Video & Transcript : 'contract modifications' :
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AZ
Arizona 2026 Regular Session
03/23/2026 - House Health & Human Services
House Health & Human Services Committee of Reference
Transcript Highlights:
- I'm a physician executive CEO of Lighthouse Psychiatry who is contracted with access to take care of
- So Rexulti represents an incremental modification of existing antipsychotic therapy rather than a major
- Mandating reimbursement parity obviously increases costs and eliminates market-based contracting.
- This bill requires insurers through... ...and eliminates market-based contracting.
- Value-based contracting would disappear. For those reasons, I ask that you vote no on... ...here.
Summary:
The committee heard several bills related to radiation protection in cardiac catheterization labs and later a stem cell/regenerative therapy bill. On SB 1121, which would allow hospitals with radiation protection systems to let clinicians forgo lead aprons if they work in the designated safety area and use real-time dosimetry, testimony was largely supportive or neutral after a late amendment gave radiation safety officers discretion to require protective gear if exposures approach thresholds. The committee adopted the amendment and passed SB 1121 on a 9-1 vote. SB 1120, a more prescriptive bill requiring at least 50% of cath lab rooms in hospitals to be equipped with the radiation protection system, drew divided testimony: sponsors and several physicians argued it would reduce orthopedic injury and radiation exposure and improve recruitment and retention, while hospital and radiology groups objected to the mandate, cost, limited vendor pool, and lack of clarity in the bill’s definitions. After adopting an amendment excluding children’s hospitals, the committee deadlocked 6-6 and SB 1120 failed to pass.
The committee then considered SB 1118, which would appropriate $3 million to help rural hospitals install radiation protection systems in cath lab rooms. The sponsor said the funding would help rural facilities meet the same safety goals, and the committee passed the bill 6-5. The committee also heard SB 1214, a “guardrails” bill regulating non-FDA-approved stem cell and regenerative therapies, requiring informed consent, sourcing and reporting standards, advertising limits, and civil penalties for violations. Supporters said it would protect patients while allowing access to promising therapies; some members raised concerns about evidence and commercialization, but after adopting a technical amendment, the bill passed 9-3. The transcript ended as the committee moved on to SB 1630, which would seek federal approval for a home- and community-based service benefit for adults with serious mental illness; the sponsor described it as a capped, Medicaid-based community care option, and Access testified neutral while estimating a fiscal impact, but no final action on SB 1630 appears in the excerpt.
NH
New Hampshire 2025 Regular Session
House Science, Technology and Energy (04/14/2025)
Science, Technology and Energy
Transcript Highlights:
- Um, it's a modification of net metering statute, as I recall. removes section two of the bill.
- Um, it's a modification of over there.
- A lot of what we do has two- and three-year contracts.
- A lot of what we do has two- and three-year contracts.
- Buys a lot of power is going to be in a contract, and the contract has you're buying X amount of power
Summary:
The committee met on April 14 and began by welcoming a new member, Representative Samban Denier, who briefly described his background as a Clarkson University environmental engineering graduate and Air Force veteran. The committee then moved into a work session on five energy-related bills, starting with Senate Bill 65 on stormwater management for solar arrays. Representative McGee presented amendment 1594H, which would exclude projects in shoreland areas from the bill’s permit-by-notification process and require the standard alteration-of-terrain permit review instead. Members asked for clarification, and McGee explained the amendment was requested by the New Hampshire Lakes Association and others to preserve the fuller review process for shoreland projects. The committee appeared satisfied with the explanation and moved on.
The committee next discussed Senate Bill 230 on electric utility restructuring and investment in distributed energy resources. Members concluded that section one was unnecessary because a better definition of advanced nuclear resources had already been added to House Bill 710, and that section two would allow investment in advanced nuclear resources in a way they had already rejected in another bill due to ratepayer risk. Several members agreed the bill was redundant and supported an ITL motion. They also discussed Senate Bill 232 on net metering terms and conditions, focusing first on whether hydroelectric generators could be listed in ISO New England while also taking net metering credits. Granite State Hydropower Association representative Heidi Kroll testified that generators are subject to checks and balances, that double-dipping is not occurring, and that rules and tariffs already require participation in one market arrangement or the other.
Discussion on Senate Bill 232 then shifted to section two, which would bar retroactive changes to net metering tariffs in place as of January 1, 2025. Representative McGee proposed alternative language to protect existing customer generators, group hosts, and municipal hosts from retroactive changes, while others said the language was needed to provide stability for current participants operating on thin margins. Some members supported the clearer wording; others argued the committee should not tie the hands of the PUC and DOE, noting future circumstances could require regulatory flexibility and that conflicts could be resolved in court if necessary. The committee did not take a final vote in the portion of the meeting provided, and the discussion was still ongoing when the transcript ended.
CA
California 2025-2026 Regular Session
Assembly Budget Subcommittee No. 4 on Climate Crisis, Resources, Energy, and Transportation May 19th, 2026
Transcript Highlights:
- The request here is for $40 million, and the intent is to invest in contracting with what we refer to
- This is for back-to-work programs and job opportunities, so we'd be contracting out with entities like
- So we'd be contracting out with entities like the Butte County Office of Education, that has statewide
- Given CARB's own estimates that the proposed modifications to the program could reduce GGRF revenues
LA
Transcript Highlights:
- Employees have signed contracts, families have made arrangements, and districts have aligned instructional
- been over $83,000, with costs associated with applications and administration, training, facility modifications
- been over $83,000, with costs associated with applications and administration, training, facility modifications
Keywords:
school safety, emergency operations plan, crisis management, active shooter, drills, training, classroom security, primary health services, behavioral health, school health providers, medical necessity, student health care, education, school week, instructional time, public schools, performance score, student athletes, cardiovascular health, sudden cardiac arrest
AZ
Transcript Highlights:
- I'm a physician executive CEO of Lighthouse Psychiatry, which is contracted with Access to take care
- Rexulti represents an incremental modification of existing antipsychotic therapy rather than a major
- Mandating reimbursement parity obviously increases costs and eliminates market-based contracting.
- This bill requires insurers through... ...and eliminates market-based contracting.
- It died over in the Senate, and everybody paid the same value-based contracting would disappear.
Bills:
SB1052, SB1115, SB1118, SB1120, SB1121, SB1124, SB1171, SB1172, SB1174, SB1175, SB1214, SB1233, SB1235, SB1316, SB1345, SB1372, SB1399, SB1458, SB1494, SB1496, SB1564, SB1602, SB1621, SB1628, SB1630, SB1631, SB1668, SB1672, SB1814, SB1821
Keywords:
assisted living, health care, hyperbaric oxygen therapy, physician orders, informed consent, AHCCCS, remote work, state agency, employment, public health, housing, zoning, middle housing, urban development, duplexes, triplexes, fourplexes, townhomes, historic preservation, radiation protection
NM
New Mexico 2025 Regular Session
IC - Revenue Stabilization and Tax Policy Aug 14th, 2025
Revenue Stabilization & Tax Policy Committee
Transcript Highlights:
- There are exemptions for manufactured homes and certain vehicles that need modifications for disabilities
- to ensure that those modifications are more affordable for disabled individuals.
CA
California 2025-2026 Regular Session
Assembly Natural Resources Committee Apr 7th, 2025
Transcript Highlights:
- my third attempt at this bill, but last year we worked with committee a lot to make significant modification
- Attempt at this bill, but last year we worked with committee a lot to make significant modifications
Summary:
The committee heard a long agenda of natural resources and related bills, with several measures taken up as the committee reached quorum and many others moving on consent or with due-pass recommendations. Early items included AB 80 on carpet recycling, AB 452 creating a local process for state surf reserves, and AB 823 restricting microplastics in personal care and cleaning products. AB 80 drew broad support from recycling, labor, and environmental groups and was described as a follow-up to earlier carpet recycling reforms. AB 452 was backed by surf, tourism, environmental, and local government interests as a voluntary, community-driven way to recognize and protect surf breaks. AB 823 generated the most extensive debate, with supporters citing public health and environmental harms from microplastics and opponents warning the bill’s language could sweep in products such as sunscreens, cosmetics, and fragrance-encapsulation materials; the committee discussed possible ambiguity and EU comparisons before voting the bill out on a due-pass-as-amended basis to Environmental Safety and Toxic Materials.
The committee also advanced AB 1046, which would create a narrow exemption from SB 1383 organic-waste requirements for certain crop preparers and tree nut processors that do not send organic waste to landfills. Agricultural witnesses said the bill would clarify that their operations already reuse byproducts and should not face duplicative reporting, and the measure passed with support from agricultural and rural county representatives. AB 252, the “Stop Laying Off Firefighters Act,” proposed year-round Cal Fire staffing; the author and Cal Fire supporters argued that wildfire conditions are now year-round and that maintaining trained crews would improve response and prevention, and the bill was sent to Appropriations. AB 571, a targeted CEQA exemption for the Southern California Veterans Cemetery in Anaheim, drew strong bipartisan and veterans’ support and also passed out.
Later, the committee approved AB 1455, which would authorize emergency rulemaking and streamline future updates for ember-resistant building regulations after recent wildfire emergencies, and AB 687, which would let public agencies use forest-practice rules and timber-harvest plans for certain publicly funded fuel-reduction projects; AB 687 drew some opposition over scope and enforceability concerns but was still advanced. The committee also moved AB 652, allowing alternate members on the San Diego County Air Pollution Control District board to prevent quorum problems, and AB 317, a first-time homebuyer housing bill that would exempt certain small, lower-cost homes from CEQA and defer some property taxes; AB 317 prompted discussion about guardrails to avoid unintended use on larger subdivisions. Finally, AB 900, requiring the Natural Resources Agency to develop a stewardship plan for 30-by-30 lands, was heard with broad support from land trusts and conservation groups and advanced on a due-pass recommendation, and AB 738, a wildfire-rebuild bill easing solar requirements for certain disaster survivors, was introduced and discussed with questions about its narrow scope and the number of homes affected.
MN
Minnesota 2025-2026 Regular Session
House Human Services Finance and Policy Committee 2/26/25
Human Services Finance and Policy
Transcript Highlights:
- recertification visits are required every 60 days to ensure everything is going well and make any needed modifications
- Required every 60 days to ensure everything is going well and make any needed modifications.
TX
Transcript Highlights:
- We provide ongoing backbone support to both parties, including financial modeling. contract negotiation
- as well that specifies that universities must include a prohibition as a condition in employment contracts
- Right, so it's in the contract. It's in their signed contract, so that's part of the bill.
- It requires them to develop this contract. right, the university with the employees, obviously that would
- then goes on to say that there are responsibilities and then it says the specific accommodations, modifications
Keywords:
instructional materials, public schools, Education Code, adoption, rejected materials, local funds, open educational resources, Texas Education Code, school districts, open enrollment charter schools, funding restrictions, environmental regulation, business compliance, local authority, economic development, state preemption, local control, open education resources, SB 762, Texas public schools
MN
Transcript Highlights:
- cost of the hub's operation by expanding these services to include additional support like home modifications
- capabilities like data analysis, shared technology platforms, compliance programs, program audits, contracting
- cost of the hub's operation by expanding these services to include additional support like home modifications
- capabilities like data analysis, shared technology platforms, compliance programs, program audits, contracting
- the payers in this state, and where we can develop a really true social venture performance-based contracting
MA
Massachusetts 2025-2026 Regular Session
Joint Committee on Public Service Jun 21st, 2026 at 01:00 pm
Joint Committee on Public Service
Transcript Highlights:
- announces within 30 days of the effective date of this bill that it will not renew or enter into contracts
- They could not take place without Lockheed Martin's warplanes, without smart targeting modifications
Summary:
The Joint Committee on Public Service held a hearing focused first on teacher retirement legislation, especially H. 2932 and S. 1884, which would give long-serving educators a one-time opportunity to enroll in Retirement Plus after the program’s 2001 rollout was described as confusing and inconsistently communicated. Legislators, union leaders, and many teachers testified that some educators missed the opt-in window because of faulty notices, leave status, transfers, or misinformation about payroll deductions, and that many have had to work several extra years as a result. Supporters said the bills would correct an unfair administrative error, provide a buyback option with interest, and could also save local school districts money by allowing earlier retirements. Representative Mark Sylvia also testified for H. 4234, a Fairhaven-specific bill to raise the age limit for special police officers from 65 to 70 and clarify appointing authority, citing experience and budget needs.
The committee then heard testimony on several pension investment and divestment bills. Supporters of H. 2811 and related climate-risk measures argued that PRIM should assess, disclose, and address climate-related financial risk in the state pension fund, warning that fossil fuel investments could threaten long-term returns and public finances. Environmental advocates and financial experts said climate risk is systemic and urged transparency, divestment planning, and alignment with the Commonwealth’s climate goals. Another set of speakers supported H. 2984, which would divest pension investments from companies selling weapons to Israel; they argued the state should not be complicit in violence in Gaza and cited humanitarian and human rights concerns. Additional testimony supported H. 2900 and S. 1869 to divest from the firearm industry, with speakers saying pension investments should not undermine Massachusetts gun laws.
No votes were taken during the hearing. The chairs repeatedly thanked speakers, limited testimony time, and noted that written testimony could be submitted later. The hearing concluded with the committee moving through the sign-up list and hearing extensive public testimony on the teacher retirement and divestment proposals.
TX
Texas 89th Regular
89th Legislative Session - Second Called Session Aug 26th, 2025
Texas House Floor Meeting
Transcript Highlights:
- And it establishes the accountability advisory committee to advise on the adoption and modification of
- Currently, districts contract with... ...private vendors for those beginning-of-the-year and middle-of-the-year
Keywords:
HB 8, Texas public school accountability, school accountability, public school transparency, STAAR, state assessments, instructionally supportive assessment program, Student Success Tool, Texas Education Agency, TEA, accountability ratings, A-F ratings, through-year assessment, benchmark testing, norm-referenced assessment, college career military readiness, CCMR, local accountability plan, school district performance, campus turnaround
TX
Texas 89th 2nd C.S.
89th Legislative Session - Second Called Session Aug 26th, 2025
Texas House Floor Meeting
Transcript Highlights:
- And it establishes the accountability advisory committee to advise on the adoption and modification of
- Currently districts contract with private Ms.
Keywords:
HB 8, Texas public school accountability, school accountability, public school transparency, STAAR, state assessments, instructionally supportive assessment program, Student Success Tool, Texas Education Agency, TEA, accountability ratings, A-F ratings, through-year assessment, benchmark testing, norm-referenced assessment, college career military readiness, CCMR, local accountability plan, school district performance, campus turnaround
CA
California 2025-2026 Regular Session
Assembly Budget Subcommittee No. 3 on Education Finance Apr 8th, 2025
Transcript Highlights:
- if, coming out of the pandemic, we need to further increase our stretch goals or make potential modifications
- The $4 million in requested one-time General Fund dollars will enable LWDA to contract for the evaluation
Summary:
The Assembly Budget Subcommittee on Education Finance heard an overview of the governor’s new Career Education Master Plan and related budget items. Labor Secretary Knox described the plan as an effort to reduce fragmentation across K-12, community colleges, workforce boards, and other systems by improving statewide and regional coordination, data sharing, skills-based hiring, career pathways, and wraparound supports such as child care, housing, food, and transportation. Members asked how success would be measured, how the plan would serve disconnected youth and adults, and whether the proposed data integration would rely on Cradle to Career; the secretary said it would. The Department of Finance said it was available to answer questions on the education side.
The committee then reviewed existing CTE funding and oversight. The LAO, CDE, and Community Colleges Chancellor’s Office described the major ongoing programs, including CTIG, Perkins, K-12 Strong Workforce, and Community College Strong Workforce, and noted that many programs overlap in purpose and administration. Members repeatedly raised concerns about duplication, annual applications and reporting burdens, lack of clear outcome metrics, and whether funding incentives should be better aligned to regional collaboration. CDE and the Chancellor’s Office said they support alignment and dual enrollment, and Finance and CDE said LCFF/local match dollars are part of the funding structure. The committee also discussed child care as a barrier to participation and the need for better tracking of enrollment, completion, and job outcomes.
On the consolidated application proposal, Finance proposed a study directing CDE to examine whether three long-standing CTE grant programs—Specialized Secondary Programs, CTIG, and California Partnership Academies—could be streamlined into a single application and reporting process. The LAO supported reducing administrative burden but noted that the largest programs, CTIG and K-12 Strong Workforce, were excluded from the proposal even though districts most often cite them as burdensome. CDE said it did not oppose the study but warned that statutory differences may limit consolidation. Members said the proposal should better address regional coordination, multi-year funding stability, and outcome measures rather than only simplifying paperwork.
Finally, the committee heard a proposal for a $5 million ongoing California Education Interagency Council. GovOps said the council would provide a neutral venue for statewide coordination across education and workforce systems. The LAO opposed the proposal, arguing that existing bodies already provide coordination, the proposal does not change agency incentives, and the council would lack authority to implement decisions. Members expressed mixed views, with some supporting a coordinating body and others questioning whether it would differ from past efforts. No votes were taken during the portions summarized here, and the committee indicated it would hold some items open for further discussion.
CA
California 2025-2026 Regular Session
Assembly Budget Subcommittee No. 4 on Climate Crisis, Resources, Energy, and Transportation Feb 19th, 2025
NH
New Hampshire 2026 Regular Session
House Criminal Justice and Public Safety (01/28/2026)
Criminal Justice and Public Safety
Transcript Highlights:
- So that that last part of the phrase intended for their personal use adds uh some modification to the
- for their personal use adds<00:10:39.519><c> uh</c><00:10:40.480><c> some</c><00:10:40.800><c> modification
- to the idea of adds uh some modification to the idea of modest. modest. modest.
- I also work for Boothby Therapy Services, and much like Chris, we are a contracting agency in the state
- agency in the state of are a contracting agency in the state of New<02:38:24.640><c> Hampshire</c><02
CA
OK
Oklahoma 2026 Regular Session
9-1-1 Management Authority Apr 2nd, 2026
Transcript Highlights:
- And if we covered this last in that special meeting, forgive me, if there are modifications made, are
Summary:
The Oklahoma 911 Management Authority met with a quorum and approved the minutes from the February 5 regular meeting and the March 9 special meeting, along with the January 2026 financial report. The authority also recognized the Emergency Telecommunicator of the Quarter, Claire Gutierrez of the Pott County Sheriff’s Office, for her work during a fast-moving wildfire incident, and the Emergency Technologist of the Quarter, Jason White of the City of Shawnee, for his support of the 911 center’s technology needs.
Members approved the City of Norman’s in-person 40-hour telecommunicator training program as a vetted training option. They also approved Washington County 911’s request to submit an amended hardship application for a radio console grant match waiver, rather than granting the waiver outright. In addition, the authority approved the annual land area and population percentages used to determine 911 telephone fee distributions for fiscal year 2027, and approved a new PSAP call-taking boundary change form for future boundary adjustments.
The authority approved three grant requests: Creek County for APCO/Telecom training, the City of El Reno for ADA and facility improvements to its dispatch center, and the City of Moore for ADA furniture and a larger dispatch setup. Committee and staff reports covered audit completion, boundary verification and population model work, recruitment website updates, upcoming 911 Day at the Capitol, NG9-1-1 and GIS progress, cybersecurity training planning, 988 integration efforts, and ongoing concerns about TCPR policy and liability. The legislative report noted House Bill 2710 passed the House after amendments removing 911-related language and was sent to the Senate Appropriations Committee. The meeting ended with public comments, a brief new business item wishing member Brent Hawkinson well after surgery, and adjournment.
OK
Oklahoma 2026 Regular Session
Health and Human Services 2ND REVISED Feb 16th, 2026
Health and Human Services
Transcript Highlights:
- Senate Bill 1642 makes some modifications on how we allow physicians to prescribe opioids.
Bills:
SB1421, SB1427, SB1484, SB1503, SB1553, SB1557, SB1564, SB1566, SB1567, SB1591, SB1642, SB1794, SB1837, SB2044
Keywords:
mental health, nonphysical intervention, training, youth care, conflict resolution, staff training, pediatric screenings, type 1 diabetes, health care providers, parental consent, reimbursement, state funding, public health, medicolegal investigation, medical examiner, coroner, sudden infant death syndrome, SIDS, sudden unexpected infant death, SUID
Summary:
The Senate Health and Human Services Committee heard and advanced a series of health-related bills. Senate Bill 1503 would allow a digital abortion-related service provider to participate in the Choosing Childbirth grant program without requiring a brick-and-mortar Oklahoma presence; it passed 10-2. Senate Bill 1553, dealing with appeals reviewed by psychologists, passed unanimously. Senate Bill 1427, as amended, would add antibody screening for type 1 diabetes with parental consent and Medicaid reimbursement for the Medicaid population; it passed 9-3. Senate Bill 1642, allowing physicians to prescribe opioids in divided quantities during the initial seven-day period, passed unanimously. Senate Bill 1421, requiring non-physical intervention training for direct-care staff and volunteers in certain mental health facilities, also passed unanimously.
The committee also approved several behavioral health and rural care measures. Senate Bill 1837 would ask the Oklahoma Health Care Authority to seek a federal exemption so rural providers of home- and community-based services can also provide case management and person-centered planning; it passed 12-0. Senate Bill 1566, aimed at expanding access to autism diagnosis and ABA therapy by broadening who may diagnose ASD and allowing telemedical supervision of behavioral techs, passed 9-3 with title off due to fiscal concerns. Senate Bill 1567, a cleanup bill for APRN prescriptive authority and medical board fee language, passed 9-3. Senate Bill 1794 would create a statewide behavioral health vacancy registry to help place people in crisis more quickly; it passed 11-1 with title off after fiscal concerns were raised.
Later, the committee approved Senate Bill 1484, requiring medical examiner investigations of SIDS and sudden unexpected infant deaths to include review of immunization and medical records and adding parental notification/consent provisions unless a crime is suspected; it passed 12-0. Senate Bill 1557, transferring ABA therapist licensing duties from DHS to a licensing board, passed after an amendment shifting the board involved. Senate Bill 1564, requiring a standardized billing code and reimbursement rate for certain dental surgeries under general anesthesia, passed 11-1 with title off because of a $1.9 million fiscal note. Finally, Senate Bill 1591, as amended, would cap THC in medical marijuana edibles at 10 mg per edible and 100 mg per package to reduce child poisonings; it passed 10-2. Several bills were amended during discussion, and multiple members noted fiscal concerns, parental consent, and access-to-care issues throughout the meeting.
MO
Missouri 2026 Regular Session
2026 Legislative Session - Day Eighteen - Tuesday, February 10 -Afternoon Session-
Missouri House Floor Meeting
Transcript Highlights:
- But you can make modifications to put it on the road.
Summary:
The House first established a quorum, then took up a package of House Committee Substitutes for House Bills 1838, 1692, 1695, 1983, 2036, 2662, and 2743. The bills were described as eliminating mandatory vehicle safety inspections in Missouri, with supporters arguing the inspections are outdated, costly, inconvenient, and not clearly linked to fewer crashes or fatalities. They cited studies and examples from other states, and several members emphasized the burden on rural drivers and mechanics. Opponents argued inspections help catch tire, brake, and other equipment problems, and warned that removing them could increase risks to children, highway workers, and other motorists.
Members debated specific provisions in the merged bill, including exemptions and requirements for street rods, custom vehicles, agricultural vehicles, interstate commerce vehicles, and vehicles involved in accidents or salvage situations. An amendment was offered to correct a drafting error involving commercial vehicles and was adopted. The sponsor repeatedly clarified that the bill would not make inspections illegal, only remove the state mandate, while opponents questioned the studies cited and raised concerns about fatality impacts and unsafe vehicles. The House then adopted the committee substitute as amended and perfected and printed the bill package.
After the bill action, members made announcements, including a birthday recognition and committee meeting notices. The House was then adjourned until February 11, 2026.