Video & Transcript : 'uncompensated care' :

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AL

Alabama 2026 Regular Session

Alabama House Insurance Committee Feb 11th, 2026

Insurance

Transcript Highlights:
  • Um, I took care of my mother the last five, six, seven years of her life, and she was on dialysis and
  • </c><00:07:24.000><c> Um</c><00:07:24.400><c> I</c><00:07:24.639><c> took</c><00:07:24.880><c> care</
  • Um I took care of my &gt;&gt; Uh mine as well.
  • Um I took care of my mother<00:07:25.440><c> the</c><00:07:25.759><c> last</c><00:07:26.080><c> five,
Bills: HB372 , HB361 , HB391 , HB372 , HB361 , HB391
Committee: House Insurance
WA

Washington 2025-2026 Regular Session

House State Government & Tribal Relations Jan 30th, 2026 at 08:00 am

State Government & Tribal Relations

Transcript Highlights:
  • One of my mentors once said, without curiosity, we can't learn; without learning, we can't care; and
  • without care, we can't protect.
  • From a governor's standpoint, this is careful, restrained lawmaking.
  • It has no From a governor's standpoint, this is careful, restrained lawmaking.
FL

Florida 2026 Regular Session

Ethics and Elections Jan 13th, 2026

Ethics and Elections

Transcript Highlights:
  • Thank you for allowing me to present Senate Bill 414, use of campaign funds for campaign-related child care
  • This bill will allow campaign funds to be used for campaign-related child care, which is already allowed
  • We forget the single parent who wants to run but cannot afford child care.
  • They know child care is a part of their reality, and they are giving to them because they want them to
Bills: S0564 , S0572 , S0414 , S0620 , S0500 , S0092
Summary: The committee met with a quorum and considered several election- and ethics-related bills. Senate Bill 572 by Senator Harrell, which would update ethics statutes so the definition of “relative” includes foster parents and foster children, received supportive testimony from the Commission on Ethics and passed unanimously. Senate Bill 414 by Senator Bracy Davis, allowing campaign funds to be used for campaign-related child care expenses, was presented as a way to reduce barriers to public service but was temporarily postponed after the sponsor said it lacked the votes to advance. Senate Bill 500 by Senator Avila would require FDLE protective security details for major-party nominees for governor, lieutenant governor, and cabinet offices from nomination through assumption of office; members questioned the scope, definitions of major and minor parties, and whether taxpayers should bear the cost, and the bill was reported favorably on a divided vote. Senate Bill 620 by Senator Mayfield would require candidates for federal, state, county, district, judicial, and school board offices to disclose any non-U.S. citizenship or dual citizenship; testimony opposed the bill as stigmatizing dual citizens, but it was reported favorably. The committee also approved CS for SB 92 by Chair Gaetz, which creates whistleblower-style protections for public employees who file ethics complaints based on firsthand knowledge and face retaliation, with support from the Commission on Ethics. In addition, the committee unanimously approved a block of gubernatorial appointments and then passed Senate Bill 564 by Senator Yarborough, allowing registered or pre-registered high school students to volunteer at polling places for community service hours; members discussed whether the bill would create new volunteer opportunities and whether the term “community service hours” needed clarification. The meeting ended with adjournment.
TX
Transcript Highlights:
  • I often hear from survivors who, in a rush to seek care and receive a forensic exam, can't access it,
  • Care does not decline to participate in the treatment for reasons of conscience.
  • I also took care of a child who was raped by her neighbor.
  • I take care of these patients on a regular basis. I'm a full-time forensic nurse.
  • Well, I thought that was taken care of. Thank you very much. Good catch, Senator Hinojosa.
TX
Transcript Highlights:
  • But we have agency after agency that demonstrates they don't really care what we pass.
  • I don't care what any other state is doing; what you have talked about is just wrong in...
  • Fifty million dollars that we could have invested in taking care of our... Citizens.
  • Does Science Care abide by all those? Yes.
  • I guess the short answer would be no from Science Care. No. No, I do not.
Bills: SB1406 , SB1681 , SB2480 , SB2721
TX

Texas 89th Regular

Health and Human Services Apr 16th, 2025

Health & Human Services

Transcript Highlights:
  • But we have agency after agency that demonstrates they don't really care what we pass.
  • I don't care what any other state is doing.
  • Do you, at Science Care, abide by all those? Yes.
  • The short answer would be no from Science Care. No, I do not. So, Doctor, would you like?
  • One of our primary concerns is the absence of health care professionals on the commission.
Bills: SB1406 , SB1681 , SB2480 , SB2721
Summary: The committee first heard Senate Bill 2480, which would clarify that the Texas Medical Board may collect license renewal surcharge fees from all licensees to fund the Texas Physician Health Program and related administrative costs. The bill author explained the funding fix was needed after prior language was found to allow surcharges only for physicians and physician assistants. Witnesses from the Texas Physician Health Program supported the measure and described the program’s confidential monitoring and treatment services; members asked about the fee amount, which was described as capped at $15 per two-year registration cycle. The bill was left pending. The committee then took up Senate Bills 1406 and 2721, both authored by Senator Parker, addressing the handling of human remains by non-transplant anatomical donation organizations, willed body programs, and related facilities. Senator Parker and several witnesses described alleged abuses involving unclaimed bodies, consent problems, body leasing, hotel-based dissections, and mishandling of cremains, and argued for strict licensing, inspections, transparency, and criminal penalties. Supporters included families of deceased veterans and other relatives, a biomedical ethicist, the Texas Catholic Conference of Bishops, and some public safety and hotel industry representatives who said legitimate training should continue but bad actors should be shut down. Opponents or cautious witnesses from accredited donation organizations and bioskills labs said they support stronger oversight but warned the bills could unintentionally disrupt legitimate medical education and urged clearer language and implementation of existing law. Both bills were left pending. Senate Bill 1681, by Senator Menendez, would require counties and municipalities that regulate boarding homes to report facility standards and related information to the Health and Human Services Commission. The author said the bill is intended to improve state oversight of boarding homes that serve elderly and disabled residents and to address abuse, neglect, and exploitation. The bill was left pending after brief discussion. After the testimony portion, the committee returned to voting on pending business and unanimously reported Senate Bills 527, 912, 1580, 1952, and 2032 to the Senate with recommendations that they do pass and be printed, and each was also recommended for the local and uncontested calendar. The committee also adopted a committee substitute for Senate Bill 407 and reported the substitute favorably, with six ayes and three nays. The committee then moved on to Senate Bill 500 as pending business.
TX
Transcript Highlights:
  • Health care advocacy is the next page. The legislature approved this in 2015.
  • We have 24 health care advocates.
  • But we overcome the obstacles they have with VA health care, and they've been very successful.
  • Could be health care, could be...
  • Could be employment, could be child care, and recognize their service as well.
Bills: SB651 , SB897 , SB1814 , SB1818
OK

Oklahoma 2026 Regular Session

Public Health Oct 23rd, 2025

Public Health

Transcript Highlights:
  • We have limited skilled nursing facility and long-term care facility, particularly long-term acute care
  • chronic care management plans.
  • It takes staff time, and as you pointed out, Madam Chair, that's uncompensated care, and it takes a lot
  • Respite care is also sometimes referred to as recuperative care, and it's a setting where Individuals
  • Long-term care.
Committee: House Public Health
Summary: The meeting focused on hospital “avoidable days” and the difficulty of discharging medically stable patients who still need post-acute placement or social services. Presenters from Saint Anthony Hospital Midtown, the Oklahoma Hospital Association, City Care, and OU Health described common barriers including lack of skilled nursing, rehab, long-term care, behavioral health, and hospice placements; insurance prior authorization delays; Medicaid and Social Security eligibility delays; guardianship and Adult Protective Services bottlenecks; limited home health and private duty nursing; and the challenge of placing unhoused, uninsured, or medically complex patients. Several speakers emphasized that these delays reduce bed availability, increase emergency department boarding, contribute to staff burnout, and expose patients to hospital-acquired conditions and other harms. The testimony included multiple examples of patients remaining in acute care for days, weeks, or even months after being medically ready for discharge, including patients awaiting guardianship, disability determinations, or placement in facilities willing to accept them. Speakers also highlighted special populations such as patients with behavioral health or substance use disorders, medically fragile children, patients with criminal histories, and unhoused individuals who need respite or hospice care. City Care described its planned 40-bed medical respite facility, set to open in 2027, as a way to provide clinical support and housing navigation for patients too sick to recover on the street or in shelters. Witnesses recommended policy and system changes such as standardizing preauthorization protocols, expanding rural swing-bed and home-based services, increasing public guardianship resources, improving data collection on homelessness, expanding private duty nursing hours, and creating more placement options for complex patients. They also suggested better coordination between hospitals, DHS, APS, the Health Department, and post-acute facilities, including a database of facility services to improve discharge planning and keep patients closer to home. No votes or formal committee actions were taken in the transcript, but the chair indicated the issue would require collaboration across multiple agencies and partners.
TX

Texas 89th Regular

Water, Agriculture, and Rural Affairs Feb 24th, 2025

Water, Agriculture and Rural Affairs

Transcript Highlights:
  • Uncompensated, and they're all businessmen. They ensure that the vast majority of them.
  • We would depend on natural flows and rainfall to. to take care of that. Okay, thank you.
Bills: SB 384 , SB 503 , SB 565 , SB 616 , SB 740
Summary: The Senate Committee on Water and Agriculture and Rural Affairs convened under the leadership of Chairman Kelly Hancock, who opened the meeting with a prayer in remembrance of Chairman Perry, who was absent due to a personal loss. The session focused on the discussions surrounding SB384, which aims to support the longstanding initiative known as Operation Game Thief. Senator Flores presented the bill, emphasizing its essential role in the fight against poaching through public support. The operation has a successful track record of convictions but is currently dependent on donations and merchandise sales for funding. The committee aimed to vote on multiple bills during this session, contingent on achieving a quorum. Notably, discussions also revolved around fiscal notes on two bills that were set aside for later consideration, indicating the committee's intention to carefully manage their legislative decisions. The meeting showcased a productive atmosphere, with committee members actively engaged in the review and potential advancement of key legislative measures.
CA
Transcript Highlights:
  • , and Golden Age Dental Care.
  • And thank you on the child care piece.
  • Institutional care is more expensive than home-based care, but home-based care is the preferred choice
  • And then lastly, on behalf of Essential Health Access Health, I just want to say the uncompensated care
  • Kate Morrison with Maxim Health Care Services.
Keywords: 987, senate, all
CA
Transcript Highlights:
  • , and Golden Age Dental Care.
  • And thank you on the child care piece.
  • Institutional care is more expensive than home-based care, but home-based care is the preferred choice
  • And then lastly, on behalf of Essential Access Health, I just want to say the uncompensated care program
  • Kate Morrison with Maxim Health Care Services.
Summary: The Senate Budget Subcommittee No. 3 on Human Services held its final hearing on the budget, with the chair framing the Senate’s plan as a counterproposal that rejected major cuts and preserved revenues. Public comment was overwhelmingly supportive of the subcommittee’s actions, especially on Medi-Cal, IHSS, PACE, behavioral health, child care, CalFresh outreach, immigrant legal services, and long-term care. Testimony from disability, aging, county, health plan, provider, labor, and advocacy groups urged the committee to keep rejecting asset tests, immigrant coverage reductions, IHSS cost shifts, PACE rate cuts, and behavioral health reductions, while supporting mobile crisis, 988, Title IV-E workforce funding, and the “Be Home Soon California” proposal to expand home- and community-based care. Several speakers also pressed for additional or related funding and policy changes, including county alternatives for people losing Medi-Cal under federal HR1-related changes, more support for public hospitals and indigent care, CalFresh and Cal Food investments, child care slots and COLAs, dental rate cut delays, and expanded immigration legal and food assistance. Others thanked the committee for restoring or preserving funding for behavioral health innovation and advocacy grants, public health IT and disease investigation, diaper banks, hearing aids for children, and distressed hospital loans. The committee also heard concerns about fee-for-service shifts, outpatient dialysis coverage, and other implementation details, with some groups asking for trailer bill language or guardrails. After public comment, the subcommittee took three votes on large blocks of budget items. The first block of consent items passed 3-0, the second block passed 2-1, and the final block passed 2-0, with the chair announcing that the items were approved and out of committee. The hearing then adjourned.
CA

California 2025-2026 Regular Session

Assembly Budget Committee Apr 10th, 2025

Transcript Highlights:
  • fund that takes care of that cost.
  • You don't have to worry about health care deserts. Am I correct in that?
  • rooms than through primary care and preventative care.
  • You are seeing health care costs rise across the country.
  • even farther, which, if that happens, will raise the cost of uncompensated care, as well as potentially
Summary: The Assembly Budget Committee held an informational hearing on SB 100/AB 100, the early action budget bills, with a focus on Medi-Cal funding, wildfire recovery, and several smaller budget adjustments. The Department of Finance explained that the bill would add $2.8 billion General Fund and $8.3 billion federal funds for Medi-Cal, along with other items including wildfire-related local assistance for Los Angeles County, property tax backfills for fire-damaged local agencies, Cal OES wildfire monitoring authority, nonprofit security grants, the Property Tax Postponement Fund, FARMER and Clean Cars for All funding, foster family home insurance claims, Proposition 98 technical assistance for LA wildfire-impacted schools, teacher credentialing authority, and Proposition 4 climate bond appropriations for wildfire and forest resilience projects. Much of the member discussion centered on rising Medi-Cal costs, the recent $3.4 billion cash-flow loan, and whether the new appropriation would cover payments through June. Finance said the new funds were for program costs and cash flow, not repayment of the loan, and that no additional loan authority remained. Members also debated the causes of higher Medi-Cal spending, including expanded eligibility, higher enrollment, pharmacy costs, and federal policy changes. The LAO noted that forecasting errors are not unusual but that current revisions are somewhat higher than typical, though not unprecedented. Several members emphasized that Medi-Cal supports access to care and hospital stability, while others raised concerns about sustainability and future federal cuts. Public commenters largely supported the bill, especially the Medi-Cal funding and wildfire-related provisions. Health and labor advocates argued that the program is functioning as intended by covering more low-income Californians and preventing uncompensated care. Representatives of special districts and the Altadena Library District supported the property tax backfill provisions tied to the Eaton fire. The hearing ended without a vote, with the chair noting that the committee would adjourn for floor session and that the Assembly would vote on one of the early action bills later that morning.
CA

California 2025-2026 Regular Session

Assembly Health Committee Apr 7th, 2026

Transcript Highlights:
  • It narrowly expands access to our existing uncompensated care grant program, so it will include veterans
  • To address this inequity, AB 2531 would narrowly expand eligibility in the uncompensated care grant program
  • Planned Parenthood Health Centers are proud to be among the state's uncompensated care providers that
  • Reproductive health care is essential health care, and access to this care should never be dependent
  • and abortion care is absolutely essential. ...how critical safe access to health care and abortion care
Summary: The Assembly Health Committee heard a long agenda of health-related bills, beginning with AB 2651 by Bonta, which would require schools to notify parents when school vaccination rates fall below herd immunity thresholds. Supporters, including family physicians, PTA representatives, and medical groups, said the bill would improve transparency and help parents protect children and vulnerable family members. Opponents argued the data could be misleading, could identify medically exempt or conditional students, and might lead to stigma or discrimination. The bill was later moved out of committee on a due-pass-as-amended motion, with one no vote recorded on the roll call. The committee also heard AB 2123 by Aguirre-Curry on medical debt relief, AB 1570 by Wilson to eliminate out-of-pocket costs for medically necessary breast diagnostic and supplemental imaging, AB 2201 by Berner to restore Medi-Cal eligibility and renewal flexibilities, AB 2448 by Berman to strengthen privacy protections for reproductive and gender-affirming care records, AB 2034 by Addis on food additive safety and transparency, and AB 2598 by Krell to require better notification of next of kin when a patient dies in a hospital. Each bill drew strong support from authors, advocates, and affected individuals, while some drew opposition from insurers, industry groups, or transparency critics who raised concerns about cost, duplication, implementation, or unintended harm. Several bills were moved forward on due-pass-as-amended motions, including AB 2123, AB 2201, AB 2448, AB 2034, and AB 2598. The committee also heard AB 2551 by Elhawary, which would require health plans to collect and publish data on how often enrollees must go out of network for behavioral health care and why. Supporters said the measure would expose access barriers and high out-of-pocket costs, especially for communities of color and people with language access needs; opponents said it would add another reporting mandate and might not solve provider shortage problems. Members generally expressed support for the bill’s goals and several described personal or district-level experiences with behavioral health access problems. The bill was then moved out of committee on a due-pass motion. The committee also took up consent items and other procedural motions, with multiple bills reported out and some placed on call.
CA
Transcript Highlights:
  • of care.
  • maternity care, strengthens local capacity to reduce avoidable out-of-area travel for care.” “...care
  • care, including care integrated into OBGYN or primary care visits.
  • care grant program offering abortion and contraception care.
  • We're going to see more uncompensated care, and we need this program even more.
Summary: The hearing began with a stakeholder presentation from Let California Kids Hear urging coverage of pediatric hearing aids for children in the large group market. Advocates described the issue as a long-running developmental emergency, argued that existing state efforts have been inefficient, and said the new proposal would cover about 70% to 80% of affected children without new spending by redirecting existing dollars. Public commenters, including parents, audiologists, and children’s advocates, strongly supported the proposal and emphasized the need for timely access to sound. The chair thanked the group and noted hope for a future fix, including continued work on the exchange market. The Department of Finance then gave a broad budget warning about the state’s more than $20 billion structural deficit and said new investments must be weighed against out-year shortfalls. HCAI followed with an overview of its programs, including CalRx insulin and naloxone, reproductive health grants, the Office of Health Care Affordability, seismic hospital compliance, workforce programs, and the Data Exchange Framework. Members asked about geographic targeting of workforce funds, behavioral health pipeline programs, the status of the 21st Century Nursing Initiative, and future CalRx products such as EpiPens and GLP-1s. HCAI also described its enforcement approach for health care spending targets, saying the board would not change the targets in response to H.R. 1, and outlined the diaper access initiative, which will distribute diapers through hospitals in higher-need areas. Several HCAI budget items were discussed and held open, including additional expenditure authority, the transfer of the Data Exchange Framework and Office of the Patient Advocate, long-term care payment transparency staffing, and reporting on health care worker waiting periods. The department also presented its Behavioral Health Services Act workforce initiative and a proposed $100 million General Fund offset, which both the LAO and the chair questioned as unclear and potentially one-time in nature. HCAI said the final workforce plan would be adjusted after stakeholder consultation if the offset proceeds. The department also described the Rural Health Transformation Program, saying California received $233.6 million in federal funds, had to revise its proposal to satisfy CMS, and must obligate the money by October 30; the program will fund rural care models, workforce development, and technology, with grants rolled out on a phased basis. The Department of Managed Health Care then presented its budget and three legislative implementation requests: SB 41 on PBM reform, SB 306 on prior authorization transparency, and AB 1041 on provider credentialing timelines. Finally, the administration outlined a menopause care proposal requiring coverage and education for menopause-related services, provider training, and an outreach campaign, with DMHC requesting staffing and funding to implement and enforce the new requirements. Throughout the hearing, most items were held open for later action, and no final votes were taken in the portion provided.
CA
Transcript Highlights:
  • of care.
  • Care and maternity care, strengthens local capacity to reduce avoidable out-of-area travel for care.
  • care, including care integrated into OBGYN or primary care visits.
  • care grant program, offering abortion and contraception care.
  • We're going to see more uncompensated care and we need this program even more.
Summary: The hearing began with testimony from Let California Kids Hear and supporters urging action on pediatric hearing aid coverage. Advocates said California has repeatedly failed to enact a workable solution over the past eight years and argued that children need early access to sound to support development. The proposal discussed would limit the coverage mandate to the large-group market, which advocates said would cover roughly 70% to 80% of affected children and avoid the exchange-related cost issue that contributed to prior vetoes. Supporters, including parents, audiologists, and children’s health groups, backed the proposal, and the chair expressed sympathy and support while noting hope for a federal solution for exchange plans. The Department of Finance then gave opening remarks about the state’s structural deficit and the need to balance new investments against projected out-year shortfalls. HCAI followed with a broad overview of its programs, including CalRx insulin and naloxone initiatives, reproductive health grants, the Office of Health Care Affordability, hospital seismic compliance, workforce programs, and the diaper access initiative. Members asked about geographic targeting of workforce funds, the behavioral health workforce pipeline, and the status of the 21st Century Nursing Initiative, which HCAI said had reverted funds. The committee also discussed a proposed transfer of the Data Exchange Framework and Office of the Patient Advocate to HCAI, new reporting on long-term care staffing and health coverage waiting periods, and a Behavioral Health Services Act workforce proposal that would use BHSA funds to support training, stipends, and technical assistance while offsetting $100 million in General Fund spending; members and LAO questioned the offset and asked for more detail, and the item was held open. HCAI also presented the Rural Health Transformation Program, explaining that California received $233.6 million in federal funds for the first year and had to revise its proposal so that $35 million in provider payments would be tied to specific transformative activities rather than general financial relief. The program will fund rural care model redesign, workforce development, and technology/infrastructure improvements, with grants to be rolled out on a tight timeline and subject to CMS approval. Members asked about the size of California’s award, the use of funds for maternity care, labor and delivery access, dialysis, tribal set-asides, and the role of a technical assistance contractor. The department said the program will use supply-and-demand workforce modeling to target funding and that all funds must be obligated by October 30. Finally, the Department of Managed Health Care outlined its budget and two major bill-related proposals: SB 41 on PBM reform and SB 306 on prior authorization transparency. DMHC said SB 41 would require PBM licensure, ban spread pricing, require rebate pass-through, and regulate pharmacy network practices, while SB 306 would require reporting on prior authorization and create a list of services exempt from prior authorization. DMHC requested additional positions and funding to implement both measures.
HI

Hawaii 2026 Regular Session

ECD Public Hearing - Wed Mar 18, 2026 @ 8:30 AM HST

Economic Development & Technology

Summary: The committee heard testimony on several Senate bills, with most measures drawing broad support and a few generating significant opposition or policy questions. SB 2908 SD1 and SB 2671 SD1 were taken up first; both appeared to have majority support, with SB 2908 receiving seven in support, one in opposition, and one comment, and SB 2671 receiving five in support and two comments. SB 3085 SD2, related to film industry operations, drew 11 supporters and no opposition. Georgia Skinner explained that the bill would streamline the approval timeline for productions by reducing delays tied to Land Board review, and she said DLNR supported the effort. Committee members asked about the need for the change and the relationship between the film studio, DLNR, and the approval process. The committee then discussed SB 2907 SD1, which would create an Office of Marine Affairs. Testimony was largely supportive, including from DLNR, HTDC, the Department of Agriculture and Biosecurity, ocean industry representatives, and others. The governor’s office supported the bill’s intent but objected to placing the office within the Office of the Governor, urging instead that it be housed at HTDC. HTDC said it was willing and excited to take on the work and described ongoing stakeholder engagement. Members asked about the rationale for the placement and the long-term structure of the office. SB 2353 SD2, concerning the Aloha Stadium district and billboard/naming-rights issues, drew strong opposition overall, with four in support, 23 in opposition, and one comment. Andrew Pereira of the Stadium Authority argued the measure could generate revenue to help maintain and operate the stadium and said the district would remain self-contained; he also emphasized that the development would respect the character of the area. The committee then heard SB 2074 SD1, which had five in support and 26 in opposition; only one support testimony from the Carpenters was heard before the discussion moved on. Finally, SB 2360 SD1, an enterprise zones measure, received 14 supportive testimonies and two comments. Testimony focused on updating the program for modern business models, especially e-commerce and direct-to-consumer sales, while committee members questioned whether the program overlaps with higher tax burdens and whether businesses receiving subsidies should be monitored for job retention after graduation from the program.
TX
Transcript Highlights:
  • in health care and lower health care cost coverage.
  • And I made the statement, but back then I said, there really is no such thing as uncompensated care because
  • We've had some discussion about uncompensated care and charity care and what the uninsured are charged
  • We've had some discussion about uncompensated care and charity care and what the uninsured are charged
  • care.
Keywords: 1185, senate, all