Video & Transcript Research : 'rural clinic'

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LA
LA

Louisiana 2026 Regular Session

Health and Welfare Apr 1st, 2026

Health and Welfare

LA
LA

Louisiana 2026 Regular Session

Appropriations Apr 27th, 2026

Appropriations

Transcript Highlights:
  • hospital-owned rural health care clinics.
  • to keep rural health care clinics open.
  • Alex Johnson with the Louisiana Rural Health Collective, representing independent rural health clinics
  • Louisiana has 252 rural health clinics serving 800,000 rural residents.
  • hospital-rural health clinics.
Bills: HB165, HB175, HB198, HB272, HB457, HB488, HB566, HB603, HB763, HB902, HB909, HB971, HB981, HB1066, HB1125, HB1154, HB1231
Keywords: HB165, lottery proceeds, Lottery Proceeds Fund, Veterans Service Grant Fund, constitutional amendment, veterans, military veterans, veterans' benefits, veterans services, family support, state lottery, education funding, Minimum Foundation Program, problem gambling, compulsive gaming, state treasurer, ballot proposition, constitutional referendum, lottery revenue, Louisiana resident veterans
MN
MN

Minnesota 2025-2026 Regular Session

House Health Finance and Policy Committee 2/23/26

Health Finance and Policy

Transcript Highlights:
  • Federally qualified centers and rural health clinics provide primary care, behavioral health, dental
  • Federally qualified centers and rural health clinics provide primary care, behavioral health, dental
  • There's closures of other rural clinics and limited access, as we know, to specialty providers.
  • There's closures of other rural clinics and limited access, as we know, to specialty providers.
  • There's closures of other rural clinics and limited access, as we know, to specialty providers.
Bills: HF362, HF2590, HF2760, HF3444
Keywords: massage therapy, Asian bodywork therapy, massage therapist, Asian bodywork therapist, licensure, professional licensing, health occupations, Department of Health, commissioner of health, advisory council, protected title, unlicensed practice, scope of practice, consumer protection, background check, professional liability insurance, continuing education, credentialing examination, state preemption, municipal regulation
ND
ND

North Dakota 2025-2026 Regular Session

Senate Appropriations - Education and Environment Division Apr 7th, 2025 at 02:30 pm

Appropriations - Education and Environment Division

Transcript Highlights:
  • Same with rural water, $55 million.
  • It is the one on the University of Law School, setting up an immigration law clinic with a staff attorney
Bills: SB2004, HB1600
Keywords: ethics commission, immunity, conflict of interest, complaints, public officials, transparency, legislative action, criminal prosecution, complaint resolution, HB 1600, immigration law clinic, University of North Dakota, UND Law, law school clinic, legal aid, immigration attorney, student clinic, pro bono, immigration legal services, caseload limit
Summary: The committee reconvened to continue work on water-related appropriations and related bills, with the chair emphasizing the need to move the water bill to conference committee soon because of differences with the House. Members reviewed project funding levels and carryover balances across several water projects, including NAWS, Southwest, Valley City, Cirrus River flood control, Hart River, Redder water supply, municipal and rural water, general water, and discretionary funding. The discussion focused on reduced revenue forecasts, the use of a $150 million line of credit as a working assumption, and concerns about large carryover amounts and piling up cash. No final changes were made to the water funding numbers, but the chair said the committee would revisit the bill after further cleanup of the draft language. The committee then took up House Bill 1600, which would create an immigration law clinic at the University of North Dakota law school. Members agreed the program should be treated as a one-time pilot rather than ongoing general fund spending, so they adopted an amendment changing the $400,000 appropriation to one-time funding from the strategic investment fund. The amended bill passed unanimously, and Senator Meyer was assigned to carry it. House Bill 1417, dealing with parole and probation-related policy, was also amended. The committee removed Section 8, which eliminated the bill’s appropriations language, based on testimony that the referenced funding was already included elsewhere in the budget. The amended bill then passed unanimously. The committee also discussed possible future amendments to water study language, including earlier reporting deadlines and a proposal to require larger new water project requests to go through the Water Topics Overview Committee before being introduced, but no final action was taken on those concepts. Several other bills, including the AI-related House Bill 1448 and law enforcement bonus bill 1193, were left for later consideration.
ND
ND

North Dakota 2025-2026 Regular Session

Senate Appropriations - Human Resources Division Apr 15th, 2025 at 09:00 am

Appropriations - Human Resources Division

Transcript Highlights:
  • And then I think another change was to change human service centers to behavioral health clinics.
Bills: HB1012
Keywords: health and human services, DHHS, appropriations, biennial budget, behavioral health, substance use disorder, opioid settlement, medical assistance expansion, Medicaid, basic care, long-term care, child care assistance, early childhood care, child care provider payments, guardianship, conservatorship, housing loan fund, disability services, extraordinary medical needs, community health trust fund
Summary: The Senate Appropriations Human Services Division met to consider House Bill 1012, the Department of Human Services budget, and reviewed three previously made amendments: correcting a reference to $30 million underfunding, changing “human service centers” to “behavioral health clinics,” and revising section 31 language so the department would review medical assistance services and report findings and recommendations rather than directly implement adjustments. The committee also discussed whether to include funding related to two other bills with fiscal impacts, House Bill 1485 (personal needs allowance) and House Bill 2399 (PRTF reimbursement), noting those measures may go to conference committee and that appropriations could be added there instead of in HB 1012. The committee agreed to proceed with HB 1012 and members noted provider inflation questions would be raised later in full committee. The division then approved a due pass recommendation on the amendments to HB 1012 and, after a roll call vote, approved HB 1012 as amended on a 4-1 vote, with Senator Mathern voting no. Senator Davison was named as carrier. Members also discussed House Bill 1577, involving wastewater project financing and possible amendments related to a line of credit from the Bank of North Dakota for specific projects, and House Bill 1619, for which additional amendments were expected before full committee action. The meeting ended with general thanks and adjournment.
HI
HI

Hawaii 2026 Regular Session

PBS Info Briefing - Mon Apr 20, 2026 @ 2:00 PM HST

Hawaii House Floor Meeting

HI
HI

Hawaii 2026 Regular Session

House Chamber - Mon Apr 20, 2026, 12:00PM HST - Day 47

Hawaii House Floor Meeting

AL
AL

Alabama 2025 Regular Session

Alabama Senate Agriculture, Conservation, and Forestry Committee Apr 9th, 2025

Agriculture, Conservation and Forestry

Transcript Highlights:
  • They have a vet emergency clinic down there, and they got him right in. Who transported the dog?
  • Every time I come to Montgomery, I live in a rural area.
  • I live in the Talladega National Forest in a rural area, and in our area, we have a lot of people who
Bills: HB352, HB366, SB272, SB296
Keywords: HB352, cotton, cotton bale assessment, cotton levy, cotton producers, agriculture, forestry, Agriculture, Conservation, and Forestry Committee, per bale fee, commodity assessment, producer referendum, cotton sales tax, Alabama Code 2-8-199, cotton commission, agricultural funding, HB366, Lakyn Canine Act, police dog, K9, K-9
AL
AL

Alabama 2026 1st Special Session

Alabama Senate Transportation and Energy Committee Feb 4th, 2026

Transportation and Energy

ND
ND

North Dakota 2026 1st Special Session

Joint Appropriations Jan 21st, 2026 at 12:30 pm

Appropriations

Transcript Highlights:
  • realities faced by patients, providers, critical access hospitals, and rural clinics.
  • hospital or a rural clinic, and I believe that does qualify under what we're talking about here.
  • hospital-owned rural health clinics.
  • Also the Critical Access Hospital-owned Rural Health Clinics.
  • The only thing that my amendment is doing is putting the rural hospitals, the rural clinics, the rural
Bills: HB1623
Keywords: HB 1623, North Dakota, rural health, rural health transformation program, medical facility infrastructure loan fund, medical facility infrastructure loan program, rural health loan program, Bank of North Dakota, Department of Health and Human Services, HHS, federal grant, health care infrastructure, rural hospitals, critical access hospitals, nonprofit health care providers, gap financing, loan fund, public health funding, healthcare financing, Medicaid
Summary: The committee first heard House Bill 1624, the “Universal Lunch Bill,” from Rep. Mike Nathie. He argued the proposal should be placed in Century Code rather than the Constitution so future legislatures can adjust it if state finances tighten, and said the bill would start the program a year earlier with a $65 million appropriation for one school year. DPI testified that the estimate did not include nonpublic schools that do not participate, and members questioned the impact on Title I, free-and-reduced applications, private-school accountability, breakfast mandates for schools that do not currently serve breakfast, and whether the funding could come from the DPI budget or other sources. Supporters, including North Dakota United, the North Dakota Catholic Conference, a pediatrician, and the American Heart Association, said universal meals improve student health and learning, reduce family costs, and are better handled in statute than by constitutional amendment. No opposition testimony was offered, and the chair closed the hearing for later work-session action. The committee then took up House Bill 1627, introduced by Rep. Tye Dressler, which would raise the income threshold for the state-funded school lunch program from 225% to 300% of poverty, with an estimated cost of about $7 million for 2026-27. Dressler said the bill is intended as a targeted, budget-friendly alternative to the ballot measure and emphasized that the state should maximize federal meal dollars while improving participation in the current program. Members questioned whether raising the threshold would actually increase utilization, whether a dollar amount would be clearer than a percentage, and how the change would affect federal reimbursements and application rates. DPI said it could quickly calculate additional percentage levels, and the chair closed the hearing, directing DPI to prepare more numbers for the work session. Finally, the committee opened Senate Bill 2403, presented by Sen. Schiable, to create a short-term bridge-loan program for financially distressed hospitals, centered on Jacobson Memorial Hospital in Elgin. The bill would authorize up to $5 million per loan, with a $10 million appropriation available on a first-come, first-served basis, and would run only through June 30, 2027. Schiable said the hospital’s debt and operating problems threaten local health care, ambulance service, and the community’s economy, and that the proposal was designed narrowly with Bank of North Dakota review to avoid creating a broad precedent. Committee members asked whether the appropriation could be reduced and whether the bank would still apply commercial feasibility and repayment standards; Schiable said yes, the bank would still evaluate the loan and could reject it if it was not sound.
ND
ND

North Dakota 2026 1st Special Session

Joint Appropriations Jan 21st, 2026 at 10:30 am

Appropriations

Transcript Highlights:
  • Wyoming was up quite a bit, very rural, very rural. So they scored very high, and $64 in Iowa.
  • It's really for these rural areas associated with these rural hospitals and then health clinics.
  • But for the most part, these are the rural areas and the clinics and the hospitals.
  • patient or the rural We have to ask the question, is the rural patient or the rural citizen being the
  • The gyms do qualify in the rural area.
Bills: HB1623
Keywords: HB 1623, North Dakota, rural health, rural health transformation program, medical facility infrastructure loan fund, medical facility infrastructure loan program, rural health loan program, Bank of North Dakota, Department of Health and Human Services, HHS, federal grant, health care infrastructure, rural hospitals, critical access hospitals, nonprofit health care providers, gap financing, loan fund, public health funding, healthcare financing, Medicaid
Summary: The committee heard House Bill 1623, the appropriations bill tied to North Dakota’s Rural Health Transformation Program, which is funded through a new federal rural health care grant. Senator Bekkedahl explained the bill’s background, the interim committee process that developed it, and the federal conditions attached to the award, including spending deadlines, administrative cost limits, and restrictions on uses such as new construction, supplanting existing funding, and certain other costs. Legislative staff then walked through the seven sections of the bill, including appropriation authority, transfer authority, contingent appropriations for pass-through grants, procurement and public improvement exemptions, recipient reporting, legislative reporting, and immediate effective date. Commissioner Traynor and HHS staff described how the department plans to implement the program, emphasizing that the funding is intended to improve rural access, workforce recruitment and retention, technology and data connectivity, and community health initiatives. They said the department will rely on local applications, technical assistance, templates, listening sessions, and partnerships with providers, schools, public health units, tribal entities, and other community groups. Members asked about reimbursement timing, upfront costs, administrative expenses, sustainability after the five-year grant period, and whether CTE centers, public health units, gyms, grocery stores, and other community partners could participate; the department said yes, within program rules and with a focus on measurable outcomes and sustainability. Several supporters testified in favor. Mental Health America of North Dakota and the Mental Health Advocacy Network supported the bill and urged investment in community-based mental health, crisis response, children’s services, peer support, and mobile crisis teams. HIA Health described the grant as a chance to expand home-based and hospice care, noting that rural providers already have workable models but need funding to scale them. A cybersecurity representative also supported the bill, warning that the large amount of health data and AI-related tools will require strong data protection and professional support. The hearing was closed with no opposition testimony, and the committee announced it would return later in the day for further work on the bill and other measures.
KY
KY

Kentucky 2026 Regular Session

Senate Standing Committee on Appropriations and Revenue (2-28-24) - REUPLOAD

AL
AL

Alabama 2025 Regular Session

Alabama House Boards, Agencies and Commissions Committee Mar 19th, 2025

Boards, Agencies and Commissions

AL
AL

Alabama 2025 Regular Session

Alabama House Urban and Rural Development Committee Apr 9th, 2025

Urban and Rural Development

Transcript Highlights:
  • I got... county, Green County, which are rural... ...County, Green County, which are rural counties.
  • None of the money they bring to Tusa goes back to my rural counties, you know, they keep it all... ..
  • of city school systems... ...go to a county or city school systems, what does that do to the most rural
  • heard, um, the only benefit I see is that as a body we are publicly acknowledging our support for rural
  • areas and that we... support for rural areas and that we have this tool.
Bills: HB402, HB402
Keywords: rural impact, legislation, agriculture, school funding, transparency, data assessment, rural communities, land bank authority, property acquisition, tax-delinquent properties, real estate management, local government revenue, floodplain management, stormwater drainage, emergency powers, 1136, house, all
KY
KY

Kentucky 2025 Regular Session

Interim Joint Committee on Health Services (8-27-25)

Transcript Highlights:
  • "Okay, so at the essence, Healthy Kids Clinic is a health clinic.
  • "Okay, so at the essence, Healthy Kids Clinic is a health clinic.
  • <00:31:51.279> So,<00:31:51.600> anything clinic is a health clinic.
  • So, anything clinic is a health clinic.
  • clinics in the nation. clinics in the nation. Wow,<01:20:11.760> man.
Keywords: 1. Call to Order and Roll Call – 00:00:00 2. Approval of Minutes – 00:01:32 3. Getting to Know the Foundation for a Healthy Kentucky – 00:02:26 4. Healthy Kids Clinic – 00:26:58 5. Pharmacy Payment Parity – 00:56:36 6. Ibogaine – 01:17:37 7. Consideration of Referred Administrative Regulations – 01:53:05 8. Adjournment – 01:53:19, 958, all
Summary: The committee first approved the prior meeting minutes and recognized Eric Clark for his service, noting this may be his last meeting before he leaves state government. The main presentation was from Allison Adams, president and CEO of the Foundation for a Healthy Kentucky, who described the organization’s history, nonpartisan mission, and focus on health equity, prevention, and upstream policy solutions. She said Kentucky’s poor rankings in chronic disease, preventable hospitalizations, and life expectancy show the need to shift resources toward prevention and community-driven strategies rather than relying mainly on treatment after people become sick. Adams emphasized leading health indicators, arguing that lawmakers should track actionable measures such as quit attempts and smoke-free policies instead of only lagging indicators like disease rates and mortality. In response to questions, she said accountability should be shared across communities and systems, with possible incentives and disincentives tied to outcomes, and she supported creating a public data utility or dashboard, ideally with university partners, to help legislators and communities monitor progress. She also cited examples of accountable health community models and said Kentucky could adapt similar approaches. The committee then heard from Meade County Schools Superintendent Mark Martin and district health coordinator Karen Kotche about the Healthy Kids Clinic partnership with Cumberland Health. They described a seven-year effort that led to full implementation in the district, which now has a nurse in every school and a nurse practitioner, allowing services such as sports physicals and other clinic functions to be provided on campus. They said the program has been a strong investment for students and the community and began explaining how the district built the partnership after earlier efforts and delays, including the pandemic.
NM
NM

New Mexico 2026 Regular Session

House - Rural Development, Land Grants And Cultural Affairs Feb 10th, 2026 at 09:01 am

House Rural Development, Land Grants And Cultural Affairs

Transcript Highlights:
  • Welcome to Rural Development, Land Grants and Cultural Affairs. Caitlin, can you go in call room?
  • economies and rural economic development plans that look for something more proactive and sustainable
  • And, you know, this is a rural committee, and I think most of us here are family people.
  • These are small rural areas, and you don't want them to become ghost towns because...
  • Small rural areas, and you don't want them to become ghost towns because we eliminated their jobs.
Bills: HB310, HB323, HM51, HB194
Keywords: museum, cultural affairs, lowrider, Espanola, appropriation, feasibility study, broadband access, low-income, rural areas, Indian nations, affordable internet, employment opportunities, detention centers, immigration, economic development, repurposing facilities, job transition, rural development, housing, affordable housing
TX
TX

Texas 89th Regular

Water, Agriculture, and Rural Affairs Mar 3rd, 2025

Water, Agriculture and Rural Affairs

Transcript Highlights:
  • The Senate Committee on Water, Agriculture, and Rural Affairs will come to order. Kirk Caldwell.
  • because this definition determines how the Texas Water Board allocates and reports funds spent on rural
  • The unintended inclusion of urban political subdivisions in rural water statutes, and under the Code
  • I'm Laura Zent with the Texas Rural Water Association.
  • Senate Water, Rural Affairs, and Agriculture stands at ease, subject to the call of the chair.
Bills: SB480, SB767, SB790, SB971, SB1066
Keywords: water resources, interlocal contracts, local government, collaboration, planning activities, wildfire response, firefighting equipment, emergency services, state database, Texas Forest Service, customer complaints, Public Utility Commission, water service, complaint process, utility regulation, SB 971, Texas Water Assistance Program, Water Code, rural political subdivision, rural water
Summary: The Senate Committee on Water, Agriculture, and Rural Affairs met on Texas Water Day and limited public testimony to two minutes. The chair emphasized the need to move quickly because of scheduling conflicts with other committees and noted the importance of water policy and related stakeholders. The committee heard several bills focused on water administration, rural utilities, emergency response, and public works contracting. Senate Bill 790 by Senator Alvarado would let the Public Utility Commission create a simplified process for resolving tenant complaints over water or wastewater bill discrepancies; it was described as a way to avoid lengthy contested-case hearings for small disputes. Senate Bill 971 by Senator Sparks would clean up conflicting statutory definitions of “rural political subdivision” so Texas Water Development Board programs are applied consistently; Texas Rural Water Association testified in support. Senate Bill 767, also by Senator Sparks, would expand and improve a statewide database of fire-response equipment so departments, including volunteer and rural departments, can locate and share resources more effectively during emergencies; fire service witnesses supported the bill and suggested annual updates to keep the database current. Chair Perry laid out Senate Bill 480 to clarify that local governments and special districts may enter interlocal agreements for water-related planning and research, including aquifer management and flood/water planning. He also presented Senate Bill 1066, which raises payment and performance bond thresholds for Texas Parks and Wildlife Department public works contracts to $150,000, arguing the change would reflect inflation and help smaller vendors on lower-risk projects. Witnesses were heard on the bills, with no opposition recorded in the transcript. The committee voted out all five bills favorably. SB 1066, SB 480, SB 767, SB 790, and SB 971 each received unanimous committee approval and were recommended to the local and contested calendar, with SB 767 noted as amended by a suggested annual-update requirement for the equipment database.
TX
TX

Texas 89th Regular

Senate Committee on Water, Agriculture, and Rural Affairs Mar 3rd, 2025

Water, Agriculture and Rural Affairs

Transcript Highlights:
  • The Senate Committee on Water, Agriculture, and Rural Affairs will come to order. Order.
  • I'm Laura Zent with the Texas Rural Water Association.
  • We represent over 900 utilities that provide water and wastewater utility services to rural communities
  • We worked with him. and a number of stakeholders to work on a definition of rural political subdivision
  • Senate Water, Rural and Agriculture and Rural Affairs stand at ease, subject to the call of the Chair
Bills: SB480, SB767, SB790, SB971, SB1066
Keywords: water resources, interlocal contracts, local government, collaboration, planning activities, wildfire response, firefighting equipment, emergency services, state database, Texas Forest Service, customer complaints, Public Utility Commission, water service, complaint process, utility regulation, SB 971, Texas Water Assistance Program, Water Code, rural political subdivision, rural water
US
US

US Federal 2025-2026 Regular Session

Hearings to examine the nominations of Stephen Vaden, of Tennessee, to be Deputy Secretary, and Tyler Clarkson, of Virginia, to be General Counsel, both of the Department of Agriculture. Apr 8th, 2025 at 09:00 am

Agriculture, Nutrition, and Forestry Committee

Transcript Highlights:
  • You have been nominated at a very challenging time for rural America.
  • That's a Minnesota euphemism for farmers, ranchers, and rural Americans.
  • I want to turn to a discussion of rural development and rural housing.
  • Well yes Senator, the work of the Rural Housing Service within the Rural Development Mission area is
  • Also, the rural housing service, as you say, has been vitally important in rural America, and this is
Keywords: USDA, nominations, Judge Vaden, Tyler Clarkson, agriculture policy, rural America, tariffs, farmer advocacy
Summary: The meeting focused on the nominations of Judge Stephen Alexander Vaden for Deputy Secretary of Agriculture and Mr. Tyler Clarkson for General Counsel at the USDA. Members expressed concerns regarding the challenges farmers and ranchers face, especially in navigating the impacts of recent tariffs imposed by the President. Significant attention was given to how these nominations could influence agriculture policy and support rural communities amidst economic uncertainty. The committee emphasized the necessity for strong leadership in the USDA to advocate for farmer needs and ensure the proper implementation of assistance programs.
VA
VA

Virginia 2026 1st Special Session

House Select Committee on Advancing Rural and Small Town Health Care Jun 17th, 2026

Transcript Highlights:
  • We do not have very many rural health clinics in the area. I would like to all...
  • We do not have very many rural health clinics in the area.
  • I think we did a wonderful job last time talking with the rural health clinics and some hospital administration
  • definition of rural regions.
  • The darker the color indicates a true rural county or a true rural area.
Keywords: House Select Committee on Advancing Rural and Small Town Health Care, 976, house, all
Summary: The Rural Health Care Committee met to reorganize for the new interim, adopt its annual electronic meetings policy, and hear member priorities for the coming work. Members emphasized recurring rural health issues including access to primary and specialty care, workforce shortages, transportation barriers, maternal health and OB-GYN shortages, dental care, telehealth and broadband limitations, and the financial strain on rural hospitals. Several members also highlighted the value of mobile clinics, community colleges and K-12 pipeline programs, and bringing providers and local health departments into future meetings. Secretary of Health and Human Resources Marvin Figueroa briefed the committee on the worsening condition of rural hospitals and the impact of federal H.R. 1, saying Virginia’s rural health system faces major financial pressure and that the state’s Rural Health Transformation Fund is not a replacement for lost Medicaid-related support. He described the fund as a temporary opportunity to test new models such as mobile care, community paramedicine, workforce pipelines, and remote monitoring, while warning that coverage losses and service reductions are likely if the state cannot adapt quickly. Heidi Hertz, director of rural health transformation, then outlined Virginia’s approved plan and implementation timeline. She explained that Virginia will receive $189.5 million in year one, with funds needing to be obligated by October 30, 2026, and that the state must meet CMS metrics to avoid clawbacks or rescoring. She described the plan’s major workstreams: Care IQ for technology and innovation, Homegrown Health Heroes for workforce development, Connected Care Closer to Home for access and maternal care, and Live Well Together for prevention and chronic disease management, including Food is Medicine and consumer health technology. Committee members asked about local health department involvement, contracting structure, metrics, and funding sustainability, and Hertz said the committee would receive the presentation and that regional meetings and RFAs would roll out over the coming months. A public commenter thanked the committee for supporting a midwifery work group, and the meeting adjourned after members were encouraged to continue sharing ideas and helping publicize the program.