Video & Transcript : 'radiation management' :

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TX
Transcript Highlights:
  • But a lot of it is helping us manage some of the challenges.
  • Are you managing whitetail? Are you hiding it in whitetail? And are we?
  • The one FTE is to recruit a second fleet manager. Comptroller's guidance is one fleet manager.
  • We have a fleet manager for every 100 vehicles. We currently have 139 vehicles.
  • Uh, we do have our, the project manager here if he needs to come forward, but in my...
Bills: SB1 , SB 1
Committee: Senate Finance
MA

Massachusetts 2025-2026 Regular Session

Joint Committee on Health Care Financing Jun 21st, 2026 at 10:00 am

Joint Committee on Health Care Financing

Transcript Highlights:
  • This piece of legislation would require managed care providers and behavioral health management firms
  • My name is Grace Coughlin, and I'm a policy manager at Healthcare for All.
  • In some cases, from strokes, surgeries, or managing chronic disabilities.
  • But we can't measure, we can't manage what we don't measure. Thank you.
  • But we can't measure, we can't manage what we don't measure.
Keywords: 995, all
Summary: The Joint Committee on Health Care Financing held a public hearing on a large docket of bills focused on MassHealth benefits and reimbursement, health equity, behavioral health, public health, dental access, 340B drug pricing, tobacco cessation, and coverage for children. The chairs emphasized rising health care costs, provider shortages, administrative burdens, and persistent inequities by income, race, geography, and immigration status. Much of the testimony centered on H.1416/S.901, an act to advance health equity, with legislators and members of the Health Equity Compact arguing for statewide benchmarks, stronger health equity leadership, reimbursement for interpreter services, community health workers and patient navigation, Medicaid graduate medical education support, and a health equity zone trust fund. Witnesses described disparities in life expectancy, maternal mortality, access to primary care, and the impact of federal Medicaid and social service cuts, and urged the committee to report the bill favorably. The committee also heard strong support for H.1368/S.847 on rapid whole genome sequencing for critically ill MassHealth children. Testifiers from industry, academia, hospitals, and families said early sequencing can end long diagnostic odysseys, improve treatment decisions, shorten hospital stays, and save money, while also providing emotional relief and information for families. The hearing then moved to H.1407 on MassHealth rate parity for inpatient behavioral health providers, where Rep. Scanlan and the Massachusetts Association of Behavioral Health Systems said the bill would codify existing administrative parity so managed care plans cannot pay less than the MassHealth fee-for-service rate. On H.1392/S.853 to preserve and protect public health, witnesses supported higher vaccine administration fees to improve provider participation and immunization rates. The committee also heard testimony on H.770/845 to protect 340B providers in MassHealth, and on S.848 to require reporting and transparency around 340B revenues and outside administrative costs. Additional bills drew testimony on tobacco cessation coverage for MassHealth members, with advocates supporting broader access to counseling and medications through medical, behavioral health, and dental providers. On H.1409, a nursing home operator asked for more flexibility in a MassHealth staffing-related penalty tied to patient days per resident. On H.1401/S.888, supporters of the “Take 10” dental access proposal said adult MassHealth dental coverage is underused because too few dentists accept MassHealth, leading to long travel times and avoidable emergency room visits; they urged incentive payments for dentists serving new adult MassHealth patients. Finally, on H.1403/S.855, “Cover All Kids,” advocates and immigrant community members urged removal of immigration status as a barrier to full MassHealth coverage for children, while also backing a related bill to ensure 12 months of continuous coverage for children. No votes were taken during the hearing; the committee primarily received testimony and asked questions on costs, reimbursement levels, and implementation details.
HI

Hawaii 2026 Regular Session

CPC Public Hearing - Tue Mar 24, 2026 @ 2:00 PM HST

Consumer Protection & Commerce

Transcript Highlights:
  • For instance, whenever there's a property management company and there's a realtors that they're also
  • Moving on to SB 2047 SD2 HD1 relating to pharmacy benefit managers. a a property management company a
  • </c><00:32:48.520><c> care</c> including Medicaid managed care including Medicaid managed care programs
  • Moving on to SB 247 SD2 HD1 relating to pharmacy benefit managers.
  • Uh Chair's recommendation is managers.
Summary: The committee heard testimony on SB 2433 SD1 relating to condominiums, which would direct the condominium education trust fund toward educational resources for unit owners and require the Real Estate Commission to ensure owners’ interests are represented in funded activities and related rulemaking. Supporters, including the Hawaii Real Estate Commission and a condominium owner advocate, said owners need a seat at the table in condo governance and education efforts. Committee discussion focused on whether the bill was necessary, with the Real Estate Commission indicating it could already use the trust fund for owner education and that owners are already considered stakeholders, though not through a specific commission seat. No vote was taken during the excerpted discussion. The committee then took up SB 2047 SD2 HD1 on pharmacy benefit managers, which would set requirements for maximum allowable cost reimbursement, allow reverse-and-rebill claims after successful appeals, and authorize fines for violations. The Insurance Division offered comments, the Hawaii Pharmacists Association supported the measure with amendments and suggested future PBM reform funding, and Kaiser Permanente requested a technical amendment. A committee question raised whether the staffing and resource request for implementation was too large for a bill focused only on MAC pricing, and the witness said he would provide more data to the next committee. No final action was shown. Next was SB 2425 SD2 HD1 on health insurance and substance use disorder treatment, requiring insurers to honor written assignments of benefits to SUD providers and prohibiting anti-assignment clauses. Supporters described patients being unable to access treatment because of high out-of-pocket costs and said direct payment would reduce harm for people in recovery. HMSA opposed the bill but said it would begin direct payments to non-participating SUD facilities effective March 27, while continuing to object to the assignment-of-benefits portion because of fraud and balance-billing concerns; the Hawaii Association of Health Plans also opposed. Members questioned HMSA about reimbursement mechanics and why the bill was needed if coverage policies were already changing. Finally, the committee heard SB 3045 SD1 HD1, which would require coverage of continuous glucose monitors and related supplies, including for Medicaid managed care, under certain conditions. DHS and the Insurance Division offered comments, while SHPDA, Hilo Benioff Medical Center Foundation, and others supported the bill, citing inconsistent access and a case in which a woman allegedly died after being denied a CGM. HMSA said it already covers medically necessary CGMs and had updated its policy in 2025 for type 1 and insulin-dependent patients, but it raised concerns about expanding mandated coverage to type 2 and gestational diabetes and about supply impacts. The committee also discussed whether the bill duplicated existing coverage standards and why it had been introduced repeatedly. No votes or final dispositions were included in the excerpt.
WA

Washington 2025-2026 Regular Session

Senate Floor Session Feb 28th, 2026

Washington Senate Floor Meeting

Transcript Highlights:
  • The Department of Health can manage the funds and distribute payments similar to how they distribute
  • So just-in-time inventory management began shortly.
  • So just-in-time inventory management began shortly after the 2000s.
  • Travels, and then those warehouse managers are able to accumulate that, load that on a truck, using that
  • So we've got stores in Montana and Idaho and Washington and Alaska that we're managing this inventory
Summary: The Senate opened with ceremonial items, then moved through gubernatorial appointments and a series of floor votes. It confirmed Acacia E. Ingram to the Evergreen State College Board of Trustees, Ashland J. Tibbet and David S. Frockt to the Western Washington University Board of Trustees, and Christine Rolfes to the Olympic College Board of Trustees. Members spoke in support of the appointees’ public service and ties to higher education. The chamber also heard a personal privilege statement honoring a Colfax basketball coach who died of pancreatic cancer, followed by a caucus break. The Senate then considered several bills, passing measures on derelict vessels (SHB 2199), radiologic technologist supervision (HB 2113), nitrous oxide retail sales (ESHB 2532), ambulance transport fund alignment (HB 2531), EMT recertification (HB 2540), affordable housing on religious property (2SHB 1859), factory-built housing standards (SHB 2151), social housing public development authorities (EHB 1687), the Washington Voting Rights Act and voter suppression claims (ESSHB 1750), privacy and data protection reporting and AI use (HB 2606), military family school stability (ESHB 2534), coal-fired utility treatment (HB 2367), and school access to albuterol (SHB 2360). Most passed on strong bipartisan roll calls, though the voting-rights bill and coal-utility bill drew the most debate and partisan division. Several bills were amended on the floor. The Senate adopted changes to the nitrous oxide bill, the factory-built housing bill, the social housing bill, the albuterol bill, and the 3D-printer/firearm-manufacturing bill (ESHB 2320), while rejecting some proposed amendments on the voting-rights and 3D-printer bills. Debate centered on whether the voting-rights bill set too low a threshold for lawsuits and whether the coal-utility bill gave improper treatment to coal generation; supporters framed both as needed protections or transition measures, while opponents warned about litigation and policy overreach. The chamber also discussed tribal consultation in energy siting (SHB 2496), ultimately passing it after a close vote, and later returned to the 3D-printer bill, which advanced after amendments narrowed exemptions for gunsmiths and dealers and clarified the bill’s focus on digital files used to manufacture firearms.
HI
Transcript Highlights:
  • And so case management, care coordination, is often a common profession within behavioral health.
  • </c><00:47:14.160><c> And</c><00:47:14.319><c> so</c><00:47:14.800><c> car</c> management as an example
  • And so car management as an example.
  • And so car case<00:47:15.520><c> management</c><00:47:16.480><c> uh</c><00:47:16.880><c> care</c><00:
  • 47:17.200><c> coordination</c><00:47:18.640><c> um</c> case management uh care coordination um case management
Committee: House Health
Summary: The committee heard testimony on several health-related bills. HB 1864, which would require health insurance coverage for standard fertility preservation services for people undergoing medically necessary treatment, drew broad support from SHIPA, the Department of Health, HMSA, the Hawaii Association of Health Plans, and others. Testifiers emphasized that fertility preservation is routine coverage on the mainland and important for patients facing infertility from cancer or other treatment; one patient described incurring more than $20,000 in costs. The Insurance Division flagged possible Affordable Care Act issues, a potential conflict in the bill’s language about using patient history to determine limits, and a mismatch with state medical-necessity standards. Committee discussion also focused on whether the bill should apply to all women of childbearing age rather than a narrower age-based category. HB 2305 would require nutrition and metabolic education as part of physicians’ continuing medical education. The Hawaii Medical Board opposed the measure, arguing that CME should remain flexible and tailored to each physician’s specialty and warning that topic-specific mandates can expand over time. The Office of the Governor supported the bill, saying it would help the state’s rural health transformation application and could improve federal funding prospects, though the exact impact was unclear. Members questioned whether nutrition is already covered in medical training and whether the requirement should be limited to primary care physicians; the board said Hawaii currently has no topic-specific CME mandates and that physicians can already choose relevant courses. The committee also heard strong support for HB 1597, which would establish an Alzheimer’s disease research center at the University of Hawaii. Supporters from the university, the Alzheimer’s Association, AARP, and others said the center could attract federal research dollars, expand clinical trials, and help address the state’s high Alzheimer’s-related health costs. HB 2159, which appropriates funds for health care workforce development, also received broad support from the University of Hawaii, health systems, and advocacy groups, with no opposition noted. Finally, HB 2121, which would prohibit the sale and distribution of disposable electronic smoking devices, drew support from the Department of Health, youth advocates, and public health groups citing youth addiction, environmental waste, and fire hazards; the department said a separate bill, HB 1573, would be more comprehensive and better defined for enforcement and penalties. The committee ended with HB 1913, creating a veteran services mental health coordinator position at Tripler Army Medical Center, which was supported by veteran services officials and others who said veterans need better navigation and coordination for behavioral health care.
WA

Washington 2025-2026 Regular Session

Senate Health & Long-Term Care Jan 20th, 2026 at 10:30 am

Health & Long-Term Care

Transcript Highlights:
  • Adam Dittamore, manager of revenue integrity at Evergreen Health, testified in support of SB 5845.
  • across... ...this is a valuable tool for us to continue to manage our prescription drug expenditure
  • When I read what the bill does, that health care, Medicaid managed care organizations and others may
  • Access to safe and effective pain management should never depend on insurance loopholes.
  • Utilization management restrictions.
TX

Texas 89th Regular

Health and Human Services May 20th, 2025

Health & Human Services

Transcript Highlights:
  • If it is not designated DFPS or a licensed child-placing agency as the managing conservator, Madam Chair
  • Pre-authorization is a process used by health plans to manage costs and utilization of services.
  • House Bill 3233 prohibits pharmacy benefit managers, that's PBMs, from storing patient data of Texans
  • Pharmacy benefit managers, that's PBMs, from storing patient data of Texans in hostile countries.
  • House Bill 3233 prohibits pharmacy benefit managers from storing patient data in a country that the U.S
Summary: The committee met without a quorum at first, then established a quorum with five members present. Members heard and left pending several House bills, including HB 4743 on allowing hospitals to license mobile stroke units under a hospital license, HB 4129 on earlier DFPS enforcement tools for single-source continuum contractors in community-based foster care, HB 4903 creating a Quad Agency Child Care Initiative to coordinate child care regulations across state agencies, HB 3812 revising the gold card/prior authorization process for physicians, HB 4535 requiring written informed consent before COVID-19 vaccination and a standardized state information sheet, and HB 4666 reducing the frequency of some HHSC reports to the legislature. The chair also noted HB 35 would be voted on later after a subcommittee back was received, and that a large number of bills would be heard the next day. Most of the testimony focused on HB 4535 and HB 4730. On HB 4535, supporters argued the bill would strengthen informed consent for COVID vaccination by requiring written consent and clearer state-level information about risks, manufacturer liability protections, and adverse-event reporting; opponents, including a pediatrician and medical groups, said existing federal and state informed-consent materials already cover these topics and warned the bill could create duplicative paperwork and penalties. On HB 3812, the Texas Medical Association supported changes that would extend the gold-card evaluation period to one year, raise transparency, and make prior authorization exemptions easier to administer, while health plans said they were neutral and viewed the bill as a balance between reducing burden and preventing fraud or unsafe care. HB 4730 drew extensive testimony from adoption professionals, birth mothers, adoptive parents, and child welfare advocates. The bill would require DFPS to create a relinquishment form, train child-placing agency staff, and extend the minimum waiting period for voluntary relinquishment from 48 hours to seven days. Supporters of the current law argued the 48-hour period aligns with hospital discharge, allows informed decisions, and helps birth parents and adoptive families begin healing and bonding without pushing children into foster care or creating legal and Medicaid complications. The author said the bill would be revised and that the seven-day provision was a work in progress. No votes were taken on the bills during the meeting; each bill was left pending after public testimony closed.
TX

Texas 89th Regular

Transportation May 8th, 2025

Transportation

Transcript Highlights:
  • Our community did not ask for this growth, but yet we are now on the front lines of managing its consequences
  • From more than a dozen park superintendents we've talked to, they manage trail user conflict and have
TX

Texas 89th Regular

Trade, Workforce & Economic Development May 7th, 2025

Trade, Workforce & Economic Development

Transcript Highlights:
  • I've been a community association manager for over 21 years, and I currently serve as the HOA manager
  • It depends on what the management company, what platform they're using.
  • Some management companies will handle the process for you; they charge a special project fee, generally
  • It's made up of community managers, business leaders, and advocates for community associations.
  • I am the Manager for Public Relations and Government Affairs at Veterans Guardian.
TX

Texas 89th Regular

Public Education May 6th, 2025

Public Education

Transcript Highlights:
  • What the risk management fund is? Yes. It's a risk management fund. It's a risk management fund.
  • Who manages it? TAS. TASB has a... The TASB manages it.
  • There is a group of staff that works specifically for the management fund. Risk Management Fund.
  • So the risk management fund?
  • Why not let the state manage? It's very low risk, easy to manage funds and save.
TX

Texas 89th Regular

Public Education May 6th, 2025

Public Education

Transcript Highlights:
  • All this bill really does is get in the way of classroom management.
  • Good morning, I'm Shan Schaefer, JustTexas Manager at the Texas Freedom Network.
  • From lesson planning to classroom management, to grading and communicating with parents and administration
  • , teachers have so many things to manage each and every day in the classroom.
MN

Minnesota 2025-2026 Regular Session

Cap Committee Meeting - 2025-04-23

Capital Investment

Transcript Highlights:
  • Also with me is Kate Sedlicek, Environmental Manager from Scott County.
  • I am the City Manager for the city of Minnetonka.
  • With me today is our city manager **Dave Callister**. I'll turn it over to him.
  • Welcome, city manager, please identify yourself and proceed.
  • Thank you, City Manager, Chairs, and committee.
MN

Minnesota 2025-2026 Regular Session

House Capital Investment Committee 4/23/25

Capital Investment

Transcript Highlights:
  • </c><00:12:44.399><c> services</c> with wraparound case management services with wraparound case management
  • later is managing over 69,000 cars.<00:42:40.800><c> Waste</c><00:42:41.280><c> managed</c><00:42:41.680
  • Waste managed has increased from cars.
  • I am the city manager for the city of Minnetonka.
  • Welcome, City Manager. Please identify yourself and proceed.”
TX

Texas 89th Regular

State Affairs - Part 1 Mar 19th, 2025

State Affairs

Transcript Highlights:
  • they are in fact on the list and require the utilities to share those lists with local emergency management
  • TDIM who has stated that they can then share with local emergency management.
  • Mason, you're testifying on behalf of the Supreme Court. of City of Houston Office of Emergency Management
  • I am Brian Mason the director of emergency management for the city of Houston and we are testifying in
  • inclusion on the list, to disclose those facilities. and to share that list with local emergency management
Committee: House State Affairs
MN

Minnesota 2025-2026 Regular Session

House Judiciary Finance and Civil Law Committee 3/18/25

Judiciary Finance and Civil Law

Transcript Highlights:
  • And so Maxis is a computer system managed by the department. an amendment okay thank an amendment okay
  • computer readon form and so Maxis is a computer Compu<00:05:30.000><c> system</c><00:05:30.319><c> managed
  • 30.919><c> by</c><00:05:31.520><c> the</c><00:05:31.680><c> department</c> The computer system is managed
  • It's not just our manager now who's working on these. It involves other staff like myself.
  • </c><01:07:32.400><c> can</c> how you comply with data management can how you comply with data management
TX
Transcript Highlights:
  • by implementing these reforms, Texas corporations could achieve. significant cost savings while management
  • Supervisors, managers, we typically do that for any customer that we meet. make deliveries to, we do
  • A food manager to pay a local fee or get a local permit when they are already certified by the state.
  • Example one, I pay a state food manager safety certification fee and then local governments in some cases
  • on. that but I can tell you this that I have 500 employees and I already pay to certify all of my managers