Vegas Valley, regional planning, economic resiliency
HI
Transcript Highlights:
- We are in conference room 411.
- </c><00:17:31.280><c> we</c> access and functionality things we access and functionality things we need
- </c> anyone else in the room to testify? anyone else in the room to testify?
- We don't have room for.
- We don't have room for.
Bills:
SCR180
Committee:
House Public Safety
Keywords:
wildfire, fire hazard, Lahaina, West Maui, Maui wildfire, vegetation management, fuel reduction, defensible space, fuel breaks, invasive grasses, emergency access, evacuation route, fire lane, state lands, public safety, Office of the State Fire Marshal, community risk reduction, hazard mitigation, brush clearance, wildland-urban interface
Summary:
The committee opened by noting it was likely its last hearing of the 2026 session, then took up several resolutions. SCR 54, on appointing a hydrogen fire safety expert and training on hydrogen-related protocols, and SCR 59, on allowing certain health care professionals to practice without a license during a state of emergency, drew no testimony. Members discussed SCR 59 as a response to past emergencies and the need for pre-approved, updated registries of professionals who could be deployed quickly in emergencies.
SCR 62 SD1, which asks the 911 Board to form a working group with the disability community to address access issues in emergency and 911 responses, received testimony from disability advocates and the 911 Board. Testifiers said the measure should ensure an integrated system with EMS infrastructure, real-time access for dispatchers and field personnel, and public education about the system; they also noted that Smart911 is no longer being used on Oahu and Maui and that a statewide, integrated approach is needed. Members agreed to work the suggested language into the resolution. SCR 179, urging Maui County to enforce fire code provisions on brush clearance, fuel breaks, roadside vegetation clearing, and emergency access, was noted as having no testimony but continuing to raise important issues.
SCR 74, calling for an audit of no-bid contracts issued under emergency proclamations from 2020 through 2025, drew strong support from a late testifier who tied the measure to emergency procurement concerns after the Lahaina wildfire and COVID-era contracting. The witness argued that procurement rules should not be waived in ways that compromise safety, and described concerns about unlicensed contractors and construction problems in a state housing project. Members asked about the scope of the audit and whether it would interfere with criminal investigations; the witness said the audit should cover a broad range of contracts, including nonprofit contracts, and should not be limited to the wildfire period. The committee also heard SCR 28 SD1 on creating a Hawaii Vietnam Veterans Medal, with support from the Department of Defense and veterans advocates, who said the resolution is intended to do the groundwork for a future appropriation and to determine eligibility and distribution procedures.
Finally, SCR 60 SD1, requesting updates on the “Breaking Cycles” rehabilitation and restorative justice study, received support from the Department of Corrections and Rehabilitation, the Correctional System Oversight Commission, and reform advocates. The department asked that reporting be annual rather than quarterly because of the complexity of the OCCC project, and supporters said the measure would promote transparency and help ensure the study’s recommendations are implemented. No votes were taken in the portion of the hearing provided.
AZ
Arizona 2026 Regular Session
02/11/2026 - House Federalism, Military Affairs & Elections
Federalism, Military Affairs & Elections
Transcript Highlights:
- Additionally, the bill designates equal access to the online portal for all election candidates to collect
- I do fully support giving equal access to school board candidates. I...
- So I think we saw a similar bill last year that limited equal access to justices of the peace.
- Um, I do fully support, uh, giving access to equal to school board candidates. I, Okay.
- Uh, giving access to equal to school board candidates.
Keywords:
Arizona political parties, precinct committeeman, precinct committeemen, proxy voting, party bylaws, county committee, state committee, qualified elector, election administration, political party rules, precinct representation, adjoining precinct, county party meeting, proxy attestation, notary public, witnesses, transitional housing, military veterans, grant program, housing services
WA
Washington 2025-2026 Regular Session
House Health Care & Wellness Jan 27th, 2026 at 01:30 pm
Health Care & Wellness
Transcript Highlights:
- Subject to appropriated funds, the Department of Health must assist critical access hospitals and rural
- , the goal of this approach is to create an efficient data repository that will promote equitable access
- It is a core part of how the hospital keeps its doors open and its operating rooms running.
- Just as importantly, it protects access.
- It's about limiting access to care.
Committee:
House Health Care & Wellness
Keywords:
anesthesia services, healthcare access, reimbursement, patient care, equitable treatment, emergency services, healthcare outcomes, health infrastructure, system improvement, charity care, residency requirements, medical assistance, low-income, HB 2340, nursing assistants, nurse aide, substance use disorder monitoring program, monitoring program, credentialing, licensure
WA
Washington 2025-2026 Regular Session
House Agriculture & Natural Resources Jan 21st, 2026 at 08:00 am
Agriculture & Natural Resources
Transcript Highlights:
- Thank you, TVW, for making public policy accessible to the masses.
- That's the only way you can get into the Zoom room.
- Hunter, you are in the Zoom room and ready to go.
- Wildfire victims deserve timely, predictable access to compensation.
- It's not all, sometimes it's access to programs or food banks.
Committee:
House Agriculture & Natural Resources
Keywords:
wildfire prevention, Washington wildfire council, fire safety, environmental protection, state regulations, HB 2238, HB2238, statewide food security, food security strategy, hunger, food insecurity, food access, food assistance, anti-hunger, nutrition education, food system literacy, agricultural viability, supply chain resilience, Washington Department of Agriculture, food policy forum
WA
Washington 2025-2026 Regular Session
Senate Early Learning & K-12 Education Jan 20th, 2026 at 08:00 am
Early Learning & K-12 Education
Transcript Highlights:
- Counselors can easily access it.
- Would we be able to get access to it as an organization? I think that's the goal with this program.
- Senate Bill 5907 relates to expanding access to the early childhood education and assistance program,
- Senate Bill 5907 relates to expanding access to the early childhood education and assistance program
- Access to early learning must reflect the real lives of Washington families, including those.
Committee:
Senate Early Learning & K-12 Education
Keywords:
digital transcript, transcript sharing, student records, education data exchange, K-12, higher education, community colleges, universities, school districts, charter schools, state-tribal education compact schools, educational service districts, data interoperability, secure platform, student consent, FERPA, privacy, education technology, records management, transcript standard
WA
Washington 2025-2026 Regular Session
House Health Care & Wellness Jan 13th, 2026 at 01:30 pm
Health Care & Wellness
Transcript Highlights:
- So easier patient access is really near and dear to my heart.
- Christopher Baker, are you here in the room?
- They might not even know where the closest emergency room is.
- You need to go to this emergency room.
- You need to go to this emergency room.
Committee:
House Health Care & Wellness
Keywords:
ambulance, interfacility transport, specialty care transport, emergency medical services, EMS, registered nurse, nurse staffing, paramedic, emergency medical technician, EMT, patient transfer, hospital transfer, critical care transport, medical transport, workforce shortage, scope of practice, Department of Health, RCW 18.73, first responder, basic life support
TX
Transcript Highlights:
- testify before the committee, please register at the kiosk located in the hallway behind the hearing rooms
- So, number four is about election workers that would have access to the memory sticks that would need
- What's the purpose of holding on to anything if you can't have access to look at it?
- Yet, in Texas, we consistently rank at the bottom when it comes to voter accessibility.
- Obviously, I know I've fought for it for years. is because I think it will increase access, easier access
Committee:
House Elections
Keywords:
voter registration, electronic, Texas election law, Signature verification, DPS, internet application, Texas Election Code, signature verification, online application, data security, electronic application, Department of Public Safety, information security, electronic voter registration, voting technology, voter access, state election laws, digital signature, election irregularities, audit
TX
Committee:
House S/C on Workforce
Keywords:
JET Grant Program, career education, technical education, community colleges, technology solutions, high demand jobs, first responders, acute myocardial infarction, stroke, benefits, compensation, presumption of disability, emergency services, healthcare, Medicaid, mental health, substance abuse, treatment access, cost, insurance coverage
TX
Committee:
House S/C on Workforce
Keywords:
JET Grant Program, career education, technical education, community colleges, technology solutions, high demand jobs, first responders, acute myocardial infarction, stroke, benefits, compensation, presumption of disability, emergency services, healthcare, Medicaid, mental health, substance abuse, treatment access, cost, insurance coverage
TX
Committee:
House S/C on Workforce
Keywords:
JET Grant Program, career education, technical education, community colleges, technology solutions, high demand jobs, first responders, acute myocardial infarction, stroke, benefits, compensation, presumption of disability, emergency services, healthcare, Medicaid, mental health, substance abuse, treatment access, cost, insurance coverage
TX
Committee:
House S/C on Workforce
Keywords:
JET Grant Program, career education, technical education, community colleges, technology solutions, high demand jobs, first responders, acute myocardial infarction, stroke, benefits, compensation, presumption of disability, emergency services, healthcare, Medicaid, mental health, substance abuse, treatment access, cost, insurance coverage