Video & Transcript Research : 'caregiver'

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TX

Texas 89th Regular

S/C on Family & Fiduciary Relationships May 5th, 2025

S/C on Family & Fiduciary Relationships

Transcript Highlights:
  • Text4Text collaborates with providers. and caregivers from across the state, including kinship caregivers
  • We refer to these as informal kinship caregivers.
  • And these caregivers are generally on a fixed income, they're retired.
  • And Senate Bill 1923 would help these informal kinship caregivers. caregivers who are caring for a child
  • Oftentimes caregivers don't have the time to wait.
AZ
Transcript Highlights:
  • Our caregivers perform the same intimate, hands-on tasks every day.
  • They create learning opportunities, but they also protect caregivers.
  • Cameras threaten the dignity and privacy of both residents and caregivers.
  • Filming caregivers in private rooms raises serious... ...increases them.
  • Filming caregivers in private rooms raises serious legal concerns.
Summary: The committee first heard House Bill 2307, as amended by a strike-everything amendment, which would require the Department of Health Services to contract with an out-of-state facility when a person found dangerous and incompetent under a court commitment order cannot be placed in an Arizona secure mental health facility. Supporters, including the sponsor and Senator Angus, said the measure was a temporary stopgap to prevent dangerous individuals from being released because Arizona lacks secure behavioral health beds. Opponents raised due process, disability rights, family access, cost, and interstate-legal concerns, and DHS said it had no fiscal estimate and little experience with such contracts. The committee adopted the amendment and then passed the bill 6-5. The committee then took up House Bill 2083, which updates diabetes-related insurance coverage to include items such as continuous glucose monitors, insulin pumps, smart insulin pens, and certain injectable medications. Supporters said the bill reflects modern diabetes care and can prevent serious complications, while an insurer representative warned that putting the coverage in statute could create state-mandated costs and raised concern that the language might be read to include GLP-1 drugs. The committee adopted the amendment and passed the bill 11-1. House Bill 2673, dealing with mental illness screening and treatment for incarcerated people, would require sheriffs to ensure prisoners showing symptoms of mental disorder are examined within 24 hours and, if appropriate, referred for evaluation and treatment. Representative Hernandez said she intended to revise it into a study committee-style measure after stakeholder feedback, and a family member testified about her son’s death after untreated psychosis in jail. Opposition focused on competency and civil-commitment concerns, costs, and the burden on jails, but the committee passed the bill 12-0. House Bill 2923, which revises timelines and notice procedures for judicial review of court-ordered mental health treatment, also passed 12-0 after supporters said it would clarify outdated language and improve communication with families and guardians; opponents argued it shifted burdens onto patients and could prolong confinement. The committee next passed House Bill 2251, as amended, which expands licensed midwives’ authority to dispense certain medications and devices, adds reporting and oversight requirements, and creates an advisory committee. The sponsor said the amendment narrowed the medication list, clarified transfer-of-care triggers, strengthened oversight, and added sentinel-event reporting after stakeholder discussions with medical groups. Finally, the committee heard House Bill 2914 on electronic monitoring in resident rooms at nursing care and assisted living facilities, with the sponsor’s statement emphasizing the bill as a protection against abuse or neglect and noting similar laws in other states; the transcript cuts off before testimony or a final vote on that bill.
NH

New Hampshire 2025 Regular Session

Senate Judiciary (03/25/2025)

Judiciary

Transcript Highlights:
  • </c> medical conditions and their caregivers medical conditions and their caregivers to<00:44:42.480>
  • </c> designated medical marijuana caregiver designated medical marijuana caregiver due<00:55:15.920><
  • <00:58:33.280><c> having</c> concerned with the caregivers having concerned with the caregivers having
  • Chairman, and thank you for taking my question. caregivers. caregivers.
  • </c> that is what the designated caregiver that is what the designated caregiver program<02:04:25.360
Keywords: 1191, senate, all
OR
Transcript Highlights:
  • That means improving patient and caregiver safety, strengthening clinical and operational oversight,
  • That is emerging as a patient safety or caregiver safety issue, and as I said, for me it's all about
  • health and safety unit that does provide triage and consultation and support to caregivers across the
  • Leadership, mid-level management, frontline caregivers, there's...
  • Leadership, mid-level management, frontline caregivers, and those that provide infrastructure—all of
Keywords: 907, all
Summary: The joint Senate and House Behavioral Health committees held an informational meeting focused first on the Oregon State Hospital (OSH). OHA Director Sajal Hathi introduced the hospital’s incoming permanent superintendent, Sean Murphy, and praised interim superintendent Jim Deagle for stabilizing operations, restoring CMS compliance, and helping drive a culture change centered on safety, accountability, and transparency. Deagle and Chief Medical Officer Dr. Amit Bavon described OSH’s role as the state’s highest-level forensic psychiatric hospital, the patient populations it serves, its partnerships with courts, counties, jails, hospitals, and advocates, and recent leadership changes across the hospital. They also reported improved accreditation and regulatory status, including Joint Commission accreditation and CMS compliance, and said the hospital is now using daily safety huddles, incident review meetings, stronger escalation procedures, and revised seclusion/restraint practices to reduce risk and improve oversight. Members pressed hospital leaders on past seclusion practices, asking how prolonged seclusions could have occurred under federal standards. Leaders said they could not explain past decisions but emphasized that current leadership has changed processes, training, reporting, and oversight so that seclusion and restraint are reviewed in real time and cannot be normalized. Questions also covered staffing, falls, and future planning. OSH said it is generally staffed to budget, though it still has RN and mental health technician vacancies and is working on recruitment, training, and better staffing distribution. Hathi said the hospital is building a public dashboard with key performance and safety metrics, including workforce data, and described the long-term goal as a consistently safe, disciplined, high-functioning institution that responds quickly to mistakes and remains accountable to the public. The committee then shifted to an informational overview of civil commitment. Oregon Judicial Department representative Chanah Newell explained the civil commitment process, including who can initiate it, the role of community mental health providers and courts, the five-day timeline to hearing, and the standards for danger to self, danger to others, and inability to meet basic needs. She summarized changes made in House Bill 2005, including revised statutory language and new provisions allowing a second diversion period, but cautioned that the data are too early to show clear trends. Testimony from NAMI Oregon’s Chris Bonif and psychiatrist Dr. Stephanie Lopez argued that Oregon still relies too heavily on jails and state hospital commitments because the broader community system lacks enough treatment, housing, and less restrictive alternatives. They urged the legislature to focus on upstream services, supported housing, and possible outpatient commitment tools so people can receive treatment before reaching crisis. The meeting ended with acknowledgment that additional reports and follow-up discussions are expected, including on residential treatment capacity and related behavioral health system reforms.
CT
Transcript Highlights:
  • Caregiver being a phrase that can be used different ways. Everything, right?
  • When you say caregivers, they're... in kind of a couple ways.
  • When you say caregivers, they're, Definitely have different scripts.
  • When you say caregivers—and this was a conversation we've had—caregivers are not, I'll be careful, the
  • is the way I understand caregiver or not.
Keywords: 962, all
Summary: The meeting began with approval of the May minutes and then moved into administrative updates on several 2025 legislative workstreams. Staff reported progress on two marketing efforts tied to the youth mental health crisis: one focused on increasing awareness and use of urgent crisis centers, and another broader crisis-continuum campaign led by United Way. Both projects are refining materials based on working-group feedback and aim to have materials ready before the start of the school year. Updates were also given on the UCC private insurance review and the crisis continuum review, both of which are gathering data and reconvening working groups over the summer. The main discussion centered on a Civic Solutions Group update on Medicaid school billing. The contractor explained that the project is examining why Connecticut schools are not billing for behavioral health and related services, with the goal of maximizing federal reimbursement. Members clarified that the study is about schools billing for services, not private providers billing in schools. Questions focused on whether Medicaid has caps or authorization issues when students receive services both in school and in the community, and whether recent federal or state changes affect billing. The contractor said the work is still in data collection and analysis, and that some issues, such as reauthorization procedures, were outside his scope. Participants also raised concerns about perceived barriers, fee-for-service limitations, and the need to distinguish school-based billing from provider billing. A second major presentation came from Disability Rights Connecticut on a separate legislative study concerning behavioral health issues affecting students receiving special education. The subgroup is examining the feasibility and impact of requiring evidence-based interventions, especially for challenging behaviors that can lead to restraint and seclusion, and is also looking at monitoring and random audits of restraint and seclusion practices. The team described its project plan, including literature reviews, interviews, focus groups, surveys, and data requests from the State Department of Education and other stakeholders. Members emphasized that the work is aimed primarily at private providers under the statute, but may have broader relevance. Questions from the group focused on whether the study would include public schools, how evidence-based practices apply to students with intellectual disabilities and autism, and whether caregivers or parents would be interviewed; the presenters said caregiver input is not currently part of the charge. The meeting ended with reminders about the July 15 meeting, which will include a Solnit briefing, and a note that August TCB meetings will not be held, though a workshop on the Connecticut Children’s Behavioral Health Provider Survey is being planned for late July or early August.
NH

New Hampshire 2025 Regular Session

House Finance (03/12/2025)

Transcript Highlights:
  • <01:49:04.840><c> preventing</c><01:49:05.719><c> costly</c> caregivers preventing costly caregivers
  • </c> these programs support family caregivers these programs support family caregivers and<01:49:15.400
  • </c> individ ual his parent and his caregiver individ ual his parent and his caregiver so<02:58:52.800
  • Alzheimer's caregiving is relentless.
  • </c><04:15:27.399><c> is</c> truly need Alzheimer's caregiving is truly need Alzheimer's caregiving is
Keywords: 928, house, all
Summary: The House Finance Committee opened a public hearing on House Bills 1 and 2, which concern the governor’s proposed FY 2026-2027 budget. The chair explained that the committee must fit the budget to House Ways and Means revenue, which is about $800 million below the governor’s estimate in an almost $16 billion budget. He also noted a projected current-budget overspend, the impact of recently passed legislation, possible fee updates, no new tax proposals at that time, and the importance of federal funding and Medicaid stability. Testimony was limited to three minutes, with the chair asking speakers to avoid duplication. Much of the testimony focused on Medicaid, disability services, and home- and community-based care. Speakers urged the committee to restore or protect funding for transportation, Medicaid, day programs, in-home supports, and behavioral health services. Several individuals and providers described how cuts would affect people with disabilities, medically fragile children, and families who rely on services to remain employed and avoid institutional care. A home care provider argued that a proposed 3% Medicaid cut would increase hospitalizations and costs, while a behavioral health representative asked for sustainable Medicaid rates, uncompensated care support, housing resources, and continued funding for community behavioral health clinics. Another major topic was the Group II retirement provisions in HB 2 for public safety workers. Representatives from police, fire, corrections, probation/parole, and related associations testified in support, saying prior pension changes hurt recruitment and retention, pushed experienced workers to neighboring states, and should be reversed to restore promised benefits. They argued the provisions would help keep public safety careers viable and honor commitments made to first responders. An executive counselor also warned that when the state shifts costs away from itself, local property taxpayers bear the burden, and she opposed cost shifts such as Medicaid premiums and universal vouchers. A separate speaker urged funding public schools rather than universal vouchers, arguing vouchers can leave other students behind as resources are diverted.
TX

Texas 89th 2nd C.S.

S/C on Family & Fiduciary Relationships May 5th, 2025

S/C on Family & Fiduciary Relationships

Transcript Highlights:
  • Text Protect collaborates with providers and caregivers from across the state, including kinship caregivers
  • We refer to these as informal kinship caregivers.
  • And Senate Bill 1923 would help these informal kinship caregivers.
  • Oftentimes caregivers don't have the time to wait.
  • So with the kinship caregiver have to file a motion for modification?
AZ
Transcript Highlights:
  • They create learning opportunities, but they also protect caregivers.
  • And they create clarity, and clarity is almost always positive in caregiving.
  • Cameras threaten the dignity and privacy of both residents and caregivers.
  • Filming caregivers in private rooms raises serious... ...increases them.
  • Filming caregivers in private rooms raises serious legal concerns.
Keywords: 1182, all
Summary: The committee first took up House Bill 2307, as amended, which would require the Department of Health Services to contract with out-of-state secure mental health facilities when Arizona beds are unavailable for certain involuntary commitment cases involving defendants found dangerous and incompetent. The sponsor and supporters framed it as an emergency stopgap to prevent individuals who are deemed non-restorable from being released because Arizona lacks secure behavioral health beds, while opponents argued it would raise due process, disability rights, family access, and cost concerns, and questioned whether the state could even implement such interstate placements. After debate, the committee adopted the strike-everything amendment and advanced HB 2307 on a 6-5 due pass vote. The committee then heard House Bill 2083, which updates diabetes-related coverage language in health plans to include newer devices and supplies such as continuous glucose monitors, insulin pumps, and smart insulin pens. Supporters said the bill modernizes outdated statutes and improves access and outcomes for people with diabetes, while an insurer representative offered soft opposition, warning that writing these items into statute could create a state mandate and potential cost exposure, especially if the language is read to include GLP-1 medications. The committee adopted the strike-everything amendment and moved HB 2083 forward on an 11-1 due pass vote. Next, House Bill 2673 was heard, addressing mental health screening and treatment for incarcerated people. The sponsor said the bill was being reworked into a study committee concept after stakeholder feedback, but the underlying proposal would require prompt evaluation of prisoners showing mental disorder symptoms and faster referral for treatment. A family member testified about her son’s severe deterioration in jail and death, while an attorney opposed the bill as overbroad and legally problematic. Despite the sponsor’s indication that the bill would become a study committee, the committee voted 12-0 to give HB 2673 a due pass recommendation. The committee also advanced House Bill 2923, which revises timelines, procedures, and notice requirements for judicial review of court-ordered mental health treatment; supporters said it clarifies outdated language and improves communication with families, while opponents argued it shifts burdens onto patients and could prolong confinement. HB 2923 also received a 12-0 due pass vote.
NM

New Mexico 2025 Regular Session

IC - Legislative Finance Nov 17th, 2025

Transcript Highlights:
  • year: supporting our caregivers.
  • Lastly, I just want to mention a commitment regarding caregiving.
  • We launched the kinship caregiving pilot program.
  • So we are going to be doing some outreach about our kinship caregiving program.
  • For example, for those who don't have a formal caregiver.
CA

California 2025-2026 Regular Session

Assembly Judiciary Committee Apr 22nd, 2025

Transcript Highlights:
  • ... ...agencies honor them consistently, expanding the categories of caregivers eligible to use a caregiver
  • Current law provides some caregiving arrangement options, including the caregiver authorization affidavit
  • caregiver to make medical decisions for the child as well.
  • So, like with relative caregivers, there is no vetting.
  • That's an example of a caregiver, like a non-relative caregiver, a godparent, or whomever a parent selects
Summary: The committee heard several bills, beginning with AB 1521, the Judiciary Committee’s civil law omnibus measure. The bill makes a number of minor, mostly clarifying changes, including repealing obsolete Government Code provisions, allowing juvenile courts to hear petitions to establish records of birth, death, or marriage, requiring notice of probate petitions to the Department of Child Support Services, and correcting typos in existing law. It had no opposition and was moved on a do-pass basis to Appropriations, though it was later placed on call pending additional votes. Members then heard AB 57, which would reserve at least 10% of California’s Home Purchase Assistance Program funds for descendants of formerly enslaved people. The author and supporters framed it as a reparative, race-neutral-by-lineage effort to address historic housing discrimination and the racial wealth gap, while opponents argued it was an unconstitutional racial proxy and should instead be based on individual injury. The bill drew strong support and opposition testimony, was amended, and was approved on a do-pass as amended vote to Appropriations, then placed on call. AB 495, the Family Preparedness Plan Act, was heard next. The bill would expand and standardize caregiving and guardianship tools for families facing immigration-related separation, including broader use of caregiver authorization affidavits, recognition of non-relative extended family caregivers, and a new short-term guardianship process that preserves parental rights. Supporters said it would reduce trauma and help children remain with trusted caregivers; there was no opposition testimony. The committee approved it on a do-pass to Human Services vote and placed it on call. The committee also heard AB 392, which would address non-consensual sharing of sexually explicit media by requiring uploader consent certifications, faster takedown procedures, and civil remedies against uploaders and hosting sites. A survivor testified in support, and members discussed implementation details and possible amendments; the bill was moved on a do-pass as amended basis to Appropriations and placed on call. AB 692, which would prohibit employer “stay-or-pay” debt agreements that require workers to repay training or other costs if they leave or are terminated, also advanced despite opposition from business and industry groups concerned about impacts on signing bonuses and voluntary training programs. It was sent to Appropriations on a do-pass as amended vote and placed on call, along with AB 1234, a wage-claim enforcement bill aimed at reducing Labor Commissioner delays and adding consequences for employers who fail to participate in the process. The committee also heard AB 394, which expands protections for transit workers and allows transit agencies to seek restraining orders against violent riders; it received broad support, some concern about system-wide bans, and was discussed with amendments that preserved judicial discretion.
LA

Louisiana 2026 Regular Session

Administration of Criminal Justice Mar 24th, 2026

Administration of Criminal Justice

Transcript Highlights:
  • Give me the explanation as to why we are identifying caregiver in the statute when we say caregiver and
  • I don’t know if he would be considered a caregiver.”
  • “That is not about accidents or imperfect caregiving.
  • I became her full-time caregiver.
  • I trusted caregivers to help. Instead, I faced abuse and neglect.”
Summary: The Criminal Justice Committee met on March 24, 2026, and heard a series of bills, with members generally expressing support for measures aimed at public safety, corrections, and criminal procedure. The committee first amended and reported HB 957, which removes the 72-hour advance notice requirement for sheriffs transferring prisoners, while adding notice to the prosecuting authority as well as the court. Testimony from the Louisiana Sheriffs Association said the change would help with overcrowding and security-related inmate moves, and the bill was reported favorably as amended. The committee then heard HB 106, which prohibits giving children non-prescription melatonin without parental consent. After debate over whether consent should be written, the committee rejected an amendment requiring prior written consent, but adopted a broader amendment making the bill apply to any person rather than only child care centers. Testimony from Gretna Police Chief Brett Lawson described a case involving a nanny and a one-year-old child, and child care representatives said licensed centers already require parental consent forms. HB 106 was reported favorably as amended. The committee also reported HB 111, which adds associate’s degrees to the existing sentence-reduction credits for incarcerated people who complete higher education programs; DOC said the programs are accredited and monitored, and supporters framed the bill as part of workforce reentry. Several other bills were advanced. HB 64 clarifies that judges may recall arrest warrants and requires notice to law enforcement when a warrant is recalled; former Rep. Joe Marino testified in support, describing problems with old or mistaken warrants remaining active. HB 53 adds certain gambling offenses as predicate acts under Louisiana’s racketeering law, with the Attorney General’s office citing illegal gambling operations and prison-based gambling rings. HB 152 updates the state controlled dangerous substances schedules to match federal changes, adding 13 opioids. HB 102 creates second-degree cruelty to elderly persons and persons with infirmities, with amendments adding the offense as a predicate felony and refining the penalty and affirmative-defense language; the bill drew emotional testimony from advocates and family members describing abuse and neglect of vulnerable adults, and it was reported favorably as amended. The committee also reported HB 137, which strengthens penalties for threats against schools and adds a civil cost component for false threats; the Speaker Pro Tem said the bill is meant to deter school threats and reduce disruption and emergency response costs. HB 57 was reported favorably to clarify that courts may consider criminal histories in ex parte temporary restraining order proceedings. HB 337 increases from two to four the number of special charitable bingo events allowed each year for licensed nonprofits. Finally, HB 100 was substantially amended so that driving 100 mph or more is treated as reckless operation rather than a new felony speeding offense, and HB 155 expands the prohibition on unlawful drone use to additional Capitol grounds locations; both were reported favorably as amended. The committee adjourned after reporting all measures favorably, with several bills supported by law enforcement, prosecutors, and advocacy groups and a few receiving limited opposition or informational cards.
MO

Missouri 2026 Regular Session

Health and Mental Health Feb 12th, 2026 at 08:00 am

Health and Mental Health

Transcript Highlights:
  • Has there been any improvement on outcomes for the patients and the caregivers?
  • ...on outcomes for the patients and the caregivers? Is there any statistics that you can give?
  • Earlier, 120,000 people deal with the disease within Missouri, 223,000 caregivers.
  • as unpaid caregivers.
  • We're telling our caregivers that they no longer have to navigate this journey in the dark.
Keywords: 959, house, all
Summary: The committee heard testimony and took executive action on several health-related bills. House Bill 1681, along with identical bills 1941 and 2279, would require health carriers and pharmacy benefit managers to count amounts paid by or on behalf of an enrollee for certain medications toward out-of-pocket maximums when no generic substitute is available. A committee substitute was adopted, including an ERISA-related labor exemption, and the House Committee substitute for HB 1941, 2279, and 1681 was approved by a vote of 15-2. The committee also adopted a substitute and passed the House Committee substitute for House Bills 2365, 2490, and 2249 by a vote of 18-0. The substitute changed terminology to “delivery systems.” Later, House Bill 2149, the dementia care coordinator bill, received extensive testimony but no vote. Supporters, including the sponsor, the Alzheimer’s Association, and family caregivers, argued the position would help coordinate services, improve early detection, connect families to resources, and reduce confusion in a fragmented system. Several members raised concerns about cost, duplication with existing Area Agencies on Aging and Alzheimer’s Association services, and whether two FTEs could effectively serve the whole state; the sponsor said he would seek appropriations language and provide more data on outcomes. House Bill 2309, which would prohibit Missouri insurance coverage for organs transplanted from communist China or from prisoners of conscience, especially Falun Gong practitioners, also received testimony without a vote. The sponsor said the bill was intended to prevent Missouri from supporting organ harvesting abuses abroad. Finally, House Bills 1975 and 1850, both pharmacy benefit manager reform bills, drew extensive testimony from sponsors and supporters who argued they would increase transparency, protect independent pharmacies, and lower drug costs, while opponents warned about higher costs being passed to consumers and employers, limits on plan flexibility, and added administrative burdens. The hearing on those bills was recessed after testimony and was not concluded in the excerpt.
NM

New Mexico 2026 Regular Session

Senate - Finance Jan 28th, 2026 at 09:08 am

Senate Finance

Transcript Highlights:
  • Many of them are caregivers in our caregiving system, in our health care system.
  • These are the informal caregivers. These are the... And training to caregivers.
  • These are the informal caregivers.
  • You know, you talked about the family caregivers.
  • Chair and Senator, thank you, because there is a beauty in caregivers.
Keywords: 996, all
FL

Florida 2026 4th Special Session

February 16, 2026 - 01:30 PM

Transcript Highlights:
  • However, many caregivers and patients are not aware of it.
  • The Alzheimer's caregiver projects are also funded out of the Alzheimer's disease initiative.
  • who is struggling and the caregivers.
  • How do caregivers do so much?
  • And the reality is there's no— No caregiver with someone with dementia does 24 hours' worth of work.
CA

California 2025-2026 Regular Session

Assembly Human Services Committee Apr 29th, 2025

Transcript Highlights:
  • AB 617 addresses a critical need in California by improving access to respite services for caregivers
  • As a leader in my union, I hear from caregivers all the time about the struggle to find respite.
  • Two of my union sisters, Nicole and Marr, are both primary caregivers for their kids with autism, but
  • This bill will improve access to respite care services so primary caregivers like me can continue to
  • during a parent's absence, many caregivers still face challenges when trying to use them.
Summary: The committee heard a series of child care, social services, immigrant support, disability services, and language access bills, with many measures drawing strong support and no opposition. Early in the hearing, AB 450 proposed a Department of Aging task force to study and recommend policies for undocumented adults age 55 and older; AB 593 would let CDSS identify data-sharing opportunities to improve CalFresh administration and participation; and AB 904 would clarify child care subsidy eligibility so families do not lose care during pregnancy leave, family leave, caregiving, or job search periods. All three were presented as ways to reduce barriers and improve access to essential services, and AB 904 was moved out on a 1-0 call after support testimony from child care advocates and a member of the public. AB 617, which would expand and standardize respite care access for people with intellectual and developmental disabilities by requiring licensing and registry participation, drew both support and significant opposition from respite providers and disability service organizations concerned about added regulation, cost, and possible delays; the author said she would continue working with opponents, and the bill was moved out on a 2-0 call. The committee also heard AB 1220, which would require regional centers to document denials, notices of action, and appeals in individual program plans and include that data in annual reports to improve transparency and equity in developmental services. The bill drew extensive public support from parents, advocates, and disability organizations, with no opposition, and passed 5-0. AB 752 would make child care centers by right in certain residential zones when co-located with multifamily housing or institutional uses, and supporters argued it would reduce zoning barriers and help expand child care capacity; it also passed 5-0. AB 1242 would create a CalHHS language access director, require human review of machine translation, and improve language coverage determinations for state and local agencies; supporters emphasized health equity and the need for better access for limited-English communities, and the bill was moved out on a 4-0 call. Later, AB 548 would continue and expand the Asylee and Vulnerable Non-Citizen Program, which provides case management and integration services for asylees and certain visa holders; supporters said the program had been effective but had run out of funding, and the bill passed 4-0. AB 495, the Family Preparedness Plan Act, would strengthen family safety planning for immigrant families, standardize acceptance of caregiver authorization affidavits, and create a joint guardianship process for temporary separations; testimony focused on fear of family separation and the need for clear school and medical procedures, and the bill passed 4-0. AB 1357 would exclude guaranteed income payments from being counted as income for state public assistance eligibility, with supporters arguing it would prevent recipients from falling off the “benefits cliff”; it passed 4-1. Finally, AB 1201, the Reunity Act, was introduced to require individualized court assessments before denying reunification services to parents with certain violent felony convictions after a five-year period, with the author and a witness describing the bill as a trauma-informed approach to family reunification.
OR
Transcript Highlights:
  • That means improving patient and caregiver safety, strengthening clinical and operational oversight,
  • safety issue. ...that is emerging as a patient safety or caregiver safety issue.
  • health and safety unit that does provide triage and consultation and support to caregivers across the
  • Leadership, mid-level management, frontline caregivers, there's...
  • Leadership, mid-level management, frontline caregivers, and those that provide infrastructure—all of
Keywords: 907, all
Summary: The joint Senate and House Behavioral Health committee met for informational presentations on the Oregon State Hospital and civil commitment, followed by a planned tour of the hospital. Oregon Health Authority and Oregon State Hospital leaders reported that Sean Murphy will become the next permanent superintendent on July 13, with Sarah Castle to follow as permanent chief nursing officer on July 20. They described recent leadership turnover, a major organizational restructure, and efforts to build a culture of safety, transparency, and accountability. Officials said the hospital regained Joint Commission accreditation and CMS compliance, and they highlighted daily safety huddles, incident review processes, stronger escalation procedures, and improved management of seclusion and restraint. Committee members pressed hospital leaders on past prolonged seclusion practices, falls, staffing, and the need for better public reporting; OHA said it is building a public dashboard of key safety and workforce metrics. The committee then heard a civil commitment overview from the Oregon Judicial Department. The presenter explained that civil commitment is a separate legal process from criminal cases, usually beginning with a hospital hold, investigation, court review, appointed counsel, and a hearing within five days. She summarized changes made in House Bill 2005, including revised standards for danger to self, danger to others, and basic-needs commitments, plus a second 14-day diversion option. She cautioned that the new law has only been in effect since January and that it is too early to draw firm conclusions from the data, though there has been a recent uptick in commitments and a decrease in diversions. Testimony from NAMI Oregon and a forensic psychiatrist emphasized that Oregon still relies too heavily on jails and state hospitals because community services, housing, and outpatient supports are insufficient. They argued that the state needs more less-restrictive alternatives, including better use of assisted outpatient treatment or outpatient civil commitment, and more supported housing so people do not cycle between homelessness, incarceration, and hospitalization. A family member described a relative remaining psychotic in jail for more than 120 days before ending up back at the state hospital, urging faster intervention and better collaboration among courts, counties, hospitals, and state agencies. Committee members and witnesses also discussed workforce shortages, the expansion of secure residential treatment beds, and the need for broader system reforms beyond the hospital itself.
HI

Hawaii 2025 Regular Session

CPC Public Hearing - Wed Mar 19, 2025 @ 2:00 PM HST

Consumer Protection & Commerce

Transcript Highlights:
  • </c> would be dangerous to have a caregiver would be dangerous to have a caregiver take<01:47:23.960>
  • Otto was asking to increase that for a caregiver to grow for up to five patients.
  • So a caregiver could purchase from a dispensary up to 20 ounces.
  • So a caregiver could purchase from a dispensary up to 20 ounces.
  • Caregiver would be to buy up to 4 ounces per patient, so a caregiver could purchase from a dispensary
Keywords: 910, house, all
Summary: The committee met on March 19, 2025, and first heard SB 137 SD2 HD1 relating to electric utilities. The Division of Consumer Advocacy and the Public Utilities Commission said they stood on their written comments, IBEW Local 1260 supported the bill, and Ulupono Initiative also supported it. Hawaiian Electric supported the intent but asked for an amendment, saying the bill’s definition of “acquiring entity” was too broad and could unintentionally cover purely local utility transactions. A later witness from Life of the Land supported the bill only if the merger/acquisition language were removed, arguing the PUC would not have a workable mechanism to let a cooperative intervene in a utility sale process. Committee members questioned whether the bill could still work without that section, and Ulupono said it was open to clarifying language but did not seek to remove the provision; the discussion ended without a vote in the excerpt provided. The committee then took up SB 1220 SD2 relating to a renewable gas tariff. The Division of Consumer Advocacy and the PUC again stood on written comments. HGas strongly supported the measure, saying it would create a faster, more cost-effective path for a voluntary renewable gas tariff without requiring a full rate case, while preserving PUC oversight and consumer protections. The Coalition for Renewable Natural Gas also supported the bill, emphasizing that it would expand consumer choice and help Hawaii’s clean energy goals while keeping the program voluntary and shielding non-participating customers from costs. Henry Curtis of Life of the Land opposed the bill, arguing that HGas already had an active rate case and could have raised the issue there, and that the proposal did not increase renewable gas supply or speed up acquisition; he called it a gimmick. In response, HGas said the bill was mainly a mechanism to speed filing and that the details would be worked out in a PUC docket. Committee members pressed HGas on whether the measure would actually add renewable gas, what source would be used, and whether customers would simply be paying more for the same gas; HGas said it had two projects in development, including banagrass and hydrogen-related work, and that the tariff would be a voluntary opt-in rate for customers seeking renewable natural gas to meet sustainability goals. No vote was taken in the excerpt provided.
NH

New Hampshire 2025 Regular Session

House Health, Human Services and Elderly Affairs (02/12/2025)

Health, Human Services & Elderly Affairs

Transcript Highlights:
  • caregivers caregivers the<00:07:30.560><c> bill</c><00:07:30.919><c> also</c><00:07:31.280><c> provides
  • </c> our New Hampshire family caregiver our New Hampshire family caregiver program<00:10:37.639><c> um
  • </c><00:10:56.600><c> resp</c> Americans act uh family caregiver resp Americans act uh family caregiver
  • </c> 18 billion hours of unpaid caregiving 18 billion hours of unpaid caregiving each<00:40:52.839><c
  • </c> nearly 60% of Alzheimer's caregivers nearly 60% of Alzheimer's caregivers report<00:40:59.920><c
Keywords: 1189, house, all
AZ

Arizona 2026 Regular Session

03/04/2026 - House Government

House Government Committee of Reference

Transcript Highlights:
  • It's very smart policy to support kinship caregivers.
  • So this is, which we know happens all the time, as referred to as invisible caregiving, kinship caregiving
  • It's very smart policy to support kinship caregivers.
  • So this is, which we know happens all the time as referred to as invisible caregiving, kinship caregiving
  • And caregivers must be trained on the loss escape hatch.
Summary: The Committee on Government met for a presentation-only hearing focused on the Arizona Department of Child Safety (DCS) and related child welfare system issues; no bills were heard or voted on. Chair Blackman opened by stressing that the hearing was for fact-finding and data, not personal attacks, and Director Catherine Patak then presented DCS data on hotline volume, investigations, reunifications, adoptions, guardianships, extended foster care, and placement patterns. She said DCS investigated more than 43,000 cases in 2025, kept the out-of-home population relatively steady, and emphasized that Arizona places a high share of children with kin. She also highlighted a mismatch between the age of children entering care and the availability of foster homes willing to take older youth, and said behavioral health capacity, not DCS alone, is a major constraint. Patak discussed kinship supports, foster care reimbursement increases, the Family First Prevention Services Act, missing youth, congregate care reduction, and the department’s procurement process for group home beds. Members asked about kinship caregiver support, behavioral health access, reunification services, parental-rights terminations, Auditor General findings on notices and documentation, licensing and reimbursement rates, and why some relatives are not approved as placements. Patak said DCS is working on policy guidance, supervisor training, and improved supports, but that provider capacity and other system partners limit what DCS can do. Representative Gillette then gave a lengthy presentation focused on system design, procurement, funding flows, and congregate care. He argued that DCS, DES, and Access are structurally intertwined, that DCS’s procurement carve-out and capitated funding model create incentives tied to bed space and volume, and that fragmented oversight diffuses accountability. He cited budget figures, contract amendments, and audit concerns to argue that the system is overreliant on congregate care and that decision-making, medical referrals, and placement processes are too vague or too centralized in ways that can harm children and families. Gillette said his findings were based on contracts, interviews, and public records, and he indicated some material would be referred to special counsel. He also raised concerns about placement decisions, due process, and demographic disparities in congregate care outcomes. The chair cut off further questioning of Gillette for time and announced the committee would move on to the next presenter, Vice Chair Fink, with attorneys and other speakers to follow.