Video & Transcript Research : 'generation performance'
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NM
New Mexico 2025 Regular Session
IC - Indian Affairs Nov 13th, 2025
House Government, Elections & Indian Affairs
Transcript Highlights:
- Danielle's indicating she generally doesn't think so. What I will say is, is we are.
- So, for instance, if they want those staff members to be performing inventory, that would have to be
- I envision a thriving generation of our community through positive storytelling and wisdom.
- It's not included in the memorial except in the general terms of understanding for sterilization.
- For generations to come as well. Thank you, Madam Chair, and thank you for that.
NM
New Mexico 2025 Regular Session
IC - Military and Veterans Affairs Aug 13th, 2025
Transcript Highlights:
- The average GPA for veterans... for the general student population is 3.1.
- We started off as a group to back up General MacArthur as his Pacific Campaign began. And we had.
- They perform a number of functions.
- As we do various training and whatnot, the Reapers generally kind of stay south of the base.
- At the time, we had some generous donations from our community, including a gift card to Walmart.
CA
California 2025-2026 Regular Session
Assembly Labor and Employment Committee Jun 24th, 2026
Labor and Employment
Transcript Highlights:
- Some of these requirements in the bill, such as the LEED certification, are impossible to perform during
- Oftentimes, this training is performed on the job.
- I think it is pretty wild to the general public... I think it is pretty wild to the general public.
- And I think it is quite, I think the general public would be quite alarmed to know how pervasive this
- No, I think just generally speaking, I think having a full transparency measure, again, just kind of
MA
Massachusetts 2025-2026 Regular Session
Joint Committee on Public Health Jun 21st, 2026 at 09:00 am
Joint Committee on Public Health
Transcript Highlights:
- Moni Jha, and I am a practicing primary care physician with firsthand experience in both performing and
- With firsthand experience in both performing and witnessing countless sensitive exams.
- Clinical Affairs at Lawrence General Hospital and Chief of Family Medicine by way of teams.
- This legislation would apply to the psychiatric hospitals as well as the units in general hospitals.
- They perform licensure visits every two years, and they also show up at any hour of the day or night.
Summary:
The Joint Committee on Public Health held a hybrid hearing on a wide range of bills focused on patient safety, workforce development, health equity, and access to care. A major portion of the hearing centered on H. 2362/S. 1491, which would require health care providers to offer trained chaperones for sensitive exams. Sponsors and supporters said the bill is a common-sense safeguard prompted by cases of physician sexual abuse, and survivors gave emotional testimony describing grooming, isolation, and abuse during exams when no chaperone was present. Support also came from a health services researcher, a physician, and a RAINN representative, all arguing that trained chaperones and clearer documentation would improve transparency and protect patients. Committee members asked about clarifying who may serve as a chaperone and whether the bill would apply to other clinicians such as PTs and OTs.
The committee also heard testimony on H. 2401/S. 1485, which would require explicit informed consent for certain educational exams performed on unconscious patients. The bill’s supporters said patients should know in advance if students or physicians will conduct non-medically necessary exams while they are under anesthesia, and that the measure would protect survivors from retraumatization. The hearing then moved to H. 2537, a primary care access bill. Health Care for All, the Massachusetts Medical Society, pediatric and internal medicine physicians, and a patient advocate described long waits, provider shortages, and difficulty finding primary care, especially for low-income people and people of color. They supported the bill’s proposed primary care spending target, payment reforms, Medicaid graduate medical education funding, and a commercial payment floor for health centers.
Another set of bills addressed workforce and safety issues. H. 2397/S. 1593 would establish a nursing workforce center; nursing leaders said Massachusetts should make the current workforce council permanent to support data collection, apprenticeships, and long-term planning for the state’s largest health care workforce. H. 2396/S. 1535 would require safe patient handling and mobility programs in health facilities; nurses described serious injuries from lifting patients and said better equipment and programs would reduce staff injuries and improve patient outcomes. H. 2501/S. 1505 on LGBTQ+ health disparities drew support from a medical student and Doctors for America, who urged collection of sexual orientation and gender identity data to improve care and school outcomes. Finally, H. 2448/S. 1522 on patient safety and equitable access to care drew strong support from nursing organizations and individual nurses who described unsafe staffing, burnout, and patient harm, while the Massachusetts Association of Behavioral Health Systems opposed the bill as redundant for psychiatric facilities already regulated by the Department of Mental Health.
KY
Kentucky 2025 Regular Session
Capital Projects and Bond Oversight Committee (9-23-25)
Transcript Highlights:
- is the Finance and Administration Cabinet, Finance Facility Support, Green Bank Energy Savings Performance
- green bank energy savings performance green bank energy savings performance project<00:08:06.800
- contract is projected to generate utility and other operational savings of approximately $600,000 a
- The response was that, in general, construction procurements are price-based.
- market of of somebody know the general market of of somebody building<00:36:43.599>
units <00:
Keywords:
00:01 Call to Order and Roll Call
01:49 Approval of Minutes
02:06 Information Items
03:48 Project Rpt from Finance and Admin Cabinet
14:38 Lease Rpt from Finance and Admin Cabinet
18:50 OFM – Ky Infrastructure Authority
26:40 OFM – Cabinet for Economic Development
31:50 Office of Financial Management
40:40 Remaining 2025 Meeting Dates
41:25 Adjournment, 958, all
Summary:
The meeting opened with prayer and a quorum call, then the committee approved the prior meeting minutes. Staff reported several informational items, including University of Kentucky medical and research equipment purchases, school district debt issues, leasehold improvements, and Kentucky Community and Technical College System bond allocations.
The committee then approved a line-item appropriation increase of $350,000 in federal funds for the Department of Fish and Wildlife Resources’ Cumberland Forest Conservation Program, along with two Department of Military Affairs projects: the Ashland Readiness Center window replacement and the MATES HVAC replacement at Fort Knox. It also approved four larger maintenance-pool projects without further action: HVAC and smoke evacuation work at the Kentucky State Penitentiary, HVAC and hot water tank replacements at Oakwood, a Green Bank energy-savings performance project across state facilities, and roof replacement at Lake Barkley Lodge. Members asked about the prison project, the roof procurement process, and whether minority-owned firms receive special bidding preference; staff said capital projects are awarded through open low-bid procurement with qualification and warranty requirements, and that minority participation is preferred but not a bidding criterion.
Two lease modifications were approved for Franklin County agencies: an expansion and renovation for the Auditor of Public Accounts and a downsizing and renovation for the Kentucky Workers Compensation Funding Commission. The committee also approved Kentucky Infrastructure Authority items, including a Monticello sewer loan, several Cleaner Water Program grants and reallocations, and a House Bill 1 water grant that required no action. Members questioned engineering costs and were told the KIA board reviews technical details and anomalies before approval.
Finally, the committee approved six economic development grants: one EDF grant for V Simple in Jefferson County and five KPDI EDF grants for projects in Breckinridge, Erlanger, Todd, and Washington counties. The last action item was approval of Western Kentucky University’s up-to-$10 million general receipts revenue bond issue for athletic facilities. An informational Kentucky Housing Corporation multifamily bond item prompted concern from members about rising per-unit costs for affordable housing, and they requested further explanation from the housing corporation at a future meeting.
TX
Texas 89th Regular
Senate Committee on Health and Human Services (Part I) May 7th, 2025
Health & Human Services
Transcript Highlights:
- If you focus on patient satisfaction scores, rural hospitals will probably perform a little better than
- Rural hospitals generally outperform urban hospitals.
- But access is important too, and our rural hospitals generally are doing really good work.
- There are limitations in the General Appropriations Act through special provisions that we would have
- Into that effect, what does that generally look like? Oh, the U.S.
Bills:
HB18, HB37, HB116, HB388, HB879, HB913, HB1151, HB2216, HB2358, HB2809, SB577, SB1590, SB1782, SB1887, SB2744, HB18, HB37, HB116
Keywords:
rural health, hospital funding, healthcare access, mental health services, financial stability, perinatal bereavement, healthcare, hospital training, bereavement support, maternal care, fetal demise, stillbirth, neonatal death, parent-child relationship, involuntary termination, family law, child welfare, child protection, HB 388, HB388
FL
Florida 2025 Regular Session
March 25, 2025 - 03:30 PM
Transcript Highlights:
- This decision was based on the availability of recurring and non-recurring general revenue when crafting
- On the availability of recurring and non-recurring general revenue when crafting this proposal.
- workforce education, the proposal includes modest increases to a couple of programs, including performance-based
- workload increase to IFAS on row 75, funds the programs of strategic emphasis on row 78, and continues performance-based
Summary:
The Higher Education Budget Subcommittee met to release its fiscal year 2025-2026 budget recommendations. Chair Busata explained that the higher education budget recommendation totals $8.6 billion, which is $385 million, or 4%, below the current year, citing strong recent budget growth and projected future deficits as reasons for tighter spending. The chair also noted that the committee’s earlier meetings provided background on vocational rehabilitation, blind services, private colleges, student financial aid, workforce programs, and universities.
The recommendation included increases for service provider rates in Vocational Rehabilitation, use of additional federal funds in Blind Services, an EASE grant increase for private colleges and universities, and adjustments to several student financial aid programs based on enrollment projections. It also moved the Open Door Grant Program from recurring to non-recurring funding, added modest increases for workforce education programs such as technical career education incentives, adult basic education, teacher apprenticeships, and workforce capitalization grants, and provided increases for the college system and state universities, including IFAS, strategic emphasis programs, performance funding, and faculty recruitment and retention.
The chair also highlighted that the proposal includes recommended higher education member projects and outlined the next steps in the budget process, including compilation into a proposed committee bill, publication of the bill and related language, and consideration by the Budget Committee the following week. No votes were taken on the budget recommendation itself, and the meeting adjourned after a motion to rise without objection.
KY
Kentucky 2025 Regular Session
Legislative Oversight & Investigations Committee (8-29-25)
Transcript Highlights:
- <00:14:50.399>
assembly is there whether it be general assembly is there whether it be general - <00:16:06.560>
in know improve upon our performance in know improve upon our performance in - General Assembly did it.
- <00:40:19.920>
assembly the budget bill uh the general assembly the budget bill uh the general - <00:48:19.920>
fund short-term pool which is general fund short-term pool which is general
Keywords:
Call to Order and Roll Call- 00:00:03
Approve Minutes from July 10, 2025- 00:02:41
Statewide Emergency Responder Voice System Testimony- 00:03:38
Investment of State Funds- 00:46:13
Department of Juvenile Justice Update- 1:11:34
Adjournment- 1:54:08, 958, all
Summary:
The committee opened with roll call, welcomed a new member, approved the July meeting minutes, and then took up testimony on the statewide emergency responder voice system, also described as the state police radio system replacement project. John Hicks, secretary of the governor’s executive cabinet and state budget director, testified that the project is unusually complex because it combines multiple IT replacements, land acquisition, and tower construction. He said the existing system dates to the early 1970s and that the administration is treating the project as a priority, with work proceeding in phases and weekly coordination among the Justice Cabinet, Kentucky State Police, and Finance and Administration Cabinet.
Hicks said the project has already spent about $110 million, with nearly 1,900 portable radios acquired, microwave replacement completed at 56 sites and underway at 76 more, and routers, switches, and network upgrades addressed. He explained that because the State Police are not set up to handle real property work, the administration brought in outside real property consulting vendors through an RFP, and three vendors are now qualified to help identify and negotiate sites. He said the goal is to speed up land acquisition and tower construction while the State Police continue the technology work, and he emphasized that the project is intended to close coverage gaps for state police first and later benefit local governments and other first responders.
Members of the committee expressed concern about the project’s cost and pace. Representative Petri noted that about $218.8 million has been authorized since 2018 and questioned whether the project could stretch into 2030 or later, asking what more the General Assembly could do to help. Representative Blandon also raised concerns about the long timeline and the risk of the project becoming another costly, delayed infrastructure effort, while asking when the vendor RFP was completed and whether any sites had been acquired since then. Representative Sharp asked whether there was a detailed plan and timeline, and Hicks responded that the technology side is well defined but the property acquisition side must proceed site by site because each location depends on ownership, access, power, and other factors. Hicks said the west-to-east phasing has been a smart approach and that the executive branch should improve performance to beat the current timeline expectations.
MN
Minnesota 2025-2026 Regular Session
Public Safety Committee Meeting - 2025-03-28
Public Safety Finance and Policy
Transcript Highlights:
- Our current budget is 1.1 million, completely from the general fund, and that supports eight full-time
- So clemency, generally when people think of that, it's pardons and commutations. Pardons are...
- The Board of Pardons is made up of the Governor, the Attorney General, and the Chief Justice.
- This funding is 100% from the general fund.
- That's not something that the jails generally have access to.
Bills:
HF2432
Keywords:
HF2432, judiciary finance bill, public safety finance bill, corrections policy, crime victims, victim services, Minnesota victims of crime account, court fees, marriage license fee, financial crimes, fraud investigations, insurance fraud, Bureau of Criminal Apprehension, BCA, Commerce Fraud Bureau, wage theft, automobile theft prevention, nonprofit security grants, 911 funding, POST Board
NH
New Hampshire 2025 Regular Session
House Health, Human Services and Elderly Affairs (03/03/2025)
Health, Human Services & Elderly Affairs
Transcript Highlights:
- However, there is clear evidence of harm to children generally.
- <01:42:24.639>
given lawmakers you all have generously given lawmakers you all have generously - are uh classes of kids did you generally are uh classes of kids did you generally teach<01:44:32.360
- yes yes I would think that in general yes yes I would think that in general having<01:54:11.040>
- My name is Katherine Saris, and I'm a performing artist and arts educator.
TX
Transcript Highlights:
- And a generous life.
- Attorney General.
- What does the Attorney General do? There is a job for the Attorney General.
- This is not about the current Attorney General.
- There will be a complaint made to the Attorney General.
Bills:
HJR175, HJR88, HB21, HB49, HB216, HB346, HB573, HB565, HB954, HB1953, HB2686, HB1441, HB2734, HB1650, HB3161, HB2876, HB3185, HB3388, HB2761, HB3233, HB 1186, HB1534, HB5506, HB5129, HB3619, HB778, HB2867, HB3221, HB3672, HB2434, HB4903, HB3687, HB3675, HB4609, HB4582, HB4921, HB3866, HB3901, HB4534, HB2446, HB3984, HB700, HB4012, HB4491, HB4088, HB229, HB4234, HB722, HB4136, HB4105, HB4413, HB170, HB551, HB2858, HB3053, HB3142, HB3180, HB3722, HB2200, HB1794, HB1784, HB1581, HB2530, HB4308, HB1896, HB2974, HB3359, HB4580, HB2458, HB2215, HB3332, HB2278, HB3015, HB3151, HB1368, HCR9, HCR40, HB5138, SB17, HB4944, HB2284, HB3421, SB1569, SB2420, SB1968, SB2351, SB2544, SB1490, SB1349, SB1568, SB2776, HB3531, HB2149, HB4327, HB3158, HB3717, HB4520, SB888, SB552, HB3138, HB3704, HB2921, HB4853, HB4506, HB3892, HJR161, HJR175, HJR88, HB1937, HB3334, HB5444, HB5137, HB361, HB321, HB5447, HB464, HB678, HB2294, HB4172, HB3225, HB1769, HB5394, HB1837, HB1787, HB2271, HB2440, HB5134, HB5149, HB2151, HB2073, HB2186, HB2025, HB1936, HB1777, HB1663, HB 1306, HB 1290, HB1527, HB4802, HB3462, HB2963, HB2462, HB2560, HB644, HB2725, HB2621, HB2588, HB1443, HB1403, HB3032, HB1557, HB1664, HB2811, HB2088, HB2598, HB3062, HB3134, HB3940, HB4027, HB4097, HB4862, HB4170, HB4157, HB4205, HB4279, HB4377, HB4838, HB5424, HB5294, HB4870, HB4763, HB5639, HB4112, HB2275, HB1677, HB5014, HB3848, HB3797, HB3727, HB3709, HB3177, HB3057, HB4176, HB4202, HB2180, HB3528, HB3658, HB21, HB49, HB216, HB346, HB573, HB565, HB954, HB1953, HB2686, HB1441, HB2734, HB1650, HB3161, HB2876, HB3185, HB3388, HB2761, HB3233, HB 1186, HB1534, HB5506, HB5129, HB3619, HB778, HB2867, HB3221, HB3672, HB2434, HB4903, HB3687, HB3675, HB4609, HB4582, HB4921, HB3866, HB3901, HB4534, HB2446, HB3984, HB700, HB4012, HB4491, HB4088, HB229, HB4234, HB722, HB4136, HB4105, HB4413, HB170, HB551, HB2858, HB3053, HB3142, HB3180, HB3722, HB2200, HB1794, HB1784, HB1581, HB2530, HB4308, HB1896, HB2974, HB3359, HB4580, HB2458, HB2215, HB3332, HB2278, HB3015, HB3151, HB1368, HCR76, HCR127, HCR9, HCR40
Keywords:
constitutional amendment, medium of exchange, currency rights, digital currency, financial autonomy, tax exemption, rainwater harvesting, graywater system, local government, ad valorem taxation, housing finance, multifamily residential, low income, audit requirements, affordable housing, development bonds, oil waste, gas waste, liability, treatment processes
HI
Transcript Highlights:
- Next we have the Attorney General in support, Ann Lopez. Come on up.
- We've been keeping the Attorney General informed of things that we've heard.
- They have been keeping the Attorney General informed of things that they have heard.
- Actually, I think you introduced the measure to do differentials for work performance, so performance-based
- <00:49:23.520>
so <00:49:23.960>performance-based performance so performance-based performance
Summary:
The Health and Human Services committee heard several gubernatorial nominations and appointments, beginning with Sunshine Cho and Barbara Tom for the Language Access Advisory Council. Both nominees said they stood on their written testimony and expressed interest in continuing to serve, and multiple organizations testified in strong support. No opposition or questions were raised on either nomination, and the committee moved on after hearing the testimony.
The bulk of the meeting focused on GM 642, the nomination of Ryan Yamane to be Director of the Department of Human Services. Yamane gave an extensive opening statement describing his social work background, long public service career, and philosophy of compassionate, balanced leadership. He emphasized DHS’s role in helping people from keiki to kūpuna with dignity and support, and shared personal stories from disaster response and family-service work to illustrate his approach. Support testimony came from a wide range of state officials, agency directors, community organizations, health systems, advocacy groups, and former colleagues, who praised his leadership, problem-solving, communication skills, and empathy.
One witness, Moani Kiala Katherine Tu Alun, testified in opposition, raising concerns about retaliation and safety issues affecting foster youth and alleging harmful treatment within Child Welfare Services. Another witness, Angela Melody Young, supported the nomination and said Yamane could help overcome barriers for vulnerable communities and improve DHS programs such as financial assistance, SNAP, and disability services. The committee also heard from DHS staff and related officials about the uncertainty surrounding possible federal funding and staffing cuts; Yamane said the department is gathering information, coordinating with Budget and Finance and federal partners, and preparing to prioritize services and adjust if federal changes affect programs. No votes were taken in the portion of the meeting provided.
FL
Florida 2025 Regular Session
Transportation Mar 19th, 2025
CA
California 2025-2026 Regular Session
Assembly Budget Subcommittee No. 4 on Climate Crisis, Resources, Energy, and Transportation Mar 19th, 2025
Transcript Highlights:
- So Waste generation data to our department.
- So fees are not paid on the waste generated.
- So we are getting more data from our generators.
- The governor's proposed budget proposes to spend general fund money, or backfill general fund money,
- to spend general fund, or backfill general fund money for the extreme heat mitigation programs and the
Summary:
The subcommittee heard presentations on the administration’s Proposition 4 spending plans for extreme heat mitigation and outdoor access, then took up SB 54 implementation, SB 707 textile producer responsibility, and recovery needs related to the Los Angeles fires at state parks. For the extreme heat chapter, agencies described funding for the Extreme Heat and Community Resilience Program, urban greening, urban forestry, fairground upgrades, and technical assistance for community-based climate programs. Witnesses emphasized that these are existing programs with strong demand, that technical assistance is important for reaching disadvantaged and tribal communities, and that the proposed funding would expand outreach and implementation capacity. Members asked for more detail on where funds have gone geographically, examples of successful projects, tree-planting totals, and how fairgrounds could better support fire staging and emergency preparedness. The LAO said the timing of the administration’s proposed funding generally made sense because the programs are already established, and no votes were taken.
For outdoor access, State Parks, Fish and Wildlife, and Natural Resources described funding for new parks in underserved communities, deferred maintenance, state lands access, and several new or pending programs. State Parks said the park development program would fund roughly 48 projects and that deferred maintenance funding would address high-priority health, safety, and access needs. Fish and Wildlife said its lands program would improve visitor amenities and access on properties that often lack basic facilities. The Natural Resources Agency also outlined three newer outdoor-access proposals: expanding recreation in disadvantaged communities, enhancing natural resource values and trail access, and a nature/climate/education facilities grant program. The LAO distinguished between existing programs, which are ready to move forward, and the newer proposals, where the Legislature may want more input before funds are allocated. Members also raised concerns about park police vacancies, the need to track outcomes for accessibility investments, and whether Prop. 4 could help with wildfire-related recovery at state parks.
CalRecycle then presented on SB 54, the plastics and packaging producer responsibility law, and members pressed hard on the delay in regulations. CalRecycle said it has held workshops, formed an advisory committee, selected the producer responsibility organization, and completed required baseline and covered-material reports, but needs more time to address complex comments and novel features such as source reduction and eco-modulated fees. Members expressed frustration that a statutory deadline was missed and asked for a concrete timeline; CalRecycle said it expects regulations in place by 2026, ahead of the PRO’s January 1, 2027 plan deadline. Finance said the Beverage Container Recycling Fund is currently healthy enough to support short-term loans for implementation. The committee also reviewed SB 707, the textile EPR law, which would create the nation’s first textile producer responsibility program; staff said the proposal would add positions and loan authority, and members noted the statutory deadlines for PRO approval, needs assessment, and later regulations. The hearing ended with discussion of the January Los Angeles fires’ damage to Topanga State Park and Will Rogers State Historic Park, where State Parks described extensive losses, emergency response work, and ongoing damage assessment. Members asked about FEMA eligibility, state funding sources, and community engagement in rebuilding, and the department said it is still assessing costs and will work with the public on reimagining the parks.
FL
Florida 2025 Regular Session
Finance and Tax Feb 5th, 2025
Transcript Highlights:
- MOST OF IT. 48 BILLION WAS GENERAL REVENUE.
- OF COURSE ALL KINDS OF GENERAL PURPOSES.
- THAT'S HOW MUCH REVENUE IS BEING GENERATED IS BEING GENERATED GIVEN THE STATE POPULATION.
- IN 23 24 GENERAL REVENUE HAD $43 BILLION OF GENERAL REVENUE THAT WAS IN THE FUND.
- HERE IS A 20 YEARS CHART ON GENERAL REVENUE COLLECTION.
AR
Transcript Highlights:
- Services for the Blind... ...happened, and Division of Services for the Blind, a lot of it is just performance-based
- We don't look at that from a— it was performance-based from our perspective. Mr.
- It was performance-based from our perspective. Mr.
- I mean, I'm speaking generally. Usually Corrections has the most.
- And I think it generally has decreased.
TX
Texas 89th Regular
Delivery of Government Efficiency Mar 12th, 2025
Delivery of Government Efficiency
Transcript Highlights:
- No, it's the General Land Office. That's another statutory issue.
- I guess generally, yeah, I guess generally how much of our stuff is leased versus owned, and does it
- generally make more sense in the long term to own?
- What we don't spend goes into general revenue with the way that...
- So this is just how we generate ideas. rules.
Keywords:
regulatory reform, government efficiency, administrative law, rulemaking, agency deference, judicial review, de novo review, Texas Government Code, Administrative Procedure Act, state agencies, plain language, regulatory burden, regulatory reduction, cost-benefit analysis, fiscal note, public benefits and costs, contested case, rule challenge, Texas Regulatory Efficiency Office, advisory panel
CA
California 2025-2026 Regular Session
Assembly Floor Session Jun 16th, 2025
California House Floor Meeting
Transcript Highlights:
- Due to his work in the community that Nate Holden performed.
- Performing Arts Center stands on Washington Boulevard today, named after him in 2003. I met Mr.
- The Jewish people say, Lador Vador, which means from generation to generation, to recognize the role
- I think about the 13 generations, nearly 14 generations of black Americans who were enslaved and prohibited
- EDM gave a generation like mine a space to be loud, to be ourselves, and to belong.
TX
Texas 89th 2nd C.S.
Ways & Means
Transcript Highlights:
- and has more renewable generation.
- generation.
- I understand there's generation, but outside the generation. Dan Heinz: Yeah.
- - bring your own new generation.
- , which involves generation.
MA
Massachusetts 2025-2026 Regular Session
Joint Committee on Public Health Jun 21st, 2026 at 10:00 am
Joint Committee on Public Health
Transcript Highlights:
- More than 30 years ago, in Italy, we performed the first pediatric screening for celiac disease.
- and I'm a pediatric gastroenterologist and the director of the Center for Celiac Disease at Mass General
- If people are not feeling well in school or in college, they don't perform well.
- I support this bill because it would fund a three-year window to evaluate real-world general population
- However, these studies don't address the key remaining gap of how screening performs in routine clinical
Summary:
The Joint Committee on Public Health heard testimony on four bills: H. 5013 and S. 2928, which would establish a three-year celiac disease screening pilot program for children during routine cholesterol/lipid screening at ages 8 to 12; H. 5087, regulating medical spas; and H. 5115, establishing statewide food truck regulations, though the transcript focused almost entirely on the celiac and medical spa bills. For the celiac proposal, Rep. Badger and Sen. Lovely described long diagnostic delays, the lack of a cure, and the potential for a simple blood test to identify children earlier and reduce long-term harm. Multiple patients, clinicians, and researchers supported the pilot, saying celiac is frequently missed because symptoms vary widely or are absent, and that early detection could prevent malnutrition, growth problems, osteoporosis, and other complications. Testifiers also emphasized that the bill would study feasibility, accuracy, cost, and acceptability, and would include family education and support resources if diagnoses are made through the program.
Several experts and advocates backed the celiac screening pilot, including a pediatric gastroenterologist from Italy who described successful national screening efforts there, a Celiac Disease Foundation representative, pediatric gastroenterologists from Massachusetts and Colorado, a pediatric dietitian, and a parent whose child was diagnosed after severe malnutrition. They argued that routine screening alongside existing pediatric bloodwork could identify many undiagnosed children and improve health equity, since celiac disease is often overlooked in people of color and lower-income patients. Committee members asked about how the screening would work, and witnesses explained it could begin with a blood test, followed by confirmatory endoscopy if needed. No vote was taken in the hearing.
On H. 5087, witnesses from the medical aesthetics industry largely opposed the bill as written, saying it was outdated, redundant with existing Massachusetts licensing and board oversight, and too restrictive for nurse practitioners, physician assistants, and other licensed providers. Testifiers, including a retired lobbyist, a nurse practitioner, a PA, a plastic surgeon, and a clinic owner, said the bill could reduce access, raise costs, and push care into less regulated settings, while not addressing the real issues of training, compliance, and patient safety. Committee members pressed for more specific feedback on what provisions were unnecessary or duplicative, and witnesses said they had submitted position papers and written testimony identifying conflicts with current law. The hearing ended with the chair noting that all oral and written testimony would be reviewed before any decisions are made.