Video & Transcript Research : 'program evaluation'
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ND
North Dakota 2026 1st Special Session
Legislative Procedure and Arrangements Jun 10th, 2026 at 01:00 pm
Legislative Procedure and Arrangements Committee
Transcript Highlights:
- Just wondering a little bit about what we're doing here with the program evaluators.
- That's a proposed additional position, but you see three program evaluators, one senior and two program
- So we're proposing to double the size of the program evaluation staff from four to eight evaluators and
- and program evaluations had done them.
- and program evaluations had done them.
HI
Transcript Highlights:
- <00:29:52.000>
of <00:29:52.240>fitness evaluation of fitness evaluation of fitness um< - evaluation of fitness. evaluation of fitness. >> That's<00:33:56.399>
correct. - So I need a 704 evaluation.’ Why can’t they stay in DCR while they are being evaluated?”
- the people who need to be evaluated. the people who need to be evaluated.
- . programs. programs.
Summary:
The briefing focused on the Hawaii State Hospital’s overcrowding, construction defects in the new addition, and how Act 26 and related court-ordered processes are affecting admissions and discharges. The chair said the hospital has become increasingly forensic-focused, has lost beds after the closure of Kahimohala, and may face further costs and possible litigation over the defective addition. Hospital and Department of Health officials said they are working with the attorney general and contractors on repairs, and that the hospital is currently using all 292 licensed beds, including 13 waiver beds, while average daily census last fiscal year was 376.
Officials explained that the high census is driven by both increased admissions and discharge barriers. They said the loss of Kahimohala returned patients to the state hospital, and that Act 26-related petty misdemeanor cases are contributing to admissions. They also said limited lower-level placement options delay discharges. Hospital staff reported that many patients are repeat admissions, about 22% were unhoused before admission, and a significant share are in categories such as fitness-to-proceed evaluations and conditional-release violations. They said these groups could potentially be reduced if evaluations were done elsewhere and if more community or supportive housing were available.
The chair and senators questioned whether some fitness-to-proceed detainees need to be held at the state hospital at all, and whether the Clark consent order requires transfer to the hospital. The attorney general’s office said the Clark injunction does not govern unfitness-to-proceed cases; instead, the requirement comes from state statute, and the statute could be changed. Director Johnson said DCR cannot keep such detainees because the court orders them into the custody of the Department of Health, and the department cannot provide the needed therapeutic level of care in a correctional setting. The discussion also emphasized co-occurring substance use and mental illness, especially among petty misdemeanor defendants, and the need for supportive housing and a decompression plan to reduce readmissions and free beds for civil commitments.
NM
New Mexico 2026 Regular Session
IC - Legislative Finance Apr 27th, 2026
Transcript Highlights:
- In the audience, you have... any or most of your fiscal analysts and program evaluators that have been
- The program evaluation team will also have a report on that, on learning time for you later this year
- And then finally, we're on to our program evaluation work plan, starting on page 63, and I'll hand it
- I have the privilege to lead the program evaluation team, which has been recognized several times as
- My name is Matthew Goodlot, and I'm a program evaluator for your LLC committee.
CA
California 2025-2026 Regular Session
Assembly Budget Subcommittee No. 5 on State Administration Apr 8th, 2025
Transcript Highlights:
- All of this evidence is about the tax credit program, and the grant has not been separately evaluated
- program.
- grant program.
- There will be a final evaluation at the conclusion of the program in September 2025, and the metrics
- DFPI will monitor and evaluate its revenue and expenditures as needed annually across its programs to
Summary:
The Assembly Budget Subcommittee 5 on State Administration heard presentations from Go-Biz and the Department of Financial Protection and Innovation on the Governor’s budget proposals. Go-Biz described California Jobs First, the state’s 10-year economic development strategy, and emphasized support for small businesses, workforce development, and targeted investment in sectors such as ag tech, life sciences, semiconductors, and advanced manufacturing. Members raised concerns about federal policy changes, tariffs, tourism, housing, child care, and whether state incentives are truly additive; Go-Biz responded that it tracks federal actions closely, works with chambers and advocates, and uses programs like California Competes to target jobs that would not otherwise come to California.
The committee then reviewed the proposal to restore the California Competes grant program with $60 million. Go-Biz said the grant would help businesses that cannot use the nonrefundable tax credit, and explained the program’s five-year contracts, milestone-based awards, and recapture provisions. The Legislative Analyst’s Office said the grant could be effective but recommended stronger oversight and clearer eligibility criteria, while also noting the 30% cap in trailer bill language may be too restrictive given the smaller funding level. Public testimony supported the grant and suggested considering refundability or transferability for the tax credit to broaden access for smaller and startup businesses.
Members also heard the CHIPS-related proposal for $25 million to support Natcast’s semiconductor design and collaboration facility in Sunnyvale. Go-Biz and public witnesses argued the state investment would help secure a major federal research facility, retain engineering talent, and leverage billions in broader investment, while the LAO recommended rejecting the item because of its dependence on uncertain federal funding and the state’s budget condition. The committee also considered a $17 million continuation of CA RISE, which supports employment social enterprises; Go-Biz and several grantees cited strong job placement and workforce outcomes, while the LAO recommended rejection absent a more rigorous evaluation, noting prior LA RISE evidence did not show long-term employment gains.
Finally, the Department of Financial Protection and Innovation presented budget requests for IT security and rent increases, and a trailer bill to raise fees across several programs. DFPI said decades-old fee schedules, inflation, and new regulatory responsibilities have created a structural deficit and warned the department could face insolvency without adjustments. The LAO recommended approving the fee increases only on a three-year limited-term basis and asked for more detailed revenue plans for programs not covered by the proposal, so the Legislature can assess actual collections and market impacts before making the changes permanent.
ND
North Dakota 2026 1st Special Session
Human Services Committee May 27th, 2026
Human Services Committee
Transcript Highlights:
- Legislative Council program evaluation—who's doing that for us?
- Our program evaluators are here today to provide an update on the Child Care Services Program evaluation
- We are advertising for another program evaluator position.
- The purpose of the program evaluation The purpose of the program evaluation is to determine whether the
- like program evaluation to return to these types of evaluations, and that's a conversation that's probably
Summary:
The committee first approved the February 11, 2026 minutes and then received an update from the North Dakota Housing Finance Agency on the interagency council on homelessness and continuum of care funding. Testimony described rising homelessness tied to tight housing markets, low incomes, aging homelessness, barriers to rental assistance and public benefits, and limited shelter and case-management capacity. Members discussed the need for more affordable housing, continued one-time funding for the North Dakota Homeless Grant and Housing Incentive Fund, better coordination with Health and Human Services on economic assistance and human service zones, landlord engagement, recovery housing, and reentry housing. The committee also heard that federal continuum of care funding remains uncertain, with possible shifts away from permanent supportive housing and housing-first models; members asked for a future update on the impact if federal rules reduce the share available for permanent housing.
The committee then took testimony on accessibility of government services for people who are blind or visually impaired. Paul Olson of North Dakota Vision Services School for the Blind described current screening and service delivery, including infant referrals, regional staff, short-term programs, and collaboration with vocational rehabilitation. He said the targeted screening system is working, recommended maintaining the current model, and noted ongoing challenges with staffing, public awareness, and accessible state websites and documents. Public testimony from a visually impaired resident and a deaf resident emphasized barriers such as CAPTCHAs, inaccessible PDFs, employment forms that screen out applicants based on driver’s license status, shortages of interpreters, and the need for video remote interpreting and video relay services, along with training for users and agencies.
Finally, the committee heard a final report on the study of child care provider licensing from HHS Early Childhood Director Kay Larson. The report summarized provider input and committee discussion on simplifying North Dakota’s child care licensing structure, reducing administrative burden, and balancing that with health and safety standards. Key topics included licensing categories, child care assistance eligibility, food program sponsorship, staff qualifications, training requirements, ratios and group size, age bands, and preschool exemptions. The committee’s recommendations included streamlining to three provider types plus a preschool designation, revising ratio and age-band rules, and carrying forward certain preschool outdoor-space exemptions. Larson noted that any changes would require statutory changes, rulemaking, and a transition period before new licensing rules could take effect.
FL
Florida 2026 Regular Session
Appropriations Committee on Pre-K - 12 Education Mar 11th, 2025
Appropriations Committee on Pre-K - 12 Education
Transcript Highlights:
- a research-based framework to evaluate program effectiveness.
- We have some programs.
- evaluation for the teachers relating to how they are evaluated.
- to the performance evaluation for the teachers relating to how they are evaluated, we're changing it
- And for the teacher evaluation, the old VAM model, in ways that we just jacked up teachers with evaluation
Summary:
The Appropriations Committee on Pre-K-12 Education met with a quorum present and observed a moment of silence for Senator Geraldine Thompson. The committee first took up CS/SB 102, a bill by Senator Gates directing the Department of Education to develop a workforce credential program for students with autism spectrum disorder or students on a modified curriculum, in coordination with the Florida Center for Students with Unique Abilities and OSHA. Supporters said the bill would help autistic students gain job skills and workplace safety credentials, while an opponent argued the bill should clearly make participation voluntary, expand to other exceptional student groups, include funding, and add stronger accountability. The bill was reported favorably.
The committee then considered SB 166, the Administrative Efficiency in Public Schools bill by Senator Simon. The bill would reduce or remove several state mandates and give districts more flexibility on testing, teacher evaluations, contracts and certification, school board operations, instructional materials timelines, audits, facilities planning, emergency make-up days, federal fund use, and public VPK oversight. Senators asked about the impact on student proficiency, teacher evaluations, and the transfer of public VPK oversight to districts; Simon said the tests would remain but count as 30 percent of the grade, districts would retain flexibility in evaluation measures, and only public VPK would shift to districts. Public testimony was largely supportive, with some speakers praising reduced testing and local control, while one senator cautioned that Florida still has a math proficiency problem. The bill was reported favorably.
Finally, the committee heard CS/SB 296 by Senator Bradley, which would repeal the 2023 statewide mandate requiring later middle and high school start times and return the decision to local districts, while still requiring districts to inform the community about the health, safety, and academic impacts of sleep deprivation and consider later start times. Supporters argued the mandate created transportation, staffing, and scheduling problems and that local control was more practical, while opponents emphasized sleep science and the benefits of later start times for teens. Several senators discussed the tension between research and district resources, and the bill sponsor said the measure preserves the conversation about sleep while allowing local scheduling decisions. CS/SB 296 was reported favorably, and the committee then adjourned.
ND
North Dakota 2026 1st Special Session
Budget Section Leadership Division Mar 18th, 2026 at 01:00 pm
Transcript Highlights:
- John, on the program evaluators, how are you determining what programs they're going to look at?
- of child care programs. so that's for evaluation of child care programs.
- evaluation is the area where we... ...of a chunk of, but I think the program evaluation is the area
- evaluators, and, you know, the... ...with these new program evaluators, and, you know, I think there'll
- work for us looking at that program and to evaluate its effectiveness.
Summary:
The Leadership Division of the Budget Section approved the prior meeting minutes and then received an update from Senator Jonathan Sickler on the Cash Management Board’s interim work under House Bill 1278. He said the board has reviewed state cash, investments, and liquidity across agencies and concluded the state’s overall mix of long-term and short-term assets is appropriate, with about $35 billion in total liquid assets and investments and roughly 89% in longer-term investments. He highlighted process improvements already underway, including replacing more than 500 six-month CDs with a special-rate savings account to reduce administrative work, and said the board sees opportunities to improve forecasting, automation, and statewide coordination. Members asked about whether the CD change would increase returns, how the Legacy Fund transfer for the homestead tax relief bill affected earnings, and whether more state cash could be consolidated or better managed through BND; Sickler and BND staff said those issues are being studied and may lead to legislation for the 2027 session.
Representative Nathan Toman then updated the committee on the Task Force on Government Efficiency. He said the group has focused less on cutting dollars and more on defining metrics and asking how the legislature knows whether programs are working. The task force is pushing a standard set of questions for new or expanding programs—who is affected, expected outcomes, alternatives, how success will be measured, and full funding—and OMB has agreed to require those answers in future budget requests. Members discussed possible use of dashboards, program evaluators, AI tools, and possible rule or statutory changes to require performance measurement. Toman said the task force will continue meeting with agencies such as the courts, university system, auditor, HHS, Commerce, and ITD to identify workflow bottlenecks and potential efficiencies.
Phil Davis of Job Service North Dakota gave a workforce update, reporting that North Dakota’s unemployment rate is 2.5% and labor force participation is about 68.7%, both well above national performance. He described Job Service’s 15 workforce programs, including H-2A housing inspections for foreign agricultural workers, the job placement partnership program with DOCR, WOTC, and other federal and state workforce efforts. Davis said the agency served more than 11,000 individuals in 2025, operates nine workforce centers, and tracks outcomes through quarterly and annual reporting. In response to questions, he said job openings data reflect only positions in the system and may understate actual hiring needs, that child care and other assistance programs could be better tied to employment outcomes, and that the DOCR partnership has shown strong results with lower recidivism and higher earnings. He also said the H-2A inspection workload is growing quickly and additional staffing or less frequent federal inspection requirements could help.
Allen Knutson then presented S&P Global’s updated revenue forecast. He said oil prices have risen sharply since the prior month’s outlook, improving the state’s near-term revenue picture, though the economy remains volatile and agriculture is facing weaker commodity prices. Based on the updated forecast, total major tax revenues for the current biennium are projected to be about $89 million above the legislative forecast, and the next biennium could be about $500 million higher, though that estimate is preliminary and may change. He also walked through an alternate oil-price scenario showing significantly higher oil and gas collections and a larger Strategic Investment Fund balance if prices remain elevated. Members asked whether another forecast should be requested once oil markets stabilize and about tribal allocation changes in the alternative scenario; Knutson said additional updates are possible through OMB and future forecast cycles.
LA
Bills:
HR112, HR113, HR114, HCR51, HCR52, HR94, HR95, HR96, HR97, HR98, HR99, HR100, HR103, HR104, HR105, HR106, HR107, HR108, HR109, HR110, HR111, HCR46, HCR47, HCR48, HCR49, HCR50, SCR25, SB17, SB300, HCR35, HB51, HB82, HB143, HB145, HB160, HB180, HB192, HB393, HB430, HB445, HB506, HB515, HB521, HB565, HB590, HB614, HB638, HB647, HB670, HB672, HB685, HB692, HB752, HB773, HB781, HB799, HB839, HB860, HB873, HB874, HB887, HB917, HB937, HB956, HB965, HB972, HB977, HB982, HB1006, HB1010, HB1044, HB1072, HB1088, HB1157, HB1179, HB1200, HR15, HR20, HCR14, HCR6, HCR19, HCR10, HR74, HCR26, HCR45, HB54, HB67, HB73, HB125, HB133, HB158, HB168, HB169, HB191, HB195, HB245, HB280, HB283, HB296, HB319, HB339, HB399, HB407, HB448, HB550, HB591, HB826, HB995, HB1085, HB1086, HB98, HB108, HB131, HB151, HB161, HB288, HB294, HB305, HB310, HB320, HB336, HB380, HB392, HB403, HB420, HB459, HB476, HB540, HB615, HB631, HB637, HB648, HB665, HB682, HB789, HB813, HB815, HB835, HB870, HB905, HB915, HB933, HB938, HB987, HB1040, HB827, HB953, HB796, HB352, HB463, HB735, HB780, HB882, HB81, HB400, HB140, HB750, HB911, HB961, HB401, HB901, HB9, HB52, HB58, HB154, HB193, HB284, HB410, HB570, HB577, HB582, HB605, HB733, HB868, HB952
Keywords:
commendation, community service, religious leadership, New Orleans, anniversary, Martha's Vineyard, African-American Film Festival, Black excellence, cinema, cultural celebration, Black voices, film industry, Hannuh Ray, Louisiana, youth development, pageant, leadership, community, recognition, compensation
TX
Transcript Highlights:
- . evaluated.
- And they are obligated to do those evaluations. They are obligated to do those evaluations.
- We have to evaluate them.
- can't worse people into those programs.
- So you have a K-12 program of study really, a high school program of study, and. college program of study
OK
Oklahoma 2026 Regular Session
Appropriations and Budget Human Services Subcommittee REVISED: Correction- Rm 5S2 Jan 20th, 2026 at 08:30 am
A&B Human Services Subcommittee
Transcript Highlights:
- Are youer Agencies have the programs, such as first-time offender programs, so that there is something
- And the program, the voc rehab program, one of the constraints on it is that we have to spend 15% of
- or for whatever to the program.
- One of them is the client assistance program, the director of the clients The assistance program, the
- How many on-contract evaluators do you have? How many juvenile competency evaluators?
FL
Florida 2025 Regular Session
April 1, 2025 - 12:30 PM
Transcript Highlights:
- Does this program, do these programs that are faith-based charge for their services?
- , it really expands the program.
- , it really expands the program.
- programs from the DCF to OPAGA.
- programs from the DCF to Opaga.
Summary:
The Human Services Subcommittee met with a full agenda and reported all measures favorably. The committee first heard HB 1327, which would codify the Hope Florida program in state law, and HB 1329, the related public-records exemption for Hope Florida participants; both bills drew questions about oversight, duplication of services, staffing, and data privacy, and both passed 17-0 after an amendment to HB 1329. The committee then approved HB 391, allowing certified batterers intervention programs to include optional faith-based content while remaining grounded in required therapeutic models; an amendment clarified that participation in faith-based components must be strictly voluntary. Supporters argued the bill restores choice and access, while opponents raised concerns about church-state separation and uneven availability of secular alternatives; the bill passed 17-0.
Members also advanced HB 1065, creating an Alzheimer’s disease awareness initiative through the Department of Elder Affairs, with broad support from members who shared personal experiences and emphasized early detection and public education. HB 1163, dealing with recovery residences, passed 12-5 after debate over local zoning authority, home rule, and whether the bill would help or hinder placement of level four recovery homes near urban cores. Several members said they supported recovery housing in principle but wanted more clarity on task force findings and local impacts before fully backing the measure.
The committee next approved HB 969, which shifts evaluation of school district mental health assistance programs to OPAGA and requires reports on outcomes and effectiveness; members stressed the need to know whether substantial mental health funding is improving student outcomes. HB 1191, which decriminalizes allowing children to travel to school, play outdoors, or stay home for reasonable periods and codifies current DCF policy, passed 16-0 with support framed around parental rights and child development. Finally, HB 1207, the Tristan Murphy Act, passed 15-0 and would expand mental health diversion and treatment options, including training for first responders, a forensic hospital diversion pilot, a behavioral health data repository, and additional evaluation requirements before inmate work assignments. The meeting adjourned after all agenda bills were reported favorably.
MN
Minnesota 2025-2026 Regular Session
House Commerce Finance and Policy Committee 2/27/25
Commerce Finance and Policy
Transcript Highlights:
- then a little bit about the evaluation then a little bit about the evaluation process<00:08:59.720
- familiar um that Commerce uh evaluates familiar um that Commerce uh evaluates the<00:09:04.519><
- at this point, and so we weren't able to do an evaluation or quantitative evaluation of that benefit
- <00:37:44.119>
as to the evaluations as to the evaluations as such<00:37:47.160>um - Commerce and then once the evaluations Commerce and then once the evaluations are<00:40:47.640><
MN
Minnesota 2025 1st Special Session
Human services panel hears HF729 2/26/25
Minnesota House Floor Meeting
MN
Transcript Highlights:
- >
six Of these eight evaluations, six Of these eight evaluations, six evaluations<00:09:38.560 - evaluations were completed. evaluations were completed.
- I think there's evaluation.
- those closeout evaluations are current. those closeout evaluations are current.
- So, at that point, a closeout<01:05:12.400>
evaluation closeout evaluation closeout evaluation
Bills:
HF3564
Summary:
The Legacy Finance Committee met to approve the prior meeting minutes and then heard a presentation from the Office of the Legislative Auditor on its performance audit of the Department of Natural Resources’ administration of Outdoor Heritage Fund grants. OLA explained that the DNR generally complied with the criteria tested, but the audit identified two main problem areas: grant payments and grant monitoring. The audit covered 13 grants, mostly legislatively named grants awarded in fiscal year 2020, and reviewed agreements, amendments, payments, monitoring, and some site visits.
OLA reported that for three grantees, totaling about $400,000, invoices lacked enough detail to determine whether costs were allowable, and about $5,000 was paid to two grantees without sufficient supporting documentation. The auditors also said DNR lacked policies defining allowable costs and what “directly related to and necessary” means under state law. On monitoring, DNR missed required annual visits for six grants, made payments on current progress reports that were missing or not on file, and had weaknesses in closeout evaluations, including missing required elements, late completion, and two grants with no closeout evaluation at all. OLA recommended stronger documentation, clearer guidelines with the Lessard-Sams Outdoor Heritage Council, timely monitoring and closeout, obtaining progress reports before payment, and improved internal controls.
Members reacted strongly to the findings, especially the repeated failures to follow grant procedures and the risks of legislatively named grants and advance payments. Representative Heintzeman and Vice Chair Skraba questioned whether the issues reflected broader problems in state grant oversight and asked about prepayments, follow-up, and whether more legislative action was needed. OLA officials said they do not rely on self-attestation, but instead retest agencies after 2 to 3 years, and noted a new annual update-report process that will track whether agencies implement prior recommendations. Judy Randall, the Legislative Auditor, said the laws and policies already exist and emphasized that the issue is ensuring agency staff follow them; she also said most recommendations in the recent update report had been implemented. No further committee action or vote was taken on the audit during this portion of the meeting.
SC
South Carolina 2025-2026 Regular Session
Healthcare and Regulatory Subcommittee Jun 24th, 2026
Transcript Highlights:
- All program income received by the VR program is to report it as federal program income earned.
- We have a pre-EDS program.
- integrity through program evaluation and quality assurance.
- It is a structured program.
- Near the end of the program, the consumer meets with the vocational evaluator to discuss career interests
Summary:
The committee met to receive a detailed financial operations presentation from the South Carolina Vocational Rehabilitation (VR) agency, with staff walking members through funding sources, budgeting, accounts receivable, accounts payable, and grants management. Sabrina Walker explained VR’s blended funding structure, including federal grants, state appropriations, program income, and interagency contracts, and emphasized that state funds are essential to meeting the federal match and maintenance-of-effort requirements. Members asked repeatedly about transparency, audit controls, and the risk that state cuts could reduce federal drawdowns; staff responded that all reports reconcile back to the SCEIS accounting system, are subject to state audits and internal reviews, and that even modest state reductions could significantly reduce total available funding. The committee also discussed pre-employment transition services for students with disabilities, with staff confirming services are offered through school districts, charters, and private schools, and that contracts are monitored for performance and compliance.
The presentation then shifted to budgeting and internal controls. Walker described a zero-based departmental budgeting process, monthly monitoring reports, contingency reserves for unexpected expenses, and a formal annual cycle that culminates in board approval. Members asked about facilities tracking, culture, and how the agency maintains accountability; staff said facilities staff inspect buildings and equipment, supervisors justify line-item requests, and the process has become smoother over time as departments learned the system. Cynthia Johnson followed with an accounts receivable overview, describing invoicing, receipting, aging, customer verification, year-end reporting, and the use of cross-training, shared email inboxes, and spreadsheets as checks and balances. She also explained work training center billing, interdepartmental transfers, and the revolving fund used to issue consumer checks more quickly than standard vendor payments.
Olivia Perez presented accounts payable operations, including invoice processing through SCEIS and OnBase, the three-way match, travel reimbursements, revolving fund checks, State Treasury Office interactions, and handling of reversals, rejections, and levy notices. She reported that AP processed 67,723 SCEIS payments, 13,670 case management system invoices, 3,379 travel reimbursements, and 15,693 revolving fund checks in fiscal year 2025, with only 70 payment rejections. The final portion of the meeting covered Grants and Funds Management, where Walker explained federal reporting, drawdowns, payroll allocation, asset tracking, lease and IT contract reviews, cost allocation, and closing packages. She noted upcoming system changes such as S/4HANA, Workiva, and SC Pro, but said the agency is receiving training and feedback opportunities. No formal votes or legislative actions were taken during the presentation portion beyond approval of the prior minutes and a brief recess.
MN
Transcript Highlights:
- authorizer performance evaluation authorizer performance evaluation system.<00:02:09.360>
Um< - :35.760>
of <00:03:35.920>the oversight, and evaluation of the oversight, and evaluation - evaluation system. evaluation system. uh<00:10:03.120>
statute <00:10:03.600>also < - <00:14:00.639>
and description of the school program and description of the school program - So, thank you. design the special education program for design the special education program for each
Keywords:
anonymous reporting, school safety, education, crisis intervention, threat reporting, early literacy, reading instruction, teacher preparation, teacher candidates, teacher licensure, educator licensing, Professional Educator Licensing and Standards Board, PELSB, field experience, supervised practicum, evidence-based reading, science of reading, literacy methods, teacher training, preservice teachers
OR
Oregon 2026 Regular Session
House Interim Committee On Health Care 06/16/2026 2:30 PM
Transcript Highlights:
- Finances and rate setting within the Medicaid program.
- So there have been ups and downs in our program, and that's really driven by the evaluation of what's
- So there have been ups and downs in our program, and that's really driven by the evaluation of what's
- Program changes trend 1.3.
- On the program change tracking, OHA is working closely with CCOs on program changes, including new potential
Summary:
The committee held an informational hearing focused first on Oregon Medicaid coordinated care organization (CCO) finances and rate setting. Oregon Health Authority staff explained how 2025 CCO financial results will inform 2027 capitation rates, including reserve requirements, subcapitation arrangements, and major cost drivers such as behavioral health, pharmacy, rural hospital costs, and dental directed payments. They said the Legislature’s added 2025 funding materially improved CCO margins and that, without it, the program would have been negative overall. Members asked about retained earnings, subcapitation, behavioral health utilization, ABA therapy, and whether outcomes are being evaluated; OHA said rate setting is actuarial and that CCOs, OHA, and other partners all play roles in monitoring efficacy and access. OHA also reviewed House Bill 4039 changes intended to increase transparency and give CCOs earlier access to rate information and reconciliation exhibits.
CCO representatives then testified that the system is under significant financial pressure and that behavioral health state-directed payments, benefit changes, and federal uncertainty from H.R. 1 are reducing flexibility. CareOregon said it has lost more than $500 million over the last couple of years and is now making provider terminations and other network changes to align spending with available funding, while emphasizing that CCOs must make hard decisions about which services and providers can be sustained. Eastern Oregon CCO said rural and frontier factors, cost-based hospitals, air ambulance needs, and statewide efficiency adjustments are not fully reflected in rates, and that dental funding is especially strained. Trillium similarly warned that state-directed payments and benefit expansion pressures are constraining the global budget model and that H.R. 1 could worsen acuity and volatility. Members pressed the witnesses on who is responsible for evaluating treatment effectiveness, especially for ABA and psychotherapy, and on how utilization limits and reimbursement changes are being used to control costs.
The committee then shifted to an overview of the Affordable Care Act and Oregon’s commercial insurance market. Department of Consumer and Business Services staff explained actuarial value, metal tiers, premium tax credits, medical loss ratio rules, and the main drivers of premium rates: cost trend, utilization trend, and administrative costs. They said mandates have likely added only a limited amount to premiums over the past decade, though the exact effect is difficult to isolate, and they gave examples of how high-cost, low-volume services versus broad, high-utilization services can affect rates differently. Staff also noted that Providence Health Plan and PacificSource Health Plans are withdrawing from the individual market, though consumers should still have at least three insurer options in every county and may have four in many counties. The division said it is in the middle of reviewing proposed 2027 rates and will continue its public rate review process, including hearings and written comment.
TX
Transcript Highlights:
- It relates to the Rural Economic Development and Investment Program in the Texas Economic Development
- The legislature will ensure that experienced decision makers evaluate.
- As you know, the Major Events reimbursement Program, MERP.
- Meteorological meteorological evaluation towers are used to evaluate locations for future wind turbines
- We're big fans of the TIERRA program.
ND
North Dakota 2025-2026 Regular Session
Human Services Committee May 27th, 2026
Transcript Highlights:
- Legislative Council, program evaluation—who's doing that for us?
- Our program evaluators are here today to provide an update on the Child Care Services Program evaluation
- Before Joe's presentation, I would like to introduce our third program evaluator, Alyssa.
- We are advertising for another program evaluator position.
- When we say final report, we are speaking about the program evaluation as a whole.
Summary:
The committee first heard an update on North Dakota’s Interagency Council on Homelessness and Continuum of Care funding. Jennifer Henderson of the North Dakota Housing Finance Agency reported that homelessness remains driven by tight housing markets, low incomes, rising rents, and barriers to rental assistance, public benefits, and disability determinations. She said the state’s one-time North Dakota Homeless Grant is serving all regions but reaches far fewer households than the former Rent Help program, and that aging homelessness, shelter staffing shortages, and limited affordable units are growing concerns. Members discussed the need for more housing supply, better coordination with Health and Human Services, landlord engagement, reentry housing, and possible continued one-time funding for the $10 million Homeless Grant and $25 million Housing Incentive Fund. Henderson also warned that federal Continuum of Care funding is uncertain, with HUD expected to issue a new notice June 1 and possible shifts away from permanent supportive housing toward transitional housing and other models.
The committee then took testimony on accessibility of government services for people who are blind, visually impaired, deaf, or hard of hearing. Paul Olson of North Dakota Vision Services School for the Blind described the school’s services for infants, children, and adults, including screenings, mobility training, assistive technology, and outreach across the state. He said the agency works closely with Vocational Rehabilitation and is also involved in improving website and document accessibility, especially for PDF materials. Public testimony highlighted barriers such as inaccessible CAPTCHA systems, online forms, driver’s license requirements on job applications, and limited transportation in rural areas. A deaf resident urged broader use of video remote interpreting and video relay services, along with training so people know how to use them effectively.
Finally, Kay Larson presented the final report on the child care provider licensing study. The report recommended streamlining North Dakota’s child care licensing structure into three provider types plus a preschool designation, while preserving health and safety standards and maintaining eligibility for child care assistance. The committee discussed simplifying training and qualification rules, revising ratio and group-size requirements, and adjusting age bands for infants and toddlers. The report also noted that some changes would require statutory amendments and later administrative rule changes, with a transition period likely extending through 2029. No formal votes were taken in the transcript, but the committee accepted the updates and scheduled follow-up presentations for a later meeting.
CA
California 2025-2026 Regular Session
Assembly Budget Subcommittee No. 6 on Public Safety Mar 17th, 2025
Transcript Highlights:
- Over 90% of the people that we're evaluating for this program are eligible for residential inpatient
- Of the 150 or so that have sought evaluation, about 30 have taken the program.
- So about a 20% acceptance rate for those who are evaluated and offered the program.
- Of the 150 or so that have sought evaluation, about 30 have taken the program.
- So about a 20% acceptance rate for those who are evaluated and offered the program.
Summary:
The committee heard extensive testimony on Proposition 36 and its implementation, with judicial and budget officials describing it as a major shift from misdemeanor to felony processing for repeat drug possession and certain theft offenses. Witnesses explained that the law creates a treatment-mandated felony process that can lead to dismissal if a defendant completes treatment, but also requires evaluations, court monitoring, and potentially long, open-ended supervision. Judicial representatives said the new law is already generating large numbers of filings, creating workload, staffing, courtroom, and facility pressures, and that access to treatment beds, housing, and evaluation capacity is limiting participation. Several speakers emphasized that collaborative courts are effective but are not a perfect fit for Prop. 36 because those programs are typically probation-based and serve different risk/need populations.
Court officials from San Bernardino and Orange counties said the impacts vary by county but are severe, with some counties seeing hundreds or more filings in a short period and others moving more slowly to build treatment infrastructure first. They argued that Prop. 36 is effectively an unfunded mandate unless the state provides more resources for judges, staff, facilities, treatment, housing, and supervision. The Legislative Analyst’s Office noted that Prop. 36 will reduce the Proposition 47 savings that fund mental health and substance use treatment grants, but said the near-term reduction is relatively modest and that the full effect will take time to appear because of the way those savings are calculated. Members of the committee repeatedly raised concerns that the state is underfunding the courts and counties needed to carry out the new law.
The committee also reviewed the Governor’s proposed trial court operations budget, including a partial restoration of a prior $97 million cut and additional ongoing funding. Judicial branch officials said the restoration helped avoid furloughs, hiring freezes, and service reductions, and supported cybersecurity, technology, staffing, and records management. The LAO recommended that the Legislature seek more detail on how midyear restorations are handled and consider clarifying language for transferring unspent trial court trust fund monies to the General Fund. Finance said the flexibility in the ongoing funding was intentional and would be taken back for consideration.
In a separate item, the committee heard testimony on a $6.3 million increase for Supreme Court and Courts of Appeal appointed counsel programs. Judicial officials and appellate project representatives said the system is facing a crisis because indigent appeals have risen sharply while the number of panel attorneys has fallen, leaving many cases waiting months for counsel. They argued the proposed increase would help but is still below what is needed to recruit and retain attorneys and prevent delays that affect criminal, juvenile, and child welfare cases. The committee also discussed the Tracy courthouse project in San Joaquin County, where local officials said reopening a courthouse closed since 2011 is necessary to serve a growing population and relieve overcrowding elsewhere. The LAO and Finance both noted the project is next in line under the facilities plan, though LAO suggested the Legislature could consider whether other facility priorities should come first.