Video & Transcript : 'feedback mechanisms' :

Page 492 of 500
FL
Transcript Highlights:
  • IT WOULD SEEM TO ME THERE MAYBE AND MAYBE THERE ISN'T ANY WAY TO HELP WITH SOME SORT OF INTERNAL MECHANISM
Keywords: 999, senate, all
HI
Transcript Highlights:
  • And there's no mechanism, most concerningly, to verify that the required training will actually produce
  • We can put together a substantial needs assessment and, most importantly, a mechanism to measure the
  • Um and there's no mechanism<02:18:12.319><c> most</c><02:18:12.639><c> concerningly</c><02:18:13.599>
  • <c> to</c><02:18:13.840><c> verify</c> mechanism most concerningly to verify mechanism most concerningly
  • </c><02:19:53.200><c> to</c> said most importantly a mechanism to said most importantly a mechanism to
Committee: House Finance
HI

Hawaii 2026 Regular Session

EDN Info Briefing - Fri Jan 9, 2026 @ 2:00 PM HST

Hawaii House Floor Meeting

Transcript Highlights:
  • be a challenge is around the collective bargaining, and this is more just because of the funding mechanism
  • So, we've also had to work with budget and finance to kind of cover that. >> So, I guess mechanically
  • So, we've also had to work with budget and finance to kind of cover that. >> So, I guess mechanically
  • &gt;&gt; So,<02:05:05.920><c> I</c><02:05:06.080><c> guess</c><02:05:06.239><c> mechanically</c><02:05
  • that would be &gt;&gt; So, I guess mechanically that would be very<02:05:07.520><c> challenging.
Keywords: 910, house, all
NH
Transcript Highlights:
  • So this is kind of a mechanism to incentivize them to opt in to submit their data to the CHIS.
  • is</c><00:14:02.959><c> kind</c><00:14:03.120><c> of</c><00:14:03.199><c> a</c><00:14:03.440><c> mechanism
  • So um this is kind of a mechanism CHIZ.
  • So um this is kind of a mechanism to<00:14:04.079><c> incentivize</c><00:14:04.639><c> them</c><00:14
  • sometimes uh if you do a body mechanism sometimes uh if you do a<00:19:42.320><c> little</c><00:19:42.480
Keywords: 928, house, all
Summary: The committee began by discussing 15 retained bills and the chair’s preference to keep them alive through interim study rather than kill them, using them as vehicles for further discussion and possible later amendments. The chair said the bills would be executed out by November and then move to the House floor in January, and members generally agreed that interim study was the prevailing motion for the retained bills. Several health-related bills were then discussed. On Senate Bill 247, concerning pharmacy network exclusion when PBM reimbursement is below acquisition cost, members said the issue had been presented differently in prior discussions and noted unfamiliar intermediaries such as PSAOs; the bill was viewed as too complex to resolve immediately, so interim study was favored. A bill on treatment alternatives to opiates was said to need an amendment from the Insurance Department, and a bill on self-funded employer access to claims data was described as having changed substantially through amendment; the sponsor explained it was intended to incentivize self-funded plans to opt into the state’s all-payer claims database (CHIS) so their data could be used for cost analysis, and members indicated a separate bill would be brought later. The committee spent the most time on a glucose monitoring bill, with testimony from a sponsor and a parent of a type 1 diabetic describing the medical benefits of continuous glucose monitors, especially for preventing dangerous lows and managing fluctuations. Opponents and committee members raised concerns about the cost of a mandate, the effect on premiums in the individual and small-group markets, and whether the bill should require coverage without a prescription; one member cited medical literature suggesting limited evidence for non-insulin users. The chair concluded the bill was headed to interim study and said the committee would do further homework on the economic impact, especially for type 1 coverage. The meeting then moved on to a bill about insurer audits and clawbacks, where the Insurance Department commissioner explained that the issue involved several separate provider-payment problems that had recently come to the department’s attention and that the department would provide a report and work with the sponsor on next steps.
NH

New Hampshire 2025 Regular Session

House Finance Division III (03/11/2025)

Transcript Highlights:
  • We do not have a mechanism to provide tuition assistance other than through the department, but nothing
  • We try to be as creative as we can, but we do not have a mechanism for tuition reimbursement.
  • </c><01:12:36.880><c> to</c><01:12:37.360><c> provide</c><01:12:37.760><c> tuition</c> have a mechanism
  • to provide tuition have a mechanism to provide tuition assistance<01:12:38.760><c> other</c><01:12:39.040
  • </c> as we can but we do not have a mechanism as we can but we do not have a mechanism for<01:13:06.440
Keywords: 928, house, all
Summary: Division 3 opened a work session focused on direct care agencies, with the chair saying the day would center on the Veterans Home and other state hospitals and homes. Members first discussed the upcoming Finance Committee process, including how many bills would be assigned to Division 3, whether they would appear on the House calendar, and how much time would be allowed for each bill. The chair said the division would likely spend about an hour on each bill, then return for a second day of review before making recommendations. Staff later identified three bills expected on the calendar: House Bills 704, 751, and 54. Members also raised a question about the use of educational trust fund money in the budget, but that issue was deferred. The main presentation came from Kim McKay, commandant of the New Hampshire Veterans Home, who described the facility as a long-term care intermediate facility serving eligible veterans. She said the home is licensed for 250 beds, budgeted for 225 veterans, and currently has 135 residents with four more scheduled to arrive. McKay highlighted improvements over the last two years, including a reduction in the admission wait list from more than a year to about three to six months, the creation of an LNA training program, energy-saving and Wi-Fi upgrades, and a new electronic learning management system that will provide mandatory training and continuing education units for staff. She said the home’s long-term goal is to return to a 225-bed census, but staffing remains the biggest hurdle. Members asked about admissions, wait times, staffing, vacancies, and the home’s use of contract nurses. McKay explained that the wait time is measured from the initial application date, not from a completed packet, and that staff now help families gather records and paperwork more quickly. She said the home averages about 45 deaths per year, residents stay about 2.5 years on average, and the vacancy rate is around 35 percent, though some positions are intentionally held open until census grows. She attributed staffing shortages largely to retention problems, citing higher private-sector pay, bonuses, and more flexible hours, and said the home has a handful of contract nurses, mainly on second shift. On finances, she said pharmacy services are contracted, the VA reimburses some medication costs based on disability, and the home is pursuing federal changes to cover high-cost medications and catastrophic disability cases. The discussion also covered the home’s off-book donation account, which is overseen by the state and transferred into the state system when funds are spent.
NH
Transcript Highlights:
  • would apply for a full-time mechanism would apply for a full-time student<05:53:51.040><c> going</c>
  • And this provides them the legal mechanism to do so.
  • :03:39.760><c> legal</c> um and this provides them the legal um and this provides them the legal mechanism
  • :03:42.478><c> um</c><06:03:43.000><c> I</c><06:03:43.120><c> liveed</c><06:03:43.360><c> in</c> mechanism
  • to do so um I liveed in mechanism to do so um I liveed in Tuftonboro<06:03:45.558><c> and</c><06:03:
Keywords: 928, house, all
Summary: The committee first took up HB 662, which would require discussion of abortion procedures and the viewing of certain videos in public school health education. Members argued the bill went too far by naming specific videos and involving the Attorney General in enforcement, and they said curriculum decisions should be left to educators. The committee voted ITL on HB 662 by a unanimous 18-0. The committee then considered HCR 6, a resolution calling for the removal of the superintendent of District 67. Members said the resolution targeted an individual and that the underlying dispute was already in court, so the matter should be left to the legal process. The motion to ITL passed 18-0. Next, HR 9, urging the Department of Education to emphasize STEM education, received broad support as a nonpartisan statement of priorities, and it also passed 18-0. HB 440, concerning educator licensing and shortages in Career and Technical Education, was amended to clarify that the bill applies to initial licensure only. After discussion about whether the amendment was necessary, the committee adopted Amendment 0188 unanimously and then voted OTPA on the bill as amended, 18-0. HB 222, which repealed the requirement for an MOU between charter schools and districts on services for students with disabilities, drew testimony that districts already provide substantial oversight through IEP processes and that the MOU requirement was burdensome and largely unenforced; the committee voted OTP 18-0. The committee then took up HB 719, which would repeal the right of first refusal for charter schools to purchase or lease unused district facilities. Supporters said the existing law had not generated complaints and could impede charter expansion, while opponents said the issue had not proven to be a problem and local control should be preserved. The committee voted ITL 17-1, with one member opposed and no minority report. The chair then postponed HB 184, a study committee bill on school start times, because it was scheduled for the next day, and the committee moved into a work session on bullying-related bills, discussing HB 108, HB 384, and HB 673 without taking final action in the portion provided.
AL

Alabama 2026 Regular Session

Alabama House Apr 2nd, 2026

Alabama House Floor Meeting

Transcript Highlights:
  • It's a survival mechanism that we have to put into our kids to make sure that they know how to get back
  • "And what ends up happening sometimes when you have to have this survival mechanism placed into your
  • children, sometimes they may flee because they don't know if the survival mechanism will work or not.
  • </c><03:10:10.399><c> And</c><03:10:10.640><c> that's</c> mechanism will work or not.
  • And that's mechanism will work or not.
Keywords: 1136, house, all
NH

New Hampshire 2026 Regular Session

Senate Energy and Natural Resources (03/10/2026)

Energy and Natural Resources

Transcript Highlights:
  • However, Fish and Game currently has no clear mechanism to recover the cost of the staff time and resources
  • Um, and it gives a transparent mechanism for the department to recover its actual costs for providing
  • storms may impact our states for years to come, it is important New Hampshire have an effective mechanism
  • So there is that flexibility for the PUC to make sure that, as compared to the status quo, this mechanism
  • </c><02:01:05.360><c> will</c> the status quo that this mechanism will the status quo that this mechanism
Keywords: 1191, senate, all
WY

Wyoming 2026 Regular Session

Senate Floor Session-Day 8, February 18, 2026-PM

Wyoming Senate Floor Meeting

Transcript Highlights:
  • <00:20:32.559><c> problem</c><00:20:32.960><c> and</c><00:20:33.280><c> the</c><00:20:33.440><c> mechanic
  • </c><00:20:33.840><c> finds</c> for one problem and the mechanic finds for one problem and the mechanic
  • Now they have the mechanism to finance that.
  • Now they have the mechanism<01:20:40.560><c> to</c><01:20:40.800><c> finance</c><01:20:41.199><c> that
  • </c><01:20:41.600><c> before</c><01:20:41.920><c> they</c> mechanism to finance that. before they mechanism
Keywords: 916, all
NH

New Hampshire 2025 Regular Session

House Criminal Justice and Public Safety (10/22/2025)

Criminal Justice and Public Safety

Transcript Highlights:
  • Uh, the judge has some mechanisms.
  • Uh there's the judge has<00:22:42.880><c> some</c><00:22:43.360><c> mechanisms.
  • </c><00:22:44.240><c> I</c><00:22:44.400><c> I</c><00:22:44.799><c> just</c> has some mechanisms.
  • I I just has some mechanisms.
  • That they have limited array of uh mechanisms to help parents work through this.
Keywords: 1189, house, all
US

US Federal 2025-2026 Regular Session

US House Floor Proceedings (Thursday, December 18, 2025)

US Federal House Floor Meeting

Transcript Highlights:
  • drilling projects rubber-stamped by H.R. 1, July's big ugly law, still have to consider community feedback
  • drilling projects rubber-stamped by H.R. 1, July's big ugly law, still have to consider community feedback
  • drilling projects rubber-stamped by H.R. 1, July's big ugly law, still have to consider community feedback
  • They point out the inadequacy of existing state-level regulatory mechanisms that led to that disaster
  • that led to that disaster in mechanisms that led to that disaster in Wisconsin.<03:23:45.120><c> I</
HI

Hawaii 2026 Regular Session

JHA Public Hearing - Wed Feb 4, 2026 @ 2:00 PM HST

Judiciary & Hawaiian Affairs

Transcript Highlights:
  • You may ask, well, what mechanisms are in place that can assure the public that if a judge is disabled
  • either mentally or physically, that there are mechanisms to remove that judge?
  • There are mechanisms.
  • I recognize the challenge of coming up with the mechanism for identifying how much, what percentage it
  • I recognize the challenge of coming up with the mechanism for identifying how much, what percentage it
Keywords: 910, house, all
Summary: The House Committee on Judiciary and Hawaiian Affairs heard House Bill 2095, which would provide supplemental appropriations for the Judiciary for the 2025-2027 biennium. Judiciary Administrative Director Brandon Kimura testified in strong support and outlined a request for about $6.4 million in supplemental operating funds, plus four permanent full-time position conversions. He grouped the request into security, services to court users, and staffing needs, including $3.25 million for supplemental armed private security at judiciary facilities statewide, nearly $200,000 for cybersecurity staffing and support, restoration of funding for substance use treatment purchase-of-service contracts, restoration of funding for the Office of Public Guardian on Kauaʻi, salary commission funding, a Kona court operations position, and two Court-Appointed Special Advocates positions converted from temporary to permanent. He also described five capital improvement requests totaling $55.4 million, led by $30 million for construction of a new South Kohala courthouse, $1.2 million each for air conditioning upgrades in Hilo and Kauaʻi, $15 million for elevator upgrades at Kahumanu Hale, and $8 million in lump-sum bond funds for emerging projects. Several organizations testified in support, including Parents and Children Together and the True Cost Coalition. Supporters emphasized the importance of the purchase-of-service funding for domestic violence and substance use treatment services and said the restoration would return funding to pre-COVID levels and help providers maintain capacity. Kimura explained that the Judiciary often shifts funds among contracts during the year to avoid service interruptions, but that the reduced funding has caused delays and operational problems for providers and probationers. Members asked detailed questions about the capital projects and operating requests. Representative Shimizu asked for more information on the lump-sum bond funds and the elevator project, and Kimura explained that the Kahumanu Hale request covers four remaining elevator shafts after earlier funding addressed the first five elevators. Representative Cochran asked about the absence of Maui County projects, and Kimura said the Judiciary is still planning for its older Maui facilities with DAGS. Chair Tarnas questioned the need for armed private guards and discussed whether court security should be prioritized within the Department of Law Enforcement; Kimura said the Judiciary needs additional personnel now and has not asked DLE to deprioritize other missions, though the chair suggested further coordination between the agencies. No vote or final action on the bill was taken in the portion of the hearing provided.
KY
Transcript Highlights:
  • . >> Well, I appreciate your honesty, but I have to disagree with you on the funding mechanism.
  • <c> funding</c> have to disagree with you on the funding have to disagree with you on the funding mechan
  • . mechan. mechan.
  • Um, so turns out the, you know, preferred mechanism there was to have a list of contract operators that's
  • And when I walked it, I saw National Electric Code violations, mechanical code violations.
Keywords: 958, all
Summary: The meeting began with roll call, adoption of the minutes, and brief remarks, including birthday recognition for Representative Maseroni and a moment of reflection for a soldier who died during training at Fort Knox. The committee then heard a presentation from Tony Hatton, commissioner of the Department for Environmental Protection and acting director of the Kentucky Division of Water, with Amanda Lefer, deputy commissioner, on the state’s water and wastewater programs and planning. Hatton described Kentucky’s water resources and the Division of Water’s responsibilities, including watershed and nonpoint source work, KPDES discharge permitting, PFAS response, engineering review of water infrastructure, inspections, public outreach, and sampling. He said Kentucky has 428 public water systems, 263 water treatment plants, about 1.9 million service connections, and nearly 97% of the population has access to municipally treated water. He also noted that the state has 43 systems receiving awards for EPA areawide optimization and emphasized operator training, regionalization, and use of GIS mapping and Kentucky Infrastructure Authority data to support planning and funding decisions. Members raised concerns about aging infrastructure, water loss, staffing shortages, and wastewater problems in local systems. Representative Blandon described severe failures in a city system, including major water loss and sewer backups, and asked whether the state could intervene; Hatton said the division inspects treatment facilities and provides compliance assistance but is not authorized to manage delivery systems, though third-party help and emergency funding can be used in some cases. Senator Smith and others shared similar experiences with line loss and system failures, while Hatton pointed to regionalization and funding support as the main tools available. The discussion also highlighted PFAS as an emerging issue, with Hatton saying the department is working with systems to meet anticipated federal requirements by 2029.
MN

Minnesota 2025-2026 Regular Session

House Health Finance and Policy Committee 4/13/26

Health Finance and Policy

Transcript Highlights:
  • physician come back, but it's my understanding is that at the level where we're looking at treatment mechanisms
  • where we're we're looking<00:34:25.679><c> at</c><00:34:26.040><c> treatment</c><00:34:26.600><c> mechanisms
  • ,</c><00:34:27.560><c> it</c><00:34:27.760><c> is</c> looking at treatment mechanisms, it is looking
  • at treatment mechanisms, it is the<00:34:28.440><c> standard</c><00:34:28.800><c> of</c><00:34:28.919
  • And that we weren't going to have a mechanism for setting rates that would capture the funding from the
MN

Minnesota 2025-2026 Regular Session

House Energy Finance and Policy Committee 3/26/26

Energy Finance and Policy

Transcript Highlights:
  • said that if this were the underlying statute or bill that was passed, then the body put in place a mechanism
  • things like that, then I'm not sure that I'm for going and tweaking a statute when there's already a mechanism
  • tweaking a statute when there's already tweaking a statute when there's already a<00:23:00.640><c> mechanism
  • </c> a mechanism in there for for relief. a mechanism in there for for relief.
Bills: HF4308 , HF4153 , HF4703 , HF4711
MN

Minnesota 2025-2026 Regular Session

House Judiciary Finance and Civil Law Committee 3/17/26

Judiciary Finance and Civil Law

Transcript Highlights:
  • bill is about is protecting private data, not necessarily what this will do is help to reduce the mechanism
  • this will do is help to uh<00:21:37.520><c> reduce</c><00:21:37.840><c> the</c><00:21:38.080><c> mechanism
  • </c><00:21:38.480><c> that</c><00:21:38.720><c> allows</c><00:21:39.520><c> uh</c> uh reduce the mechanism
  • that allows uh uh reduce the mechanism that allows uh hundreds<00:21:40.400><c> of</c><00:21:40.559>
  • She said she has some questions, including whether someone could help her with the age mechanism in the
Bills: HF3479 , HF4205 , HF3782 , HF4081 , HF4138
MN

Minnesota 2025-2026 Regular Session

House Human Services Finance and Policy Committee 3/5/26

Human Services Finance and Policy

Transcript Highlights:
  • For the other items, if the services were delivered, then there is not a mechanism for there to be a
  • Commissioner Gandhi responded that internal controls is a term of art referring to the mechanisms in
  • that<00:59:31.080><c> is</c><00:59:31.240><c> about</c><00:59:32.080><c> the</c><00:59:32.680><c> mechanisms
  • </c><00:59:33.560><c> that</c><00:59:33.760><c> you</c> that is about the mechanisms that you that is
  • about the mechanisms that you have<00:59:34.160><c> in</c><00:59:34.360><c> place</c><00:59:34.760><
Keywords: 1183, house
NH

New Hampshire 2025 Regular Session

House Finance Division I (05/13/2025)

Transcript Highlights:
  • Representative Hacken Phillips said she was interested in the mechanics of the effects if the change
  • 00:59:58.319><c> interested</c><00:59:58.640><c> in</c><00:59:58.880><c> the</c><00:59:59.040><c> mechanics
  • </c><00:59:59.760><c> of,</c> I'm just interested in the mechanics of, I'm just interested in the mechanics
  • So I don't know what the results will be, but I don't favor this mechanism.” to me if I went up there
Keywords: 928, house, all
Summary: The committee took up House Bill 74, which would require agencies issuing certain real-property-related permits to track and report how many permits they issue and how long the process takes. Representative Carol McGuire introduced the bill and said the goal is to gather data on permit timing and fees, especially for DES and DOT permits involving wetlands, alteration of terrain, driveway permits, and similar approvals. Supporters argued the state needs better visibility into permitting delays and whether statutory deadlines are realistic; they also noted the bill had passed the House on a voice vote with no debate. Adam Crapo of the Department of Environmental Services said DES is generally supportive of the reporting concept but warned that the agency’s data are spread across many separate, partly manual databases. He said DES can already do this for some land resources permits through its new system, but not across all of its more than 90 permit types without additional help. DES estimated it would need two part-time positions to compile the reports, especially for waste management and water programs, and said otherwise existing permitting staff would have to do the work, potentially slowing permit processing. He also said the agency is already working to simplify rules and move more permits onto a new online platform, but could not meet the bill’s 2026 reporting deadline with current staffing and systems. Committee members questioned whether delays are often caused by incomplete applications rather than agency inaction, and Crapo said that is frequently the case. He said DES already tracks timelines to some extent for management and statutory compliance, but not at the individual-permit detail the bill would require. He also said some letters and records are captured in One Stop, but not all are. Members expressed support for the bill’s transparency goals while also worrying about added workload and possible slowdowns. The discussion then moved to DOT, where Susan Clawson said DOT is neutral on the bill because it recently implemented Salesforce and now has good data for reporting; DOT’s fiscal note reflects software-related costs, but the agency can already track the required information in its system.
CA

California 2025-2026 Regular Session

Assembly Health Committee Apr 22nd, 2025

Transcript Highlights:
  • Simply put, prior authorization is a mechanism to control costs; it is not a fraud prevention tool.
  • well-being, we have significant concerns about the unintended consequences of removing key oversight mechanisms
  • submit a biennial legislative report to be posted on its website for greater transparency, to create mechanisms
  • submit a biennial legislative report to be posted on its website for greater transparency, to create mechanisms
  • I don't know the exact mechanics behind that, but we have a whole infrastructure just to keep track of
Summary: The Assembly Health Committee met on April 22 and took up a special order of bills focused largely on prior authorization and utilization management in health care. The chair framed the discussion as part of a broader legislative effort to reduce delays and barriers to care, especially in behavioral health, chronic disease management, cancer treatment, and rehabilitation services. AB 384 by Assembly Member Connolly would prohibit prior authorization for inpatient mental health or substance use emergency admissions and related physician care; supporters said it would prevent dangerous delays in crisis care, while insurers and health plans warned about fraud, abuse, and ambiguity around residential treatment facilities. The bill was moved on a due pass as amended motion and passed the committee on a party-line style vote, with Republicans largely absent or not voting. The committee then heard AB 510 by Assembly Member Addis, which would require health plans, upon request, to provide a peer reviewer of the same or similar specialty when a treating provider appeals a prior authorization denial or modification. Supporters argued that specialty-matched review would make appeals fairer and more clinically informed; opponents said the requirement was too rigid and that timelines and electronic submission rules needed changes. After discussion about the need for timely, specialty-specific review, the bill was approved on a due pass as amended motion and placed on call. AB 539 by Assembly Member Schiavo would extend prior authorization approvals to one year or the duration of the physician’s prescribed treatment for chronic conditions; supporters cited repeated denials and treatment interruptions, while opponents raised concerns about overbreadth, fraud, and the need for shorter validity periods. The bill was also passed as amended and placed on call. The committee next considered AB 669 by Assembly Member Haney, which would bar concurrent and retrospective review for the first 28 days of medically necessary substance use disorder treatment and limit prior authorization for related outpatient medications. The bill was presented with a powerful personal story from Ryan Matlock’s mother about her son’s death after an insurer cut off treatment early; supporters said the measure would keep patients in care long enough to stabilize, while opponents argued it would reduce oversight and could allow lower-quality or non-evidence-based care. The bill was moved on a due pass as amended motion and placed on call. Finally, AB 512 by Assembly Member Harabedian would shorten prior authorization response times to 24 hours for urgent requests and 48 hours for non-urgent requests; supporters said delays can worsen outcomes, while opponents warned the timelines were unrealistic and could increase administrative burdens and safety issues. The bill was approved as amended and placed on call. AB 574 by Assembly Member Mark Gonzalez was then heard; it would allow up to 12 medically necessary physical therapy sessions for a new episode of care without prior authorization, with supporters emphasizing stroke and neurological recovery and opponents warning of reduced oversight and unnecessary care. The transcript ends during testimony on AB 574, before final action is shown.