Video & Transcript Research : 'performance tier'

Page 37 of 443
MN

Minnesota 2025 1st Special Session

House Transportation Finance and Policy Committee 3/10/25

Transportation Finance and Policy

Transcript Highlights:
  • It's something that's updated every five years, and it looks at, based on our performance measures and
  • The meat of the report basically looked at a variety of options to help close the gap, kind of tiered
  • to help close the gap kind of tiered to help close the gap kind of tiered into<00:10:23.720>
  • A lot of it is tied specifically to performance measures, so for pavement and bridge we know how much
  • tied specifically to Performance tied specifically to Performance measures<00:21:16.559> so
Bills: HF1167, HF1242
MN

Minnesota 2025 1st Special Session

Legislative Commission on Pensions and Retirement - 04/22/25

Minnesota Senate Floor Meeting

Transcript Highlights:
  • hear about from the tier 2 teachers is that they're paying for someone else's benefit.
  • Again, you couldn't have really surveyed the tier 2 teachers because they weren't teachers yet.
  • <01:47:38.239> 2 happened with in 1989 when tier 2 happened with in 1989 when tier 2 teacher
  • And I can speak to you as one of those tier 2 teachers.
  • <02:26:18.399> 2 speak to you as one of those tier 2 speak to you as one of those tier 2 teachers
Keywords: 1187, senate, all
CA
Transcript Highlights:
  • SB 813 creates a two-tiered system by which both goals are accomplished.
  • So it's called substitute performance.
  • Can we keep drilling down on substitute performance? ...paths, not a complete exemption.
  • Can we keep drilling down on substitute performance?
  • Can we look, can we keep drilling down on substitute performance?
Summary: The committee heard several bills focused on artificial intelligence, child safety, mental health, and privacy. SB 574 by Senator Umberg would require transparency and human oversight when attorneys, judges, and court neutrals use AI; it drew support from privacy advocates and committee members, with no opposition. SB 1276, the End Child Exploitation Act, would update child sexual exploitation laws to cover live-streamed and AI-generated abuse material and clarify that viewing such content can be criminally punishable; prosecutors, child advocacy groups, and others supported it, while no one appeared in opposition despite opposition on file. SB 813 would create a California AI standards and safety commission and a voluntary two-tier certification framework for AI safety standards; supporters said it would create scalable, independent oversight, while TechNet and CalChamber opposed it as duplicative, under-defined, and likely to create a de facto mandate. The committee discussed market pressure, federal preemption concerns, and the role of voluntary standards, but no final vote was taken in the excerpt. Senator Padilla also presented SB 300, which would strengthen protections for minors from sexually explicit chatbot content by moving from a reasonableness standard to an affirmative duty to prevent such exposure and to prohibit facilitation. Supporters said new evidence showed greater risks and that companies can and should build stronger safeguards; opponents, including TechNet and CCIA, argued the bill was premature because SB 243 had only recently taken effect and warned it could create strict-liability-like exposure. Padilla then presented SB 903, which would bar AI chatbots from being advertised as therapists, require licensed clinician oversight and informed consent for AI use in psychotherapy, and protect patient confidentiality; it received broad support from mental health professionals and labor groups, while industry and health associations were opposed unless amended over triage and crisis-detection language. The committee members emphasized the need for human judgment in mental health care and noted ongoing negotiations on amendments. The committee also heard SB 1119, a companion to AB 2020, which would require annual risk assessments, crisis-response protocols, default child settings, parental controls, limits on data use, public incident reporting, and third-party audits for chatbots used by children. Supporters argued the bill would address documented harms and improve transparency, while industry groups objected to ambiguous standards, liability exposure, and the private right of action. A roll call vote was taken on SB 1119 after quorum was established; the motion to pass to Appropriations succeeded on a 5-1 vote, with one no vote and the measure left on call for absent members. Finally, SB 354, a privacy bill for insurance consumers, would modernize outdated insurance privacy rules, bar sale of personal information, and expand consumer rights to know, correct, and delete data. Supporters said it would implement Proposition 24’s privacy mandate, while a large coalition of insurers, agents, brokers, and related businesses opposed unless amended, mainly seeking a small-business exemption and narrower treatment of publicly available information; members and the author said negotiations were ongoing and the bill had already been substantially revised.
NH
Transcript Highlights:
  • we are through these multi-tiered we are through these multi-tiered processes<00:42:25.360> from
  • <00:48:06.960> process<00:48:07.440> to And we have a multi-tier process to And we
  • But we do perform those.
  • <00:54:54.840> We<00:54:55.000> work But, we do we do perform those.
  • We work But, we do we do perform those.
Keywords: 1189, house, all
Summary: The committee met on May 29 and approved the draft minutes. DHHS Commissioner Weaver then opened the department update by asking Medicaid Director Henry Litman to brief members on federal and state Medicaid changes, and later turned to DHHS Chief Operating Officer David Weathers for an update on data governance. Members also asked that acronyms be spelled out in future materials and requested a follow-up on the federal Medicaid rule once it is published. Litman reviewed several federal Medicaid provisions tied to HR 1/"OBBA" and related state implementation issues. He said the first major change would be restrictions on certain non-citizens’ Medicaid coverage, affecting about 400 people in New Hampshire, with notices likely 30 to 60 days before the effective date. He also discussed new work requirements/community engagement rules, saying New Hampshire is on track to implement them and will likely need a state plan amendment rather than an 1115 waiver. Other changes included shorter retroactive coverage periods, a new state option for certain community-based services with an estimated $740,000 in implementation support, a freeze and phased-down reduction in the Medicaid enhancement tax beginning in state fiscal year 2029, and limits on directed payments to hospitals after a grandfathering period. He also noted that Medicaid enrollment has fallen from pandemic-era levels, with about 167,000 people covered as of May 1, and that the department is working with CMS on child premiums and other cost-sharing changes approved in HB 2. Committee members asked how the department could plan for the 2029 changes given the number of elections before then, and Litman said federal rules may be adjusted over time as states and stakeholders raise concerns. He emphasized planning for the worst while hoping for the best, and said rural health care transformation funding would help the state prepare. In the second presentation, Weathers explained that data governance is now embedded in DHHS operations to control access, manage reporting, and respond to risk. He defined it as managing what data is collected, how it is used, who can access it, and what laws apply, and said DHHS has moved from governance as a committee to governance as an operational process. He described privacy impact assessments for new systems going into production, monthly privacy and security training, and ongoing review of access controls and data-sharing rules.
TX

Texas 89th 2nd C.S.

Health Care Affordability, Select Apr 30th, 2026

Health Care Affordability, Select

Transcript Highlights:
  • A lot of the other countries do perform more services inpatient.
  • Performed.
  • So where the drug appears in a tier of a consumer's benefit.
  • Is it because the PBM has negotiated a very good rebate on, like, the top-tier drug?
  • So does that mean that, like, the Tier 1 drugs are based?
Keywords: 1184, house, all
VT

Vermont 2025-2026 Regular Session

Senate Session - 2026-05-27 - 2:30PM

Vermont Senate Floor Meeting

Transcript Highlights:
  • /c><01:10:39.600> the tier 2 any longer.
  • Uh tier one and the tier 2 any longer.
  • They are now a year tier 1 process.
  • <01:11:07.679> 1B housing projects remaining in tier 1B housing projects remaining in tier
  • established for uh for determining tier established for uh for determining tier 1b<01:11:16.960>
Keywords: 927, senate, all
LA

Louisiana 2026 Regular Session

Finance May 13th, 2026

Finance

Transcript Highlights:
  • We cannot expect top-tier election integrity if we do not invest in the people who make it possible.
  • Miller found out is over the next four years, the clerks would out in tier two would be Beale...
  • Because over the next four years, the clerks would out in tier two would be about 25 to 30,000 more than
  • There's sometimes a performance or certification bonus.
LA

Louisiana 2026 Regular Session

Finance May 13th, 2026

Finance

Transcript Highlights:
  • We cannot expect top-tier election integrity if we do not invest in the people who make it possible.
  • Miller found out is, over the next four years, the clerks would out in tier two would be Beale.
  • Because over the next four years, the clerks would out in tier two would be about 25 to 30,000 more than
  • There's sometimes a performance or certification bonus.
Summary: The Senate Finance Committee met on May 13, 2026, and reported several bills favorable. HB 27 was approved after testimony that it would delete a constitutional sentence requiring debt payments to be applied to the oldest outstanding amortization, giving retirement boards more flexibility to pay off the most advantageous debt. HB 143 was supported by the Louisiana Sheriffs’ Association and local law enforcement representatives to raise the statutory per diem for housing state inmates in local facilities from $26.39 to match the current $29.39 rate already being paid in practice. HB 205 drew extensive testimony from clerks of court and election officials who said election commissioners have not had a pay increase in 19 years and are struggling to staff precincts, especially under the new closed party primary system; the bill would let local governing bodies enhance commissioner pay as a stopgap, and it was reported favorable despite concerns that it does not fully solve the staffing problem. The committee also approved HB 308, which would require state stadium and arena facilities to accept cash for smaller transactions or provide a kiosk to convert cash to a prepaid card without extra fee. HB 417 was reported favorable to increase the cap on the hazardous waste site cleanup fund from $6 million to $8 million and tie it to inflation; DEQ staff explained the fund helps pay for Superfund matches and cleanup of abandoned or bankrupt hazardous waste sites, and the increase would not affect the state general fund. HB 12, supported by the Louisiana Assessor Association, would provide 5% annual salary equalization increases for assessors through 2029, with local opt-in and no state general fund impact; members discussed the recurring pay parity issue with clerks of court and the possibility of a study resolution to address future adjustments more systematically, and the bill was reported favorable. Representative Kerner announced HB 311 would be deferred after concerns it could amount to a tax increase. HB 1129, supported by the Louisiana Auctioneers Association, was amended to clarify that the state’s movable-property auctions include internet auctions and to give Louisiana auctioneers preference to bid on those contracts; it was then reported favorable. HB 562, which would update transcript fees for the 19th Judicial District Court, prompted concerns about higher costs for litigants and due process implications, and the committee agreed to defer it to the next meeting for further discussion. The meeting ended with adjournment after brief recognition of visiting cattle industry representatives.
FL

Florida 2026 Regular Session

Health Policy Oct 7th, 2025

Health Policy

Transcript Highlights:
  • poverty level and direct the health care corporation, which administers the CHIP program, to create new tiers
  • Now, if a family's income drops or decreases, they just drop into the lower tier.
  • again, after House Bill 121 is implemented, it will increase to 300%, and there are six different tiers
  • You know, the legislation, you know, we developed six different premium tiers for payment of premium
  • She's our division director of public health statistics and performance management, to talk in a little
Summary: The committee opened with roll call, welcomed members back for the first committee weeks, and heard brief personal updates from several senators before moving into agency implementation updates on recently enacted health care laws. The Agency for Health Care Administration reported on Senate Bill 64 creating rural emergency hospitals, explaining that AHCA adopted the required rules effective June 1, 2025, but that no hospitals have yet been designated. Members asked about possible hospital conversions, accreditation and survey responsibilities, and whether Florida would apply for federal rural health transformation funding; AHCA said it intends to apply and has already been working on the issue with federal officials. AHCA also reviewed the non-emergent care access plan requirement under Senate Bill 7016. The agency said hospitals with emergency departments must submit plans that help redirect non-emergent patients to appropriate care settings while complying with EMTALA, and that 83 plans had been received and 63 approved as of September 30. Members asked about data collection, managed care coordination, and the state’s health information exchange; AHCA said it has moved to a new HIE vendor and will continue monitoring implementation and possible care gaps. AHCA then updated the committee on the TEACH program, saying $6.8 million was spent in 2024-25 across 59 parent organizations and 229 facilities, with more than 1,800 students and nearly 380,000 clinical hours reimbursed. The agency said rulemaking is nearly complete, a new nursing student category and expanded facility eligibility were added, and a federal 1115 workforce waiver remains stalled after CMS signaled it will not approve new workforce demonstrations. AHCA also reviewed House Bill 121 on KidCare eligibility, explaining that implementation of the 300% poverty-level expansion remains blocked by federal litigation and waiver issues tied to premium nonpayment rules; members and public speakers urged action to close the coverage gap. Public testimony on AHCA’s presentation came from representatives of health centers and advocacy groups, who said the non-emergent care access plan has improved hospital-health center coordination and reduced repeat emergency use, and who urged implementation of KidCare expansion for children in the coverage gap. The Department of Health then presented updates on FRAM, the Sanadi screening grant program, the Health Care Innovation Revolving Loan Program, telehealth maternity care, swimming lesson vouchers, and House Bill 159 on pharmacist dispensing of HIV post-exposure prophylaxis. DOH reported strong participation in FRAM and the telehealth maternity program, 24 Sanadi grant awards in 42 counties, 4,945 swimming lesson vouchers issued last year and 2,371 so far this year, and three approved certification courses with five pharmacist certifications issued under HB 159. Committee members asked about recruitment of dentists and other providers, telehealth maternity outcomes, and why participation in the maternity program remains below expected levels; DOH said outreach and regional referral networks are expanding and more detailed outcome data will be included in the upcoming legislative report.
LA

Louisiana 2026 Regular Session

Insurance Apr 29th, 2026

Insurance

Transcript Highlights:
  • But when they personally perform a health care service within the CRNA's lawful scope of practice, the
  • insurer must reimburse no less than it would reimburse for that same service if personally performed
  • and cost-sharing structure, strengthening protections against discriminatory tiering practices that
  • It's performance-based.
  • By requiring compensation to be limited to flat fees and performance bonuses, the bill replaces flexible
Keywords: 965, house, all
Summary: The House Insurance Committee met on April 29 with a quorum present and considered several insurance- and health care-related bills. SB 192, concerning dental reimbursement and payment methods, was amended to clarify opt-in for electronic acceptance and then reported as amended. SB 84, which expands prostate cancer screening coverage for men over 40 and bars cost-sharing, was also amended and reported as amended after testimony from the American Cancer Society supporting earlier detection and reduced out-of-pocket barriers. SB 275, dealing with reimbursement and network access for certified registered nurse anesthetists, was reported favorably with broad support from nurse anesthetists, hospitals, and related groups. SB 169, a biomarker testing cleanup bill, was amended to clarify legislative intent and reported as amended. The committee spent substantial time on two major drug-pricing bills. SB 401 would create a Prescription Drug Affordability Board to study selected prescription drug prices, collect manufacturer and related pricing data, and report findings to the legislature; amendments narrowed the scope, addressed confidentiality, and delayed implementation. Supporters said it would provide transparency similar to Texas and help lawmakers understand drug pricing, while opponents warned about government overreach and confidentiality concerns. SB 387, the companion PBM reform bill, would restrict PBM compensation to flat fees and performance bonuses, require rebate pass-throughs, limit formulary practices, expand audit and reporting requirements, and create enforcement mechanisms; it was amended to delay implementation, refine definitions, and address ERISA-related concerns. Supporters argued it would curb PBM abuses and lower drug costs, while opponents from the Pelican Institute and PCMA said it would interfere with private contracts, reduce flexibility, and could raise premiums. After a roll call vote, SB 387 was reported with amendments. The committee also took up SB 241, which requires certain insurance adjusters and appraisers to include license numbers in written communications. After amendments narrowing the requirement to individual claims and public adjusters, the bill was reported as amended. Throughout the meeting, members repeatedly raised concerns about unintended consequences, especially for cities, school boards, and other non-ERISA plans, and sponsors said they would continue working on the drug-pricing bills before floor consideration.
WA
Transcript Highlights:
  • We also take performance data and...
  • We also take performance data and group students in a way to provide small group instruction.
  • So in our program, we use the MTSS model, which is multiple tiers of systems and support, and we offer
  • So how do we rate our performance?
  • Our students at River Home Link perform at or better in every measured category than our district and
Summary: The committee met to hear an overview of Washington’s alternative learning experience (ALE) programs and then an update on artificial intelligence in schools. OSPI’s Anissa Sherritt explained that ALE is a course-level funding designation for instruction that occurs partly or wholly away from the traditional seat-time model, with online, site-based, and remote course types. She emphasized that ALE is still basic education, subject to the same public school requirements, and that OSPI provides technical assistance, annual reporting review, and program reviews. Representatives from several programs described different models: Washington Virtual Academy (a large online ALE operated through Omak School District and partnered with for-profit Stride), Columbia Virtual Academy in Valley School District (a district-run, nonprofit online/remote program), Pearl in Quilcene (a K-8 remote parent partnership program), and River Home Link in Battleground (a site-based hybrid program). They discussed student supports, special education, enrichment, family choice, transportation, and how they measure outcomes. Members asked for follow-up information on funding, demographics, racial and ethnic data, multilingual learners, and post-graduation outcomes, and OSPI agreed to provide additional data where available. The committee then heard from OSPI and several districts about AI guidance and implementation. OSPI’s Holly Ryan Calloway described the agency’s human-centered AI framework, three guidance documents for schools, statewide professional learning, an AI innovation summit, and new AI literacy and informatics course frameworks and CIP codes. Quincy School District described a multi-year effort to integrate AI by centering student needs, creating district policy and classroom guidance, and training teachers to use AI responsibly while building an AI readiness plan from elementary through high school. Peninsula School District described its AI action research team, teacher professional learning, and classroom uses of generative AI to support science instruction, communication, and prompt engineering, while stressing that AI should enhance rather than replace learning. Members raised questions about privacy, energy and water use, prompt engineering, workforce and university connections, and the need for clear standards and ongoing educator training. No votes were taken.
OK

Oklahoma 2026 Regular Session

Education REVISED Apr 7th, 2026 at 10:00 am

Education

Transcript Highlights:
  • So is there any Oklahoma-specific data demonstrating that students receiving these scholarships perform
  • Correlation between instructional time and performance.
  • We're a tier air force base, Aldi Air Force Base.
  • I will start scheduling those tier one nominees to be here in person for a chance for you to spend time
TX
Transcript Highlights:
  • administration of assessment instruments in public schools, indicators of achievement, public school performance
  • For the writing component, when a change in that score could bump the student to the next performance
  • Of time it took away from other duties at the school that the school professionals perform was great,
  • There has to be one, a determination that the student would get to the next highest overall performance
  • Highest overall performance level in the assessment instrument, if we strike all that to include students
NV
Transcript Highlights:
  • The bill, as amended, provides that workers who perform custom fabrication on a public work or for certain
  • government performance contracts must be paid prevailing wage, among other provisions of the bill.
  • works enforcement team, which is made up of some investigator positions and some travel costs to perform
TX

Texas 89th 2nd C.S.

State Affairs Apr 30th, 2025

State Affairs

Transcript Highlights:
  • technology that's already ubiquitous in the marketplace, including grid enhancing technologies and high-performance
  • These grid enhancing technologies and high performance conductors in their annual regional planning process
  • And route electrons where they can most efficiently serve the needs of customers, high performance conductors
TX

Texas 89th Regular

State Affairs Apr 30th, 2025

State Affairs

Transcript Highlights:
  • domestic private entities that, within the previous two years, have created employment suitable for performance
  • House Bill 2868 aims to improve financial performance, enhance bond ratings, and lower borrowing costs
TX

Texas 89th Regular

State Affairs Apr 30th, 2025

State Affairs

Transcript Highlights:
  • technology that's already ubiquitous in the marketplace, including grid-enhancing technologies and high-performance
  • marketplace. ...to encourage ERCOT to evaluate and consider these grid-enhancing technologies and high-performance
  • High-performance conductors transmit more electricity than traditional lines while also improving operational
TX
Transcript Highlights:
  • weather, and I think that's been borne out through the performance of the grid since 2021.
  • weather, and I think that's been borne out through the performance of the grid since 2021.
  • We have to consistently be analyzing the performance of the grid and finding ways that we can make it
  • the performance of the grid since 2021.
  • I know Senator Milton has had ideas about restructuring the tier.
Keywords: 1185, senate, all
AL

Alabama 2025 Regular Session

Alabama Senate Apr 17th, 2025

Alabama Senate Floor Meeting

Transcript Highlights:
  • something about a second second tier something about a second second tier something about a second tier
  • or first tier or cuz he said we was tier or first tier or cuz he said we was tier or first tier or cuz
  • the duties required for the perform the duties required for the perform the duties required for the
  • That perform an operation? Well, no. That perform an operation? Well, no.
  • Five, perform other acts as department. Five, perform other acts as department.
Keywords: 920, all