Video & Transcript : 'performance evaluations' :
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NM
New Mexico 2026 Regular Session
Senate - Health and Public Affairs Feb 13th, 2026
Transcript Highlights:
- And we had evaluation and supervision of tier two and three licensed nurses.
- And we had evaluation and supervision of tier two and three licensed nurses.
- What the original bill had was Tier 3 nurses supervising and evaluating Tier 1 new nurses.
- I'm the Policy and Performance Director with the New Mexico Department of Health.
- I'm the Policy and Performance Director with the New Mexico Department of Health.
Summary:
The committee first took up House Bill 12, the physical therapy licensure compact. The sponsor and supporters said the bill would increase access to care and help recruit physical therapists in New Mexico, especially in rural areas and for neurodivergent patients. Support came from the Greater Albuquerque Chamber of Commerce, Desert States Physical Therapy Network, Think New Mexico, the state Health Care Authority, and Americans for Autism Advocacy. A trial lawyer raised concerns about immunity, venue, and loser-pays language, and committee members discussed whether New Mexico-specific amendments would be accepted by the compact commission. Two amendments were adopted, including clarifying language on background checks, data, federal court standing, and repeal procedures, plus an immunity-related amendment. The bill was then reported out with a 9-0 due pass recommendation.
The committee then considered House Bill 10, the physician assistant interstate compact. Supporters again emphasized workforce shortages, telehealth access, and the need to join the compact to qualify for Rural Health Transformation Program funding. The Health Care Authority said the compact was part of New Mexico’s commitments tied to federal funding, and a trial lawyer again raised concerns about loser-pays language. Two amendments were adopted to clarify New Mexico’s authority over reproductive and gender-affirming care issues, confidentiality of New Mexico licensee data, joint investigations, and contingent repeal procedures. After discussion about malpractice exposure, oversight, and the need for compact commission approval of language changes, the bill received an 8-0 due pass recommendation.
House Bill 34, dealing with school nurse licensure provisions, was presented as a cleanup bill to clarify implementation issues from last session. The changes would add charter schools, align contract language with teacher contracts, and adjust supervision and evaluation rules for tiered school nurses in small districts. The New Mexico School Nurses Association supported the bill, and it passed unanimously with an 8-0 due pass recommendation.
The committee also heard Senate Memorial 21, which would direct the Department of Health to study overdose prevention centers and other harm reduction strategies. Supporters from the ACLU, All Safe New Mexico, the Drug Policy Alliance, and Families and Youth Innovations Plus argued that New Mexico’s overdose crisis remains severe and that evidence-based interventions could save lives and connect people to treatment. The Department of Health provided background on overdose trends and said it was neutral but available for technical questions. After discussion about fentanyl trends, drug prices, and public health approaches, the memorial was approved on a 7-1 due pass vote. The committee also announced that Senate Bill 130 would be rolled over to Sunday’s meeting because a new substitute needed review.
TX
Transcript Highlights:
- Next, we will evaluate the long-term sustainability.
- And so I'm, as I evaluate options and... To agree to fix it, other things might not be.
- Next, we will evaluate—no, excuse me—we will cover livestock shows, county fairs, and rodeos.
- These artists perform in schools and libraries, specifically, Artists perform in schools and libraries
- those performances for free for the public.
CA
California 2025-2026 Regular Session
Assembly Budget Subcommittee No. 1 on Health Apr 7th, 2025
Transcript Highlights:
- A formal evaluation is being conducted by Mathematica, as Dr.
- How does that evaluation process happen?
- So there will be a formal evaluation, and the interim evaluation report is just what came out.
- So there will be a formal evaluation, and the interim evaluation report is just what came out.
- So as evaluations are... Sure.
Summary:
The hearing opened with remarks from the chair and members about recent federal cuts to public health, mental health, family planning, and Title X funding, with strong concern about the impact on California programs and providers. The committee then turned to the Department of State Hospitals, which presented its 2025-26 budget proposal of $3.4 billion, including new positions, capital improvements, and funding tied to increased patient costs and incompetent-to-stand-trial services. DSH reported major progress in reducing the IST waitlist and wait times, said it had met the court’s 28-day treatment benchmark for those without extenuating circumstances, and described workforce recruitment and retention efforts such as residency programs, fellowships, outreach, and hiring streamlining. Members asked about future IST referral trends, SB 1323’s effect on diversion and community treatment, and workforce lessons in high-cost regions; public comment urged reconsideration of county IST growth cap methodology in light of new criminal justice initiatives.
The committee next received an informational overview of Proposition 1 and its changes to behavioral health funding and governance. The Legislative Analyst’s Office explained that Prop. 1 restructured county MHSA funding buckets, expanded the Commission for Behavioral Health, shifted prevention and early intervention responsibilities, and authorized a $6.4 billion bond, including $4.4 billion for behavioral health facilities through BHCIP. DHCS said it had released guidance for county integrated plans and was receiving extensive public comment. Members focused on BHCIP application requirements, especially letters of support and tribal projects, and raised concerns about whether DHCS’s implementation matched statutory intent. DHCS said it had authority to set application requirements and that tribal entities were treated differently because of sovereignty and funding structure.
DHCS then updated the committee on BHCIP, the Behavioral Health Bridge Housing Program, and related bond implementation. The department said BHCIP had awarded about $1.7 billion across five rounds, with more than 130 projects and 223 distinct facilities funded, and that it was preparing to award the new bond funds after receiving nearly $8 billion in applications. The LAO’s assessment found that more than half of awards served at least 80% Medi-Cal enrollees, but also raised concerns that the regional allocation model could reinforce inequities, that the program had not sufficiently addressed the highest-need regions such as the southern San Joaquin Valley, and that smaller counties and less launch-ready applicants faced barriers. For bridge housing, DHCS said more than $1.1 billion had been awarded, serving over 5,000 people and supporting more than 2,000 operational beds, but the Governor’s budget proposes to eliminate Round 4 funding as the administration weighs other statewide investments and Proposition 1 implementation workload. Public commenters and members urged more accountability, better regional equity, stronger labor and community involvement, and caution about funding for for-profit psychiatric facilities.
Finally, the committee heard on the Children and Youth Behavioral Health Initiative. CalHHS and DHCS described CYBHI as a broad prevention- and equity-focused effort with more than 1,300 organizations funded, over $2.1 billion awarded, and multiple work streams spanning schools, community programs, workforce, and digital supports. DHCS highlighted school-based services, the fee schedule rollout, and digital platforms BrightLife Kids and Soluna, which it said are reaching users statewide and providing low-barrier access to coaching and support. Members and public commenters raised concerns about delays in school fee schedule implementation, the large share of funding going to digital tools, the need for more in-person services, and whether the initiative is sufficiently tracking outcomes and equity impacts. No formal votes were taken during the hearing.
MD
Transcript Highlights:
- evaluation evaluation the<00:46:28.760><c> five-year</c><00:46:29.200><c> evaluation</c><00:46:29.920
- </c><00:58:12.280><c> So,</c> getting to this evaluation period.
- So, getting to this evaluation period.
- </c> that are coming into a prison to perform that are coming into a prison to perform this<01:12:27.600
- </c> there's a PIA about who is performing there's a PIA about who is performing particular<01:12:40.640
Summary:
The Senate reconvened with a quorum present and then proceeded through committee reports, largely adopting favorable reports and amendments without objection. Early measures included SB 530, which funds grants for multigenerational social connection programs for older adults; SB 731, clarifying the legal status of the Maryland Statewide Independent Living Council; SB 809, directing a feasibility study on a caregiver infrastructure program; SB 860, creating an Aging Resilience Fund with reporting and budget protections; SB 910, requiring insurance reimbursement for services provided by graduate-level clinical interns under supervision; and SB 972, making several Baltimore City alcoholic beverages licensing changes. Each of these bills was advanced to third reading after committee amendments were adopted.
The Finance Committee also advanced SB 555, establishing a Dementia Services and Brain Health Program and a provider resource toolkit for dementia care; SB 757, creating a Maryland Local Sourcing Portal to connect businesses with local sources for tariff-impacted goods; SB 772, creating an employment training and opportunity database to help people qualify for or maintain Medicaid and SNAP; SB 792, requiring hospitals to adopt and train staff on immigration-enforcement policies consistent with Attorney General guidance; SB 869, establishing a workforce training pilot program through Commerce and community colleges; SB 905, creating an advanced manufacturing grant program through TEDCO; and SB 974, changing who may serve as inspector for the Caroline County Board of License Commissioners. Most of these bills were reported favorably with technical or narrowing amendments and then ordered printed for third reading.
Budget and Taxation advanced SB 28, which would create binding arbitration for state employee collective bargaining impasses and include a proposed constitutional amendment requiring funding in the Governor’s budget; SB 466, expanding a physician preceptor tax credit and adjusting training-hour requirements; and later SB 704, concerning estate tax treatment for qualified agricultural property transferred to an LLC. SB 557, a gaming-related bill, was laid over until the end of the evening at the majority leader’s request. In the Education, Energy, and the Environment report, the committee advanced SB 35 on a state natural science museum designation, SB 166 on shellfish aquaculture permit sanctions, SB 189 on municipal drainage inlet safety requirements prompted by a child’s death, SB 242 on civil relief for service members and spouses, SB 266 on local regulation of invasive trees and tree-of-heaven, and SB 267 on a corporate rental-property registry and local housing application review process. SB 267 drew a brief question from the minority leader, who asked whether prior opposition remained and how the amended bill differed; the sponsor said the opposition had gone away and described the bill as now focused on a responsible-owner registry and an administrative review process.
NH
New Hampshire 2025 Regular Session
Commission to Study Costs of Special Education (11/21/2025)
Transcript Highlights:
- >> So it varies, but at the minimum we have to receive that document that says they perform their evaluation
- >> So it varies, but at the minimum we have to receive that document that says they perform their evaluation
- >> So it varies, but at the minimum we have to receive that document that says they perform their evaluation
- >> So it varies, but at the minimum we have to receive that document that says they perform their evaluation
- It has to be perform their evaluation.
Summary:
The commission to study the cost of special education met, confirmed a quorum, introduced members and guests, and approved the minutes from the October 29 meeting. Members noted the commission’s mandate under Senate Bill 57 and emphasized the need to focus on recommendations and findings by July 1, 2026. The chair also distributed additional handouts, including materials related to the Education Freedom Account (EFA) program and administrative rules tied to differentiated aid and disability determinations.
The main discussion centered on how students qualify for differentiated aid under the EFA program. Matt Sutherton of the Children’s Scholarship Fund explained that the organization, which contracts with the state to administer EFAs, accepts either school-district/IEP documentation or a medical certification of disability (MCD) from a licensed medical professional. Members questioned how this process relates to the state’s special education rules and whether the school-district examiner standards in ED 107/1107.04 apply to EFAs. Sutherton said the MCD form, created with the department, requires the medical professional to sign that they are qualified to make the determination and to identify the disability.
Several members expressed concern that the EFA process is less rigorous than the school-district IEP process and may be inflating disability counts. One member argued that the administrative rules cited are primarily for school districts, not EFAs, and said the Department of Education may not know how many of the roughly 890 EFA students receiving differentiated aid came through school-district documentation versus the MCD pathway. Another member said the EFA system appears more generous than the school system and raised concerns about oversight, auditing, and whether the program’s data are accurate. Sutherton said the organization reviews signed documentation, credentials, and diagnosis information, and may request additional records to help adjudicate expenses. No votes or formal actions were taken beyond approving the prior minutes.
VA
Transcript Highlights:
- ... ...evaluation when you were a sitting judge, your score for patience was 55.2.
- evaluations for retired judges.
- Shannon was able to provide you also with the evaluation that Judge Sachs did.
- There were some concerning marks in your judicial performance evaluation.
- But how do you think that the delegation ought to evaluate that?
AR
Arkansas 2026 Regular Session
EDUCATION COMMITTEE - SENATE AND HOUSE Feb 3rd, 2026
Transcript Highlights:
- This is the statewide system used to evaluate teachers across the state.
- So as we went over yesterday, part of the Continuing Education and Continuing Adequacy Evaluation Act
- And then science performance by grade.
- So different areas that may not be performing as well or in different, more isolated areas.
- So different areas that may not be performing as well or in different, more isolation.
FL
Florida 2025 Regular Session
April 14, 2025 - 02:30 PM
Transcript Highlights:
- Did you consider other ways to evaluate schools other than just this percentage?
- Other ways to evaluate schools other than just this percentage, like maybe student improvement and how
- And so when they look online or however they get their information of how that school is performing,
- I even had to perform CPR on people when I was an administrator and a teacher in the school system.
- I even had to perform CPR on people when I was an administrator and a teacher in the school system in
Summary:
The Pre-K Through 12 Budget Subcommittee met with a quorum and took up three bills, along with a brief budget conference-prep presentation. The first bill, CS/HB 1483 on school grading and student supports, would gradually align Florida’s school grading scale with the familiar A-F student grading scale over a 10-year glide path, add school report card transparency on the percentage of students reading at grade level, expand interventions for students with substantial reading and math deficiencies through VPK through grade 8, and create a competitive grant for diverse books in K-5 classrooms and libraries. Supporters argued the current school-grade scale is misleading and that the bill would improve transparency and supports; some members raised concerns about impacts on turnaround schools, community perception, and whether the bill adequately captures student gains. The bill passed 12-2 and was reported favorably.
The committee then considered CS/HB 859 on the School Readiness Program, which revises the definition of “economically disadvantaged” for eligibility purposes. The bill originally moved from 150% of the federal poverty level to 65% of state median income, but three amendments were adopted to create a glide path and reduce fiscal impact by using 50% of state median income or 150% of poverty, whichever is greater, and by deleting an obsolete section. Public testimony was overwhelmingly supportive, emphasizing child care as workforce infrastructure and a lifeline for working families. The bill passed unanimously, 14-0, and was reported favorably.
Finally, CS/HB 1607 on cardiac emergencies in schools would require AEDs in every Florida school, including charter schools, require CPR/AED training, and create a pulse-saving plan with rulemaking authority for the State Board of Education. Proponents cited alarming statistics about sudden cardiac arrest on campuses and argued that rapid AED access can save lives; supporters from the American Heart Association, PTA, and cardiology groups backed the measure. Members spoke in strong support, and the bill passed unanimously, 14-0, and was reported favorably. The meeting ended with a budget presentation explaining that House and Senate FY 2025-26 budget, appropriations project, and proviso side-by-sides had been distributed ahead of conference, followed by adjournment.
HI
Transcript Highlights:
- And we noted at the very performing.
- And that would also allow management to assess or evaluate staff performance.
- </c><00:22:48.799><c> We</c> assess or evaluate staff performance.
- We assess or evaluate staff performance.
- </c> annually annually it it evaluates annually annually it it evaluates whether<00:44:56.800><c> the
Summary:
The informational briefing focused on the Office of the Auditor’s recent audit of Hawaii’s deposit beverage container program and the Department of Health’s response. State Auditor Les Condo reviewed the program’s structure, noting it was created to increase recycling and reduce litter, but said prior audits have repeatedly found weak internal controls, reliance on self-reported data, and an “honor system” approach. He cited examples of underreporting and overpayment risks, including a Whole Foods settlement and secret-shopper testing at a redemption center where the program reimbursed more than what was actually paid to consumers. Condo said the special fund continues to grow, increasing by more than $12 million between FY24 and FY25, and that the 2024 audit found no meaningful progress in implementing earlier recommendations. He also noted that many prior recommendations were later codified in law, including risk-based audits and internal control requirements, and said the office will audit the program again in about a year.
Senator Fevella said the briefing was needed because he has seen little progress over the years and emphasized the program’s goals of reducing litter and promoting recycling. He noted that Hawaii has lost a glass recycler, underscoring broader challenges in the system. Department of Health Deputy Director Kathleen Hoe said the department is committed to addressing longstanding problems and said the director’s office meets with the program twice a month. Program staff outlined steps being taken to respond to the audit, including revising accounting and inspection/enforcement manuals, retaining third-party services, and implementing risk-based audits of distributors and redemption centers. They said internal control process documents from distributors were due June 30, with about 200 received and roughly 100 still outstanding, and that enforcement letters are being sent.
The department also described plans for electronic reporting to reduce manual entry and improve accuracy, as well as a broader legislative proposal for a tiered audit system. Under that proposal, larger distributors would remain subject to the current every-other-year audit requirement, middle-tier distributors would be audited every five years, and smaller distributors would be exempt. Officials said the governor had temporarily waived enforcement of the 2025 independent audit requirement because of cost concerns for smaller distributors, while the department reviews submitted audits and considers a longer-term fix. No votes or formal committee actions were taken during the informational briefing.
FL
Florida 2025 Regular Session
January 14, 2025 - 03:30 PM
Transcript Highlights:
- And that assessment is an observation-based program assessment and evaluates the quality of interactions
- And that assessment is an observation-based program assessment and evaluates the quality of interactions
- These are high-flying, high-performing charter school organizations that have just knocked it out of
- Provide data to support the evaluation of mental health services, which the office does in conjunction
- We did evaluate that, and internally we met with the House budget staff to discuss that.
Summary:
The Pre-K through 12 Budget Subcommittee held its first interim meeting, took roll, and established a quorum. Members introduced themselves, many noting backgrounds in education, school boards, local government, or parenting, and Chair Jenna Persons-Mulicka outlined the committee’s goal of building the fiscal year 2025-26 Pre-K-12 budget. She also reviewed the fiscal year 2024-25 education budget, noting that the Pre-K-12 portion totals about $21 billion, with the Florida Education Finance Program (FEFP) as the largest driver, along with major funding for VPK, school readiness, and school recognition. She explained that federal COVID relief funds have ended and that recent school choice legislation has affected budget structure.
Commissioner Manny Diaz and department leaders then gave overviews of their divisions. Diaz highlighted Florida’s education rankings, record graduation rate, progress monitoring, expanded school choice participation, charter school growth, and teacher salary investments, while emphasizing a focus on literacy, math, and early learning. Carrie Miller described the Division of Early Learning’s school readiness and VPK programs, their funding, eligibility, accountability systems, and the importance of kindergarten readiness. Paul Burns outlined the Division of Public Schools’ work on educator quality, literacy, standards, certification, family outreach, federal programs, and school improvement. Suzanne Pridgen reviewed finance and operations functions, including budget management, FEFP calculations, grants, procurement, transportation, and emergency management. Adam Emerson described parental choice programs, including scholarships, charter schools, schools of hope, virtual education, and home education. Darren Norris detailed the Office of Safe Schools’ responsibilities for risk assessments, compliance inspections, threat management, grants, and training created after the Marjory Stoneman Douglas tragedy.
Members asked questions about several issues, including whether the Safe Schools office recommends changes to the school safety grant distribution formula, whether early learning eligibility should shift from federal poverty level to state median income, how scholarship payments are verified to avoid funding students who return to public school, and whether daily attendance systems could improve funding accuracy. Other questions addressed hurricane-related survey disruptions, VPK provider reimbursement rates and instructional hours, teacher salary increases, school start time costs, and how voucher schools handle IEP accommodations. Department officials generally said some issues remain under review, supported moving school readiness eligibility to SMI, noted that scholarship and enrollment data are cross-checked and adjusted when needed, and said progress monitoring now helps schools support mobile students. On school safety, officials said exemptions are allowed in statute for some items but not for classroom doors, and that district-specific conditions matter. No votes were taken and no formal actions were reported beyond receiving presentations and discussion.
CA
California 2025-2026 Regular Session
Senate Budget and Fiscal Review Subcommittee No. 4 on State Administration and General Government Mar 19th, 2026
Transcript Highlights:
- A lot of the administrative costs identified by the LAO are associated with program design, evaluation
- Additionally, the Climate Action Corps is part of an AmeriCorps model, so there are performance metrics
- I know we don't have a bunch of votes before us, but in terms of the programmatic issues and evaluation
- We have pursued and exhausted enhancements to our existing patchwork of performance.
- They don't have an attorney sitting in the restaurant evaluating each of these.
Summary:
The subcommittee first heard an informational overview from the Governor’s Office of Service and Community Engagement (GoServe), including California Volunteers, the Office of Community Partnerships and Strategic Communications, and the Youth Empowerment Commission. GoServe reported strong participation in programs such as California Service Corps, College Corps, Youth Service Corps, Climate Action Corps, and the new men’s service challenge. Testimony emphasized enrollment, retention, and completion outcomes, outreach results, and efforts to reduce administrative costs. The Department of Finance said the administration supports the programs but has already made reductions to help address the budget deficit, while the LAO said it had no new recommendations on the informational item.
Committee members raised questions about program scale, demographics, and effectiveness, especially for Climate Action Corps and whether the programs are duplicative of existing volunteer opportunities. One member criticized the programs as too fragmented and costly, while others asked for more data on who is being served and whether the programs increase actual participation in state services. GoServe said it would follow up with demographic and regional impact information. The committee also discussed the men’s service challenge, which GoServe said has formed partnerships with organizations such as YMCAs and Big Brothers Big Sisters and has already attracted more than 2,000 participants. The item was informational only.
The committee then heard a BOE overview and a budget request to implement SB 293, which gives wildfire-affected families additional time to claim intergenerational Prop. 13 property tax transfers. BOE requested $154,000 for guidance, public materials, and inquiry response, explaining that the work is urgent and tied to disaster relief in Los Angeles County, especially Altadena. The LAO had no concerns, and Finance had no comment. Members asked how many cases might be affected and whether more funding would be needed later; BOE said the full number is not yet known and that future requests are possible. The committee also heard BOE’s IT modernization proposal for the state-assessed property tax system, a 30-year-old mainframe replacement costing $3.2 million in 2026-27 and $3.1 million in 2027-28. BOE and Finance supported the project as necessary, while the LAO said it had no concerns but urged a high bar for new IT spending. Members generally supported modernization but cautioned about implementation risk.
Finally, CDTFA presented an overview and two policy proposals. The department described administering 42 tax and fee programs, collecting $98 billion in FY 2024, and improving administrative efficiency. Members then discussed local sales tax tools and revenue-sharing agreements, with concerns raised about transparency, consultant-driven tax allocation disputes, and the impact on local communities. CDTFA and the LAO explained that local jurisdictions control how district sales tax revenues are spent and noted the Legislature could revisit the statutory cap on local add-on sales taxes. The committee then heard CDTFA’s proposal to treat all delivery network companies as marketplace facilitators so they must collect and remit sales tax on delivery-app orders. CDTFA said the change would resolve confusion, shift compliance from thousands of small restaurants to a few large platforms, and raise about $44 million annually. Several members questioned whether the proposal would effectively raise consumer costs and whether it would create a competitive advantage or disadvantage among delivery platforms. The item remained under discussion, with no vote taken in the transcript.
NM
New Mexico 2026 Regular Session
House - Appropriations and Finance Jan 28th, 2026 at 05:50 pm
House Appropriations & Finance
Transcript Highlights:
- So a couple of things to think about too is that part of this is, as you saw with the LFC evaluation
- safety so a couple of things to think about too is that part of this is as you saw with the LFC evaluation
- We had the evaluation this past December that definitely speaks to that.
- question you asked, Representative Duncan and Representative Brown: since FY 23, this is in our evaluation
- I think one thing that the evaluation noted is that the Public Attorney Workforce Capacity Building Fund
ND
Transcript Highlights:
- We send our information, We send our information once it is evaluated or discussed to the CDC on what's
- Deaths per 100,000 births: Montana, 40.7; Wyoming, 37.5; and South Dakota, over a decade of evaluation
- We talk about evaluating females 16 through 45, and we're not talking about that many people, so the
- This allows us to track performance, identify opportunities for improvement, and compare outcomes to
- North Dakota continues to perform well on several nationally recognized stroke quality metrics.
Summary:
The committee first approved the minutes and then heard a detailed annual presentation from Dr. Thomas Arnold, chair of the Maternal Mortality Review Committee, on maternal mortality trends and review findings. He explained the committee’s structure, the de-identified review process, and the distinction between pregnancy-associated and pregnancy-related deaths. He said national maternal mortality has declined from its 2021 peak, but mental health conditions, substance use, overdose, suicide, cardiovascular disease, hemorrhage, infection, and embolism remain major causes. He emphasized that many deaths are preventable, with especially high rates among non-Hispanic Black women and in the American Indian/Alaska Native population, and noted that a large share of deaths occur after 42 days postpartum. Committee members asked about suicide, domestic abuse, pregnancy testing in unexplained deaths, and the role of home births and midwife training. Dr. Arnold said the committee is adding a caseworker, exploring post-mortem pregnancy testing in suspicious cases, and working with coroners and forensic officials; he also said home births and untrained midwifery pose safety concerns and that better public education and facility-based care are important.
The committee then heard from State Fire Marshal Dr. Matt Clark on cigarette ignition propensity standards and fire prevention. He recommended updating North Dakota’s cigarette ignition legislation to the current national standard and also considering legislation requiring fast-breakaway oxygen tubing, citing fatal fires involving smoking around home oxygen. He explained that his office verifies manufacturer testing and maintains certification for cigarettes sold in the state, but does not itself conduct the testing. Members asked about implementation, cost, and whether the standards apply in tribal communities; Clark said he would follow up with cost information and additional details, and that he had not seen evidence of a major issue on tribal lands but would look further.
Christine Greff of the Department of Health and Human Services presented the North Dakota Stroke System of Care report. She described the statewide network of two comprehensive stroke centers, four primary stroke centers, and 30 acute stroke-ready hospitals, along with the stroke registry and quality-improvement efforts. She reported that most strokes are ischemic, that the median stroke patient age is 71.5, and that common risk factors include hypertension, dyslipidemia, obesity, and diabetes. She highlighted improvements in door-to-CT, thrombolytic treatment times, dysphagia screening, EMS pre-notification, and interfacility transfer performance, and said new priorities include hemorrhagic stroke quality measures and standardized EMS stroke screening tools. Members asked about the VA hospital’s participation, and Greff said she would pursue outreach.
After a break, the committee heard testimony from Taha Khan of Vertex Pharmaceuticals as part of the prior authorization study, focused on non-opioid pain treatment. He argued that prior authorization can delay access to acute pain treatment and may push patients toward opioids, especially in the critical 24- to 72-hour post-discharge window. He cited data showing that even short opioid exposure can increase the risk of long-term use and said prior authorization is often a barrier for physicians and patients. Khan recommended open access with a quantity limit rather than prior authorization, suggesting a 14-day limit supported by the product’s data and an episode-of-care approach. Members asked about dental use, payer discussions, and cost; he said the product’s wholesale acquisition cost is about $16.10 per tablet, with patient assistance available, and that he would follow up on payer and comparison-cost questions.
MA
Massachusetts 2025-2026 Regular Session
Joint Committee on Bonding, Capital Expenditures and State Assets Jul 2nd, 2026
Joint Committee on Bonding, Capital Expenditures and State Assets
Transcript Highlights:
- Artificial Intelligence Compute Resources Environment, or Aker, at the Massachusetts Green High Performance
- computing power they need to develop and use AI. access to the high-performance computing power they
- are essentially virtual test environments that let companies and developers see how robots would perform
- implement the act's requirements, and making evaluations mandatory will help build a thriving AI evaluation
- The act's requirements, and making evaluations mandatory will help build a thriving AI evaluation ecosystem
AZ
Arizona 2026 Regular Session
02/16/2026 - House Health & Human Services #1
Transcript Highlights:
- must be filed, leading to transport to an appropriate evaluation agency.
- And for those who are untreated and are not evaluated, they do get an evaluation eventually.
- And for those who are untreated and are not evaluated, they do get an evaluation eventually.
- Fourth, it requires the jails to initiate SMI evaluations, which is problematic.
- So this is not a difference between how my team performs and how people perform in a facility.
Summary:
The committee first took up House Bill 2307, as amended, which would require the Department of Health Services to contract with out-of-state secure mental health facilities when Arizona beds are unavailable for certain involuntary commitment cases involving defendants found dangerous and incompetent. The sponsor and supporters framed it as an emergency stopgap to prevent individuals who are deemed non-restorable from being released because Arizona lacks secure behavioral health beds, while opponents argued it would raise due process, disability rights, family access, and cost concerns, and questioned whether the state could even implement such interstate placements. After debate, the committee adopted the strike-everything amendment and advanced HB 2307 on a 6-5 due pass vote.
The committee then heard House Bill 2083, which updates diabetes-related coverage language in health plans to include newer devices and supplies such as continuous glucose monitors, insulin pumps, and smart insulin pens. Supporters said the bill modernizes outdated statutes and improves access and outcomes for people with diabetes, while an insurer representative offered soft opposition, warning that writing these items into statute could create a state mandate and potential cost exposure, especially if the language is read to include GLP-1 medications. The committee adopted the strike-everything amendment and moved HB 2083 forward on an 11-1 due pass vote.
Next, House Bill 2673 was heard, addressing mental health screening and treatment for incarcerated people. The sponsor said the bill was being reworked into a study committee concept after stakeholder feedback, but the underlying proposal would require prompt evaluation of prisoners showing mental disorder symptoms and faster referral for treatment. A family member testified about her son’s severe deterioration in jail and death, while an attorney opposed the bill as overbroad and legally problematic. Despite the sponsor’s indication that the bill would become a study committee, the committee voted 12-0 to give HB 2673 a due pass recommendation. The committee also advanced House Bill 2923, which revises timelines, procedures, and notice requirements for judicial review of court-ordered mental health treatment; supporters said it clarifies outdated language and improves communication with families, while opponents argued it shifts burdens onto patients and could prolong confinement. HB 2923 also received a 12-0 due pass vote.
FL
Florida 2025 Regular Session
February 20, 2025 - 09:00 AM
Transcript Highlights:
- And so we tried to leverage previous assessments so the Agency for State Technology performed a cloud
- The key components of the project included evaluating the applications used in the 6Rs that Mr.
- It's also important to know how our program is performing.
- We do see a greater uptime, better cybersecurity, better performance.
- So, you know, there are costs to it, but it does provide much better performance and reliability.
Summary:
The subcommittee first heard a panel on state cloud modernization efforts after canceling an LBR on the Department of Corrections’ OBIS project because the presentation materials were not submitted on time. Florida Digital Service, the Northwest Regional Data Center, and several agencies described how the state is assessing and migrating applications to cloud environments under the cloud-first policy. Northwest explained its 2023 cloud readiness assessment of 890 applications from 24 agencies, the criteria used to rate readiness and risk, and its recommendation to tackle lower-risk applications first. Agency updates covered the Department of Corrections’ modernization of 98 legacy applications tied to OBIS and cloud-native infrastructure, the Department of Elder Affairs’ Microsoft Power Platform modernization, the Department of Health’s health management and child protection systems, and FDOT’s large cloud program for transportation systems. Members repeatedly asked about costs, data ownership, disaster recovery, single sign-on, security tools, and whether cloud migration actually saves money; presenters generally said the focus is more on modernization, resilience, and efficiency than immediate savings, and that cost analyses are often application-specific rather than enterprise-wide.
The discussion also covered governance and architecture questions. Florida Digital Service said agencies remain responsible for their own databases and cloud tenants, while FLDS provides advice and an enterprise architecture framework; it does not have statutory oversight over most projects, except for OBIS project oversight due to its size. Northwest said it is acting as a cloud broker for some agencies and is consolidating Azure and AWS payer tenants to seek better pricing, but agencies still make system-by-system decisions based on business needs, risk, latency, and total cost of ownership. Members raised concerns about fragmented data structures, the lack of a complete statewide application inventory, and the need for better interoperability and enterprise standards. Several agencies said disaster recovery is built into their cloud plans, and FDOT and Corrections described ongoing efforts to keep systems current through core platforms, training, and ongoing support.
In the second half of the meeting, the Department of State presented two new technology requests. Secretary Byrd described the SunBiz corporate registry system as a 34-year-old platform supporting more than 3.5 million business entities and generating over $575 million in annual general revenue. He said the department had already virtualized the legacy hardware after earlier modernization efforts failed and is now seeking $800,000 recurring for password protection and $5 million nonrecurring to continue procurement for a replacement system. The department also presented the Florida Voter Registration System modernization request, noting that the current system is outdated and requires manual workarounds for some statutory changes. The department requested $2.4948 million nonrecurring and $44,000 recurring to procure a modernized FVRS solution, and staff said the feasibility study recommended a hybrid approach. Members asked about the study’s findings and about creating a database for voter eligibility information for returning citizens; the department said that would require data sharing with all 67 clerks of court and other entities such as DOC.
FL
Florida 2025 Regular Session
January 14, 2025 - 09:00 AM
Transcript Highlights:
- A key part of accomplishing this mission will be to craft an effective approach for how we evaluate,
- The IRC evaluated these schedules and advised on cost effectiveness and alternatives.
- The Technology Review Work Group was also created to evaluate IT needs and agency strategic plans.
- Performance measures will allow us to continually improve and hold ourselves accountable for results.
- We had a performance problem. Those are not reasons for change orders.
Summary:
The subcommittee held its first meeting to examine Florida’s information technology governance, budgeting, cybersecurity, data management, and telecommunications operations. Chair Schneider and other members framed the panel as a new joint policy-and-budget forum focused on reducing jargon, improving accountability, and asking whether technology investments are feasible, aligned with state goals, cost-controlled, and secure. State Affairs Chairman Will Robinson and members emphasized that the committee should avoid buying “shiny new objects” without clear business cases and should focus on long-term value, cybersecurity, and operational efficiency.
Florida Digital Service and Department of Management Services leaders provided an overview of the state IT enterprise. Secretary Pedro Allende described DMS as the state’s business, workforce, and technology service provider, while State CIO Warren Spanholz outlined Florida Digital Service’s four core areas: cybersecurity, project success, data interoperability, and enterprise architecture. Chief Data Officer Ed Ryan said the state data catalog is about 400,000 elements and roughly half of agencies are participating, and he described efforts to identify authoritative data sources and improve interoperability. Chief Information Security Officer Jeremy Rogers discussed the state cybersecurity operations center, enterprise risk management, incident response exercises, and a recurring $35 million cybersecurity resiliency budget. Chief Technology Officer Leo Schoonover described oversight of major IT projects over $10 million, updated project management standards, and a shift toward smaller phased implementations and more flexible methodologies to reduce delays and overruns.
Other presenters covered telecommunications, data center operations, and cybersecurity workforce development. Director Denise Atkins said the Division of Telecommunications manages Suncom and MyFloridaNet, with nearly $336.9 million appropriated for fiscal year 2024-25, and is procuring the next network contract while emphasizing security controls and vendor flexibility. Tim Brown said the Northwest Regional Data Center operates on a chargeback basis, serves state and local customers, and returned surpluses to customers in recent years. Cyber Florida Director Ernie Ferraroso described training, workforce pipelines, K-12 outreach, a cyber range, and research programs aimed at building Florida’s cyber workforce and improving public-sector readiness.
Members asked about budget setting, project delays, change orders, cybersecurity reporting, data catalog participation, interoperability, and expanding cybersecurity operations centers. Officials said chargeback rates are based on actual direct and indirect costs, project delays often stem from unclear scope and insufficient upfront planning, and cybersecurity success is measured by mean time to detect, respond, and recover. They also said the state is moving toward more modular project delivery, broader agency participation in shared cybersecurity services, and expanded CSOC locations within existing staff and budget where feasible.
FL
Florida 2025 Regular Session
November 5, 2025 - 01:30 PM
Transcript Highlights:
- So that's how they linked to the performance measures.
- Specific performance measures similar to manage medical assistance program.
- Standardized performance measures for long-term care are relatively new.
- . dental plans to achieve and maintain high performance.
- We have performance improvement projects. I next. We have performance improvement projects.
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
- As the committee evaluates this issue, an important related question is how cities ensure that water
- We would use the information we gather to perform epidemiological evaluations.
- Performance data and validated manufacturer computer modeling rather than pilot studies.
- protestants advocating for broader evaluations.
TX
Texas 89th Regular
Senate Committee on Finance (Part II) Jan 29th, 2025
Transcript Highlights:
- And so, yes, I think our performance has been quite good.
- And our consultants, when they come and evaluate, our independent consultants evaluate, they also say
- Now, their new actuarial evaluation recommends them dropping that to 7.25%.
- Our performance measure is a minimum of two departments every three years.
- I'm a director of Government Performance and Fiscal Policy for Texas 2036.
Summary:
The Senate Finance Committee heard budget presentations for the Texas Historical Commission, the Pension Review Board, the Employees Retirement System (ERS), Social Security and benefit replacement pay, the Texas Emergency Services Retirement System (TESSRS), and the Cancer Prevention and Research Institute of Texas (CPRIT). The Legislative Budget Board outlined recommendations and major changes for each agency, including reductions tied to one-time projects at the Historical Commission, continued funding for courthouse grants, heritage trails, and Holocaust/genocide education, as well as new or modified riders and capital items. For the pension-related items, LBB described funding changes for PRB, ERS, Social Security, and TESSRS, including ERS health plan cost growth driven largely by pharmacy costs, the status of pension funding reforms, and TESSRS’s request for additional state support to address its unfunded liability and staffing needs.
Members asked extensive questions about the Historical Commission’s one-time funding, unexpended balance authority, courthouse preservation, the Presidio La Bahia and National Museum of the Pacific War projects, and coordination of Texas history messaging across sites such as the Alamo, San Jacinto, Washington on the Brazos, and other heritage locations. The Historical Commission chair emphasized heritage tourism, economic development, and the need for continued investment in historic sites, staffing, IT modernization, and vehicles. On the pension items, senators discussed PRB oversight of local systems, including the Dallas police and fire pension situation, and ERS investment returns, benchmark comparisons, and rising health costs. ERS officials said the plan remains well funded overall, noted a 2021 cash balance reform and a planned supplemental legacy payment, and explained that GLP-1 drugs such as Ozempic and Mounjaro are a major driver of pharmacy spending; they also said the agency is working with the Texas Pharmacy Initiative and that rebates are contractually returned to ERS.
For TESSRS, LBB and agency staff said the system serves volunteer and part-paid emergency personnel, is facing an infinite amortization period, and is requesting additional appropriations, staffing, and IT funding, along with a statutory change to allow an actuarially determined state contribution. The agency said it may otherwise need to cut benefits for volunteer firefighters. For CPRIT, LBB reported about $600 million in recommended funding for the biennium and a 10-FTE increase, while the agency described its $6 billion voter-approved program, $3.75 billion in grants awarded to date, and $10.4 million in revenue sharing since 2011. CPRIT’s only exceptional item was a request for a 10% salary increase for two exempt positions. No committee votes or formal actions were taken in the transcript.