Video & Transcript Research : 'performance tier'

Page 14 of 442
TX
Transcript Highlights:
  • production, operators must decide whether to spend... on new wells with higher production rates or perform
  • public retirement systems to select an independent third party to complete investment practices and performance
  • Current statutory requirements, and it modifies the applicability of the investment practices and performance
  • comptroller may contract with a private vendor to establish the gold and silver contract currency and perform
  • Performance duties be?
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:
  • No matter the title, however, community health workers are public health professionals who perform similar
  • These new technologies and practices should be integrated Currently performed by cemeteries.
  • to a three-tier model.
  • around one for all ages, with significant mid-tier provider treatment instead.
  • Where BCBA hours remain around one for all ages, with significant mid-tier provider treatment instead
Keywords: 995, all
Summary: The committee hearing covered a wide range of public health bills, with much of the testimony focused on two major themes: expanding access to care and stabilizing health-related workforces and services. On House 2364, an act relative to medical health and fitness facilities, representatives from Dedham Health and Athletic Club argued for a pilot program recognizing supervised exercise as medicine, saying it could improve outcomes for chronic disease, fall prevention, and mental health while reducing costs. On House/Senate bills concerning community health workers (H. 359/S. 251), multiple witnesses from MACHW, Health Care for All, MHA, Cambridge Health Alliance, Mass General Brigham, Boston Children’s Hospital, Asian Women for Health, and the City of Somerville described CHWs as essential for navigation, trust-building, language access, and addressing social needs, and urged reimbursement by MassHealth, the GIC, and private insurers, along with workforce development measures. One pediatric neurologist also told the committee that losing grant-funded CHW support led to more avoidable ER visits and threatened clinic operations. The committee also heard extensive testimony on hospital closures and essential services. Witnesses including Dr. Alan Sager, MNA President Katie Murphy, nurses from Brockton Hospital and Providence Behavioral Health, and local officials and legislators from Norwood described the loss of hospitals and service lines, especially maternity, pediatric, and behavioral health care, and argued current closure processes are too weak to protect communities. They supported bills such as H. 2460/S. 1503 and H. 2534/S. 1574, which would require earlier notice, community input, stronger state oversight, possible receivership, and limits on reopening or expanding after closures. Testimony emphasized the impact of Steward’s bankruptcy, the closures of Carney and Neshoba Valley, and the need to preserve access to essential services in underserved areas. Several end-of-life and professional regulation bills were also discussed. On H. 2436, Representative Omar Gomez and funeral industry witnesses supported eliminating Office of the Chief Medical Examiner fees for the removal of a child’s body in cases involving children five and under, describing the bill as a small but important relief for grieving families. On H. 2444 and related Senate bills, cemetery and consumer advocates supported legalizing alkaline hydrolysis and natural organic reduction as environmentally friendly after-death options, while cemetery representatives opposed H. 2360, which would allow funeral establishments to operate crematories, arguing cemeteries should retain that role. The committee also heard support for H. 2382, which would exempt dentists and oral surgeons from a new office-based surgical center framework, and for H. 2461, which would create hospital efficiency standards; employers and retailers backed that bill as a way to address rising health care costs. Finally, the committee heard testimony on autism services and hospital governance. On S. 1414, behavior analysts and school representatives said Massachusetts already licenses assistant-level ABA providers but MassHealth does not reimburse them, causing long waitlists and limiting school and family access; an actuary testified that a three-tier ABA reimbursement model could reduce MassHealth costs by up to 6% per child served. Senator Lovely also testified in support of S. 1572, which would require at least one registered nurse on each acute care hospital governing board, arguing nurses’ frontline perspective would improve quality and retention. No votes were taken in the hearing excerpt, but many witnesses urged favorable reports on their respective bills.
FL

Florida 2026 Regular Session

Education Pre-K - 12 Nov 18th, 2025

Education Pre-K - 12

Transcript Highlights:
  • So even in some of our sort of best-performing districts in terms of chronic absenteeism, we still see
  • These can often take the form of multi-tiered response systems, an approach that essentially thinks of
  • We have our MTSSS, multi-tier system of support.
  • We have our Tier 1, all students receive recognition and all that. We do our PSA announcements.
  • Early warning interventions for our Tier 2 students are the same.
Summary: The committee met to discuss student attendance and chronic absenteeism in Florida K-12 schools, with Chair Simon outlining the state’s attendance requirements and intervention process, including school contact after unexcused absences, child study team review, district superintendent referral, DJJ family services referral, truancy petitions, and possible parental prosecution and driver’s license consequences. Dr. Chris Curran of the University of Florida presented statewide data showing chronic absenteeism has risen sharply since the pandemic, with Florida at about 31.4% in 2023–24, and noted that absenteeism varies by district, school level, demographics, and urbanicity. He emphasized that causes are multifaceted—ranging from transportation, mental health, housing instability, safety concerns, and family circumstances—and said effective responses include early warning systems, text or phone outreach, multi-tiered interventions, mentoring programs like Check & Connect, and community partnerships. He also cautioned that punitive responses alone are often less effective than addressing root causes and keeping students engaged academically even when they miss school. Collier County Superintendent Leslie Ricciardelli described her district’s attendance efforts as a priority supported by attendance specialists, social workers, mental health staff, home visits, attendance contracts, and extensive parent communication. She said Collier’s chronic absenteeism rate was about 9% in 2023–24 and attributed success to consistent monitoring, family outreach, and community support, while stressing that students must be physically present to learn. She also argued that many absences are tied to barriers such as clothing, transportation, childcare, or family mental health, and that districts need resources to address those issues. Dr. Rachel Dawes added that Collier uses multilingual brochures, attendance awareness campaigns, vacation-planning guidance, door tags, automated calls and letters, and a truancy flow chart, with truancy court used as a last resort. Volusia County Executive Director Mike McAuliffe described a districtwide overhaul that included an attendance matters campaign, automated notices sent early and often, same-day and period-by-period notifications, a data dashboard, and tiered supports through MTSS. He said Volusia reduced chronic absenteeism from 34% in 2023–24 to a projected 29% and reported a first-quarter rate of about 20% in the current year. He highlighted community partnerships, including AdventHealth support for washers and dryers, bikes for students with transportation barriers, and monetary recognition for schools that reduce absenteeism. In response to questions, both district leaders emphasized that funding, staffing, and consistent follow-through are essential, and that attendance work is most effective when paired with family engagement, data monitoring, and practical supports rather than punishment alone.
ND

North Dakota 2025-2026 Regular Session

Human Services Committee May 27th, 2026

Transcript Highlights:
  • And I'll explain what Tier 1 and Tier 2 mean.
  • So what Tier 1 and Tier 2 means is Tier 1 is considered to be the likely-to-be-funded portion of our
  • So we rank and score our applications, placing things in Tier 1 and Tier 2.
  • Tier 1 is historically renewals.
  • to pay for performance.
Summary: The committee first heard an update on North Dakota’s Interagency Council on Homelessness and Continuum of Care funding. Jennifer Henderson of the North Dakota Housing Finance Agency reported that homelessness remains driven by tight housing markets, low incomes, rising rents, and barriers to rental assistance, public benefits, and disability determinations. She said the state’s one-time North Dakota Homeless Grant is serving all regions but reaches far fewer households than the former Rent Help program, and that aging homelessness, shelter staffing shortages, and limited affordable units are growing concerns. Members discussed the need for more housing supply, better coordination with Health and Human Services, landlord engagement, reentry housing, and possible continued one-time funding for the $10 million Homeless Grant and $25 million Housing Incentive Fund. Henderson also warned that federal Continuum of Care funding is uncertain, with HUD expected to issue a new notice June 1 and possible shifts away from permanent supportive housing toward transitional housing and other models. The committee then took testimony on accessibility of government services for people who are blind, visually impaired, deaf, or hard of hearing. Paul Olson of North Dakota Vision Services School for the Blind described the school’s services for infants, children, and adults, including screenings, mobility training, assistive technology, and outreach across the state. He said the agency works closely with Vocational Rehabilitation and is also involved in improving website and document accessibility, especially for PDF materials. Public testimony highlighted barriers such as inaccessible CAPTCHA systems, online forms, driver’s license requirements on job applications, and limited transportation in rural areas. A deaf resident urged broader use of video remote interpreting and video relay services, along with training so people know how to use them effectively. Finally, Kay Larson presented the final report on the child care provider licensing study. The report recommended streamlining North Dakota’s child care licensing structure into three provider types plus a preschool designation, while preserving health and safety standards and maintaining eligibility for child care assistance. The committee discussed simplifying training and qualification rules, revising ratio and group-size requirements, and adjusting age bands for infants and toddlers. The report also noted that some changes would require statutory amendments and later administrative rule changes, with a transition period likely extending through 2029. No formal votes were taken in the transcript, but the committee accepted the updates and scheduled follow-up presentations for a later meeting.
NY

New York 2025-2026 Regular Session

New York State Senate Session - 05/26/2026

New York Senate Floor Meeting

Transcript Highlights:
  • 6 performance to the members.
  • We have often said that we should eliminate Tier 5 and 6 and move everybody back to Tier 4, but I think
  • >> I vote yes because Tier 6 to go.
  • to many folks who are in Tier 6.
  • TO MANY FOLKS WHO ARE IN TIER 6.
Keywords: 993, senate, all
Summary: The Senate convened, approved the prior journal, and then moved through a series of budget-related and ceremonial items. The chamber accepted Rules and Finance Committee reports and took up several budget extender and budget implementation bills, including the main appropriations extender and later a transportation, economic development, and environmental conservation budget bill. Senators questioned the sponsor extensively about the status of the remaining budget bills, the use of messages of necessity, and the absence of joint budget conference committees. The extender bill passed 59-2, and later budget-related measures were advanced after reconsideration and amendment. A major portion of the session focused on the environmental and energy provisions in the budget bill, especially changes to the Climate Leadership and Community Protection Act. Senators debated extending emissions targets, the role of cap-and-invest, utility affordability, ratepayer impacts, and the structure of a proposed blue-ribbon commission. Supporters said the changes were needed to give the state more time to implement the law and to protect affordability, while opponents argued the bill was a political delay that would not lower energy costs and relied too heavily on subsidies and future planning. The bill also drew questions about electric vehicle rebates, thermostat control programs, emergency diesel generation for Micron, and how imported electricity and out-of-state emissions would be treated. The Senate also adopted several previously adopted resolutions honoring the 50th anniversary of the National Black Caucus of State Legislators, India Independence Day, the New York State Veterans Hall of Fame, and the 50th anniversary of Interfaith Works of Central New York. Senators spoke in support of each resolution, highlighting the contributions of Black legislators, Indian-American communities, veterans, and refugee and interfaith service organizations. The Veterans Hall of Fame ceremony was specifically noted as a chamber event, and guests were recognized from the floor and gallery. In addition, the Senate restored recalled bills to the third reading calendar through reconsideration votes and amendments, including a highway law bill and another recalled bill, and then stood at ease for scheduled conferences and a Veterans Hall of Fame ceremony before resuming session. The transcript ended with discussion of a separate bill affecting automobile insurance serious-injury standards, with questions about what claims would remain available and whether the change would improve affordability.
MN

Minnesota 2025-2026 Regular Session

House Education Policy Committee 3/10/26

Education Policy

Transcript Highlights:
  • 2 and tier three provide those tier 2 and tier three interventions. interventions. interventions.
  • one to tier four.
  • one to tier four.
  • one to tier 4.
  • Um so hopefully this tier one to tier 4.
Bills: HF3421
TX
Transcript Highlights:
  • State funding includes funding for the base and performance tier formulas and non-formula appropriations
  • Appropriations for the performance tier are based in part on projections of the number of outcomes.
  • Moving to item 3, credentials that receive funding in the performance tier formula are those obtained
  • Turning to item 5 on page 8, this table shows the trend of the outcomes in the performance tier formula
  • The proposed performance tier allocations and provisions for dynamic adjustment and settle-up ensure
Bills: SB1, SB 1
TX
Transcript Highlights:
  • a separate mental health allotment in tandem. with the school safety allotment to fund the multi-tiered
  • But this is a, quite frankly, a... you know, very generous increase, but it comes with performance.
  • Right and we're gonna insist upon performance.
  • I will insist upon performance before I sign off on a pay raise.
  • Back in 2019, you were responsible for the tier system. That was like.
Bills: SB260, SB263, SB293, SJR18
FL

Florida 2025 Regular Session

February 4, 2025 - 03:00 PM

Transcript Highlights:
  • Well, it's tiered.
  • Right now we have three tiers of transportation.
  • Prince about MTSS, you have a multi-tiered system of support.
  • Prince about MTSS, so you have a multi-tiered system of support.
  • Many times these kids might be performing well, but it's still bad habits.
Summary: The subcommittee first heard an overview from Department of Education Chancellor Paul Burns on Florida’s K-12 governance structure and major divisions, including early learning, public schools, safe schools, school choice, and accountability. He highlighted school readiness and VPK, teacher preparation and licensure, school safety functions, scholarship and virtual/home education programs, and FAST progress monitoring. Burns also cited statewide gains such as higher mid-year reading performance, a record graduation rate of 89.7%, and record CTE enrollment, while members questioned the meaning of Florida’s “number one” education rankings, teacher pay, post-COVID learning loss, vacancies, and chronic absenteeism. St. Lucie County Superintendent John Prince then described the scale and responsibilities of a mid-sized district, emphasizing student safety, transportation, meals, hurricane shelter operations, career and technical education, teacher recruitment and retention, progress monitoring, remediation, and mental health supports. Members asked about school shelter construction standards, remediation funding, late school start times, attendance, and concordance scores; Prince argued for more flexibility for CTE pathways and noted that local districts use a mix of state and federal funds to support remediation and staffing. The committee then moved to an early warning systems panel. Burns explained that Florida law requires districts to use attendance, behavior/suspensions, course performance, FAST results, and other academic indicators to identify students needing support, with districts and families developing intervention plans. Superintendents from Putnam, St. Johns, and St. Lucie counties said chronic absenteeism is tied to achievement and NAEP decline, but causes vary by district, including poverty, transportation, daycare, family instability, travel, and student athletics. They described MTSS, PBIS, home visits, attendance letters, and community partnerships as responses. Members also discussed VPK access, full-day VPK funding, excused versus unexcused absences, and the need for earlier intervention in pre-K and K-2. Finally, Vice Chancellor Darren Norris outlined Florida’s post-Parkland school safety measures, including armed school officers, anonymous reporting, behavioral threat assessment teams, mental health training, panic alert systems, emergency drills, active assailant response policies, and firearm detection canines. Superintendents said compliance is costly and often requires shifting local funds, but they praised state grants for mental health, hardening, and mapping. They noted ongoing challenges with new mandates, capital costs, manual reporting burdens, and the need to balance safety requirements with classroom resources.
NM
Transcript Highlights:
  • We'll see 2025's Tier 2 reports in March of '26.
  • We'll see 2025's Tier 2 reports in March of 26.
  • Fees, increased Tier 2 fee. What is the Tier 2 fee? Mr.
  • Chair, the Tier 2 fee is the fee that accompanies Tier 2 reporting.
  • These Tier 2 fees go towards that. Interesting.
Summary: The committee first heard a presentation from the Environment Department on PFAS contamination in private wells in La Cienega, Santa Fe County. Staff said the plume likely came from historic use of firefighting foam associated with airport and National Guard fire-training activities, with possible additional contribution from septic systems and consumer products. They described the contamination as affecting about 200 private wells, the short-term response of providing residential filters through a $2 million legislative appropriation, and ongoing work to define the plume’s full extent, identify responsible parties, and consider longer-term regional water solutions. Members asked about filter costs, replacement schedules, disposal of used cartridges, follow-up testing, health studies, and whether cleanup or containment had begun; the department said cleanup would follow once the plume is fully mapped and that DOH is soliciting interest in a blood study. The committee also discussed the need to track disposal of PFAS filters and the possibility of broader statewide capacity for similar work. The committee then took up abandoned uranium mine cleanup. NMED and EMNRD staff reviewed the new uranium mine reclamation program created by HB 164, the state dashboard tracking sites, and the FY26 appropriation of $20 million for neglected contaminated sites, of which $12 million is being used for neglected uranium mines and the remainder for other contaminated sites. They said six contractors were hired, three priority sites in Grant County are moving forward quickly, and additional sites are being prepared for possible FY27 work. Members pressed for details on how funds are spent, why the revolving fund remains unfunded, how federal, state, tribal, and landowner requirements are coordinated, where contaminated material will be moved, and whether cleanup could also address homes built with contaminated materials. Staff said the work is governed by multiple regulatory layers, that the state is seeking an additional $25 million for FY27-FY28 plus a time extension, and that partnerships with tribes would require longer-term agreements. The committee also discussed federal cleanup efforts and the new Good Samaritan law, with members urging stronger advocacy for New Mexico sites, including tribal lands, and asking whether the Attorney General should pursue legal action against federal parties responsible for legacy contamination. Staff explained that some sites are already covered by settlement funds tied to responsible parties, while neglected sites are those with no responsible party and no other cleanup program. The committee then heard from EMNRD on Class VI carbon sequestration primacy. Staff said New Mexico currently has no operating Class VI wells, about 27 Class II acid-gas injection wells are operating, and only a small number might be candidates for conversion. They explained that the state’s primacy application would require more public outreach than federal rules alone, and that cost estimates for post-injection site care are based on long planning horizons, with some costs borne by operators and some by the state after closure. No votes were taken on the substantive items discussed; the committee approved the prior meeting minutes and took a brief recess between presentations.
CA
Transcript Highlights:
  • My whole view on this is, like you said, very organic, very lower tier.
  • In your packet, you'll see our multi-tiered continuum of care in there.
  • In all, we now offer Tier 1 and Tier 3 services to 318 school sites, Tier 2 services to 76 school sites
  • one, tier two kind of supports, have you looked at the details around that?
  • Tier two kind of supports. Is that, have you looked at the details around that?
Summary: The Select Committee on Youth Mental Health and Treatment Access held its third hearing to review the state of youth mental health, progress under the Children and Youth Behavioral Health Initiative (CYBHI), and remaining implementation and funding challenges. The chair emphasized that schools are often the main point where education, health care, and social services intersect for students, and that the committee’s goal is to ensure public investments translate into better access and outcomes. The hearing featured testimony from researchers, a youth advocate, state officials, and local practitioners. PPIC researcher Shalini Mostala reported that teen mental health remains a serious concern, with high rates of chronic sadness, hopelessness, and suicidal thoughts, though recent California data show some improvement since the pandemic. She noted persistent disparities by gender, race, and rural status, and said school-based health centers, wellness centers, and community schools are associated with lower suicidal thoughts. Youth advocate Ella Cruz, speaking for NAMI California, described her own mental health struggles and argued that youth voice, peer-to-peer support, and reducing stigma are essential; she also said technology and AI cannot replace trusted adults or trained professionals. Committee members asked about phone use, stigma, cultural barriers, and how to make supports more accessible and relatable to students. Dr. Sohill Sood of the California Health and Human Services Agency said statewide survey data show declining stigma, increased counseling use, and lower suicide ideation among students, and he highlighted CYBHI’s certified wellness coaches, digital tools, awareness campaigns, and the first-in-the-nation fee schedule that allows schools and colleges to bill health plans for behavioral health services. He said the program is growing quickly, with more than 230,000 claims and over $11 million in new revenue to date, while acknowledging that billing systems and coordination are still being built. Trina Frazier of Fresno County described a multi-tiered system of care supported by CYBHI, CalAIM, and other grants, serving thousands of students through school-based services, wellness centers, and mobile therapy units; she said ongoing funding and flexibility are critical. Rachel Kroberniski of El Segundo High School’s James Morehouse Project described a long-running wellness center and peer mentorship model that supports students in multiple languages, and said peer programs help students feel seen, connected, and more willing to seek help. Members broadly praised the flexibility, collaboration, and peer-based approaches described by the witnesses. Questions focused on sustaining funding after one-time grants expire, improving coordination among schools, counties, and providers, expanding the fee schedule to higher education, and ensuring continuity of care for students after high school. Officials said county offices of education, DHCS, and other partners are using communities of practice and technical assistance to spread best practices, and that CYBHI services can follow some young adults through age 25, with additional supports through community-based programs and digital platforms.
MN

Minnesota 2025-2026 Regular Session

House Education Finance Committee 2/16/22

Education Finance

Transcript Highlights:
  • to other tiers, less than 12 percent of BIPOC teachers hold Tier 1 and Tier 2 licenses.
  • The tiered licensing system provides pathways for tier one educators to qualify for a tier two license
  • c> and<01:13:54.080> two their tier targeting tier one and two their tier targeting tier one
  • candidates to obtain a tier 1 or tier<01:14:17.920> 2<01:14:18.159> license tier 2 license
  • tiers tiers the<01:14:59.679> tiered<01:15:00.000> licensing<01:15:00.640> system
Keywords: 919, house, all
Summary: The Education Finance Committee met remotely on February 16, 2022, with a quorum present and approved the minutes from the previous day by voice vote. Chair Dabney said the committee was spending the week on public school staffing shortages, especially efforts to increase and retain BIPOC teachers, and introduced testimony on the Collaborative Urban and Greater Minnesota Educators of Color Grant Program (CUGMEC) and the broader Increasing Teachers of Color Act. Testifiers from St. Thomas, Augsburg, and Hopkins described the history and impact of the legacy educator-of-color programs. Kathleen Campbell said the original Q program was created to address underrepresentation, remove financial barriers, and provide mentorship and culturally relevant support; she argued that when the grant became competitive in 2017 without additional funding, support was spread too thin and student capacity dropped. Audrey Lensmeyer described Augsburg’s East African Student-to-Teacher Program, rooted in community advocacy in Cedar-Riverside, and said it has produced strong completion and licensure outcomes. Keenan Jones shared his path from paraprofessional to teacher and district leader, emphasizing the importance of scholarships, mentorship, and outreach to high school students, including a statewide co-enrollment Intro to Teaching course. Representative Hassan then presented House File 3079, saying the bill aims to attract, prepare, complete, and retain more teachers of color and American Indian teachers through several grant and program changes, including Closing the Educational Opportunity Gap grants, Cook Mac funding, teacher mentorship and retention updates, and revisions to CUGMEC. He said the bill responds to a severe shortage of BIPOC teachers and that the requested investment is small relative to the state surplus. Student and educator testimony followed, including a third-grade student from Crookston and Ava Roots, both of whom described the importance of having teachers who reflect students’ cultures and experiences. Natalia Benjamin, the 2021 Minnesota Teacher of the Year, also testified about retention challenges for educators of color and racialized workplace treatment. The committee indicated it intended to lay over HF 3079 for possible inclusion in a future omnibus bill, and Representative Richardson moved the bill to be laid over for further consideration.
NM

New Mexico 2025 Regular Session

IC - Investments and Pensions Oversight Oct 9th, 2025

Investments & Pensions Oversight Committee

Transcript Highlights:
  • Corrine Hall, and she is the Senior Manager of State Fiscal Policy Project, Government Performance, and
  • So what this was showing in the case GRS was making was looking at the reforms, the Tier Two reforms,
  • We made a new tier with smaller benefits, and all of that changed the downward trajectory toward...
  • We perform the same analysis. Could you please introduce yourself? All right.
  • So, we perform the same analysis. Same studies, virtually identical.
MN

Minnesota 2025 1st Special Session

Committee on Education Policy - 02/26/25

Education Policy

Transcript Highlights:
  • So, I think it’s important to understand what tier one, tier two, and tier three interventions are in
  • So, I think it’s important to understand what tier one, tier two, and tier three interventions are in
  • understand what tier one tier two and understand what tier one tier two and tier<00:58:52.960>
  • structured way tier two and tier three structured way tier two and tier three might<01:05:00.559
  • there's clear misunderstanding the tier there's clear misunderstanding the tier one<01:06:48.720
Keywords: 1187, senate, all
FL

Florida 2026 Regular Session

Appropriations Committee on Health and Human Services Apr 10th, 2025

Appropriations Committee on Health and Human Services

Transcript Highlights:
  • serve all Medicaid-eligible children who receive skilled nursing services and will provide them with tiered
  • And this is going to allow us to really look at how to do a tiered level of services to keep them out
  • And this is going to allow us to really look at how to do a tiered level of services to keep them out
  • Actually, last committee, we changed that just to physicians to perform stem cell therapies for certain
  • Practitioners actually last committee we changed that just to physicians to perform stem cell therapies
Summary: The Appropriations Committee on Health and Human Services met to consider a full agenda of bills, moving quickly through 20 measures and several amendments. Early bills reported favorably included SB 976 on procedures for challenging court-appointed psychologists in family law cases, SB 306 on Medicaid managed care provider access outside regular business hours, and SB 584 on housing supports for foster youth and college students, which drew supportive testimony from former foster youth and was backed by members as a way to improve stability and educational opportunity. The committee also approved SB 1412 to modernize home health regulations and SB 1800 to create a Parkinson’s research consortium at USF, with members citing the need for more research and future funding opportunities. The committee adopted amendments on several bills, including technical and conforming changes to the Parkinson’s bill and other measures. The committee then advanced a series of health care and child welfare bills. SB 524 added Duchenne muscular dystrophy to newborn screening; SB 1156 revised the Home Health Aide Program for medically fragile children, including training, reimbursement, and work-hour flexibility; and SB 1490 reorganized services for medically fragile children by shifting program administration to AHCA and requiring a redesign plan for the Medicaid waiver. SB 1174 allowed foster home and child-caring agency licenses to be amended when a foster parent relocates, and SB 1620 implemented selected recommendations from the Commission on Mental Health and Substance Use Disorders, including a new research center at USF and school-based behavioral health review requirements. SB 1568 revised e-prescribing exemptions, and SB 78 authorized certain veterans’ nursing home beds and related certificate-of-need transfers. All of these measures were reported favorably after brief debate or supportive testimony. Several bills prompted more extensive discussion and some opposition. CS for CS SB 1270, the Department of Health agency package, included provisions on vaccination-related patient rights, medical marijuana reporting, background screening, temporary licensure, compact participation, and sovereign immunity for volunteer dentists; it passed despite concerns from Senators Berman, Brodeur, and Harrell about vaccination language and board/voting-power provisions. CS for SB 1606 on patient access to records drew strong opposition from physicians and health information professionals over privacy, security, fines, and portal access; it was initially reported unfavorably, then reconsidered and ultimately reported favorably as a committee bill. CS for SB 1736, allowing insulin administration by direct support professionals and relatives for individuals with developmental disabilities, and SB 1808, requiring timely refunds to patients, both passed. CS for SB 1842, requiring referring providers to help patients determine whether referred providers are in-network, also passed over concerns about burden on small practices. The committee also advanced SB 1354, a behavioral health oversight bill requiring audits, performance reporting, and system transparency measures for managing entities, and SB 1768, which authorizes physicians to perform certain stem cell therapies using specified products and requires informed consent; both drew supportive comments but also concerns about patient understanding and oversight. Finally, the committee approved SPB 7032 as a committee bill to create presumptive Medicaid eligibility for permanently disabled individuals during redetermination, and after reconsideration it reported SB 1606 favorably as a committee bill. The meeting ended with members noting their recorded votes on select tabs and adjourning after completing the agenda.
TX

Texas 89th 2nd C.S.

Appropriations - S/C on Articles VI, VII, & VIII Feb 27th, 2025

Appropriations - S/C on Articles VI, VII, & VIII

Transcript Highlights:
  • Since then, the commission has exceeded that performance measure every single year.
  • Today on tier 1, we have 15.
  • The next tier, which is level 2 for us, we've broken out into, it's basically 2,500.
  • We don't just go out and one-off plug a tier 1 well.
  • Additionally, this position will help perform post-implementation support of software systems.
Summary: The committee met with a quorum present to hear Article VI Natural Resources agency budget recommendations, beginning with the Railroad Commission. LBB staff summarized the commission’s 2026-27 base recommendation at $458.7 million, down from the prior biennium, with an increased FTE cap. The presentation highlighted reduced federal IIJA funding, volatility in oil and gas regulation account 5155, continued support for IT modernization, and rider changes. The commission’s major exceptional items were then presented, including requests for produced water and injection data reporting, an authorized pit registration system, regulatory filing/permitting upgrades, an underground injection well investigation team, site remediation support, and especially $100 million for orphan well plugging. Members asked about biennium-to-biennium comparisons, salary biennialization, the scale of orphan well risks, federal funding delays, bonding, and whether the state should rely more on industry or general revenue for plugging costs. Commission leadership explained that orphan wells can threaten water and public safety, that plugging costs have risen sharply, and that current funding is insufficient to keep up with emergency wells and the backlog; they also said the agency is moving to cloud-based systems with cybersecurity protections and that the proposed performance measure may need adjustment if funding does not increase. The Railroad Commission testimony was followed by LBB and agency testimony for the Texas Animal Health Commission. LBB described a $42 million recommendation for 2026-27, an increase overall, but with a reduced FTE cap due to turnover and salary reallocation. The recommendation maintained funding for cattle fever tick work, chronic wasting disease, lab testing through an MOU with Texas A&M’s veterinary diagnostic lab, and a new $5 million spay-and-neuter pilot program, while deleting a capital budget rider and adjusting riders tied to entry point inspection stations and clinical trials. Agency leadership then outlined the commission’s mission to protect livestock health and the state’s $22 billion animal industry, and described major disease threats including highly pathogenic avian influenza, cattle fever ticks, New World screwworm, and chronic wasting disease. Their exceptional items focused on recruiting and retaining veterinarians, replacing fleet vehicles, creating an ectoparasite identification lab, adding field staff and IT support, improving records and epidemiology reporting, strengthening central administration, supporting secure food supply planning, expanding chronic wasting disease work, and staffing the new spay-and-neuter program. Members asked about field identification of ticks, the use of disinfectants and PPE, fleet management, the scale of cattle fever tick risk, and chronic wasting disease; the agency explained its current inspection and lab-confirmation process, its reliance on field disinfecting and biosecurity, and the need for more staff and better data systems to keep pace with growing workloads and disease threats.
FL

Florida 2025 Regular Session

March 6, 2025 - 01:00 PM

Transcript Highlights:
  • Other states do tiered growth into your business.
  • Other states do tiered growth into your business.
  • Tier licensure that way, it gives people an opportunity to grow.
  • We cannot go anywhere outside of the tier distribution system that exists in Florida.
  • So, yes, we have a tiered system that starts at the top.
Summary: The subcommittee heard and approved four bills focused on reducing or modernizing professional regulation. HB 6015, by Rep. Oliver, repeals the word “reusable” from the wine keg statute to allow businesses more flexibility in container materials; members joked about the possibility of a Home Depot bucket, and the bill passed 16-0. HB 339, by Rep. Abbott, creates an alternative temporary licensure pathway for surveyors and mappers based on employer recommendation and exam passage, but members raised concerns about qualifications, liability, and oversight; Abbott said he was open to amendments, and the bill passed 14-1 with Rep. Overdorf dissenting. HB 139, by Rep. Lopez, allows pawnbrokers to use digital transaction forms instead of only printed forms; a technical amendment added readability and placement requirements for digital forms, and the bill passed unanimously. HB 195, by Rep. Chambliss, lets the Department of Corrections coordinate with DBPR boards so inmates who complete licensure-related classes can receive credit toward professional licensure; supporters framed it as a second-chance and workforce bill, an amendment clarified that DBPR handles professions without boards, and the bill passed favorably 15-0. The committee then received a presentation from DBPR Secretary Melanie Griffin on the department’s role overseeing more than 1.7 million businesses and professionals across over 30 fields. She highlighted enforcement and complaint data, including more than 24,000 inspections and complaints handled in the last fiscal year, a preference for education and voluntary compliance over formal discipline, and the department’s alternative dispute resolution program, which returned $2.7 million to consumers and saved $270,000 in costs. Griffin also reviewed recent deregulatory and efficiency efforts, including endorsement/reciprocity reforms, fee waivers, reduced processing times, and shorter call wait times, and said DBPR is continuing to look for ways to cut red tape while protecting public safety. Members questioned Griffin about permitting, continuing education, complaint processing, board vacancies, fraud in cosmetology and construction, coordination with other agencies, and whether schools can block students from taking state exams over unpaid tuition. DBPR staff said complaints are generally processed within 60 days, schools cannot bar graduates from taking the exam because of tuition debt, and the department works with other agencies when issues cross jurisdictional lines. The panel discussion that followed featured industry representatives from landscape architecture, building/code administration, pools, roofing, construction, HVAC/electrical, and hospitality, who generally supported reducing local permitting burdens, standardizing requirements, improving reciprocity and training pathways, and using technology and clearer scopes of work to make licensure and inspections more efficient.