Video & Transcript Research : 'validated screening tool'

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MN

Minnesota 2025 1st Special Session

House Education Policy Committee 3/4/25

Education Policy

Transcript Highlights:
  • <00:28:43.720> appropriately children to use the tool appropriately children to use the tool
  • I used this tool when students didn't finish their homework or...
  • Administrators have a number of exclusionary tools in their toolbox.
  • He had completed early childhood screening.
  • There's truth and validity in multiple perspectives that we've heard here.
Keywords: 1183, house
MN

Minnesota 2025 1st Special Session

Committee on Education Policy - 03/10/25

Education Policy

Transcript Highlights:
  • These factors significantly undermine the validity and usefulness of the data collected in my capacity
  • <00:16:24.120> and significantly undermine the validity and significantly undermine the validity
  • Students and parents alike welcome a serious evaluation of whether the MCA is the right tool for high
  • <00:35:08.720> multi-stage researched and validated multi-stage researched and validated multi-stage
  • <00:35:17.800> the maintaining reliability and validity the maintaining reliability and validity
Keywords: 1187, senate, all
NH

New Hampshire 2025 Regular Session

House Judiciary (02/19/2025)

Transcript Highlights:
  • of their existence dictates the validity of their existence disturbingly<00:59:47.559> during
  • Maybe that made my testimony less valid.
  • It states to protect privacy and physical safety of all, but only serves to place minority with valid
  • It states to protect privacy and physical safety of all, but only serves to place minority with valid
  • It states to protect privacy and physical safety of all, but only serves to place minority with valid
Keywords: 928, house, all
Summary: The House Judiciary Committee opened a hearing on House Bill 148, which Rep. Jim Kofalt said is the same language as last year’s HB 396, vetoed by the governor. He described the bill as allowing, but not requiring, separation by biological sex in three areas: bathrooms and locker rooms, houses of correction, and certain athletic competitions. Kofalt argued the bill would give local school boards and other policymakers discretion to set practical rules, citing concerns about safety, privacy, and a Milford incident involving a biological male in girls’ locker rooms. Committee members pressed him on the lack of a definition of “biological sex,” and he said he did not think one was necessary because males and females are commonly understood. He also said the bill was meant to address situations where outside groups threaten lawsuits and leave local boards with no latitude. Testimony then split sharply. Supporters, including Executive Counselor Karen Hill and several others, said HB 148 would roll back anti-discrimination protections, contradict New Hampshire’s “Live Free or Die” values, and harm transgender and non-binary people. Opponents described the bill as discriminatory and unnecessary, arguing that existing bathroom and sports policies already work and that the bill would invite harassment, invasive enforcement, and legal conflict. Several speakers, including trans residents and parents of trans children, said they had used public restrooms without incident and warned that enforcement would be impractical or abusive. One supporter argued the bill was needed to protect girls’ privacy and safety and cited school sports disputes and a concern about a sex offender at a game as examples of why sex-segregated rules should be restored. Committee members asked questions about how biological sex would be defined, whether the bill was responding to real incidents in New Hampshire, and how any restrictions would be enforced. Kofalt said he was aware of issues in several school districts and at the State House, but did not have detailed documentation for every case. No vote or final action was taken in the portion of the hearing provided; the chair instead moved through public testimony under a strict two-minute limit and noted that follow-up questions would be limited so the committee could hear multiple bills that day.
ND
Transcript Highlights:
  • “We see you, but not your screen or your Prizo.” “Okay. You see me, but not my screen.
  • And they actually are being sued because they allegedly have been using AI tools to screen applicants
  • And they actually are being sued because they allegedly have been using AI tools to screen applicants
  • Yeah, definitely not the cheapest tool.
  • Yeah, definitely not the cheapest tool.
Summary: The committee held its first meeting on artificial intelligence and data centers, established a quorum, and heard introductory remarks from Majority Leader Hogue and the chair about the committee’s charge. Members said the goal was to build a factual foundation on AI, hear from experts and stakeholders, and develop practical North Dakota-focused recommendations rather than simply produce a large volume of bills. Legislative Council also reviewed interim committee rules and procedures before the informational presentations began. Staff and NCSL presenters then gave overviews of AI concepts and the state and federal policy landscape. The background memo and presentations covered AI categories and terms, state laws in areas such as consumer protection, algorithmic discrimination, deepfakes, chatbots, children’s safety, health, education, and government use, as well as data center siting and economic impacts. NCSL described a growing number of AI bills introduced and enacted across the states, with comprehensive laws in places like Utah, Colorado, Texas, California, and Illinois, and noted recurring issues around transparency, privacy, liability, and protections for minors. A major focus of the discussion was federal preemption and the tension between state regulation and national AI policy. NCSL said a recent White House executive order and related federal framework seek a light-touch, innovation-friendly national standard, with possible challenges to state laws and possible funding conditions tied to compliance, though no broad federal preemption has yet been enacted. Members asked about Commerce Clause concerns, industry pushback, oversight models, and whether AI policy is bipartisan; presenters said the issue cuts across party lines, with broad agreement on child safety and deepfake restrictions but more disagreement on broader regulatory approaches. No votes or formal actions were taken at the meeting, and the committee recessed briefly for technical issues during the second presentation.
WA
Transcript Highlights:
  • That's what those colorful boxes represent that you'll see on the screen.
  • We expect the agency to have strong controls to ensure... ...areas that you see on the screen.
  • You're so small on my Zoom screen that all I could see is there was someone else out there.
  • That allows us to utilize new tools for internal controls. All of that is absolutely true.
  • That allows us to utilize new tools for internal controls. All of that is absolutely true.
Summary: The Joint Legislative Audit and Review Committee subcommittee heard a State Auditor’s Office performance audit on the accuracy and reliability of OSPI’s school apportionment system. Auditors said the system, which calculates and distributes K-12 funding using multiple feeder systems and a core apportionment engine, is outdated, unstable, inefficient, and at high risk of failure. They reported weak controls over data input, documentation, oversight, and staffing, and said OSPI relies heavily on manual workarounds, a few knowledgeable staff, and vendor support. In limited testing of three districts, the auditors found the system calculated funding correctly for the 2023-24 school year, but they identified nine small input discrepancies tied to differences between budget materials and state law, which they said could compound into larger dollar amounts. The auditors recommended replacing or modernizing the system and noted that delays in doing so prolong risk. OSPI largely agreed that the current platform needs replacement and said it has been working toward a new system for years. Agency officials clarified that the Legislature requested a feasibility study in 2022, that the study found the system at risk of catastrophic failure, and that funding for a replacement is now in the state IT pool subject to OCIO/OFM gate reviews. OSPI disputed the audit’s characterization of the rounding and budget-law discrepancies, saying the issue was an agency rule and implementation choice, not an error that caused under- or over-allocation. Officials also said the current system is too old to easily absorb future formula changes, but that the planned replacement should be flexible enough to handle a new funding model if the Legislature adopts one. Committee members asked about the amount and timing of the $16 million project funding, whether smaller districts face greater risk, how many times data is entered, and whether the funding formula should be simplified. Auditors and OSPI both emphasized that formula simplification is a policy question for the Legislature, not the audit. Public testimony came from one online witness, who urged full implementation of the audit recommendations and modernization of the system. The subcommittee took no formal vote and adjourned after the presentations and testimony.
MA

Massachusetts 2025-2026 Regular Session

Senate Session (Full Formal with Calendar) Jun 21st, 2026 at 11:00 am

Massachusetts Senate Floor Meeting

Transcript Highlights:
  • But we've only mandated universal reading screenings for K to third grade in 2023.
  • We are talking about screening for our kids and data-driven interventions.
  • requirements and requires schools to develop screening protocols for potential neurological learning
  • This will codify this into law where screening becomes common practice.
  • This bill provides them with the tools and resources. ...that they have available to them.
Keywords: 995, all
Summary: The Senate considered a series of amendments to a primary care health care bill and also took up a separate literacy bill. Several amendments were withdrawn, including one on artificial intelligence in health care and others related to cost controls, direct primary care, and provider studies. The Senate adopted amendments on preserving access to treatment for serious mental illness, modernizing the definition of primary care, clarifying payment rates for community health centers, excluding pharmaceutical spending from primary care expenditure calculations, and strengthening health equity reporting. Other amendments on rate bands, alternative payment systems, private equity reporting, scope of practice, and ownership disclosure were rejected. The Senate then approved the Ways and Means amendment and ordered the primary care bill to a third reading. The chamber also took up final passage of An Act Relative to Teachers Preparation and Student Literacy, with senators describing it as a long-awaited compromise focused on improving early reading outcomes. Supporters said the bill requires evidence-based K-3 literacy curricula, regular student screening and family notification, dyslexia screening protocols, professional development for teachers, and a free state-developed curriculum option. Senators emphasized the need to address declining third-grade reading proficiency and equity gaps. The bill passed to be enacted by a unanimous roll call and was sent to the Governor. After the literacy bill, the Senate returned to the primary care bill, where senators again debated cost containment, innovation, and access. The final version included the adopted amendments and was passed to be engrossed by a roll call vote of 35-4. The Senate then adopted an adjournment order and recessed, adjourning in memory of Henry Thomas III, former Representative Ben Swan, and Mr. Dennis Frane.
TX

Texas 89th Regular

Appropriations - S/C on Article II Feb 25th, 2025

Appropriations - S/C on Article II

Transcript Highlights:
  • We can't leverage tools like AI.
  • On the next slide, you can see some of the tools in our tools.
  • We did 34 audits, published 34 audit reports, and screened over 76,000 providers.
  • The next slide is for additional staff resources and an e-discovery tool.
  • I mentioned the screenings of new providers.
Keywords: 1184, house, all
CA
Transcript Highlights:
  • This tool is intended to be provided at low or no cost to the individual, and that's a point that we
  • In our view, the administration hasn't clearly identified what's lacking in these existing tools.
  • While we are aware of some pilot projects to develop similar tools in other states, we aren't aware of
  • The career passport would assist students in sharing validated academic and non-academic skills when
  • Allowing system-level operations and tools to seamlessly find, access, and use data without altering
Keywords: 988, house, all
CA
Transcript Highlights:
  • A bill to modernize California's outdated shopping cart recovery law and give local governments tools
  • This is an essential tool for the cities, but we need to figure this out.
  • This bill, we believe, will help validate what we already know on the ground.
  • So this is a tool, I believe, for us to really invigorate what our downtown can be.
  • But I just wanted to be clear that I feel that these concerns are valid.
Summary: The committee first heard SB 753, which would modernize California’s shopping cart recovery rules by allowing cities and counties to return abandoned carts directly to retailers, recover documented retrieval costs, and avoid the current impound-and-wait process. The author and supporters, including San Jose officials and the League of California Cities, said the bill would help clear streets, sidewalks, and waterways and reduce local costs. Grocers and retailers opposed the measure unless amended, arguing it would turn cart retrieval into a new cost burden and could create incentives for cities to charge too much for stolen property. After extensive discussion about notice periods, cost caps, and local ordinances, the committee adopted amendments and passed the bill 6-0 as amended. The committee then took up SB 445, which would speed up permitting and approvals needed for high-speed rail by requiring early engagement, setting rules for third-party coordination, and creating a dispute-resolution process. The author said the bill was narrowed from an earlier, broader transit proposal and was intended to reduce delays caused by utilities, local governments, and other entities. Supporters said permitting bottlenecks add major costs and delays to infrastructure projects, while opponents from utilities, cities, counties, telecoms, and special districts raised concerns about safety, reliability, affordability, and the need to review the pending amendments. The bill passed 8-1 to the Utilities and Energy Committee. The committee also heard SB 9, a narrower housing bill focused on accessory dwelling units. The author explained that it would require local ADU ordinances to be submitted to HCD for review and would make state standards control if a local agency fails to submit a compliant ordinance or respond to HCD findings. Supporters from housing and YIMBY groups said the bill would improve enforcement of state ADU law and prevent local barriers from slowing housing production. There was no opposition, and the bill passed 6-0. The committee then began hearing SB 79, which would allow more housing near major transit stops; the author and supporters framed it as a response to the housing shortage and transit underuse, and the hearing continued with extensive support testimony as the transcript ended.
OK

Oklahoma 2026 Regular Session

Common Education Oct 23rd, 2025

Common Education

Transcript Highlights:
  • They don't have screening tools that can help them see where a student is in terms of their trauma when
  • Um, they don't have social workers, um, they don't have screening tools that can help them see where
  • This is a great tool.
  • I don't know exactly how We would use it in a larger program, but it's a great tool that can give you
  • We don't have the tools necessary to work with them.
Summary: The committee held an interim study on how to educate and support students with severe violent or disruptive behavior while protecting classmates, teachers, and school staff. Members framed the issue as one involving students who have often experienced trauma and may be removed from class through suspension, expulsion, or juvenile placement, but who still need a meaningful path back to school. Several legislators shared personal experiences as former educators or administrators and emphasized that schools need clearer criteria for removal and return, along with stronger support for families and staff. Dr. Michelle Butler, an alternative education director, testified that Oklahoma’s current alternative education system is not designed to serve students removed for major discipline issues because placement is generally voluntary and programs are built around students who need a different learning environment, not punitive removal. She argued for early intervention, stronger attendance enforcement, trauma screening, teacher training, and a regional or cooperative model that would combine credentialed educators, social workers, therapists, and family counselors. She also described existing programs such as Trace Academy, Rogers County Youth Services diversion programs, and the limitations of virtual-only models and current funding, saying the system lacks sufficient resources and staffing. Representatives and senators asked about funding, staffing, credentials, and whether statutes should be changed to prevent alternative education dollars from going to programs that do not provide direct services. Other testimony came from Family and Children’s Services and Mid-Del Youth and Family Services, both of which described embedded school-based mental health, crisis response, intensive outpatient services, family engagement, and juvenile diversion programs. Witnesses stressed that wraparound services, school-community partnerships, and a bridge back to the home school are essential, and that many students and families need mandatory or strongly supported participation rather than purely voluntary help. The study concluded with members noting possible next steps, including expanding or supplementing alternative education, improving early intervention, and examining participation requirements and transition supports; no votes were taken, and the committee adjourned after the presentations.
TX
Transcript Highlights:
  • legitimate judgments. ...and certain JP's have refused to appoint receivers, obstructing the collection of valid
  • With opponents to this bill, if somebody has a valid judgment against them and their bank account is
  • Then everybody's bills go up because their interest rates get higher because nobody can recover on valid
  • Prior to that, it was a tool really for hard-to-reach business assets. I'll let Amy fill in.
  • There are multiple tools; we heard one just a few minutes ago for barratry, where there are criminal
KY

Kentucky 2026 Regular Session

Interim Joint Committee on Education (6-2-26)

Education

Transcript Highlights:
  • . screen. screen.
  • Hundreds of can see on the screen.
  • says nothing about the actual screening says nothing about the actual screening and<02:03:21.920
  • What's required of a about screening.
  • What's required of a screening screening screening >> for<02:04:23.360> educational<02:04
NM

New Mexico 2025 Regular Session

IC - Radioactive and Hazardous Materials Jul 11th, 2025

Radioactive & Hazardous Materials Committee

Transcript Highlights:
  • We don't have handouts; we do have it on the screen. We have sent it, so it can be printed off.
  • One is a deep... well with a deeper screen, and one is shallow.
  • Data and see what we can do to get more validation from the state and be able to use that as maybe the
  • There was a conference there, and they screened our film and he played there, but he couldn't come here
  • You have a handout that into something we can see on the screen as well.
HI

Hawaii 2025 Regular Session

CPN-WTL, CPN-LBT, CPN-TCA, CPN DEFER, CPN, CPN-EDT DEFER Public Hearings 02-07-2025

Commerce and Consumer Protection

Transcript Highlights:
  • <00:23:46.200> are more who build upon those tools are more who build upon those tools are
  • think that is that normally the tool think that is that normally the tool that<00:28:12.720>
  • Valid noted.
  • It's actually a tool that they can use.
  • vehicle immobilization without a valid vehicle immobilization without a valid Towing<00:46:26.160
Keywords: 912, senate, all
Summary: The committee first took up SB 1 and SB 1561 on vegetation management near utility lines and wildfire prevention. Testimony focused on requiring DLNR to create and update wildfire hazard maps, setting vegetation-trimming responsibilities for property owners near rights-of-way and utility lines, and authorizing utilities to enter property to remove hazardous vegetation. DLNR, the PUC, and Hawaiian Electric all testified, with Hawaiian Electric asking for clearer access language, after-the-fact notification in imminent-risk situations, and liability limits. Committee members discussed balancing wildfire response with property rights and the need for clearer responsibility and enforcement, including on easements and utility poles. The committees ultimately recommended SB 1 pass with amendments, incorporating comments from testimony, and SB 1561 was deferred. The next major item was SB 640 on artificial intelligence disclosures. The bill would require businesses and individuals in commercial transactions to clearly disclose when consumers are interacting with an AI chatbot or similar technology, and it would create private rights of action and penalties. TechNet, the Office of Consumer Protection, and the Chamber of Commerce raised concerns about vague definitions, overbroad application, enforcement, and the private cause of action; the Chamber also argued the bill could burden small businesses that use AI tools for routine functions. In response to questions, OCP said the measure was ambiguous as to who it applies to and that the remedies and treble-damages provisions were unclear. The committee recommended SB 640 be deferred. The committee also heard SB 454 on prorating the rental motor vehicle surcharge tax when a vehicle is rented for only part of a day. The Tax Foundation of Hawaii said the proposal would make the tax system fairer but more complex and would require better recordkeeping by rental companies; the Department of Taxation and Enterprise Mobility also submitted comments. Senator Melby noted possible effects on the special highway fund and said that could affect his vote. The measure was referred onward, with the discussion indicating it would proceed to Ways and Means. Finally, the committee heard SB 1272 on towing, which would create a licensing framework for tow companies. Testimony from tow-industry representatives strongly supported the measure, describing unlicensed or noncompliant operators, poor insurance practices, and the need for accountability and consumer protection. They said a licensing board would give regulators a clearer enforcement avenue and help ensure fair treatment of vehicle owners. The hearing ended before a final action was taken on SB 1272 in the portion provided.
ND

North Dakota 2026 1st Special Session

Artificial Intelligence and Data Center Committee Jul 15th, 2026

Artificial Intelligence and Data Center Committee

Transcript Highlights:
  • We see you, but not your screen or your Prizo. Okay. You see me, but not my screen.
  • And they actually are being sued because they allegedly have been using AI tools to screen applicants
  • So, I mean, it's a really powerful tool.
  • Yeah, definitely not the cheapest tool.
  • Tool evaluation becomes even more critical.
Summary: The committee held its first meeting on artificial intelligence and data centers, establishing its purpose as a study and policy-development body rather than one aimed at producing many bills. Majority Leader Hogue urged members to move quickly, focus on federal and other states’ AI laws, consider possible federal preemption, child protections, and the siting and economic impacts of data centers. Committee leadership echoed that the goal is practical, balanced governance that protects North Dakota while allowing innovation to continue. Legislative Council staff provided a background memo and NCSL presented a detailed overview of AI concepts and the current state legislative landscape. The presentations distinguished narrow AI, generative AI, agentic AI, and theoretical AGI/ASI, and summarized major state policy themes: comprehensive AI laws in states such as Utah, Colorado, Texas, California, and Illinois; targeted laws on deepfakes, chatbots, health, education, notifications, and digital likeness; and growing use of appropriations and agency inventories. Members asked about Colorado’s repeal and reenactment, Texas’s sandbox and training provisions, oversight structures, and whether AI regulation is bipartisan; presenters said most issues cut across party lines, with broad agreement on child safety and deepfakes but more division on broader regulatory approaches. The federal update focused on executive orders, preemption, and congressional activity. NCSL described a White House framework favoring a single federal standard, a DOJ litigation task force, Commerce Department review of state laws, and possible funding conditions tied to state AI policy, though no formal state-law challenge had yet occurred. The presentation also covered a recent executive order creating a voluntary federal vetting process for advanced frontier models after safety concerns, and congressional proposals including a failed 10-year state moratorium, Senator Blackburn’s child-safety bills, the Kids Online Safety Act, a House-passed children’s digital safety package, a Senate data center moratorium proposal, and a House ratepayer/data-center bill. The committee took no formal action beyond receiving testimony and asking questions.
WA

Washington 2025-2026 Regular Session

Statute Law Committee Jun 17th, 2026

Statute Law Committee

Transcript Highlights:
  • So we've explored a few different options to try to provide readers with some additional tools while
  • on the screen here.
  • the dispositions, be able to add a chapter-level note, which is what's shown at the bottom of the screen
  • there in italics, that just...” “...which is what's shown at the bottom of the screen there in italics
  • It's also to go through our editorial process, but the table two that's shown on the screen shows since
Summary: The Statute Law Committee meeting began with introductions of new staff, approval of the December 10 minutes, and election of Kyle Shiketty as vice chair by acclamation. The committee also approved a step increase for Code Reviser Kathy Buckley, with members praising her work and noting she had reached the top step. Max Weeks reported on publications: session laws had been published online and physical copies were nearing completion, while RCWs were expected online by the end of the next month with print copies following about a month later. The committee discussed print runs, free distribution to libraries and courts, and rising shipping costs, with a plan to charge actual shipping rates rather than the prior flat fee. Kathy Buckley also reviewed the office’s financial condition, reporting healthy balances in the publications account and general fund and expecting a year-end return of about $600,000. Alice reported on the annual multiple-amendment review process, explaining how the office merges nonconflicting amendments and flags possible items for a future technical corrections bill. The committee adopted the multiple amendments table and discussed plans to prepare a technical corrections bill for the fall and likely the 2027 session. The committee then heard a presentation from Kevin and Judge Anne Levinson on improving RCW disposition tables by adding hyperlinks to repealed session laws and chapter-level cross-reference notes to help readers trace recodified or replaced laws, especially in areas like protection orders and unclaimed property. In other business, the committee discussed clarifying statutory references that sometimes use “Statute Law Committee” when “Office of the Code Reviser” is intended, and agreed to review the statutes for possible cleanup legislation. Members also received an update on the office’s upcoming move to a new building in September, with an open house planned for September 24. The meeting adjourned without setting the next meeting date.
FL

Florida 2026 Regular Session

Ethics and Elections Feb 4th, 2025

Ethics and Elections

Transcript Highlights:
  • ERIC was used as a tool in Florida until about two years ago.
  • ERIC was used as a tool in Florida until about two years ago, and we pulled out, along with quite a few
  • That was another tool we had used that's no longer available to us.
  • Another tool we had used that's no longer available to us. Other questions? Just one last.
  • We scan it into their record, and that becomes the point of comparison for validation.
Summary: The committee heard a presentation from several county supervisors of elections and the Florida Supervisors of Elections Association on the 2024 election cycle and priorities for the 2025 session. They described very high turnout in the presidential election, major operational planning needs, and the heavy reliance on seasonal workers, list maintenance, ballot-on-demand systems, and secure chain-of-custody procedures. They also discussed the impact of recent legislative changes on voter-roll maintenance, including inactive voter removal, and said Florida’s election administration has improved to what they called a “platinum standard.” The supervisors outlined several legislative requests: allowing more than one non-government “wild card” early voting site to improve access and emergency flexibility; requiring newly naturalized citizens to update driver’s license information so voter records match DHSMV data; exempting home addresses of certain election workers and ballot transporters from public records to improve safety and recruitment; restoring a checkbox on vote-by-mail return envelopes so voters can stay on the vote-by-mail list for the next cycle; aligning base salaries for supervisors, property appraisers, and clerks with other constitutional officers; and reducing ballot length by removing precinct committee races from the ballot. They also said they expect a committee bill to carry some of these proposals. Members questioned the panel about ballot transport security, signature verification, vote-by-mail expiration, public records transparency, and the petition process for constitutional amendments. The supervisors said ballots are transported under detailed county plans with tamper-evident seals, chain-of-custody logs, trained workers, and in some cases two-person transport teams. On petitions, they said the process is labor-intensive and expensive, that fraud has occurred in some cases, and that they favor reforms such as requiring more personal identifying information and having initiative sponsors mail petitions to voters rather than making supervisors handle the mailing. They also said signature mismatches can be cured within 72 hours after Election Day and that voters are notified when possible. After the supervisors’ presentation, the committee also heard brief public testimony from Kathleen Griffiths, who urged adoption of commercial-style risk management standards in election systems and referenced several election-related bills her group supports.
MN

Minnesota 2025-2026 Regular Session

House Environment and Natural Resources Finance and Policy Committee 2/24/26

Environment and Natural Resources Finance and Policy

Transcript Highlights:
  • can't see the colors, but on the screen can't see the colors, but on the screen the<00:05:20.400
  • of that are highlighted on the screen. of that are highlighted on the screen.
  • > groundwater tool will identify future groundwater tool will identify future groundwater limitations
  • <01:20:28.719> for answers or even the right tools for answers or even the right tools for
  • so that we can have the right many tools so that we can have the right tool<01:20:39.040> for
Keywords: 1183, house
HI

Hawaii 2025 Regular Session

CPC/CPN Joint Info Briefing - Thu Apr 3, 2025 @ 9:30 AM HST

Hawaii House Floor Meeting

Transcript Highlights:
  • I think it's a perfectly valid suggestion, so yeah, I'll stop with that.
  • that I think it's a perfectly valid that I think it's a perfectly valid suggestion suggestion suggestion
  • Oh, I think you have to share your screen. Thank you for pointing that out. Sorry about that.
  • <01:29:53.360> and<01:29:53.560> internal right underwriting tool and internal right
  • underwriting tool and internal control<01:29:54.360> is<01:29:54.560> very<01:29:54.760
Keywords: 910, house, all
AR
Transcript Highlights:
  • It will transition from a single assessment tool, which we currently use, the Optum contractor, to perform
  • the Arkansas independent assessment, and replace it with a more functional assessment tool.
  • This is a tool that they're using to determine eligibility.
  • assessment tool.
  • We have never asked them to change the tool. That's the problem.
Summary: The committee approved the December 8 minutes and referred items C1 and C2 to the labor and environment subcommittees, adopting the chair’s recommendations. The main substantive item was a DHS rule package revising the State Plan Personal Care Manual and the Arkansas Independent Assessment (ARIA) Manual. DHS said the revisions would repeal and replace the current manuals with streamlined versions, remove overlapping language, implement Act 853 by shifting licensure/certification for personal care agencies to the Department of Health, lengthen personal care prior authorizations from six months to one year, and keep the 64-hour monthly cap. For ARIA, DHS said it would remove references to state plan personal care, clarify telehealth and in-person assessments, and add/update sections for PASS, AR Choices, Living Choices, and PACE. DHS argued the current independent assessment process is costly and not controlling utilization, citing a 95% approval rate, annual spending of more than $212 million on personal care for about 17,000 people, and an estimated $6.173 million in savings from eliminating the Optum assessment and reducing prior-authorization frequency. Agency witnesses said the new process would reinsert primary care practitioner involvement, use standardized evaluation and prescription forms, and rely on personal care provider nurses for the assessment step, with training already available through an AFMC contract. Several members questioned whether PCPs should be used as gatekeepers, whether the change would delay services, and whether the savings estimate accounted for training or provider burden. Some members also raised concerns about conflicts of interest, the workload on physicians, and whether the agency had adequately worked with the existing vendor to improve the current system. The discussion became contentious, with Senator Irvin and others strongly opposing the proposal as inconsistent with the earlier independent-assessment approach and urging DHS to slow down and work with legislators. Other members asked for clarification on how the new process would work for new applicants and whether it would affect waiver or PASS participants; DHS said the rule would not apply to PASS and should not delay services. At the end of the hearing, the chair offered DHS the option to pull the rule down and work off-record with legislators on a revised proposal, and DHS agreed. The meeting then adjourned without further business or a final vote on the rule.