Video & Transcript : 'uncompensated care' :

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MN

Minnesota 2025-2026 Regular Session

House Education Policy Committee 3/25/26

Education Policy

Transcript Highlights:
  • We also were careful to ensure that the timeline for this would be after Read Act training was completed
  • We've sat on task forces, you know, in the interim when we didn't need to be here because we've cared
  • :23:54.880><c> we've</c> didn't need to be here because we've didn't need to be here because we've cared
  • about moving forward in a good way cared about moving forward in a good way bipartisanly.<00:23:59.120
  • </c><00:26:20.320><c> so</c> and being prepared and for caring so and being prepared and for caring so
AZ

Arizona 2026 Regular Session

03/23/2026 - Senate Federalism and Family Law

Federalism and Family Law

Transcript Highlights:
  • Chair, House Bill 2239 establishes the child care grant program and the child care infrastructure fund
  • affordable child care, including rural areas, low-income and moderate-income communities, child care
  • during non-standard work hours, child care for infants and toddlers, and child care for children with
  • of lack of child care in my county.
  • It is essential health care.
HI

Hawaii 2026 Regular Session

WAM DEFER, WAM-CPN, WAM Public Hearings 03-03-2026

Ways and Means

Transcript Highlights:
  • </c><00:04:23.280><c> services</c> preventive health care services preventive health care services applicable
  • So I think we have to be very careful on this measure.
  • So I think we have to be very careful on this measure.
  • So I think we have to be very careful on this measure.
  • Be very careful on this measure.
Summary: The joint committee on Ways and Means and Consumer Protection met for decision-making only on two agendas and took action on a large number of Senate bills, with no oral testimony heard. On the 1016 agenda, the committee recommended passage of measures including SB 2088, SB 2925, SB 2781, and several others, and passed a number of bills with amendments. Notable amendments included SB 3263, which adopted AG amendments related to the name, image, and likeness endowment trust fund; SB 2047 on pharmacy benefit managers, which incorporated Hawaii Pharmacist Association changes; SB 2087 on health insurance, which added Insurance Division clarifications; SB 2100 on pesticides, which added a blank appropriation; SB 2353 on outdoor signage, which removed provisions related to the Wiki special district; and SB 2902 on renewable energy, which clarified certification standards for portable solar devices and exempted them from certain disclosure requirements. Most recommendations were adopted without objection, though a few members noted reservations on selected bills. The committee also deferred one bill on the agenda, SB 3327. The committee then moved to the 1015 agenda and acted on additional measures. SB 2003 was passed with amendments tied to Act 255, including a repeal trigger if deadlines are missed; SB 2497 on utility-related transparency drew the most discussion, with one member warning about litigation and costs while another argued it was simply about electricity-rate transparency, and it ultimately passed with PUC-related amendments and an exemption for utility cooperatives. Other measures were passed unamended or with technical or fiscal amendments, including bills affecting land planning, tax credits, conveyance tax language, shoreline maintenance, and community improvement projects. Several bills had appropriations blanked or effective dates deferred to 2050, and many were adopted with members noting reservations rather than opposition. On the 1017 agenda, the committee continued approving measures, including SB 709 on crisis intervention officers and assisted community treatment, SB 2153 on defining bona fide farmer/agriculture activity, SB 2694 on water rate adjustments, SB 3025 on income eligibility limits, and SB 3085 on the Hawaii film studio, which included a five-year repeal provision if the studio has not relocated. The committee also passed numerous other bills unamended or with technical amendments, often deferring effective dates or blanking appropriations. Across both agendas, the committee’s actions were largely consistent: bills were advanced with amendments tailored to agency requests, technical corrections, or fiscal adjustments, and votes were generally unanimous or near-unanimous with occasional reservations recorded.
MN

Minnesota 2025-2026 Regular Session

House Public Safety Finance and Policy Committee 3/3/26

Public Safety Finance and Policy

Transcript Highlights:
  • I don't care how much money you make. I don't care that you think you do the wrong thing well.
  • </c> purpose is to care for your own, care purpose is to care for your own, care for<01:17:14.560><c>
  • </c> I don't care how much money you make. I don't care how much money you make.
  • They do not show care.
  • They do not show care.
HI

Hawaii 2026 Regular Session

LMG Public Hearing - Wed Feb 18, 2026 @ 2:00PM HST

Legislative Management

Summary: The House Committee on Legislative Management heard testimony on several measures. HB 1805, relating to child welfare, drew support from the University of Hawaii and concerns from the Attorney General about the bill’s definition of state agency and possible separation-of-powers and supremacy clause issues. During decision-making, the committee opted to move the child advocate function to the Attorney General’s office, accepted the Attorney General’s suggested scope and jurisdiction amendments, set the salary at 90% of the Department of Health deputy director’s salary, and passed the bill with amendments. HB 2110, relating to nepotism, received support from the Hawaii State Ethics Commission, which said the bill would apply the rule consistently and noted the existing good-cause exception process. The committee later deferred the bill, saying existing House rules on nepotism were already strict and that the proposal would be duplicative in statute. HB 2180, relating to voting boards, had no oral testimony in the room during the hearing, but the committee later amended it into a blank appropriations vehicle for the House of Representatives and passed it with amendments. HB 2184, relating to lawmaker safety, drew concerns from the Campaign Spending Commission that the bill would require redaction of address information and could create implementation issues, and the Attorney General noted missing language regarding appointed officials and an internal cross-reference issue. The committee adopted amendments to address those concerns and passed the bill with amendments. HB 2219, relating to disclosure of privileged communications to the Ombudsman, was clarified by the Ombudsman’s office as not requiring disclosure of privileged material, only preserving privilege if such material is voluntarily provided; the bill passed with amendments. HB 2469, relating to a regular session review working group, received testimony from the State Procurement Office, the Legislative Reference Bureau, and others in support and opposition, and the committee passed it with amendments after changing references and funding language.
NM

New Mexico 2026 Regular Session

Senate - Finance Feb 11th, 2026

House Appropriations & Finance

Transcript Highlights:
  • Charles, in the Health Care Authority of the $324 million, is the Health Care Secretary allowed to use
  • that for rural hospital health care equipment?
  • And Charles, how much is in the rural health care fund? I need to check.
  • Could be for retirement, could be for health care.
  • You could stay in a child care pre-K.
Bills: SB152, SB145, HB2, SB190, HB247
Summary: The committee first set aside Senate Bill 247 because the Attorney General and bill sponsor were not present. It then heard Senate Bill 190, which would authorize bonding to help Healer Regional Medical Center in rural southwest New Mexico replace an aging linear accelerator used for cancer radiation treatment. The sponsor and hospital representatives said the equipment is at end of life and that replacing it would keep patients from having to travel long distances for care. The committee adopted a friendly amendment adding an emergency clause, but members then questioned the financing, noting the $5.7 million cost, the lack of local matching funds, and the fact that the equipment’s useful life is only about 10 years while the proposed bonds would run for 30 years. After extended discussion about interest costs and timing, committee members explored alternatives to reduce the state’s borrowing burden, including using existing rural health care funds, federal grant money, or structuring a county lease arrangement rather than issuing bonds. The bill was left pending while staff and the sponsor were asked to look into those options and report back. The committee also briefly heard from the Department of Justice about concerns raised by the Public Education Department regarding Gallup-McKinley and online learning companies; DOJ said investigations were ongoing but it could not say whether a lawsuit would be filed. Members expressed concern about possible large liabilities and discussed bringing the Attorney General and PED Secretary back in executive session. The meeting then shifted to House Bill 2 and related budget matters. Staff walked members through numerous line items, flagging some as potentially duplicative, unspent, or in need of further review, including attorney general litigation funds, rural health, education, transportation, tourism, energy, and economic development items. The committee adopted the “grow” spreadsheet after members said they had reviewed it, and then discussed reserve targets. Staff presented several scenarios to raise reserves from about 26.7% toward the 27.5% target, including cuts to natural resource, environmental, higher education, and transportation appropriations. Members generally favored a flexible “scenario five” approach and were reluctant to sweep older capital outlay projects immediately, preferring to wait until the capital outlay changes bill is resolved. The committee planned to continue the budget discussion the next morning.
WA

Washington 2025-2026 Regular Session

Senate Law & Justice Feb 2nd, 2026 at 10:30 am

Law & Justice

Transcript Highlights:
  • This is mainly due to rising health care costs.
  • care, and food, with just wages.
  • The bill does not distinguish whether the debt is emergent care, a single episode of care, or simple
  • Rising health care costs mean that more and more people are struggling to afford the health care they
  • Just be careful there.
TX

Texas 89th Regular

Insurance May 7th, 2025

Insurance

Transcript Highlights:
  • We're going to take care of a few bills.
  • It's less costly, it's standard of care across transplant centers.
  • Care would be provided, so it's really a kind of a weird situation.
  • a better way to ensure they're taken care of instead of us.
  • My job as an agent is to take care of my customer first.
TX

Texas 89th Regular

Veteran Affairs Apr 15th, 2025

Veteran Affairs

Summary: The Senate Committee on Veteran Affairs heard several bills focused on veterans’ mental health, criminal justice coordination, cemetery expansion, housing, vehicle registration, and anti-discrimination protections. SB 2926 would transfer administration of veterans’ mental health initiatives from HHSC to the Texas Veterans Commission, create a community-based mental health grant program, require a statewide veteran suicide prevention action plan, and add annual reporting requirements. SB 2938 would require county jails to verify and report veteran status at intake, help veteran inmates apply for federal benefits, and provide access to county veteran services and free visitation with service coordinators. Both bills were described as joint or practical efforts to improve coordination and service delivery for veterans, and both were left pending after no public testimony was offered. The committee also heard SB 2543, which would give more flexibility to expand the Texas veterans cemetery system, and SB 2545, which would explore using manufactured homes as another affordable housing option for veterans through the Veterans Land Board. SB 2545 drew questions about how manufactured-home loans would work; a Texas Veterans Land Board witness said implementation would likely require closing at a title company rather than through a retail bill of sale, and the Texas Manufactured Housing Association testified in support. Both cemetery and housing bills were left pending. Members then heard SB 2007, which would let vehicle registration applicants voluntarily designate military status so the DMV could record it and help with benefits and towing/impound issues involving deployed service members. Witnesses from the towing industry and DMV supported the bill, saying the current system lacks enough identifying information to run military-status checks and that the indicator could help prevent vehicles from being sold while owners are deployed. SB 2104 would add military status as a protected class under state anti-discrimination laws for employment, housing, and utilities; the author said it would address ongoing discrimination against service members, veterans, and military families. The Texas VFW supported the bill, citing the Leroy Torres case as an example of why additional state protections are needed. After discussion about overlap with federal law and existing state protections, SB 2104 was also left pending.
TX

Texas 89th Regular

Elections Apr 3rd, 2025

Elections

Transcript Highlights:
  • I will say this to you: I don't care where the precinct is, okay?
  • I don't care if it's Amarillo, Laredo, Houston, Beaumont, Texarkana, I don't care.
  • It does need to be taken care of.
  • I don't care if it's three pages. I wish it didn't have to be.
  • I don't care.
MN

Minnesota 2025-2026 Regular Session

House Commerce Finance and Policy Committee 2/20/25

Commerce Finance and Policy

Transcript Highlights:
  • </c> among the highest median Health Care among the highest median Health Care spending<00:18:50.440>
  • Act through the the Affordable Care Act through the Affordable<00:19:35.720><c> Care</c><00:19:36.000
  • Occasionally, our reports do touch on the standard of care and what is part of that care.
  • </c> driving health care driving health care costs<01:09:14.239><c> so</c><01:09:14.520><c> this</c><
  • </c><01:13:09.719><c> costs</c> representative r as health care costs representative r as health care
Bills: HF747, HF1014, HF320, HF400
TX

Texas 89th Regular

89th Legislative Session May 19th, 2025

Texas House Floor Meeting

Transcript Highlights:
  • I would say this, that we were very careful in this bill.
  • So we're not protecting; we're trying to take care of them.
  • To excuse student absences for appointments with health care professionals.
  • to stop these centers from spreading misinformation and ensure Texans get accurate, honest health care
  • How does barring trusted clinics from providing Thriving Texas Families services impact access to care
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.
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.
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.
OK
Transcript Highlights:
  • Representative Stuart should care to vote. Representative Fugate cares to vote.
  • Representative Heffner cares to vote. The chair is praying to close the vote.
  • federal education if the national Department of Education were done away with. block grants to take care
  • The Department of Labor is a big department that could take care of a lot of those laws in our schools
  • against the school here in Oklahoma City. 33 complaints that they had failed to do the IDEA and take care