Video & Transcript Research : 'procurement practices'
Page 188 of 500
KY
Kentucky 2025 Regular Session
Medicaid Oversight and Advisory Board (12-10-25)
Transcript Highlights:
- Importantly, these approaches do not dictate clinical practice.
- Importantly, these approaches do not dictate clinical practice.
- <01:13:46.000>
tool you about a very specific practical tool you about a very specific practical - In her practice, she said she sees this every single week.
- In my practice, I see symptoms peak.
Summary:
The Medicaid Oversight Advisory Board met with a quorum, approved the November 12 minutes by voice vote, and then heard a presentation from former Governor Ernie Fletcher and Dave Johnson on Medicaid reimbursement for substance use disorder (SUD) treatment. Fletcher argued that addiction should be treated as a chronic disease requiring a longer continuum of care, not just short residential stays, and said recovery should combine clinical treatment with social supports such as housing, transportation, employment, peer coaching, and recovery housing. He cited data on overdose trends, low treatment rates, and high costs for people with SUD, and said current reimbursement models create poor incentives and do not adequately support long-term recovery or measure outcomes well.
Fletcher proposed a “carve through” model administered at the MCO level with standardized metrics, data sharing, and an independent recovery coordinator that would assess patients, coordinate care, and connect them to clinical and social recovery services. He suggested using bundled payments, shared savings, and partial risk arrangements, with recovery housing reimbursed on a PMPM or weekly basis and funded in part through existing Medicaid spending and other sources such as opioid abatement funds. He also emphasized peer support, telemedicine, criminal justice coordination, workforce and education supports, and the use of technology, including text messaging and possibly AI, to maintain long-term follow-up and identify relapse risk.
Members questioned how the model would work in practice, especially the education and staffing requirements for recovery coordinators, reimbursement levels, and how many patients each coordinator or peer would serve. Fletcher said peers could be certified and would need additional training in assessments such as ASAM and recovery residence standards, but he did not give a precise salary figure, saying the market and bundled rates would determine that. He also said follow-up should continue for years, noting relapse risk over the first 18 to 24 months and that meaningful employment and ongoing peer contact help sustain recovery. No formal vote or action was taken on the substance use presentation.
AZ
Arizona 2026 Regular Session
02/11/2026 - House Government #1
Transcript Highlights:
- So... ...in Arizona that they don't want these types of practices here in the state of Arizona.
- Additionally, the practice of requiring students and faculty Additionally, the practice of requiring
- I have practiced juvenile law in Pima County for over 25 years.
- I've practiced juvenile law in Pima County for over 25 years.
- I have been practicing juvenile law for over 25 years. HB 2676 corrects a conflict of law there.
Summary:
The Special Committee on Government heard and advanced three measures. First, HCR 2044, a constitutional amendment to expand Arizona’s prohibition on preferential treatment and discrimination based on race or ethnicity in public education, public spending, and hiring, drew support from the Speaker, Goldwater Institute, and other advocates who argued it would close loopholes and reaffirm merit-based treatment. Opponents argued it would chill speech, training, and discussion of race and identity in public institutions. The committee approved the resolution on a 4-3 vote.
The committee then considered HB 2671, as amended, which narrows mandatory transfer to adult court for juveniles by limiting chronic felony offender treatment to higher-level felonies and preserving judicial/prosecutorial discretion for lower-level repeat offenses. The sponsor and juvenile defense testimony said the bill would keep low-level youth offenders in juvenile court where rehabilitative services are available and reduce recidivism, while still holding them accountable. The Blackman amendment was adopted, and the bill passed 7-0.
Finally, HB 2676 was heard to reduce the age for restoring firearm possession rights for certain juvenile offenders from 30 to 25 and to broaden restoration eligibility for other juvenile felony convictions. Supporters said it would align firearm-rights restoration with juvenile record-destruction timelines and help rehabilitated individuals move forward without unnecessary barriers. The committee approved HB 2676 unanimously, 7-0.
FL
Florida 2026 4th Special Session
February 24, 2026 - 03:00 PM
Transcript Highlights:
- It defines the scope of practice for natural path.
- So it's a very clear definition of scope of practice.
- I mention authorizing it up in a practice for all 5 advanced practice, registered nurses, limiting the
- out of the actual practice of medicine and placing another administrative burden on that.
- and the best practice of having them background screened.
FL
Florida 2026 Regular Session
February 24, 2026 - 03:00 PM
Transcript Highlights:
- It defines the scope of practice for naturopathic doctors in Florida.
- So it's a very clear definition of scope of practice.
- So all the bill does is create a framework for scope of practice, licensure, and the path to oversee
- PA out of the actual practice of medicine and placing another administrative burden on them.
- and the best practice of having them background screened.
TX
Texas 89th Regular
Judiciary & Civil Jurisprudence Apr 23rd, 2025 at 10:04 am
Judiciary & Civil Jurisprudence
Transcript Highlights:
- I've been practicing before I went to ADF.
- He also has a law practice in Collin County. He does a lot of probate law.
- So would this bill prevent him from practicing probate law in Collin County? Yes.
- I'm a practicing litigator in state and federal courts.
- ’t have a First Amendment practice.
Bills:
HB2242, HB2446, HB2799, HB4502, HB2920, HB2790, HB5620, HB5060, HB5076, HB5080, HB5081, HB5128, HB5130, HB3847, HB5116, HB2969, HB4546, HB4202, HB5624, HB3964, HB4803, HB872, HB4775, HB4777, HB4961, HB5570, HB2988, HB4260, HB1375, HB5009, HB5411, HB5134, HB4388, HB3095, HB1387
Keywords:
constables, civil rights, local government, law enforcement, policy-making authority, affidavit, medical bills, civil actions, reasonable charges, healthcare services, judicial statistics, court performance, family law, civil cases, efficiency reporting, court security, emergency management, harassment penalties, judicial safety, court committee
Summary:
The committee heard testimony on several bills affecting civil practice, judicial conduct, and attorney regulation. HB 4961 and the similar HB 3095 would bar uninsured motorists from recovering non-economic damages after a collision, with HB 3095 also addressing certain exceptions and limiting economic damages in some cases. Supporters said the measures would encourage insurance coverage and fairness for insured drivers, while opponents argued they would unfairly punish injured people who were not responsible for the lack of insurance, including pedestrians, passengers, children, and others. HB 3095 drew constitutional concerns from witnesses, and the committee later withdrew the committee substitute and left the bill pending; HB 4961 was also left pending after questions about its scope, including passengers.
HB 5570 would expand a continuing legal education exemption to attorneys appointed by the governor and confirmed by the Senate who serve on boards or commissions. The author and witness said the bill would free up time for public service while still requiring ethics training. A committee member raised a discrepancy in the number of attorneys covered, and the bill was left pending. HB 2969 would prohibit the State Bar from adopting rules or penalties that unreasonably burden attorneys’ religious exercise or free speech, especially in relation to sincerely held religious beliefs. Supporters framed it as a protection for lawyers of faith against an ABA-style speech code, while no one testified in opposition; the bill was left pending.
HB 4260 would prohibit county judges and county commissioners from practicing law in courts over which they have jurisdiction. The author described it as an ethics measure to avoid conflicts of interest, but county officials and the County Judges and Commissioners Association opposed it, saying existing ethics rules already address conflicts and that the bill would impose hardships, especially in rural counties. The bill was left pending. HB 4388 would require all judges, including those who serve only in administrative roles, to remain subject to the Code of Judicial Conduct; supporters said some judges avoid discipline by relinquishing judicial functions, while opponents said the bill was unnecessary and could burden county judges who serve as administrators. It was also left pending.
The committee also heard HB 5134, which would limit Rule 202 pre-suit depositions to people who have suffered or reasonably expect to suffer actual damages and allow attorney’s fees against abusive petitioners. The author said the bill would curb harassment and fishing expeditions, but members questioned how the standard would work in practice; the bill was left pending. Finally, HB 3964 would narrow common-law public nuisance claims by barring suits over lawful conduct, conduct already addressed by other remedies, and products, while preserving other causes of action. Supporters said the bill would prevent regulation through litigation and protect legislative authority; opponents said it would eliminate important remedies and that no Texas abuse had been shown. The author indicated he would revise the bill, and it was left pending.
KY
Kentucky 2026 Regular Session
House Standing Committee on Families and Children. (2-5-26)
Families & Children
Transcript Highlights:
- I've been practicing 32 years, and when I started practicing we didn't have family courts in Kentucky
- when I started practicing we didn't and when I started practicing we didn't have<00:04:00.159>
family - So I practiced when we still had system.
- I remember going to my practicing.
- <00:05:13.280>
and have family court rules of practice and have family court rules of practice
Keywords:
00:00 - Call to Order/Roll Call
01:13 - Discussion of 26RS HB 109
26:47 - Roll Call Vote on 26RS HB 109
32:30 - Discussion of 26RS HB 190
36:15 - Roll Call Vote on 26RS HB 190
37:30 - Adjournment, 958, all
Summary:
The House Families and Children Committee met in the 2026 regular session and heard House Bill 109, which would amend Kentucky divorce law to waive the current 60-day waiting period for couples with minor children when the parties have already completed mediation or collaborative family law and are ready to finalize their decree. The bill sponsor, Representative Deetsz, argued the measure would reward families who have already done the work to resolve custody, parenting time, and property issues outside of court, and said it would not affect traditional litigation cases. She also explained that delays can be especially burdensome when retirement-account division requires a QDRO after the decree. Committee members discussed how long collaborative cases typically take, with the sponsor estimating about six months on average and longer in complex cases, and noted that some judges already require parenting classes or allow reconciliation conferences in certain circuits.
David Walls of the Family Foundation testified in opposition, saying the bill would make divorce easier for parents with children and move Kentucky in the wrong direction. He argued waiting periods can encourage reconciliation, protect marriage commitments, and reduce harms to children and public costs associated with family fragmentation. He urged lawmakers to preserve or even lengthen the waiting period rather than eliminate it, and framed the issue as protecting children and strengthening marriage.
During questions, Representative Bojanowski strongly objected to Mr. Walls’ characterization of divorce, saying her own divorce was necessary for her children’s well-being and that the bill simply shortens the process after mediation. Representative Elliott asked about typical timelines in collaborative cases and noted that some courts require parental education. Representative Moser asked whether counseling is required; the sponsor said it is not, though reconciliation conferences may be requested at a judge’s discretion. The transcript ends after discussion of the bill and before any recorded vote or final committee action.
AZ
Arizona 2026 Regular Session
01/20/2026 - Senate Natural Resources and House Natural Resources, Energy & Water Committee of Reference
Transcript Highlights:
- The board was established in 1967 to regulate the practice of veterinary medicine in Arizona.
- with increasing the risk that licensees and certificate holders may practice without having completed
- Veterinary premises, which also includes mobile practices and equine veterinarians, is 1,078, and we
- Also, several legacy issues and institutionalized practices also...
- Also, several legacy issues and institutionalized practices also required immediate attention.
Summary:
The Joint Natural Resources and House Natural Resources, Energy and Water Committees of Reference heard the Arizona Auditor General’s sunset review of the Arizona State Veterinary Medical Examining Board. The audit found the board generally met some licensing requirements, but it did not timely investigate and resolve 49 of 159 complaints in fiscal year 2024, and it did not fully comply with conflict-of-interest disclosure and filing requirements. The Auditor General also identified weaknesses in continuing-education verification and other sunset-factor areas, and the board agreed to implement all 21 recommendations. Board staff said complaint volume has risen sharply since the pandemic, that the board’s process is slower because every case goes through an investigative committee and then the full board, and that it has already corrected some conflict-of-interest issues and is adding tools to improve continuing-education audits.
The committee then heard testimony from the board’s executive director and from the Arizona Veterinary Medical Association. The executive director emphasized the board’s public-protection mission, described the shortage of veterinarians and veterinary technicians, and said the board is working to improve efficiency through a new e-licensing system and staff training. Members asked about the shortage of large-animal veterinarians, complaint backlogs, and whether the board could do more to recruit rural practitioners; the board said it lacks direct recruiting authority but supports multiple licensure pathways and loan-assistance efforts. The veterinary association supported the board’s oversight and said it is also working on rural and large-animal workforce issues through partnerships and advocacy. The committee then voted to recommend continuing the board for eight years, until July 1, 2034.
The committee next took up the Arizona State Land Department, beginning with the Auditor General’s presentation on the department’s sunset review and prior special audit. The audit found the department had not updated its required five-year disposition plan since 2011, had sold more than 48,000 acres without an active plan, had allowed agricultural rental rates to go unchanged since 2006 despite market increases, and had not consistently inspected mineral-related leases or properly managed reclamation bonds. The Auditor General said these issues created risks of lost revenue, reduced transparency, and public-safety hazards, and recommended 18 corrective actions in the main review plus 34 additional recommendations on other issues; the department agreed to most recommendations but declined to adopt a written policy for commissioner-initiated land sales.
Commissioner Robin Sahid said the department is working through audit recommendations, has created a rules team, improved its customer portal, and is pursuing new policies on water use, transportation-basin leases, and disposition planning. Members questioned the department about agricultural leases, groundwater valuation, the Fondomonte leases and reimbursement for improvements, the canceled Coyotes land auction, backlog and processing times, and the use of consultants and administrative funds. The commissioner said the department had over 2,000 applications in queue when she arrived, that it has made progress reducing the backlog, and that it is conducting stakeholder outreach on water-efficiency standards and lease addenda. No final vote on the land department continuation was taken in the portion provided.
TX
Texas 89th Regular
Senate Committee on Water, Agriculture, and Rural Affairs Mar 31st, 2025
Water, Agriculture and Rural Affairs
Transcript Highlights:
- There is kind of an active practice.
- I've practiced since 1979.
- My practice is mobile.
- I'm a practicing veterinarian in McKinney, Texas.
- Aria Elfenbein, and I'm a practicing cardiologist.
Bills:
SB34, SB119, SB261, SB532, SB1035, SB1245, SB1247, SB1267, SB1442, SB1930, SB1948, SB2078, SB2112, SB2143, SB2155
Keywords:
wildfire, wildfire mitigation, wildfire prevention, volunteer fire department, Texas A&M Forest Service, West Texas A&M University, prescribed burning, fuel loading, fuel reduction, firefighting equipment database, emergency communications, disaster preparedness, rural fire protection, asset hardening, natural resource management, emergency management, large wildfire risk, fire grant funding, fire suppression, Texas Legislature
MN
Minnesota 2025 1st Special Session
House Agriculture Finance and Policy Committee 2/10/25
Agriculture Finance and Policy
Transcript Highlights:
- But we do think that practices improvements in the production practices for the feedstock is another
- but we do think that practices but we do think that practices improvements<00:45:29.359>
in - in the production practices improvements in the production practices uh<00:45:31.079>
for <00: - Spentech, identify yourself. production practice for raising the feed production practice for raising
- Those practices protect ecological, economic, and social sustainability factors, and then those practices
Summary:
The House Agriculture Finance and Policy Committee held an introductory meeting that began with housekeeping, a correction to the committee rules (the room number should be G3, not G35), and member and staff introductions. Members described their districts, agricultural ties, and priorities for the session, including consumer food costs, urban agriculture, farm economics, livestock disease preparedness, and support for Minnesota’s agricultural sectors. No votes were taken during the introductory portion.
The committee then turned to sustainable aviation fuel (SAF). Deputy Commissioner Andrea Veble of the Minnesota Department of Agriculture said the Walz administration strongly supports SAF because of its potential for agriculture, forestry, and clean energy, and reviewed Minnesota’s 2023 SAF tax credit and related sales tax exemption. She said the state has feedstocks and should continue investing so Minnesota can attract SAF production and support rural jobs. Jeff Davidman of Delta Airlines testified that aviation is difficult to decarbonize and that SAF is the airline industry’s main path to net zero by 2050; he cited current use of SAF, the need to scale production, and Minnesota’s role in supplying feedstocks and hosting future production.
Peter Frost of Greater MSP described the Minnesota SAF Hub as a public-private partnership aimed at building the full SAF value chain in Minnesota. He emphasized that Greater MSP is coordinating investors and partners to grow the regional economy and said the SAF effort is intended to create jobs and economic development. Committee members did not ask questions during the portion captured, and no formal action or vote was recorded on the SAF presentations in this transcript excerpt.
FL
Transcript Highlights:
- These physicians practiced under a limited license here in Florida.
- They could only practice in this particular area.
- As you know, practice for many, many years.
- Why did it not go back into practice?
- I practice in Tallahassee.
Keywords:
provider disputes, health plan, dispute resolution, Medicare, Medicaid, healthcare regulation, background screening, athletic coaches, youth sports, criminal history, expungement, Florida statutes, medical freedom, vaccination, ivermectin, healthcare practitioner liability, immunization exemptions, ambulatory surgical centers, patient safety, licensure
Summary:
The committee took up several health-related bills. SB 1082, on a statewide provider and health plan claim dispute resolution program, was presented as a way to let providers and insurers use the federal independent dispute resolution process for emergency out-of-network claims under state-regulated commercial plans. A late-filed amendment clarified when providers and health plans could access the state program, and the bill was reported favorably as a committee substitute. SB 1168, which would centralize background screening clearinghouse functions at the Agency for Health Care Administration, also passed as amended after an amendment requiring sealed and expunged records to be included in screenings for qualified entities. Supporters said centralization would improve turnaround times, reduce duplication, and save costs; the sponsor said the bill also addresses coaches’ background screening language from last session. The committee then approved SB 1156, which moves ambulatory surgery center regulation out of the hospital-focused chapter of law into a standalone section, and SB 1480, as amended by a strike-all, which would grandfather certain temporary certificate holders practicing in areas of critical need if federal designation changes affect those areas. Testimony on SB 1480 emphasized continuity of care for patients in underserved communities, and the bill was reported favorably.
The final and most heavily debated measure was SB 1756 on medical freedom, which would require state-approved educational materials on childhood vaccines, require practitioners to provide those materials and alternative schedules before vaccination, expand school immunization exemptions to include conscience-based objections, clarify that the Surgeon General cannot order vaccination during a public health emergency, and authorize pharmacists to provide ivermectin behind the counter without a prescription with written information and safeguards. The sponsor argued the bill strengthens parental choice and informed consent. Committee members raised concerns about vaccine-preventable disease risks, immunocompromised children, school outbreaks, and the impact of adding a new exemption. A Department of Health representative said the department would need to provide details on the history of exemption consultations and noted that removing the earlier consultation requirement had not been shown to increase outbreaks. The committee adopted a friendly amendment to give physicians the same liability protection as pharmacists for ivermectin dispensing, but rejected a substitute amendment that would have required a consultation for exemption requests. Public testimony was overwhelmingly opposed to the bill, with physicians, pediatric specialists, cancer advocates, parents of immunocompromised children, and public health groups warning that it would lower vaccination rates and endanger vulnerable Floridians. The bill remained pending after testimony, with the committee continuing to hear public comment.
NH
Transcript Highlights:
- We all agree that this is a best practice bill that fits a long-standing gap in our law.
- It addresses a gap in the current law which does not provide a clear provision for this practice.
- Currently, only two states, Wyoming and Montana, have this law and allow this practice.
- and allow this practice. and allow this practice.
- And uh these are the the best practice And uh these are the the best practice to<00:28:28.000>
US
US Federal 2025-2026 Regular Session
Hearings to examine the nominations of Dean Sauer, of Missouri, to be Solicitor General of the United States, and Harmeet Dhillon, of California, and Aaron Reitz, of Texas, both to be an Assistant Attorney General, all of the Department of Justice. Feb 26th, 2025 at 09:15 am
Senate Judiciary
Transcript Highlights:
- After a time in private practice, you decided to serve your country again.
- You continued gaining legal experience during this time in private practice.
- After that, he went into private practice and then clerked on the Texas Supreme Court.
- I do not know a better. lawyer in private practice, in public practice, federal prosecutor, name it,
- Does Target's practice of having racial quotas is raise red flags for you.
Keywords:
Department of Justice, nominations, Assistant Attorney General, civil rights, enforcement, committee discussion
Summary:
The meeting covered important discussions surrounding key nominations in the Department of Justice, specifically for the roles of Assistant Attorney General for Civil Rights and the Office of Legal Policy. Various committee members took turns to express their views on the nominees, emphasizing the implications of their potential confirmation on civil rights enforcement in the country. Alongside the committee discussion, the nominees provided insights into their professional backgrounds and how their experiences align with the responsibilities of the positions for which they have been nominated.
WA
Washington 2025-2026 Regular Session
JLARC I-900 Subcommittee for SAO Performance Audits Sep 17th, 2025
JLARC I-900 Subcommittee for SAO Performance Audits
Transcript Highlights:
- threat landscape, we have found that overall, all governments have room for improvement in their IT practices
- The first one is comparing IT practices to the Center for Internet Security Critical Security Controls
- We followed the two lines of work: number one, comparing IT practices to the Center for Internet Security
- and this is evidenced by increased alignment with those assessment when we're looking at leading practices
- State Auditor's Office assessed agency practices against these controls.
Summary:
The Joint Legislative Audit and Review Committee held a public hearing on the State Auditor’s Office cybersecurity performance audits for fiscal year 2025, covering both state agencies and local governments. SAO staff explained that the audits are conducted independently under Initiative 900 and are kept confidential at the entity level, with detailed findings shared directly with the audited organizations. They reported that state agency audits found nearly one-third of assessed safeguards fully implemented on all systems and 227 vulnerabilities across seven agencies, including three critical and 21 high-severity issues. For seven local government cybersecurity audits, nearly a quarter of safeguards were fully implemented on all systems, and auditors identified nearly 300 vulnerabilities, including nine critical and 47 high-severity issues.
SAO also summarized its ransomware resiliency audits and critical infrastructure audits for local governments. In six ransomware audits, a little over 35% of assessed safeguards were not in place, while about 60% were at least partially in place. In 39 critical infrastructure audits, focused largely on water and sewer providers, auditors found over 260 vulnerabilities and said more than 10% were critical or high. Staff highlighted that these audits have led to improvements, including one vendor making security changes after SAO testing that were later echoed in a federal advisory. They also described related services such as cybersecurity checkups, policy guidance, and other cyber-related work by the office.
Washington Technology Solutions’ state chief information security officer, Ralph Johnson, praised the audits and said they help protect essential public services. He cited a sharp national rise in ransomware incidents against governments and said Washington has used more than $11 million in federal and state cybersecurity grant funds for over 200 projects. In response to questions from Representative Scott, SAO and WOTEC discussed options for addressing urgent vulnerabilities, including compensating controls, grant funding, and low-cost mitigation steps. The committee also discussed how Washington’s program compares nationally, with Johnson saying Initiative 900 is unusually comprehensive and that local governments often seek audits voluntarily. No votes were taken, and the hearing adjourned after public testimony was offered but none was given.
MN
Minnesota 2025 1st Special Session
Committee on Judiciary and Public Safety - Part 2 - 03/27/25
Judiciary and Public Safety
Transcript Highlights:
- Bill if they're government practices Bill if they're government employees<00:20:43.880>
this < - However, if this is a community-based restorative practice that is not receiving any government funds
- facilitate a restorative practice facilitate a restorative practice however<00:35:12.000>
if< - I'm an attorney in private practice.
- <03:16:30.680>
transmit <03:16:31.399>information practicable transmit information practicable
NH
New Hampshire 2026 Regular Session
Carbon Sequestration Programs Study Commission (03/06/2026)
Transcript Highlights:
- So, our biggest practices are called improved forest management practices.
- And so really what our practices are, if you think about it, are just an extended rotation practice,
- <00:32:24.160>
are ensure that uh our practices are ensure that uh our practices are compatible - those uh, sustainable forestry practices those uh, sustainable forestry practices that<00:33:57.040
- Um it depends practice. Is that correct?
Summary:
The meeting began with introductions and approval of the previous minutes, including a small amendment clarifying a note about “leakage” in a prior presentation. The committee then heard a presentation from Sarah Hall of the American Forest Foundation on the Family Forest Carbon Program, which she described as a voluntary carbon and forest management program for smaller landowners. She said the program provides annual payments and technical assistance, requires a forest management plan within two years, and is designed to support improved forest management while still allowing compatible uses such as recreation, hunting, and some harvesting.
Hall emphasized that the program is intended as one tool among many and is not a fit for every property. She said most enrolled landowners did not previously have a forest management plan or work with a forester, and that the program helps bring “unengaged” landowners into active management. She also said the program is compatible with current use and other commitments on a case-by-case basis, and that landowners retain ownership of their land and timber rights while AFF holds the carbon rights for the contract term. She highlighted examples of landowners using the program to support taxes, family ownership, wildlife habitat, timber stand improvement, and continued recreational or business uses.
Committee members asked about registry compliance in New Hampshire and the relationship between carbon markets and the program. Hall responded that AFF handles registry administration for landowners and would follow up on the specific registry count raised by a member. She explained that the program is funded through a mix of carbon market revenue, philanthropy, and grants, and that carbon credits are generated through landscape-level methodology and monitored using randomly selected plots compared with FIA data. She also noted that consulting foresters are key partners in the program and that AFF has paid more than $3 million to consultants nationwide.
WY
Wyoming 2026 Regular Session
Labor, Health & Social Services Interim Topics Meeting, March 4, 2026
Transcript Highlights:
- And uh one of the pieces of practice.
- are practicing are practicing they're<00:31:19.240>
at <00:31:19.480>least <00:31:19.840 - To do that opens up the Dental Practice Act.
- I know that that practice.
- :28.760>
been primary care family practice been primary care family practice been brought<00:54
Summary:
The committee opened by explaining it would work through a long list of interim topics one at a time and asked members to complete a selection form at the end. The first topic, long-term care, drew testimony from AARP Wyoming and the Wyoming Long-Term Care Association. AARP emphasized Wyoming’s aging population, the state’s roughly $200 million annual Medicaid spending on long-term care, and the need to examine whether more support for home-based care could reduce nursing home use and costs. The association agreed with supporting people at home as long as possible, but asked that any study also consider increased support for nursing homes and assisted living when home care is no longer feasible. Committee discussion also touched on adult day care and PACE-like services, with Mr. Laycock noting prior Department of Health discussion and limited adult day availability due to reimbursement concerns.
The committee then heard proposals for neonatal intensive care unit family leave, expanded midwifery scope, and a modification to workers’ compensation law. The NICU leave idea, presented by the Wyoming Women’s Foundation, would explore leave options for families with premature infants in intensive care, potentially paid or unpaid, while considering business size and the burden on families who may need out-of-state care. The midwifery topic was framed as a way to address rural maternity and women’s health gaps by allowing midwives to practice to the full extent of their training. On workers’ compensation, the Wyoming Association of Municipalities sought to classify dispatch personnel as first responders so they could receive mental health coverage under workers’ compensation; the Department of Workforce Services explained that current law covers dispatchers under workers’ compensation generally, but the first responder mental health provision added in 2018 applies to law enforcement and firefighters and does not currently include dispatchers.
Other topics included problematic gaming and program funding, breast cancer diagnostic and supplemental exams, prescription drug coverage for advanced metastatic cancer, SNAP education, behavioral health workforce clinical training site shortages, CPR in schools, and broader midwifery oversight. The behavioral health workforce proposal, brought by a WICHE commissioner, focused on increasing psychology internship slots in Wyoming, noting that the state currently has only three and that expanding placements could improve recruitment and retention. The CPR in schools topic drew strong support from the American Heart Association, which argued that CPR training in high school could improve bystander response in a rural state with long EMS response times; committee members asked about cost and curriculum fit, and the witnesses said hands-only CPR could be taught by school staff rather than requiring expensive certification. The midwifery discussion later broadened into concerns about oversight and standards after a representative described a constituent’s pregnancy loss and said complaints involving midwifery practice and staffing delays in investigations warranted a deeper review. No votes were taken during the portion provided, and most topics were simply introduced, discussed, and left open for further testimony or later committee selection.
UT
Utah 2025 Regular Session
Health and Human Services Interim Committee - November 19, 2025
Health and Human Services Interim Committee
Transcript Highlights:
- I'm a practicing emergency... Yeah, thank you very much. I am honored to be able to participate.
- I'm a practicing emergency physician at Logan Regional Hospital, which is an Intermountain facility.
- CHS should therefore review its practices and policies and ensure compliance.
- That's a medically established protocol that is in wide-scale practice in the United States.
- That's usually what I'm... ...includes deception and practicing beyond the scope.
MN
Transcript Highlights:
- This role provides leadership, coordination, and accountability to align practice with policy.
- and accountability to align practice and accountability to align practice with<00:42:06.960>
- By engaging students directly, processes and practices are strengthened.
- :51.839>
are processes and practices are processes and practices are strengthened.<00:48:52.880 - So there's various practices of how districts have gained student voice.
LA
Louisiana 2026 Regular Session
Labor and Industrial Relations May 7th, 2026
Transcript Highlights:
- And best practice aligns with guidelines 85% of the time, I would say, because some best practice is
- And best practice aligns with guidelines 85% of the time, I would say, because some best practice is
- They're just practicing.
- I mean, they've got busy practices.
- I mean, they've got busy practices.
Summary:
The House Labor and Industrial Relations Committee met on May 7, 2026, and first deferred several measures, including House Bill 460, Senate Bill 322, Senate Bill 32, Senate Bill 22, and House Bill 561. The committee then took up House Bill 819 by Chairman Cruz, which would replace Louisiana’s current workers’ compensation medical treatment schedule with the Official Disability Guidelines (ODG) by MCG as the primary guideline, while keeping the existing variance and appeal process. Cruz and MCG representative Troy Prevo argued that ODG is more comprehensive, updated more frequently, and used in many states, and said it could reduce delays, disability duration, and costs. Dr. Jason Picard, the state medical director, testified that Louisiana already uses ODG as a secondary reference in many cases because the state schedule lacks coverage for some body parts and treatments, and said the bill would not otherwise change the appeals process or care delivery.
Committee members focused heavily on whether the bill would delay care or improve it. Several members questioned the private-company nature of ODG, the $400 annual subscription cost, and whether Louisiana doctors would be forced to rely on an out-of-state guideline. Rep. Glorioso and others raised concerns about preauthorization delays and proposed amendments to create tacit approval when treatment follows the schedule, require payment within 30 days, and make the carrier prove by clear and convincing evidence that care was not medically necessary to challenge it. Chairman Cruz said he was willing to work with those ideas, and the committee also discussed adding an on-ramp or legacy language so current patients would not be disrupted.
Opposition testimony came from injured-worker advocates and representatives of medical and labor groups, including Joseph Jola St. and Robin Krumholt. They argued that Louisiana’s current guidelines are already working, that rates have fallen over time, and that the real problem is delay in approval rather than the content of the schedule. They said ODG is overly rigid, cost-driven, and can lead to denials that shift costs to workers, Medicaid, or private health insurance. They urged the committee to keep Louisiana’s existing system and instead adopt tacit approval under current law. The bill was still under discussion at the close of the transcript, with amendments being read and no final vote shown.
MS
Mississippi 2026 Regular Session
Appropriations - Room 216, 5 February, 2026; 8:30 AM
Appropriations
Transcript Highlights:
- They've eliminated the practical exam.
- That was to cover the practical exam contractors and their...
- of the practical exam.
- Um, so Mississippi joins 12 states that have eliminated the practical exam.
- Um, so Mississippi joins 12 states that have eliminated the practical exam.
Summary:
The committee first heard from the Board of Registration for Foresters, which said it is self-funded through applications and renewals and receives no general fund support. The board requested a budget increase from $62,755 to $77,035, mainly for technology upgrades to its database and website, a social media presence, and about $3,000 more for board travel. Members asked about contractual expenses, staffing, renewals, reserves, and office location; the witness said most renewals are now online, the board has a reserve but he did not know the exact amount, and the board is leased space in the Robert E. Lee Building. No vote was taken, and the chair moved on to the next agency.
The Mississippi Board of Examiners for Social Workers and Marriage and Family Therapists then presented its budget and operational needs. The board described its 10-member structure, three employees, and oversight of about 4,450 social workers and 210 marriage and family therapists. It explained that a prior $50,000 deficit appropriation was approved too late to spend, and asked to include that amount in the current budget for technology upgrades and equipment. The board also requested salary increases, additional travel funds, money for out-of-state compact participation, more contractual funds for database enhancements and digitizing records, and one additional computer. Members questioned the board about its large cash balance, staffing, office location, and the social work compact; the board said it has about $1 million in cash, is in leased space at Old River Place, and needs database changes to support the compact. No action or vote was taken.
Finally, the Cosmetology and Barbering Board discussed major licensing and regulatory changes and its budget request. The board said it had already adopted a passing score for the licensure exam, ended the practical exam, extended testing approval periods, removed barriers to temporary work permits, and opened a path for apprenticeships, mobile establishments, and online licensing software. It also described recommendations in SB 2566, including a low-income first-license fee waiver, sanitation warnings, reduced education and instructor-hour requirements, and removal of some display requirements. The board said these changes had already led to new applications and test signups. On the budget side, it said it was withdrawing a prior request for $6,340 for practical-exam contractors because that exam was eliminated, but still sought $120,000 for certified mail, $49,000 for recruitment and retention salaries, and continued flexibility for possible live-streaming requirements under pending legislation. Senators asked whether the practical exam had been eliminated and whether the board could still ensure competency and inspections; the board said skills are still assessed through program completion and theory testing, and it asked to retain inspector positions because it oversees roughly 6,000 to 6,500 licensed shops and salons with only two inspectors.