Video & Transcript Research : 'Tier II'

Page 73 of 190
KY
Transcript Highlights:
  • The PO plan used to be a co-pay and now, under the new GLP-1 weight loss tier, would be a deductible
  • So, you know, what we've implemented over time is actually a multi-tiered claims integrity approach.
  • :21:32.799> is<00:21:33.120> actually<00:21:33.440> a<00:21:33.760> multi-tiered
  • <00:21:34.720> claims time is actually a multi-tiered claims time is actually a multi-tiered
  • So, in both cases, we have a level of confidence that with that multi-tiered approach, we're paying accurately
Summary: The committee met on November 5, 2025, and first approved the minutes after a moment of silence for the UPS airport tragedy. The main presentation was from the Personnel Cabinet on the state health insurance plans and executive branch salary schedule adjustments. Officials said the health plan covers roughly 265,000 active members and up to about 300,000 across all benefit offerings, including school board employees, retirees, and other eligible groups. They described rising claims and expenditures, especially from high-cost claimants and pharmacy spending, and said recent premium and benefit changes were intended to balance costs while preserving recruitment and retention efforts. They also explained that employee premiums had not increased for several years, while employer contributions rose sharply in recent years, and projected a 10% employer increase and 3% employee increase going forward based on actuarial analysis. Committee members asked about deductibles, GLP-1 drug costs, claims validation, and the causes of cost growth; officials said the plan uses multiple payment-integrity vendors and that the increases reflect utilization, drug trends, and high-cost cases rather than a change in coverage. The committee also discussed executive branch salary schedule adjustments. Personnel and budget officials explained that when the legislature approves annual pay increases, the salary schedule is adjusted by the same percentage through executive order so the minimum and midpoint stay aligned with approved compensation levels. They said the 2025 adjustment was a 3% match effective September 16 and that the change was costless because salaries had already been increased. Members raised concerns about salary compression, noting that new hires can sometimes be paid near the level of long-serving employees. Officials said the adjustment helps prevent compression from worsening but does not solve it, and they acknowledged prior RFP efforts to address the issue were unsuccessful because no qualified bidder met the requirements. After the health plan and salary discussions, the committee began a presentation from the Cabinet for Health and Family Services on Kentucky’s senior meal program. Secretary Stack explained that the program is a federal-state-local partnership under the Older Americans Act, with area development districts helping deliver services. He outlined eligibility rules, noting that congregate meals at senior centers are available to people age 60 and older, with a spouse of any age allowed to join, and that home-delivered meals have additional homebound and assistance requirements. Members asked whether there was any means test for congregate meals, and the secretary said there is not; the only threshold is age for the center-based meals, while the home-delivered program has additional criteria.
KY
Transcript Highlights:
  • Uh we have a top tier placement rate.
  • Uh we have a top tier placement rate.
  • Uh we have a top tier placement rate.
  • Uh we have a top tier placement rate.
  • Uh we have a top tier placement rate.
Keywords: 958, all
Summary: The task force meeting began with approval of the July 14 minutes and then heard a presentation from the Kentucky Aviation Association. Association leaders described general aviation airports as important to rural access, commerce, emergency response, tourism, agriculture, and workforce development, and cited statewide economic impacts they said exceed $1.6 billion and support more than 9,400 jobs. They thanked the legislature for prior airport funding and said it had helped airports with basic operations and repairs. The association asked lawmakers for four things: continued appropriations for general aviation airports; relief or a more workable process for required financial audits, which they said can cost $10,000 to $20,000 or more and sometimes exceed a small airport’s annual budget; a regularized statewide appropriations process for airport infrastructure needs, which they said total about $100 million and are currently addressed unevenly; and funding for the Aerospace Education Reinvestment Opportunity Act to support scholarships and aviation workforce training. Members of the task force asked follow-up questions about the audit burden, the difference between financial and safety audits, and the difficulty of finding audit firms. The presenters said they would bring specific ideas back on audit reform. Eastern Kentucky University then presented on its aviation program. EKU leaders thanked the committee for prior support, including a $25 million appropriation for a new flight school building at Central Kentucky Regional Airport, and said the project is expected to break ground in 2026. They reported strong enrollment growth, with 502 aviation majors, most of them Kentuckians, and said the program has expanded flight hours and job placement. EKU also outlined plans to add an air traffic control program in response to Senate Bill 87 and the national shortage of controllers, saying it could train students to FAA standards if the university receives the needed investment in simulators, equipment, space, and faculty. They also discussed the need to replace an aging fleet of training aircraft, saying the current planes are decades old and costly to maintain, and that newer aircraft would improve training quality and reduce student costs.
MN

Minnesota 2025 1st Special Session

Committee on Taxes - 02/20/25

Taxes

Transcript Highlights:
  • We've taken action to protect this resource by implementing practices such as a tiered water rate structure
  • practices<00:03:35.280> such<00:03:35.519> as<00:03:35.959> a<00:03:36.080> tiered
  • implementing practices such as a tiered implementing practices such as a tiered water<00:03:36.680
  • So the facility will have 270 beds, expandable to 350, with one-floor design and tiered housing units
  • one floor beds expandable to 350 with one floor design<01:04:44.599> and<01:04:44.799> tiered
Keywords: 1187, senate, all
VT

Vermont 2025-2026 Regular Session

House Session - 2026-05-19 - 10:00AM

Vermont House Floor Meeting

Transcript Highlights:
  • , as we've seen even in this district and in this region, and we're also seeing it in the southern tier
  • seeing<00:29:26.040> in<00:29:26.120> the<00:29:26.240> southern<00:29:26.640> tier
  • <00:29:27.520> And seeing in the southern tier. And seeing in the southern tier.
Keywords: 926, house, all
Summary: The House opened with routine proceedings, including a moment of silence and the Pledge of Allegiance, then referred three bills to money committees under House Rule 35A: S.197 to Ways and Means, and S.193 and S.278 to Appropriations. The chamber also read and celebrated HCR 304, honoring the display of Julian Scott’s Civil War painting, The Fourth Vermont Forming Under Fire, in the State House and recognizing the people who helped locate and acquire it for Vermont. HCR 303 was also read, extending best wishes for a speedy recovery to Rep. Ann Donahue; members then offered warm remarks welcoming her back to the chamber. Several members introduced guests in the gallery, and caucus announcements were made before the body moved to the calendar. On transportation, the House took up H.944, the fiscal year 2027 transportation program. The House Transportation Committee reported major differences with the Senate version and, by straw poll, recommended a committee of conference. The House refused to concur in the Senate amendment, appointed conferees, and suspended rules to message its action to the Senate forthwith. The House then considered S.214, which would allow the NEK Choice School District to pay tuition for pre-K students to nearby New Hampshire public-school programs, with administration by Essex North Supervisory Union and possible waivers from state agencies. Education, Ways and Means, and Appropriations all recommended concurrence, citing limited fiscal impact and improved access for children in Essex County; the bill was read a third time and ordered to third reading after debate that included support for rural access and concerns about relying on out-of-state capacity. The House also concurred in Senate amendments to H.171, adding “the role of victim advocates” to officer-involved shooting investigation protocols, and to H.577, the Vermont prescription drug discount card program, which added annual reporting requirements and a terminology fix. The House likewise concurred in Senate amendments to H.588, the annual Office of Professional Regulation bill, including changes on rescission authority, substance-use treatment alternatives, CPA language, pharmacy technician authority, fee placement, and background checks. It then concurred in Senate amendments to H.611, a DVHA housekeeping bill, including 340B protections, a one-year delay for the community-based doula certification program, and codification of current HIV-prevention coverage practice. H.921 was postponed for two legislative days. Finally, the House took up S.227 on immigration protocols in Vermont schools, with the member from Williston describing it as a school safety measure that limits collection and sharing of immigration-status information, provides trusted resources to families, and requires a judicial warrant before law enforcement enters non-public school areas for immigration matters.
MN

Minnesota 2025-2026 Regular Session

MA cover weight-loss drugs 3/25/26

Minnesota House Floor Meeting

Transcript Highlights:
  • This bill reinforces stigma and creates a two-tiered system where only those who can pay out of pocket
  • 00:15:55.880> and<00:15:56.000> creates<00:15:56.320> a<00:15:56.400> two-tiered
  • <00:15:57.000> system stigma and creates a two-tiered system stigma and creates a two-tiered
Keywords: 1183, house
NM

New Mexico 2026 Regular Session

Senate Chamber Feb 19th, 2026 at 08:53 am

New Mexico Senate Floor Meeting

Transcript Highlights:
  • cleanup bill to tweak a couple of issues that came up in the implementation of the school nurse three-tiered
  • confirm that our charter schools are indeed also public schools and it adds a pathway to supervision for Tier
  • 1 new school nurses by Tier 2 or 3 more advanced nurses and allows small districts to contact DOH for
  • guidance if they don't have a Tier 2 or 3 nurse.
Bills: SB273, SB37, SB100
TX

Texas 89th Regular

Disaster Preparedness & Flooding, Select Aug 5th, 2025

Disaster Preparedness & Flooding, Select

Transcript Highlights:
  • understand that the military department came, or the Department of Defense, in establishing the upper tier
  • and lower tier.
  • that this council has to be informed about, especially when you're looking at, like I said, lower tier
  • versus upper tier, and then being interoperability, so.
Bills: HB2, HB1, HB18, HB19, HB20, HB1, HB 2, HB18, HB19, HB20
HI

Hawaii 2025 Regular Session

RM 329 Conference PM - Thu Apr 24, 2025

Hawaii House Floor Meeting

Transcript Highlights:
  • birthday rather than on their actual date of birth, and specifies how certain covered offenses are to be tiered
  • offenses<03:02:05.520> are<03:02:05.760> to<03:02:05.920> be<03:02:06.080> tiered
  • <03:02:06.640> for covered offenses are to be tiered for covered offenses are to be tiered
Keywords: 910, house, all
KY
Transcript Highlights:
  • And then you all would be kind of a third tier to that, or an addition to, let's say, not a third tier
  • And then you all would be kind of a third tier to that, or an addition to, let's say, not a third tier
Summary: The Senate Committee on Agriculture met for its first session and took up Senate Bill 69, as amended by a committee substitute. The substitute was adopted by motion and vote, and the chair noted that a fiscal note had been requested but not yet received, so the bill would proceed and the fiscal note would be trailed. The bill concerns equine dental care and related chiropractic services, creating a licensing and regulatory framework for equine dental providers and allied animal health practitioners. Senator Robin Webb, the bill sponsor, said the substitute made technical corrections requested by the Kentucky Veterinary Medical Association and the chiropractors association. She described the measure as a compromise intended to clarify scopes of practice, establish a credentialing/licensing board, and provide a legal pathway for people who have long provided equine dental services, especially in rural areas where veterinary access can be limited. Supporters said the bill would improve accountability, allow providers to obtain liability insurance, and preserve referrals to veterinarians for issues outside the defined scope. Kentucky Veterinary Medical Association and Board of Veterinary Examiners representatives said the bill was developed through a working group, modeled in part on Texas, and would include continuing education, grievance procedures, and due process protections. Justin Tallup, an equine dental provider, testified in favor, saying the bill would not change day-to-day practice but would legalize and formalize it. He said the scope would be limited to floating and balancing molars and incisors and removing caps and wolf teeth, with anything beyond that referred to veterinarians. He also said certification requires formal training, case submissions, testing, and annual continuing education. Senator Deneen asked about sedation, and witnesses said sedatives would still be prescribed and dispensed by a veterinarian under a valid veterinarian-client-patient relationship, with the owner administering them. Michelle Shane of the Board of Veterinary Examiners said the board supported the bill’s disciplinary framework and would defer to federal law on controlled substances. Dr. William Rainbow, a veterinarian, testified against the bill, arguing that equine dentistry is veterinary medicine and that the proposal would allow undertrained practitioners to work without sufficient standards, including a grandfathering provision. He said practitioners should have training comparable to licensed veterinary technicians and warned that the bill could leave horses vulnerable to poor care. The committee did not take final action on the bill in the portion of the meeting provided, but the chair indicated time was running short and that a vote would be needed.
MN

Minnesota 2025-2026 Regular Session

Committee on Agriculture, Veterans, Broadband and Rural Development - 02/03/25

Agriculture, Veterans, Broadband, and Rural Development

Transcript Highlights:
  • In the past two years, MFMA has offered 44 free live Zoominars and four in-person trainings for the Tier
  • one<00:28:53.840> Cottage<00:28:54.159> Foods<00:28:54.480> training the tier
  • one Cottage Foods training the tier one Cottage Foods training application<00:28:55.399> and<
  • > um<00:46:53.800> and<00:46:54.000> I'm<00:46:54.559> a<00:46:54.720> tier
  • <00:46:54.960> one for an everyday um and I'm a tier one for an everyday um and I'm a tier
Keywords: 1187, senate, all
CA

California 2025-2026 Regular Session

Senate Floor Session Jun 15th, 2026

California Senate Floor Meeting

Transcript Highlights:
  • Given still what seems to me as a bit of a two-tier system, ensuring that everyone has health care, but
  • very, very tough decision for me to make personally, given still what seems to me as a bit of a two-tier
  • These are things that are part of Tier 3. We want to make sure that they get funded.
Keywords: 987, senate, all
Summary: The Senate opened with roll call, prayer, and the Pledge of Allegiance, then approved the Senate journals and adopted floor amendments. Members voted on motions to advance Budget and Fiscal Review Committee measures and to suspend Joint Rule 62A so the budget committee could hear budget-related bills with shortened notice; both motions passed by roll call. The chamber then moved through the Daily File, including several second-reading bills and gubernatorial appointments. Three appointments were confirmed: Julie Lee and Ann Patterson to the Delta Stewardship Council, and Santa Cruz County Sheriff Christopher Clark to the Board of State and Community Corrections. Senators also took up Senate Joint Resolution 17, which urges Congress and the President to clarify that states may extend burial and memorial benefits in state veterans’ cemeteries to Republic of Korea veterans who served alongside U.S. troops in Vietnam; the resolution passed unanimously. The Senate then considered AB 109, the Budget Act of 2026, with extensive debate on the state’s fiscal condition and major budget priorities. Supporters said the budget is balanced, maintains reserves, reduces the structural deficit, and protects funding for child care, Medi-Cal, distressed hospitals, in-home supportive services, housing, higher education, and transit. Opponents argued it relies on future tax increases, leaves a structural deficit, and does not adequately address affordability, public safety, or repayment of unemployment insurance debt. After debate, AB 109 passed 28-9, and the chamber later approved the consent calendar items 81 through 86. The session ended with adjournments in memory of Honorable Hajan Lee, Doris Fisher, and James Leslie Barbie. The Senate announced its next floor session would be Thursday, June 18, 2026, at 9 a.m.
WV
Transcript Highlights:
  • We're again going to try to create two tiers of adulthood: one where you have your full constitutional
  • down to subsection D and... ...we drop down to subsection D, and we keep the three-pronged, three-tiered
  • This is to accommodate the five-year window for the accumulation of the tiered violations.
Keywords: 994, senate, all
Summary: The committee considered and advanced several bills. House Bill 4995, concerning video cameras in special education classrooms, was explained as requiring parents to be notified of recording interruptions, providing written notice of the law to parents and school employees, shortening the required random review of recordings from every 90 days to every 30 days, and clarifying that school boards must still conduct independent investigations even if DHS or prosecutors do not act. The committee adopted the motion to report the bill to the full Senate. House Bill 5214, dealing with drug testing in child abuse and neglect cases, would allow courts to order testing of parents in certain cases, require laboratory confirmation of positives, and require DHS to notify the court and other parties; the committee adopted the strike-and-insert amendment, then reported the bill as amended and adopted a title amendment. The committee also advanced House Bill 4025 and House Bill 5441, both restructuring state personnel systems. HB 4025 would exempt employees of the Department of Health, health facilities, and human services from classified civil service and grievance procedures beginning July 1, 2026, while preserving status for some current employees and allowing exemptions to comply with federal requirements; the committee adopted a piecemeal amendment and reported it as amended. HB 5441 would eliminate separate civil service systems for Transportation, Revenue, and the Bureau for Social Services and move classifications and compensation structures to the Division of Personnel, with testimony from the governor’s counsel emphasizing faster hiring and more flexibility; the committee adopted the strike-and-insert amendment and reported the bill as amended. House Bill 4602, a child welfare pilot program creating a private community-based system for post-removal services, drew testimony from DHS about concerns over costs, continuity, oversight, and child well-being outcomes, while supporters argued it could reduce caseloads and improve flexibility. The chair amended the bill to remove one of the two pilot regions, leaving only the Berkeley/Jefferson County pilot, and the committee then reported the bill as amended despite opposition from the senator from Marion. House Bill 4106, removing the provisional concealed handgun license requirement for ages 18 to 21, heard testimony from a pediatrician opposing the change and from a gun rights advocate supporting it; an amendment requiring firearms training for under-21 carriers failed by a 1-14 roll call, and the committee then reported the bill as amended. Finally, House Bill 4198, after a subcommittee rewrite, was advanced with a strike-and-insert amendment that refined E-Verify requirements for public and private employers, added exemptions for certain small or new employers and sole proprietors, clarified recordkeeping and notice requirements, and adjusted penalties and enforcement procedures. After a motion for the previous question, the committee adopted the amendment and reported HB 4198 as amended. House Bill 5319 was removed from the agenda, and the committee adjourned.
FL

Florida 2026 Regular Session

Appropriations Committee on Higher Education Oct 8th, 2025

Appropriations Committee on Higher Education

Transcript Highlights:
  • Statutorily, they'd be funded $1,000 unless we don't have enough money; then we prorate them and we tier
  • Statutorily, there'd be funded $1,000, unless we don't have enough money, then we prorate them and we tiered
  • And so the average was about $6,000. we don't have enough money, then we prorate them and we tiered them
Summary: The Higher Education Appropriations Committee met for its first session of the year, took roll, welcomed new member Senator Bracey Davis, and had members briefly describe their backgrounds and interest in higher education. Chair Harrell framed the committee’s focus on maintaining Florida’s top national ranking in higher education and workforce development, with an emphasis on funding decisions tied to student success, workforce needs, and the state college system. Senior Chancellor Kevin O’Farrell presented the Department of Education’s workforce and Florida College System budget requests and data. He described requested increases for adult education, Florida College System program funding, workforce development, and several grant programs, including workforce capitalization, apprenticeship/teacher apprenticeship, Open Door, and CAPE industry certifications. He highlighted record enrollment and completion growth across Florida’s colleges and technical centers, major gains in career dual enrollment, and expansion in programs such as nursing, AI, cybersecurity, welding, HVAC, and manufacturing. Members asked about labor-market demand, the impact of artificial intelligence on future job training, teacher apprenticeship details, mission creep and duplication in CTE programs, student placement and wages after graduation, and articulation between technical college clock hours and college credit. South Florida State College President Fred Hawkins testified about challenges facing a rural college, including low local college-going rates, long travel distances, limited faculty recruitment due to salaries, and the need for more operational funding to expand capacity. He cited strong job placement and licensure outcomes in nursing, dental hygiene, EMT/paramedic, and radiography, and said the college is exploring AI tools to improve student services and reduce staffing pressure. Pinellas Technical College Executive Director Mark Hunter described strong dual enrollment, high job placement, employer partnerships, and a reported 400% return on investment, while also warning that many programs have waiting lists because of staffing and equipment constraints. He explained how technical college coursework is aligned with state college credit through content-based articulation agreements. The committee then opened the floor for public comment, but no additional business was taken up, and the meeting adjourned.
FL

Florida 2025 Regular Session

Health Policy Oct 7th, 2025

Transcript Highlights:
  • KIDS CORPORATION WHICH ADMINISTERS A CHIP PROGRAM AND RUN SOME BACKGROUND ON THE SIDE TO CREATE NEW TIERS
  • IF A FAMILIES INCOME DROPS OR DECREASES THEY DROP INTO THE LOWER TIER.
  • SIMILAR COMPONENT IF A FAMILY MEMBER'S INCOME DECREASED THEY WOULD JUST BE DROPPED INTO A LOWER TIER.
Keywords: 999, senate, all
FL

Florida 2025 Regular Session

Health Policy Apr 1st, 2025

Transcript Highlights:
  • We just talked about and provide them with a tiered service options to improve support to the children
  • It requires AHCA to include in the read to sign a tiered service or for certain children receive private
  • part of the bill that deals with the medically fragile children, very specifically in doing that tiered
Keywords: 999, senate, all
NH

New Hampshire 2026 Regular Session

House Session (06/04/2026)

New Hampshire House Floor Meeting

Transcript Highlights:
  • Florida, a similar program disproportionately flagged people of color, including a 91-year-old World War II
  • Florida, a similar program disproportionately flagged people of color, including a 91-year-old World War II
  • Florida, a similar program disproportionately flagged people of color, including a 91-year-old World War II
  • Florida, a similar program disproportionately flagged people of color, including a 91-year-old World War II
  • Florida, a similar program disproportionately flagged people of color, including a 91-year-old World War II
Keywords: 1189, house, all
KY
Transcript Highlights:
  • a<00:28:16.960> permit<00:28:17.399> for<00:28:17.679> a<00:28:17.919> tier
  • <00:28:18.240> six landfill he has a permit for a tier six landfill he has a permit for a
  • tier six uh<00:28:19.120> tier<00:28:19.440> six<00:28:19.840> expansion<00:28:20.360
  • :20.440> think<00:28:20.600> is<00:28:20.760> what<00:28:20.880> he uh tier
  • six expansion I think is what he uh tier six expansion I think is what he called<00:28:21.279> it
Summary: The concurrent House-Senate meeting opened with a roll call and then received a briefing from Kentucky Emergency Management and the Transportation Cabinet on the February storms and flooding. Officials described the event as ongoing and statewide in scope, beginning in western counties and then heavily affecting Eastern Kentucky, including major impacts in Perry, Letcher, Clay, Bell, Martin, Pike, and other counties. They reported widespread power and water outages, nearly 600 people initially sheltered, more than 1,500 water rescues, over 250 National Guard members activated, and substantial mutual aid from other states and FEMA. They also said 73 counties had declared emergencies, 23 fatalities had been confirmed at that point, and individual assistance had already distributed $5.5 million to residents after the federal declaration was signed. The administration emphasized that recovery needs were still being assessed but were already significant. Kentucky Emergency Management said public assistance estimates were about $58 million and rising, with about 2,005 homes and 272 businesses inspected so far. Debris removal was identified as a major issue, and officials said they had requested Category A federal assistance for debris in four counties while continuing to seek more as assessments continued. They also noted that disaster recovery centers were opening and that teams were going door to door in affected areas. On transportation, KYTC reported 39 counties affected, a peak of 355 road closures reduced to 49, 18 damaged bridges, 94 bridges with debris on them, and 579 roadway damages, while continuing to clear roads and move supplies such as water, food, blankets, and heaters. Secretary Hicks then asked lawmakers to consider additional funding mechanisms. He said the current $50 million emergency cap in the budget was likely to be exhausted, with $21.5 million already allocated, and proposed either lifting the cap or creating a new “safe fund” for this disaster, similar to prior funds used after the western Kentucky tornadoes and the 2022 eastern Kentucky floods. He said the state could redirect about $25 million from an unused western Kentucky economic development allocation and about $20 million from an eastern Kentucky transportation allocation, for a total of $45 million, to help with this response. Members and officials also discussed debris disposal, with the Pike County landfill expansion identified as a possible site to receive some of the debris and reduce costs. Representative Fugate thanked the agencies for their response and described severe local impacts, including water outages, road slides, damaged water treatment plants, and heavy debris in homes and driveways.
MN

Minnesota 2025-2026 Regular Session

House Taxes Committee 4/28/26

Taxes

Transcript Highlights:
  • Uh simple tiered uh approach towards the rebates.
  • Uh simple tiered uh approach towards the rebates.
  • Uh simple tiered uh approach towards the rebates.
  • Uh simple tiered uh approach towards the rebates.
  • Uh simple tiered uh approach towards the rebates.
Keywords: 1183, house
MN

Minnesota 2025-2026 Regular Session

Committee on Taxes - 02/25/26

Taxes

Transcript Highlights:
  • important program, and causes a classification rate to go from 1% down to half a percent for the first tier
  • important program, and causes a classification rate to go from 1% down to half a percent for the first tier
  • important program, and causes a classification rate to go from 1% down to half a percent for the first tier
  • important program, and causes a classification rate to go from 1% down to half a percent for the first tier
  • Tier of value that's set.
Keywords: 1187, senate, all