Video & Transcript Research : 'performance tier'
Page 84 of 450
TX
Transcript Highlights:
- It clarifies additionally that managing or directing... directing services and performing administrative
- It’s not just about the definition; it's more about the oversight and making sure that those performing
- There's been a lack of clarity in the regulation on who can perform these services.
- HB 2806 updates the law by creating a tiered penalty system.
- At the end of the day, they both perform the same tasks.
Bills:
HB3772, HB1656, HB4504, HB1896, HB4420, HB4421, HB4076, HB3708, HB2806, HB3540, HB1586, HB5459, HB4553, HB4535, HB3811, HB3749, HB4255, HB4051, HB5098, HB3554, HB4539, HB5274
Keywords:
e-cigarettes, health and safety, regulations, directory, penalties, regulation, certification, compliance, manufacturers, FDA, nicotine, mental health, emergency detention, paramedic authority, mental illness, healthcare facility, public health, covenants not to compete, health care practitioners, physicians
CA
California 2025-2026 Regular Session
Joint Hearing Assembly Business and Professions and Senate Business, Professions and Economic Development Mar 10th, 2026
Transcript Highlights:
- We have a three-tiered system in the state of California when it comes to whether or not the nurse practitioner
- They will go to other places where they can perform these acts.
- Across the country, animal physical therapy is recognized as the practice of physical therapy when performed
- And so we as a board recently performed the licensing committee, which took on making it more accessible
- And so we as a board recently performed the licensing committee, which took on making it more accessible
Summary:
The joint Assembly and Senate Business and Professions sunset oversight hearing focused first on the Board of Registered Nursing (BRN), with committee chairs emphasizing oversight, consumer protection, workforce access, and economic mobility. BRN leaders reported improvements since the last review, including faster licensing timelines, streamlined enforcement, higher consumer satisfaction, growth in pre-licensure enrollment, and expanded data collection. Members questioned the board about nurse practitioner scope and supervision, international and military pathways to licensure, online nursing education and clinical requirements, rural workforce shortages, and the 30-unit LVN-to-RN option. BRN staff explained California’s tiered advanced practice system, the NCLEX and certification requirements, English proficiency rules, clinical hour standards, and the board’s role in approving programs and supporting schools through nursing education consultants. Several members and the board president also discussed the need to retain new graduates, improve diversity in the workforce, and better support nontraditional students and rural placements.
Public comment on the BRN sunset review was extensive and largely supportive of the board, while also urging policy changes. Nurse practitioner, nurse anesthetist, nurse midwife, and nursing education groups generally supported the BRN report and especially backed clarification of APRN-to-RN delegation authority under issue 13. Other commenters asked for clearer implementation of AB 890, more flexibility for clinical nurse specialists, streamlined renewals for nurse midwives, and changes to federal loan limits affecting graduate nursing education. Higher education representatives and private nursing schools raised concerns about duplicative BRN documentation, clinical placement bottlenecks, and barriers faced by out-of-state and online programs seeking to serve California students. The California Medical Association and some physician groups opposed easing transition-to-practice requirements for out-of-state nurse practitioners and cautioned against changes to specialty and delegation rules, while the California Nurses Association and others stressed the importance of community college pathways, new graduate support, and workforce retention.
The hearing then moved to the Physical Therapy Board of California. Board leadership reported that the board oversees more than 41,000 active licensees, has seen about 15% growth since 2021, and continues to maintain high exam pass rates among California physical therapy and physical therapist assistant programs. The board described its mission as consumer protection through licensing, enforcement, continuing competency oversight, and stakeholder engagement. The vice president’s remote testimony encountered technical problems, so the executive officer continued with a brief overview of the board’s work and its commitment to efficient service and public protection. No votes or formal actions were taken in the portion of the meeting provided.
CA
California 2025-2026 Regular Session
Assembly Health Committee Mar 18th, 2025
Transcript Highlights:
- There you'll see a listing of all the different entities that are performing testing, either on air,
- There you'll see a listing of all the different entities that are performing testing, either on air,
- the key needs is assessment, even as we are sort of crowdsourcing the various entities that are performing
- Even as we are sort of crowdsourcing the various entities that are performing the testing of air, water
- people need to know. that the state provides us we wouldn't have the expertise or the staffing to perform
Summary:
The Assembly Health Committee held an informational hearing on the health impacts of wildfires and the effects on health care systems and access to care. The first panel focused on public health consequences, with testimony from UCLA and UCSF physicians, a community organizer, and an Altadena recovery leader. Witnesses described acute and long-term physical harms from wildfire smoke and ash, including asthma and COPD exacerbations, cardiovascular and stroke risks, pregnancy impacts, infection risk, and possible added hazards from lithium-ion battery fires. They also emphasized mental health effects such as anxiety, depression, PTSD, “firebrain,” and the need for psychological first aid, trauma-informed community networks, and youth-focused resilience programs. Community advocates stressed that Latine, Indigenous, undocumented, and Black communities face disproportionate harm because of language barriers, unsafe work conditions, lack of insurance, and exclusion from disaster aid, and they called for stronger language access, worker protections, permanent disaster relief, and better outreach.
Committee members asked about air monitoring, masks, wind events, lithium-ion batteries, and how to reach communities with translation and emergency information. Panelists said AQI is useful but incomplete, that N95s help for smoke but P100 masks are needed for ash/asbestos exposure, and that communities should be warned to stay indoors and avoid windy dust-ups after fires. They also discussed the importance of building relationships during non-emergency periods, using text alerts and trusted community organizations, and providing culturally and linguistically appropriate information. Several members and witnesses highlighted the need for more research on long-term health effects, especially for people with chronic lung disease, workers who cannot stay indoors, and residents exposed to repeated disasters.
The second panel addressed health care system response and access to care. DHCS and DMHC described emergency flexibilities used during the Southern California fires, including federal waivers, extended Medi-Cal renewal deadlines, reinstated coverage for some disenrolled members, suspension of prior authorization and prescription refill barriers, out-of-network access at in-network cost-sharing, and communication through websites, toll-free numbers, and social media. Hospital and community health center leaders described major operational strain: emergency room surges, canceled surgeries, dialysis disruptions, staff displacement, temporary housing needs, and financial losses. Huntington Health and AltaMed reported using incident command systems, temporary care spaces, bilingual and culturally tailored services, mobile clinics, infection control measures, and community health workers to keep care going. Members and witnesses also discussed the need for better disaster staffing pools, more flexible facility rules, stronger mental health coverage, child care planning, and statewide coordination for future emergencies; no formal votes were taken.
OR
Oregon 2026 Regular Session
Joint Task Force On Municipal Solid Waste in the Willamette Valley 07/10/2026 1:00 PM
Transcript Highlights:
- agencies and investors, if down the line the decision is to capitalize that would be financial performance
- Each should be evaluated using consistent criteria: capital and operating costs, environmental performance
- So you can check out their key performance indicators on their website.
- Rural counties often lack the tax base and waste tonnage to independently finance modern, high-tier waste
Summary:
The task force met to focus on funding systems and incentive structures for a proposed regional waste infrastructure effort, including how a future WIPA framework might support solid waste planning in the Willamette Valley. Staff and members heard presentations from DEQ on the Clean Water State Revolving Fund, from Business Oregon on the Special Public Works Fund, and from Oregon State Treasury on state bonding capacity and the bond issuance process. Presenters explained how their programs are structured, how projects are scored or approved, what kinds of public entities and projects are eligible, and how interagency coordination and co-funding can work. DEQ emphasized that its revolving loan fund is driven by water-quality benefits and public-health criteria, while Business Oregon described a broader infrastructure loan program for public entities with no scoring system, and Treasury outlined the state’s debt-capacity process and the differences between general obligation and lottery bonds.
Members used the presentations to discuss whether similar funding tools could support solid waste infrastructure, especially for transfer stations, regional hubs, and related facilities that may need to be built before Coffin Butte reaches the end of its lifespan. Several questions centered on whether public-private partnerships could qualify, whether equipment inside facilities could be financed, how repayment would work, and whether planning costs could be covered. DEQ and Business Oregon both said they could potentially collaborate on scoring or co-funding, but noted eligibility limits and the need for public ownership in many cases. Treasury said bond capacity is limited and competitive, especially for lottery bonds, and that project authorization generally runs on a two-year cycle, though unused authority can sometimes be reauthorized.
In task force discussion, members debated whether the group should pursue a dedicated funding lane for the seven-county region rather than having local governments compete with other statewide needs. Some members stressed the importance of criteria to avoid stranded assets and to ensure funding is available when projects are ready, while others raised concerns about how cities and counties would generate revenue to repay debt during construction and early operations. The group also discussed flow control, system fees, and the need for regional collaboration among counties, cities, and haulers to create enough waste volume to support new infrastructure. Staff noted that pre-session filing materials for the legislature are due September 11, and the chair said the August meeting will focus on organizational structure and identifying partners.
During public comment, Representative Kevin Mannix submitted written testimony supporting the WIPA concept and urging the task force to endorse it. Commissioner Bubba King of Yamhill County urged the task force to compare alternatives objectively and warned against adding bureaucracy before evaluating existing infrastructure and costs. Commissioners Kevin Cameron and Roger Nyquist of Marion and Linn counties described regional hub-and-spoke concepts, transfer stations, and intermodal options, emphasizing the need for planning, strategic siting, and collaboration with haulers and local governments.
FL
Transcript Highlights:
- Codifying the center in statute will also bolster its ability to attract top-tier talent in election
- Codifying the center in statute will also bolster its ability to attract top-tier talent in election
Summary:
The Senate Committee on Education Postsecondary met with a quorum present and first considered CS/SB 1356, relating to the Florida Institute for Pediatric Rare Diseases. Senator Burton explained a delete-all amendment that would create the institute at Florida State University, establish the Sunshine Genetics Pilot Program for newborn screening at select sites, and form a Sunshine Genetics Consortium to coordinate researchers and clinicians. The amendment also included $5 million in recurring funding for the institute and $2 million in nonrecurring funding for the pilot program. The committee heard supportive testimony from Gavin Lambert and his mother, who described the benefits of earlier diagnosis for Friedreich’s ataxia, along with support from representatives of Alexion Pharmaceuticals, FSU, BioFlorida, and the Biotechnology Innovation Organization. Senators Berman and Harrell spoke in favor of the bill, emphasizing early detection and collaboration. The amendment was adopted, and CS/SB 1356 was reported favorably on a roll call vote.
The committee then took up SB 892, which would codify the Florida State University Election Law Center in statute and make it eligible for recurring funding. Senator Simon said the center was created in 2023 with a $1 million nonrecurring appropriation and that the bill would help sustain its work and attract talent in election law and related fields. Senator Berman asked about current funding and whether the center would be supported through recurring General Appropriations Act funding in the future; Senator Simon responded that the bill would allow it to compete for recurring dollars. Jack Rowan, an FSU law student, testified in support and highlighted the center’s work, including a Bush v. Gore 25th anniversary conference. Professor Michael Morley and Lena Rojas also supported the bill. No opposition was presented, and SB 892 was reported favorably by roll call vote. The committee then adjourned.
MN
Transcript Highlights:
- Importantly, the EGIP program will be modeled after that state program using the same tiered cost level
- program using modeled after that state program using the<00:27:56.600>
same <00:27:57.120>tiered - <00:27:59.560>
This the same tiered cost level design. - This the same tiered cost level design.
- they did base pay for, especially states like Arkansas, they coupled it with other policies like performance
Bills:
HF3119
NH
Transcript Highlights:
- Although we don't perform OBD testing on vehicles older than 20 years, I submit that most of their emission
- Attorney General's office and the Department of Safety have on the million and a half inspections performed
- This goes back to our wonderful institution known as the three-tier system, and in the three-tier system
- there was, each tier, whether it was the manufacturer or the distributor or the retailer, each had their
- The best description I would say is a total fly in the face of the three-tier system.
WY
Wyoming 2026 Regular Session
Select Committee on School Finance Recalibration, January 22, 2026 - PM
Select Committee on School Finance Recalibration
Transcript Highlights:
- So, I really urge the committee to prioritize Tier 1 classroom funding to keep our classes small and
- So, I really urge the committee to prioritize Tier 1 classroom funding to keep our classes small and
- That's five more bodies to help us do what we need to do when we have high-quality tier one instruction
- <03:28:51.439>
And high quality tier one instruction. - And high quality tier one instruction.
NM
New Mexico 2026 Regular Session
House - Government, Elections And Indian Affairs Jan 26th, 2026 at 08:35 am
House Government, Elections & Indian Affairs
MN
Minnesota 2025-2026 Regular Session
Committee on Jobs and Economic Development - 03/23/26
Jobs and Economic Development
Transcript Highlights:
- Well, I could see that happening quite frankly, but the business is still not performing.
- Well, I could see that happening quite frankly, but the business is still not performing.
- . it's living off of the state performing. it's living off of the state proceeds<00:54:31.760>
for - helped us foundation and others who've helped us make<01:12:46.960>
these <01:12:47.280>tiered - systems<01:12:48.400>
work <01:12:48.719>as <01:12:48.960>well make these tiered
MN
Minnesota 2025 1st Special Session
House Children and Families Finance and Policy Committee 2/19/25
Children and Families Finance and Policy
Transcript Highlights:
- So the next couple slides go through what these enforcement tools are and kind of a tiered process of
- You might hear this referred to as a tiered violation framework or something like that, but really what
- ><00:57:57.079>
we different uh provider types that we different uh provider types that we perform - studies for with an active perform studies for with an active provider<00:58:00.359>
base <00: - uh studies for for other we perform uh studies for for other state<01:00:44.960>
agencies <01:
HI
Bills:
SB903, SB2101, SB2550, SB2983, HB2433, SCR8, SCR20, SCR28, SCR32, SCR40, SCR48, SCR55, SCR57, SCR69, SCR74, SCR83, SCR87, SCR94, SCR99, SCR114, SCR139, SCR160, SCR165, SCR177, SCR178, SCR179, SCR41, SCR78, SCR90, SCR130, SCR159, SCR162, SCR173, SB2024, SB2075, SB2730, HB2581, SB2050, SB2471, SB2466, HB1163, HB1514, SB3082, SB2135, SB2727, SB3097, HB1696, HB2021, SR20, SCR110
Keywords:
public land trust, Hawaiian affairs, OHA, ceded lands, financial reporting, income settlement, trust responsibility, organic waste, solid waste, waste diversion, composting, bioconversion, recycling, food waste, green waste, food-soiled paper, wood waste, landfill diversion, waste reduction, waste management
HI
Bills:
SB903, SB2101, SB2550, SB2983, HB2433, SCR8, SCR20, SCR28, SCR32, SCR40, SCR48, SCR55, SCR57, SCR69, SCR74, SCR83, SCR87, SCR94, SCR99, SCR114, SCR139, SCR160, SCR165, SCR177, SCR178, SCR179, SCR41, SCR78, SCR90, SCR130, SCR159, SCR162, SCR173, SB2024, SB2075, SB2730, HB2581, SB2050, SB2471, SB2466, HB1163, HB1514, SB3082, SB2135, SB2727, SB3097, HB1696, HB2021, SR20, SCR110
Keywords:
public land trust, Hawaiian affairs, OHA, ceded lands, financial reporting, income settlement, trust responsibility, organic waste, solid waste, waste diversion, composting, bioconversion, recycling, food waste, green waste, food-soiled paper, wood waste, landfill diversion, waste reduction, waste management
HI
Bills:
SB903, SB2101, SB2550, SB2983, HB2433, SCR8, SCR20, SCR28, SCR32, SCR40, SCR48, SCR55, SCR57, SCR69, SCR74, SCR83, SCR87, SCR94, SCR99, SCR114, SCR139, SCR160, SCR165, SCR177, SCR178, SCR179, SCR41, SCR78, SCR90, SCR130, SCR159, SCR162, SCR173, SB2024, SB2075, SB2730, HB2581, SB2050, SB2471, SB2466, HB1163, HB1514, SB3082, SB2135, SB2727, SB3097, HB1696, HB2021, SR20, SCR110
Keywords:
public land trust, Hawaiian affairs, OHA, ceded lands, financial reporting, income settlement, trust responsibility, organic waste, solid waste, waste diversion, composting, bioconversion, recycling, food waste, green waste, food-soiled paper, wood waste, landfill diversion, waste reduction, waste management
HI
Bills:
SB903, SB2101, SB2550, SB2983, HB2433, SCR8, SCR20, SCR28, SCR32, SCR40, SCR48, SCR55, SCR57, SCR69, SCR74, SCR83, SCR87, SCR94, SCR99, SCR114, SCR139, SCR160, SCR165, SCR177, SCR178, SCR179, SCR41, SCR78, SCR90, SCR130, SCR159, SCR162, SCR173, SB2024, SB2075, SB2730, HB2581, SB2050, SB2471, SB2466, HB1163, HB1514, SB3082, SB2135, SB2727, SB3097, HB1696, HB2021, SR20, SCR110
Keywords:
public land trust, Hawaiian affairs, OHA, ceded lands, financial reporting, income settlement, trust responsibility, organic waste, solid waste, waste diversion, composting, bioconversion, recycling, food waste, green waste, food-soiled paper, wood waste, landfill diversion, waste reduction, waste management
HI
Bills:
SB903, SB2101, SB2550, SB2983, HB2433, SCR8, SCR20, SCR28, SCR32, SCR40, SCR48, SCR55, SCR57, SCR69, SCR74, SCR83, SCR87, SCR94, SCR99, SCR114, SCR139, SCR160, SCR165, SCR177, SCR178, SCR179, SCR41, SCR78, SCR90, SCR130, SCR159, SCR162, SCR173, SB2024, SB2075, SB2730, HB2581, SB2050, SB2471, SB2466, HB1163, HB1514, SB3082, SB2135, SB2727, SB3097, HB1696, HB2021, SR20, SCR110
Keywords:
public land trust, Hawaiian affairs, OHA, ceded lands, financial reporting, income settlement, trust responsibility, organic waste, solid waste, waste diversion, composting, bioconversion, recycling, food waste, green waste, food-soiled paper, wood waste, landfill diversion, waste reduction, waste management
HI
Bills:
SB903, SB2101, SB2550, SB2983, HB2433, SCR8, SCR20, SCR28, SCR32, SCR40, SCR48, SCR55, SCR57, SCR69, SCR74, SCR83, SCR87, SCR94, SCR99, SCR114, SCR139, SCR160, SCR165, SCR177, SCR178, SCR179, SCR41, SCR78, SCR90, SCR130, SCR159, SCR162, SCR173, SB2024, SB2075, SB2730, HB2581, SB2050, SB2471, SB2466, HB1163, HB1514, SB3082, SB2135, SB2727, SB3097, HB1696, HB2021, SR20, SCR110
Keywords:
public land trust, Hawaiian affairs, OHA, ceded lands, financial reporting, income settlement, trust responsibility, organic waste, solid waste, waste diversion, composting, bioconversion, recycling, food waste, green waste, food-soiled paper, wood waste, landfill diversion, waste reduction, waste management
HI
Bills:
SB903, SB2101, SB2550, SB2983, HB2433, SCR8, SCR20, SCR28, SCR32, SCR40, SCR48, SCR55, SCR57, SCR69, SCR74, SCR83, SCR87, SCR94, SCR99, SCR114, SCR139, SCR160, SCR165, SCR177, SCR178, SCR179, SCR41, SCR78, SCR90, SCR130, SCR159, SCR162, SCR173, SB2024, SB2075, SB2730, HB2581, SB2050, SB2471, SB2466, HB1163, HB1514, SB3082, SB2135, SB2727, SB3097, HB1696, HB2021, SR20, SCR110
Keywords:
public land trust, Hawaiian affairs, OHA, ceded lands, financial reporting, income settlement, trust responsibility, organic waste, solid waste, waste diversion, composting, bioconversion, recycling, food waste, green waste, food-soiled paper, wood waste, landfill diversion, waste reduction, waste management
MA
Massachusetts 2025-2026 Regular Session
Future of Payments and Sales Transactions by Credit Card and the Impacts for Small Businesses Jun 21st, 2026 at 11:00 am
Transcript Highlights:
- around as part of that settlement is this discussion of retailers being able to kind of decide what tier
- That would look like, you know, presumably with Capital One's top-tier kind of travel kind of Venture
- Is it kind of tiers? What does that look like for a retailer, and what are the effects of that?
- In essence, they would be able to sort of just decide like a premium tier of cards, which would include
Summary:
The Special Commission on the future of payments and sales transactions by credit card heard extensive testimony from credit union, banking, retail, restaurant, and payments-industry representatives about proposals to limit interchange fees, especially on the tax and tip portions of transactions. Several witnesses opposed state-level restrictions, arguing they would create a patchwork of rules, burden state-chartered institutions, raise compliance complexity, and ultimately reduce resources for fraud prevention, cybersecurity, rewards, and access to credit. Others, including retail and merchant advocates, said swipe fees are a significant and growing cost for small businesses and that states should consider reforms such as limiting fees on taxes and tips, allowing surcharging, improving transparency in merchant contracts, and studying collection costs more closely.
Witnesses also discussed recent legal and regulatory developments, including Illinois’s interchange-fee law, OCC and NCUA interim rules, and the ongoing Visa/Mastercard antitrust settlement. Industry representatives said the Illinois law has been delayed and is likely preempted for most transactions, while merchant advocates argued the state efforts and court rulings show that networks and banks do not set fees competitively. The proposed antitrust settlement was described by some as a meaningful but limited merchant victory, with temporary fee reductions and expanded surcharge/steering rights, while others said it still falls short of structural reform.
The commission members pressed witnesses on the practical effects of fees, the cost of cash, whether merchants can pass costs through, and whether small businesses are actually seeing benefits from the current system. Members repeatedly emphasized the need for a fair middle ground that protects both small businesses and the payment system. No substantive votes or policy actions were taken beyond accepting testimony, and the meeting ended with adjournment after all scheduled witnesses had spoken.
FL
Transcript Highlights:
- And then the three-tier system. It makes sense for beverages. I understand it.
- and then when they can't figure out the rest of CBD or hemp, everything gets pushed under that three-tier
- And the only reason we ever mentioned the three-tier system was because, And we do like with the only
- reason that we ever mentioned the three tier system was because if you look at the prices to get into
Summary:
The Committee on Agriculture heard a presentation from Florida FFA state officers Gabby Howell and Macy Jordan, who described FFA and agricultural education as a three-part model of classroom instruction, supervised agricultural experience, and leadership development. They highlighted FFA membership growth, Florida’s more than 60,000 members, industry certifications, and state funding that allows all agriculture education students to participate at no cost. Members praised the students and the organization’s role in developing future agricultural leaders.
The committee then took up SB 438, which would regulate hemp and hemp extract products, including THC-infused beverages, by adding testing, labeling, retail location, age, and event restrictions, along with penalties and $2 million for testing equipment. Senator Burton said the bill is intended to address public safety, prevent products with illegal THC levels from reaching consumers, and respond to the governor’s prior veto concerns, especially store location and regulation. An amendment clarifying final batch testing was adopted without objection.
Testimony was mixed. Supporters, including beverage distributors, law enforcement, and some hemp beverage businesses, backed regulation and said the bill would improve safety and clarity, though some asked for changes to avoid treating specialty beverage retailers like liquor stores. Opponents and some hemp industry representatives argued the bill was too restrictive, would hurt small businesses, and could push products into the black market; they also objected to THC limits, event restrictions, and the proposed regulatory structure. After debate, the committee voted 6-0 to report CS for SB 438 favorably.