Video & Transcript Research : 'protest process'
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KY
Kentucky 2025 Regular Session
Senate Standing Committee on Judiciary (2-13-25)
Transcript Highlights:
- Well, that doesn't answer my question, uh, because you talked about a different process, and I'll get
- In section one, it sets forth the process on the determination of high-acuity youth and the process to
- Section one sets forth the process for the determination of high-acuity youth and the process to determine
- Youth and uh sets forth the process Youth and uh sets forth the process where<00:39:58.599>
they - <00:42:03.119>
in we get the mental health um process in we get the mental health um process
Keywords:
Meeting Start: 00:00:00
Roll Call: 00:00:04
SB 02: 00:01:37
Discussion in Opposition to SB 02: 00:09:49
SB 84: 00:22:19
SB 111: 00:30:35, 958, all
Summary:
The committee first considered Senate Bill 2, sponsored by Senator Mike Wilson, which would prohibit incarcerated people from receiving cross-sex hormones or gender-affirming surgeries, while allowing a tapering period if stopping an existing treatment would cause physical harm. Wilson said the bill was needed to prevent the Department of Corrections from providing such care by memo or policy rather than statute, and he argued the care was elective and not medically necessary. Senators Thomas, Neal, Nemes, Styers, and others questioned whether any gender-affirming surgeries had actually occurred in Kentucky, whether the hormone treatments were physician-prescribed, and whether the bill would override medical judgment; Wilson said the department reported no surgeries, that 67 incarcerated people were receiving cross-sex hormone therapy, and that he would only support treatment if it fit the bill’s narrow medical-harm exception.
Public testimony on SB 2 was strongly opposed. Chris Hartman of the Fairness Campaign said the bill would deny medically necessary care, violate the Eighth Amendment, and target a very small and vulnerable incarcerated population. Dr. Jack Skilles testified that gender-affirming care is medically necessary and supported by major medical organizations, warning that denying it could worsen mental health and lead to suicidality. Hannah Callahan, a transgender woman, described being denied hormone therapy while incarcerated and said the interruption caused severe physical and mental harm, including suicidal thoughts. Emma Curtis, Lexington’s Fourth District councilwoman, also urged a no vote, framing the issue as a matter of compassion and religious duty.
The committee then voted on SB 2. Senator Neal explained his no vote by saying he was not medically trained and deferred to doctors; Senator Nemes said he wanted clarification that the bill would not stop ongoing treatment; and Senator Styers argued the bill was a poor priority and noted there was no fiscal note and that only 67 people were affected. Senator Wheeler moved the bill, Senator Reed seconded, and the committee reported Senate Bill 2 favorably. Afterward, the committee began hearing Senate Bill 84, sponsored by Senator Steve Rawlings, which would limit judicial deference to state agency interpretations and require courts, not agencies, to interpret ambiguous laws, citing the U.S. Supreme Court’s 2024 Loper Bright decision overturning Chevron deference.
TX
Transcript Highlights:
- Witness: I will speak to the process, the regional water planning process.
- So it's an ongoing iterative process.
- And- Kim Nygren: -something to note with both the landowner petition process and the PGMA process is
- a process that currently isn't funded.
- So there are processes. There's a process in place that you've heard about, the PGMA process.
MN
Minnesota 2025-2026 Regular Session
House Human Services Finance and Policy Committee 3/12/25
Human Services Finance and Policy
Transcript Highlights:
- In our approach, having an RFP process, a request for proposal process, is to look at what's in the best
- In our approach, having an RFP process, a request for proposal process, is to look at what's in the best
- a request for prop proposal process a request for prop proposal process<00:09:21.480>
is <00:09 - RFP process that we do have a a process RFP process that we do have a a process in<00:09:50.880>
- You said new way of doing the background studies—do we have that process in a legislative process?
MN
Transcript Highlights:
- and the solicitation process.
- the process earlier than that traditional design-bid-build.
- the process earlier than that traditional design-bid-build.
- the process earlier than that traditional design-bid-build.
- <00:46:00.599>
uh um in the in the selection process uh um in the in the selection process
FL
Transcript Highlights:
- process.
- And that's their measurement process.
- And that's their measurement process.
- So that's kind of the beginning of the process on our reappraisal process each and every year.
- It's going to be a slow process. Like Mike said, it's maybe a slow process.
Summary:
The Committee on Finance and Tax met with a quorum present and heard a presentation from the Property Appraisers Association of Florida on ad valorem valuation, exemptions, and the property tax process. Lauren Levy reviewed the legal and historical framework of Florida property taxation, including Save Our Homes, the 10% cap on non-homestead assessments, portability, tangible personal property exemptions, TRIM notices, and the distinction between taxable value and millage rates. He emphasized that property appraisers are independent constitutional officers who assess just value, administer exemptions, and are overseen by the Department of Revenue, with values and exemptions generally determined as of January 1 and subject to challenge through the Value Adjustment Board or circuit court.
Mike Twitty described the mass appraisal process in Pinellas County, explaining how property appraisers value large numbers of parcels using the same core approaches as fee appraisals but with statistical testing, field reviews, aerial imagery, and technology. He discussed the importance of budget, staffing, and the January 1 valuation date, and noted that recent hurricanes caused significant damage, increased petitions, and required new procedures to help property owners with value reductions and FEMA-related issues. Paul Polk focused on Department of Revenue oversight, explaining sales ratio studies, uniformity measures such as COD and PRD, time adjustments, sales qualification reviews, and in-depth studies that can lead to corrective action if assessment standards are not met. He also noted that the Department reviews property appraiser budgets to preserve independence from county pressure.
Senators asked about the supersized homestead concept, DOR review and rejection standards, value trends, and the impact of storms and new construction on taxable value. Twitty and Polk said value growth has been driven by a mix of new construction, market appreciation, cap resets, and storm-related adjustments, while noting that some counties saw market value decline even as taxable value rose. They also said some property tax relief proposals would be easier to implement than others depending on how local tax bills are structured, especially where law enforcement millage is separately identified. No votes were taken on legislation, and the committee adjourned after the presentation.
CA
Transcript Highlights:
- Thanks for sharing that and some of the process.
- And that is what this entire process is about.
- The second is remote processing as part of the Board’s sunset review.
- the conversation with you through this process.
- the conversation with you through this process.
Summary:
The joint Assembly and Senate business committees held a sunset review hearing on the California State Board of Pharmacy, with board leadership describing the board’s consumer-protection role and its priorities around access, enforcement, and updating pharmacy law. The board emphasized a proposed shift toward a standard-of-care model for pharmacists, arguing it would reduce rigid protocol requirements and improve access to services such as HIV PrEP/PEP, contraception, and naloxone. Board representatives also discussed pharmacy deserts, possible fee waivers for pharmacies in underserved areas, concerns about payer practices contributing to closures, continuing education audits, and a request to restore more flexibility in licensure decisions and probationary monitoring for applicants with certain criminal histories.
A major focus of the hearing was the board’s ongoing compounding regulations, especially the treatment of sterile versus nonsterile compounding and substances such as glutathione and methylcobalamin. The board said the proposal was not a ban on those substances and described the rulemaking as grounded in federal law, USP standards, and public comment, noting the process had gone through multiple modified texts and hearings. Testimony from stakeholders was sharply divided: pharmacists, veterinarians, firefighters, naturopathic doctors, and patient advocates warned the rules were restricting access to compounded medications and harming patients and first responders, while the California Medical Association, psychiatric physicians, and PhRMA raised concerns that the board’s proposals could expand pharmacist authority beyond training, affect physician practice, or create safety risks. Other public comments addressed pharmacy technician ratios, remote processing, flavoring medications, hospital-specific regulation, budget and enforcement transparency, and whether the board should add members with community compounding or pharmacy technician expertise.
Committee members also asked about the board’s oversight priorities and the rationale for its standard-of-care proposal. Board staff explained that consumer protection includes education, licensing, policy, and enforcement, with the highest-priority enforcement cases being those posing imminent public harm. After public testimony concluded, the chairs thanked participants and adjourned the sunset review hearing, announcing an immediate transition to the joint informational hearing on the Department of Cannabis Control.
MN
Minnesota 2025-2026 Regular Session
Fraud Committee Meeting - 2025-10-14
Fraud Prevention and State Agency Oversight Policy
Transcript Highlights:
- That point in the process could be permitted to vote.
- So I think that will be a good insight into that process.
- So that impacts, I think, and reflects how the process works.
- That is how the process is designed.
- It's just part of the process. So I don't, I've always thought.
WA
Washington 2025-2026 Regular Session
House Local Government Jul 9th, 2025
Transcript Highlights:
- And we do need to simplify that process. So I'm hearing what you're saying.
- We typically have three rulemaking processes we follow.
- Second of all, I think we can see that the public process is exhaustive.
- Inclusive in that is, of course, the public process that does that.
- And there is a process that some cities, the city of Seattle, has a clear process of how you go through
Summary:
The committee heard first from Ferndale city officials and a representative of FutureWise on annexation planning. Ferndale described its “annexation blueprint” or phased annexation plan as a way to tie urban growth area planning, capital facilities, and eventual annexation together earlier in the process. Speakers argued that counties often allow incremental development in urban growth areas without city-level standards, impact fees, or coordinated infrastructure planning, which can leave cities and taxpayers with higher future costs and make annexation less likely. Members raised questions about fire districts, county revenue loss, and whether annexation incentives or interlocal revenue-sharing agreements could help. FutureWise supported requiring annexation phasing in countywide planning policies, using pre-annexation agreements, and applying city standards in urban growth areas to make annexation more predictable and less contentious.
The committee then received a primer and update from the State Building Code Council (SBCC). Staff explained the council’s composition, standing committees, technical advisory groups, and rulemaking process, including normal, expedited, and emergency rulemaking. They described the ongoing 2024 code cycle and the separate work underway on Senate Bill 5491 and related legislation concerning single-stair residential buildings and multiplex housing. Members discussed how the legislature can better direct the SBCC, the difference between prescriptive and performance-based code approaches, and the importance of involving technical experts early. The SBCC also addressed concerns about the wildfire urban interface code, noting that problems arose when code language and maps were developed on different timelines and applied to urban areas in ways that were not anticipated.
Several members asked about regional differences, especially energy code impacts in eastern Washington and the role of natural gas. SBCC representatives said the council can use climate zones and appendices for some regional variation, but statewide statutory targets still constrain the energy code. They emphasized that the council is largely reactive to legislative direction and public proposals, and that clearer legislative intent would help avoid ambiguity in future code development. No votes were taken during this portion of the meeting.
TX
Transcript Highlights:
- So it's a really lopsided process.
- And the process is... But the process is... It's three lines.
- We're in the process of reviewing those.
- It's not a rulemaking process.
- It's not a rulemaking process.
Keywords:
impact fee, moratorium, local government, Texas legislation, infrastructure funding, municipal utility district, eminent domain, bonds, assessments, infrastructure, Texas Commission on Environmental Quality, Harris County, Municipal Utility District, territory exclusion, debt service taxes, property taxation, condemnation, property acquisition, real property, appraisal reports
CA
California 2025-2026 Regular Session
Assembly Environmental Safety and Toxic Materials Committee Apr 29th, 2025
Environmental Safety and Toxic Materials
Transcript Highlights:
- Process foods are part of a healthy diet and AB 1264 does not prohibit schools from offering processed
- Processed foods or UPS are different from processed foods because they combine industrial ingredients
- The bill only requires when the public process starts.
- It's the beginning of the process, not the end date.
- up a new one this is it's a very very long process it is not an insignificant amount of process for
KY
Kentucky 2025 Regular Session
Senate Standing Committee on Agriculture (2-18-25) - Reupload
Transcript Highlights:
- now have uh about five major processing now have uh about five major processing facilities<00:04
- They process week. And I'll repeat that.
- and further processing opportunity.
- and further processing opportunity.
- People working in these processing plants. This is a great opportunity to do that.
Summary:
The Senate Standing Committee on Agriculture met with a quorum and adopted a committee substitute for Senate Bill 28, which would create a framework for the $5 million in agricultural economic development funding included in the 2024 budget. Commissioner of Agriculture Jonathan Shell testified that the bill is intended to support agriculture-focused economic development, especially processing and further processing projects, by giving the Department of Agriculture tools to identify opportunities, convene partners, and offer incentives. He emphasized the role of the new economic development division in the department and said the effort is meant to complement, not replace, the work of the state Economic Development Cabinet.
Shell and several senators described the bill as a rural development tool aimed at helping smaller communities attract projects that fit their scale. He cited examples such as poultry processing, grain and elevator operations, milling, and specialty crop ventures, arguing that local processing can create jobs, strengthen markets for farmers, and keep more value in Kentucky. Senators discussed the need for return-on-investment metrics and clawback provisions for unsuccessful projects, and Shell said the framework includes those concepts. He also said the department is working on opportunities in sustainable aviation fuel, biofuels, and other markets that could bring more acres into production.
Members also raised questions about small-farm innovation, raw milk, and direct-to-consumer opportunities. Shell said raw milk testing and related consumer protection issues are more closely tied to the University of Kentucky and the department’s consumer/environmental protection functions than to the bill’s economic development focus, but he said the department can help expand small-farm programs such as Kentucky Proud, Buy Local, KOAP, CAP, food-as-medicine efforts, LFPA, and farm-to-school initiatives. The discussion also turned to beef processing and feedlot development, with Shell saying Kentucky wants a beef processor but first needs to prove it can feed cattle at scale; he said changing conditions in western states could create an opening for Kentucky if it can build the necessary supply chain.
CA
California 2025-2026 Regular Session
Assembly Utilities and Energy Committee May 13th, 2026
Utilities and Energy
Transcript Highlights:
- They do have a process. They do have a process. Not been auditing whether they actually do it.
- They do have a process that's like a couple years later.
- process, in order to make that a viable... ...alternative to a protracted litigation process.
- The Office of Energy Infrastructure Safety has a public process that looks at that.
- Can you explain or clarify the audit process for us? Sure. Thank you.
Summary:
The Assembly Committee on Utilities and Energy held a hearing on the California Earthquake Authority’s SB 254 report and possible reforms to California’s utility wildfire recovery system. The chair framed the discussion around the Palisades and Eaton fires, the high and growing wildfire-related costs on utility bills, and the need to weigh tradeoffs among survivors, ratepayers, utilities, insurers, and taxpayers. The chair emphasized that the SB 254 report is an inventory of policy pathways rather than recommendations, and that the Legislature’s role is to evaluate the options publicly.
The first panel featured wildfire survivors William Abrams and Joy Chen, who described severe ongoing displacement, housing insecurity, delayed compensation, and frustration with what they characterized as opaque and unfair compensation structures. They argued for greater transparency, clearer accountability for utilities, stronger oversight of wildfire mitigation spending, and incentives tied to safety performance. They also urged faster survivor payments, but only if they are full, fair, and not financed by shifting more costs to taxpayers or ratepayers. Committee members asked about gaps in the SB 254 report, the meaning of “full” compensation, and how a fast-pay facility might work.
The second panel included the California Earthquake Authority, RAND, PG&E, LADWP, Consumer Attorneys of California, and the Public Advocates Office. Tom Welsh of CEA explained the report’s process and the current wildfire fund structure, including that utilities remain liable, the fund reimburses eligible claims, and prudency reviews can require reimbursement to the fund. RAND’s Lloyd Dixon outlined how roughly $38 billion has been paid to survivors, insurers, and public entities since 2017, and noted substantial litigation costs and cost-shifting among stakeholders. Utility representatives supported reforms that preserve financial stability and reduce risk, while consumer and public-interest advocates opposed shifting more costs to ratepayers and stressed accountability, audits, and safety-linked recovery. No votes or formal actions were taken in the hearing.
MN
Transcript Highlights:
- <00:26:18.200>
he <00:26:18.360>ran under this process he ran under this process he - <00:49:12.200>
the chair so isn't the runoff process the chair so isn't the runoff process - election so that's how that process election so that's how that process plays<01:01:39.480>
sen - because the standard election process because the standard election process would<01:14:13.239><
- <01:20:15.600>
as continuing to count in that process as continuing to count in that process
HI
Hawaii 2025 Regular Session
CPN-EIG, CPN-HHS, CPN DEFER Public Hearings 02-11-2025
Commerce and Consumer Protection
Transcript Highlights:
- It's a process to go back.
- <00:19:32.159>
and to kind of shareholder processing and to kind of shareholder processing - Providing an expedited process.
- andcome process you talk about in here andcome process you talk about in here saying<00:40:19.440>
- ...as we're doing our rates process or any other process, we have to weigh the interest of everybody,
Summary:
The joint Senate hearing focused primarily on SB 1201, a wildfire measure that would create a wildfire recovery fund and allow securitization for electric utilities. Hawaiian Electric strongly supported the bill, saying it would help protect customers, property owners, insurers, and the broader economy from future catastrophic wildfire liability while improving the utility’s credit profile and lowering financing costs. Support also came from DCCA Consumer Advocacy, the Attorney General’s office on written comments, Ulupono Initiative, Clearway Energy Group, IBEW Local 1260, Par Hawaii, KIUC, the Chamber of Commerce Hawaiʻi, Plus Power, and numerous organizations and individuals. Opponents or commenters raised concerns about the liability cap, victim compensation process, and fund structure, including the Hawaiʻi Association for Justice, the Hawaiʻi Regional Council of Carpenters, and the Hawaiʻi Insurance Council; Henry Curtis of Life of the Land supported the concept of a fund but questioned the catastrophe threshold and whether the fund would be empty without a prudency finding.
Much of the discussion centered on whether the proposed fund would actually help restore Hawaiian Electric to investment grade, with senators comparing the proposal to California’s wildfire fund. Hawaiian Electric said the bill was only one part of a broader process, alongside physical risk reduction and settlement finalization, and argued that without the bill the utility would not regain investment grade. Senators also questioned the proposed $1 billion fund size, the fairness of ratepayer contributions versus shareholder contributions, and whether customers should pay for consulting and administrative costs; Hawaiian Electric said its proposed amendment would remove those consulting-related charges. The company also said the fund would accrue interest and, if unused, could be returned to customers, and that there would be replenishment and supplemental contribution mechanisms if the fund were exhausted.
The Attorney General’s office said it still had further amendments to discuss, and the departments had not yet resolved where the fund should reside administratively, though Hawaiian Electric said it believed DCCA was the appropriate place but was open to alternatives. KIUC requested two amendments. No vote or final committee action was taken during the hearing, and the measure remained under discussion with questions and proposed amendments still outstanding.
MN
Minnesota 2025-2026 Regular Session
House Public Safety Finance and Policy Committee 3/4/26
Public Safety Finance and Policy
Transcript Highlights:
- <00:09:32.160>
is reconsideration review process is reconsideration review process is necessary - doing justice and ensuring due process doing justice and ensuring due process is<00:25:11.520>
have different rule making processes? have different rule making processes?- is a very slow process.
- public confidence in the permit process. public confidence in the permit process.
Keywords:
Capitol security, public safety, emergency management, state buildings, law enforcement, corrections, legislative approval, rule-making, financial impact, jail regulations, expungement, firearm eligibility, criminal records, organized retail crime, retail theft, supply chain theft, theft enterprise, organized theft, cargo theft, shoplifting
NM
Transcript Highlights:
- health processes, including competency diversion.
- I do think, just as you go through the process, you know, really noting what kinds of process protections
- Madam Chair, Representative, no, this process—the assisted outpatient treatment process—is only civil
- What's the process if that client can't be represented by counsel?
- I have a lot of questions as it relates to process or proposed changes. process and the differentiations
ND
North Dakota 2026 1st Special Session
Government Finance Committee Jun 25th, 2026 at 10:00 am
Government Finance Committee
Transcript Highlights:
- When state facilities do not participate in the local building process, permitting process, local officials
- and plan review process has been.
- do not participate in the local building process, permitting process, local officials are no longer
- and plan review process has been.
- And so there's more to the process.
ND
North Dakota 2026 1st Special Session
Government Finance Committee Jun 25th, 2026
Government Finance Committee
Transcript Highlights:
- be a process to.
- and plan review process has been.
- do not participate in the local building process, permitting process, local officials are no longer
- and plan review process has been.
- The fee process in the community development and build What Chief Lorenz said, the fee process in the
Summary:
The committee first received a general fund and revenue update from the Office of Management and Budget. Staff reported that the state started the biennium about $176 million above prior estimates, but year-to-date revenues were now running below legislative forecast, mainly due to lower individual income tax and sales tax collections. The budget stabilization fund was above its cap, the legacy fund continued to grow, and oil revenues were slightly above forecast overall. Members also asked about federal funding uncertainty and mineral leasing variability, and OMB said agencies would be asked to address potential federal reductions case by case during budget preparation.
The committee then reviewed compliance reports and trust fund analysis materials, followed by a bill draft for a fixed-route city transportation grant program. Testimony from transit officials in Fargo and Minot supported the proposal, saying state aid would help match federal transit funds and support operations, but members raised questions about the funding source, fare structures, and whether the program should be limited to the current four fixed-route cities or allow future eligible cities. Several members asked for more time to study the formula and possible funding options before moving the bill forward.
Next, the committee approved a bill draft repealing obsolete language related to a proposed North Dakota-South Dakota bi-state authority. Staff explained the provision had been unused for about 30 years and that existing law likely already allowed joint powers agreements without the specific language. The committee voted to adopt the repeal bill draft.
The Department of Commerce and the Northern Plains UAS Test Site then provided an update on uncrewed aircraft system initiatives, including the Vantis radar data enclave, the drone replacement program, and future revenue models. Officials said North Dakota had received FAA approval to operate the radar data pathfinder, had begun replacing non-compliant drones from restricted foreign sources, and was working on phased procurement and cost-recovery plans. Members asked about deadlines, funding, supply-chain issues, and how the system would be used; staff said the federal restrictions were already in effect and that Vantis was being positioned as infrastructure for future beyond-visual-line-of-sight operations.
Finally, the Department of Corrections and Rehabilitation presented on the design of a new minimum-security prison and on a reentry housing task force. The new facility is planned for the penitentiary grounds, with a reduced estimated cost of about $263 million, 600 beds initially, possible expansion to 732 beds, and completion projected around 2031 if funded in 2027. The reentry housing task force described a data-driven effort to identify housing needs for people leaving incarceration, with the goal of reducing homelessness and recidivism through targeted housing support and possible subsidies. Members asked about staffing, site selection, housing duration, and whether employment and transportation needs would be included in the assessment.
CA
California 2025-2026 Regular Session
Assembly Insurance Committee Jul 2nd, 2025
Transcript Highlights:
- We are the only state in the nation that has this process.
- And that only delays a process, which only ultimately hurts consumers.
- And under that plan, or the process of that, your department...
- One would be the timeliness of the rate filing process.
- One would be the timeliness of the rate filing process.
Summary:
The Assembly Insurance Committee held its fifth oversight hearing on the California Department of Insurance’s Sustainable Insurance Strategy (SIS), with Commissioner Ricardo Lara providing an update on implementation. Lara said the department has finalized major reforms, including new catastrophe modeling tools, faster rate review procedures, use of forward-looking data tied to mitigation, and modernization of the FAIR Plan. He argued the strategy is intended to improve insurance availability in wildfire-prone areas, increase transparency, and stabilize the market, while also criticizing consumer intervenor groups and saying the department will tighten rules on intervener compensation and relevance.
Members questioned Lara about when the SIS would begin producing visible market changes, how long rate filings would take to approve, and what the FAIR Plan modernization would mean for consumers’ costs. Lara said catastrophe model approvals should be completed by the end of the month, insurers are expected to begin submitting SIS filings in the coming weeks, and rate reviews have already been reduced from 281 days to 71 days. He also discussed a new market conduct investigation into State Farm’s handling of wildfire claims, ongoing complaints about smoke-damage claims, and a newly created smoke claims and remediation task force to develop standards. Lara said the department has helped more than 12,000 wildfire survivors, with over 38,000 claims filed and more than $17 billion paid, and that it is also working with other western states on underinsurance issues.
Public commenters from the insurance industry, homebuilding, and insurance brokerage sectors largely supported the SIS and the department’s efforts, saying the reforms are needed to restore availability and stability. They emphasized the importance of timely rate approvals, FAIR Plan solvency, and greater transparency, and several noted that member companies are preparing to use the new filing process. The hearing ended without a vote or formal action, though members and the commissioner discussed ongoing legislative needs, including AB 226 and possible future FAIR Plan transparency measures.
KY
Kentucky 2025 Regular Session
House Standing Committee BR Sub. on Health & Family Services (2-26-25)
Transcript Highlights:
- conviction through the judicial process conviction through the judicial process um<00:13:50.279>
- <00:26:10.919>
in MCO level U but we do have processes in MCO level U but we do have processes - um during the payment suspension process um during the payment suspension process and<00:29:26.679
- an RFP Pro request for proposal process an RFP Pro request for proposal process we<00:36:53.599>
- I'm sorry we got you sort of truncated and go through that process, but, you know, it's a big process
Summary:
The subcommittee met to review the Department for Medicaid Services’ program integrity work. Commissioner Lisa Lee and Program Integrity Director Jennifer Dudinsky outlined Kentucky Medicaid’s structure, funding, enrollment, and spending, including FMAP rates, the size of the Medicaid and KCHIP populations, the number of providers, and 2024 expenditures. They also described the managed care and fee-for-service populations, noting that managed care serves most members while fee-for-service is concentrated in long-term care and waiver populations.
Most of the discussion focused on fraud, waste, abuse prevention, and provider oversight. The department described its provider enrollment and certification checks, revalidation requirements, site reviews, fingerprinting for some high-risk providers, and termination grounds such as false application information, Medicare actions, unreported ownership changes, and abandonment of a provider number. Members asked about nonprofit ownership reporting, MCO fraud oversight, and how the department tracks unusual CPT code utilization, especially in behavioral health. The department said it uses data analytics, audits, policy review, and collaboration with behavioral health staff to monitor those trends.
Dudinsky explained the division’s four branches: provider licensing and certification, audits and compliance, recovery, and third-party liability/estate recovery. She described prepayment and postpayment audits, referrals of credible fraud allegations to the Attorney General, monthly meetings with the AG’s office, and coordination with the Office of Inspector General, CMS, HHS OIG, MCOs, and other partners. She also explained payment suspensions, stand-downs during law enforcement investigations, and recovery efforts for overpayments, provider/member fraud, and third-party liability. The department said its recovery and avoidance efforts produced more than $251 million in savings so far in 2025. No votes or formal actions beyond approving the minutes were taken.