Video & Transcript Research : 'underground facilities'

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TX
TX

Texas 89th Regular

Human Services Apr 15th, 2025

Human Services

Transcript Highlights:
  • These facilities are regulated by both the federal government, CMS, and the state government.
  • Touchstone manages or operates 34 skilled nursing facilities, all in the state of Texas.
  • HHSC is charged with inspecting nursing facilities and other providers.
  • On this new journey of going here, that you're seeing you can help them and other facilities.
  • If MPRO has a finding and rules in favor of the facility, that's a state law claim that they have.
Bills: HB2510, HB3589, HB4611, HB4655, HB4665, HB4666, HB4670, HB4700, HB4730, HB4798, HB4838, HB5136, HB5243, HB5302, HB5539
Keywords: assisted living, healthcare, licensing, criminal offense, personal assistance, group home, regulation, health and safety, inspections, resident care, criminal background checks, adoption, parental rights, registry, vital statistics, disclosure, counseling, foster care, independent living, financial literacy
TX
TX

Texas 89th Regular

Homeland Security, Public Safety & Veterans' Affairs Mar 12th, 2025

Homeland Security, Public Safety & Veterans' Affairs

HI
HI

Hawaii 2026 Regular Session

EDU-WLA, EDU Public Hearings 02-13-2026

Education

Transcript Highlights:
  • But, um, these facility use procedures, um, we have rules for it and you know how much they can charge
  • But, um, these facility use procedures, um, we have rules for it and you know how much they can charge
  • But, um, these facility use procedures, um, we have rules for it and you know how much they can charge
  • But um<00:16:30.399> these<00:16:30.880> facility<00:16:31.360> use<00:16:32.240
  • um um these facility use um procedures um we<00:16:33.759> have<00:16:33.839> rules<00
Bills: SB2613, SB2147
Keywords: public school land transfer, Department of Education, DOE, land conveyance, fee simple title, tax map key, TMK, Act 307, Session Laws of Hawaii 2022, Act 139, Board of Land and Natural Resources, BLNR, Department of Land and Natural Resources, DLNR, Kauai, Maui, Honolulu, Kaimuki Middle School, Wilcox Elementary School, school property
Summary: The committee heard SB 2613, a cleanup bill relating to public school land transfers under Act 307 (2022), which revises tax map key references and the conveyance process for properties transferred to the Department of Education. The Hawaii State Public Library System supported the measure, saying it would complete the long-unfinished separation of the library system from DOE property control and make future building projects more efficient and cost-effective. DOE also supported the bill and requested an amendment to remove TMK 43-62 parcel 10, the Wilcox Elementary School parcel, so that it could instead be transferred to the county for use with the adjacent park and tennis courts. Members focused heavily on why land transfers and construction approvals have been slow, especially the need for right-of-entry documents and an MOA for a library construction project. Library and DOE witnesses said the delays stemmed from site-control issues and confusion over property status, and that the bill would clarify which parcels are transferred by operation of law and remove the need for additional transactional documents in many cases. Several members questioned whether the bill actually changes authority or simply clarifies existing practice, and DOE said it wanted legislative clarity so the transfers are unmistakably effective on a date certain. The committee also discussed a separate section of the bill dealing with public use of school facilities after hours, including parking fees on property under DOE jurisdiction. DOE explained that any parking charges would apply only to property it controls, not county roads, and that fees are set through existing facility-use procedures. Members raised concerns about the pace of land transfers generally and urged DOE to move more expeditiously on pending parcels. The hearing then moved on to SB 2147, which would designate the first Friday in February as Love My Library Day; the library system testified in support as the committee began that measure.
KY
KY

Kentucky 2026 Regular Session

House Budget Review Subcommittee on Justice, Public Safety, & Judiciary (2-14-23)

KY
KY

Kentucky 2026 Regular Session

House Budget Review Subcommittee on Health and Family Services (2-3-2021)

AL
AL

Alabama 2026 1st Special Session

Alabama House Health Committee Feb 25th, 2026

Health

NM
NM

New Mexico 2026 Regular Session

Senate Chamber Feb 18th, 2026 at 10:25 pm

New Mexico Senate Floor Meeting

NM
NM

New Mexico 2026 Regular Session

Senate Chamber Feb 18th, 2026 at 06:51 pm

New Mexico Senate Floor Meeting

NM
NM

New Mexico 2026 Regular Session

Senate Chamber Feb 18th, 2026 at 10:53 am

New Mexico Senate Floor Meeting

OK
OK

Oklahoma 2026 Regular Session

Utilities Feb 10th, 2026 at 03:00 pm

Utilities

WY
WY

Wyoming 2026 Regular Session

Senate Appropriations Committee, February 9, 2026

Appropriations

Transcript Highlights:
  • Tomorrow we have scheduled for noon time or upon Senate recess: Senate File 37K to2 School Facilities
  • 53.199> school recess of Senate file 37 K to2 school recess of Senate file 37 K to2 school facilities
  • <00:14:54.079> maintenance<00:14:54.720> and facilities maintenance and facilities maintenance
Bills: HB0105, HB0107, SF0002
Keywords: K-12 education, school facilities, security improvements, public funding, state appropriations, school construction, local government funding, sales tax distribution, municipal funding, economic equity, state revenue, Wyoming Legislature, legislative appropriations, Legislative Service Office, LSO budget, general fund, biennial budget, legislative branch, legislator travel, per diem
WY
WY

Wyoming 2026 Regular Session

House Appropriations Committee, February 9, 2026

Appropriations

Transcript Highlights:
  • appropriated to the school facilities appropriated to the school facilities commission<00:03:55.440
  • committee on school facilities and we're committee on school facilities and we're usually<00:13:01.600
  • Um I'm kind of proud of that facilities.
  • So it's an important facility. Wyoming. So it's an important facility.
  • Campbell County transportation facility.
Bills: HB0105, HB0107, SF0002
Keywords: K-12 education, school facilities, security improvements, public funding, state appropriations, school construction, local government funding, sales tax distribution, municipal funding, economic equity, state revenue, Wyoming Legislature, legislative appropriations, Legislative Service Office, LSO budget, general fund, biennial budget, legislative branch, legislator travel, per diem
OK
OK

Oklahoma 2026 Regular Session

Public Health REVISED: Links added Feb 4th, 2026 at 09:00 am

Public Health

Transcript Highlights:
  • The idea I had was for instance, everybody, when you come into a healthcare facility, whether it's an
  • I was actually in a bathroom recently at one of our healthcare facilities, and they had a red sharpie
  • You know, we've got this looming danger of them closing the state-run facilities.
  • fiscal impact in the opposite direction when you have someone that's not in crisis and ending up in a facility
  • The PCS explains that if they use any kind of prescriptive medication in their facility, they would remain
Bills: HB3287, HB2947, HB3784, HB3901, HB4275
Keywords: public health, domestic violence, human trafficking, healthcare facilities, hospital protocols, behavioral health, Medicaid expansion, clinical interns, mental health services, licensing requirements, micropigmentation, medical procedure, physician oversight, nursing certification, state regulations, psychological autopsy, mental health, suicide prevention, state health department, investigation
ND
ND

North Dakota 2025-2026 Regular Session

Senate Appropriations - Human Resources Division Apr 14th, 2025 at 02:00 pm

Appropriations - Human Resources Division

Transcript Highlights:
  • Behavioral health facility grant, $5 million. Behavioral Health Facility Grant, $5 million.
  • Section 6 is the Behavioral Health Facility Grant.
  • the committee, this particular Section 33 actually deals with residential mental health treatment facilities
  • I think this is probably reviewing the facilities and land and how that is most appropriately used.
  • Section 51 is behavioral health facility grants, reporting to the Legislative Management regarding the
Bills: SB2015
Keywords: corrections, rehabilitation, prison budget, department of corrections, adult services, youth services, correctional facilities, Heart River correctional center, Missouri River correctional center, James River correctional center, minimum security facility, county jails, regional jails, deferred maintenance, capital construction, strategic investment and improvements fund, Bank of North Dakota, line of credit, tasers, body cameras
Summary: The Senate Appropriations Human Resources Division met with all members present and took up several bills, focusing most of the discussion on SB 1577 and SB 1619, along with a detailed review of the HHS budget bill draft. On SB 1577, Senator Magrum explained that the bill was being revised to focus on wastewater rather than raw water, possibly shifting the Washburn project to the Department of Water Resources so it could access matching funds, and potentially converting the bill into a line of credit if federal money is restored later. Members discussed whether to keep an emergency clause or instead use a date-based approach, and agreed the bill would likely be handled through the full committee and possibly reconsidered later. On SB 1619, Senator Davison said amendments were still being worked on, including changes requested by the Bank of North Dakota, and the committee planned to hold it for possible amendment before full committee consideration. The bulk of the meeting was a section-by-section review of the HHS appropriations bill draft. Members discussed one-time funding items such as technology projects, child care programs, housing programs, behavioral health facility grants, infant and toddler care provider support, juvenile justice diversion, medical housing, and other public health and human services projects. Several adjustments were noted, including reductions or changes to IMD-related funding, incarcerated-person treatment funding, the child welfare technology project, and the provider rate increase. The committee also discussed the FTE block grant structure at length, with staff explaining that the apparent increase in positions reflected budgeting mechanics, zero-dollar “phantom” positions, and positions approved previously but not counted in the FTE total. Members raised concerns about transparency and whether the bill should list FTE numbers, but staff said the block grant was intended to give the department flexibility while quarterly reporting would provide oversight. Other topics included Medicaid expansion funding and provider reimbursement rules, the move toward certifying human service centers as certified community behavioral health clinics, a moratorium on new ICF beds, and studies or reports on Medicaid, obesity, disability services, truancy, and behavioral health facility grants. The committee also discussed removing or revising broad intent language in Section 31 so the department would report findings rather than implement changes without further legislative action. No final votes were taken in the transcript; instead, members agreed to make a few technical adjustments, continue reviewing the bill, and likely revisit it the next day before moving it to conference committee.
ND
ND

North Dakota 2025-2026 Regular Session

Senate Appropriations - Human Resources Division Apr 11th, 2025 at 09:30 am

Appropriations - Human Resources Division

Transcript Highlights:
  • And then there was also a requirement that they operate the facility for a minimum of 10 years.
  • with that okay I'll remove that part and then there was also a requirement that they operate the facility
Bills: SB2015
Keywords: corrections, rehabilitation, prison budget, department of corrections, adult services, youth services, correctional facilities, Heart River correctional center, Missouri River correctional center, James River correctional center, minimum security facility, county jails, regional jails, deferred maintenance, capital construction, strategic investment and improvements fund, Bank of North Dakota, line of credit, tasers, body cameras
Summary: The Senate Appropriations Human Resources Division met to finalize changes to the human services budget bill and related amendments. Members discussed several items, including a proposed $5 million appropriation for the Altru Hospital project to address inflationary costs, with the rest of the funding question left for conference committee. They also agreed to keep the 10-year operating requirement language for the project and remove a matching-funds provision that was no longer needed. The committee spent considerable time on the OASIS child welfare IT system. Donna Auckland explained that the project is still in the RFP stage, with vendor selection and contract negotiation likely taking months, and that the system will require 50-50 federal matching authority. Based on that testimony, the committee agreed to reduce the general fund amount from $14 million to $6 million and use a line of credit for the remaining authority, while preserving the federal match authority so the contract can be signed and the project can proceed. Members also approved a technical fix to add governor’s designee language for the Children’s Cabinet, which had been missed in another bill already on the governor’s desk. Keith reviewed updated long sheets showing additional budget adjustments, including provider inflation changes, a $50,000 Family Voices grant, reductions to CARES Act COVID funds, and moving the $5-per-day basic care rate increase from ongoing to one-time funding. No formal votes were recorded in the transcript, and the committee adjourned with plans to reconvene Monday if the final bill version was ready.
ND
ND

North Dakota 2025-2026 Regular Session

Senate Appropriations - Human Resources Division Apr 10th, 2025 at 02:00 pm

Appropriations - Human Resources Division

Transcript Highlights:
  • I'm the director for the Division of Municipal Facilities at the North Dakota Department of Environmental
  • Chairman, is to have this four-plex facility available to all different kinds of needs.
  • appropriation that it only So is your concern regarding the appropriation that it only funds one facility
  • What program does the Manchester House use to construct their facilities?
  • may be provided separately from the facility ownership interest.
Bills: SB2015
Keywords: corrections, rehabilitation, prison budget, department of corrections, adult services, youth services, correctional facilities, Heart River correctional center, Missouri River correctional center, James River correctional center, minimum security facility, county jails, regional jails, deferred maintenance, capital construction, strategic investment and improvements fund, Bank of North Dakota, line of credit, tasers, body cameras
Summary: The committee first discussed a wastewater infrastructure bill, centered on whether state support should be provided as a grant or through the existing Clean Water State Revolving Fund as a low-interest loan program. Department of Environmental Quality official David Brushwine explained that the SRF already finances wastewater projects, can leverage federal funds with state bond proceeds, and could accommodate the Washburn, Lincoln, and Peasant projects if they are ready to proceed. Members noted that losing federal grant support would make projects harder for local residents to afford because costs would be recovered through utility rates or special assessments, but the projects would still be eligible for loans. Senator Magrum indicated he would likely concur with the budget after this discussion, and the bill was set aside for later consideration. The committee then turned to a proposed amendment for a four-plex housing project for people with disabilities or other special needs. Senator Mathern described Sections 7 and 8 as creating a design consultation appropriation and a revolving loan fund modeled on existing hospital and nursing home loan programs, while Section 9 would transfer $3.3 million from the state infrastructure fund. Members debated ownership, rent subsidies, repayment terms, and whether the state should finance the project directly or leave it to a private developer with Department of Human Services oversight. Concerns were raised that the state should not own the housing and that the proposal needed more work to be workable, but the committee ultimately reached consensus to adopt Sections 7 and 8 and leave out Section 9 for further conference committee discussion. The committee also reviewed provider inflation and long-term care rate issues, with members discussing whether to support a 2% and 1.5% inflation adjustment and how to handle the $5-per-day basic care rate. Staff explained that the $5 payment was already in the base budget, but members debated whether it should remain ongoing or be treated as one-time funding and paired with a study of rate rebasing. The committee agreed to have draft language prepared to remove the $5 from the base budget and add study language, then moved the bill forward for drafting.
ND
ND

North Dakota 2025-2026 Regular Session

Senate Appropriations - Human Resources Division Apr 10th, 2025 at 09:30 am

Appropriations - Human Resources Division

Transcript Highlights:
  • doing, and that would save the whole discussion on the floor about having another behavioral health facility
  • is the provider rate increase, and we're going to get more information; the other is the All True facility
  • And nobody talked about any ICF facilities intending to build in the coming biennium.
  • I think some of the concern of the facilities or the providers is that this may be just a start and preclude
  • And nobody talked about any ICF facilities intending to build in the coming biennium.
Bills: SB2015
Keywords: corrections, rehabilitation, prison budget, department of corrections, adult services, youth services, correctional facilities, Heart River correctional center, Missouri River correctional center, James River correctional center, minimum security facility, county jails, regional jails, deferred maintenance, capital construction, strategic investment and improvements fund, Bank of North Dakota, line of credit, tasers, body cameras
Summary: The committee met to review revised long sheets and section-by-section language for a human services/health budget bill, with much of the discussion focused on how to present block grant funding and full-time equivalent (FTE) positions for behavioral health clinics and CCBHCs. Members debated whether to keep FTE counts in the budget at all, ultimately leaning toward removing or zeroing out the FTE references while keeping the dollar authority, and reducing the salaries-and-wages block grant by about $4.75 million. They also discussed public health federal authority, agreeing to remove about $60 million in unused federal spending authority tied to COVID-era funds, and clarified that if federal money later becomes available it could be requested through the Emergency Commission. A major topic was the provider inflation increase. The House version had 2% and 2%, while members debated alternatives and appeared to settle, at least for further work, on 2% in the first year and 1.5% in the second year, with staff asked to recalculate the fiscal impact. The committee also reviewed FMAP changes, noting a revised 2027 FMAP estimate and its effect on general fund and other funds, and discussed whether to adjust public health and other line items accordingly. Several members emphasized that many of these numbers are still tentative and will be refined before final action. The committee also touched on several policy items and capital-related provisions, including behavioral health services, Medicaid expansion, the moratorium on new ICF beds, and a proposed amendment for a medical homes/fourplex-related item that would show a $400,000 legislative investment with repayment from a developer. There was extended discussion of the All True hospital/facility proposal, with some members favoring leaving it in with a smaller initial commitment and others preferring to remove it and revisit later in conference committee. The meeting ended with staff asked to continue updating the bill language and members instructed to review remaining sections before the next meeting; no final votes were taken in the portion provided.
ND
ND

North Dakota 2025-2026 Regular Session

Senate Appropriations - Human Resources Division Apr 7th, 2025 at 09:30 am

Appropriations - Human Resources Division

Transcript Highlights:
  • Intermediate care facilities.
  • Is this outline here for one facility?
  • This is for one facility, about a 5,000-square-foot facility, which would house four individuals.
  • care facilities that we've done out in Dickinson or the hospice facilities.
  • care facilities that we've done out in Dickinson or the hospice facilities.
Bills: SB2015
Keywords: corrections, rehabilitation, prison budget, department of corrections, adult services, youth services, correctional facilities, Heart River correctional center, Missouri River correctional center, James River correctional center, minimum security facility, county jails, regional jails, deferred maintenance, capital construction, strategic investment and improvements fund, Bank of North Dakota, line of credit, tasers, body cameras
Summary: The Senate Appropriations Human Resources division met with a quorum and spent much of the meeting on a proposed “medical home” concept for people with significant disabilities and medical needs. Matt Schwartz described the need for small, community-based homes so adults like his daughter could live in a least-restrictive setting without losing housing if service providers change. Architect Jeff Eubel presented a conceptual budget for one roughly 5,000-square-foot facility for four residents, explaining that the design would likely include four large sleeping units, common space, support areas, and medical infrastructure such as emergency power, oxygen, sprinklers, and accessibility features. Committee members and George Sink, joining by phone, raised questions about layout, zoning, ownership, staffing, and whether families would actually move loved ones into such facilities if they were far from home. The department said the concept was not in the governor’s budget and identified staff who could continue discussions; the committee did not take final action and instead discussed refining the language with interested members. The committee then turned to amendments related to long-term care and behavioral health funding. One amendment would reduce a planned $4 million general fund incentive payment and instead create a withhold-based quality program for nursing facilities, to be developed collaboratively by the department and providers and reported to Legislative Management by September 2026. The department said it could live with the language but preferred the governor’s timing; several senators questioned whether the committee should be directing an operational policy change and whether the study would simply delay implementation. No vote was taken, and the amendment was set aside for later consideration. A second amendment would clarify use of an existing $2 million general fund item for behavioral health services in nursing homes and basic care facilities, directing it toward training, technical assistance, consultation, and direct patient care for residents with medically based behavioral health disorders. Members noted the funding was already in the bill and discussed it in the context of other budget items, but again deferred action. The committee also clarified that a separate $750,000 juvenile justice diversion appropriation in House Bill 1425 was distinct from a similar amount in the budget and should likely remain in that separate bill. The chair indicated a goal of having amendments ready by the end of the week, and the committee recessed without final votes on the discussed items.
MN
MN

Minnesota 2025-2026 Regular Session

House Children and Families Finance and Policy Committee 2/12/25

Children and Families Finance and Policy

Transcript Highlights:
  • And if there is a parent who is wanting to cover for that family member and not allow health care facilities
  • family member and not allow Health that family member and not allow Health Care<00:43:19.079> Facilities
  • to<00:43:19.839> do<00:43:20.079> the<00:43:20.280> necessary Care Facilities
  • to do the necessary Care Facilities to do the necessary testing<00:43:21.480> that<00:43:21.599
  • heartbreaking to read through the testimonials, you know, to hear of problems happening in the medical facilities
Bills: HF22, HF45
Keywords: parent's bill of rights, parental rights, minor consent, minors, parents, guardians, education rights, school records, home schooling, charter school, private school, health care consent, medical privacy, patient records, exam room access, biometric data, DNA samples, blood samples, mental health, physical health
HI
HI

Hawaii 2026 Regular Session

HLT Public Hearing - Wed Feb 18, 2026 @ 10:00 AM HST

Health

Transcript Highlights:
  • Representatives from H-Power, Honolulu's energy facility that processes most of Oahu's waste, shared
  • that in 2024 the facility experienced 158 fires, and 44 of which were lithium-related.
Bills: SB2421, SB2690, SB3103, SB3137, SB3164, SB3206, SB2933, SB3133, SB3315
Keywords: cannabis, marijuana, Hawaii Cannabis Law, legalization, decriminalization, adult use, hemp, taxation, social equity, public health, primary care, health insurance, health carrier, insurance commissioner, Med-QUEST, Medicaid managed care, provider reimbursement, downcoding, prior authorization, utilization review
Summary: The committee heard testimony on several health-related bills. HB 1864, which would require health insurance coverage for standard fertility preservation services for people undergoing medically necessary treatment, drew broad support from SHIPA, the Department of Health, HMSA, the Hawaii Association of Health Plans, and others. Testifiers emphasized that fertility preservation is routine coverage on the mainland and important for patients facing infertility from cancer or other treatment; one patient described incurring more than $20,000 in costs. The Insurance Division flagged possible Affordable Care Act issues, a potential conflict in the bill’s language about using patient history to determine limits, and a mismatch with state medical-necessity standards. Committee discussion also focused on whether the bill should apply to all women of childbearing age rather than a narrower age-based category. HB 2305 would require nutrition and metabolic education as part of physicians’ continuing medical education. The Hawaii Medical Board opposed the measure, arguing that CME should remain flexible and tailored to each physician’s specialty and warning that topic-specific mandates can expand over time. The Office of the Governor supported the bill, saying it would help the state’s rural health transformation application and could improve federal funding prospects, though the exact impact was unclear. Members questioned whether nutrition is already covered in medical training and whether the requirement should be limited to primary care physicians; the board said Hawaii currently has no topic-specific CME mandates and that physicians can already choose relevant courses. The committee also heard strong support for HB 1597, which would establish an Alzheimer’s disease research center at the University of Hawaii. Supporters from the university, the Alzheimer’s Association, AARP, and others said the center could attract federal research dollars, expand clinical trials, and help address the state’s high Alzheimer’s-related health costs. HB 2159, which appropriates funds for health care workforce development, also received broad support from the University of Hawaii, health systems, and advocacy groups, with no opposition noted. Finally, HB 2121, which would prohibit the sale and distribution of disposable electronic smoking devices, drew support from the Department of Health, youth advocates, and public health groups citing youth addiction, environmental waste, and fire hazards; the department said a separate bill, HB 1573, would be more comprehensive and better defined for enforcement and penalties. The committee ended with HB 1913, creating a veteran services mental health coordinator position at Tripler Army Medical Center, which was supported by veteran services officials and others who said veterans need better navigation and coordination for behavioral health care.