Video & Transcript Research : 'judgment evaluation'

Page 201 of 423
OR
Transcript Highlights:
  • Beyond that, we also provide medical stabilization and comprehensive evaluations regarding psychiatric
  • that the intersections with the law, where courts, attorneys, clinicians, they rely on OSH for evaluations
  • much a strong partner and collaborator to help strengthen our systems with regards to forensic evaluation
  • And also that's the population I see in the aid and assist population because I do those evaluations.
  • And as you evaluate the evidence and consider your choices in helping solve this problem that we have
Keywords: 907, all
Summary: The joint Senate and House Behavioral Health committee met for informational presentations on the Oregon State Hospital and civil commitment, followed by a planned tour of the hospital. Oregon Health Authority and Oregon State Hospital leaders reported that Sean Murphy will become the next permanent superintendent on July 13, with Sarah Castle to follow as permanent chief nursing officer on July 20. They described recent leadership turnover, a major organizational restructure, and efforts to build a culture of safety, transparency, and accountability. Officials said the hospital regained Joint Commission accreditation and CMS compliance, and they highlighted daily safety huddles, incident review processes, stronger escalation procedures, and improved management of seclusion and restraint. Committee members pressed hospital leaders on past prolonged seclusion practices, falls, staffing, and the need for better public reporting; OHA said it is building a public dashboard of key safety and workforce metrics. The committee then heard a civil commitment overview from the Oregon Judicial Department. The presenter explained that civil commitment is a separate legal process from criminal cases, usually beginning with a hospital hold, investigation, court review, appointed counsel, and a hearing within five days. She summarized changes made in House Bill 2005, including revised standards for danger to self, danger to others, and basic-needs commitments, plus a second 14-day diversion option. She cautioned that the new law has only been in effect since January and that it is too early to draw firm conclusions from the data, though there has been a recent uptick in commitments and a decrease in diversions. Testimony from NAMI Oregon and a forensic psychiatrist emphasized that Oregon still relies too heavily on jails and state hospitals because community services, housing, and outpatient supports are insufficient. They argued that the state needs more less-restrictive alternatives, including better use of assisted outpatient treatment or outpatient civil commitment, and more supported housing so people do not cycle between homelessness, incarceration, and hospitalization. A family member described a relative remaining psychotic in jail for more than 120 days before ending up back at the state hospital, urging faster intervention and better collaboration among courts, counties, hospitals, and state agencies. Committee members and witnesses also discussed workforce shortages, the expansion of secure residential treatment beds, and the need for broader system reforms beyond the hospital itself.
MO

Missouri 2026 Regular Session

Utilities May 6th, 2026 at 08:30 am

Utilities

Transcript Highlights:
  • And as we start to look at the ones that are evaluating our service territory, I mentioned those detailed
  • They're not just kind of coming up with an idea; they're actually evaluating a real project.
  • I don't really have a way to evaluate it until they go through that process what it is.
  • about the totality of what the requests are, but I wanted to share a little bit about how we're evaluating
  • requirement that QIP be granted to these projects, the reality is the only thing required is an evaluation
Keywords: 959, house, all
AR

Arkansas 2026 Regular Session

JBC-PEER REVIEW Apr 15th, 2026

JBC-PEER REVIEW

Transcript Highlights:
  • exercise for the communities to have a professional site selection consultant come to town and do this evaluation
  • It amends an existing program for evaluations for the Arkansas AWARE program for mental health awareness
  • Number three on page 15 is Department of Education, B and W Evaluation LLC.
  • This is Department of Education, B and W evaluation LLC. It's an original contract.
  • We have already completed evaluations or are in the process of reviewing those and doing discussions
Summary: The PEER Review Subcommittee met to consider a large agenda of appropriation, transfer, contract, and other review items. Members approved temporary appropriation requests in Sections B through F, including funding for prosecuting attorneys, education-related adjustments, school operating needs, labor licensing divisions, ARPA fund returns from Workforce Services, IIJA grants for state police CDL implementation and a forestry-related county grant, reserve fund transfers for teacher scholarships, school facilities, and economic development, and a Commerce reallocation tied to organizational realignment. Cash fund requests in Section G and budget classification transfers in Section H were also reviewed, along with pay plan requests in Section I, overtime requests in Section J, and multiple methods of finance in Section K. The committee also reviewed discretionary grants in Section L, including agriculture promotion board grants and DHS aging/adult behavioral health grants, plus RFQs, construction contracts, intergovernmental contracts, and out-of-state contracts in Sections M1 through M5. Several items drew questions from members. Workforce Services explained that $225,000 in TANF-related funds would be returned to the federal government because the two-year hold period for uncashed or moved checks had expired. Commerce officials described the $25 million site infrastructure grant program, saying it supports site development, due diligence, and infrastructure build-out at eligible sites of 30 acres or more, including rural communities, with grant agreements and matching requirements providing accountability. DHS and Education officials answered questions about the Care Solace mental health referral contract, saying it is a statewide concierge/referral service that helps schools connect students to Arkansas providers and follow up so students do not fall through the cracks; members asked for more information on provider selection, school-day scheduling, and Arkansas vendor participation. The committee held one item over: the DHS discretionary grant item for the RSVP retired senior volunteer program in L2, after concerns were raised about whether state general revenue was being used effectively and how much administrative overhead the providers retain. Members also questioned several contracts, including a DHS sole-source contract with EMSLink for document management software and a DHS bridge contract with Arkansas Foundation for Medical Care for Medicaid inspections of care reviews; in both cases, agency staff explained the need to avoid service disruption and said follow-up information would be provided. A Department of Corrections reentry center contract was discussed for its recidivism results, and ARDOT retirement-system investment contracts were briefly explained. The meeting ended after a lengthy discussion of the Medicaid Trust Fund balance, with DFA and DHS officials saying the state is expected to finish the fiscal year without exhausting the fund, that a restricted reserve of $100 million is available as a backstop, and that the larger question is what minimum balance should be maintained going forward.
AZ

Arizona 2026 Regular Session

03/18/2026 - Senate Health and Human Services

Health and Human Services

Transcript Highlights:
  • And your routine dentist may not have the expertise really to evaluate some of these things.
  • So, you know, it's critical that we get somebody on the board all the time that can evaluate some of
  • They were opened up to us, and we were able to evaluate that there’s different types..." “...and we were
  • able to evaluate that there’s different types of anesthesia providers in every office, as you well know
  • were subsequently vetoed by the governor, including Senate Bill 1002 relating to SNAP eligibility evaluations
VA

Virginia 2026 Regular Session

March 14, 2026 - Regular Session Part 2

Virginia House Floor Meeting

Transcript Highlights:
  • House Bill 433, this conference report relates to newborn screening and evaluation of disorders for inclusion
  • conference report keeps the agreed-upon requirement for VDH to establish a structured process for evaluation
  • The agreed-upon requirement for VDH to establish a structured process for evaluating potential additions
  • It requires VDH to complete evaluation of newly added RUSP conditions before reviewing any non-RUSP disorders
  • Second, it establishes a four-year sunset so the General Assembly can evaluate how the policy works.
FL

Florida 2026 Regular Session

Criminal Justice Jan 20th, 2026

Criminal Justice

Transcript Highlights:
  • I've been doing sex offender evaluation and treatment for 35 years.
  • violate injunctions, are routinely released without meaningful lethality assessment, monitoring, or evaluations
  • Please remember, my name is Nicola Dew, and I have undergone so many different evaluations.
  • I agree. monitoring or evaluations.
  • Please remember, my name is Nicola Dew and I have undergone so many different evaluations.
Summary: The committee took up a series of criminal justice and public safety bills. SB 1084, which exempts certain identifying and location information for non-legal support staff in state attorneys’ offices from public records requests, was supported by prosecuting attorneys and reported favorably. SB 212, as amended, created new restrictions related to sexual offenders and predators, including a 200-foot restricted presence provision near certain locations and updated notification/supervision requirements; it drew strong opposition from researchers, advocates, and affected families who argued it lacked evidence and would increase homelessness, but it was reported favorably. SB 682, addressing domestic violence, coercive control, strangulation, animal abuse, injunctions, and related training and enforcement issues, received emotional survivor testimony and support from animal welfare and law enforcement groups and was reported favorably. SB 656, creating and renaming FDLE Internet Crimes Against Children funding and grant programs, was amended and reported favorably and unanimously. The committee also considered SB 810 on sealing criminal history records, which would expand eligibility for some non-conviction records and one low-level misdemeanor conviction after waiting periods and judicial review; supporters said Florida is unusually restrictive, while one senator raised concerns about the scope, and the bill was reported favorably. SB 890, creating a standalone battery by strangulation offense applicable outside domestic relationships, was reported favorably after the sponsor said it would close a gap in current law. SB 892, revising habitual offender and violent career criminal sentencing procedures and notice requirements, was reported favorably, with defense lawyers supporting the clearer pretrial notice. SB 928, “Missy’s Law,” requiring immediate remand to custody after conviction of certain dangerous crimes, was amended to include computer pornography/child exploitation offenses and reported favorably after a family member of the namesake victim testified in support. Later, SB 1284 modernized arrest and search warrant statutes, expanding judicial summons options for some misdemeanors and broadening warrant/arrest authority in certain DUI, injunction, domestic violence, and misdemeanor force cases; defense lawyers supported the judicial-discretion portions but raised concerns about DUI/BUI arrests, and the bill was reported favorably. Finally, SB 812, a technical companion to SB 810 updating public records treatment for sealed criminal history records, was amended to clarify prosecutorial access for later cases and reported favorably. Several bills were supported by law enforcement, prosecutors, and advocacy groups, while others drew opposition from civil liberties, treatment, homelessness, and criminal defense advocates. The meeting adjourned after members recorded additional votes on selected tabs.
KY
Transcript Highlights:
  • We would respectfully ask the committee to consider several guiding principles as it evaluates next steps
  • And finally, four, evaluate long-term structure.
  • :07:21.280> And<00:07:21.520> finally,<00:07:22.000> four,<00:07:22.880> evaluate
  • And finally, four, evaluate users. And finally, four, evaluate long-term<00:07:24.319> structure.
Summary: The committee heard testimony from Michael McCurley, president of Zo Education and a senior vice president with Zo Group, about the company’s role in providing broadband and managed network services to Kentucky schools. He said Zo Education serves all Kentucky K-12 public school districts in partnership with the Kentucky Department of Education, offering more bandwidth at lower cost than the prior provider and also providing cybersecurity and network protection. He emphasized that reliable connectivity is essential for instruction, testing, remote coursework, and school administration. McCurley also addressed the ongoing contract dispute involving the Kentucky Communications Network Authority and Open Fiber Silicom, saying Zo Education is not a party to the litigation but is concerned about possible disruption to schools and students. In response to committee questions, he said the company incurred unexpected costs when it had to reroute connections and build alternate network paths, including one school move that cost more than $50,000 to serve a site generating under $2,000 per month. He said outages and incidents are more frequent when Kentucky Wired access is unavailable, and that Zo could not have bid at its current price without access to Kentucky Wired. Committee members discussed the broader implications of the dispute and the state’s broadband structure. Senator Williams said the committee’s priority is avoiding disruption to students and noted concerns about infrastructure purchases and upgrades tied to the network, saying he had not seen clear contractual support for some of the expenditures. He also referenced a future audit and said the committee should preserve options and taxpayer funds. The committee then reviewed its report to LRC, including changes related to infrastructure purchases and water asset management technology, and agreed to submit the report without a committee vote. The chair announced the next meeting would be in January, with no December meeting scheduled, and the committee adjourned.
FL

Florida 2026 Regular Session

Appropriations Committee on Criminal and Civil Justice Oct 15th, 2025

Appropriations Committee on Criminal and Civil Justice

Transcript Highlights:
  • And then we would evaluate that need once the courthouse was constructed in a single location in Lakeland
  • . ...evaluate that need once the courthouse was constructed in a single location in Lakeland.
  • The request last year, as the court noted, we had gone through a major study to evaluate the comparative
  • The request last year, as the court noted, we had gone through a major study to evaluate the comparative
  • We evaluated all the critical needs, and we are really focusing on retention and recruitment.
Summary: The committee met to hear fiscal year 2026-2027 legislative budget requests from several justice-related agencies. The Florida Commission on Offender Review requested funding for investigator and revocation staff salary increases to address turnover, plus nonrecurring funds for Wi-Fi, seven vehicles, technology support, and commissioner salary adjustments. The State Courts Administrator presented a broad judicial branch request focused on trial court case-management technology, additional case managers, trust fund authority for child support hearing officers, courthouse furnishings, district court flexibility in staffing, a future courthouse for the Sixth District Court of Appeal, Supreme Court elevator replacement, POM accounting implementation support, judicial security liaison positions tied to the Florida Fusion Center, expanded senior management service authority, and judicial salary adjustments. The Office of the Attorney General outlined pay and operating requests for consumer protection, citizen services, ethics, crime compensation, victim services, vehicle replacement, IT and cybersecurity, lease and operating costs, and PALM-related expenses, while several senators questioned the office about outside counsel contracts, contingency-fee arrangements, transparency, and the use of private law firms. The Department of Corrections made the largest presentation, describing severe staffing shortages, high turnover, rising inmate populations, increased assaults, and heavy overtime use. Secretary Ricky Dixon said the agency’s request was driven by constitutional and public safety needs and included funding for operations, security equipment, inflationary costs, vehicle replacement, offender information system modernization, technology restoration, inmate health services, drug and food cost increases, staffing pilots, maintenance, security infrastructure, Florida PALM, recruitment and retention, and $56 million for new correctional housing units. Members asked about inmate labor, prison safety, overtime, vehicle breakdowns, and whether more National Guard support was needed; Dixon said the agency needed more staffing and pay competitiveness rather than a long-term military presence. A correctional officers’ union representative also urged support for pay raises, citing low pay and staffing concerns. No votes were taken on the budget requests. The chair allowed extended questioning, especially for the Department of Corrections, but noted time constraints and asked agencies to return in a later committee meeting, including FDLE, which was deferred because of a House site visit.
NM

New Mexico 2025 Regular Session

IC - Science, Technology and Telecommunications Aug 26th, 2025

Science, Technology & Telecommunications Committee

Transcript Highlights:
  • Yeah, I'm really going toward the operational testing evaluation piece to get things out the door faster
  • We create a grant manual and an evaluation process. And seek applications.
  • And they Assist the office with evaluation and scoring so that it's not just the office making these
  • So it's a competitive process that we are evaluated on. Evaluate the grants on.
NM

New Mexico 2025 Regular Session

IC - Investments and Pensions Oversight Jul 18th, 2025

Investments & Pensions Oversight Committee

Transcript Highlights:
  • That information will be evaluated as part of the process currently being gathered.
  • Give you some evaluation criteria, the things that we use to look at. To see how well we're doing.
  • Now I'll talk about how we look at evaluating. As I mentioned, long-term results are important.
  • So that hasn't changed a whole lot, and it wasn't a recommended change after they evaluated the variables
  • look at what our net expected outcome is, given the fees and the return they can produce, and we evaluate
TX
Transcript Highlights:
  • Unfortunately, historically, you all and we have been unable to. ...to get very good information on evaluating
  • to file a bill, maybe get a rushed fiscal note analysis, and then not have enough time to sit and evaluate
  • these ideas for reforming our state benefit plans come up, a proposal can be sent over, it can be evaluated
  • impacts to costs for our state employees as well as the changes to potential health outcomes can be evaluated
  • last session we passed Senate Bill 599. 1993, which mandated an independent third-party audit to evaluate
TX

Texas 89th 2nd C.S.

Public Health May 5th, 2025

Public Health

Transcript Highlights:
  • a review to see how competent this person is, is a court-ordered individual that does that, um, evaluation
  • annual report that includes cost comparisons across different models of care, enabling legislators to evaluate
  • providers are not only available, but also help rigorous standards of transparency and outcome-based evaluations
  • In my experience, we often see clients who are repeatedly having to be evaluated for competency because
  • Uh, it also required HHSC to procure for an impact evaluation.
US
Transcript Highlights:
  • We work hard to help departments and agencies with their personnel management and performance evaluation
  • with going through a necessary re-evaluation of American priorities and spending?
  • I certainly think that we should make sure that we're evaluating people for the skills that are appropriate
  • interfering with our ability to do their job, then that's worth discussing, but otherwise we need to evaluate
  • We need to evaluate people based on the performance objectives of their role.
Summary: The committee convened to discuss the nominations of Scott Cooper for Director of the Office of Personnel Management and Eric Ulan for Deputy Director at the Office of Management and Budget. This meeting highlighted the critical roles both positions play in managing the federal workforce, which comprises over two million civilian employees. Concerns were raised regarding the current administration's approach to federal employment, citing issues like mass firings and the undermining of collective bargaining rights. Members expressed the need for better accountability and transparency within the federal system, emphasizing the importance of attracting talented public servants.
TX

Texas 89th Regular

Land & Resource Management Mar 27th, 2025

Land & Resource Management

Transcript Highlights:
  • I know that we have to look at that plan on a five-year basis and evaluate the... progress made and evaluate
  • know from the retail public utility level, it is something that we have a continuing obligation to evaluate
  • I think it would also be difficult for TCEQ when they're evaluating the creation applications to include
  • TCEQ has evaluated water conservation. ...plans that were based on projected water use, and so they could
FL

Florida 2026 Regular Session

Fiscal Policy Mar 27th, 2025

Fiscal Policy

Transcript Highlights:
  • flexibility for districts and instructional personnel by authorizing districts to design personnel evaluations
  • but requires student performance to make up half of the evaluation, establishes a three-year teacher's
  • We strike out, we change it from one-third to one-half when we're talking about the performance evaluation
  • want to ask the rationale behind us moving it from one-third to one-half when we based our teacher evaluation
  • instance, school districts could choose to measure growth from PM1 to PM3 or use other measures to evaluate
Summary: The Committee on Fiscal Policy considered several bills and reported all of them favorably. SB 70-24, on state planning and budgeting, was presented as a modernization of the long-range planning program to simplify reporting, remove outdated measures, and focus on key data points and outcomes; it passed without opposition. CS/SB 166, on administrative efficiency in public schools, made broad changes to school accountability and operations, including lowering the stakes of certain student assessments, giving districts more flexibility on evaluations, contracts, certification, calendars, facilities, and VPK oversight. Two amendments were adopted: one clarifying that Title I funds may be used for STEM services, and another refining how advanced degrees count on salary schedules. The bill passed favorably after testimony both supporting and opposing the changes, with supporters emphasizing flexibility and opponents raising concerns about teacher evaluation and instructional practice. CS/SB 164, on vessel accountability, was described as a measure to address derelict and at-risk vessels by improving owner identification, creating a free long-term anchoring permit program, increasing penalties, and authorizing grants for local governments in the FWC prevention program. It received support from marine industry groups and was reported favorably. CS/SB 472, on education and correctional facilities for licensed professions, would allow inmates to receive credit toward licensure for qualifying coursework; a strike-all amendment added coordination with DBPR and professional boards. The bill drew support from criminal justice, business, and policy groups and passed unanimously. The committee spent the most time on CS/SB 438, on food and hemp products. Senator Burton and co-sponsor Senator Davis argued the bill was needed to regulate intoxicating hemp products, restrict child-appealing packaging and signage, ban synthetic hemp products, cap THC content in edibles and beverages, and require hemp beverages to be sold through alcohol-style distribution channels. Supporters, including alcohol distributors and some public safety advocates, said the bill would improve testing, labeling, and consumer protection. Opponents, including hemp retailers, farmers, and libertarian advocates, argued it would harm small businesses, reduce consumer choice, and push sales to the black market. After extensive debate, the bill was reported favorably. At the end of the meeting, senators requested to be recorded as voting in the affirmative on tab five, and the committee adjourned.
TX
Transcript Highlights:
  • As far as the PUC, for step one, they'll evaluate the system-wide new capacity after 2026.
  • On its own, dispatchability is an insufficient and potentially misleading criterion for evaluating new
  • Do we do anything at the state level to evaluate or track the utilization of AI in the underwriting process
  • So we collect information regarding rating models to see what TDI considers in their evaluation of a
  • Please supply that to me and the guys regarding how we're evaluating a model for underwriting.
MN

Minnesota 2025-2026 Regular Session

House Environment and Natural Resources Finance and Policy Committee 2/13/25 - Part 2

Environment and Natural Resources Finance and Policy

Transcript Highlights:
  • should provide real-time information so the public can see what their input has brought and can evaluate
  • He said the public can see in real time when a permit has been done and evaluate it, because they are
  • have<00:07:27.560> the<00:07:27.720> public<00:07:28.000> can<00:07:28.240> evaluate
  • <00:07:29.240> because have the public can evaluate because have the public can evaluate because
Keywords: 1183, house
CA
Transcript Highlights:
  • The other two properties had to do with historical evaluations that had to be done as part of CEQA.
  • So I think you really have to seriously evaluate: do you have the sufficient team and capabilities to
  • If you find that some groups get more than other groups, do you evaluate that and reach out to other
  • In addition, the department hasn't articulated a clear plan for how it would evaluate the success of
  • Where are you at evaluating? I mean, I'm not...
Keywords: 987, senate, all
TX

Texas 89th 2nd C.S.

Senate Committee on Water, Agriculture, and Rural Affairs May 11th, 2026

Water, Agriculture and Rural Affairs

Transcript Highlights:
  • As the committee evaluates this issue, an important related question is how cities ensure that water
  • Evaluate the effectiveness of current surveillance, monitoring, and control efforts by the Texas Animal
  • We would use the information we gather to perform epidemiological evaluations.
  • We continue to evaluate our processes to ensure applications are reviewed as efficiently as possible
  • , with protestants advocating for broader evaluations.
Summary: During the meeting, legislative members discussed the practice of municipalities diverting water and sewer revenues to their general funds, which impacts infrastructure maintenance and project delays. Vice Chair Sparks proposed limiting public testimony to two minutes, which was adopted without objection. The committee heard from various witnesses, including Perry Fowler from the Texas Water Infrastructure Network, who emphasized that utility revenues should primarily support water services and that transfers should be transparent and justified. He noted that many utilities face financial pressures that could hinder infrastructure projects. Larry French from the Texas Public Policy Foundation highlighted the significant financial impact of water loss and general fund transfers, estimating the annual loss at $1.5 billion. He argued that these transfers can create disincentives for municipalities to address water loss issues. Brian Butcher, Assistant City Manager of Sugar Land, defended the city's cost allocation model for general fund transfers, asserting that they are necessary for equitable service provision and operational efficiency. The committee also discussed the implications of rising construction costs and the need for better procurement processes to ensure effective use of taxpayer dollars. The second part of the meeting focused on the New World Screwworm and the state's preparedness to manage potential infestations. Dudley Hoskins from the USDA outlined the federal response efforts and the importance of collaboration with state agencies. He emphasized the need for ongoing surveillance and the production of sterile flies to combat the pest. Dr. Philip Kaufman from Texas A&M discussed the historical context of the screwworm and the challenges posed by its potential reintroduction, urging proactive management strategies among livestock producers. The committee acknowledged the need for increased resources and research to effectively address the threat of the screwworm.
NH
Transcript Highlights:
  • <00:30:25.200> Um<00:30:25.919> we We evaluated all the different models that were
  • out there across the country, and we evaluated whether the potential for replication in New Hampshire
  • all the different models that evaluated all the different models that were<00:31:02.399> out<
  • whether the potential for evaluated whether the potential for replication<00:31:07.520> in<00
  • As the Association of Counties evaluates As the Association of Counties evaluates where<00:34:09.839
Keywords: 928, house, all
Summary: The committee to study long-term managed care met to approve the prior meeting minutes, with a clarification that “OB3” referred to the “one big beautiful bill.” The minutes were then approved. Chair Jim Kofalt outlined the day’s agenda, which included testimony from the Granite State Home Health and Hospice Association, the New Hampshire Association of Counties, and later DHHS. He also noted that future meetings were expected soon and that the meetings were being livestreamed on YouTube. Granite State Home Health and Hospice Association, represented by Kellyanne Totten and Amy Moore, urged inclusive planning and a cautious, phased approach if managed care is considered. They emphasized that home care providers are not uniform, with different licensing and service models, and said any pilot should include varied provider types, rural and southern regions, and agencies of different sizes. They warned that workforce shortages, inflation, and a possible 9% CMS cut to Medicare home health payments could force agencies to reduce service areas or service types. They also said the 2023 Medicaid CFI rate increase has begun to lose its effect. In response to questions, they said the rural health transformation fund may help with planning and telehealth but likely cannot be used directly for rates or recruitment/retention. They also described the New England Home Care Nurse Residency Program, a Department of Labor grant, as a way to bring new registered nurses into home care with added training and school partnerships. The New Hampshire Association of Counties, through county nursing home administrators Craig Labore and David Ross, revisited the earlier Step Two managed care discussions from 2016-2018. They said prior consultants found the long-term services and supports system was underfunded and needed investment to stabilize providers and expand community-based care. They argued the same concerns remain today and said a managed model would jeopardize the Medicaid quality incentive payment program and, for county nursing homes, the proportionate share payment program. Their testimony was generally opposed to moving forward with managed long-term services and supports without significant additional funding and safeguards.