Video & Transcript : 'patient preferences' :
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CA
California 2025-2026 Regular Session
Senate Appropriations Committee May 14th, 2026
Transcript Highlights:
- SB 1323, Patient Access Immigration Enforcement. The motion is due pass.
- SB 1174, Caltrans construction contracts bid preferences. The motion is due pass.
- SB 1174, Caltrans construction contracts bid preferences. The motion is due pass.
Summary:
The Senate Appropriations Committee met for a suspense-file hearing and voted only on measures already heard previously, with no public testimony. The chair explained that bills were taken up quickly in author order, with amended bills to be followed by addendum analyses. The committee considered a very large slate of Senate bills and two Assembly measures covering wildfire resilience, housing, insurance, energy, transportation, public safety, elections, health care, labor, environmental regulation, and various administrative and tax issues.
Most measures were approved, many on unanimous or near-unanimous votes, while a substantial number passed on 5-2 or 5-1 party-line votes with Republicans generally voting no. Several bills were amended before passage, including changes to funding contingencies, timelines, reporting requirements, definitions, and removal of certain enforcement or private-right-of-action provisions. A few members noted concerns on specific bills, including Senator Richardson on SB 1203 (private security training), though he said he would vote for it at this stage.
Among the notable actions, the committee advanced bills on wildfire smoke, wildfire recovery, mobile home parks, insurance nonrenewals, AI transparency, data center energy issues, Medi-Cal and health coverage, criminal justice, election administration, housing, and labor/workforce standards. The committee also approved AB 46 and AB 736. No bills were held for testimony because the hearing was vote-only, and the meeting adjourned after all items on the agenda were disposed of.
MO
Transcript Highlights:
- of this, where you've got a doctor representing the insurance industry advocating on behalf of a patient
- And again, it's going to be up to the consumer if they would prefer to bypass this mediation program
- And again, it's going to be up to the consumer if they would prefer to bypass this mediation program
Committee:
House Insurance and Banking
Summary:
The Insurance Committee held public hearings on House Bill 3328 and House Bill 2324. HB 3328, sponsored by Rep. Castile, is a broad homeowners insurance package that would redirect insurance dedicated fund money into a Missouri Stronger Homes Fund, create a Missouri Disaster Mediation Act for disaster-related claims, update public adjuster regulation, strengthen fraud provisions, add consumer notices, and establish roof-hardening grant programs. The sponsor and the Department of Commerce and Insurance said the bill is still being revised in a committee substitute, especially on public adjuster language and fortified roof standards. Committee members asked about the dedicated fund, mediation benchmarks, the role of public adjusters, and how the program would affect disaster recovery in places like St. Louis.
Testimony on HB 3328 was mixed. The Department of Commerce and Insurance and several insurance industry groups supported the bill’s consumer protections, mitigation funding, mediation process, fraud language, and assignment-of-benefits ban, but said the public adjuster fee cap would likely be removed and that the bill needs technical changes for mutual insurers and roofing standards. Public adjusters testified in opposition to the cap as written, saying their fees are typically 10-15% and are disclosed in contracts, and that they were working with the sponsor on revisions. A shingle manufacturer also opposed the fortified roof language as drafted because some of its products may not fit the current standard. The committee then closed the hearing on HB 3328.
The committee next heard HB 2324, sponsored by Rep. Lucas, which would restrict the sharing or sale of vehicle driving data and was described by the sponsor as a privacy bill aimed at stopping companies like OnStar from selling driving data to insurers. Opponents from the Missouri Insurance Coalition and NAMIC said the bill would not actually target OnStar, but would instead interfere with voluntary telematics-based discount programs used by insurers, potentially raising premiums and creating administrative burdens. They also noted existing federal and state rules already govern insurer data use and that the bill could create a mismatch between risk and pricing. The hearing on HB 2324 was then closed, and the committee adjourned.
MO
Missouri 2026 Regular Session
Special Committee on Property Tax Reform Feb 5th, 2026
Special Committee on Property Tax Reform
Transcript Highlights:
- And I would actually prefer to see us trying to move these things To vet these things, to make them clear
- And I would actually prefer to see us trying to move these things one at a time so that it is clear.
- happy, and years You know, Chairman, you can't make everybody happy, and you're a pretty good, pretty patient
Summary:
The Special Committee on Property Tax Reform met to consider a large committee substitute for House Bills 2780 and 2668, along with related amendments. Early discussion focused on the substitute’s changes, including removal of provisions dealing with nursing homes, apartment buildings, and the blind pension fund, plus a separate amendment to clean up ballot-language requirements so ballot measures would use neutral alphanumeric labels rather than descriptive titles. Members debated whether the labeling language was clear enough and whether clerks or the taxing entities would be responsible for assigning ballot names; the committee ultimately adopted the ballot-language amendment and the blind pension amendment, then rolled them into a new substitute.
The committee then considered a more controversial amendment that would have required tax measures to receive affirmative support from 25% of registered voters and would have shifted certain elections to the November general election. Members raised concerns about public vetting, the practicality of the 25% threshold, possible strategic behavior, and whether the proposal would actually increase turnout or instead become a negotiating point. After extended debate, the sponsor withdrew that amendment, leaving the committee substitute with the ballot-language and blind-pension changes only.
The committee also took up House Committee Substitute for House Joint Resolutions 148 and 111. An amendment was adopted to address Kansas City Public Schools’ concerns by bringing its levy treatment under Hancock-style rules and clarifying debt levy treatment. Members discussed the impact on school district financing and taxpayer bills, but the substitute and the HJR package were both reported do pass. The committee then reconsidered and re-voted House Bills 2780 and 2668 after a procedural reset, again adopting the substitute and reporting the bill do pass by a 13-3 vote. The meeting adjourned after the committee thanked members for their work and noted further action would continue later.
TX
Transcript Highlights:
- Do you prefer? You want to do House Bill 2328, which is Representative Orr? Certainly.
- Henry, thank you for waiting patiently to testify.
- And Representative Jones, would you prefer to do which bill first, yours or Ms. Davis's?
Bills:
HB115 , HB 115 , HB507 , HB1765 , HB1847 , HB2046 , HB2239 , HB2328 , HB2309 , HB2417 , HB2728 , HB2794 , HB3206 , HB3566 , HB3694 , HB3744 , HB4254 , HB4697 , HB4733 , HB4915 , HB5465 , HB2813
Committee:
House Criminal Jurisprudence
Keywords:
public funds, lobbying, political subdivision, government spending, transparency, HB 115, taxpayer-funded lobbying, local government lobbying, county association dues, municipal lobbying, lobbyist registration, Chapter 305, Government Code Section 556.0056, Local Government Code Section 89.002, county government, city government, injunctive relief, attorney's fees, state association of counties, sheriffs association
Summary:
The Committee on Criminal Jurisprudence reconvened with a quorum present and announced it would likely not vote that night because of confusion over the bill list; members were told a definitive list would be circulated the next morning and a formal meeting would be scheduled later. The chair then heard a series of bills, generally taking testimony and leaving each pending without action. House Bill 1847 would set maximum caseload standards for private attorneys handling indigent criminal appointments through the Texas Indigent Defense Commission; House Bill 2417 would expand compensation eligibility for some wrongfully imprisoned people; House Bill 2813 would require earlier and more specific victim notice of scheduled court proceedings; and House Bill 2309 would expand state and local authority in certain civil asset forfeiture cases involving human trafficking, health care fraud, and organized crime. Each bill was laid out by its author or a member, with no opposition witnesses registered, and each was left pending.
The committee also heard House Bill 4733, which would require sealing records for people acquitted of charges when they were not convicted on the related allegation; House Bill 2328, which would modernize expunction service by encouraging electronic notice, setting a standardized fee when electronic service is unavailable, extending clerk retention of expunction orders, and preserving certain mental health commitment orders; and House Bill 115, which would revise Texas’s “junk science” post-conviction writ law by providing counsel, changing the relief standard, requiring written decisions, and easing procedural barriers. Testimony on HB 2328 was mixed: county clerks supported the bill as a cost-saving modernization, while legal advocates warned that permanent retention of expunction orders could undermine true expunction and create privacy risks. HB 115 drew support from innocence and defense organizations, with some concern about a provision affecting subsequent writs. All were left pending after testimony.
Later, the committee heard House Bill 2046, which would allow affirmative family-violence findings for any Penal Code offense rather than only Title V offenses; testimony from a Dallas County prosecutor and a committee member emphasized that family violence can involve arson, burglary, fraud, and other non-Title V conduct, and the bill was left pending. House Bill 1765 would tighten restrictions on no-knock warrants by requiring higher-level approval, judicial review, and identifiable officers; members discussed the dangers highlighted by the Harding Street raid and similar incidents, and the bill was also left pending. The meeting ended with the chair noting that some bills had been removed from the agenda at the author’s request and that members should be prepared to finalize the vote list the next day.
TX
Transcript Highlights:
- Folks, if you'll be patient with us before we get to the other bills. All right.
- Do you have a preference on which one we start with? Where's he at? There he is.
- You got a preference on SCR 37 or SCR 38 first? All right.
Committee:
Senate Economic Development
NH
Transcript Highlights:
- And if I could, those are rated in your preference order. They are. Okay. [Music] Questions?
- It's not for patient care.
- It's not for patient care.
- </c> your your preference order. your your preference order. They<01:00:34.960><c> are.
- It's not for patient care. elevator. It's not for patient care.
Committee:
Senate Capital Budget
HI
Hawaii 2025 Regular Session
HHS-CPN, CPN, CPN DEFER Public Hearings 03-19-2025
Health and Human Services
Transcript Highlights:
- </c><00:02:42.080><c> the</c> instate and out of state patients the instate and out of state patients
- c> receive</c><00:30:34.399><c> the</c> patient qualified to receive the patient qualified to receive
- </c><00:32:11.600><c> so</c> actually uh providing to patients so actually uh providing to patients so
- And it wasn't done to make access easier for patients.
- So it's it's patients and get anymore.
Committee:
Senate Health and Human Services
Summary:
The committee heard testimony on HB 302, which would expand access to medical cannabis by removing the in-person provider-patient relationship requirement and related restrictions. The Department of Health supported the bill, and multiple advocates and organizations testified in support, including the ACLU of Hawaii, Hawaii Alliance for Cannabis Reform, Marijuana Policy Project, and others. Supporters said the measure would improve access for patients, especially on outer islands, and some urged broader amendments allowing providers to certify cannabis for any medical condition and to speed registration and treat in-state and out-of-state patients equally. No opposition was heard, and the bill was left with no questions after testimony.
The committee also heard HB 1052 HD1, which clarifies that the Public Utilities Commission may use universal service fund monies to provide free telecommunications access for individuals with print disabilities. Testimony was uniformly supportive from the DCCA Division of Consumer Advocacy, the State Council on Developmental Disabilities, the Department of Human Services, the Public Utilities Commission, and the National Federation of the Blind of Hawaii. Witnesses described the program as an important accessibility service that has been operating under prior appropriations and should continue under the universal service program.
HB 1482, relating to controlled substances and hemp/synthetic cannabinoids, drew support from the Department of Law Enforcement, Department of Health, Honolulu Police Department, and others, with some comments from the Attorney General’s office. Supporters said the bill would clarify that delta-8 THC is a controlled substance and help enforcement against illegal hemp products and synthetic cannabinoids. Testimony and questioning focused on the need for better lab testing capacity, retail registry and age-gating, seizure authority, nuisance abatement, and possible use of special funds or appropriations to support enforcement. Members also discussed enforcement of illegal hemp businesses and whether additional funding or statutory changes would be needed.
Finally, the committee took up HB 712, a 340B drug-discount measure affecting safety-net providers and contract pharmacies. Hospitals, health centers, and provider groups testified in support, saying the bill would protect access to discounted drugs and preserve funding for services such as chronic disease management, transportation, and specialty care. Pharmaceutical-industry representatives opposed the bill or sought amendments, arguing the 340B program has expanded beyond its original intent and lacks transparency, and they requested reporting or audit-like provisions to verify claims and revenues. Members questioned both sides about alleged abuse, the growth of contract pharmacies, and whether the bill should include transparency requirements before moving forward.
AZ
Arizona 2026 Regular Session
03/25/2026 - House Federalism, Military Affairs & Elections
House Federalism, Military Affairs & Elections Committee of Reference
Transcript Highlights:
- I prefer to keep our Chairman Gillard.
- It's preferable for me.
- Next, I know we have a recorder that's been waiting very patiently. Did she leave?
- Thanks for being patient with us. Take them in order: one, two, three. Mr.
- Yeah, I prefer Captain Morgan, but Dr. Morgan. So this is... But, Dr.
Summary:
The committee heard an extended presentation and discussion on Arizona higher education research security, focused heavily on Arizona State University’s foreign funding, international partnerships, and alleged ties to Chinese military-affiliated institutions. The presenter argued that ASU and the Arizona Board of Regents had not been transparent about foreign gifts, contracts, and research collaborations, especially those involving the Chinese “Seven Sons” universities, and said the committee would pursue a congressional referral and other federal review. A strike-everything amendment to SB 1060 was described but then withdrawn; the underlying SB 1327 was then taken up as a companion measure requiring ABOR to adopt university research security policies and submit annual reports on those policies and on foreign contributions over $250,000. The committee heard testimony in support from Marina Macklin, who said the bill would help protect dual-use and defense-relevant research from being funneled to China’s military ecosystem, and she answered questions about biosecurity, semiconductors, AI model theft, and election systems. After debate, SB 1327 was approved on a 4-2 vote, with Delos Santos and Marquez voting no and Colloden, Powell, and the chair voting yes; the chair stated his support was to keep missile, armor, guidance, and other technology safe from the Chinese government.
The committee then heard SB 1803, a veterans’ consumer-protection bill regulating private companies that help veterans file disability claims. The bill would prohibit unaccredited persons from preparing, presenting, or prosecuting veterans’ benefits matters, require service agreements to be filed with the Attorney General, cap compensation, ban certain practices such as overseas call centers and in-house doctors, and create consumer-fraud enforcement authority. Sponsor Sen. Gallin said the measure was intended to add guardrails for veterans and prevent bad actors from taking excessive fees or misleading claimants. Testimony from Veterans Guardian representatives supported the bill as a way to create transparency and preserve veterans’ choice while regulating the industry; they said many veterans seek private help after unsuccessful attempts with free services and that the bill would not eliminate competition. Opponents and skeptical members questioned whether the bill would effectively legalize one business model while restricting others, whether the contingent-fee structure was consumer-friendly, and whether the companies were engaging in the unauthorized practice of law. The discussion also referenced prior federal and state litigation involving similar laws and the possibility of future federal accreditation reform. The transcript ends during continued questioning on SB 1803, before a final vote is shown.
NH
Transcript Highlights:
- He added that it was his preference at this time and said he would appreciate receiving the material.
- issues so that they can make informed decisions, precisely like I was doing in the office with a patient
- /c><00:37:15.200><c> office</c><00:37:15.480><c> with</c><00:37:15.599><c> a</c><00:37:15.960><c> patient
- </c> doing in the office with a patient doing in the office with a patient presenting<00:37:17.440><c
- You outlined how you give your own patients full, comprehensive information about whatever procedure
Committee:
Senate Education
WY
Wyoming 2026 Regular Session
Joint Agriculture, State and Public Lands & Water Resources Committee, June 11, 2026 - AM
Agriculture, State and Public Lands & Water Resources
Transcript Highlights:
- </c> going to impact that vet client patient going to impact that vet client patient relationship<01:
- Veterinarians operate off of what's called a veterinarian-client-patient relationship, a VCPR.
- Veterinarians operate off of what's called a veterinarian-client-patient relationship, a VCPR.
- What's the preference of the committee? >> Go ahead, Representative Alman. >> Nope. There you go.
- What's the preference<02:30:58.399><c> of</c><02:30:58.560><c> the</c><02:30:58.720><c> committee?
ND
North Dakota 2025-2026 Regular Session
Senate Floor Session Apr 16th, 2025 at 12:30 pm
North Dakota Senate Floor Meeting
Transcript Highlights:
- In that instance, the Attorney General did not act in opposition to the agency head's preference.
- Chapter 19-24.1 of the North Dakota Century Code relating to qualifying nonresident medical marijuana patients
- amounts of usable medical marijuana, medical marijuana record-keeping, cannabinoid edible products, patient
- amounts of usable medical marijuana, medical marijuana record-keeping, cannabinoid, edible products, patient
- Century Code, relating to the determination of incapacity and informed consent of incapacitated patients
Summary:
The Senate opened with prayer, the Pledge, a quorum call, and approval of journal corrections. It then handled several House messages, appointing conference committees on Senate Bills 2004 and 2006 and House Bills 1018, 1019, and 1363, and re-referring House Bill 1216 to Appropriations. The chamber also adopted amendments to House Bill 1601, which would have expanded special assistant attorney general authority for certain offices, but the bill failed on final passage after strong opposition centered on preserving the Attorney General’s control and avoiding a solution in search of a problem.
A major portion of the day focused on education funding. House Bill 1369 was amended to raise per-pupil aid from 2% and 2% to 3% and 3% and to increase the school construction loan transfer from $75 million to $100 million; supporters said this would help local schools and military base projects, while opponents raised questions about special education placement language and state coordination. The bill passed 44-3. House Bill 1013, the DPI budget, was also amended extensively to adjust staffing, funding sources, grants, meal assistance, teacher training, and other education programs; it passed 45-2. House Bill 2234, dealing with Choice Ready grants, was amended to shift funding away from general funds and toward federal or other sources, but then failed on final passage after the sponsor urged a red vote.
The Senate also approved House Bill 1482, restricting bond and indebtedness elections for counties, cities, school districts, and park districts to primary or general election days, and House Bill 1332, creating a value-added agriculture facility incentive program with an emergency clause. House Bill 1010, the Insurance Department budget, passed unanimously after amendments reflecting the merger of the Securities Department into Insurance and adding staff and fee changes, while House Bill 1011, the separate Securities Department budget, failed because its funding was already included in HB 1010. House Bill 1584, a major pharmacy benefit manager reform bill, passed with an enforcement fund and new licensing/enforcement structure despite debate over ERISA and market transparency.
In other action, the Senate concurred in House amendments and passed Senate Bills 2226, 2230, 2069, 2082, 2387, 2385, and 2186, with SB 2186 on parenting time interference and a child custody task force passing 27-20 after debate over whether the issue should be left to the courts. Senate Bill 2234, on Choice Ready grants, and Senate Bill 2243, on driver’s license points and traffic penalties, both failed after concurrence motions were adopted but final passage votes were overwhelmingly negative. The chamber also advanced Senate Bill 2291 to conference committee consideration near the end of the transcript.
NM
New Mexico 2026 Regular Session
House - Consumer and Public Affairs Feb 7th, 2026 at 12:35 pm
House Consumer & Public Affairs
Transcript Highlights:
- So it would protect uninsured... a patient is insured or uninsured, so it would protect uninsured patients
- , just the same way that it is protecting insured patients.
- Patients aren't sure how much is getting charged.
- The speaker noted that patients often do not know when a clinic changes ownership.
- This bill is meant to inform the patient that that is going to happen.
Committee:
House House Consumer & Public Affairs
NH
New Hampshire 2025 Regular Session
House Finance (04/01/2025)
Transcript Highlights:
- What we heard is that there are stories of abuse of patients that are seeking treatment for substance
- </c><04:24:12.159><c> a</c><04:24:12.479><c> serious</c> uh I would I would prefer a serious uh I would
- </c> procedures monitored so that patients procedures monitored so that patients would<05:42:13.360><
- and and and the office will make patient and and and the office will make sure<05:42:44.480><c> that
- This was a standing order that would support Medicaid so that a patient could have a standing order to
Summary:
The committee first considered House Bill 66, a right-to-know measure that would broaden access from “citizen” to “person,” including out-of-state requesters. Members also adopted an amendment removing the current no-filing-fee provision for appeals of unfavorable right-to-know ombudsman rulings, citing budget concerns. The bill was then reported ought to pass as amended on a 16-9 vote, with a minority report requested.
House Bill 187, which would let a parent or guardian seek a protective order on behalf of a minor alleging abuse by someone outside the family or household, was described as a narrow fix with little fiscal impact. It passed unanimously, 25-0, and was placed on the consent calendar. House Bill 215, requiring landfill permit applicants to submit a report on potential harms and benefits, was retained because its policy had been folded into House Bill 2; the committee voted 25-0 to retain it. House Bill 219, dealing with renewable portfolio standard changes and lower renewable energy certificate values, drew opposition from members who said it would weaken renewable energy development and raise concerns about energy costs, but the motion to retain was adopted 14-11, allowing the bill to be moved into House Bill 2.
The committee then retained House Bills 365, 552, 566, 572, 607, 611, and 624, all by unanimous or near-unanimous votes, generally because the relevant policy or funding had been incorporated into House Bill 2 or because the bills were viewed as technical or low-impact. HB 566 was described as a landfill leach-management bill with a fiscal note under $10,000 annually and was sent to consent. HB 572 and HB 607 were retained because their money components were moved into HB 2, though one member objected that HB 607 represented an unfunded mandate for the Hampton Beach Area Commission.
House Bill 511, concerning ICE detainers and county detention practices, generated the most debate. Supporters said the amendment clarified how long counties may hold detainees without a federal contract and compared the detention period to existing bail rules; opponents argued the bill could sanction detention of people not charged with crimes and raised due-process concerns. The committee adopted the amendment 14-11 and then reported the bill ought to pass as amended on another 14-11 vote, with a minority report requested. House Bill 639, involving securities and digital currency issues, was also reported ought to pass after members noted unresolved concerns but said the Secretary of State’s Securities Division was willing to continue working on it in the other body; the vote was 16-10.
CA
California 2025-2026 Regular Session
Joint Hearing Assembly Revenue and Taxation Committee and Senate Revenue and Taxation Committee Feb 11th, 2026
Transcript Highlights:
- So some of this may be a company saying, 'We could file either way, but we prefer to file worldwide.'
- It's more than 100,000 registered nurse members who provide direct patient care in hospitals and other
- They're providing hands-on care to California patients.
- Nurses see the impacts of corporate profiteering on patients.
- and their families to stay afloat, and how when these benefits are cut off, patients and their families
CA
California 2025-2026 Regular Session
Assembly Military and Veterans Affairs Committee Mar 25th, 2025
Transcript Highlights:
- jobs or to navigate employment with disability resulting from their service, veterans are given preference
- , and this puts patients in jeopardy.
- But what we do know is that cuts will impact veteran patients.
- Less staff and more patients means there will be Veteran care that VA facilities provide.
- Less staff and more patients means there will be an increase in patient mortality, and this means more
Summary:
The Assembly Committee on Military and Veteran Affairs held an informational hearing focused on the effects of federal budget cuts and policy changes on veterans, military readiness, and California’s veteran support systems. The chair and members emphasized that federal reductions to the VA, Medicaid/Medi-Cal, SNAP, and the federal workforce are disproportionately harming veterans by threatening health care, employment, housing, crisis lines, and suicide prevention services. The chair also highlighted California’s progress on veteran homelessness and the importance of preserving state programs that leverage federal dollars.
Major General Matthew Beavers of the California Military Department described the department’s structure, its response to the Los Angeles fire emergency, and concerns that federal cuts could reduce readiness through less training, older equipment, and fewer resources. He also discussed state programs such as Work for Warriors, STARBASE, youth and community schools, and the counterdrug task force, saying they are valuable but vulnerable if funding is redirected away from readiness. Members asked about the impact of federal changes on the Guard and how the Legislature could help, and Beavers said the state should advocate for recapitalized equipment and continued support for key programs.
A second panel focused on veterans’ benefits and claims support. CalVet, Los Angeles County, and Swords to Plowshares testified that county veteran service officers, legal aid, and community-based partnerships are essential to helping veterans access VA benefits, especially after the PACT Act expanded eligibility and increased claims volume. Witnesses said these services bring substantial federal dollars back to California, but county offices and legal providers are underfunded and overburdened. Members discussed data sharing, staffing shortages, and the need for more resources to reach veterans who are not connected to VA care.
In the final panel on mental health and suicide prevention, CalVet and nonprofit providers described state-funded programs such as the Veterans Support Self-Reliance program and the California Veterans Health Initiative, which place services in permanent supportive housing and provide no-cost counseling statewide. Witnesses said these programs are showing measurable improvements in health, medication adherence, and emergency room use, but they depend on sustained funding and are vulnerable to step-down grants and federal instability. Committee members expressed support for the programs and raised questions about access, staffing, and the role of non-veteran family members in Vet Center services.
MO
Transcript Highlights:
- I'd prefer to have had... May I finish, sir? I'm so sorry. I thought you paused. I apologize.
- I'd prefer to have had... May I finish, sir? I'm so sorry. I thought you paused. I apologize.
- But if it's beyond that, then I feel we all have a voice in that discussion and I would prefer to be
- You guys have been very patient. The communities are blessed by that.
- You guys have been very patient with us. Thank you.
Committee:
House Budget
TX
Transcript Highlights:
- Whatever your preference is. I don't... I have a presentation.
- We've treated nearly 60,000 patients through clinical trials.
- One of them is a drug, well, a reg, that is treating patients.
- Patients. Patients, yes. Not patient. Not patient. Now patient is paying for it.
- A lot of times you’re doing that with healthy patients.
Bills:
SB 1
Committee:
Senate Finance
Summary:
The committee heard budget presentations from the Legislative Budget Board and agency officials on several agencies, starting with the Texas Historical Commission. LBB described a large biennial reduction driven mainly by the removal of one-time funding and discussed capital projects, rider changes, and exceptional items including Presidio La Bahia and the National Museum of the Pacific War. Senators asked about heritage trails, courthouse grants, unexpended balance authority, and the status of historical-site funding. Historical Commission leadership emphasized preservation, courthouse restoration, heritage tourism, coordination with the Alamo and other Texas Revolution sites, and requested additional IT, staffing, and vehicle funding. No votes were taken.
The committee then reviewed the Pension Review Board and the Employees Retirement System. The Pension Review Board’s budget was largely unchanged aside from IT maintenance and salary adjustments, with an exceptional item for additional IT enhancements. Members discussed the Dallas Police and Fire Pension System’s funding dispute and the need for a workable restoration plan. ERS presented a much larger budget, including funding for the retirement system, the group benefits plan, and the legacy payment intended to reduce unfunded liability. Senators focused heavily on pension investment returns, benchmark comparisons, and rising health-care costs, especially pharmacy spending driven by GLP-1 drugs; ERS said the plan covers about 540,000 lives and that premiums would rise 8% while benefits remain unchanged. ERS also said it had no exceptional items, and committee members requested more detailed benchmark information.
The committee also heard from the Texas Emergency Services Retirement System and the Cancer Prevention and Research Institute of Texas. TESSORS reported an unfunded liability, an infinite amortization period, and requested additional state support, staffing, and IT funding, including a statutory change to allow a higher contribution level; the agency warned that without more funding it may have to cut benefits. CEPRIT’s presentation covered its bond-funded cancer research and prevention portfolio, revenue-sharing from funded projects, and a request to increase salary limits for its CEO and chief scientific officer. Senators questioned CEPRIT’s accomplishments and return on investment, while CEPRIT cited screening, prevention, and research outcomes, including tens of thousands of detected cancers and precursors and hundreds of thousands of first-time screenings. The meeting ended after these presentations and questions, with no recorded committee action or vote.
WY
Wyoming 2026 Regular Session
Joint Corporations, Elections & Political Subdivisions, May 21, 2026 - AM
Corporations, Elections & Political Subdivisions
Transcript Highlights:
- Um, that would much be my preference quite honestly.
- Um, that would much be my preference quite honestly.
- Um, that would much be my preference quite honestly.
- Um, so be my preference quite honestly.
- how patient these guys have been.
WA
Washington 2025-2026 Regular Session
House Agriculture & Natural Resources Jan 27th, 2026
Transcript Highlights:
- This is intensive for the staff and the patient.
- This is intensive for the staff and the patient.
- The less severe cases are still difficult and costly to treat as patients typically receive a minimum
- Do you have an alternative, or something you'd prefer?
- I'm grateful for DNR, very grateful for staff, and for being patient with me.
Summary:
The House Agriculture and Natural Resources Committee held public hearings on several bills, with most of the discussion focused on tribal representation and natural resource management. On HB 2117, which would add a tribal representative to the Board of Natural Resources, the prime sponsor and DNR officials said the bill would strengthen government-to-government relationships without replacing existing consultation duties. Tribal leaders from the Swinomish Indian Tribal Community and the Confederated Tribes of the Colville Reservation testified in support, as did the Commissioner of Public Lands and DNR’s tribal relations director. County and timber interests said they were not opposed to tribal representation but raised concerns about trust responsibilities, beneficiary interests, and whether the representative should come from a tribe with commercial forest management experience. The committee later closed testimony on HB 2117 and read into the record 192 pro, 124 con, and zero other sign-ins.
The committee also heard HB 2516, which would impose a two-year moratorium on the use of certain anticoagulant rodenticides and bromethalin after a Department of Agriculture report and while the Washington State Academy of Sciences studies alternatives and impacts. The prime sponsor argued the bill balances rodent control with concerns about wildlife, groundwater, and human exposure, while opponents from the pest management industry warned it would remove effective tools and worsen rodent problems, especially for low-income and manufactured-home communities. Supporters included the Washington Poison Center, wildlife rehabilitators, Birds Connect Seattle, the Stillaguamish Tribe, and other advocates who cited poisonings in wildlife and children and pointed to non-toxic alternatives and integrated pest management. The committee read into the record 754 pro, 176 con, and five other sign-ins.
For HB 2554, which would repeal RCW 77.110 and related language tied to Initiative 456 and tribal fishing rights, the sponsor and the Attorney General’s Office said the statute is unconstitutional and inconsistent with federal treaty law and court rulings. The Department of Fish and Wildlife also supported repeal, describing the measure as removing an unenforceable anti-tribal statute. The committee then moved on to HB 2327, a bill directing JLARC to audit the county forest board lands trust and DNR’s management of those lands. The sponsor, former Rep. Jim Buck, county representatives, and forest industry witnesses supported an independent review of the trust structure and performance; some asked for amendments to address reconveyance options, broader legal and ecological considerations, and consultation with tribes and the Board of Natural Resources.
FL
Florida 2025 Regular Session
January 15, 2025 - 01:00 PM
Transcript Highlights:
- Representative Steele asked how much of the roughly $48 billion is actually going to direct patient care
- , after overhead, and wanted a bottom-line figure per patient per month or per year.
- The theme I'm hearing is about consumer education, client education, and patient navigation.
- I do prefer to be talked to like a five-year-old.
- I want to thank the department heads for coming and sitting through this two-hour meeting very patiently
Summary:
The Health Care Budget Subcommittee met to organize the new term, take roll, and hear introductory presentations from the six agencies under its jurisdiction: the Agency for Health Care Administration, Agency for Persons with Disabilities, Department of Children and Families, Department of Elder Affairs, Department of Health, and Department of Veterans’ Affairs. The chair outlined the committee process, including assigning members to review agencies and make budget recommendations. Each agency head gave a high-level overview of their budget, staffing, major programs, and priorities, with recurring themes including Medicaid, long-term care, disability services, child welfare, mental health, aging services, public health, and veterans’ health care.
Several agency leaders highlighted recent initiatives and funding priorities. AHCA emphasized Medicaid managed care, provider regulation, Hope Florida, hospital-at-home, and cancer-related efforts; APD discussed iBudget services, Hope Florida, a managed-care pilot, online applications, and forensic care costs; DCF focused on child protection, foster care, adult protective services, food/cash/medical assistance, mental health, and opioid treatment; Elder Affairs highlighted Alzheimer’s services, community-based senior care, guardianship, ombudsman services, and disaster outreach; DOH covered cancer innovation, maternal telehealth, cybersecurity, HIV/hepatitis/syphilis screening, and school nursing; and Veterans Affairs described benefits and health care access for veterans, long-term care, and federal reimbursement. Several speakers also raised concerns about rising costs, provider rates, disaster response, and access to services.
The committee heard two public comments from disability advocates about Medicaid redeterminations affecting iBudget waiver recipients and provider payment delays. In response, AHCA and APD said they were coordinating on data sharing, early outreach, escalation processes, and efforts to reduce disenrollments and make recertification smoother. Members then asked questions about provider rates, opioid settlement spending, managed care quality measures, pediatric rare disease grants, group home transparency, senior outreach, ABA services moving into managed care, annual Medicaid recertification, veterans’ service utilization, waiting lists for elder services, and prevention spending. No formal votes were taken during the meeting.