Video & Transcript Research : 'forensic evaluation'
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ND
North Dakota 2025-2026 Regular Session
Senate Appropriations - Education and Environment Division Apr 3rd, 2025 at 02:30 pm
Appropriations - Education and Environment Division
Transcript Highlights:
- Section 3 provides a cross-reference on case evaluation and supervision.
- On case evaluation and supervision fees, Section 4 allows DOCR to perform a risk assessment in case evaluation
Summary:
The committee met to review fiscal aspects of House Bills 1417 and 1425, both part of a broader criminal justice reentry package. HB 1417 would eliminate the $35 public defender application fee and end court-ordered reimbursement of indigent defense costs, while also removing the $55 monthly community supervision fee. Testimony from the Commission on Legal Counsel for Indigents and the Department of Corrections said the bill would replace lost revenue with general fund appropriations of about $310,000 for indigent defense and $1.5 million for supervision fees, and that the fees are rarely collected and can hinder reentry. Representative Clemene said the bill is intended to reduce barriers to successful community reintegration and improve data and supervision practices.
HB 1425 would create and fund front-end diversion, deflection, and pretrial services programs. Supporters described it as allowing prosecutors and local jurisdictions to divert appropriate low-level offenders from prosecution, establish deflection programs for people with behavioral health needs, and expand pretrial services. The bill includes a pilot program in three counties, a $1 million appropriation to DOCR for one FTE and contracts with local providers, $750,000 to DHS for treatment services, and $55,000 for a study of pretrial services cost savings. Committee members asked several questions about how the pilot counties would be chosen, how the consultant study would be procured, and what services the DHS funds would cover.
The committee also heard House Bill 1603, which would provide a $500,000 matching grant for Native American Graves Protection and Repatriation Act compliance, with $100,000 available to each of North Dakota’s five tribes if matched. Sponsor testimony said the funds would support a Historical Society NAGPRA compliance committee and help catalog and repatriate human remains and cultural items in coordination with tribes. After questions about the federal mandate and the difficulty of identifying artifacts, the committee voted 4-0 to give HB 1603 a do-pass recommendation, with Senator Meyer assigned to carry it forward.
TX
Transcript Highlights:
- The purpose of this hearing is to get answers, understand what actions are currently being taken, evaluate
- Thank you. help FDA evaluate whether feed products may be effective against New World Screwworm.
- Producers, veterinarians, and consumers all rely on the FDA to evaluate the safety and effectiveness
- So we will continue to evaluate any products, especially in this category, for this need, as we can.
- What I'm saying is that we have not fully evaluated its effects in this particular manner.
MN
Minnesota 2025-2026 Regular Session
Legislative Audit Commission 11/4/25
Minnesota House Floor Meeting
Transcript Highlights:
- . evaluated. evaluated.
- evaluation subcommittee meeting to continue with our topic selection process.
- And that would be that report from Senator Dibble's program evaluation subcommittee, which will then
- . having another um evaluation having another um evaluation subcommittee<02:06:47.199>
meeting - There being no further evaluation.
Summary:
The committee heard a presentation from the legislative auditor on a performance audit of the governor’s office and lieutenant governor’s office covering July 1, 2022 through December 31, 2024. The audit reviewed receipts, inventory, payroll, and non-payroll expenditures and found 12 findings, concluding the office generally did not comply with the criteria tested because of internal control deficiencies. The auditor said four of five prior findings that remained relevant were not fully resolved, and that the problems were widespread across financial operations, creating opportunities for waste and fraud, though no evidence of wrongdoing or misuse of funds was found.
The main findings involved weak segregation of duties, late vendor payments, inaccurate reimbursements and vendor payments, missing documentation, and poor receipt management. Auditors said one employee handled purchasing, receiving, payment processing, and inventory functions without adequate oversight; vendors were often paid late, resulting in more than $1,000 in late/reactivation fees; reimbursements and some state airplane payments contained errors; and many vendor payments, reimbursements, and purchasing card transactions lacked required support. The office also failed to collect about $12,000 for events at the governor’s residence, did not fully process several deposits, and lacked documentation for some billed or deposited amounts.
Members reacted strongly to the repeated control failures and the lack of documentation, with several saying the issues were pervasive and concerning even if the dollar amounts were not large. Questions focused on whether the problems reflected different treatment of vendors versus employee expenses, whether restitution was being sought, and whether legislation was needed. The auditor responded that the state already has the necessary policies and procedures, and that the issue is implementation and oversight by the governor’s office, not new legislation. The auditor also said the governor’s office had been receptive and had begun taking steps to address the findings.
MN
Transcript Highlights:
- Our school and the Groves Learning Organization provide neuropsychological educational evaluations to
- our students, as well as speech and language evaluations when necessary.
- The hours provided to evaluate, gather teacher input, prepare paperwork, and attend IEP meetings for
- our students, as well as speech and language evaluations when necessary.
- our students, as well as speech and language evaluations when necessary.
Summary:
The Education Finance Committee met on February 5, 2025, to hear testimony from representatives of Minnesota’s Catholic and other nonpublic schools, focused on state nonpublic pupil aid, transportation, counseling, nursing, and related support programs. Meg Forette of the Archdiocese of St. Paul and Minneapolis argued that Catholic schools serve more than 30,000 students across many districts, educate a diverse population, and achieve strong academic results while operating at far lower per-student costs than public schools. She urged lawmakers to reject proposed cuts to nonpublic funding, saying they would be inequitable and harmful to lower-income families, and also raised concerns about state teacher-licensing requirements conflicting with Catholic values.
Trisha Menshu, principal of St. John Paul II Catholic School in Northeast Minneapolis, described a student body with high levels of poverty, learning needs, and academic gaps, and said state-funded nurse and guidance-counseling services are essential to keeping students safe, healthy, and on track for high school. She said the school absorbs many costs itself, including medical supplies and significant staff time, and credited the support programs with helping students make strong academic growth and graduate on time. In response to a senator’s question, she clarified that the school uses the nursing aid for limited nurse time and pays other medical-related costs from operating funds, with no billing back to public school districts.
Committee members asked follow-up questions about the relationship between teacher licensing and Catholic values, and about how medical needs for nonpublic students are funded. Forette said the concern was not with welcoming all students but with how DEI-related trainings and language are presented in ways that conflict with Catholic teaching. The committee then moved on to the next testifier, Andrew Hiliker of Stella Maris Academy in Duluth, who began by describing his school’s growth and the state’s role in supporting all students, regardless of school choice.
HI
Hawaii 2025 Regular Session
HLT/HSH Joint Public Hearing - Fri Jan 31, 2025 @ 9:00 AM HST
Transcript Highlights:
- This is not a single physician working independently, rather a team working together and evaluating all
- <01:09:07.839>
all together and evaluating all together and evaluating all aspects<01:09:09.960 - <01:09:18.239>
and surgery the evaluations and surgery the evaluations and recommendations - These are products that the FDA has evaluated and authorized for sale because they help adult smokers
- <02:16:04.559>
or face-to-face clinical evaluation or face-to-face clinical evaluation or
Summary:
The joint hearing covered HB 553 on biomarker testing coverage, HB 556 on colorectal cancer screening access, and later HB 712 on 340B drug pricing. For HB 553, the American Cancer Society Cancer Action Network, patient advocates Natalie Heyman and Susan Hirano, a surgical oncologist, and the American Lung Association strongly supported the bill, arguing that biomarker testing should be covered when ordered by a doctor and guided by current evidence. DHS and several insurers offered comments and requested amendments, with DHS saying it appreciated the intent but wanted changes. The committees then voted to pass HB 553 with amendments, including a House draft and a defective date of July 1, 3000; both the House Health and Human Services and Homelessness committees adopted the recommendation unanimously.
For HB 556, testimony focused on closing gaps in colorectal cancer screening, especially for uninsured and underinsured patients who can get stool-based screening but then cannot access follow-up colonoscopies. Community Clinic of Maui, ACS CAN, and the American Cancer Society supported the bill, with ACS CAN urging a program similar to the breast and cervical cancer control program and offering amendments. DHS requested that the program and appropriation not conflict with executive budget priorities, and the committees noted technical amendments, a defective date, a blank appropriation amount, and corrections changing Medicare references to Medicaid. HB 556 was also passed with amendments by both committees.
The hearing then moved to HB 712 on 340B drug pricing and contract pharmacies. The Department of Health and the Attorney General’s office expressed concern that the bill would require the state to regulate private commercial activity and said the department lacked the expertise and resources to implement it as written, suggesting it might belong in a different statutory section. In contrast, PhRMA opposed the bill, while Hawaii Pacific Health and Hawaii Island Community Health Center supported it, saying 340B savings are important for hospital services and patient access to low-cost medications, especially where manufacturers have restricted shipments to contract pharmacies. No vote on HB 712 was taken in the portion provided.
NH
New Hampshire 2026 Regular Session
House Executive Departments and Administration (01/22/2026)
Executive Departments and Administration
Transcript Highlights:
- <04:35:51.920>
experience board's ability to evaluate experience board's ability to evaluate - babysat, and the board cannot evaluate babysat, and the board cannot evaluate its<04:36:51.520><
- <04:47:02.878>
whether <04:47:03.200>an ability to evaluate whether an ability to evaluate - discretion to evaluate experience. discretion to evaluate experience.
- <04:48:05.200>
that but the board still evaluates that but the board still evaluates that
NH
New Hampshire 2026 Regular Session
House Resources, Recreation and Development (01/21/2026)
Resources, Recreation and Development
Transcript Highlights:
- The requirements of state agencies are laid out in 212A:9, where state agencies must evaluate and take
- and take actions that are must evaluate and take actions that are designed<00:41:26.319>
to <00 - of impacts to threatened evaluation of impacts to threatened endangered<00:41:52.319>
species - You know, I don't, we don't have the capacity to be evaluating land use transfers and then following
- loop for evaluating its effectiveness. loop for evaluating its effectiveness.
NH
New Hampshire 2025 Regular Session
House Finance Division I (02/24/2025)
Transcript Highlights:
- The Site Evaluation Committee has responsibility for the siting of energy facilities.
- Now, some of that is the extra $300,000 for the Site Evaluation Committee, right?
- It wasn't part of the PUC before, when the Site Evaluation Committee was its own agency.
- what is all right under evaluation what is all right under evaluation committee<01:26:41.400>
- Some was lapses, some was the site evaluation, and some was filling vacancies. Yeah, okay.
Summary:
The committee first heard the Banking Department’s fiscal year 2026-2027 budget presentation from Commissioner Amelia Galeri. She described the department as a self-funded consumer protection regulator overseeing two main areas: the Banking Trust Division, which supervises state-chartered banks, credit unions, and trust companies, and the Consumer Credit Division, which oversees more than 7,000 licensees including mortgage and money transmitter businesses. She said the department’s budget is about 86% salaries and benefits, with 53 positions all filled, and explained that the agency funds itself through fees, fines, and end-of-year assessments on regulated entities.
Galeri said the department is facing workload growth from several directions: continued growth in the trust industry, increased fintech supervision, and a new requirement to regularly examine auto dealers that take finance applications, which adds about 300 exams over two fiscal years. She said the department was directed to flat-fund its budget based on 2025 levels but was allowed to increase travel and training. To stay within that limit, she said the department reduced office space, went paperless, converted administrative and licensing positions into examiner positions, and expects to defund an embedded DOJ database administrator position once a new SharePoint system is fully implemented.
Members asked about how the department’s revenue and assessments work, including whether fees were increasing and how much existing banks would pay. Galeri said fees are not being raised, most banks pay little or no fines, and assessments are based largely on asset size, with trust companies paying the bulk. She also explained that fines are set by statute, generally capped at $2,500 per violation for consumer credit entities, and said she would not recommend increasing that cap. The committee then voted to accept the Banking Department’s budget proposal as presented in HQ1, with a motion and second and no discussion.
The transcript then moved to the Department of Energy budget. Commissioner Jared Chakin and Chief of Operations Lenny Radio discussed federal program funding, including LIHEAP fuel assistance and weatherization. They said the apparent drop in fuel assistance funding from FY 2024 actuals to the budgeted amount is due to the loss of ARPA and CARES Act supplemental funds, while weatherization remains a federally constrained program with a waiting list and limited flexibility. Members also asked about a proposed transfer from the renewable energy fund; staff said the transfer would still allow the department to carry out its statutory duties for the year, though the committee deferred deeper discussion until House Bill 2.
KY
Kentucky 2026 Regular Session
Interim Joint Committee on Natural Resources & Energy.(7-2-26)
Natural Resources & Energy
Transcript Highlights:
- But the point is that you go into a home, you evaluate it, and you can put dollars into those remedies
- So your parameters of what you look at when you're evaluating a tariff is just in state.
- Or do you evaluate any kind of cost drivers that might be involved in evaluating a tariff for a data
- Chairman. >> Thank you. evaluate any kind of cost drivers that evaluate any kind of cost drivers that
- a a for might be involved in evaluating a a for a<00:55:36.000>
data <00:55:36.320>center?
Bills:
SB8
Keywords:
utilities, public service commission, energy regulation, appointment, emergency declaration, tax increases, consumer protection, Meeting Start 00:00:00
Attendance Roll Call 00:00:51
Approval of Minutes 00:02:07
Legislator Comments 00:02:18
LIHEAP Public Hearing 00:04:19
PSC Update on RS 26 SB 8 00:32:18
WaterStep Presentation 01:04:08, 958, all
CA
Transcript Highlights:
- At the same time, pathways for clinicians to become authorized 5150 evaluators vary significantly across
- still needs to be involuntarily detained and then transported to a facility for the purposes of evaluation
- The grand jury also found no consistent performance measures to evaluate public guardian operations.
- I want to also make clear that CTA continues to evaluate the language that came into print last week
- Clients have a legal right to an independent medical evaluation, and peer-reviewed research confirms
CA
California 2025-2026 Regular Session
Assembly Judiciary Committee Jun 30th, 2026
Transcript Highlights:
- At the same time, pathways for clinicians to become authorized 5150 evaluators vary significantly across
- still needs to be involuntarily detained and then transported to a facility for the purposes of evaluation
- , leading to very devastating outcomes when that person is released before they've been properly evaluated
- The grand jury also found no consistent performance measures to evaluate public guardian operations.
- I also want to make clear that CTA continues to evaluate the language that came into print last week
Summary:
The committee heard testimony on several bills, beginning with SB 16, which would require county behavioral health directors to create clear pathways for clinicians to be authorized to initiate 5150 involuntary holds. The author and supporters argued the bill would reduce reliance on law enforcement and create more consistent crisis response standards statewide, while county behavioral health directors opposed it as an unfunded mandate that could increase law enforcement involvement and create implementation burdens. Members raised questions about county costs and funding, but the author emphasized the bill’s role in building a more clinical response system.
SB 561 would require public guardians to acknowledge conservatorship referrals, make determinations within a reasonable time, and provide status updates on request. Supporters said the bill would reduce delays that leave vulnerable adults in limbo, while the opposition from public guardian representatives was removed after amendments. SB 381 drew extensive public testimony in support; it would allow California-born adoptees, and descendants of deceased adoptees, access to original birth certificates, with a nonbinding contact preference form for birth parents. Supporters framed the bill as a matter of dignity, identity, and health, and there was no formal opposition on the record.
The committee also discussed SB 880, which would give tenants and prospective owner-occupants notice and a first opportunity to make an offer when institutional investors sell certain homes. Supporters said it would expand homeownership opportunities and preserve neighborhood stability, while opponents warned about conflicts with federal law, bundled-sale restrictions, and impacts on build-to-rent and affordable housing projects. Members and the author discussed possible amendments to address those concerns. SB 1238 would impose a duty of care and additional transparency requirements on HOA managers and boards; supporters said it would protect homeowners from mismanagement, while the main opposition argued the duty should remain contractual and could increase litigation. Finally, SB 423 would require disclosure of emergency-service records related to private detention facilities, and SB 28 would make changes to the CARE Court process, including a statewide ombudsperson and expanded oversight; both drew support and opposition, with concerns focused on transparency, privacy, implementation, and the balance between treatment and coercion. SB 574, discussed at the end, would require disclosure and human oversight for AI use in courts and legal practice and create a complaint process for ADR providers, with the State Bar noting requested amendments related to complaint handling and confidentiality.
OR
Oregon 2026 Regular Session
Attorney General Rayfield Press Event: Medicaid Fraud Enforcement Record Jun 23rd, 2026
Transcript Highlights:
- After I took office, we were continuing to evaluate our current capacity here at the Oregon Department
- additional FTE, which the legislature granted in the 25-27 session, and we're going to be continuing to evaluate
Summary:
Oregon Attorney General Dan Rayfield held a press event marking National Health Care Fraud Takedown Day to highlight the state’s Medicaid fraud enforcement work and announce four new criminal filings. He said the Oregon Department of Justice’s Medicaid Fraud Unit, which includes investigators, auditors, attorneys, data analysts, and a nurse investigator, has secured hundreds of convictions and settlements since 2010 and recently received additional staffing from the legislature. He framed the work as bipartisan and aimed at protecting vulnerable Oregonians, recovering taxpayer dollars, and deterring fraud.
The announced cases involved alleged provider or vendor fraud rather than Medicaid recipients: Ed Morgan of Beaverton was charged in connection with housing assistance funds tied to a health-related social needs program; Linda Thomas and her company, Gateway of Willamette Valley, were charged with billing Medicaid for day support services not provided; and Amanda Thorne, a former Lane County employee, was charged with using a government credit card for personal purchases. Rayfield also noted recent progress in other cases, including a nurse who pleaded no contest to false billing and theft and was sentenced to jail, probation, and restitution, and a medical transportation company owner recently charged with billing for services not provided.
In response to questions, Rayfield said Oregon staff attended a federal meeting on Medicaid fraud despite late notice and political tensions, emphasizing that fraud enforcement should remain bipartisan. He said the federal landscape is complicated by cuts to enforcement staff even as there is talk of increased enforcement, and that states have had to step up. He also said Oregon’s managed care system has not been a major barrier to investigations, which typically begin with complaints and are developed with partner agencies. No votes or formal legislative actions were taken at the event.
OK
Oklahoma 2026 Regular Session
Local and County Government Feb 10th, 2026 at 02:00 pm
Local and County Government
Transcript Highlights:
- Certainly, the Department of Environmental Quality evaluates all campsites and permits for a campsite
- If such an evaluation finds a campsite does not meet basic environmental and sanitation standards, why
NM
New Mexico 2025 Regular Session
IC - Public School Capital Outlay Council Aug 27th, 2025
Transcript Highlights:
- When we are making new awards, how are we evaluating them?
- projects done, and two, so that we can... ...potentially think about how we use that same level of evaluation
CA
California 2025-2026 Regular Session
Assembly Emergency Management Committee Jun 30th, 2025
Emergency Management
MN
Minnesota 2025-2026 Regular Session
House Floor Session Mar 12th, 2025
Minnesota House Floor Meeting
Transcript Highlights:
- The EQB repeals a mandatory report to the legislature on evaluation and recommendations for mandatory
- In committee, they also said that the evaluation of mandatory categories can be better accomplished through
MA
Massachusetts 2025-2026 Regular Session
Joint Committee on Financial Services Jun 21st, 2026 at 10:30 am
Joint Committee on Financial Services
Transcript Highlights:
- other bills like it because it creates an overly broad and loosely defined state mechanism for evaluating
- other bills like it because it creates an overly broad and loosely defined state mechanism for evaluating
- In Germany and France, national health technology assessment bodies evaluate drugs for clinical and economic
- These evaluations ensure governments spend wisely and patients get value.
- By requiring accountability standards and systematic evaluations of clinical value, this bill can bring
Summary:
The committee held a lengthy hearing on a large docket of pharmacy and drug-pricing bills, with most testimony focused on PBM reform, 340B drug discount program protections, specialty medication access, and medication adherence. Chair James Murphy and Senator Paul Feeney opened the hearing and took testimony from legislators, patient advocates, pharmacists, health center leaders, industry representatives, and policy groups. Several speakers described delays, denials, high out-of-pocket costs, and pharmacy closures tied to PBM practices, while others emphasized the importance of community health centers and independent pharmacies in serving patients.
On the 340B program, supporters including Senator Eldridge, Senator Payano, Community Care Cooperative, Fenway Health, the Massachusetts League of Community Health Centers, and several community health center leaders argued that bills such as H. 1107 and S. 819 would stop discriminatory PBM and manufacturer practices, preserve contract pharmacy access, and protect safety-net providers that say they reinvest savings into care, pharmacy expansion, interpreter services, behavioral health, and other services. Opponents including PhRMA, the Community Liver Alliance, and a public policy analyst argued the program lacks transparency and accountability, has grown beyond its original purpose, and may benefit large hospitals and for-profit entities more than low-income patients. They urged more reporting and oversight rather than expanding protections.
On PBM reform, testimony supported bills including H. 1157, H. 1234, S. 724, S. 831, and related measures that would require rebate pass-through, ban spread pricing, limit steering to PBM-owned pharmacies, and improve reimbursement for community pharmacies. Independent pharmacists and patients said current PBM practices raise costs, create administrative burdens, and threaten access to local pharmacies. PCMA, representing PBMs, opposed the reforms, arguing PBMs lower costs, that plan sponsors choose to contract with them, and that the Health Policy Commission and CHIA should complete their ongoing study before new mandates are adopted. The committee also heard support for H. 1322 and S. 734 on specialty medications, and for H. 781 and H. 1305 on medication synchronization to improve adherence. No votes or formal actions were taken during the hearing.
AR
Arkansas 2026 1st Special Session
LEGISLATIVE JOINT AUDITING Jun 5th, 2026
LEGISLATIVE JOINT AUDITING
Transcript Highlights:
- And correct me if I'm wrong: this was determined through the evaluation of the internal controls, is
- It wasn't—it was part of the process of an audit evaluating your controls, and this is the result of
- that evaluation of the internal controls.
- What's the current process for evaluating the logs that are being, you're obviously consolidating those
- We were waiting until we got the findings from this review, or not investigation, but the evaluation
Summary:
The committee met to adopt prior minutes and reports from its executive and standing committees, including counties and municipalities, educational institutions, and state agencies. Those reports covered routine audit activity, delinquent private water and sewer audits, municipal accounting compliance issues, education audit findings, and several state agency audit items. The committee also reviewed and adopted the State of Arkansas annual comprehensive financial report for fiscal year 2025 and the related single audit report, both presented by Legislative Audit staff.
The state financial report showed unmodified opinions on the state’s financial statements and described total assets of about $41.9 billion and liabilities of about $11.1 billion, along with retirement system assets of $39.9 billion and a net pension liability of $9 billion. Two material weaknesses were identified: insufficient internal controls at the Office of State Technology to monitor threats and unauthorized access, and a Division of Workforce Services methodology change for unemployment-related estimates that was not properly documented or approved. The single audit covered $12.4 billion in federal awards across 469 programs, with 16 major programs reviewed; it resulted in 33 findings, 14 with questioned costs totaling $16.6 million, and qualified opinions for the Summer EBT program, the Coronavirus Capital Projects Fund, and the Child Care Development Fund cluster.
Members questioned agency officials in detail about the Summer EBT questioned costs, DHS unresolved findings, broadband grant documentation, cyber security controls, workers’ compensation liabilities, and child care funding and reporting. DHS explained that the Summer EBT issue involved drawing federal funds in advance rather than as benefits were redeemed, and said the process has been corrected. Broadband officials said the questioned $6.6 million reflected documentation-detail disagreements across many invoices rather than missing payments. OST officials described new logging, endpoint detection, and phishing-training efforts, and DFA and Education officials addressed specific audit findings and corrective actions. The committee ultimately moved to hold the two large statewide reports over until the August meeting for further review, with discussion continuing on whether to release some agency staff in the meantime.
LA
Transcript Highlights:
- retroactivity piece of this is one PBM paying back to January 1 on something that they completely evaluated
- saying it, which is basically two months when two of the other big three—that's 80% of the market—evaluated
- retroactivity piece of this is one PBM paying back to January 1st on something that they completely evaluated
- It's not only a regulator saying that. on something that they completely evaluated.
- saying it, which is basically two months when two of the other big three that's 80% of the market is evaluated
Keywords:
family leave, insurance, paid leave, employment benefits, caregiver support, liability insurance, coverage defenses, direct action, judgment enforcement, legal procedures, insurance referrals, compensation, non-licensed agents, consumer protection, insurance products, HB 870, Act 907, Louisiana insurance, health insurance, prescription drugs
MN
Minnesota 2025-2026 Regular Session
Facing Minnesota's Affordability Crisis by Addressing Healthcare Costs and Home Construction Hurdles May 1st, 2026
Minnesota Senate Floor Meeting
Transcript Highlights:
- hope that the next legislative session would be able to take this information and, number one, re-evaluate
- take this information and number able to take this information and number one,<00:25:35.280>
re-evaluate - one, re-evaluate one, re-evaluate its<00:25:37.920>
own <00:25:38.680>responsibilities - The first thing I would do is, at the state level, evaluate every program that's out there and every