Transcript Highlights:

• The other thing that's beautiful about biofeedback modalities is that they can be framed as performance
• That way we can see where their brain is performing well compared to the mean and where it's different
• So have you guys evaluated the possible, basically zero fiscal note, for lack of a better way of putting
• So have you guys evaluated the possible, basically zero fiscal note, for lack of a better way of putting
• You're having a hard time understanding how imaging the brain and determining the performance of the

Keywords: 959, house, all

Transcript Highlights:

• Then the second phase is the commission will come forward and perform an evaluation of those, and we
• again perform the research analysis in partnership with the Department of Revenue on those evaluations
• </c><00:06:43.560><c> an</c> come forward and and perform an come forward and and perform an evaluation
• </c> evaluation of those and we again perform evaluation of those and we again perform the<00:06:46.080
• of</c> 30 plus evaluations of an evaluation of 30 plus evaluations of an evaluation of a<00:07:00.680

Keywords: 1183, house

Transcript Highlights:

• performance exceeds standards to earn a financial incentive.
• So those performance measures include.
• We're performing better than that.
• We perform extensive research and analysis to evaluate the agency and identify problems.
• So, on slide seven, we really focus on process, how an agency performs. performs its functions rather

Keywords: 1184, house, all

Transcript Highlights:

• And we work with the Public Safety Performance Project at the Pew Charitable Trusts.
• Their evaluations for mental health are three to four months locally, struggling to get the evaluation
• We will then refer them for evaluation to a treatment-based provider who has expertise.
• We do performance-based contracting.
• The CJDSC performance contracting model was able to get a federal grant using that model.

Keywords: 995, all

Summary: The Special Commission on Correctional Consolidation and Collaboration met to approve the May 5 minutes and hear a presentation from the Massachusetts Probation Service. The minutes were approved unanimously, with a request that a member’s closing remarks be added to the record. The commission also noted online participants and confirmed quorum before moving to the presentation. Probation leaders described the agency’s role as the state’s largest post-release supervision system and emphasized its focus on reentry, accountability, and reducing technical violations. They outlined the from-and-after sentencing structure, dual supervision with parole, and efforts to reduce revocations and non-criminal violations. Members asked about racial and ethnic disparity work, and probation said that effort is funded through the trial court and state budget, not federal grants. The presentation highlighted community engagement, simplified and translated probation conditions, workforce diversification, and training aimed at improving trust and access for court users. A major portion of the discussion focused on Community Justice Support Centers, evidence-based programming, and shared services such as housing, MassHealth enrollment, transportation, and behavioral health referrals. Probation said the centers are underutilized but have shown improved outcomes in non-randomized studies, with lower recidivism among participants compared with similar probationers. Members discussed mental health access, veterans identification, medication-assisted treatment, and the importance of state IDs and driver’s licenses for successful reentry. The commission also heard about housing supports, including transitional and sober housing, and a statewide behavioral health initiative for justice-involved individuals. The meeting ended with plans for the next session on July 11 and a motion to adjourn, which passed.

Transcript Highlights:

• </c><00:02:50.959><c> in</c> already authorized to perform in already authorized to perform in Kentucky
• </c> performed and order the imaging. performed and order the imaging.
• They're going performing the tests.
• </c> to perform, to offer these services. to perform, to offer these services.
• And this takes away from tasks that the board must perform.

Keywords: 958, all

Summary: The committee first approved the October 23 meeting minutes and then heard testimony on a planned 2026 bill to modernize Kentucky’s audiology practice act. Witnesses from the Academy of Doctors of Audiology and a Kentucky audiologist said the proposal would largely codify existing authority and add new powers to order certain imaging and lab tests related to auditory and vestibular conditions, as well as prescribe topical ear medications. They argued the changes would reduce delays, especially in rural areas, improve access to hearing and balance care, and help address provider shortages. Committee members asked about evidence for the expansion, responsibility for reviewing imaging results and incidental findings, and whether the changes might affect referrals or scope of practice. The witnesses said they could provide evidence, that the audiologist would be responsible for obtaining and reviewing radiology reports and following up with patients and primary care providers, and that the goal was to speed treatment and streamline referrals when needed. The committee then heard a separate proposal to update the Kentucky Board of Medical Imaging and Radiation Therapy statutes by licensing MRI technologists and diagnostic medical sonographers, who are not currently required to be licensed in Kentucky. The bill would create a transition period through January 1, 2028 for current practitioners, require national credentialing for new applicants after that date, expand the board from 9 to 11 members, and clarify scope and enforcement provisions. Supporters said the measure would improve patient safety, align Kentucky with most other states, and recognize national credentials. Members questioned how many workers would be affected, whether the state currently meets national standards, the cost of licensure, and whether the bill could worsen staffing shortages, especially in rural areas. The witnesses said about 800 MRI technologists and 1,600 sonographers in Kentucky are currently certified, initial licensure would cost $100, and existing licensees would not pay an additional fee. They also said the board viewed the change as a safety measure and noted increasing portability of MRI services across state lines. Finally, the committee began hearing a respiratory care interstate compact proposal. The sponsor and respiratory care representatives described the compact as a way to allow licensed respiratory therapists from member states to practice across state lines. They outlined the profession’s role in hospitals, emergency departments, home care, pulmonary labs, long-term care, and telehealth, and said the compact would help with workforce flexibility and access to care. The transcript cuts off before the discussion concluded or any action was taken on that item.

Transcript Highlights:

• Cal Fire's funding, for instance, to perform wildfire resilience activities has grown over the past 10
• Furthermore, FEMA is no longer extending periods of performance on grants.
• “When we did our modeling, we performed the mitigation modeling kind of in two different ways.
• We're performing over 30,000 inspections per year.
• Through over 150,000 inspections that we perform, we have millions of data points for on parcel.

Keywords: 987, senate, all

Transcript Highlights:

• Madam Chair, members, Senate Bill 1121 prohibits hospitals that perform cardiac catheterization procedures
• So it says 50% of rooms where cardiac catheterizations are performed in hospitals.
• Health boards evaluations notice unless you want to skip to a...
• many of the same functions that MCOs perform.
• many of the same functions that MCOs perform.

Summary: The committee heard several bills related to radiation protection in cardiac catheterization labs and later a stem cell/regenerative therapy bill. On SB 1121, which would allow hospitals with radiation protection systems to let clinicians forgo lead aprons if they work in the designated safety area and use real-time dosimetry, testimony was largely supportive or neutral after a late amendment gave radiation safety officers discretion to require protective gear if exposures approach thresholds. The committee adopted the amendment and passed SB 1121 on a 9-1 vote. SB 1120, a more prescriptive bill requiring at least 50% of cath lab rooms in hospitals to be equipped with the radiation protection system, drew divided testimony: sponsors and several physicians argued it would reduce orthopedic injury and radiation exposure and improve recruitment and retention, while hospital and radiology groups objected to the mandate, cost, limited vendor pool, and lack of clarity in the bill’s definitions. After adopting an amendment excluding children’s hospitals, the committee deadlocked 6-6 and SB 1120 failed to pass. The committee then considered SB 1118, which would appropriate $3 million to help rural hospitals install radiation protection systems in cath lab rooms. The sponsor said the funding would help rural facilities meet the same safety goals, and the committee passed the bill 6-5. The committee also heard SB 1214, a “guardrails” bill regulating non-FDA-approved stem cell and regenerative therapies, requiring informed consent, sourcing and reporting standards, advertising limits, and civil penalties for violations. Supporters said it would protect patients while allowing access to promising therapies; some members raised concerns about evidence and commercialization, but after adopting a technical amendment, the bill passed 9-3. The transcript ended as the committee moved on to SB 1630, which would seek federal approval for a home- and community-based service benefit for adults with serious mental illness; the sponsor described it as a capped, Medicaid-based community care option, and Access testified neutral while estimating a fiscal impact, but no final action on SB 1630 appears in the excerpt.

Transcript Highlights:

• HAS THERE BEEN AN EVALUATION TO SEE WHETHER THERE ARE ANY THAT HAVE BEEN ELIMINATED, NONFUNCTIONAL?
• WHO IS EVALUATING THAT AND HOW IS THE DECISION MADE?
• THEY ARE VERY IMPORTANT BUT THIS GIVES THE STATE OF FLORIDA AN INDEPENDENT MODEL TO EVALUATE POTENTIAL
• SUCH A PLEASURE TO BE HERE WITH YOU TODAY TO HIGHLIGHT THE HIGH-PERFORMANCE MATERIALS INSTITUTE.
• STUDENTS READING PERFORMANCE. SO JUST TO GIVE YOU A LITTLE BIT OF A TASTE OF WHERE WE ARE GOING.

Keywords: 999, senate, all

Transcript Highlights:

• And that's within the CalReady system so that local health department staff can evaluate the case and
• And that's within the CalReady system so that local health department staff can evaluate the case and
• So that local health department staff can evaluate the case and enter additional information.
• an evaluation of these systems.
• Again, I would emphasize that the purpose of performing this assessment with regards to these systems

Summary: The Assembly Subcommittee on Health heard an overview of the California Department of Public Health budget, including a $5.1 billion department budget and 19 non-IT budget change proposals spanning environmental health, healthcare quality, infectious disease, healthy communities, health statistics, preparedness, and laboratory sciences. CDPH also presented estimates for WIC and the Genetic Disease Screening Program, both of which were described as relatively stable, with WIC food costs rising mainly due to inflation and participation holding near 1 million monthly participants. Members and public commenters raised support for several proposals, including funding for the California Reducing Disparities Project, AB 1264 implementation on school food standards, childhood lead poisoning prevention, the hospital bed capacity registry, sickle cell care networks, and WIC protections amid federal policy changes and shutdown-related uncertainty. Dr. Erica Pond then presented the 2026 State of Public Health report, highlighting major gains such as record-low mortality rates, all-time high life expectancy, and the first decline in overdose deaths in 14 years, while warning about persistent disparities in maternal and infant outcomes, rising severe maternal morbidity, and worsening mental and behavioral health trends, especially among younger adults. She emphasized racial and geographic inequities, the role of social drivers like poverty and education, and the importance of prevention investments through the Behavioral Health Services Act. Members discussed the need for upstream public health spending, environmental health preparedness, and how to translate data into action, while public comment largely focused on sustaining community-based prevention and equity programs. In a separate update on federal actions and public health partnerships, Dr. Pond and CDPH staff described California’s response to federal funding threats, vaccine policy changes, and measles outbreaks. They outlined new collaborations such as the West Coast Health Alliance, the Governor’s Public Health Alliance, the WHO outbreak network, and the FACT Coalition, along with CDPH’s process for reviewing and updating immunization and preventive service recommendations under AB 144. Members questioned the rise in measles and declining vaccination coverage, and CDPH said it is using trusted messengers and tailored outreach while continuing to evaluate federal recommendations. The committee then heard an ADAP estimate showing lower projected budget authority needs due to reduced caseload and one-time funding expiring, followed by public support for using ADAP rebate funds to expand HIV prevention, PrEP, testing, and disease intervention staffing. The final issue focused on public health information technology systems, including Sapphire, CalReady, CalConnect, CARE, MyTurn, MyCAVAC, and the digital vaccine record. CDPH explained how these systems support disease reporting, contact tracing, immunization tracking, vaccine ordering, and outbreak response, while the Department of Finance said only Sapphire and CalReady are funded in the Governor’s budget and the rest are under review because of the state’s budget deficit and declining utilization. Local health department representatives strongly opposed losing the systems, arguing that lower usage reflects post-pandemic conditions and that the tools save staff time, improve outbreak response, and prevent a return to manual spreadsheets and phone calls. Members echoed concern that cutting the systems would undermine public health capacity and waste prior state investment, and urged the administration to present a funding plan that matches its stated commitment to public health.

Transcript Highlights:

• How do you evaluate your own personal performance?
• Someone Is always performing below our standard, and someone is always performing above.
• To the memory of our own past performance or a sibling or even worse, a renowned artist or concert performer
• So how are we to properly evaluate Romans 5:8, but God demonstrates His own love for us in this, while
• The Lord evaluates by a very different standard, made possible not by our performance, perfection, or

Bills: HB2997, HB2021, HB3041, HB1823, HB3372, HB1427, HB3127, HB3128, HCR1020, HB4198, HB3000, HB3001, HB3002, HB3003, HB3004, HB3005, HB3006, HB3007, HB3008, SB392, HB3320

Keywords: motor vehicles, administrative fines, license regulation, state agencies, employment levels, after-school programs, grant funding, community organizations, child care, Oklahoma Department of Human Services, credit card transactions, payment methods, service charge, consumer rights, financial regulation, housing finance, Oklahoma Housing Finance Agency, publication requirements, housing policy, state regulations

Transcript Highlights:

• definition now includes a physician who practices in medicine, surgery, or osteopathic medicine, performs
• So is this bill attacking performance pay?
• Thank you. ...performance pay.
• Madam Chair and members, House Bill 2026, for the purpose of evaluating specified assured water supply
• It requires DWR to notify all eligible applicants of the ability to have their applications re-evaluated

Summary: The caucus reviewed a large number of House bills, mostly on third-read consent or for floor strategy, covering education, health, water, land, energy, housing, taxation, and public safety. Topics included ESA administration funding, AI in schools and legal communications, towing and DUI changes, health facility licensing and nursing records, internationally trained physicians, nurse anesthetist reimbursement, childhood cancer research, cybersecurity encryption, school mental health instruction, superintendent pay and benefits, adoption disclosures in college health settings, anti-Semitism provisions, school safety firearms authorization, coerced abortion penalties, domestic violence testimony standards, border health and terrorism-related bills, and multiple water, land, and state trust land measures. Several members flagged concerns about unfunded mandates, local control, constitutional issues, and special legislation, while others supported bills as technical fixes, public safety measures, or ways to expand access and funding. A number of bills were pulled from consent for further discussion, including HB 2020, HB 2093, HB 2386, HB 2481, HB 2575, HB 2906, HB 2040, HB 2136, HB 2665, HB 2904, HB 2957, HB 2044, HB 2352, HB 2667, HB 2830, HB 2307, HB 2425, HB 2426, HB 2427, HB 2497, HB 2751, HB 2780, HB 2804, HB 2926, HB 4030, and HCR 2052, among others. Some bills were noted as unanimous or split votes, and several were described as party-line or having constitutional problems. The caucus also discussed committee amendments on multiple measures, including changes to water, land, health, and AI bills. The meeting ended with a series of remarks on the late Reverend Jesse Jackson and an “affordability award” presentation to Representatives Lorena Austin and Simacek for work on economic justice and working families. The caucus then adjourned.

Transcript Highlights:

• When I first got here, President Trump had evaluated and released 4,000 people from the VA.
• And the Biden administration rehired them back, and with back pay, without any evaluation.
• We've not had any evaluation from those 4,000 since I've been here for four years.
• People need to be evaluated.
• bad performers, and they generally left before the HRC.

Keywords: veterans affairs, VA modernization, employee layoffs, mental health, suicide prevention, transparency, senate committee, bipartisan support, oversight

Summary: The meeting involved detailed discussions on various veterans' issues, particularly focusing on the challenges faced by the Department of Veterans Affairs (VA) amidst a backdrop of significant staffing changes. Members expressed deep concerns over the recent layoffs of over 1,000 VA employees, emphasizing the crucial nature of these positions in the context of mental health support for veterans, particularly amid rising suicide rates. Senators articulated the need for transparency and effective communication between the VA and Congress to avoid further breakdowns in services. The session also spotlighted the ongoing modernization of VA systems and the urgent need to streamline processes to benefit veterans effectively.

Transcript Highlights:

• Our paralegals are performing excellent work.
• We're accomplishing less core work because our staff is busy performing tasks that could be performed
• The second advantage is that offices can evaluate the performance of attorneys.
• Dylan Minch: Offices also evaluate the performance of attorneys.
• The second thing that the offices can do that lacks in the current system is evaluate the performance

Bills: SB 1

Keywords: campground safety, youth camp regulations, flood safety, emergency evacuation, health and safety standards, 1185, senate, all

Transcript Highlights:

• Locally, we measure schools and we measure district performance.
• What's missing right now is a way for you... ...and we measure district performance.
• What's missing right now is a way for you and the public to evaluate whether state-level decisions are
• We monitor to evaluate whether the decisions we make are having the desired outcomes for our students
• So there is a dashboard, but this is an enhancement so that we can evaluate the effectiveness of our

Keywords: 988, house, all

Transcript Highlights:

• Florida law requires a medical examiner to perform autopsies in cases of suspicious or violent deaths
• The medical examiner has the authority to perform.
• In fact, you know, substance abuse and records related to mental illness or any type of evaluation, mental
• And during some type of medical evaluation or something, there is something that occurs or is said that
• And I do believe in me, that's one of the hardest things to evaluate is and how many acts of violence

Keywords: 999, senate, all

Transcript Highlights:

• I'll turn now to the fiscal year 2025 performance measure reports in your packets.
• On this slide, you can see the performance measures related to district support and services.
• Looking at our performance measures related to communication on the third and fourth pages of our performance
• It's our statewide performance report.
• It's our statewide performance report.

Summary: The Senate Agricultural Committee began with a visit from a BYU-Idaho agribusiness class, whose students and faculty were welcomed and briefly introduced themselves. The committee then took up a rule docket, 02-0601-2501, and approved it with an exception: section 112, new subsections 01 through 05, which incorporated documents by reference without a specific date. The committee adopted findings that this was inconsistent with the Idaho Administrative Procedures Act and directed the agency to return with a compliant rule in the future. The committee next considered RS 33272, presented by Senator Tammy Nichols, which would create standards for kratom products. Nichols said the proposal was intended to preserve lawful access to natural leaf kratom while prohibiting adulterated, synthetic, or artificially enhanced products, requiring limited third-party testing, setting an age restriction, clarifying supply-chain responsibilities, and establishing penalties without creating new licensing or fees. The committee voted to send the RS to print. Senator Todd Lakey then presented RS 33226, the Idaho Direct to Consumer Act, which would reduce regulation on small-scale homemade food and non-alcoholic drink sales made directly from producer to consumer, preempt more restrictive local rules, and include labeling and record-keeping requirements, including for certain direct meat sales. The committee voted to send that RS to print as well. The Idaho Department of Water Resources, speaking in its role with the Soil and Water Conservation Commission, gave an agency update on conservation district support, CREP, WACPA, and related programs. Officials reported on district funding distributions, landowner assistance, conservation acres served, and performance measures, and discussed budget requests including a proposed miscellaneous revenue fund and additional appropriations to address future CREP matching needs. In response to a question, the department said WACPA was not included in the governor’s budget. The Idaho Association of Soil Conservation Districts then presented on the value of locally led conservation districts, emphasizing volunteer governance, the return on state investment, education efforts, and local projects such as flood recovery and rangeland fire protection. Committee members asked about EPA coordination, and presenters said working through state agencies and local districts remained preferable and generally effective. The meeting concluded after the presentations and questions.

Transcript Highlights:

• , and they do those annual evaluations. ...and faculty member for their annual evaluations, and they
• regard to academic performance.
• Doing a pay-for-performance model.
• But our students do perform well.
• But our students do perform well.

Summary: The meeting focused heavily on dual credit programming across North Dakota, with presentations from Valley City State University, Lake Region State College, Fargo Public Schools, and teachers from West Fargo and Drake-Anamoose. Speakers described dual credit as a way to give high school students college-level rigor, reduce future tuition costs, and help students explore academic and career pathways. Several presenters emphasized that strong local relationships between colleges and school districts are central to program quality, especially in rural areas where access to advanced coursework can be limited. Valley City State University outlined its quality-control model, including annual teacher trainings, syllabus and outcomes alignment, faculty evaluations, qualification standards, school visits, and a goal of building 24-credit College Studies Certificates. The university reported about 504 students in the fall and 559 in the spring, with roughly 5,539 projected credit hours and about 130 students expected to earn the 24-credit certificate. Members asked about faculty qualifications, online versus in-person delivery, student retention, revenue, and whether a more centralized statewide model might be more efficient; the presenter said centralization could reduce duplication but might weaken local relationships and choice. Lake Region State College described a broader regional model, with about 913 dual credit students last fall across 44 school districts, roughly half of them taking online college courses and half taking face-to-face courses taught by qualified high school teachers serving as adjuncts. The college said it has paid for graduate credits to help teachers meet credentialing requirements and reimburses districts for teacher support and materials. Fargo Public Schools reported 50 dual credit courses through multiple higher-ed partners, 1,571 enrollments, and a 12.61% increase in participation, while also raising concerns about inconsistent registration systems, credentialing requirements, and transfer clarity across institutions. Teachers from West Fargo and Drake-Anamoose reinforced the value of dual credit, while noting concerns about retention in foundational science courses and the importance of maintaining rigor and support for students.

Transcript Highlights:

• THIS IS TELLING YOU HOW MANY WE ARE PERFORMING AND THESE ARE THE FINDINGS THESE ARE COMING FROM.
• THE INVENTORY AND HAVE NOT FOLLOWED UP OR PERFORMED A FURTHER INVESTIGATION.
• WERE NOT PERFORMED AT ALL.
• FAU DIDN'T ALWAYS PERFORM PERSONNEL EVALUATIONS. UF, WE HAD ABOUT FIVE AREAS IN THE PERSONNEL AREA.
• THAT'S JUST PERFORMING YOUR INVENTORY AND TAGGING ITEMS AND THINGS OF THAT NATURE.

Keywords: 999, senate, all

Transcript Highlights:

• If we're going to evaluate the issue of mental health parity, we must go deeper into the differences
• If we're going to evaluate the issue of mental health parity, we must go deeper into the differences
• And to be able to perform even a simple COVID test-and-treat means diagnosis is involved.
• And to be able to perform even a simple COVID test and treat means diagnosis is involved.
• Pharmacists’ ability to perform a simple COVID test-and-treat means diagnosis is involved, so limited

Bills: SB6226, SB6305, SB5924, SB5990, SB5185, SB5845, SB6071, SB6258

Keywords: SB 6226, Washington, audiology, audiologist, hearing aid specialist, speech-language pathologist, telehealth, teleaudiology, clinical autonomy, clinical judgment, in-person care, remote care, Board of Hearing and Speech, hearing instruments, hearing aids, dispensing hearing aids, standards of care, professional licensure, health professions regulation, patient-centered care

Transcript Highlights:

• biological material and the buying and selling of children who will be born by women who are being paid to perform
• There are children in this state who have to get up every day, go to school, have to try to perform,
• But if we are asked to perform this work without any additional resources, there is a trade-off.
• relevant stakeholders, to review maternal mortality and pregnancy-associated mortality in Louisiana, to evaluate

Bills: HR267, HCR105, HCR107, HCR110, HCR113, HCR114, SB4, SB52, SB57, SB145, SB152, SB194, SB237, SB333, SB433, SB483, SCR37

Keywords: diabetes, amputation, amputations, diabetic foot ulcer, peripheral artery disease, PAD, wound care, podiatry, vascular disease, endocrinology, limb salvage, health policy, public health, healthcare costs, insurance coverage, Louisiana Department of Health, University of Louisiana at Lafayette, Louisiana Center for Health Innovation, patient education, screening