Video & Transcript Research : 'continuing care retirement communities'

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WA

Washington 2025-2026 Regular Session

House Housing Jan 15th, 2026 at 09:00 am

Housing

Transcript Highlights:
  • Is this for facilities that are more like condos, or is this every 55-plus community, like a small community
  • It also defines, it includes any section or portion of a continuing care retirement community that is
  • services, and if we pull in long-term care service expectations into... ...long-term care services.
  • I'm president of the Washington Continuing Care Residents Association.
  • I live in a continuing care retirement community, but I am in independent living.
Bills: HB2299, HB2118, HB2236
Summary: The House Housing Committee held a public hearing on House Bill 2299, which would create a state senior independent living ombuds program. Staff explained that the bill would direct the Department of Commerce to contract with a nonprofit to provide ombuds services for residents of senior independent living facilities, including complaint handling, data collection, referrals, training, and protections against retaliation and disclosure. The bill also sets qualifications and conflict-of-interest rules for ombuds and requires facilities to post notice of the service. The chair said the committee would not move the bill out of committee that day because amendments were still being worked on. Representative Christine Reeves, the bill’s sponsor, said the measure is intended to fill a gap for seniors in independent living facilities, which are currently treated under multifamily housing law rather than senior housing protections. She described constituent complaints involving delayed maintenance, safety concerns, and lack of response from management, and said the ombuds would provide a trusted expert resource without changing building codes or broader housing classifications. Committee members asked about the bill’s scope, including whether it would apply to 55-plus communities, condominiums, and mixed-use facilities, and staff explained the bill’s definition of covered facilities. Testimony was mixed. The Washington Health Care Association and LeadingAge Washington supported the goal but raised concerns about funding, program scope, and how the new ombuds would interact with existing landlord-tenant law and long-term care ombuds services; they urged a broader stakeholder process and said the Legislature should first clarify resident rights. The Washington State Long-Term Care Ombuds Program strongly supported the bill, saying it would address inequities for residents in mixed communities and could potentially be folded into existing ombuds work, though it would require additional resources. Residents and advocates also testified in support, describing communication problems, safety issues, and the need for a neutral outside authority. The committee closed the hearing without taking a vote.
TX

Texas 89th 2nd C.S.

Human Services May 13th, 2025

Human Services

Transcript Highlights:
  • Continuing care retirement communities, or CCRCs, offer older Texans a promise of aging in place through
  • We also represent the vast majority of continuing care retirement communities in the state, and I'm testifying
  • SB 1522 modernizes the continuing care retirement community statute and strengthens consumer protections
  • SB 1522 addresses this issue by updating what constitutes continuing care.
  • What a continuing care contract is and what it is not.
Summary: The Committee on Human Services met with a quorum and first voted out Senate Bill 1589, relating to contract requirements between a single-source continuum contractor and DFPS. The motion to report the bill favorably to the full House with a recommendation that it do pass and be printed prevailed on a 7-0 vote. The committee then heard Senate Bill 500, which would set deadlines for providing foster care adoption records, including health, social, educational, and genetic history reports, to speed adoptions. The bill’s author and witnesses from Addie’s Hope Social Services supported it, saying delays in redacted files can take months, slow permanency for children, and increase costs to the state. Members asked about redactions and sibling/family information, and witnesses explained the bill would mainly speed the preliminary file used to decide whether to proceed with placement. SB 500 was left pending. Members also heard Senate Bill 1266, which would require regular reevaluation of the Medicaid provider support team and add written notice of provider disenrollment at least 30 days in advance. There were no witnesses, no questions, and the bill was left pending. Senate Bill 1522, concerning continuing care retirement communities, was then laid out and supported by LeadingAge Texas and counsel, who said it updates outdated definitions, clarifies licensing and disclosure rules, and strengthens consumer protections for seniors. It was also left pending. After a brief recess, the committee heard Senate Bill 1137, which would prohibit group home consultants from referring people to unlicensed or unpermitted group homes except in limited circumstances, require disclosure of complaints, and create a Class B misdemeanor for violations. Members discussed whether consultants are regulated and noted concerns about unlicensed referral practices. The bill was left pending, and the committee adjourned after completing its agenda.
TX

Texas 89th Regular

Human Services May 13th, 2025

Human Services

Transcript Highlights:
  • Continuing Care Retirement Communities (CCRC) offer older Texans a promise of aging in place through
  • We also represent the vast majority of continuing care retirement communities in the state.
  • The delivery of long-term care, like other sectors of health care, continues to evolve.
  • SB 1522 modernizes the continuing care retirement community statute and strengthens consumer protections
  • Continuing care is not clear in the statute.
WA

Washington 2025-2026 Regular Session

House Health Care & Wellness Jan 28th, 2026 at 01:30 pm

Health Care & Wellness

Transcript Highlights:
  • We continue to hear concerns about health care costs from our residents.
  • care retirement communities.
  • care retirement communities that have the most robust, what are called life care plans and contracts
  • 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.
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.
AZ

Arizona 2026 Regular Session

02/10/2026 - Senate Natural Resources

Natural Resources

Transcript Highlights:
  • Based on my inquiry, they communicated...
  • and serve our communities.
  • and serve our communities.
  • We are attempting to figure out how to continue to increase the infrastructure necessary to continue
  • We're going to continue to do that, and I vote aye.
TX

Texas 89th Regular

Health and Human Services Apr 1st, 2025

Health & Human Services

Transcript Highlights:
  • Continuing care retirement communities modernization.
  • Continuing care retirement communities modernization.
  • SB 1522 modernizes the continuing care retirement community statute and strengthens consumer protections
  • of Texas, formerly known as Air Force Village, a continuing care retirement community in San Antonio
  • The delivery of long-term care, like other sectors of health care, continues to evolve.
Summary: The committee heard testimony on Senate Bill 883, which would protect physicians’ ability to prescribe off-label medications and treatments, framed by the author as a “Right to Treat” measure tied to COVID-19 care. Supporters, including physicians and patient-choice advocates, said the bill would safeguard the doctor-patient relationship and prevent interference by boards, pharmacies, or hospitals. Several witnesses described using hydroxychloroquine, ivermectin, budesonide, antibiotics, steroids, and monoclonal antibodies during the pandemic, and said they faced complaints, board scrutiny, or pharmacy refusals for those prescriptions. The bill was left pending after public testimony closed. The committee then took up Senate Bill 331, which would extend hospital price-transparency requirements to additional health care facilities such as freestanding ERs, urgent care and retail clinics, ambulatory surgical centers, outpatient clinics, and birthing centers. Proponents argued that broader disclosure of prices for shoppable services would help consumers compare costs and reduce surprise billing, while opponents from ambulatory surgery centers said the bill would impose costly compliance burdens on small providers and that insurers or the state already have much of the needed data. The bill was also left pending. Senate Bill 2422 would expunge Texas Medical Board records and impose reparations for disciplinary actions tied to COVID-era treatment decisions, including references to ivermectin, hydroxychloroquine, budesonide, and masks. The author and supporters argued that doctors were unfairly targeted for trying to save patients and should be made whole; the Texas Medical Board representative said most pandemic complaints were dismissed, that actions generally involved broader issues such as privileges, documentation, or informed consent, and that no physician was disciplined solely for prescribing off-label COVID medications. The bill was left pending. Finally, the committee heard Senate Bill 2207, which would loosen Texas Medical Board rules on physicians advertising themselves as board certified, especially by reducing barriers tied to maintenance of certification requirements. Supporters said the current rule is overly restrictive, inconsistent, and costly, and that it drives physicians out of practice; they also said Texas is one of only a few states with such a rule. Witnesses described hospitals using the rule against physicians and said the change would improve transparency and competition. The bill remained pending after testimony.
AZ

Arizona 2026 Regular Session

02/24/2026 - Senate Appropriations, Transportation and Technology

Appropriations, Transportation and Technology

Transcript Highlights:
  • in the community, not just short episodes of crisis care like happens to SMI.
  • of care.
  • funding to continue their program.
  • They care about law enforcement. They care about their needs.
  • They are retired, they're living on fixed and low income, but they care enough about their kids that
TX
Transcript Highlights:
  • This policy forces youth to relocate far from their homes to receive continued care.
  • Continuing care retirement communities, or CCRCs, offer older Texans a promise of aging in place through
  • SB 1522 modernizes the Continuing Care Retirement Community statute and strengthens consumer protections
  • We are a continuing care retirement community in San Antonio, Texas.
  • The delivery of long-term care, like other sectors of healthcare, continues to evolve.
AZ

Arizona 2026 Regular Session

03/11/2026 - Senate Health and Human Services

Health and Human Services

Transcript Highlights:
  • to the delivery of telehealth care.
  • to the delivery of telehealth care.
  • These physicians that I want to continue working with want me to continue working with them as well,
  • care providers statewide.
  • This is critical that we get this taken care of and taken care of once and for all so we don't end up
MN

Minnesota 2025-2026 Regular Session

House Agriculture Finance and Policy Committee 3/4/26

Agriculture Finance and Policy

Transcript Highlights:
  • , providing food to the to the community, providing food to the community. community. community.
  • about our communities.
  • about our communities.
  • about our communities.
  • The bill adds new requirements for veterinary technicians for continuing education, humane care, pharmaceutical
Bills: HF3718
WA

Washington 2025-2026 Regular Session

House Health Care & Wellness Jan 23rd, 2026 at 08:00 am

Health Care & Wellness

Transcript Highlights:
  • House Bill 2384 relates to conducting actuarial reviews for continuing care retirement communities, or
  • Continuing care retirement communities, or CCRCs, are facilities that provide a continuum of care and
  • I have been working on policy related to continuing care retirement communities since I came to the Legislature
  • care services for residents in their buildings and communities.
  • I'm the vice president of the Washington Continuing Care Residents Association.
Summary: The committee held public hearings on three bills. HB 2384 would require continuing care retirement communities that offer life care contracts to submit actuarial analyses every other registration cycle for review by the Office of the Insurance Commissioner, with results sent to DSHS for registration decisions and an appeal process through DSHS. Supporters said the bill would improve transparency and protect residents’ financial security; LeadingAge Washington supported transparency but raised cost and implementation concerns. HB 2505 would exempt certain foster parents and child-specific foster care providers from adult family home licensure when former foster youth remain in the home as adults and other conditions are met. The sponsor and DSHS said the bill would help vulnerable young adults stay with caregivers and avoid unnecessary licensure barriers. HB 2402 would phase out DEHP in IV solution containers and later IV tubing, with exemptions for certain blood and cell therapy products; testimony largely supported removing phthalates for health and environmental reasons, while manufacturers, hospitals, and AdvaMed raised supply chain, timing, and implementation concerns and requested later phase-out dates and exemptions. In executive session, the committee adopted amendments and advanced several bills. HB 1904, prohibiting cat declawing, was amended to remove recordkeeping, reporting, fines, and disciplinary references tied to declawing and was reported out with a do pass recommendation. HB 2145 on the 340B drug pricing program was advanced as a proposed substitute after a lengthy discussion about transparency, reporting, and concerns over authority and litigation. HB 2182, concerning abortion medications held and distributed by the Department of Corrections, was amended to require appropriations for purchases, restore cost-based distribution language, prioritize Indian health providers, add annual reporting, and remove the emergency clause; the substitute bill then passed out of committee. HB 2211 on medically tailored meals also passed out, with one member opposing due to concerns about limiting participation to certain nonprofits. The committee also passed out HB 2247 on veterinarian-client-patient relationships and telehealth after adopting a substitute that clarified recordkeeping, telehealth prescribing, clinical practice requirements, and the effective date. HB 2329 on supervision of medical assistants and lactation consultants by licensed midwives passed after a cleanup amendment clarified that midwives are not prohibited from coordinating with lactation consultants. HB 2339 on nurse licensing passed after a technical amendment updated definitions and terminology for nurse practitioner and clinical nurse specialist credentials. The meeting concluded with all of these measures reported from committee, mostly on strong bipartisan votes, though several bills drew mixed votes or dissent over scope, costs, or implementation.
TX

Texas 89th Regular

Pensions, Investments & Financial Services Apr 28th, 2025

Pensions, Investments & Financial Services

Transcript Highlights:
  • Direct Primary Care, or DPC.
  • It applies to participants in the employee's retirement system, the teacher retirement system, and the
  • Excuse me, primary and urgent care, because people don't think they can go to primary care to get urgent
  • care.
  • DROP stands for Deferred Retirement Option Program, which allows a person to defer retirement when they
HI

Hawaii 2026 Regular Session

EEP Public Hearing - Tue Mar 24, 2026 @ 9:00 AM HST

Energy & Environmental Protection

Transcript Highlights:
  • </c> collaboration with the Waku community collaboration with the Waku community department<00:27:21.600
  • </c> in-person participation at community in-person participation at community representation<00:28:12.080
  • </c> continue testing water test. continue testing water test. &gt;&gt; Yeah. &gt;&gt; Yeah.
  • </c> advocacy groups and community groups. advocacy groups and community groups.
  • Hai with Aloha Care. We stand in Ralia. Hai with Aloha Care.
Bills: SB3253, SB3154, SB3254
Summary: The committee on Energy and Environmental Protection heard a long series of resolutions focused largely on waste reduction, energy planning, and environmental protection. Early measures included HR 12/HCR 10 on a permanent landfill host benefits program for Honolulu, HCR 148/HCR 157 on a demolition waste reduction working group, and HR 184/HCR 194 on a mattress stewardship program working group. Testimony on these waste-related measures was generally supportive from environmental groups and some individuals, while the Department of Health supported the mattress stewardship proposal. The Department of Health also commented that a proposed study on recyclable/biodegradable/compostable labeling was very broad and would require additional resources to carry out effectively. The committee then took up several energy-related resolutions. HR 192/HCR 202 would create a task force on Hawaii’s future energy pathways, and HR 194/HCR 204 would ask the Public Utilities Commission to conduct a comprehensive analysis of cost reductions and financial risk. The Department of Commerce and Consumer Affairs, the Hawaii State Energy Office, and the PUC offered support or comments on these measures, with environmental and industry groups also submitting testimony. Members questioned the Energy Office and PUC at length about errors in prior analyses, competitive bidding, and whether utility proposals could proceed through waiver processes; the PUC said any proposal would still be reviewed and that it generally prefers competitive bidding, while the Energy Office said some issues were being characterized differently and would follow up on waiver standards. Additional measures addressed data centers, liquefied natural gas, and utility oversight. HR 196/HCR 206 would convene a working group on the impacts of large data centers, and HR 197/HCR 207 would require conditions before the PUC approves LNG-related costs; testimony on LNG was split, with supporters urging caution and opponents arguing LNG should not be pursued. HR 193/HCR 2003 sought a written status update on implementation of the Hawaii Electric Reliability Administrator, and HR 191/HCR 201 and HR 33/HCR 33 dealt with sewage and wastewater issues, both drawing support from environmental and community groups. The committee also heard strong support for HR 141/HCR 149 on Red Hill remediation meetings and HR 190/HCR 200 on reassessing military PFAS cleanup decisions; the Board of Water Supply testified in support and described ongoing PFAS testing and concerns beyond Red Hill. The transcript ends as the committee moved into decision-making, with the chair indicating a recommendation to pass HR 12/HCR 10.
WA

Washington 2025-2026 Regular Session

Senate Ways & Means Jan 20th, 2026 at 04:00 pm

Ways & Means

Transcript Highlights:
  • Continuous health care coverage is critical for us and our families.
  • by the Health Care Authority's actuary during the community engagement year for the Medicaid expansion
  • Please pass this bill to continue transitioning Washington State towards universal health care.
  • Please pass this bill to continue transitioning Washington State towards universal health care.
  • and that access to health care through Apple Health can continue to be the difference between health
Summary: The Ways and Means Committee met on January 20, 2026, for public hearings on several Senate bills and to move three bills out of committee. The committee heard first on SB 5834, which would make permanent a temporary expansion allowing retirement system trust funds to pay certain administrative expenses from interest earnings; DRS supported the bill and noted an actuarial note showing an indeterminate impact. The committee then heard SB 5835, which would raise the lump-sum retirement allowance threshold for Plan 2 members to match Plan 3 and allow annual adjustment; DRS described it as a technical consistency change with a small one-time systems cost. Both bills were heard only, with no action taken in the transcript. The committee then entered executive session and moved Substitute SB 5249, Substitute SB 5053, and Substitute SB 5203 without recommendation to the Rules Committee, subject to signatures. Staff summarized 5249 as allowing kit homes for emergency housing, 5053 as allowing certain counties to include school district boundaries when forming a public facilities district, and 5203 as directing state agencies to develop wildlife habitat connectivity strategy and creating related accounts. All three motions passed without recorded opposition. Back in public hearing, the committee heard SB 5883 on SEBB eligibility for school employees in their second school year of employment. Supporters, including labor representatives and individual school workers, said the current two-year look-back causes gaps in coverage and hardship for substitutes and paraeducators; opponents, including school district officials and administrators, argued it would create an unfunded mandate, increase district costs, and add administrative burden. The committee also heard SB 5905, which would exclude certain port workers already covered by federal railroad retirement or collectively bargained pension plans from PERS membership; ports, labor, and DRS supported the bill as a narrow technical fix, and the bill was heard without action. The committee then heard SB 6151, which would create dedicated accounts for Ecology fee revenue related to laboratory accreditation and landfill methane work; Ecology and county representatives supported it as a transparency and reinvestment measure. Finally, the committee heard SB 6163, which would require the Individual and Family Services waiver for developmental disability services to be funded at maintenance level and tied to the caseload forecast. Disability advocates said the bill would stabilize services and reduce wait lists, while the fiscal note discussion indicated increased general fund costs. The committee also heard SB 6177, which would require additional budget information on the LEAP fiscal website, and SB 6173, which would create an Apple Health employer assessment on certain large employers with Medicaid-enrolled workers after federal work requirements take effect. SB 6173 drew strong support from health advocates, labor, and patient groups as a way to protect Medicaid funding, and strong opposition from business, retail, hospitality, and hospital groups, who called it an unfair tax and raised administrative and legal concerns. No votes were taken on the public hearing bills in the transcript, and the meeting ended with a reminder that signature sheets would be held for 24 hours under Senate rules.
AZ

Arizona 2026 Regular Session

02/02/2026 - Senate Finance

Finance

Transcript Highlights:
  • Another is retirement, which.
  • Tier 1 is a 20-year retirement. Tier 2 is a 25-year retirement.
  • I don't like the idea that we continue, as a legislature, we continue to bury our heads in the sand and
  • Of that, me as an assessor and one ag appraiser, Raul Mazza, I pray to take care of all the ag community
  • So I really take care of our ag community. Let's see.
LA

Louisiana 2026 Regular Session

Retirement Apr 29th, 2026

Retirement

Transcript Highlights:
  • Okay, members, today is 10/29/26, and this is the hearing of the Retirement Committee.
  • across the public retirement system from 16 to 12 hours.
  • This reduction will also assist the smaller retirement system. Ms. Michelle.
  • I'm the director of the Teacher's Retirement System.
  • Municipal Employee Retire. All right. I'll have staff read in.
Summary: The Retirement Committee met on April 29, 2026, established a quorum, and heard a series of retirement-related bills, mostly cleanup or technical measures affecting various public retirement systems. SB 22 would extend Municipal Employees Retirement System eligibility to certain positions in the Second City Court constable’s office in New Orleans. SB 17 would create a funding deposit account for cost-of-living adjustments for registrars of voters’ employees’ retirement system. SB 455 would allow certain district and parish courts to participate in the Parochial Employees Retirement System. SB 456 would update compensation rules for assigned retired judges, and SB 8 would add the Louisiana Asset Management Pool as a participating employer in MERS. All of these bills were described as aligning statutes with current practice or expanding participation options, and each was reported favorably without objection. The committee also heard several Louisiana State Police retirement bills. SB 10 would repeal outdated priority allocation and retiree raise rules and adjust handling of surplus employee contributions; SB 11 would increase the funding cap for benefit increases from 2.5% to 3.5%; and SB 12 would update membership and definition language to reflect the State Police Commission rather than the Civil Service Commission. SB 18 would repeal a special exception allowing certain MERS retirees to return to part-time work while collecting full benefits, while protecting roughly 30 current participants. SB 20 and SB 21 would update actuarial gain/loss and unfunded liability funding rules for school employees’ retirement and LASERS, respectively, in light of the new permanent benefit increase funding structure. Each of these bills was supported by system officials as cleanup or modernization measures and was reported favorably. The committee spent the most time on education and return-to-work issues for teachers and public employees. SB 16 would reduce annual trustee training requirements for retirement system boards from 16 hours back to 12 hours, which witnesses said would better fit smaller systems and match the original intent of the law. SB 13 would similarly update TRSL’s actuarial funding rules after the sunset of the experience account. SB 14, based on a 2025 study work group, would consolidate and simplify TRSL return-to-work rules and expand options for retired teachers, with witnesses emphasizing teacher shortages and the need to retain experienced educators. All three were reported favorably. Finally, SB 416 would allow certain Department of Public Safety and Corrections retirees to return to critical shortage positions after one year, and SB 477 would classify the chairman of the Louisiana Gaming Control Board as a full-time state employee for retirement purposes. Both bills drew questions and discussion, especially SB 416, and both were reported favorably. The chair announced the committee’s next meeting would be moved from Monday to Tuesday, and the meeting adjourned.
AL

Alabama 2025 Regular Session

Alabama Senate Finance and Taxation General Fund Committee Feb 19th, 2025

Finance and Taxation General Fund

Transcript Highlights:
  • to be able to retire.
  • I go out of my mind if I retire. My idea of retirement... retire.
  • I don't think this fixes retirement as a workforce...
  • have anything... ...retire, you don't have anything.
  • It's going to continue, so let's go and call the roll.
AL

Alabama 2026 Regular Session

Alabama House Ways and Means Education Committee Jan 20th, 2026

Ways and Means Education

Transcript Highlights:
  • </c><00:05:25.440><c> to</c> We continue to protect our retirement system at the same time.
  • , that is correct there, and they can continue to withdraw their retirement currently.
  • to draw your work full time and continue to draw your retirement.<00:08:09.840><c> So</c><00:08:09.919
  • Your retirement continue, but driver.
  • Your retirement continue, but that<00:08:23.520><c> cap</c><00:08:23.919><c> still</c><00:08:24.240><