Video & Transcript Research : 'direct care staff'
Page 1 of 500
MA
Massachusetts 2025-2026 Regular Session
Joint Committee on Aging and Independence May 11th, 2026
Joint Committee on Aging and Independence
Transcript Highlights:
- They free up nursing staff to focus on higher-acuity care coordination while maintaining safe, consistent
- My testimony is grounded in over 20 years of direct experience in residential care leadership and advocacy
- , infirm, and indigent population by providing direct care and administering medications.
- In California, they call them residential care facilities, and the staff of the facility were allowed
- In California, they call them residential care facilities, and the staff of the facility were allowed
Keywords:
rest home, rest homes, medication administration, medication management, assisted living, long-term care, elder care, older adults, senior care, nursing home, resident care, self-administration, licensed facility, Chapter 111, section 71, Responsible Person, caregiver, direct care staff, care facilities, funding
Summary:
The Joint Committee on Aging and Independence heard testimony on two sets of bills: Senate 3057/House 5376, concerning assisted living residences, and Senate 3056/House 5243, concerning medication administration in rest homes. On the assisted living bills, MassALA supported the proposal but urged amendments to clarify and limit fines and to specifically authorize certified medication aides for limited medication administration in assisted living. AARP and the state long-term care ombudsman supported the bills and the new trust fund, with AARP backing the use of certification fees and fines to fund oversight, and the ombudsman emphasizing the need for more staffing and resources to address complaints, evictions, billing issues, and resident advocacy. MassNAELA also supported the bills but asked for additional provisions on executive director licensure, building code and emergency preparedness standards, and broader task force membership; committee members said they would review draft language and noted that building code changes would require further study.
The rest home bills drew testimony from providers and industry groups who opposed the Department of Public Health’s proposed shift away from the long-standing “responsible person” medication model toward a MAP-based framework. Witnesses from rest homes, MARCH, and LeadingAge Massachusetts said the responsible person system has been used for decades, is safe and affordable, and is tailored to rest homes’ resident population and staffing realities. They warned that requiring certified medication aides or nurses would sharply increase costs, worsen workforce shortages, and could force closures or resident displacement. Several witnesses said they were open to strengthening training and oversight, but wanted a task force or collaborative process rather than immediate regulatory replacement of the current model.
Committee members asked questions about the history of the responsible person model, how medication administration works day to day, whether other states use similar systems, and whether data exist comparing medication error rates. The chairs indicated interest in moving the rest home bill sooner rather than waiting for additional fire marshal or building-code work on the assisted living side, and asked witnesses to submit proposed language and any supporting data in writing. The hearing concluded with thanks to the chairs and a motion to adjourn, which was approved.
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
- care staff.
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
MN
Minnesota 2025-2026 Regular Session
House Children and Families Finance and Policy Committee 2/25/25
Children and Families Finance and Policy
Transcript Highlights:
- </c> who are the highest qualified staff who are the highest qualified staff members<00:04:43.000><c>
- > I</c><00:14:23.680><c> have</c> a nonprofit Child Care Center I have a nonprofit Child Care Center
- So if we don't have staff in the center, we won't have the center, and you won't have the child care
- School, child care.
- School, child care.
Keywords:
child care, aides, supervision, child care centers, staffing regulations, childcare, day care, licensed child care center, early childhood education, child care licensing, director qualifications, staff ratios, group size, staff-to-child ratio, substitutes, volunteers, assistant teacher, teacher qualifications, infant care, toddler age
MN
Minnesota 2025-2026 Regular Session
House Human Services Finance and Policy Committee 3/24/26
Human Services Finance and Policy
Transcript Highlights:
- Her staff that she was in an ICS home. Her staff left. left. left.
- </c> care we provide in our own homes. care we provide in our own homes.
- Let me be direct.
- </c> part of a family foster care. part of a family foster care.
- </c> care providers that do. care providers that do.
Keywords:
Medical Assistance, Medicaid, prepayment review, claims review, fee-for-service, provider integrity, high-risk provider, high-risk service, fraud prevention, program integrity, Department of Human Services, CMS, Centers for Medicare and Medicaid Services, health care billing, medical claims, provider enrollment, Indian Health Service, Minnesota Statutes chapter 256B, human services, medical assistance
ND
North Dakota 2025-2026 Regular Session
Senate Workforce Development Apr 10th, 2025 at 10:00 am
Workforce Development
Transcript Highlights:
- second thing that we did is that on the bottom of page three, number five, we were clear that the Child Care
Bills:
HB1119
Keywords:
child care, childcare, day care, daycare, early childhood education, child care licensing, provider licensing, child care regulations, administrative rules, Department of Health and Human Services, HHS, licensing advisory committee, child care providers, group child care, preschool programs, child to provider ratios, square footage requirements, staff training, certification requirements, child care funding
Summary:
The Workforce Development Committee reconvened to consider House Bill 1119 with amendment version 02005. Senator Hogan explained that the amendment removed a section requiring the Department of Human Services to respond to legislative management, in order to make the bill feel more like a program evaluation than an audit and to avoid placing an unreasonable burden on the executive branch. The amendment also clarified that the Child Care Advisory Committee would provide an update and that the committee would dissolve after the rewrite of licensing standards, making it a time-limited body.
Committee members discussed the bill as a novel approach to forming a group to study an issue and then disbanding after reporting back. Senator Larson noted the concept was similar to broader performance-review ideas, and Senator Hogan said the Legislative Council program evaluation effort was parallel to, but separate from, other performance-review proposals. The committee then voted 4-0-1 to adopt the amendment.
Afterward, the committee moved to give House Bill 1119, as amended, a do pass recommendation. That motion also passed on a roll call vote, and the committee adjourned.
MN
Minnesota 2025-2026 Regular Session
House Human Services Finance and Policy Committee 4/9/26
Human Services Finance and Policy
Transcript Highlights:
- </c> grant that was uh dedicated for direct grant that was uh dedicated for direct care<01:13:40.080>
- </c><01:15:00.800><c> care</c> college students to serve as direct care college students to serve as
- direct care uh<01:15:01.640><c> workers.
- ><c> are</c> the direct care workforce program are the direct care workforce program are providing<01
- </c><01:15:24.520><c> care</c> more people into the direct care more people into the direct care workforce
Keywords:
human services, community support, integrated care, disability services, stakeholder consultation, homeless youth, grants, funding, Minnesota, mental health, substance use disorder, education, workforce development, licensure, direct care services, healthcare, long-term care, personal care assistants, employment support, medical assistance
MN
Minnesota 2025-2026 Regular Session
Judiciary Committee Meeting - 2026-04-14
Judiciary Finance and Civil Law
Transcript Highlights:
- </c> care facility. care facility.
- They include things like a health care directive or assistance with cooking or cleaning.
- Court processes were clarified to also direct court staff to send notices to ensure guardians file background
- care.
- care.
Keywords:
foster care, ombudsperson, investigative powers, children's rights, complaint process, HF4428, Medical Assistance, Medicaid, community engagement, work requirement, work mandate, employment requirement, community service, 80 hours, half-time student, income threshold, federal minimum wage, eligibility verification, benefit suspension, benefit termination
MN
Minnesota 2025-2026 Regular Session
House Children and Families Finance and Policy Committee 2/18/25
Children and Families Finance and Policy
Transcript Highlights:
- It reduces child care wait times and helps build or rebuild the child care early learning system capacity
- </c><00:04:08.560><c> the</c> providers for Family Care goes down the providers for Family Care goes
- regarding</c><00:41:35.680><c> the</c> staff or nonpartisan staff regarding the staff or nonpartisan
- and child care.
- and child care.
Keywords:
child care, childcare, day care, daycare, licensing, variance, licensed capacity, capacity limit, staff qualifications, staffing, child care center, family child care, provider flexibility, Minnesota career lattice, Department of Children Youth and Families, DCYF, licensing rules, enrollment, indoor space, professional development
MN
Minnesota 2025-2026 Regular Session
House Human Services Finance and Policy Committee 3/3/26
Human Services Finance and Policy
Transcript Highlights:
- In 2024, the legislature appropriated a little over $2 million to direct care and treatment to develop
- Importantly, resources can be directed toward proficient staff with expertise for instruction, care,
- He is supervised by skilled, caring, consistent staff and attends important day programs.
- Importantly, resources can be directed toward proficient staff with expertise for instruction, care,
- He is supervised by skilled, caring, consistent staff and attends important day programs.
Keywords:
home care, licensing, fines, advisory council, grant program, client safety, healthcare regulation, HF3375, Minnesota disability waiver, waiver rate system, human services, individualized home supports, individualized home supports with training, individualized home supports with family training, positive support services, employment support services, employment development services, employment exploration services, billing limits, service authorization year
MN
Minnesota 2025-2026 Regular Session
House Human Services Finance and Policy Committee 3/25/25
Human Services Finance and Policy
Transcript Highlights:
- direct care and treatment admissions to direct care and treatment mha<00:33:58.600><c> strongly</c><00
- For those that don't know me, I worked as a direct care staff in St.
- c> we</c> the rest of direct care and treatment we the rest of direct care and treatment we are<00:59
- We want the staff of the care facility to stay working within the care facility, within Direct Care and
- facility we want the the staff of care facility we want the the staff of the<01:06:40.240><c> Care</
Keywords:
mental health, emotional disturbance, terminology update, statutory cleanup, conforming amendments, children's mental health, serious mental illness, severe emotional disturbance, case management, residential treatment, outpatient services, crisis services, health plan coverage, antipsychotic drugs, medical assistance, Medicaid, foster care, juvenile court, school discipline, county board
MN
Minnesota 2025-2026 Regular Session
House Human Services Finance and Policy Committee 3/12/26
Human Services Finance and Policy
Transcript Highlights:
- </c><00:34:47.280><c> Um</c> to direct self-directed home nursing.
- Um to direct self-directed home nursing.
- </c> receiving care. receiving care.
- Metro Care is legit. But We are legit. Metro Care is legit.
- </c> I was taking care I was taking care of I was taking care I was taking care of my<01:30:16.719><c
Keywords:
background study, disqualification, set-aside, permanent disqualification, Office of Administrative Hearings, chief judge, human services licensing, substance use disorder treatment, SUD treatment, chemical dependency, recovery, rehabilitation, abstinence, foster care, child foster care, vulnerable adults, caregiver background check, license holder, direct contact, risk of harm
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 Children and Families Finance and Policy Committee 4/15/26
Children and Families Finance and Policy
Transcript Highlights:
- </c> we are not just a child care committee. we are not just a child care committee.
- I don't care. I don't care.
- That's all I care about.
- That's all I care about.
- Thank you, staff.
Keywords:
child care, day care, child care center, family child care, family day care, group family day care, licensed child care, licensing modernization, early childhood education, preschool, infant care, toddler care, school-age care, drop-in child care, night care, sick care, community-based child care, provider training, staff ratios, group size
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
TX
Texas 89th Regular
Pensions, Investments & Financial Services Apr 28th, 2025
Pensions, Investments & Financial Services
Transcript Highlights:
- Direct Primary Care, or DPC.
- This bill ensures that direct primary care payments apply toward the individual's deductible under their
- Members, amid the challenges in our healthcare industry, direct primary care has emerged through the
- It's similar to a husband and wife, and one of them is concierge, or rather direct primary care. and
- Direct medical care. This is an excellent bill.
Keywords:
healthcare, direct primary care, insurance deductibles, Texas Health Benefit Plans, telemedicine, police retirement, disability pension, municipalities, law enforcement, retirement benefits, retirement, beneficiary, Employees Retirement System of Texas, divorce decree, beneficiary designation, Veterans' Land Board, general obligation bonds, constitutional amendment, veterans, housing assistance
MN
Transcript Highlights:
- Let me be direct.
- </c> for my medical care. for my medical care.
- </c> care I needed. care I needed.
- Thank you for your time. staff. staff.
- So, the denominator here of the staff that we know about, the 84,000 staff, is not the complete staff
Bills:
HF3119
NM
New Mexico 2026 Regular Session
House - Chamber Meeting Jan 29th, 2026 at 11:09 am
New Mexico House Floor Meeting
Transcript Highlights:
- But I did want to take the opportunity to introduce the esteemed faculty, staff, educators, and principal
- Faculty, staff, educators, principal, can you guys please rise for all the good work that you do?
- Thank you for taking care of these kids. Thank you for supporting their growth and their learning.
- It was a child care center at some point way back when, and they're here visiting us today.
- taxation, amending and expanding an income tax deduction for unreimbursed or uncompensated medical care
Keywords:
nurses, health care workers, healthcare workers, frontline workers, hospital staff, clinicians, allied health professionals, support staff, public health, workforce shortage, nursing shortage, safe staffing, patient safety, rural health care, frontier communities, behavioral health, mental health, substance use disorder, substance abuse, health care memorial
MN
Minnesota 2025-2026 Regular Session
House Children and Families Finance and Policy Committee 4/14/26
Children and Families Finance and Policy
Transcript Highlights:
- </c> important is cuz I care. important is cuz I care.
- </c> child care is very fragile. child care is very fragile.
- </c> communities without care. communities without care.
- Uh secondly, I support raising capacity limits for family child care and also making staff-child ratios
- for family child care and also making<01:47:40.520><c> staff</c><01:47:40.960><c> child</c><01:47:41.200
Keywords:
child welfare, African American children, racial disproportionality, family preservation, reunification, foster care, kinship care, relative placement, noncustodial parent, guardian ad litem, ombudsperson, Department of Human Services, county social services, active efforts, reasonable efforts, child protection, placement, out-of-home placement, Northstar kinship assistance, data disaggregation
MN
Minnesota 2025-2026 Regular Session
House Children and Families Finance and Policy Committee 3/18/25
Children and Families Finance and Policy
Transcript Highlights:
- ><c> drawing</c><00:15:23.440><c> the</c> careful about immediately drawing the careful about immediately
- </c><00:20:56.159><c> and</c> move the bill in the right direction and move the bill in the right direction
- </c><00:43:15.680><c> of</c> led through uh the directions of led through uh the directions of organizations
- I also just really this direction.
- When you notify the child care center?
Keywords:
child welfare, fiscal analysis, third-party consultant, program evaluation, Minnesota, HF776, Minnesota Family Assets for Independence Initiative, family assets for independence, FAI, asset-building, matched savings, financial literacy, family savings, economic mobility, children youth and families, general fund appropriation, family support, low-income families, financial stability, budget bill
KY
Kentucky 2025 Regular Session
Legislative Oversight & Investigations Committee (11-13-25)
Transcript Highlights:
- So the Legislative Oversight and Investigations Committee directed staff to examine the planning, implementation
- </c> funding and expenditures, LOIC staff funding and expenditures, LOIC staff independently<00:08:13.039
- </c><00:08:21.520><c> calculated</c><00:08:22.080><c> serves</c> LOIC staff calculated serves LOIC staff
- LOIC staff asked KSP if Quick was LOIC staff asked KSP if Quick was responsible<00:22:59.200><c> for<
- </c><00:49:54.640><c> and</c> the hard work of the project staff and the hard work of the project staff
Keywords:
Call to Order and Roll Call- 00:00:01
Staff Report on Statewide Emergency Responder Voice System- 00:01:09
Kentucky State Police and Finance and Administration Cabinet Response to Staff Report- 00:48:37
Adjournment-01:34:512, 958, all
Summary:
The committee heard a staff report on Kentucky’s statewide emergency responder voice system (SERVS), a multi-phase project intended to improve interoperable radio communications for first responders. Staff said Kentucky State Police did not appear to have violated statutes or regulations, but the project lacked an overall master plan, clear milestones, and consistent documentation, which contributed to delays, spending issues, and deployment problems. The report recommended updating the Kentucky Field Operations Guide to reflect SERVS and noted that the project has been funded in phases since 2018, with appropriations totaling roughly $216 million across 2018, 2020, 2022, and 2024, while about $109 million had been spent by the end of fiscal year 2025.
The report raised concerns about project sequencing and oversight. Staff said most spending was concentrated in special mobile equipment, with Motorola accounting for about two-thirds of all SERVS expenditures and the top four vendors making up 81 percent of spending. They also said a sample of Motorola payments suggested possible late payments, though they could not confirm whether interest was paid. Staff criticized the use of master agreements for a project of this size, the lack of a centralized ledger, and the absence of a documented timeline or risk mitigation plan. They recommended stronger procurement and planning requirements, including possible legislative changes requiring approved master plans for large capital projects and additional funding conditions tied to SERVS master agreements.
Land acquisition and deployment progress were identified as major bottlenecks, especially in Eastern Kentucky. Staff said the project began in western Kentucky using existing tower sites, but the remaining work is concentrated in harder-to-acquire areas, with more than 95 percent of new towers still incomplete. They said the Division of Real Properties did not begin formal contract work on acquisition until October 2024, despite earlier coordination, and recommended earlier consultation on future projects. Staff also noted that the Kentucky Wireless Interoperability Executive Committee had not been active in oversight, and survey results showed limited awareness and involvement among first responders. Committee members agreed that the lack of an initial implementation plan and the continuing need for funding reflected broader planning problems, and they discussed the need for a clearer end-to-end game plan rather than continuing to fund the project without a defined completion path.