Video & Transcript Research : 'modification'

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TX

Texas 89th 2nd C.S.

Health and Human Services Apr 8th, 2026

Health & Human Services

Transcript Highlights:
  • regulatory reform initiative, we are also reviewing our childcare regulations to determine if any modifications
Summary: The Senate Committee on Health and Human Services convened to discuss interim charges regarding fraud, waste, and abuse in Texas human services, particularly focusing on Medicaid and childcare programs. The meeting highlighted the importance of preventing misuse of taxpayer funds, with testimony from various stakeholders emphasizing the need for increased oversight and accountability in these programs. Key points included the alarming rise in healthcare fraud in other states, the necessity for Texas to enhance its fraud prevention measures, and the potential financial repercussions of failing to meet federal compliance standards. Several committee members expressed concerns about the impact of fraud on vulnerable populations, particularly those relying on Medicaid services. Testimonies from experts underscored the effectiveness of Texas's Office of Inspector General (OIG) in combating fraud, yet pointed out existing vulnerabilities, such as inconsistent enforcement and the need for better data sharing among agencies. The discussion also touched on the challenges faced by hospice care providers, with a significant increase in the number of hospices in Texas raising concerns about quality and oversight. The committee heard from various witnesses, including representatives from health plans and advocacy organizations, who provided insights into the complexities of managing Medicaid and the importance of maintaining program integrity. The meeting concluded with a commitment to further explore legislative solutions to enhance oversight and ensure that resources are directed to those in genuine need.
KY

Kentucky 2026 Regular Session

House Legislative Session Day 53 (3-25-26)

Kentucky House Floor Meeting

Transcript Highlights:
  • rules for the purpose of allowing members to co-sponsor bills and resolutions or to submit vote modifications
Keywords: 958, all
NH

New Hampshire 2026 Regular Session

Senate Election Law and Municipal Affairs (03/24/2026)

Election Law and Municipal Affairs

Transcript Highlights:
  • kind of like to hold this so that I can at least talk to the prime sponsor to see if there's some modification
Keywords: 1191, senate, all
AZ

Arizona 2026 Regular Session

03/23/2026 - House Health & Human Services

Health & Human Services

Transcript Highlights:
  • Rexulti represents an incremental modification of existing antipsychotic therapy rather than a major
Summary: The committee first heard Senate Bill 1121, which would prohibit hospitals from requiring lead aprons for cardiac catheterization staff when a radiation protection system is in place, while still allowing hospitals to require aprons outside the designated safety zone or when exposure levels warrant additional protection. An amendment added flexibility for radiation safety officers to require lead or other PPE if exposures approach occupational limits and removed expedited rulemaking language. Supporters, including the sponsor and interventional cardiologists, argued the devices reduce radiation and orthopedic injuries and improve recruitment and retention; hospital groups shifted to neutral after the amendment. The committee adopted the amendment and passed SB 1121 on a 9-2 vote. The committee then considered Senate Bill 1120, which would require hospitals performing cardiac catheterization procedures to equip at least 50% of those rooms with radiation protection systems by 2027. Supporters said the systems protect clinicians from radiation and long-term injury, while opponents, including hospital and radiology groups, argued the bill was overly prescriptive, could create a captive market, and might not fit all rooms or procedures. After adopting a children’s hospital exemption amendment, the committee passed SB 1120 on a 6-6 vote, with the chair breaking the tie in favor of the bill. Senate Bill 1118, an appropriation measure tied to the radiation protection system proposal, was also advanced after brief discussion, passing 6-5. The committee then took up Senate Bill 1214, which would create guardrails for non-FDA-approved stem cell and regenerative therapies, including provider standards, informed consent, advertising limits, reporting requirements, and a private right of action for violations. Supporters described it as a patient-protection and access bill, while testimony emphasized concerns about unregulated “bad actors” and patients traveling out of state for treatment. The committee adopted an amendment removing a reference to the National Law and passed SB 1214 on a 9-3 vote. The transcript then began discussion of SB 1630, which would create a Medicaid-funded home and community-based service benefit for adults with serious mental illness, with AHCCCS taking a neutral position and estimating a significant fiscal impact.
FL

Florida 2026 Regular Session

FL House Floor Session - 2026-03-03 (10:00AM Session)

Florida House Floor Meeting

Transcript Highlights:
  • In regards to the modification of the majority, how many counties have a supermajority requirement that
Summary: The House opened with prayer, a moment of silence for former member Chester Clem, the Pledge of Allegiance, and quorum confirmation. Members then adopted the special order report for the day and approved a Rules and Ethics Committee report amending House Rule 15.3 to allow fundraising under certain circumstances during extended or special sessions. The chamber then took up several bills. HB 1405 on a statewide project for missing persons with special needs passed unanimously. CS/CS/CS/SB 290, the Department of Agriculture and Consumer Services bill, passed 94-10 after debate focused on conservation land surplus procedures and agricultural use of state lands. CS/CS/CS/HB 905, the “Fire Act” on foreign influence, foreign gifts, critical infrastructure, sister city agreements, and related restrictions, passed 80-20 after the House adopted an amendment adding a prohibition on certain surrogacy contracts involving citizens or residents of foreign countries of concern. CS/CS/HB 1197, dealing with information technology procurement and contracting, passed 109-0. HB 1103 on local administration of vessel restrictions passed unanimously. The House also debated CS/CS/CS/HB 399 on land use and development regulations. Supporters said it would limit development fees, standardize compatibility rules, allow manufactured homes in RV parks, and lower voting thresholds for comprehensive plan changes to address housing affordability; opponents argued it would preempt local control, weaken voter-approved urban boundary protections, and risk conservation lands. An amendment to preserve Orange County’s boundary rules failed, while a technical amendment on manufactured homes passed. The bill then passed 71-38. The House also passed several local bills, including measures for the Pace Fire Rescue District, Avalon Beach/Mulat Fire Protection District, East Point Water and Sewer District, Fellsmere Water Control District, and Headwaters Water Control District, with votes ranging from 83-27 to unanimous approval. The transcript also included farewell remarks from Representative Angie Nixon before the House returned to remaining business.
WY

Wyoming 2026 Regular Session

House Floor Session-Day 15, February 26, 2026-AM

Wyoming House Floor Meeting

Transcript Highlights:
  • An act relating to mortgages, implementing the Uniform Mortgage Modification Act, specifying the priority
Keywords: 916, all
WY

Wyoming 2026 Regular Session

House Floor Session-Day 13, February 24, 2026-AM

Wyoming House Floor Meeting

Transcript Highlights:
  • Senate File 31 sponsored by Corporations, Uniform Mortgage Modification Act, an act relating to mortgages
Keywords: 916, all
MN

Minnesota 2025-2026 Regular Session

House Transportation Finance and Policy Committee 2/18/26

Transportation Finance and Policy

Transcript Highlights:
  • over, 35 to 60% over, or more than 60% above a peer route average, our plans would call for minor modifications
Keywords: 1183, house
MS

Mississippi 2026 Regular Session

Finance - Room 216, 20 January, 2026; 10:30 AM

Finance

Transcript Highlights:
  • These are the PERS benefit modifications since 1985.
Summary: The committee heard an update from PERS Executive Director Higgins, who reported that the system has about $38 billion in assets, earned roughly 11.7% last fiscal year, and is about 57% funded. He thanked lawmakers for a newly passed $1 billion funding bill and emphasized that funding the existing system remains the top priority. Higgins also noted that the board’s actuarially recommended contribution is about 26% of payroll, while the system is currently receiving about 18.4%, and said PERS will return later in session with a few requested bills. Higgins addressed several policy topics under discussion this session, including return-to-work rules, first responders, and Tier 5. He said return-to-work changes are possible if the law is changed and funding implications are addressed. For first responders, he said any special treatment should be done within PERS rather than by creating a separate system, with the affected group and parameters clearly defined and fully funded. He also said the new Tier 5 hybrid plan is being implemented on track for March 1 and is projected to improve the system’s long-term financial position by reducing future liabilities and helping pay down the unfunded liability. Members then questioned Higgins about the system’s funding policy, the 30-year closed amortization period used in the ADC calculation, and whether that approach should be revisited in light of recent funding actions and changes in assumptions. Higgins said the board reviews the policy annually, that the closed amortization approach was chosen to better pay down the unfunded liability, and that the annual valuation and experience studies already incorporate recent funding changes, Tier 5, and the phased employer-rate increases. He acknowledged that a significant new infusion of funding could justify reviewing the amortization period, but cautioned against changing it too often because it could undermine progress toward paying down the unfunded liability.
HI

Hawaii 2025 Regular Session

GVO Informational Briefing 12-16-2025

Hawaii Senate Floor Meeting

Transcript Highlights:
  • And, you know, because of that we've had to sort of make a couple of modifications, you know, to our
Keywords: 912, senate, all
Summary: The Senate Committee on Government Operations held an informational briefing with the State Procurement Office on its small business procurement program. SPO staff described the program’s purpose as expanding access to state contracting for small businesses, including veteran-, Native Hawaiian-, and women-owned firms, and said they are seeking to make the current five-year initiative permanent before it ends in June 2027. They reported outreach efforts, a new website and newsletter, statewide surveys, draft administrative rules, and a 38% increase in small business registrations in the HANS database. They also explained that the program is intended to support outreach, education, certification, compliance, and a statewide database to connect agencies with qualified small businesses. Committee members focused heavily on whether the program is producing measurable contract awards, not just registrations. The chair and senators questioned the definition of “small business,” noting that SPO currently relies on SBA standards in HANS and is considering a Hawaii-specific definition based on employees, revenue, and Hawaii residency. Members raised concerns that the data showed only a small number of registered businesses receiving awards and that the database does not yet track awards well enough to evaluate performance. SPO responded that the database has had funding gaps, that the position was only filled in February 2025, and that the agency is still building the system and rules needed to track outcomes accurately. A major theme was how to make the program more effective for very small or “micro” businesses and how to reduce the complexity of state procurement. Members discussed the difference between set-asides and bid preferences, with SPO explaining that set-asides are generally tied to RFPs and preferences to IFBs. The committee suggested that future rules should make participation easier, provide more training and hand-holding, and possibly create pathways for micro businesses or groups of small businesses to bid together. No votes or formal actions were taken; the briefing ended with the committee asking SPO to provide more performance data and clearer information on outreach results and database contents.
KY
Transcript Highlights:
  • So, for example, we have what's called a Wonder Health behavioral modification program, which sort of
Keywords: 958, all
Summary: The Make America Healthy Kentucky Task Force met with a quorum, approved the minutes, and then heard a presentation on the state’s “food is medicine” efforts. Chair Funky Fromm opened by describing a recent foot injury from a road hazard and used it to emphasize the importance of infrastructure, nutrition, sleep, and activity as part of a broader wellness culture. The main witnesses were Kentucky Commissioner of Agriculture Jonathan Shell, Holly Harris of Appalachian Regional Health Care (ARH), and Jim Muser of the Kentucky Hospital Association. Shell and Harris described a partnership between the Department of Agriculture, the Kentucky Hospital Association, and hospitals such as ARH to connect local farmers with hospital cafeterias, farmers markets, CSA-style subscription food boxes, and medically tailored meals. Harris said ARH serves a large region with 14 hospitals, more than 95 clinics, about 6,700 employees, and 1,300 medical staff, and that the system began by improving employee food options because hospital workers often have limited access to healthy meals during shifts. They reported examples such as a local-protein burger, parking-lot farmers markets, subsidized CSA boxes for employees, and plans for container gardens at some hospitals. The witnesses said the program is intended to improve health outcomes, reduce readmissions, support chronic disease management, and also increase rural prosperity by expanding demand for Kentucky farm products. Shell said more than 40 hospitals had already been onboarded into the food-is-medicine program, with measurable outcomes being studied through pilots such as one at Russell County Hospital. He also noted that some systems, including CHI St. Joseph Health, Taylor Regional, and UK King’s Daughters, have formally embedded food-as-medicine goals into strategic plans. Members and witnesses also discussed barriers, especially the lack of reimbursement, fragmented short-term funding, and regulatory or purchasing hurdles that make it difficult for small farmers to participate. Shell said the goal is to make the model scalable and easier for hospitals and farmers to navigate, while Harris emphasized that ARH has been funding its efforts without reimbursement because of its mission. No votes or formal policy actions were taken beyond approving the minutes.
TX

Texas 89th Regular

89th Legislative Session May 27th, 2025

Texas House Floor Meeting

Transcript Highlights:
  • SB 1923 by West, relating to the modification of a court order based on a parental child safety placement
Bills: SB15, SB35, SB290, SB1365, SB2568, SB18, SB427, SB1860, SB1864, SB2675, SB596, SB2858, SB3058, SB816, SB1163, SB1484, SB1898, SB1777, SB1802, SB2692, SB315, SB1585, SB1626, SB2058, SB2050, SB2105, SB2245, SB2764, SB2611, SB2497, SB2452, SB2243, SB1705, SB1244, SB1361, SB438, SB578, SB584, SB2690, SB2521, SB2487, SB2342, SB2063, SB125, SB2041, SB1962, SB1413, SB6, SB2878, SB13, SB30, SJR87, SB7, SB127, SB293, SB441, SB3059, SB57, SB512, SB1718, SB140, SB2055, SB2075, SB2018, SB1534, SB1567, SB785, SB1233, SB1580, SB1663, SB413, SB447, SB519, SB467, SB1579, SB1191, SB1021, SB1838, SB2807, SB2835, SB546, SB2121, SB2167, SB2024, SB1032, SB1049, SB1266, SB1400, SB1302, SB401, SB1596, SB1281, SB1242, SB1343, SB1346, SB2753, SB2221, SB1719, SB2177, SB552, SB646, SJR1, SB15, SB800, SB790, SB748, SB571, SB1957, SB1923, SB1896, SB1760, SB1335, SB2368, SB2477, SB2587, SB2972, SB2986, SB2965, SB1563, SB1467, SB1164, SB1137, SB614, SB705, SB961, SB918, SB955, SB869, SB850, SB863, SB1610, SB1055, SB2206, SB457, SB2337, SB1362, SB926, SB1494, SB251, SB456, SB500, SB1307, SB2615, SB2995, SB2321, SB973, SB974, SB865, SB506, SB781, SB1522, SB1558, SB510, SB667, SB763, SB2073, SB1858, SB1660, SB505, SB2900, SB1433, SB1540, SB1964, SB1300, SB1644, SB2217, SB2373, SB2431, SB1758, SB2480, SB3039, SB3047, SB3073, SB2920, SB2781, SB826, SB766, SB2460, SB527, SB1946, SB2885, SB1243, SB2610, SB2595, SB857, SB2501, SB66, SB268, SB331, SB618, SB414, SB1394, SB2425, SB898, SB993, SB442, SB735, SB784, SB2538, SB1919, SB1013, SB2215, SB2322, SB626, SB570, SB747, SB2183, SB673, SB1015, SB1447, SB1370, SB1784, SB1897, SB2873, SB2891, SB2933, SB2540, SB2681, SB2695, SB1965, SB2203, SB872, SB875, SB1030, SB1277, SB1730, SB1681, SB1152, SB2969, SB2747, SB2705, SB2541, SB1708, SB2080, SB2721, SB1986, SB2392, SB2539, SB2857, SB2799, SB2785, SB2782, SB1531, SB1927, SB1263, SB1098, SB35, SB290, SB1365, SB2568, SB18, SB427, SB1860, SB1864, SB2675, SB596, SB2858, SB3058, SB816, SB1163, SB1484, SB1898, SB1777, SB1802, SB2692, SB315, SB1585, SB1626, SB2058, SB2050, SB2105, SB2245, SB2764, SB2611, SB2497, SB2452, SB2243, SB1705, SB1244, SB1361, SB438, SB578, SB584, SB2690, SB2521, SB2487, SB2342, SB2063, SB125, SB2041, SB1962, SB1413, SCR9, SB21, SB1198, SB1405, SB2601, SB2778, HB5560, HB762, HB1584, HB 107, HB 114, HB138, HB4386, HB2495, HB581, HB3348, HB5323, HB4341, HB6, HB171, HB143, HB449, HB3486, HB4263, HB5246, HB2, HB2011, SB17
MN

Minnesota 2025 1st Special Session

Committee on Higher Education - 04/08/25

Higher Education

Transcript Highlights:
  • and chose to invest a majority of those funds into the program, which then requires only slight modifications
Keywords: 1187, senate, all
MN

Minnesota 2025-2026 Regular Session

Committee on Judiciary and Public Safety - 04/02/25

Judiciary and Public Safety

Transcript Highlights:
  • Carlson, you spurred me to think about maybe a modification, or more what would be a direction, is maybe
Keywords: 1187, senate, all
AL

Alabama 2026 1st Special Session

Alabama House Mar 10th, 2026

Alabama House Floor Meeting

Transcript Highlights:
  • The intent of this bill is to provide student-focused modifications to address challenges associated
  • The intent of this bill is to provide student-focused modifications to address challenges associated
Keywords: 1136, house, all
HI

Hawaii 2026 Regular Session

WLA-EDU, EDU Public Hearings 02-18-2026

Water, Land, Culture and the Arts

Transcript Highlights:
  • She said that if they are able to adopt this bill as it is, or make whatever modifications are necessary
  • She said that if they are able to adopt this bill as it is, or make whatever modifications are necessary
Bills: SB2003
Summary: The joint committees on Water, Land, Culture, and the Arts and Education heard testimony and discussed SB 20003, which would require the auditor’s report under Act 255 to include a recommendation on whether the Monarch Stewardship and Oversight Authority is fit to continue managing Monaca lands. Testimony focused on the bill’s reversion language, the role of the auditor, and whether the measure gave the auditor too much discretion without clear criteria. The Office of the Auditor’s position, read into the record, was that it had strong reservations because the bill did not provide standards for assessing fitness and asked that the requirement be held or amended. Other testimony suggested a work group with relevant agencies and Hawaiian practitioners to manage the transition and reduce conflict. Committee members debated whether the bill should simply restore the original reversion language or also require an audit-based fitness determination. Several members questioned the need for a 2031 audit when Act 255 already provides for a performance and financial audit in 2031 and noted that the bill could shift authority away from the legislature. In response, the committee chair explained that the measure was intended to restore language removed during conference and to address the transition back to the University of Hawaii if the authority was not meeting the act’s purpose. The committees ultimately recommended SB 20003 be passed with amendments. The amendments would strike the auditor/audit section, add language addressing timelines by providing a 10-year lease extension and sublease extension, and make technical changes including a defective date. The committees voted to adopt the amended measure and send it forward as an SD1. The transcript also included a separate Education Committee hearing on SB 3286, which would require the University of Hawaii to develop a facilities and student housing master plan and report to the legislature. University of Hawaii testimony said the system supports the intent but that the bill’s requirements are a heavy lift across 10 campuses and should follow development of a broader academic strategy. Members raised concerns about deferred maintenance, shifting priorities, and the lack of a systemwide plan, while the university said it already has a six-year capital improvement plan but acknowledged it does not fully incorporate the broader academic and housing strategy the bill contemplates.