Video & Transcript : 'patient preferences' :
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OK
Oklahoma 2026 Regular Session
House of Representatives Second Regular Session of the 60th Legislature Day 21 Mar 9th, 2026 at 01:30 pm
Oklahoma House Floor Meeting
Transcript Highlights:
- Representative Chapman failed to mention is that sometimes Doctor Shanaway has to put up me as the patient
- Not just the patient but the physician too, because now they're criminalized.
- Members, House Bill 3287 directs hospitals to post signage and inconspicuous patient care areas that
Bills:
HR1036 , HB2975 , HB3026 , HB3297 , HB2981 , HB2978 , HB4144 , HB1322 , HB1818 , HB3194 , HB3767 , HB3342 , HB3344 , HB4170 , HB3287 , HB3288 , HB4454 , HB3264 , HB3266 , HB3268 , HB4095 , HB4115 , HB4316 , HB3530 , HB3428 , HB4272 , HB4273 , HB4274 , HB3405 , HB3406 , HB3467 , HB3469 , HB3931
Keywords:
Bob Wills, Western Swing, Cain's Ballroom, Oklahoma music history, country music, rock and roll, folk jazz blues, Oklahoma Arts Council, Oklahoma Film and Music Office, Oklahoma Historical Society, OKPOP Museum, commemorative resolution, day at the Capitol, musician recognition, heritage celebration, Tulsa, poultry waste, nutrient management, environmental regulations, agriculture
WA
Bills:
HB1073 , HB1128 , HB1316 , HB1408 , HB1591 , HB1592 , HB1634 , HB1906 , HB1960 , HB2073 , HB2145 , HB2248 , HB2266 , HB2301 , HB2333 , HB2365 , HB2401 , HB2416 , HB2421 , HB2438 , HB2474 , HB2475 , HB2515 , HB2517 , HB2523 , HB2548 , HB2597 , HB2637 , HB2640 , HB2660 , HB2675 , HB2685 , HB2720 , HB1742 , HB2104 , HB2186 , HB2405 , HB2557 , HB2593 , HB2636
Committee:
House Appropriations
Keywords:
national guard, military support, defense, state security, veteran services, child care, workforce standards, education, child development, training requirements, postsecondary education, homelessness, foster youth, education access, support programs, community preservation, development authorities, funding, local governance, state resources
CA
California 2025-2026 Regular Session
Joint Hearing Budget Subcommittee No. 2 on Human Services and Budget Subcommittee No. 1 on Health Mar 25th, 2026
Transcript Highlights:
- And we understand certain communities prefer certain print media, for example, and radio.
- Aging in one's own home and community is not only the preference of the overwhelming majority of older
- I told the doctor I would prefer to go home with an IHSS provider and ask the public authority to find
- I'm going to say it again: $4.2 million to administration for $300,000 to patient care.
- One of the unique things about our coalition is that we have both care providers and patients.
Summary:
The joint informational hearing focused on the impact of H.R. 1 on older Californians and related county administration issues. Chair Jackson and Chair Addis opened by emphasizing California’s rapidly aging population and the need to protect seniors’ access to food, health care, housing, and in-home support services. Testimony from the Department of Social Services, Department of Health Care Services, and Department of Aging described how H.R. 1 would expand work and reporting requirements in CalFresh and Medi-Cal, increase redeterminations, and create new eligibility barriers. Witnesses and advocates warned that these changes could lead to large coverage losses, especially for adults ages 55 to 64, people experiencing homelessness, caregivers, and some immigrant groups, while also increasing administrative burden on counties. The LAO noted that many provisions do not directly apply to Californians 65 and older, but highlighted indirect effects and some direct impacts, including a new home equity limit for certain long-term care recipients and narrower immigration eligibility rules.
Committee members pressed the administration and counties on how exemptions would be identified and implemented, whether data systems could automatically protect eligible people, and how outreach would reach older adults, women, LGBTQ seniors, and people with limited digital access. DHCS and CDSS said they are working to use existing data, cross-program information sharing, and human-centered communications to maximize exemptions and reduce churn, including text outreach, print and radio campaigns, and navigator support. Members also raised concerns about the need for legal aid and county eligibility workers to help people navigate complex rules, and requested updated analyses on the number of people likely to lose both Medi-Cal and CalFresh and the broader human and system impacts. No votes were taken.
The second major topic was the administration’s proposal to shift some future IHSS costs to counties by establishing a statewide baseline for average authorized hours per case. CDSS said the proposal is intended to improve consistency in assessments and not reduce services, while counties and labor groups strongly opposed it, arguing that rising hours reflect real increases in need, an aging and higher-acuity caseload, and state-mandated assessment tools rather than county error. County representatives said the proposal would strain already limited local revenues, worsen the effects of H.R. 1, and could force cuts to other safety-net services. Committee members questioned the proposal’s timing and impact, but the hearing ended without action, with the chairs asking for continued updates, additional analysis, and more information before May Revision.
MD
Transcript Highlights:
- He waited patiently and he finally became an American citizen. He raised his hand. He was sworn in.
- ><c> finally</c><00:53:44.319><c> became</c> waited patiently and he finally became waited patiently
- Bottom line is that more than 400,000 Maryland voters who expressed a preference on their ballot for
- by voters in a protected class and the choice of candidates and electoral choices that are preferred
- </c> the electoral choice that are preferred the electoral choice that are preferred by<01:36:43.760>
Summary:
The Senate opened with an invocation by Reverend Dr. Patrick Claybourne of Bethl AM Church in Baltimore, introduced by the senator from the 40th district, who highlighted the church’s long history, community work, scholarships, food pantry, school partnerships, and a planned rise center. The Senate journalized the invocation and then recognized several guests, including the Bethesda Roosters U16 rugby team, which was congratulated for winning the Maryland state title and the 2025 National U16 Championship, and members of the Joint Veterans Committee of Maryland. The chamber also welcomed a Johns Hopkins Police Accountability Board appointment letter, which was referred to the Executive Nominations Committee, and later a delegation from the Ghana Parliament legislative staff visiting with the Department of Legislative Services and NCSL representatives.
The main floor business centered on Senate Bill 1, which would prohibit law enforcement officers from wearing face coverings. The minority whip argued against the bill, saying it was unenforceable, an improper use of legislative time amid other state crises, and could create a system where local officers detain federal officers for a civil violation; he also said officers mask themselves because of threats and doxxing. Senators in support argued the bill was needed to address masked ICE agents, protect public safety, and respond to concerns about civil rights abuses and intimidation. After debate and vote explanations from senators, including one emphasizing immigrant heritage and another supporting the bill as a protection measure, SB 1 passed with 31 affirmative votes.
The Senate then passed Senate Bill 17, an emergency bill on alcoholic beverages related event promoters permits, by unanimous affirmative vote. It next took up Senate Bill 245, an emergency bill prohibiting immigration enforcement agreements. The minority leader questioned whether the bill would eliminate formalized 287(g) agreements and replace them with county-by-county policies, arguing that this could reduce uniformity, weaken safety, and create a patchwork of local practices. The bill’s sponsor responded that counties would still be bound by constitutional and legal limits, that the agreements provide minimal training and resources, and that the state should stop formally cooperating with federal immigration enforcement. The sponsor also said the bill would not increase profiling and that public safety would remain intact. The debate continued with concerns about Montgomery County’s evolving policy and the impact on smaller counties, but the transcript ends before final action on SB 245.
AZ
Arizona 2026 Regular Session
06/11/2026 - Senate Director Nominations
Transcript Highlights:
- So some people claim that the civil penalties for people who have been involved with serious patient
- One was the Arizona Surge Line, which was stood up to help load-balance hospitals with COVID patients
- So this acted like a sort of transfer center for all of the hospitals to distribute those patients.
- So this acted like a sort of transfer center for all of the hospitals to distribute those patients.
- They've been warm, welcoming, and patient with me. These state employees work hard.
Summary:
The Committee on Director Nominations met with four members present and approved the prior minutes without objection. Chair Jay Kaufman outlined the committee’s role in reviewing executive nominations and explained the hearing process for three nominees: Mary Foote for the Office of Economic Opportunity, Debbie Johnston for the Department of Health Services, and Chuck Bassett. Foote did not appear for her hearing, and members discussed her absence and alleged omissions in her disclosure materials, including prior service with Planned Parenthood-related organizations. The committee then moved to reject her nomination, and the motion passed 3-2, recommending that the full Senate reject Mary Foote.
Debbie Johnston, nominee to lead the Department of Health Services, appeared and gave an opening statement describing her Arizona background, prior Senate staff work, and more than 20 years with the Arizona Hospital and Health Care Association. She said her priorities at ADHS include rebuilding trust in public health licensing, improving stakeholder engagement, standardizing rulemaking communication, addressing alleged religious discrimination and retaliation concerns in licensing, and using technology and AI to improve efficiency. In questioning, senators pressed her on her management style, conflict-of-interest safeguards given her prior industry role, enforcement priorities, budget pressures, behavioral health and assisted living oversight, and the department’s response to COVID-19. Johnston said she would follow statutes, recuse herself from enforcement matters involving former contacts, and resign if directed to carry out an unlawful policy. She also said the department does not regulate therapy itself, only facilities, and that it would rely on legal counsel regarding the governor’s conversion-therapy executive order and related federal civil-rights allegations.
Several senators focused on public health trust and the department’s pandemic response, with Johnston acknowledging concerns about closures, data collection, and communication during COVID-19 while saying she would review past after-action materials and be better prepared in the future. Public testimony from stakeholders in aging services and health care strongly supported her confirmation, praising her accessibility, responsiveness, and collaborative approach. After testimony, the vice chair moved to recommend Johnston’s confirmation to the full Senate. The roll call was underway when the transcript ended, with several members voting aye and one member expressing reservations about her not reviewing the pandemic after-action report before another crisis occurs.
TX
Texas 89th Regular
Senate Committee on Water, Agriculture, and Rural Affairs Mar 31st, 2025
Water, Agriculture and Rural Affairs
Transcript Highlights:
- That would be my preference today, to vote on the ones that can be voted out before...
- So, I start with an exam on all of my patients, a physical exam.
- I have some serious concerns about patient safety.
- visits and for patients in rural communities and for clients who can't regularly access patient care
- The first time with the patient.
Bills:
SB34 , SB119 , SB261 , SB532 , SB1035 , SB1245 , SB1247 , SB1267 , SB1442 , SB1930 , SB1948 , SB2078 , SB2112 , SB2143 , SB2155
Committee:
Senate Water, Agriculture and Rural Affairs
MA
Transcript Highlights:
- They know their patients, they know their families, and they're committed to their patient population
- The patient for 14 days before discharge.
- Currently, we have a census of 17 patients.
- This number can be deceiving, as these admissions account for 12 patients, and four of these patients
- This number can be receiving as these admissions account for 12 patients and four of these patients were
Summary:
The hearing focused on the future of Pappas Rehabilitation Hospital for Children, with commissioners, agency officials, workers, and families describing the hospital as a unique integrated setting combining medical care, rehabilitation, education, residential services, and adaptive engineering. Opening remarks from legislators emphasized continued budget funding, the legal requirement that Pappas not close before the commission reports, and a request to extend the commission’s deadline. Several commissioners and witnesses argued that admissions have effectively been curtailed while discharges continue, creating what they described as a de facto closure.
Union leaders from AFSCME, SEIU, and the Massachusetts Nurses Association said staff are experiencing uncertainty, morale problems, and loss of confidence because referrals are being discouraged and the census is shrinking. They urged immediate action to stop admission denials and unnecessary discharges, and some proposed temporary modular units or other short-term investments to restore admissions while longer-term plans are developed. Parents and former patients testified that Pappas provided life-changing opportunities and supports that they could not find elsewhere, and that alternative programs or proposed Western Massachusetts options would not meet the same needs.
Department of Public Health Commissioner Robert Goldstein said the administration supports keeping Pappas open and stable during the commission’s work, but argued that admissions must comply with hospital-level-of-care rules and that the campus’s deteriorating infrastructure limits who can be safely served. He said DPH is continuing admissions where appropriate, backfilling staff, and exploring ways to expand services, including outpatient therapies and adaptive engineering, while also acknowledging that Pappas is a one-of-a-kind system with no true in-state duplicate. Commissioners requested de-identified admissions and denial data and continued to press the department on whether the current operational changes amount to a silent closure.
MA
Transcript Highlights:
- patient population.
- The patient for 14 days before discharge.
- Most of the patients have drastically different levels of care, from highly medically complex... ...patients
- This number can be deceiving, as these admissions account for 12 patients, and four of these patients
- Our patients and graduates with experience of group homes agree: group homes can never Our patients and
Summary:
The hearing focused on the future of the Pappas Rehabilitation Hospital for Children and the work of the special legislative commission studying whether and how the facility should continue. Senators and representatives said the Legislature has continued funding Pappas, that the hospital cannot be closed before the commission reports, and that they are seeking to extend the commission’s deadline. Multiple commissioners and witnesses described Pappas as a unique setting combining inpatient medical care, residential programming, special education, therapy, and campus-based activities for children with complex medical needs.
Union leaders, staff, parents, and local officials argued that Pappas is being quietly depopulated through blocked admissions and continued discharges despite the formal pause on closure. They said the hospital’s integrated model cannot be replicated elsewhere, that families and staff are being left in limbo, and that the state should invest in repairs, modernization, and possibly temporary modular space to reopen admissions. Several witnesses emphasized the impact on children who have benefited from Pappas and on workers who fear losing a specialized workforce built over decades.
Department of Public Health Commissioner Robert Goldstein said the state is committed to keeping Pappas open and stable while the commission works, but that admissions must meet hospital-level-of-care standards and the current infrastructure limits who can safely be served. He said the administration has been expanding outreach, hiring staff, and exploring ways to broaden services, including outpatient and therapy programs over time. Commissioners pressed him on why admissions remain so limited and whether the facility is being effectively depopulated, while Goldstein maintained that the restrictions reflect legal and safety requirements rather than an effort to close the hospital.
CA
California 2025-2026 Regular Session
Assembly Privacy and Consumer Protection Committee Jul 1st, 2026
Transcript Highlights:
- First, it protects patients, the consumers, from the technology itself.
- In one instance, a patient of one of our members was screened by an AI intake tool.
- The patient relapsed before anyone caught the mistake. Those are just two examples.
- In one instance, a patient of one of our members was screened by an AI intake tool.
- The patient relapsed before anyone caught the mistake. Those are just two examples.
Summary:
The committee heard several bills focused on artificial intelligence, child safety, mental health, and privacy. SB 574 by Senator Umberg would require transparency and human oversight when attorneys, judges, and court neutrals use AI; it drew support from privacy advocates and committee members, with no opposition. SB 1276, the End Child Exploitation Act, would update child sexual exploitation laws to cover live-streamed and AI-generated abuse material and clarify that viewing such content can be criminally punishable; prosecutors, child advocacy groups, and others supported it, while no one appeared in opposition despite opposition on file. SB 813 would create a California AI standards and safety commission and a voluntary two-tier certification framework for AI safety standards; supporters said it would create scalable, independent oversight, while TechNet and CalChamber opposed it as duplicative, under-defined, and likely to create a de facto mandate. The committee discussed market pressure, federal preemption concerns, and the role of voluntary standards, but no final vote was taken in the excerpt.
Senator Padilla also presented SB 300, which would strengthen protections for minors from sexually explicit chatbot content by moving from a reasonableness standard to an affirmative duty to prevent such exposure and to prohibit facilitation. Supporters said new evidence showed greater risks and that companies can and should build stronger safeguards; opponents, including TechNet and CCIA, argued the bill was premature because SB 243 had only recently taken effect and warned it could create strict-liability-like exposure. Padilla then presented SB 903, which would bar AI chatbots from being advertised as therapists, require licensed clinician oversight and informed consent for AI use in psychotherapy, and protect patient confidentiality; it received broad support from mental health professionals and labor groups, while industry and health associations were opposed unless amended over triage and crisis-detection language. The committee members emphasized the need for human judgment in mental health care and noted ongoing negotiations on amendments.
The committee also heard SB 1119, a companion to AB 2020, which would require annual risk assessments, crisis-response protocols, default child settings, parental controls, limits on data use, public incident reporting, and third-party audits for chatbots used by children. Supporters argued the bill would address documented harms and improve transparency, while industry groups objected to ambiguous standards, liability exposure, and the private right of action. A roll call vote was taken on SB 1119 after quorum was established; the motion to pass to Appropriations succeeded on a 5-1 vote, with one no vote and the measure left on call for absent members. Finally, SB 354, a privacy bill for insurance consumers, would modernize outdated insurance privacy rules, bar sale of personal information, and expand consumer rights to know, correct, and delete data. Supporters said it would implement Proposition 24’s privacy mandate, while a large coalition of insurers, agents, brokers, and related businesses opposed unless amended, mainly seeking a small-business exemption and narrower treatment of publicly available information; members and the author said negotiations were ongoing and the bill had already been substantially revised.
CA
California 2025-2026 Regular Session
Joint Hearing Senate Revenue and Taxation Committee and Assembly Revenue and Taxation Committee Feb 11th, 2026
Transcript Highlights:
- We're providing hands-on care to California patients.
- They're providing hands-on care to California patients.
- Nurses see the impacts of corporate profiteering on patients.
- And how when these benefits are cut off, patients and their families... ...help patients and their families
- Programs that patients truly lean on to survive. Thank you.
Summary:
The joint informational hearing examined California’s taxation of multinational corporations, especially the Water’s Edge election versus worldwide combined reporting. Chairs opened by framing the issue as a review of whether current rules fairly and sufficiently tax foreign subsidiary income, given profit shifting concerns, budget pressures, and the long history since Water’s Edge was adopted in the 1980s. The first panel from the Legislative Analyst’s Office and Franchise Tax Board explained the mechanics of unitary taxation, apportionment, and the Water’s Edge election, and provided filing data showing Water’s Edge filers are a small share of returns but account for a large share of corporate tax liability. FTB witnesses said the agency already administers both methods and could handle a shift to mandatory worldwide reporting with education and outreach, though revenue estimates are difficult because foreign affiliate information is not directly available.
Committee members asked about foreign government pushback, administrative burden, industries with more profit shifting, revenue uncertainty, and whether companies would leave California. LAO and FTB witnesses said pushback from foreign governments was plausible, but they did not expect major business flight because California’s tax is largely based on sales rather than physical presence. They also said worldwide reporting could reduce profit shifting but might increase revenue volatility and litigation risk. A second panel of academic and tax policy witnesses argued that Water’s Edge is a loophole that rewards aggressive tax planning, that worldwide combined reporting would better capture income tied to California, and that modern federal and international rules such as NCTI/GILTI, CAMT, and Pillar Two reduce compliance concerns and make a return to worldwide reporting more feasible. They also said California’s current system can create selection effects and may under-tax large multinationals.
In the next panel, a California Budget and Policy Center witness urged eliminating the Water’s Edge election, calling it a costly loophole that benefits large global corporations over smaller domestic businesses and deprives the state of billions in revenue that could support health care and other services. A Silicon Valley Leadership Group witness gave historical context for why Water’s Edge was adopted and began outlining concerns about compliance, double taxation, and the risk of overreaching beyond income truly connected to California. No bill was voted on or advanced; the hearing was informational only, with members using the testimony to weigh the policy trade-offs and possible transition periods if the Legislature were to change the current rules.
FL
Florida 2026 5th Special Session
Rules Apr 1st, 2025
Transcript Highlights:
- Senators, this bill protects patients. Thank you, Chair.
- Senators, this bill protects patients and the public at large from being misled by the misuse of health
- But again, there was an additional step that you sort of added there when you said, and seeing patients
- When patients go to seek treatment, they need to know who is treating them.
- It provides equal opportunity, or equity if you prefer, for all of the Americans in the Americas.
Summary:
The committee took up a long agenda of bills, beginning with CS/SB 678, which would allow pawnbroker transaction forms to be printed or digital; it drew support from a business representative and was reported favorably. Members then heard several bills by Senator Leak, including SB 466 to designate St. Johns County as the site of the Florida Museum of Black History and create a board to work with the museum foundation and Florida Memorial University; the bill drew supportive testimony about preserving accurate Black history and the significance of the site, and it passed favorably. Leak’s CS/SB 578 would let Florida wineries use recyclable inserts and other alternative containers for larger wine sales, and it also passed favorably. SB 582 would increase penalties for unlawful demolition of historic buildings and structures, limiting the higher penalties to certain nationally or internationally recognized historic properties; it was supported by preservation advocates and reported favorably. CS/SB 1168 would create an aggravated offense for installing or using tracking devices or apps in furtherance of crimes such as murder, domestic violence, or robbery, and it passed favorably after a brief discussion about stalking and violent crimes. CS/SB 806 would make the Florida Attorney General the exclusive public official with standing to enforce Florida charitable trusts, limiting out-of-state attorneys general from suing over Florida-administered trusts; members debated whether this would burden out-of-state beneficiaries, but the bill was reported favorably. SB 1228 would advance spring restoration efforts for Ichetucknee Springs and Santa Fe spring flows and allow a utility compliance plan amendment to deliver reclaimed water to replenish the aquifer; it passed favorably. CS/CS/SB 304 would require a qualified medical opinion in child protective investigations involving infants and young children with possible genetic or medical conditions that can mimic abuse, and it drew emotional support from parents and advocates before passing favorably. SB 1286 would clarify that ordinary unsupervised childhood activities like biking or playing outside do not constitute neglect absent reckless endangerment, and it was reported favorably. SB 1318, the hands-free driving bill, generated the most extensive debate: it renames the texting-while-driving law, expands the prohibition to handheld device use, and adds penalties in work zones and school zones; supporters cited fatal crash statistics and personal loss, while opponents raised concerns about enforcement, civil liberties, racial disparities in traffic stops, and the need for broader distracted-driving and insurance reforms. Despite those concerns, the bill was reported favorably after amendments. The committee also approved two claims bills, SB 14 for the estate of Penao-Hanvier against Miami Beach and SB 20 for J.N. against Hillsborough County, both settled claims recommended favorably by the special master. Finally, CS/SB 68 would modernize health facilities authority financing for private not-for-profit health systems, and CS/SB 172 would restrict misuse of health care specialty titles while preserving titles authorized under existing practice acts; both were discussed with questions about doctors, optometrists, and CRNAs, and both were reported favorably after amendment and debate.
CA
California 2025-2026 Regular Session
Assembly Budget Subcommittee No. 5 on State Administration Mar 24th, 2026
Transcript Highlights:
- That means that we are already meeting that the patient hour per day need as well as being able to increase
- remake a number of our processes first, to continue to look at how we can maintain the appropriate patient
- And it would be my strong preference that we do that rather than contract out for ongoing work as well
- And it would be my strong preference that we do that rather than contract out for ongoing work as well
Summary:
The Assembly Budget Subcommittee on State Administration heard several CalVet budget updates first. CalVet reported progress on the Southern California Veterans Cemetery at Gypsum Canyon, explaining that DGS is revising the earlier feasibility study to reflect a smaller footprint and lower grading costs, with updated numbers expected by the end of April. Members and public commenters emphasized the project’s importance and asked whether additional budget authority or trailer bill language was needed; CalVet said it may need more spending authority but wanted to return after the revised study is complete. The committee also reviewed the Yountville skilled nursing facility replacement project, where CalVet said construction is nearing completion, a certificate of occupancy was received, and the new 240-bed facility will replace Holderman Hospital while older buildings will be repurposed for lower levels of care. CalVet also defended eliminating about 178 vacant positions at Yountville and West Los Angeles as a fiscal and staffing efficiency measure, saying current care levels can still be met and that retention and hiring efforts are improving.
The committee then took up the Department of Cannabis Control’s enforcement and legal affairs proposal. DCC described the size of the illicit cannabis market, said enforcement alone cannot solve the problem, and asked for additional sworn staff, a new Redding-area field office, and more analysts to focus on distribution networks, organized crime, environmental harms, and high-priority public safety cases. Finance supported the proposal as a targeted investment, while the LAO had no additional comment. Members asked about funding impacts and local co-location options, and DCC said the request would be funded from cannabis excise tax revenues and could help shift sales into the legal market. Public testimony from the cannabis industry strongly supported more enforcement against illicit retail and said it would help legal operators compete.
DCC also presented its hemp enforcement and regulation proposal tied to AB 8. The department said the law closes loopholes around intoxicating hemp products, strengthens enforcement across agencies, and prepares for hemp to enter the cannabis regulatory framework in 2028. DCC requested staff for a civil enforcement unit, field-testing equipment, lab capacity to detect synthetic cannabinoids, a track-and-trace specialist, and a policy specialist. Members asked about enforcement in informal retail settings and consumer confusion, and DCC said the biggest problems have been smoke shops and online sales. Public commenters from the legal cannabis industry supported the proposal, saying intoxicating hemp has harmed the regulated market and created public safety risks.
The Cannabis Control Appeals Panel then requested ongoing funding of $3.4 million to support 12 positions and its quasi-judicial appeals function. The panel said that with provisional licenses largely phased out, more annual licensees now have appeal rights and the workload is beginning to increase, with two cases currently on the docket. The LAO recommended limiting funding to three years and requiring a workload and comparative analysis before making the funding permanent, while Finance supported ongoing funding as consistent with the panel’s permanent statutory role. Members questioned the panel’s compensation and workload, noting that the five-member body is paid at a high statutory rate despite historically meeting only quarterly, though panel staff said the work now includes substantial case preparation and monthly hearings. Finally, the Department of Consumer Affairs introduced two proposals: $2 million ongoing for the Contractors State License Board’s IT needs and $251,000 plus one limited-term position for the Board of Pharmacy to implement Proposition 34-related licensing policy and reduce barriers to licensure.
MO
Transcript Highlights:
- clarification happens, I don't necessarily have a problem with what you're trying to do here, but my preference
- In the United States, we are required to treat that patient.
- And if that patient doesn't have a lot of money, and if they're a state employee, they likely don't,
- Farmers, along with construction workers, snowplow operators, anybody who’s working outdoors, they prefer
Committee:
House Government Efficiency
MO
Missouri 2026 Regular Session
Elementary and Secondary Education Feb 25th, 2026
Elementary and Secondary Education
Transcript Highlights:
- And if you were ranking them, do you have a preference in your mind?
- I think, from a traffic safety perspective, our preference would be for a full-fledged driver-ed program
- And House Bill 2396, Representative Bromley, thank you for being so patient.
- And House Bill 2396, Representative Bromley, thank you for being so patient.
Committee:
House Elementary and Secondary Education
Summary:
The committee met in executive session first and took up House Bill 3239, adopting a Hurlbert amendment that capped the program at $4 million and then adopting the House Committee Substitute. The substitute bill passed 11-7. The committee then combined House Bill 2913 and House Bill 3228 into one substitute; members discussed that it would not cover student teachers and was intended to start with the current scope and broaden later. The combined substitute passed unanimously, 19-0.
In open session, the committee heard House Bill 2195, which would create a Missouri Integrated Safe Driving Program to let DESE vet and distribute safe-driving lesson materials for voluntary use in existing courses starting in 2027-2028. Sponsor Representative Reedy said the bill is intended to improve teen driver safety without a fiscal note. Supporters included AAA Missouri, traffic-safety and motorcycle groups, MoDOT, and the Missouri Insurance Coalition, who cited teen crash and fatality data, the benefits of formal driver education, and the need to address distracted driving, traffic stops, and motorcycle awareness. No one testified in opposition.
The committee also heard House Bill 2502, which would clarify how records from closed nonpublic schools and charter schools are transferred and stored so students can later obtain transcripts and graduation records. The sponsor said the bill responds to missing records from closed schools and would direct records to the appropriate public district; a technical correction was noted to avoid including homeschool records. Missouri NEA supported the bill and suggested charter-school performance contracts include compliance expectations. The committee then heard House Bill 2396, which would allow retired teachers to return to PSRS-covered teaching jobs without a time limit, similar to existing critical-shortage provisions. The sponsor argued it would help districts, especially smaller ones, and could benefit teachers and students without harming the retirement system. PSRS/PEERS testified that the bill could raise contribution rates by an estimated 1.44% to 2.45% and raised concerns about behavior changes and IRS qualification issues; Missouri NEA and the Missouri State Teachers Association opposed the bill, saying it would not solve recruitment and retention problems and could damage the retirement system. The Missouri Retired Teachers Association testified for informational purposes, warning that the bill could prompt many eligible teachers to retire sooner.
US
US Federal 2025-2026 Regular Session
To receive a closed briefing on Department of Defense cyber operations. Feb 25th, 2025 at 03:00 pm
Cybersecurity Subcommittee
Transcript Highlights:
- Patients in the steward hospitals at the time you bought them made $85,120 at a 23% annual raise.
- Well, Senator Scott, you've been most patient. Thank you, Chairman. Well, Ms.
- I've helped the Secretary and the President improve DoD, preferably in total anonymity, and I'll fade
- The president does not typically replace nonpartisan generals and flag officers with his preferred choices
Committees:
Senate Cybersecurity Subcommittee , Senate Senate Armed Services Subcommittee on Personnel
Keywords:
Steven Feinberg, Deputy Secretary of Defense, national security, budget cuts, military readiness, global threats, Department of Defense
Summary:
The meeting primarily focused on the nomination of Steven Feinberg as Deputy Secretary of Defense. The committee emphasized the urgent need for strong leadership in response to a complex array of global threats posed by adversarial coalitions, including China, Russia, and Iran. The discussions highlighted concerns regarding budget cuts and personnel reductions within the Department of Defense, showcasing the challenges posed by the current economic context and the pressing need to maintain military readiness and capabilities. Various members expressed their apprehensions about how impending layoffs and budget reductions would impact the defense workforce and national security.
MA
Transcript Highlights:
- A parent of the current patient at Pappas.
- They know their patients, they know their families, and they're committed to their patient population
- This number can be misleading, as these admissions account for 12 patients, and four of these patients
- Our patients and graduates with experience of group homes agree, group homes can never Our patients and
- A reimagined Pappas could accept patients that fit into several different tracks: admit the patients
Summary:
The special legislative commission on the future of Pappas Rehabilitation Hospital for Children held a hybrid public hearing focused on the hospital’s future, admissions, staffing, infrastructure, and whether the facility should be preserved, expanded, or reimagined. Opening remarks from legislators, commissioners, parents, and union representatives emphasized that Pappas provides a unique combination of medical, rehabilitative, educational, and residential services for children with complex needs, and several speakers argued that the hospital is effectively being depopulated through reduced admissions and ongoing discharges despite public assurances that it remains open. Multiple speakers urged the commission to extend its authorization and continue its work before any closure or major change can occur.
Testimony from labor leaders, including AFSCME, SEIU Local 509, and the Massachusetts Nurses Association, described a “silent closure” in practice, with staff reporting confusion about the hospital’s status, declining census numbers, blocked admissions, and uncertainty about the workforce’s future. They called for immediate action to stop admission denials and unnecessary discharges, and some proposed short-term solutions such as temporary modular structures to address infrastructure barriers and allow admissions to resume. Parents and former patients testified that Pappas provided life-changing independence, specialized therapy, and campus-based supports that they said could not be replicated elsewhere, and they criticized alternative placements as inadequate.
Commissioner Robert Goldstein of the Department of Public Health said the administration supports keeping Pappas open and funded while the commission works, but he argued that admissions must comply with hospital-level-of-care rules and that the campus’s deteriorating infrastructure limits the kinds of children who can safely be served there. He said the department is continuing admissions for appropriate patients, working to expand outreach and services, and exploring long-term options, including broader statewide models of care. Commissioners pressed him on whether discharge status or lack of a clear discharge plan had been used as a barrier to admission, and requested de-identified data on patients recommended for admission but denied. No formal votes were taken during the hearing.
LA
Louisiana 2026 Regular Session
Labor and Industrial Relations Mar 26th, 2026
Labor & Industrial Relations
Transcript Highlights:
- The typical Medicare patient is a completely different entity than workers' comp.
- The specific diagnosis and/or treatment of these patients The specific diagnosis and/or treatment of
- these patients are often different than the younger worker whose injuries are often more severe.
- ' comp fee schedule threaten patient access to quality care and reductions in practicing orthopedics
- who are willing to treat workers' comp patients.
Committee:
House Labor & Industrial Relations
Summary:
The committee first took up House Bill 680 by Representative Weibel, which would modernize Louisiana’s workforce development system by consolidating strategy and administrative functions at the state level while preserving local input. After adopting two sets of technical amendments and a larger amendment package that added a transition advisory team, consultation requirements with local workforce partners, and other planning and governance changes, the committee heard extensive testimony from the author, the Secretary of Louisiana Works, parish and local workforce representatives, and a witness from Utah describing that state’s consolidation experience. Supporters said the bill would reduce overhead, direct more money to training and services, improve coordination, and better align workforce programs with regional labor needs, while several members pressed for assurances that local boards, parishes, cities, and small businesses would remain involved. The committee ultimately adopted the amendments and reported HB 680 favorably with amendments.
The committee then heard House Bill 780 by Representative Furman, a workers’ compensation bill aimed at reducing litigation and speeding dispute resolution. After adopting technical amendments and a separate amendment set allowing authorized agents or attorneys to prepare certain notices, members also adopted a committee amendment deleting a statutory definition of “arbitrary and capricious” after concerns were raised that the language could create confusion or conflict with existing jurisprudence. The author and supporting attorneys argued the bill would restore an expedited preliminary determination process, create a single standard for attorney fees, and reduce costs for employers by limiting unnecessary litigation and delays. They said the changes would not affect an injured worker’s choice of physician or existing penalty provisions, and that the bill mainly addressed notice and dispute procedures.
Opponents, including attorneys representing injured workers, argued the bill would make it harder for workers to recover penalties and attorney’s fees when benefits are delayed or denied, and said the new standard could favor insurers that are understaffed or slow to process claims. They also criticized the shift from reasonableness to a more restrictive standard and raised concerns about delayed payments and the lack of transparency around defense costs. After hearing testimony from both sides, the committee continued discussion of the bill with these issues still under consideration.
HI
Transcript Highlights:
- Comprehensive, that 70% of our patient population live at or below the federal poverty level.
- Comprehensive, that 70% of our patient population live at or below the federal poverty level.
- </c> comprehensive that uh 70% of our patient comprehensive that uh 70% of our patient population<00:
- As far as where we've gotten so far, we've selected a preferred offer, AHDP, um, um, and that's...
- </c><01:32:21.679><c> offer</c> we've selected a preferred offer we've selected a preferred offer ahdp
Committee:
Senate Economic Development and Tourism
Summary:
The committee heard several bills, beginning with HB 934 on broadband and digital equity. Testifiers from the Lieutenant Governor’s office, the Office of Enterprise and Technology Services, DCCA, the University system, the Hawaii State Council on Developmental Disabilities, and others generally supported the measure and emphasized the need to coordinate broadband efforts, fund operations, and expand access to high-speed internet, devices, and digital navigation services. The Chamber of Commerce and West Coast Comprehensive Health Center supported the bill but objected to HD1 language excluding broadband infrastructure for retail service, warning it could create unintended consequences and limit community-led or rural projects. The Lieutenant Governor explained the state expects roughly $400 million to $500 million in federal broadband funding, described the bill as consolidating efforts under a broadband office attached to the CIO, and said the office would focus on infrastructure, devices, and training. No vote was taken on HB 934 in the portion provided.
The committee then took up HB 97 on travel insurance. The Insurance Division said it had no major problem with the product but requested technical changes to align with licensing requirements and noted the bill largely codifies practices already used in the industry. Industry witnesses from Allianz and the U.S. Travel Insurance Association said the measure would create a consistent framework, add consumer protections, and align Hawaii with the NAIC model adopted in many other states. Members questioned whether there was a specific problem the bill was solving, and the division responded that it was mainly a framework and form-review measure rather than a response to a known enforcement issue. The bill was discussed but no final action was reported in the excerpt.
HB 448 on technology enablement drew broad support from the Hawaii Technology Development Corporation, the Chamber of Commerce, the Food Industry Association, and other business representatives. Supporters said the measure would help businesses use technology such as digital platforms, e-commerce, robotics, and AR/VR to improve competitiveness, especially in tourism and other sectors. Committee members pressed for clearer scope, cost estimates, and assurances that local companies would be used; the agency said it would prioritize local-first contracting, use federal NIST-related support where possible, and estimated an initial request of about $200,000, though it could not give a firm total. Members expressed concern that the plan was still too undefined. The committee then began HB 455 on small business loans, where the Attorney General suggested explaining why a special fund is needed, and a witness from H Collaborative said the bill would help startup businesses that struggle most to access capital.
CA
California 2025-2026 Regular Session
Joint Hearing Budget Subcommittee No. 2 on Human Services and Budget Subcommittee No. 1 on Health Mar 25th, 2026
Transcript Highlights:
- Aging in one's own home and community is not only the preference of the overwhelming majority of older
- I told the doctor I would prefer to go home with an IHSS provider and ask the public authority to find
- Finding an available skilled nursing bed can take several days, so patients cleared for discharge often
- Something's very off there, if those figures are real. ...to patient care.
- One of the unique things about our coalition is that we have both care providers and patients.
MO
Missouri 2026 Regular Session
2026 Legislative Session - Day Forty One - Wednesday, March 25 - Afternoon Session
Missouri House Floor Meeting
Transcript Highlights:
- It is a patient safety issue.
- patient relationship.
- This is the Hope for Missouri Patients Act.
- , as they already do for all other patients.
- , as they already do for all other patients.
Summary:
The House first established a quorum after a quorum call and welcomed special guests, including the Freedom of the Road motorcycle riders and students from Warsaw High School. It then took up House Committee Substitute for House Bill 1855, a reporting bill on Alpha-Gal syndrome. The bill sponsor described the condition as a serious tick-borne allergy that has affected his family and many Missourians, arguing that Missouri needs mandatory reporting and surveillance data to identify hotspots, guide public health outreach, and support research and funding. Supporters from both parties said the bill would improve awareness and data collection, while one member raised concerns about the fiscal note and whether the state would get useful information for the cost.
The chamber adopted Amendment 1 to HB 1855, changing the follow-up language from “may” to “shall,” but rejected Amendment 2, which would have required patient consent before lab results were reported into the surveillance system. Opponents of the consent amendment said it would undermine disease surveillance and set a bad precedent for other reportable conditions; supporters argued for privacy and individual choice. After debate, the House adopted the committee substitute as amended and ordered it perfected and printed.
The House then considered House Committee Substitute for House Bills 2230 and 2978, a K-5 education measure addressing screen time, cursive, and handwriting. The sponsor said the bill responds to research and parent/teacher concerns about excessive screen use, poor literacy outcomes, and mental health effects, and would create a state focus group to review evidence and make recommendations while leaving districts flexibility. Members discussed carve-outs for special education, English language learners, and virtual school, and adopted an amendment excluding the virtual school program. The House then adopted the substitute as amended and ordered it perfected and printed.
Finally, the House took up House Bill 2355, the “Food is Medicine” initiative, which would allow Missouri to use federal funds through 1115 waivers for pilot programs such as medically tailored meals, produce prescriptions, nutrition education, and related supports. Supporters said the program could improve health outcomes, reduce Medicaid spending, and help address food deserts. An amendment adding vitamin therapies and updating a date drew discussion over supplement safety and regulation, but the transcript cuts off before a final vote on that amendment or the bill itself.