Video & Transcript Research : 'small hospitals'
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ND
North Dakota 2026 1st Special Session
Joint Appropriations Jan 21st, 2026 at 12:30 pm
Appropriations
Transcript Highlights:
- There's a small selection of non-publics that do not participate. It's very small.
- The others are very small.
- In my opinion, if Elgin Hospital closed... have Jacobson Memorial Hospital open.
- And in turn, holds the hospital leadership accountable. within the hospital and in turn holds the hospital
- hospitals.
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
North Dakota 2026 1st Special Session
Joint Appropriations Jan 21st, 2026 at 10:30 am
Appropriations
Transcript Highlights:
- That could be a problem with very expensive medical equipment for some small facilities.
- But for the most part, these are the rural areas and the clinics and the hospitals.
- This prevents escalation of crisis within the family unit, ER visits, and hospitalizations.
- Each of these critical access hospitals were generating vast amounts of data.
- “Not just for the hospitals and clinics, but also like HIT and the other places, too.
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.
AL
Alabama 2026 1st Special Session
Alabama House Ways and Means General Fund Committee Feb 11th, 2026
Ways and Means General Fund
Transcript Highlights:
- <00:30:37.520>
personnel <00:30:37.919>that >> Yeah, very small number. - >> I've heard numbers, and I'm almost scared to say it is so small.
- It's a small number of sheriffs. >> It may be less than. >> Can we find out?
- >> I've heard numbers, and I'm almost scared to say it is so small.
- It's a small number of sheriffs. >> It may be less than. >> Can we find out?
Keywords:
impoundment, driver licenses, vehicle redemption, local identification cards, law enforcement, HB285, TJ's Law, traffic infraction, traffic ticket, uniform traffic ticket and complaint, minor driver, juvenile driver, parent notification, guardian notification, emergency contact, citing agency, traffic citation, driver safety, youth safety, Alabama traffic law
US
US Federal 2025-2026 Regular Session
Business meeting to consider S.298, to require the Administrator of the Small Business Administration to relocate 30 percent of the employees assigned to headquarters to duty stations outside the Washington metropolitan area, S.300, to improve accoun Feb 12th, 2025 at 08:30 am
Small Business and Entrepreneurship Committee
Transcript Highlights:
- I call the Committee on Small Business and Entrepreneurship to order.
- The Senate created this committee to help all small businesses compete with larger firms.
- The ramifications of this action, if permanent, will be felt by all small business owners.
- These are just small people, and they're looking for help from the government.
- all small businesses, not just a select few.
Keywords:
employee relocation, headquarters, Small Business Administration, Washington metropolitan area, telework, cost reduction, rural markets, geographic diversity, disaster loans, accountability, reporting, loan forgiveness, federal funding, SBA reforms, small business, disaster assistance, transparency, report publication, government accountability
OK
Oklahoma 2026 Regular Session
House of Representatives Second Regular Session of the 60th Legislature Day 47 - 2 Apr 27th, 2026 at 04:00 pm
Oklahoma House Floor Meeting
Transcript Highlights:
- Senate Bill 1130 by Caldwell, of the House and Hall of the Senate, an act relating to university hospitals
- This is just where we reappropriate some of the APA funds, some of these, some of These hospital rural
- hospital rebuild programs are not going to be meeting the deadline to reappropriate those funds because
- Asthma is the most common uncommunicated disease among children, leading cause of hospitalization and
Keywords:
light pollution, bird mortality, migration, energy conservation, wildlife protection, University Hospitals Authority, funding, behavioral health, appropriation, adolescent health, emergency legislation, Oklahoma State University, Medical Authority, human performance, pharmaceutical expansion, emergency funding, juvenile justice, youth services, pandemic relief, healthcare
OK
Oklahoma 2026 Regular Session
House of Representatives Second Regular Session of the 60th Legislature Day 47 - 1 Apr 27th, 2026 at 01:30 pm
Oklahoma House Floor Meeting
Transcript Highlights:
- I hope you all had the opportunity to enjoy one of those small tastes. reflects a much larger tradition
- Senate Bill 1130 by Caldwell of the House and Hall of the Senate, an act relating to University Hospitals
- Senate Bill 1130 is a bill to ensure the state of Oklahoma and the University Hospitals Authority at
Keywords:
light pollution, bird mortality, migration, energy conservation, wildlife protection, University Hospitals Authority, funding, behavioral health, appropriation, adolescent health, emergency legislation, Oklahoma State University, Medical Authority, human performance, pharmaceutical expansion, emergency funding, juvenile justice, youth services, pandemic relief, healthcare
TX
Transcript Highlights:
- Chairman, members, SB1864 aims to increase access to the graded egg market for small-scale producers
- They don't want small farms to compete, even at the community level.
- So you have small producers that.
- And I'm not against the small producers at all; that's not what this is about.
- Oh, there's a small one in here, here's a large one in here.
Bills:
SB1864
Keywords:
eggs, ungraded eggs, egg grading, poultry, farm products, local food, small farmers, direct-to-consumer sales, wholesale food sales, food safety, refrigeration requirements, sanitation standards, occupational license, dealer-wholesaler license, Texas Department of Agriculture, restaurants, small grocery stores, cooperatives, farmers cooperative, agricultural regulation
MN
Transcript Highlights:
- Nearly all chiropractors in Minnesota are either small business owners or are employed by small business
- Nearly all chiropractors in Minnesota are either small business owners or are employed by small business
- >
small <01:20:35.360>business <01:20:35.679>owners. - employed by small business owners. employed by small business owners.
- It's a tough small business alive.
Keywords:
tax credits, sustainable aviation fuel, environmental policy, corporate franchise, Minnesota taxation, electricity generation, property tax exemption, renewable energy, incentives, economic development, fuel delivery, tax exemption, retail transactions, diesel exhaust fluid, fuel lubricants, healthcare tax, gross receipts tax, hospitals, chiropractors, healthcare providers
US
US Federal 2025-2026 Regular Session
Hearings to examine the nomination of William Briggs, of Texas, to be Deputy Administrator, and Casey Mulligan, of Illinois, to be Chief Counsel for Advocacy, both of the Small Business Administration. Mar 12th, 2025 at 01:30 pm
Small Business and Entrepreneurship Committee
Transcript Highlights:
- The Small Business Administration is intended to support small businesses by providing capital, contracts
- Mulligan also owns two small businesses. Dr.
- Two of my sisters currently run a small business today, and I have owned and operated two small businesses
- Mulligan, letters from the National Small Business Association, Small Business and Entrepreneurship Council
- Start a small business ecosystem.
Keywords:
SBA, small business, nominations, Bill Briggs, Casey Mulligan, regulations, capital access, public support
Summary:
The Committee on Small Business and Entrepreneurship convened to consider the nominations of Bill Briggs for Deputy Administrator of the SBA and Dr. Casey Mulligan for Chief Counsel for Advocacy. The discussions highlighted the critical role of the SBA in promoting small businesses, with emphasis on overcoming challenges posed by excessive regulations and the need for improved access to capital. Several committee members expressed their concerns over recent layoffs within the SBA and the closure of district offices, which they believe undermine support for small businesses across the nation. The committee meeting saw extensive dialogue about the implications of regulations on small business operations and how the nominees plan to address these issues if confirmed. Public support for the nominees was acknowledged through letters from various stakeholders who advocate for small business interests.
AL
Alabama 2026 1st Special Session
Alabama Senate Finance and Taxation General Fund Mar 18th, 2026
Finance and Taxation General Fund
Transcript Highlights:
- I mean, the future of energy is small modular reactors.
- And I understand about small ruminants, and I've heard people say rabbits and all sorts of stuff that
- <00:13:42.800>
modular the future of energy is a small modular the future of energy is a small - and raise these panels up to where small and raise these panels up to where small uh<00:15:42.160
- And I understand about small well.
Bills:
SB176, HB155, HB247, HB311, HB312, HB317, HB466, SB176, HB155, HB247, HB311, HB312, HB317, HB466
Keywords:
controlled substances, unlawful distribution, marijuana, violent offense, sentencing guidelines, criminal justice, state holidays, federal holidays, public holidays, legal holidays, office closures, state employees, personal leave, compensatory leave, bank closures, school closures, Mardi Gras, Mobile County, Baldwin County, Rosa Parks Day
VA
Virginia 2026 1st Special Session
House Select Committee on Advancing Rural and Small Town Health Care Jun 17th, 2026
Transcript Highlights:
- , but particularly rural hospitals, are even greater.
- But do I believe that these hospitals, and all hospitals, are facing incredible financial pressure because
- , particularly the rural hospitals.
- ; Bath, which is a very small hospital there in Hot Springs; and a federally qualified health center
- The hospitals in rural areas... Those communities need. Why?
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.
MN
Transcript Highlights:
- update to their workers' compensation insurance verification website, um, and may also result in a small
- also<00:02:36.160>
result <00:02:36.480>in <00:02:36.640>a <00:02:36.959>small - <00:02:37.680>
increase <00:02:38.000>in may also result in a small increase in may - also result in a small increase in calls<00:02:38.720>
and <00:02:38.959>questions <00:
Bills:
SF1832
Keywords:
economic development, small business, workforce training, grants, entrepreneurship, equity, community support, 1187, senate, all
US
US Federal 2025-2026 Regular Session
Hearings to examine certain pending nominations. Apr 29th, 2025 at 08:30 am
Senate Armed Services Subcommittee on Personnel
Transcript Highlights:
- We need to grow those and take advantage of small businesses as well.
- Within the Small Business Office, within the Industrial-Based Policy Office, there's a program called
- I want to move on to small business defense production because Mr.
- The Small Business Office within the Industrial-Based Policy Office is a critical element of what the
- Policies, priorities, and a focus on small business.
Keywords:
defense industrial base, small business, workforce development, acquisition processes, national security, cybersecurity, critical minerals
Summary:
The meeting of the committee revolved around critical discussions on enhancing the defense industrial base, focusing on small business engagement and the importance of streamlined processes in defense contracting. There was a significant emphasis on the need for more investment in the defense manufacturing sector, particularly in the face of competition from countries like China. Some members expressed frustration over the treatment of small businesses, citing barriers that prevent these innovative companies from effectively participating in defense contracts. The need for a workforce capable of meeting the common challenges posed by evolving technologies and geopolitical threats was also highlighted throughout the meeting.
US
US Federal 2025-2026 Regular Session
Hearings to examine reforming SBIR-STTR for the 21st century. Mar 5th, 2025 at 01:30 pm
Small Business and Entrepreneurship Committee
Transcript Highlights:
- For decades, the Small Business Innovation Research Program, or SBIR, and the Small Business Technology
- and small business technology transfer programs.
- The Small Business Technology Council.
- Rothside, every day I hear from small businesses in North Carolina, particularly small businesses with
- And then the small business has no control.
Keywords:
SBIR, STTR, Innovate Act, small business, innovation, legislative reforms, economic growth, funding, technology transfer
Summary:
The meeting focused on the Small Business Innovation Research and Small Business Technology Transfer Programs (SBIR-STTR), emphasizing the critical reforms necessary to enhance their effectiveness. Chair Ernst introduced the Innovate Act to streamline processes, ensuring funding is awarded based on merit and addressing existing abuses within the system. The discussion was robust, with numerous members expressing concerns about phase transitions and the need for targeted funding to support impactful technological innovations. The conversation also highlighted the program's importance in fostering economic growth, particularly for small businesses in rural areas, and the urgency for legislative changes as the program's authorization approaches expiration.
US
US Federal 2025-2026 Regular Session
A joint hearing with the House Committee on Small Business to examine prosperity on Main Street, focusing on keeping taxes low for small businesses. Apr 8th, 2025 at 09:00 am
Small Business and Entrepreneurship Committee
Transcript Highlights:
- Small business administrator Lefler called Trump's tariff salvation for small businesses.
- true small businesses.
- And small businesses agree.
- That is not a small person.
- I have a my wife is a small business owner but she's like most small business owners 81 percent a small
Keywords:
joint hearing, small business, Tax Cuts and Jobs Act, economic recovery, tax relief, job creation
Summary:
In this joint hearing of the House Committee on Small Business and the Senate Committee on Small Business and Entrepreneurship, the primary focus was on the importance of making the Tax Cuts and Jobs Act of 2017 (TCJA) permanent. The chair emphasized that small businesses are crucial for the nation's economic recovery, especially in the wake of current federal policies perceived as detrimental. Witnesses shared their experiences and highlighted how the tax cuts facilitated job creation and business expansion, stressing the need for continued support through ongoing tax relief measures. The meeting included discussions about the economic implications of the TCJA's potential expiration, with members voicing their concerns regarding how this could impact small businesses and the broader economy.
US
US Federal 2025-2026 Regular Session
Hearings to examine managing risk for the long-term in the 7(a) loan program, focusing on hearing from lenders. Feb 26th, 2025 at 01:30 pm
Small Business and Entrepreneurship Committee
Transcript Highlights:
- In fact, according to the Fed's Small Business Credit Survey, in 2023, only 32 percent of Black small
- The program makes small-dollar loans with a focus on reaching undisturbed small business owners.
- Advantage program has demonstrated success in making small dollar loans to small business owners that
- I got an extraordinary note from a small business owner.
- Those old WASP-y bankers in New England, in that small city.
Keywords:
SBA, 7A loan program, underwriting standards, loan defaults, Community Advantage Program, small business funding, testimony
Summary:
The committee meeting focused on discussions regarding the SBA's 7A loan program and its implementation challenges. Members raised significant concerns about recent changes to the underwriting standards, which have been criticized for leading to an increase in loan defaults. Ranking members expressed a desire for a return to stronger guidelines to protect taxpayers and ensure the program remains a viable source for small businesses struggling to secure funding. Testimonies from community lenders highlighted their efforts to support underserved communities and stressed the importance of the Community Advantage Program.
TX
Transcript Highlights:
- go to the hospital. through our immunization training.
- Also, of course, with the hospitals and emergency.
- She went in for an ED, went to the hospital.
- Like, she just got out of the hospital.
- Potentially. and would be taken to the hospital and you're saying the hospital. can't keep them.
Bills:
HB 3772, HB 1656, HB 4504, HB 1896, HB 4420, HB 4421, HB 4076, HB 3708, HB 2806, HB 3540, HB 1586, HB 5459, HB 4553, HB 4535, HB 3811, HB 3749, HB 4255, HB 4051, HB 5098, HB 3554, HB 4539, HB 5274
Keywords:
e-cigarettes, health and safety, regulations, directory, penalties, regulation, certification, compliance, manufacturers, FDA, nicotine, mental health, emergency detention, paramedic authority, mental illness, healthcare facility, public health, covenants not to compete, health care practitioners, physicians
MN
Minnesota 2025-2026 Regular Session
House Workforce, Labor, and Economic Development Finance and Policy Committee 4/8/26
Workforce, Labor, and Economic Development Finance and Policy
Transcript Highlights:
- >
supporting stabilizing small businesses, supporting stabilizing small businesses, supporting - <00:07:28.880>
business community leaders, and small business community leaders, and small - for small business owners. for small business owners.
- Willmar is a small, rural, and diverse. Willmar is a small, rural, and diverse.
- to be supporting our small businesses. to be supporting our small businesses.
Bills:
HF4477
Keywords:
Minnesota business recovery loan program, small business loan, zero-interest loan, forgivable loan, business recovery, economic development, small business emergency loan account, Minnesota Initiative Foundations, nonprofit lenders, greater Minnesota, Twin Cities metro, seven-county metropolitan area, immigration enforcement, business interruption, revenue loss, job preservation, business stabilization, state appropriation, forward fund, loan forgiveness
MN
Transcript Highlights:
- worked very closely together and collaboratively in many ways, but found there were just a couple small
- <00:03:02.000>
just <00:03:02.159>a <00:03:02.319>couple <00:03:02.480>small - <00:03:02.640>
issues there were just a couple small issues there were just a couple small
NM
Transcript Highlights:
- Hospitals, including rural hospitals, operate on very thin and limited resources.
- providers, and domestic hospitals.
- So, for example, Holy Cross in Taos, the Farmington Hospital, the hospital in Grants, and the hospital
- I think the cap is flawed because I think we want to protect our local doctors and our small hospitals
- in my district, the Grants, Cibola General Hospital, and then just bordering me is the San Juan Hospital
Keywords:
medical malpractice, malpractice reform, patient's compensation fund, PCF, health care liability, tort reform, damage caps, punitive damages, hospital liability, physician liability, nurse practitioner, certified nurse-midwife, outpatient facility, ambulatory surgical center, urgent care, free-standing emergency room, insurance surcharge, superintendent of insurance, New Mexico hospitals, medical review process