Transcript Highlights:

• Overall, all quality and performance metrics, performance or health plans is measured extensively.
• Again, quality performance metrics during the postpartum period.
• Where is the info on the quality and performance metrics?
• that we those other performance measures that are that are contracted.
• metrics and holding them accountable to meeting those performance.

Keywords: 999, senate, all

Transcript Highlights:

• to pull back on withholds or shared savings arrangements with their providers if the financial performance
• I also have responsibility over our performance of ODS Community Dental, that entity that administers
• were just submitted about two weeks ago, so it’s quite early days in the process, and all states perform
• And all states perform some rate review functions under the Affordable Care Act.
• Who's going to audit this?

Keywords: 907, all

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.

Transcript Highlights:

• These are not independent transit authorities, but they perform the same public service.
• These are not independent transit authorities, but they perform the same public service.
• State Board of Equalization to the California Department of Tax and Fee Administration that we were audited

Summary: The Assembly Revenue and Taxation Committee met after several delays while waiting for the Senate to finish its floor session, and the chair announced the committee would begin once a quorum was established. The committee then heard a series of tax-related bills, with most measures being held for suspense except SB 87, which was voted out. The chair also welcomed newly appointed committee member Assembly Member Juan Carrillo. SB 359 would clarify that county-run transit systems qualify for existing sales and use tax exemptions on transit fuels such as diesel and compressed natural gas. Senator Nilo and Placer County testified that the bill would correct an inequity affecting counties operating their own transit services, especially rural counties, and would not create a new state revenue loss because the tax had not been consistently collected. Support came from the California Transit Association and the California State Association of Counties; the bill was sent to suspense. SB 603 would allow county boards of supervisors in disaster-affected counties to extend by up to three years the five-year deadline for transferring a property tax base-year value to replacement property. The author and supporters, including the California Assessors Association and the California Association of Realtors, said the measure would give local governments flexibility to address post-disaster rebuilding delays. SB 293 would extend the deadline for filing intergenerational property transfer claims from six months to three years for disaster-impacted homeowners, with testimony focused on helping families in Altadena and preserving generational homes after the Eaton Fire; the committee discussed possible refinements and the bill was held in suspense. SB 353 would extend the farm-to-food-bank tax credit through 2032, with support emphasizing food security, waste reduction, and the program’s documented results; it too was sent to suspense. SB 723 would raise the threshold for property tax exemptions on low-value properties, with the author arguing it would reduce administrative costs and ease burdens on small businesses, and the committee asked for technical work before the bill was held in suspense. SB 785 would create a $5,000 tax credit for durable medical equipment used by children with complex medical conditions, with supporters saying it could prevent hospitalizations and help families keep medically fragile children at home; it was also sent to suspense. SB 87, which would extend the sales tax exemption for volunteer fire department fundraising activities for five more years, passed the committee on a 5-0 vote and was sent to the Assembly Appropriations Committee.

Transcript Highlights:

• I believe it was performed in 2018, and that was by the OLA, the Office of Legislative Auditor.
• That I believe was was was um um um performed<00:19:29.760> in<00:19:29.960> 2018.
• performed in 2018. performed in 2018.
• There were two audits. There was one presented this spring of 2018.
• Our office does perform annual list maintenance. Excuse me.

Keywords: 919, house, all

Summary: The committee first took up HF 2526 and received a walkthrough of the DE1 amendment from nonpartisan staff. The amendment revised the bill’s gift and ethics provisions by defining local government and public safety officer, narrowing covered mental health or wellness services to those provided by a qualified mental health professional and tied to recovery from a traumatic event, excluding luxury services or events as determined by the Campaign Finance and Public Disclosure Board, and allowing local governments to adopt additional gift restrictions. It also added a bribery-related provision for gifts made with intent to influence a public safety officer. Members noted the language had been worked on by Representatives Duran, Vernig, and Freiberg, and the DE1 was adopted unanimously. HF 2526, as amended, then passed to the floor on a voice vote. The committee then turned to HF 3722, which would remove deceased voters from the state voter registration system. The bill author argued that deceased voters should not remain on the rolls and that removing them would clean up the voter list. Secretary of State staff testified in opposition, saying deceased voters are already kept in a separate deceased status, not on active rolls, and that retaining the record helps flag suspicious activity and preserves voter history in case of administrative error. A second testifier described a real case in which a deceased voter’s retained record helped election officials identify and investigate a fraudulent ballot. After discussion, the committee tabled HF 3722. Finally, the committee heard HF 3723, which would require additional verification for absentee ballot applications and permanent absentee voters. Supporters said the bill would help ensure ballots are not sent to people who have died or moved out of state. Secretary of State staff opposed the bill, saying most voters are already verified at registration, that the proposed checks would duplicate existing procedures, and that additional verification could create delays or false rejections. A testifier also objected to the bill’s effective date, saying it would take effect only days after absentee voting begins. The sponsor argued that voters remain on the permanent list indefinitely and that periodic verification is needed because people move or die; the committee did not reach a final vote in the portion provided.

Transcript Highlights:

• H.B. 633 required a programmatic and financial audit of the managing entities.
• The audit concluded with no findings of fraud, waste, or abuse, and included two recommendations to further
• doing as a result is taking both the information that was produced by that operational and financial audit
• internally through procurements and renegotiations of contracts, to make sure that we have enhanced performance

Summary: The Appropriations Committee on Health and Human Services heard presentations on the governor’s proposed fiscal year 2026-2027 budget for the health and human services agencies. Kendall Kelly outlined the overall HHS budget at $48.5 billion, with AHCA accounting for the largest share, and agency heads then highlighted major proposals for Medicaid behavioral health redesign, APD waiver enrollment and facility needs, DCF child welfare, opioid, and mental health investments, DOEA funding for Alzheimer’s, home care, and community services, DOH funding for cancer research, public health initiatives, and lab capacity, and VA funding for facility improvements, cybersecurity, and medication management. Several members praised specific proposals, including increased reimbursement for private duty nursing, Alzheimer’s supports, and the Florida FIRST blood-in-ambulance initiative. Senators also questioned the proposed changes to the AIDS Drug Assistance Program (ADAP), with the Surgeon General explaining that the department expects a reduction in covered patients from about 30,000 to about 20,000 because of funding pressures tied to rebates, federal changes, and premium tax credit issues. Public testimony strongly criticized the ADAP changes, citing lack of transparency and warning that many patients could lose access to medications. Other questions focused on the Office of Minority Health and Health Equity, DCF’s substance abuse and mental health data dashboard, Kids Care/CHIP expansion implementation, APD bed and facility planning, and the FX Medicaid technology project. DCF said about $7 million is set aside for the dashboard system, and AHCA said the governor’s budget includes $124.4 million for FX maintenance and continued module development, with $13.5 million to begin claims processing work. The committee did not take a substantive vote on the budget presentations and adjourned after questions and public testimony.

Transcript Highlights:

• hazardous waste goes into the hazardous waste emergency fund, which is emergency response work that we perform
• a new business, expand or expand a business, or that you come into knowledge through conducting an audit
• You know, with a, with a few exceptions to that, um, but yeah, that, that we have people doing audits
• We're just contacted by somebody who wants to do an audit with us, so, yeah, interesting.

Transcript Highlights:

• Researching state auditor audits on MTC, I found the SAO issued unfavorable audits on MTC in their May
• for-profit entity who spends allocated funds on bonuses and profit sharing, who has regularly given subpar audits
• We have 20 days to cure those performance issues and over the years, I think.

Bills: HB153

Transcript Highlights:

• Researching state auditor audits on MTC, I found that the SAO issued unfavorable audits on MTC in their
• entity that spends allocated funds on bonuses and profit sharing, and that is regularly given subpar audits
• We have 20 days to cure those performance issues.

Bills: HB153, HB1410, HB1461, HB1760, HB1762, HB3261, HB3773, HB153

Keywords: education, funding, student resources, technology access, equal opportunity, veterans treatment court, mental health, criminal justice, rehabilitation, eligibility criteria, veterans, treatment court, military service, legislation, private prisons, inmate confinement, criminal justice reform, Texas Department of Criminal Justice, government contracts, inmate housing

Transcript Highlights:

• and health insurance companies say that patients need more skin in the game for market prices to perform
• So it's a real specific, heavily regulated, heavily audited item.
• So it's a real specific, heavily regulated, heavily audited item.
• Now, here's the question: is that net after clawbacks and audits, or is that gross?
• Is it net or clawback in audits?

Keywords: 1185, senate, all

Transcript Highlights:

• times, as that statute addresses the financial information required and a determination of ability to perform
• to renew a license or re-enroll in a program administered by the commissioner cannot or would not perform
• Again, we want to of ability to perform.
• not perform to the necessary<00:03:53.280> duties<00:03:53.800> required<00:03:54.440>
• DCYF didn't receive investigative or audit support from the federal government.

Keywords: 1187, senate, all

Transcript Highlights:

• And I guess I'm wondering what would instigate an audit?
• And so do those audit reports become public?
• not necessarily have to do an audit if you feel that it's not necessary?
• And you have the staff to properly audit finance reports?
• or financial audits, delay or withhold installment payments.

Summary: The Senate received communications from the House on numerous measures, including several bills and resolutions passed with amendments, committee reports on bills such as large energy use facilities, campaign finance, voting rights, and appropriations, and a list of pre-file legislation. The chamber then moved through a long floor session with confirmations, bill readings, and roll-call votes, ultimately confirming the nomination of Morgan T. Zern to the Delaware Supreme Court by a 21-0 vote. Among the major policy items considered were property tax and school tax measures tied to the statewide reassessment. The Senate passed House Bill 460, clarifying monthly municipal permit-data reporting to New Castle County; House Bill 461, granting temporary authority for New Castle County school districts to reset school tax rates for one cycle; and House Bill 462, making the split school tax rate permanent with a lower nonresidential cap. Members discussed the fiscal effects at length, including testimony from a school district finance officer that HB 461 would allow revenue-neutral rate setting and offset the fiscal note on HB 462. The Senate also passed House Bill 365 creating a Delaware Indigenous Affairs Commission, House Bill 458 on backflow requirements for low-hazard buildings, Senate Bill 27 establishing the Office of New Americans with a sunset and interagency coordination, and Senate Bill 315 on the Delaware Technical Innovation Program. The chamber also approved Senate Substitute 1 for Senate Bill 300, a firearms dealer regulation bill, after extensive debate over amendments, confidentiality, background checks, and the balance between public safety and burdens on lawful dealers. Several members raised constitutional and practical objections, while supporters argued the bill would reduce trafficking, straw purchases, and theft from dealers. In addition, the Senate passed House Bill 305 creating a diabetes wellness pilot program, with supporters emphasizing the state’s diabetes burden and the program’s federal funding, and House Concurrent Resolution 157, which asks the State Lottery Office to report on iLottery’s impact on small businesses. Senate Bill 325, a fire prevention/background-check bill, was laid on the table after concerns about a late House amendment and requests for more time to consult stakeholders.

Transcript Highlights:

• It says a cross-examination can be performed by an adviser, which we've already established may or may
• It says a cross-examination can be performed by an adviser, which we've already established may or may
• <01:43:16.080> trails<01:43:16.480> and<01:43:16.719> audit<01:43:17.040>
• logs<01:43:17.440> to,<01:43:18.159> uh, are audit trails and audit logs to, uh, are
• audit trails and audit logs to, uh, maintain<01:43:19.360> and<01:43:19.520> and,<01:43

Keywords: 1187, senate, all

Transcript Highlights:

• Courtney, it has been recognized several times as the best performing in the country.
• And what I'm getting at, I know that you probably look at the audits of these agencies.
• increased performance and better.
• As you know, we have been working on putting performance into dashboards.
• I want to draw your attention to, on page 84, the PERA performance and the ERB performance; the 10-year

Transcript Highlights:

• Cabril delivered a dominant performance.
• the nation performing other duties, i.e. the nation performing other duties, i.e. returning<01:06
• I Housing Finance AY's audit director.
• nation performing other duties, i.e. nation performing other duties, i.e. returning<02:21:37.200
• I Housing Finance AY's audit director.

Keywords: U.S. House of Representatives Floor Proceedings on Tuesday, December 2, 2025, 1012, house, all

Transcript Highlights:

• One, judges are subject to the Commission on Judicial Performance, a constitutional body that regulates
• This is to protect the evidentiary value of those ballots for future investigations or audits.
• chain of custody must be maintained to protect their evidentiary value for future investigations or audits
• concerns about altering this deadline and that it may cause timing issues for their staff as they perform

Summary: The Assembly Elections Committee met on July 1, 2026, heard a full agenda of election-related measures, and took final votes on several bills and one resolution. The committee also adopted two consent items, SB 1429 and SB 1430, without opposition. Members and the chair repeatedly noted committee membership changes and the final meeting of the session, and the chair emphasized the committee’s focus on protecting democracy and election integrity. Among the bills heard, SB 1369 would shorten the signature-gathering period for judicial recalls in larger counties and require paid gatherers to disclose they are compensated; supporters argued it would protect judicial independence, while the chair and some members noted the need to balance recall rights with county differences. SB 900 would reformat campaign disclosure language on large print ads and billboards to improve readability while preserving transparency, with broad support from outdoor advertising, clean money, and good-government groups. SJR 18, which condemns Citizens United and urges action against corporate spending in elections, drew support from reform advocates but also concerns about the resolution’s focus and scope; it was advanced on a party-line split with some members voting no. The committee also advanced SB 1164, a major voting-rights measure expanding California protections against vote dilution and voter suppression, adding preclearance-style review for some jurisdictions, and directing courts to interpret election laws in favor of voting access. Local government representatives opposed it unless amended, citing uncertainty, loss of safe-harbor protections, and implementation concerns, while civil-rights and labor groups strongly supported it. SB 1360, which expands language-access requirements for voters with limited English proficiency and lowers coverage thresholds, was supported by voting-rights and immigrant-advocacy groups but opposed by elections officials unless amended; the committee acknowledged the need for further work on county-level implementation and data standards. The committee also approved SB 1418, which extends protections against seizure of election records and voting systems beyond voted ballots, and SB 884, which creates a buffer zone around polling places and vote-by-mail drop locations to prevent interference with voting and ballot custody, though sheriffs and police groups opposed the arrest restrictions. SB 46, which would give the Secretary of State clearer authority to remove constitutionally ineligible presidential and vice-presidential candidates from the ballot, and SB 715, which moves candidate ballot-designation challenge deadlines earlier, also advanced. Most measures were sent to Appropriations or otherwise held on call for absent members, and the meeting ended with final roll calls and adjournment.

Transcript Highlights:

• first responders, and to establish data reporting requirements to improve transparency and program performance
• was really eye-opening about how the state utilizes its resources, and she just completed an amazing audit
• In the audit, $286 billion is spent on health care by the state of California.
• We know we perform better when we sleep well at night, and having daylight exposure closer to when we

Keywords: 988, house, all

Summary: The Assembly Health Committee heard several bills focused on access to care, public health, and oversight. SB 989 would streamline Care Court referrals by allowing first responders to ask county behavioral health agencies to review and file petitions; supporters, including firefighters and mental health advocates, said it would reduce barriers, while opponents argued Care Court is coercive, costly, and not yet proven effective. SB 1089, as amended, would direct CalRx/HHS to help distribute GLP-1 medications more affordably; the author described personal experience with the drugs and supporters emphasized prevention and chronic disease management, while members asked about distribution, liability, and age limits. SB 1309 would eliminate cost sharing for medically necessary lung cancer follow-up care after abnormal screenings; cancer survivors and clinicians strongly supported it, while health plans and insurers opposed it, saying the bill could raise premiums and did not address low initial screening rates. The committee also heard SB 1284, which would require DHCS to publish an annual report identifying large employers with workers enrolled in Medi-Cal and estimating taxpayer costs; supporters framed it as transparency and corporate accountability, while the chair and others linked it to broader budget and fairness concerns. SCR 7, urging permanent standard time, was presented as a public health measure to reduce sleep disruption and related harms, and it passed with support from the California Medical Association. The committee also took up SB 995, which would create a statewide inspection and enforcement framework for large involuntary residential facilities, including private immigration detention centers and some youth facilities; supporters cited unsafe and inhumane conditions, while probation officials objected to overlap with existing oversight for secure youth treatment facilities. The committee approved the measures it heard, with roll calls showing SB 989, SB 1089, SB 1309, SB 1284, SCR 7, and SB 995 all advancing out of committee, along with consent items and add-on votes.

Transcript Highlights:

• first responders, and to establish data reporting requirements to improve transparency and program performance
• was really eye-opening about how the state utilizes its resources, and she just completed an amazing audit
• In the audit, $286 billion is spent on health care by the state of California.
• We know we perform better when we sleep well at night, and having daylight exposure closer to when we

Summary: The Assembly Health Committee heard several bills focused on mental health access, preventive care, health care costs, detention oversight, and daylight saving time. SB 989 would streamline Care Court referrals by allowing first responders to ask county behavioral health agencies to review and file petitions; supporters, especially firefighters and families, said the current process is too burdensome, while Disability Rights California and other opponents argued Care Court is coercive and unproven. SB 1089, as amended, would direct CalRx/HHS to help distribute GLP-1 medications more broadly and more affordably; the author described her own experience with the drugs, and the bill drew support from medical and life sciences groups with no opposition. SB 1309 would eliminate out-of-pocket costs for medically appropriate lung cancer screening follow-up care; cancer advocates and survivors strongly supported it, while health plans and insurers opposed it as costly and said the bigger problem is low initial screening rates. The committee also heard SB 1284, which would require DHCS to report large employers whose workers are enrolled in Medi-Cal and estimate taxpayer costs, framed by supporters as a transparency measure about corporate reliance on public coverage. SCR 7, urging permanent standard time for health reasons, passed with support from medical groups and no opposition. SB 995, the Masuma Khan Justice Act, would create statewide inspection and enforcement standards for large involuntary residential facilities, including private immigration detention centers and certain youth facilities; supporters cited unsafe and inhumane conditions, while county probation officials objected to duplicative oversight for secure youth treatment facilities. The committee took votes on each measure, and the bills and resolution advanced, with SB 1309 and SB 1284 moving on amended and the others also reported out; the consent calendar was approved as well.

Transcript Highlights:

• So the tax has performed at a higher level in the 2024 tax year, paid in 2025.
• From an audit that we had in terms of whether these children could be claimed at the 65% level or the
• From an audit that we had in terms of whether these children could be claimed at the 65% level or the
• From an audit that we had in terms of whether these children could be claimed at the 65% level or the
• Facilities, and then there's the audit requirement.

Keywords: 1189, house, all

Summary: The House Finance Division 3 work session continued its review of the Department of Health and Human Services’ Medicaid budget and related policy issues, with CFO Nathan White and Medicaid Director Henry Litman presenting updated materials. The discussion focused on a crosswalk between the adjusted FY 2025 Medicaid budget and the governor’s FY 2026 recommendation, plus handouts showing service additions, eligibility changes, dental rates, and other Medicaid changes since 2019. The department also said it would provide a clearer breakdown of the pharmacy cost-sharing item by general, federal, and other funds. Members asked detailed questions about the Medicaid enhancement tax, the 80% plan, and how funds are allocated between hospital payments, directed payments, and DSH uncompensated care. The department explained that the MET is being used more toward rates and directed payments to better align with federal matching rules, while DSH remains important for uncompensated care. They also noted that a pending Senate Bill 249 would keep the 80% structure and move to Senate Finance. On the trigger law, the department identified the governing provision as Chapter 342:12, Laws of 2018, and explained that if the federal match for Medicaid expansion falls below 90%, the state must notify legislative leaders and participants and the program would sunset after 180 days unless the legislature acts. The committee also reviewed current Medicaid expansion enrollment and program trends. Officials said enrollment was just under 59,000 as of March 3, with about 87,000 people enrolled over the past year and more than a quarter-million residents having used the program over its lifetime. They said enrollment has fallen from a post-pandemic high of nearly 97,000 and may eventually settle in the low 50,000s. Finally, the department discussed federal DSH funding risk, saying New Hampshire could face a significant reduction if Congress does not extend current protections, which is part of why the state has shifted more funding toward payment rates and directed payments.

Transcript Highlights:

• <00:26:03.559> 449 unit completed 350 dealer audits 449 unit completed 350 dealer audits 449
• inspection<00:26:05.039> station<00:26:05.440> audits<00:26:06.080> conducted<00
• :26:06.559> over inspection station audits conducted over inspection station audits conducted
• By statute, we are required to perform and provide three important services.
• performance performance strategy<01:25:59.239> um<01:26:00.239> and<01:26:00.480> the

Keywords: 928, house, all

Summary: The Transportation Committee met for an opening/orientation session in which members introduced themselves and explained their interest in the committee. Several members noted backgrounds in trucking, piloting, boating, motorcycles, road safety, or constituent concerns about transportation issues. The chair also noted several absent members and said the committee would first hear agency presentations before covering committee procedures. The Department of Safety gave the main presentation, outlining its seven divisions and how they relate to transportation policy and the Highway Fund. The assistant commissioner emphasized that Highway Fund revenue supports both the Department of Transportation and the Department of Safety, with collections coming largely from the road toll/gas tax, DMV fees, and the new electric vehicle surcharge. He also noted that 12% of Highway Fund revenues go to local road repair through the DOT Betterment Fund, and warned that the fund has had a structural deficit for several biennia, requiring General Fund transfers that may be uncertain this session. He said the department aims to provide data and fiscal context on legislation and fiscal notes. State Police then provided a detailed overview of its structure and operations, including the Operations Bureau, Investigative Services Bureau, and Justice Information Bureau. Testimony highlighted Troop G’s role in vehicle inspections, commercial motor vehicle enforcement, fraud investigations, and consumer complaint handling, as well as statewide staffing shortages. The division reported rising calls for service, motor vehicle stops, DWI arrests, and other arrests despite a vacancy rate of about 17%. It also described aviation, K-9, bomb squad, special events response, SWAT, narcotics, major crime, forensic laboratory, and other specialized units, with statistics on drug seizures, investigations, and lab workload. No votes or formal committee actions were taken during this portion of the meeting.

Transcript Highlights:

• A lot of the other countries do perform more services inpatient.
• The insurer has every incentive to deny the claim, and the provider now has every incentive to perform
• And you can see some examples here on how that's driven where procedures are performed.
• Performed.
• I totally agree that there needs to be teeth and more audit of this stuff.

Keywords: 1184, house, all