Video & Transcript Research : 'psychiatric advance directive'

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OK

Oklahoma 2026 Regular Session

Senate Legislative Session Apr 8th, 2026 at 01:30 pm

Oklahoma Senate Floor Meeting

Transcript Highlights:
  • So, God of wisdom, direct the councils of this honorable assembly, enable us to settle the things to
  • Members, do me the privilege of directing your attention to the back of chamber.
  • the OKFRW collectively contribute hundreds of volunteer hours valued at millions of dollars. while advancing
  • Logan, the Oklahoma State Senate extends to the Morris High School Eagles sincere congratulations and directs
  • advocates do each and every day to raise awareness, support patients and families, and push for advancement
OK

Oklahoma 2026 Regular Session

Health and Human Services 2ND REVISED Apr 8th, 2026 at 10:00 am

Health and Human Services

Transcript Highlights:
  • I declare House Bill 3000 to have advanced.
  • I declare House Bill 3012 to have advanced.
  • I declare House Bill 3012 to have advanced.
  • Having received nine ayes and zero nays, I declare House Bill 3004 to have advanced.
  • Having received nine ayes and zero nays, I declare House Bill 3904 to have advanced.
MN

Minnesota 2025 1st Special Session

House Health Finance and Policy Committee 3/10/25

Health Finance and Policy

Transcript Highlights:
  • c><00:34:42.040> treatment<00:34:42.399> so direct so Direct Care and treatment so direct
  • or did not see the directive.
  • <01:08:59.359> form establishes a nonopioid directive form establishes a nonopioid directive
  • care directive.
  • care directive.
Bills: HF696, HF1429, HF1379
DE

Delaware 2025-2026 Regular Session

House Health & Human Development Committee Meeting Jun 17th, 2026

Health & Human Development

Transcript Highlights:
  • Senate Bill 339 is a technical correction to the advance health care directive form.
  • If this is an advance health care directive that I am directing my care, and it's a voluntary admission
  • So I can't give a directive in advance.
  • So I can't give a directive in advance.
  • Respectfully, Representative, this is an advance directive, and so I’m filling it out in advance to direct
Bills: SB274, SB301, SB249
Summary: The committee heard and advanced several measures related to health care, public health, and patient protections. House Concurrent Resolution 148, urging a statewide educational strategy on menopause, was presented as a workplace awareness measure and received supportive comments from members before being released. Senate Bill 274, updating Delaware’s MOST program to POLST and clarifying capacity determinations and documentation for end-of-life orders, also drew supportive testimony from medical and nursing groups and was released. House Bill 458, limiting local backflow preventer requirements for certain low-hazard buildings, was presented as a cost-relief measure for homeowners and small businesses; DHSS expressed concerns but said it was willing to work on amendments and a sunset provision, and the bill was released. Senate Joint Resolution 18, designating August 31, 2026 as International Overdose Awareness Day and ordering flags at half-staff, was released after brief supportive remarks. The committee then considered Senate Bill 339, a technical correction to the advance health care directive form clarifying that an agent’s authority for voluntary mental health admission cannot exceed 72 hours, consistent with existing law. Members asked detailed questions about how the 72-hour limit works and whether it applies to voluntary directives; the sponsor and a Disability Rights Delaware witness explained that the bill only aligns the form with current statute and does not expand authority. The bill was released. House Bill 301, requiring hospitals to create discharge plans for pregnant patients discharged while showing signs of labor, prompted extensive discussion. The sponsor and supporters said it would improve safety, transportation planning, and aftercare, while some members noted Delaware hospitals already do much of this work and questioned whether codifying it was necessary; supporters emphasized maternal mortality disparities and the need for guardrails. The bill was released. Senate Bill 196, creating ownership disclosure requirements for long-term care facilities and resident notice rules after ownership transfers, was presented as a transparency measure for seniors and families and was released after supportive testimony from the Delaware Nurses Association and elder-care advocates. Senate Bill 320, expanding pharmacists’ independent prescriptive authority for certain non-controlled medications and allowing opioid use disorder medications under standing order, with added malpractice reporting requirements in Senate Amendment 2, was supported by pharmacists and nurse practitioners as an access-to-care measure and was released. Senate Substitute 1 for Senate Bill 161, establishing a unified licensing and oversight framework for adult behavioral health providers under DSAM, was presented as a patient-protection measure; providers supported the goal but cautioned that regulations must be workable, and the substitute was released. Senate Joint Resolution 19, directing DHSS to study strategies to reduce health care costs, was released with a note reflecting concerns about broadening the analysis to include additional cost drivers and alternatives. Finally, Senate Bill 249 with Senate Amendment 2, modernizing harm-reduction programs and paraphernalia laws, generated the most extended debate: supporters framed it as life-saving public health policy, while opponents raised concerns about needle litter, community impacts, and whether the approach facilitates addiction. Despite the objections, the bill was released.
MN

Minnesota 2025 1st Special Session

House Judiciary Finance and Civil Law Committee 3/20/25

Judiciary Finance and Civil Law

Transcript Highlights:
  • This is similar to the other healthcare provider agreements and the directives that they have.
  • This directive and its immunities match what we have in other current statute for other health directives
  • <00:08:04.080> that agreements Andor the U directives that agreements Andor the U directives
  • So you have to have the non-opioid directive.
  • There's a couple of changes related to direct care and treatment.
MN

Minnesota 2025-2026 Regular Session

House Education Finance Committee 3/10/26

Education Finance

Transcript Highlights:
  • These SGOs then provide direct scholarships to eligible students.
  • These SGOs then provide direct scholarships to eligible students.
  • These SGOs then provide direct scholarships to eligible students.
  • These SGOs then provide direct scholarships to eligible students.
  • These SGOs then provide direct scholarships to eligible students.
Bills: HF3490, HF4040
ND

North Dakota 2025-2026 Regular Session

Senate Appropriations - Human Resources Division Apr 9th, 2025 at 02:00 pm

Appropriations - Human Resources Division

Transcript Highlights:
  • Senator Davison, it's typically about a year in advance.
Bills: SB2399
Summary: The committee reconvened and first reconsidered House Bill 1612, the aerospace medical and mental health support center bill. Senator Cleary offered an amendment to reduce the general fund appropriation from $500,000 to $250,000 and require the university or project sponsors to find the remaining funding from other sources. The amendment passed, and the bill was then recommended do pass as amended, with members citing concerns about university funding, but others supporting the project as a one-time seed investment. The committee also discussed a possible future FMAP increase beginning October 1, 2026, which could reduce general fund costs by roughly $9 million, though members noted the figures were still preliminary and could be addressed later if needed. The committee then returned to Human Services budget items, including early childhood and child care funding, a community cultural center grant, and several other adjustments. Members discussed reducing the “best in class” amount, changes to child care grants and quality/infrastructure funding, and clarifying that prior child care assistance appropriations were in fact being spent. They also agreed to reduce the 1915(i) Medicaid waiver line by $2 million, with the understanding that the entitlement would still be funded as needed. The committee also considered taking guardianship funding out of House Bill 1012 because a separate bill, Senate Bill 2029, would move that funding elsewhere; members agreed that removing it from the budget could help the overall bill and could be restored if the separate bill failed. Several study amendments were discussed. Senator Cleary proposed adding a maternal health study related to prenatal services, doulas, midwives, and Medicaid, and members expressed support. The committee also discussed a software/case-management study proposal, but the department said it had not requested it and would not support it as presented, so members leaned against advancing it unless the department first evaluated it. Another amendment would authorize the department to work with the city of Grafton on a long-term plan for the LSTC campus and require a report back to the legislature; members supported that as legislative intent. The committee also agreed to remove a truancy study section for later conference discussion, and it reviewed other possible study ideas, including assistive technology, before adjourning to await updated long sheets and bill text.
ND

North Dakota 2025-2026 Regular Session

Senate Appropriations - Human Resources Division Apr 9th, 2025 at 09:30 am

Appropriations - Human Resources Division

Transcript Highlights:
  • But they have to work with them to move in that direction. So it doesn't withhold the dollars now?
  • And in the Davison amendment, they would be directed to initiate those on July 1, 2027.
  • To direct them to work together, to solve the problem. Mr.
  • , or put in language directing them to have those conversations.
  • that moves into the direction of more community-based services, which I think is important.
Bills: SB2399
Summary: The Senate Appropriations HR Division met to work through amendments and budget items in House Bill 2012/HB 1004, focusing first on long-term care, disability services, and behavioral health. Members discussed competing approaches to a four-plex for medically complex individuals, a value-based care payment withhold for nursing facilities, accreditation requirements for providers, a study of developmental disability services, and funding for Family Voices and Ann Carlson-related services. Several amendments were accepted or set aside after discussion, including a study amendment for disability services and a Family Voices grant amendment that was adjusted to remove “one-time” language so it could continue as an ongoing grant. The committee also agreed to keep or defer some items for conference committee, including the youth crisis stabilization pilot and other long-term care proposals. A major discussion centered on the state hospital project. Members debated whether the $330 million project should remain in the DHS budget or be moved to the OMB budget for construction management. After discussion of costs, alternates, and the role of a steering committee and BND loan language, the committee agreed to remove the state hospital funding and related loan language from the DHS budget while leaving the steering committee language in place. The committee also considered a proposed Altru grant for additional beds and settled on a smaller planning-focused approach, with a $1 million grant and a line of credit concept to be refined later. The committee then turned to behavioral health items, including QRTP funding, nursing home behavioral health training, and a youth crisis stabilization pilot. Members generally supported keeping the QRTP funding level, but were divided on the nursing home behavioral health training and the crisis stabilization pilot, with some preferring to leave those issues for conference committee. The division also reviewed the HHS block grant and underfunding structure, with Donna Ackland explaining salary, vacancy, and flexibility calculations; the committee discussed adjusting the underfund and revenue assumptions but did not finalize every number before moving on. Finally, the committee took up House Bill 1577 on wastewater treatment grants. Senator Davison moved to hoghouse the bill into a study-focused version using the proposed amendment language, and the motion passed. The committee then moved HB 1577 as amended with a do pass recommendation; the roll call passed with Senators Cleary, Davison, Dever, and Mathern voting yes, and Senator Magrum not recorded as voting. The meeting adjourned with plans to return later in the day to continue budget work.
MN

Minnesota 2025-2026 Regular Session

House Education Finance Committee 2/25/25

Education Finance

Transcript Highlights:
  • love to have other offers the advanced love to have other offers the advanced payment<01:05:53.200
  • <01:09:28.199> the them have the opportunity to direct the them have the opportunity to direct
  • <01:25:58.000> payments we're talking about Advanced payments we're talking about Advanced
  • contemplated whether these Advanced contemplated whether these Advanced payments<01:26:13.800>
  • payments and Advanced credit Advanced payments and Advanced Credit<01:27:05.080> payments<01:
Bills: HF1, HF779, HF1034
TX
Transcript Highlights:
  • You must register on the kiosk located outside the chamber in that direction.
  • Providing a clear advance notice before initiating debt collection would give patients the opportunity
  • It directs TDI to compile and publish an annual report summarizing the aforementioned data.
  • Members, this bill is just one of many steps in the right direction to improve...
  • Then we're going to put these freestanding ERs in absolute direct...
TX

Texas 89th Regular

Health and Human Services (Part I) Apr 9th, 2025

Health & Human Services

Transcript Highlights:
  • provide testimony of any kind, you must register on the kiosk located outside the chamber in that direction
  • The kiosk located outside the chamber in that direction.
  • work group to conduct a study on the feasibility of that statewide study on the regional acute psychiatric
  • Providing a clear advance notice before initiating debt collection would give patients an opportunity
  • Members, this bill is just one of many steps in the right direction to improve the gold card program,
Summary: The Senate Committee on Health and Human Services met with several members initially absent, then later established a quorum. The committee heard multiple bills, with most testimony focusing on access to care, insurance practices, senior safety, and health care worker protections. Several bills were laid out with committee substitutes, and public testimony was limited to two minutes per witness. Most bills were left pending after testimony, with no final votes taken in the portion provided. Senate Bill 2069 would create a work group to study the feasibility of a statewide acute psychiatric bed registry; the substitute shifts appointment authority to the Health and Human Services Commissioner and extends reporting and sunset dates. Senate Bill 463 would expand workplace violence protections to additional hospice, home and community support, intermediate care, and state-supported living center settings. Senate Bill 1283 would require background checks and transparency measures for senior retirement communities after testimony about the Dallas-area serial killings of elderly residents. Senate Bill 1784 would require 60 days’ written notice before medical debt is sent to collections. Senate Bill 527 would require medical insurance coverage for general anesthesia for medically necessary pediatric dental procedures for children under 13 with qualifying conditions; pediatric dentists testified that denials delay needed care. A major portion of the meeting centered on prior authorization. Senate Bill 1380 would eliminate prior authorization for a broad list of services, including emergency, primary, mental health, substance use, chemotherapy, preventive, pediatric hospice, and certain chronic-condition care. Physicians and hospice advocates supported the bill, describing delays, administrative burden, and patient harm, while health plans opposed blanket exemptions and argued prior authorization helps prevent unnecessary care and control costs. Relatedly, Senate Bill 547 would require insurers to report gold-card prior authorization exemptions to TDI and create a centralized database and annual report; TMA supported better tracking, while health plans warned of duplicative reporting and administrative cost. Senate Bill 407 would require health care facilities to honor conscience- and religion-based vaccine exemptions for employees, with testimony from a physician and vaccine-choice advocate supporting the bill. The committee also heard Senate Bill 1383, which would regulate senior living referral agencies, allow more flexible compensation structures, and add disclosure and consumer protections; an out-of-state referral company and A Place for Mom supported it. Senate Bill 1511 would allow freestanding emergency centers to provide outpatient services in addition to emergency care, with consumer protections such as estimates, limits on facility fees, and restrictions on balance billing. The chair repeatedly announced that bills were being left pending after testimony, and no final committee action or recorded votes were taken in the transcript provided.
AZ

Arizona 2026 Regular Session

03/25/2026 - Senate Public Safety

Public Safety

Transcript Highlights:
  • They operate under direct supervision, and this bill reinforces that structure.
  • They operate under direct supervision, and this bill reinforces that structure.
  • This bill moves us in the wrong direction by concentrating authority without really enough checks.
  • health care directive, including a living will, health care or mental health care power of attorney,
  • or a pre-hospital medical care directive.
Summary: The Committee on Public Safety approved the minutes from March 18, 2026, then heard and voted on several bills. HB 4018, which clarifies that a county sheriff has exclusive authority to regulate posse and reserve organizations acting under the sheriff’s authority, passed on a 5-1 vote after supporters said it simply codifies existing authority and improves accountability; one member opposed it as giving too much unchecked power. HB 2417, allowing certain drivers to use a court-ordered speed-inhibiting device instead of a license suspension for specified offenses, passed 6-1, with supporters calling it an optional safety measure and opponents raising cost, privacy, and enforcement concerns. HB 2771, allowing ADCRR to require prisoners to pay reasonable rehabilitation-program costs as a condition of community supervision, passed 5-2, and HB 2772, creating a driver’s-license medical indicator for advance directives such as a DNR, passed unanimously after discussion about implementation, renewal, and cost to applicants. The committee also approved HCR 259, a resolution reaffirming support for county sheriffs and recognizing their constitutional role, on a 4-3 vote. HB 2418, which appropriates $600,000 to be distributed evenly among the five original major incident regional law enforcement task forces in Cochise, Coconino, Navajo, Pinal, and Yuma counties, passed unanimously; testimony said the bill codifies a distribution practice that has already been followed administratively. Finally, HB 2170, the Protection Procurement Act, which bars state contracts for certain Chinese government-controlled companies unless no reasonable alternative exists and imposes penalties for false certification, passed 4-3 after proponents argued it protects Arizona from security and supply-chain risks. The meeting ended with thanks to staff and pages and adjournment.
MN

Minnesota 2025-2026 Regular Session

State Committee Meeting - 2025-04-08

State Government Finance and Policy

Transcript Highlights:
  • Section 6 pertains to the advanced deposit wagering 2%.
  • First, I'd like to acknowledge This Committee has been an instrumental partner in advancing digital services
  • notably through prior investments in past legislative sessions that enhanced cybersecurity defenses, advanced
  • Finally, Minit may have less capacity to continue advancing the transformative leadership goals of the
  • already challenging to begin with and will be further stressed by the governor's return to office directive
Bills: HF2783
MN

Minnesota 2025 1st Special Session

House State Government Finance and Policy Committee 4/10/25

State Government Finance and Policy

Transcript Highlights:
  • We also have an increase in the advanced deposit wagering fee. It goes up from 1% to 2%.
  • <00:09:55.200> deposit an increase in the advanced deposit an increase in the advanced deposit
  • Nonpartisan staff is, of course, directed to make any technical corrections as needed.
  • Uh, nonpartisan staff is<00:15:01.519> of<00:15:01.680> course<00:15:01.839> directed
  • <00:15:02.240> to<00:15:02.399> make<00:15:02.560> any is of course directed
Bills: HF2783
MN

Minnesota 2025-2026 Regular Session

House State Government Finance and Policy Committee 4/8/25

State Government Finance and Policy

Transcript Highlights:
  • instrumental partner in advancing instrumental partner in advancing digital<00:10:37.440> services
  • <00:10:47.120> cloud security defenses advanced cloud security defenses advanced cloud transformation
  • And finally, Minute may have less capacity to continue advancing the transformative leadership goals
  • And finally, Minute may have less capacity to continue advancing the transformative leadership goals
  • And finally, Minute may have less capacity to continue advancing the transformative leadership goals
Bills: HF2783