Video & Transcript Research : 'consumer-directed care'
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WA
Washington 2025-2026 Regular Session
Senate Health & Long-Term Care Jan 22nd, 2026 at 08:00 am
Health & Long-Term Care
Transcript Highlights:
- So in 2018, the legislature directed DSHS to implement a consumer-directed employer, or CDE, program,
- providing direct care receive comparable wages and benefits to the individual providers.
- agency workers who provide direct care.
- agency workers who provide the direct care is equal to the total portion from the previous fiscal year
- It ensures that Medicaid home care funds are used exactly as you intended to compensate direct care.
Keywords:
endometriosis, healthcare, reproductive health, patient education, awareness campaign, home care, home care services, home care agency, home care worker, caregiver, direct care, consumer directed employer, consumer-directed care, Medicaid, long-term care, aging services, disability services, personal care, respite care, vendor rate
Summary:
The committee first met in executive session and advanced SB 6102, SB 6103, and SB 6194. SB 6102, concerning the Ambulance Transport Fund quality assurance fee, and SB 6103, concerning payments for rural emergency hospitals, were both given due pass recommendations to the Rules Committee. SB 6194, which would allow cost-based Medicaid payments for certain rural hospitals on federally recognized Indian reservations, was referred to the Ways and Means Committee without recommendation. All three actions were approved without recorded opposition.
The committee then held hearings on several public hearing bills. SB 6183 would require health plans, including public employee plans, to cover all FDA-approved HIV antiviral drugs without prior authorization, step therapy, or other utilization management, with one therapeutic-equivalent exception for prevention drugs. The prime sponsor argued it would reduce barriers to timely treatment and prevention, and a person living with HIV testified that insurance changes had once interrupted access to medication. The hearing drew substantial public interest, with testimony and sign-in counts reported as 53 pro, 58 con, and one other.
SB 5985 would create an endometriosis online resource center, Department of Health training modules, and related school health curriculum updates. The sponsor and multiple patients and clinicians described long diagnostic delays, dismissed symptoms, and the need for better education; testimony was strongly supportive, though the sign-in count showed both support and opposition. SB 6019 proposed changes to home care rate statutes to preserve parity and set administrative-rate caps; labor and provider witnesses supported it as a technical fix, while the committee also discussed an updated fiscal note. SB 6161 would direct the Department of Health to include dementia risk-reduction information in public health materials and provider resources when appropriate; the sponsor, Alzheimer’s advocates, and family members supported it as a low-cost prevention measure.
Finally, SB 6210 would let the Health Benefit Exchange add a new certification criterion for exchange plans to address affordability and access, including county availability and plan differentiation. The sponsor, the Exchange, and supporters said it could help prevent bare counties and improve affordability amid rising premiums and federal subsidy changes, while the Insurance Commissioner requested an amendment to protect rate confidentiality. Carriers, brokers, and some insurers opposed the bill, warning it could destabilize the market, reduce competition, and pressure premiums; AARP and some consumers supported it as a way to preserve access and choice.
WA
Washington 2025-2026 Regular Session
Senate Health & Long-Term Care Jan 27th, 2026 at 10:30 am
Health & Long-Term Care
Transcript Highlights:
- And we are in a health care crisis and a mental health care crisis, especially in the veteran and first
- And we are in a health care crisis and a mental health care crisis, especially in a veteran and first-respective
- . health care crisis and a mental health care crisis, especially in the veteran and first responder community
- I think SB 5291 is a necessary evolution of health care, mental health care.
- So this bill is not medical care.
Keywords:
psilocybin, mental health, therapy, decriminalization, legalization, international medical graduates, preceptorship, hardship pathways, medical practice, licensure, abortion, reproductive health, pregnancy termination, clinic access, abortion access fund, abortion savings account, health carrier assessment, insurance assessment, health insurer tax, Department of Health
Summary:
The Senate Health and Long-Term Care Committee held public hearings on several bills, with most of the discussion centered on Senate Bill 5921, which would create a Department of Health medical psilocybin program for adults with qualifying conditions. The staff briefing described licensing for producers and participating clinicians, training and safety standards, data collection, and a 2028 effective date. Senator Jesse Solomon said the bill uses a medical-control model and is intended to provide supervised access for conditions such as treatment-resistant depression and PTSD. Testimony was sharply divided: supporters included clinicians, veterans, first responders, and patients who described personal benefit and argued the bill would create a safe, regulated pathway; opponents and some medical groups raised concerns about missing safeguards, contraindications, monitoring, cost, and the bill’s exclusion of broader decriminalization or community-use protections. The hearing closed with 25 people signed in pro, 140 con, and 7 other.
The committee also heard Senate Bill 5185, a pilot program to create a pathway for international medical graduates with clinical experience licenses to obtain full unrestricted primary care licensure. Senator Rebecca Saldana and supporters from the Washington State Medical Association, the Washington Medical Commission, and the International Medical Graduate Academy said the bill builds on an existing pathway, improves access to care, and maintains patient safety standards. No opposition testimony was presented, and the hearing closed with 9 pro and 118 con sign-ins.
In executive session, the committee advanced several bills with amendments or substitutes: SB 5916 on non-opioid pain drugs, SB 5981 on 340B drug pricing transparency, SB 5985 on endometriosis resources, SB 6019 on home care rate statutes, SB 6161 on Department of Health dementia information, and SB 6183 on HIV antiviral drug coverage. The committee adopted proposed substitutes or amendments and sent the bills onward, with some referred to Rules and others to Ways and Means. The committee later reopened and completed the hearing on Senate Bill 6115, which would fund a comprehensive cancer education program for students in grades 6 through 12. Supporters, including Cancer Pathways staff, educators, and families affected by cancer, said early education could reduce risk behaviors like vaping and improve prevention; the hearing closed with 33 pro and 665 con sign-ins, and the remaining two agenda bills were postponed to a later hearing.
MN
Minnesota 2025-2026 Regular Session
House Human Services Finance and Policy Committee 3/20/25
Human Services Finance and Policy
Transcript Highlights:
- </c> the consumer price index as consumers the consumer price index as consumers are<00:03:34.799><c>
- </c> the care that they need. the care that they need.
- Lower health care cost. those benefits. Lower health care cost.
- programs, NICU, hospitalizations, foster care, respite care, or jails.
- <c> care,</c> niku, hospitalizations, foster care, niku, hospitalizations, foster care, respbit<01:20
MN
Minnesota 2025-2026 Regular Session
House Human Services Finance and Policy Committee 4/1/25
Human Services Finance and Policy
Transcript Highlights:
- the</c><00:35:36.880><c> Direct</c> the Direct Care crisis yet the Direct the Direct Care crisis yet
- > daily</c> rely upon direct care services for daily rely upon direct care services for daily living<
- Our health care system also has home care and direct care, and the certified direct support professional
- Our health care system also has home care and direct care, and the certified direct support professional
- Direct Care counties DHS churning within Direct Care counties DHS and<01:31:51.520><c> Healthcare</c
Keywords:
HF2367, Community First Services and Supports, CFSS, personal care assistance, PCA, consumer-directed community supports, CDCS, home and community-based services, HCBS, direct support professionals, direct care workers, caregivers, support workers, SEIU Healthcare Minnesota & Iowa, collective bargaining agreement, retention stipend, health care cost stipend, training stipend, orientation program, retirement trust
NM
New Mexico 2026 Regular Session
Senate - Health and Public Affairs Feb 4th, 2026 at 06:25 pm
Senate Health & Public Affairs
Transcript Highlights:
- So, when child care operators who are offering care in a home go from serving six to seven children suddenly
- Programs and child care centers.
- they provide care in that home that they live in A child's care center would only be permitted in commercial
- And there are places that offer 24-hour care or care from midnight to 6 a.m. for infants.
- direction on how to take it.
Keywords:
prior authorization, pharmacy benefits manager, PBM, health insurer, prescription drugs, step therapy, formulary, auto-adjudication, electronic portal, appeals, medical necessity, serious mental illness, mental health, schizophrenia, bipolar disorder, major depression, substance use disorder, addiction treatment, cancer, autoimmune disorder
TX
Texas 89th Regular
Senate Committee on Health and Human Services Mar 12th, 2025
Health & Human Services
Transcript Highlights:
- People choose direct-to-donor blood for several reasons.
- The person receiving care has the right to make choices and decisions about their medical care.
- I am the Chief Operating Officer at Carter Blood Care.
- Who paid for these prologues and directed donations?
- I don't care how many percentage it is, it's humans.
Bills:
SB 53, SB53, SB125, SB315, SB379, SB457, SB541, SB599, SB896, SB921, SB963, SB1038, SB1084, SB1330, SB1461
Keywords:
voter registration, election procedures, provisional ballot, change of address, residence requirements, mental health, court proceedings, notice requirements, legal filings, electronic documents, autologous blood donation, direct blood donation, blood bank, hospital, Health and Safety Code, physician order, preoperative blood donation, patient blood reserve, transfusion, surgery
MN
Minnesota 2025-2026 Regular Session
House Commerce Finance and Policy Committee 3/24/26
Commerce Finance and Policy
Transcript Highlights:
- Direct primary care and direct primary care-like approaches have emerged in part to help address these
- spending with respect to direct primary care.
- direct primary care.
- direct primary care.
- ><c> in</c> largest direct primary care practice in largest direct primary care practice in the<00:27
Keywords:
real estate, appraisers, disciplinary actions, sanction matrix, Minnesota Statutes, direct primary care, healthcare agreements, medical services, patient care, health insurance, mortgage fees, residential loans, commercial loans, finance regulations, investment properties, insurance, supplemental health insurance, short-term care, home health care, nursing care
MN
Minnesota 2025-2026 Regular Session
House Health Finance and Policy Committee 3/2/26
Health Finance and Policy
Transcript Highlights:
- I direct the public policy program for the National Consumer Voice for Quality Long-Term Care.
- These bills mandate that at least 75% of public program funds be spent on direct resident care, an essential
- These bills mandate that at least 75% of public program funds be spent on direct resident care, an essential
- </c><01:18:59.920><c> resident</c><01:19:00.400><c> care,</c><01:19:01.120><c> an</c> spent on direct
- resident care, an spent on direct resident care, an essential<01:19:02.000><c> guardrail</c><01:19:02.560
Keywords:
gun violence, public health, Department of Health, prevention, criminal justice, health care transparency, ownership disclosure, control reporting, health care consolidation, private equity, management services organization, MSO, provider organization, health insurer, pharmacy benefit manager, hospital system, affiliate reporting, financial disclosure, public reporting, market concentration
MN
Minnesota 2025-2026 Regular Session
House Commerce Finance and Policy Committee 2/26/26
Commerce Finance and Policy
Transcript Highlights:
- </c> the things that we do protect consumers the things that we do protect consumers because<00:16:20.320
- Thank protect consumers in the state.
- </c> in 2024 to add needed consumer in 2024 to add needed consumer protections<00:23:07.919><c> to</c
- ><c> access</c><00:29:54.000><c> to</c> Consumers will still have access to Consumers will still have
- And uh we did consumer health data.
Keywords:
virtual currency, kiosks, prohibition, customer payouts, cryptocurrency regulation, consumer privacy, data privacy, health data, sensitive data, Minnesota Consumer Data Privacy Act, personal data, data broker, targeted advertising, geofencing, location tracking, health care privacy, patient privacy, consent, minor privacy, children's privacy
TX
Bills:
HB 35, HB 138, HB 754, HB 1314, HB 1612, HB 2254, HB 2510, HB 2789, HB 3560, HB 3597, HB 4224, HB 4273, HB 4643, HB 4783
Keywords:
peer support, first responders, mental health, confidentiality, emergency services, health impact analysis, cost analysis, coverage mandates, health insurance, legislative analysis, health care data, healthcare, price estimates, billing requirements, consumer protection, nonemergency services, assisted living, licensing, criminal offense, personal assistance
NM
New Mexico 2026 Regular Session
House - Commerce and Economic Development Feb 13th, 2026 at 05:24 pm
House Commerce & Economic Development Committee
Transcript Highlights:
- It allows child care operators and at-home child care facilities to provide assistance or to provide
- child care without additional regulations.
- Finally, child care is a revenue generator.
- For every dollar invested in child care, states realize about $2 in local spending because child care
- Which would be utilities and health care.
Keywords:
public utility, certificate of public convenience and necessity, certificate of need, Public Regulation Commission, PRC, utility regulation, ratemaking, energy storage, battery storage, grid reliability, renewable energy, transmission, distribution, generation plant, utility expansion, service territory, mutual domestic water consumer association, economic development department, clean energy, fossil fuel reduction
AL
Alabama 2026 Regular Session
Alabama Senate Banking and Insurance Committee Feb 25th, 2026
Banking and Insurance
Transcript Highlights:
- . >> Uh, this is a bill working with our Department of Finance, striving to take better care of those
- Department of Finance, striving to take better care of those that are required to have public official
- So this would allow us to get a reimbursement rate, and then the most expensive cost to care is taking
- <00:24:40.480><c> expensive</c><00:24:40.880><c> cost</c><00:24:41.120><c> to</c><00:24:41.279><c> care
- </c> and then the most expensive cost to care and then the most expensive cost to care is<00:24:41.679
Keywords:
public officers, bonding, risk management, notification, delinquency, consumer protection, rental home, marketplace guarantees, insurance, commissioner of insurance, healthcare, breast cancer screening, insurance coverage, deductible, copayment, emergency medical services, ambulance reimbursement, health care insurers, balance billing, provider networks
MA
Massachusetts 2025-2026 Regular Session
Joint Committee on Financial Services Jan 13th, 2026
Joint Committee on Financial Services
Transcript Highlights:
- care.
- I'm the owner of a direct primary care practice in Auburn, Massachusetts, and I've practiced primary
- As a result, many patients are turning to other options, such as direct primary care, because that offers
- Under the current laws, direct primary care physicians cannot issue an insurance referral for someone
- Last year, I switched to direct primary care, which is a membership-based model where patients pay a
Keywords:
healthcare, direct primary care, insurance, referrals, network providers, payment denial, insurance costs, manufactured homes, homeowners insurance, affordability, state regulations, insurance market, consumer protection, mobile homes, firefighting, water supply, cistern program, rural areas, urban interface, state funding
Summary:
The Joint Committee on Financial Services held a public hearing on late-filed matters, with testimony focused mainly on two Senate bills: S. 2738, which would create a special commission to study rising insurance costs for manufactured and mobile home residents, and S. 2739, which would establish a program or fund to help communities install and maintain fire cisterns. Senator Kelly Duner and Representative Lisa Field, along with Taunton officials and residents, described sharp premium increases, limited insurer participation, confusing coverage practices, and the impact on seniors, veterans, and low-income homeowners in manufactured housing communities. Several speakers urged the commission to include residents directly and to produce recommendations for more affordable, transparent, and adequate coverage. Local officials from Taunton, Carver, and other communities echoed those concerns, saying many residents face few options, actual cash value policies, and premiums that can exceed $4,000 annually.
On the fire cistern bill, fire chiefs from Hopkinton and East Hampton testified that many communities lack municipal water or hydrants and need year-round dedicated water sources to fight structure fires, brush fires, and newer hazards such as lithium-ion battery fires. They said cisterns improve response times, reduce damage, and can help with insurance ratings, but maintenance and funding are often inadequate. A representative of the Massachusetts Insurance Federation supported the concept of helping fire services but objected to funding the program through insurance policy assessments, arguing that such surcharges drive up premiums and should instead be paid from the general fund.
The committee also heard strong support for S. 2732, a direct primary care bill filed by Senator Michael Moore. Physicians and medical association representatives said the bill would let direct primary care doctors make referrals for HMO patients and dispense medications directly from their offices. They argued this would reduce delays, improve continuity of care, lower prescription costs, and help patients with transportation or access barriers. No votes were taken during the hearing, and the chair adjourned after public testimony concluded.
DE
Delaware 2025-2026 Regular Session
Senate Elections & Government Affairs Committee Meeting Jun 18th, 2026
Elections & Government Affairs
Transcript Highlights:
- This is a straightforward consumer protection bill responding to a growing and well-documented problem
- They have great ideas and they are good, proud people who care about the tribe.
- They care about the local community. They care about preserving their heritage.
- We were created last, but we were given the responsibility to care for our relatives.
- I will say this: this bill is more of an assist by me than it is a direct passion.
Keywords:
home improvement, consumer protection, consumer fraud, dispute resolution, mediation, contractor registration, home repair, renovation, homeowner, building contractor, construction fraud, treble damages, attorney fees, Department of Justice, Division of Consumer Protection, Department of Labor, good faith, unfair trade practices, Delaware, regulations
Summary:
The Senate Elections and Government Affairs Committee met in hybrid format, approved the June 10 draft minutes, and then heard a long agenda of bills. HB 89 (home improvement fraud dispute resolution) was presented as a consumer protection measure developed with DOJ to address contractor fraud, especially against vulnerable homeowners; members voiced support and asked to be added as sponsors. HB 283 updated realty transfer tax exemptions to use gender-neutral “spouses” language and add a direct grandparent-to-grandchild transfer exemption; it drew supportive public comment. HS1 for HB 390 would let DelDOT choose electronic-only bidding for projects, remove newspaper bid-opening notices, and clarify bidding records, with no opposition raised. HB 328/H.A. 2 modernizes the Register of Regulations statute, keeps newspaper distribution requirements, and delays some effective dates to 2027; it was described as a technical update. HB 365 would create the Delaware Indigenous Affairs Commission, prompting supportive testimony from Indigenous community members and some discussion about representation and internal tribal اختلافs, but no formal opposition. HB 423 would automatically enroll new state employees in the 457B deferred compensation plan unless they opt out, with exclusions for collective bargaining units and implementation tied to payroll readiness; it was presented as a retirement-savings measure. SS1 for SB 342 would modernize the Delaware Motion Picture and Television Development Commission to support a broader film/media incentive package, with support from the Delaware Arts Alliance and a request to help attract productions to Delaware.
The committee also heard SB 331, a cleanup bill on garagekeeper liens for manufactured housing and related assets. The sponsor and an attorney explained it as clarifying who can recover funds and attorney’s fees in lien sales, but the Chief Magistrate and the manufactured housing association said the issue should be addressed more carefully and possibly in another section of code; they were open to further work. HB 436 would update the Smyrna charter, including school impact fees, election challenge procedures, vacancy rules, domicile standards, Board of Elections terms, and meeting schedules. HS1 for HB 376 made technical and organizational changes to the Millville charter, including a tiebreaker for municipal elections and a property tax cap, with the town solicitor saying there was little substantive change. HB 460 would require New Castle County municipalities to submit permit data monthly rather than on a much slower schedule, limited to closed permits with certificates of occupancy, to improve property assessment data; it was presented as part of broader reassessment/data-quality efforts.
Public comment was heard on several items, especially HB 365 and SS1 for SB 342. Indigenous speakers supported the commission as a way to preserve heritage, improve representation, and create a formal seat at the table. The Delaware Arts Alliance supported the film commission modernization bill as part of a broader creative-economy plan. No recorded votes were taken on the individual bills in the transcript, and the meeting ended with a unanimous motion to adjourn.
MA
Massachusetts 2025-2026 Regular Session
Joint Committee on Consumer Protection and Professional Licensure Jun 23rd, 2026
Joint Committee on Consumer Protection and Professional Licensure
Transcript Highlights:
- As you've heard, this bill requires the makers of connected consumer devices to tell consumers how long
- For consumers, they don't have awareness around their devices' end of life, and that is a consumer protection
- Consumer Reports believes that consumers, when they buy these products, deserve to know how long they
- If the consumer sees an appliance that's close to end of life, it could lead the consumer to think that
- As this bill defines consumer and connected consumer products, it may also blur the line between household
Keywords:
animal telehealth, veterinary telemedicine, veterinary telehealth, veterinarian-client-patient relationship, VCPR, animal health, pet care, companion animal, livestock, remote veterinary care, synchronous audio-video, telemedicine, prescription drugs, antimicrobial drugs, controlled substances, xylazine, compounding pharmacy, veterinary practice, Massachusetts Controlled Substances Act, animal owner
Summary:
The Joint Committee on Consumer Protection and Professional Licensure held a hearing on late-filed bills, with testimony heard both in person and remotely. The committee reviewed several measures, including H. 355 and S. 3082 on veterinary telemedicine/telehealth, H. 5445 on additional liquor licenses for East Hampton, and S. 3090/H. 5114 on consumer-connected devices and software support disclosure. The chair outlined hearing logistics, including three-minute testimony limits and written testimony submission, and noted that Lawrence High School students were present to observe.
On the veterinary bills, supporters of H. 355 argued that allowing veterinarians to establish a client-patient relationship remotely would improve access to care for pets whose owners face transportation, mobility, or anxiety-related barriers, and could help veterinarians continue practicing through telemedicine. Opponents of S. 3082, including the Massachusetts Veterinary Medical Association and several veterinarians, said the initial in-person exam is essential to detect conditions that cannot be seen on video, avoid misdiagnosis, and preserve the standard of care; they emphasized that teletriage and follow-up telemedicine are already used after an in-person relationship is established. Committee members pressed both sides on the distinction between teletriage and establishing the relationship, the timing of annual exams, and whether limited exceptions for sedatives or other pre-visit needs might be workable. Senator Lovely testified in support, citing a recent Lyme case where follow-up telemedicine would have been useful.
On H. 5445, Representative Gomez and East Hampton Mayor Salem Derby urged approval of the bill to authorize eight additional liquor licenses, saying the city has reached its current cap, needs economic development, and wants to support downtown revitalization and new restaurant growth. Members asked about public safety and the number of licenses sought; the mayor said local public safety officials support the request and that the licenses would be for restaurants, not bars. On S. 3090 and H. 5114, consumer advocates and cybersecurity experts supported requiring manufacturers of connected devices to disclose software support timelines, arguing it would improve consumer transparency, cybersecurity, and reduce e-waste. Industry groups opposed the bills, saying fixed disclosure requirements could be impractical, create confusion, burden small businesses, conflict with federal efforts, and be difficult to apply to appliances, lighting, and other products with long lifecycles. The committee did not take a substantive vote on the bills during the hearing; at the end, staff announced a forthcoming poll for House members, and the committee voted to adjourn.
MA
Massachusetts 2025-2026 Regular Session
Joint Committee on Consumer Protection and Professional Licensure Jun 23rd, 2026
Joint Committee on Consumer Protection and Professional Licensure
Transcript Highlights:
- Thank you. to get my pet care.
- As you've heard, this bill requires the makers of connected consumer devices to tell consumers how long
- Consumer Reports believes that consumers, when they buy and purchase these products, deserve to know
- about technology consumers purchase.
- If the consumer sees an appliance that's close to end of life, it could lead the consumer to think that
Keywords:
animal telehealth, veterinary telemedicine, veterinary telehealth, veterinarian-client-patient relationship, VCPR, animal health, pet care, companion animal, livestock, remote veterinary care, synchronous audio-video, telemedicine, prescription drugs, antimicrobial drugs, controlled substances, xylazine, compounding pharmacy, veterinary practice, Massachusetts Controlled Substances Act, animal owner
AZ
Arizona 2026 Regular Session
02/09/2026 - House Public Safety & Law Enforcement
Public Safety & Law Enforcement
Transcript Highlights:
- Classification to include the intentional use of directed communication, whether verbally, written, or
- Developmentally, teenagers are hardwired to care more about the opinion of others than anything else.
- You were here speaking for a health care crisis and sovereignty against gun violence.
- And then I see over in subpart E, health care providers, health care facilities, yada, yada, yada, shall
- I too like the direction. I heard the concerns that Representative Collenden raised.
Keywords:
manslaughter, suicide encouragement, assisted suicide, online harassment, social media, text messaging, directed communication, minor suicide, youth suicide prevention, criminal liability for speech, online bullying, free speech, homicide, class 2 felony, Cade's Law, Arizona criminal law, sovereignty, border security, health crisis, drug cartels
WA
Washington 2025-2026 Regular Session
House Health Care & Wellness Jan 28th, 2026 at 01:30 pm
Health Care & Wellness
Transcript Highlights:
- Health care provider.
- In many ways, Coordinated Care is the Affordable Care Act success story.
- care services.
- That's the promise of future care when people's long-term care and other health care needs escalate.
- That's the promise of future care when people's long-term care and other health care needs escalate.
Keywords:
healthcare, insurance, certification, state regulation, health plan, therapy, psychotherapy, mental health, regulation, professional standards, behavioral health, mental health crisis, crisis response, co-response, co-responder, first responder, EMS, emergency medical services, paramedic, EMT
Summary:
The House Health Care & Wellness Committee held public hearings on House Bill 2564, concerning the health benefit exchange, and House Bill 2599, concerning the use of AI in therapy services. HB 2564 would let the exchange adopt annual market-factor certification criteria to address access and affordability issues, including requiring more meaningful plan differences, broader county participation, and availability of lower-premium options. Supporters, including the exchange, former Sen. Karen Kaiser, consumer advocates, rural and tribal representatives, and some brokers, said the bill could help prevent bare counties, improve affordability, and reduce confusing plan duplication. Opponents, including carrier groups, insurers, the hospital association, and insurance producers, warned it could reduce carrier participation, create uncertainty, overlap with OIC authority, and raise provider costs. HB 2599 would restrict licensed therapy providers from using AI to make independent therapeutic decisions, directly interact with clients, generate treatment plans without review, or advertise AI as therapy; supporters said it was needed to prevent deceptive or dangerous chatbot therapy, while several professional groups and Teladoc supported the intent but asked for narrower definitions and clearer carveouts for routine clinician-supervised tools. The committee also heard testimony on the bills’ details and possible amendments, but took no public-hearing votes on either bill.
In executive session, the committee considered five bills. HB 1784, on certified medical assistants entering and activating orders, passed with a proposed substitute that added standing written protocols, annual review requirements, and a 24-hour countersignature deadline; it was reported out 18-0. HB 2242, on preventive services and immunization recommendations, had three amendments considered: two were rejected and one JLARC study amendment was adopted, after which the substitute bill passed 11-7. HB 2384, on actuarial reviews for continuing care retirement communities, passed as a substitute after technical changes and was reported out 16-2. HB 2505, creating an exemption from adult family home licensure for certain foster family situations, adopted an amendment adding disqualifying conditions and then passed 18-0. The committee deferred action on HB 1809 and HB 2261, and adjourned after completing its work.
WA
Transcript Highlights:
- Specifically, the bill directs the Health Care Authority to adopt network adequacy standards for nursing
- managed care organizations.
- The fee increase is modest, and it benefits consumers very directly by helping assist those consumers
- As a retiree, I care for an aging parent in my home who requires a variety of medical specialty care
- We get like 8.3% of the cost of our care for, it covers our care for Medicaid, for instance.
Keywords:
Working Connections Child Care, child care subsidy, subsidized child care, Washington DCYF, Department of Children, Youth, and Families, low-income families, child care providers, licensed child care centers, family child care, market rate survey, subsidy rates, income eligibility, state median income, SNAP, Basic Food, collective bargaining, provider reimbursement, daily payment, half-day care, partial-day care
TX
Texas 89th Regular
Senate Committee on Health and Human Services Mar 18th, 2025
Health & Human Services
Transcript Highlights:
- ...And will those costs be passed on to health care consumers?
- And they do consume it.
- This bill is an access to care bill.
- Care by allowing providers to refuse care to Texans based on religious and personal beliefs.
- We don't want a health care system. where children can be taken advantage of by health care providers
Keywords:
immunization, written informed consent, civil liability, health care provider, vaccine compensation, administrative penalty, health care, licensing, complaint procedure, disciplinary action, law enforcement, pharmacy benefit manager, PBM, gag clause, prescription drug pricing, out-of-pocket cost, cash price, pharmacist, pharmacy, prescription drug benefit