Video & Transcript Research : 'Tier II'

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AR

Arkansas 2026 1st Special Session

ALC-STATE INSURANCE PROGRAMS OVERSIGHT SUBCOMMITTEE Jun 17th, 2026

ALC-STATE INSURANCE PROGRAMS OVERSIGHT SUBCOMMITTEE

Transcript Highlights:
  • We're just re-tiering and getting more in alignment with price erosion, adding in quantity limits to
Summary: The State Insurance Programs Oversight Subcommittee met on June 17 and reviewed a series of Employee Benefits Division and Office of Property Risk items. The committee approved formulary changes for March and April that favored lower-cost generics, removed some new-to-market drugs from coverage pending more evidence, and made maintenance changes to migraine and diabetes medications. Members also approved a cell and gene therapy policy that would route those therapies through prior authorization rather than automatic coverage; officials said the process should not delay urgent cases and that no current members would be affected. The committee then reviewed a UAMS pharmacy benefit consultant contract amendment, but after extended discussion about the written scope and dollar amounts, the motion was approved with the understanding that any use of optional services would return to the committee for further review. The committee also reviewed the U.S. Able Mutual/Blue Advantage third-party administration contract and the CompSack employee assistance program contract, which officials said would reduce per-member costs and add services. The subcommittee approved proposed 2027 rates for state employees and public employees, with a 9.8% increase for state employees and a 4.9% increase for public school employees. Officials also reported that the UnitedHealthcare rebid was in its final negotiation stage and would return in August, with medical and pharmacy coverage split as previously recommended. In response to questions, the director said the division was considering broader preventive-care offerings, including weight-loss drug coverage, but would proceed cautiously and with strong utilization controls and holistic support if such a program were adopted. On the property risk side, the committee reviewed permanent rules making prior temporary rules permanent, a contingency-fee subrogation contract, and renewals for claims management, actuarial services, and investment management. Members raised concerns about Sedgwick’s claim-adjustment timeliness and communication with school districts after severe weather events; officials said performance guarantees and communication expectations had been strengthened, but the renewal was kept at three years for continuity. Finally, the committee approved 2026-27 captive insurance program rates, which included no change to minimum deductibles, a 10% overall rate reduction, and bucketed rate changes by entity type. Officials said the captive program was working as intended, with improved actuarial support and claims experience, and the meeting adjourned after the approvals.
LA

Louisiana 2026 Regular Session

Senate May 28th, 2026

Louisiana Senate Floor Meeting

Transcript Highlights:
  • This legislation establishes a clear three-tier system between manufacturers, wholesalers, and retailers
Summary: The Senate convened with 26 members present, heard a prayer from Dr. Steve Horn, and recited the pledge. The chamber then handled messages from the House, including concurrence in SCR 83 and appointment of conference committee members on several disagreements. A number of Senate resolutions were introduced or adopted, mostly creating study task forces or commending individuals and organizations, including resolutions on energy infrastructure, breast pump access, insurance coverage for auto repairs, biomarker testing, higher education funding, public-private partnership contracting, and various commendations. Several resolutions were adopted without objection, while others were returned to the calendar or concurred in by recorded vote, including SCR 29 and SCR 33 with House amendments. The Senate also considered House and Senate bills and resolutions returned from the House, with many measures adopted or concurred in. Notable actions included concurrence in HCR 117 on homeowner insurance claims processes, adoption of HCR 5 on special red drum harvest permits, and passage of bills on TOPS Tech eligibility (HB 325), vapor product permitting (HB 623), ABLE/Tuition Trust administration (HB 749), design services contracting (HB 755), rare cancer advisory board composition (HB 761), non-emergency medical transportation reimbursement (HB 1028), public meeting notices (HB 1049), healthy food retail financing (HB 1194), genetic testing coverage for SCN2A disorders (HB 1199), grocery initiative grants (HB 1222, which failed), and a constitutional amendment on retirement debt repayment order (HB 27). The chamber also adopted HCR 95, creating a joint rule requiring a fiscal review of certain tax measures for sales and use tax uniformity. Several measures drew extended debate. HB 181, which would allow the legislative auditor access to Medicaid and SNAP-related tax information for eligibility verification and fraud review, prompted concerns about privacy and scope but ultimately passed 26-8. HB 1220 on the State Board of Medical Examiners generated amendment discussion about board composition and transparency, including live video broadcasting of meetings, but was returned to the calendar before final action. HB 1018, creating a temporary local moratorium on certain alcohol permits in one Shreveport district, passed after discussion about broader policy solutions. The Senate then recessed for lunch at 2 p.m. after completing the subject-to-call list for the morning session.
LA

Louisiana 2026 Regular Session

Senate May 27th, 2026

Louisiana Senate Floor Meeting

Transcript Highlights:
  • Whereas, on Sunday, April 22, 2026, AVH was crowned as Tier VIB champions in Dallas, Texas.
Keywords: 974, senate, all
LA

Louisiana 2026 Regular Session

Senate May 27th, 2026

Louisiana Senate Floor Meeting

Transcript Highlights:
  • Whereas, on Sunday, April 22, 2026, AVH was crowned Tier VIB champions in Dallas, Texas.
Summary: The Senate convened with a quorum, heard a guest prayer by Pastor Lee Shipp, and conducted routine opening business including journal adoption, receipt of confirmation appointments, and House messages naming conferees on several Senate bill disagreements. The chamber also adopted or recognized several personal privilege resolutions and commendations, including honors for Grady Hazel, the Acadiana Veterans Hockey of Louisiana national championship team, Grambling State University’s 125th anniversary and related athletics/band centennials, the 2026 Governor’s Fellows, and a brief address by special guest Ms. Benson. Members then acted on a series of resolutions and concurrent resolutions. The Senate adopted measures creating or requesting study task forces on child permanency, medical malpractice review panels, driving school fees, the Minimum Foundation Program, and earthquake activity in north Louisiana, and it concurred in House resolutions on illegal dumping, gaming board review, behavioral health crisis center reimbursement, Medicaid incentive payment reporting, and a physician review panel study. Several condolence and commendation resolutions also passed, including those honoring Lewis Thomas Nelson and Josephine Ruth Kennedy, and the Senate adopted a resolution urging local governments to consider generator requirements for unlicensed senior and disability residential facilities. The chamber also took up House Bill 723, a motorcycle traffic-signal bill allowing certain two- and three-wheeled vehicles to proceed through malfunctioning vehicle-actuated signals under specified circumstances; after debate about safety and enforcement, it passed 33-3. The Senate then considered numerous House amendments to Senate bills, concurring in most, including bills on fluoridation/local opt-out, public assistance, nutrition, human trafficking training, bulletproof vests, adult residential care generators, cell-cultured food products, public benefits eligibility, attorney-fee limits in disciplinary proceedings, critical infrastructure protections, debit card surcharges, bank stock certificates, child welfare proceedings, digital student IDs, watershed restoration funding, innovation hubs, sports agent registration, and manufactured housing regulation. It rejected House amendments to SB 283 and SB 408 for further negotiation. The session ended with announcements for committee meetings and a recess until 2 p.m.
CA

California 2025-2026 Regular Session

Senate Appropriations Committee Apr 27th, 2026

Appropriations

Transcript Highlights:
  • Delta Stewardship Council has already done the research on what investments are needed, developing a tiered
Keywords: 987, senate, all
Summary: The Senate Committee on Appropriations heard a large suspense-file agenda and established a quorum at the start of the meeting. SB 1167 was announced as not being heard and rescheduled for the following week. The Department of Finance did not attend because it had no comments on the bills before the committee. Most measures were taken up with waived presentations, brief public testimony, and no committee questions, and were moved to the suspense file without objection. Several bills received author presentations and public support. SB 872 by Senator McNerney proposed creating a fund to support repairs to State Water Project canals and Delta levees, with testimony from water agencies, environmental groups, and local governments emphasizing flood risk, water reliability, and the need to protect state assets; the bill was moved to suspense. SB 962 by Senator Archuleta would authorize CDCR to install blue emergency lights on parole vehicles, with supporters citing officer safety and the death of parole agent Joshua Bird; it also moved to suspense. SB 950, presented on behalf of Senator Weber-Pierson, would require coverage for FDA-approved medically necessary treatments for early-onset Alzheimer’s disease, with committee discussion noting the bill’s relatively small near-term fiscal impact and a possible future sunset amendment; the committee voted do pass, with the item held open for additional votes. The committee also heard support or opposition testimony on a few other measures, including SB 1123, which drew opposition from the Los Angeles Area Chamber of Commerce and the California Manufacturers and Technology Association, and SB 1069 and SB 1138, which received support from industry and clean-energy groups. After processing the full agenda, the committee moved the remaining suspense-file candidates to suspense and adjourned.
NM
Transcript Highlights:
  • submittal, there we expect there would be Dialogue between the department and the interim committee, the tiers
Keywords: 996, all
FL

Florida 2025 Regular Session

December 4, 2025 - 08:30 AM

Transcript Highlights:
  • DESPITE THIS IMPROVEMENT, FLORIDA REMAINS FAR FROM THE TOP TIER.
CA

California 2025-2026 Regular Session

Assembly Committee on Economic Development, Growth, and Household Impact Aug 15th, 2025

Economic Development, Growth, and Household Impact

Transcript Highlights:
  • restaurants, you know, in the education system, in healthcare, but are often in the kind of lowest wage tiers
Keywords: 988, house, all
NM

New Mexico 2025 Regular Session

IC - Federal Funding Stabilization Subcommittee Jul 31st, 2025

Federal Funding Stabilization Subcommittee

Transcript Highlights:
  • They don't get the benefit of the marginal tiered rates.
CA

California 2025-2026 Regular Session

Assembly Human Services Committee Jul 15th, 2025

Transcript Highlights:
  • For the highest tier of services, this is around $10,000 monthly for Medi-Cal.
Summary: The Assembly Committee on Human Services heard several homelessness, public benefits, and aging-related bills. SB 748 would expand Encampment Resolution Funding to support safe parking sites for people living in cars or RVs, require quarterly reporting from HCD on outcomes, and direct LAO evaluation; supporters said it would help local governments reduce RV encampments while connecting people to housing and services. SB 290 would repeal the CalWORKs immunization sanction that reduces aid when parents cannot provide acceptable proof of a child’s vaccination; supporters argued the penalty unfairly harms families already in poverty and can worsen instability, while no opposition testified. SB 606 would define “functional zero” for overall and unsheltered homelessness and require local jurisdictions to plan for and report on the housing and interim shelter needed to reach that goal; supporters said it would add accountability and focus on reducing unsheltered homelessness, and one group moved from opposition to neutral after amendments. SB 433 would create an income-based room-and-board cap and personal needs allowance for all Medi-Cal assisted living participants in residential care facilities for the elderly, not just SSI recipients; supporters said it would prevent eviction and homelessness among low-income seniors and people with disabilities, and facility groups withdrew opposition or moved to neutral after amendments. SB 761 would require students applying for Cal Grants to be notified that they may be eligible for CalFresh and given information on how to apply; supporters said it would address widespread student food insecurity and low enrollment among eligible students. The committee accepted amendments on the bills, and all of the measures discussed were reported out on 7-0 or similar unanimous votes to the Assembly Appropriations Committee, with the consent calendar also approved unanimously.
CA
Transcript Highlights:
  • the state level and memorandums of understanding at the local level, a joint resolution team, and tiered
Keywords: 988, house, all
MN

Minnesota 2025-2026 Regular Session

Environment Committee Meeting - 2025-04-01

Environment and Natural Resources Finance and Policy

CA

California 2025-2026 Regular Session

Assembly Business and Professions Committee Apr 1st, 2025

Business and Professions

Transcript Highlights:
  • You can become a California Board Approved Program and we wouldn't have a two tiered system.
Keywords: 988, house, all
TX

Texas 89th 2nd C.S.

S/C on County & Regional Government Mar 31st, 2025

S/C on County & Regional Government

Transcript Highlights:
  • Among other things, that bill created a tiered tenured-based structure so that when judges hear state
NM

New Mexico 2025 Regular Session

House - Appropriations and Finance Mar 20th, 2025

House Appropriations & Finance

Transcript Highlights:
  • There were some tier increases that you sent over that stayed the same for the licensed teachers.
FL

Florida 2025 Regular Session

March 19, 2025 - 10:30 AM

Transcript Highlights:
  • them with Medicaid-eligible children who receive skilled nursing services and will provide them with tiered
Summary: The Health Care Facilities and System Subcommittee met with a quorum and considered five bills. HB 1101 on out-of-network providers drew the most discussion; Rep. Albert said it would require written notice when a patient is referred to an out-of-network provider and would count certain insurer payments toward deductibles. Several members and the Florida College of Emergency Physicians raised concerns about placing the burden on doctors’ offices, possible delays in referrals, and unclear enforcement, but the bill was reported favorably 16-2. Public testimony included support from AARP and concerns from emergency physicians about ER workflow and insurance-network transparency. The committee then unanimously approved PCS for HB 475, reducing fines for ambulatory surgery centers that violate good-faith estimate requirements from $1,000 to $250 per day, with a lower maximum penalty. The bill sponsor said the change was intended to right-size penalties for smaller facilities; witnesses from surgery centers and HCA supported it. HB 797, which would allow a nonprofit retirement community serving veterans and spouses to create veteran-and-spouse nursing home beds and transfer a certificate of need within 100 miles, also passed unanimously after members discussed whether it could affect access for veterans; the sponsor said it would create additional private beds rather than displace existing ones. HB 1085 on the Children’s Medical Services Program was amended and reported favorably 14-3. The bill would move managed care plan operations for medically fragile children from the Department of Health to AHCA, keep clinical eligibility at DOH, and shift PPEC services fully into managed care. The adopted amendment changed the waiver provision to require AHCA to develop and present a comprehensive redesign plan for the Medicaid model waiver for children receiving private duty nursing. Several members supported the goal but raised concerns about eliminating family choice and the impact on medically fragile children. Finally, HB 1353 on home health care services passed unanimously. The bill would remove geographic limits on home health administrators, allow more licensed RNs including contract RNs to perform visits, and revise the home health excellence award program. Supporters said it would address workforce shortages and improve access, while one member warned it could increase costs and competition for nurses. The committee adjourned after reporting all five bills favorably.
NM

New Mexico 2025 Regular Session

House - Education Feb 5th, 2025

House Education

Transcript Highlights:
  • maintained, over a number of years, the need for additional funding to increase the salaries of the three-tiered
MA

Massachusetts 2025-2026 Regular Session

Joint Committee on Cannabis Policy Jun 21st, 2026 at 10:30 am

Joint Committee on Cannabis Policy

Transcript Highlights:
  • shortly after adult use was passed, with opportunities to enter the market in just one of the three tiers
  • It's a Tier 11 outdoor grow. The idea with growing outdoors is that... It's a Tier 11 outdoor grow.
Keywords: 995, all
Summary: The Joint Committee on Cannabis Policy held its first hearing of the 194th session to take public testimony on 21 cannabis-related bills. Chairs Donahue and Gómez outlined hearing procedures and noted that written testimony would also be accepted. Much of the hearing focused on the Cannabis Control Commission (CCC), with Senator Mike Moore urging support for S. 90 to create an inspector general unit within the CCC. He argued the commission has suffered from dysfunction, workplace harassment allegations, delayed governance reforms, missed fee collections, and high legal costs, and said stronger legislative oversight is needed. Committee members largely agreed the CCC needs reform, though some expressed hope that new leadership would improve operations. A major theme was market structure and business viability. Representative Tyler testified for H. 183 to raise adult-use purchase limits from one ounce to two ounces, saying the change would reduce confusion and help retailers compete with neighboring states. Senator Payano supported S. 100, which would require a study of cannabis supply and demand to guide cultivation licensing, warning that oversupply is driving down prices and threatening cultivators. The Massachusetts Cannabis Coalition, represented by Ryan Dominguez, backed a package of bills aimed at increasing revenue, reducing regulatory burdens, attracting investment, and stabilizing the market, including higher purchase limits, simpler badge and testing rules, and a phased increase in the retail license cap. Attorneys Kevin Conroy and Mike Ross also supported raising the cap, arguing that the industry lacks capital and that more investment and exit opportunities are needed for provisional and distressed licensees. The most contentious issue was whether to raise the retail license cap from three to six. Supporters, including several business owners and industry advocates such as Peyton Shubrick, Tito Jackson, Armani White, Sean Burt, and others, said the current cap traps owners in declining businesses, prevents exits, and limits access to capital. They argued that many social equity and economic empowerment operators are struggling, that oversupply has pushed prices down, and that allowing more ownership could help businesses scale or sell. Opponents, including Senator Liz Miranda and several social equity operators, warned that lifting the cap now would let larger operators and multi-state companies dominate the market and harm equity-owned businesses. Miranda’s S. 88 would instead strengthen enforcement of ownership limits through audits, whistleblower protections, an anonymous tip line, and greater transparency. Another major topic was worker and consumer safety: Laura Bruno, Danny Carson, Al Vega, and others supported H. 194 after the death of Lorna McMurray, arguing for a CCC workplace and consumer safety department, better ventilation and PPE standards, stronger testing oversight, and retaliation protections for workers. The hearing ended without votes, with members thanking testifiers and indicating the committee would continue reviewing the bills.