Video & Transcript Research : 'client consent'
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NH
New Hampshire 2025 Regular Session
House State-Federal Relations and Veterans Affairs (01/17/2025)
State-federal Relations and Veterans Affairs
Transcript Highlights:
- We have about 9,000 active clients right now, and we bring about $100 million into the state through
- die in a war that they don't believe in, and I don't think that they should be punished for not consenting
- die in a war that they don't believe in, and I don't think that they should be punished for not consenting
- fiscal note mentions what is known as the Montgomery amendment of 10 USC 12301 F, which states the consent
- fiscal note mentions what is known as the Montgomery amendment of 10 USC 12301 F, which states the consent
HI
Transcript Highlights:
- in the bill as a Department of Corrections and Rehabilitation responsibility and made it a Adult Client
- in the bill as a Department of Corrections and Rehabilitation responsibility and made it a Adult Client
- So I kind of like the Adult Client Services because they actually have all sorts of connections with
- So I kind of like<00:56:07.040>
the <00:56:07.359>adult <00:56:07.760>client <00: - <01:45:25.280>
services to uh then remove adult client services to uh then remove adult client
Keywords:
students with disabilities, individualized education programs, emergency plans, evacuation procedures, support services, Hawaii education law, HB2343, Maui State Veterans Home, veterans home, veterans, long-term care, skilled nursing, rehabilitation, hospice, Alzheimer's care, respite care, assimilate, transfer deadline, Act 99, Session Laws of Hawaii 2024
Summary:
The committee heard House Bill 1997, which would require IEPs for students with disabilities to include individualized emergency accommodations and evacuation supports. The Attorney General’s office supported the intent but recommended amendments to explicitly include students with Section 504 plans and to change references from “department schools” to “public schools” so charter school students are covered. Testimony in support came from disability advocates and several individuals, including Peter Fritz, who said emergency evacuation planning should be made explicit because it is not clearly required by federal law, and Ka Swan, who emphasized student safety during emergencies. No vote or final action was taken on the bill in the transcript.
The committee then took up House Bill 2343, relating to the Maui State Veterans Home. The measure would repeal a deadline for transferring the home to a state agency with a Maui affiliation and instead require the transfer to occur as soon as practicable. The Department of Defense, the Office of Veterans Services, HHSC Oahu Region, and several individuals testified in support. Committee members asked whether a more definite deadline should be used, but the department said the open-ended language was preferable because the Maui entity is not yet ready and Oahu is currently providing oversight. No vote or final action was recorded.
House Bill 2566, authorizing special license plates for Hawaii Civil Air Patrol members, was also heard. The City and County of Honolulu Department of Customer Services testified in opposition, while Johnny Perry testified in support. The committee did not take a vote in the transcript.
Finally, the committee heard House Bill 2493 on wrongful imprisonment compensation procedures. The Attorney General’s office opposed the bill, arguing it would create an automatic payment mechanism without a sufficient finding of actual innocence, could trigger payments within five days of dismissal, and raised concerns about insufficient time for prosecution review and about funding and appropriation issues. Supporters, including people who said they had been wrongfully convicted and later found actually innocent, argued the bill would reduce delays and help released individuals survive while awaiting compensation. Judiciary staff requested technical amendments and said operational details still needed review. Members questioned the AG about the meaning of “actual innocence,” burden shifting, and whether the bill would better define the standard, but no vote or final action was taken.
MS
Mississippi 2026 Regular Session
Judiciary, Division B - Room 409, 28 January, 2026; 9:00 A.M.
Judiciary, Division B
Transcript Highlights:
- I got some testimonials from them about can you give me some real life testimonials of why your clients
- of why your clients are now in<00:42:32.960>
your <00:42:33.119>care <00:42:33.520> - expungements kicked back maybe<00:46:10.800>
when <00:46:10.960>a <00:46:11.200>client - /c><00:46:11.440>
wasn't <00:46:12.400>100% <00:46:12.880>truth maybe when a client - wasn't 100% truth maybe when a client wasn't 100% truth >> [laughter] >> [laughter] >
Summary:
The committee first took up Senate Bill 21104, a Gaming Commission criminal penalties bill presented by Commissioner Jay McDaniel. He said the measure is essentially the same as a bill passed by the Senate last year and would keep penalties low for people merely playing gaming, but make it a felony for operators of illegal online gaming platforms, with a $100,000 fine per conviction and forfeiture authority for funds tied to the crime. The committee substitute was described as clarifying that the penalties target the operator rather than the platform being used. After no questions, the committee moved and adopted the bill.
The committee then heard three Department of Public Safety bills from Commissioner Tindle. Senate Bill 2232 would raise seat belt fines from $25 to $100 and direct the additional revenue into existing driver education-related funds, with the stated goal of supporting driver education programs and improving teen road safety. Members asked about the revenue impact and whether the money would be appropriated back to the department and schools; Tindle said the funds would still be subject to legislative appropriation. The bill was moved and adopted, though some members raised concerns about redirecting local fine revenue.
Senate Bill 2314 was described as a cleanup bill for driver’s license statutes, updating outdated references, removing obsolete paperwork requirements, allowing first-class mail and optional digital notice through mobile ID, and reflecting the department’s move from Jackson to Pearl. Members questioned whether first-class mail could shorten response time for suspension notices and how mobile ID notices would work; Tindle said the change was intended to save money and allow electronic notice if users opt in. The committee also adopted this bill. Senate Bill 2817 would reorganize DPS by consolidating several divisions into a new Mississippi State Bureau of Investigations, combine equipment and software purchases, raise autopsy fees from $1,000 to $1,200, increase salvage title inspection fees from $75 to $125, and open a broader discussion about the Highway Patrol’s future role. It was also moved and adopted. The committee then heard Senate Bill 2230 from Senator Hill, which would extend electronic warrants to misdemeanors; members discussed efficiency, warrant databases, and Fourth Amendment concerns, but no final action on that bill was shown in the excerpt.
KY
Kentucky 2025 Regular Session
Interim Joint Committee on Licensing, Occupations, & Administrative Regulations (10-23-25)
Transcript Highlights:
- may add, we did hear from someone who is a dietitian in Louisville, and she can't currently serve clients
- and she can't currently serve clients and she can't currently serve clients who<00:15:20.160>
- <00:27:02.880>
Some <00:27:03.039>of <00:27:03.200>our <00:27:03.360>clients - Some of our clients that just a little.
- Some of our clients that have<00:27:04.320>
come <00:27:04.480>through <00:27:04.720>
Summary:
The committee met on October 23, 2025, approved the September 25 minutes, and heard several informational presentations on occupational licensing and workforce access. The first major topic was the dietitian licensure compact, presented by Rep. Vanessa Gracel, Whitney Duddy, and Caitlyn Bison. They said the compact would be revenue-neutral, improve licensure portability, support military families, expand telehealth and rural access, and preserve state regulatory authority. Testimony noted that 15 states had joined the compact, including Ohio and Tennessee, and that Kentucky would have a seat on the compact commission if it enacted the measure. Members asked about bordering states and possible telehealth competition concerns; witnesses said they had not seen evidence of harmful effects in other compacts and described the compact as expanding access rather than displacing local providers.
The committee then heard testimony on music therapy licensure, with Chris Millet, Laura Elliot Buckner, and Dr. Kimberly Cinemore speaking in support of Senate Bill 42. They described music therapy as a clinical, board-certified profession requiring formal education, supervised training, and national certification, and argued that state licensure would protect the public, clarify scope of practice, and help retain Kentucky-trained professionals. Witnesses said the bill would not require new state funding, could be administered through a self-sustaining licensing structure, and would not prevent others from using music in their work. In response to questions, they said licensure could help open doors to insurance, waiver, and HSA reimbursement, but would not guarantee coverage.
Finally, the committee heard testimony on expanding physician access through a provisional licensure pathway for internationally trained physicians. Adam Meyer of the Cicero Institute said Kentucky faces a severe physician shortage, especially in rural areas, and argued that qualified international physicians should not have to repeat residency if they meet strict criteria, including an employment offer, prior training and experience, good standing, U.S. exam passage, and a three-year provisional period before full licensure. Rapender Carr of Baptist Health supported the concept, saying it could help fill hard-to-recruit positions across the state and improve access in rural markets. No votes were taken on these policy topics during the meeting.
MA
Massachusetts 2025-2026 Regular Session
Joint Committee on Financial Services Jun 21st, 2026 at 10:30 am
Joint Committee on Financial Services
Transcript Highlights:
- The way the restoration companies and public adjusters go about engaging clients is listening to scanners
- It's been our experience with our clients. We don't have a lot of feedback like this.
- So that night, it's important to get with our clients and just explain to them what the process is going
- So that night, it's important to get with our clients and just explain to them, you know, what the process
- explained, when they have the fire, most typical people don't ever have a fire, which I have had clients
Summary:
The Joint Committee on Financial Services heard testimony on a wide range of insurance-related bills, with much of the discussion focused on affordable housing insurance, homeowners insurance practices, climate resilience, and consumer protections after property losses. Senators and representatives testified in support of a resolve to create a commission on affordable housing insurance (S. 768/H. 1279), arguing that rising premiums and deductibles are threatening the viability of affordable housing properties and new development. Supporters also backed bills to establish private flood insurance standards (S. 719), create climate-resilient home retrofit grants (S. 720), expand the MVP climate resilience program (H. 1310/S. 686), and protect urban trees and limit insurer-driven tree removals (H. 1316). Several lawmakers and advocates said these measures would help reduce risk, preserve insurability, and address the effects of increasingly severe storms and flooding.
The committee also heard testimony on bills addressing insurer use of aerial imagery (H. 1242/H. 2142) and notice periods for nonrenewals or repairs (H. 4042 and related measures). Supporters said insurers should be allowed to use drones and satellite images but with stronger guardrails, including current photos, disclosure of risk factors, an appeals process, and time to cure defects. They argued that homeowners are sometimes blindsided by nonrenewals based on inaccurate aerial photos or given too little time to make repairs. Opponents from the insurance industry said aerial imagery is already regulated by the Division of Insurance, that additional statutory requirements could create confusion and litigation, and that existing notice rules already provide 45 days for nonrenewals and 60-day limits on cancellations. Industry witnesses also warned that some proposed timelines conflict with current law and could restrict useful underwriting tools.
Another major topic was H. 1077, which would restrict solicitation by restoration companies and public adjusters at fire scenes. A homeowner described being approached immediately after a house fire by restoration and public-adjuster representatives and said the experience was intrusive and overwhelming; supporters said homeowners need time and space to make informed decisions after a disaster. Public adjusters and restoration contractors opposed the bill, saying they provide needed guidance, emergency mitigation, and claims assistance when homeowners are under stress, and that some existing protections already allow consumers to cancel contracts. The hearing ended after all listed witnesses testified, and the committee voted to close the hearing; no bill dispositions were taken during the session.
KY
Kentucky 2026 Regular Session
House Legislative Session Day 32 (2-23-26)
Kentucky House Floor Meeting
Transcript Highlights:
- You cannot use it to directly interact with clients in any form of therapeutic communication. >> You
- the lady for this really important bill, preserving the relationship between the therapist and the client
- We've all seen and heard and read horror stories where therapy bots have led clients to some very dark
- led stories where therapy bots have led stories where therapy bots have led uh<00:17:23.480>
clients - to some very dark and uh clients to some very dark and sometimes<00:17:25.720>
deadly <00:17:26.079
Summary:
The House convened with 96 members present, approved the prior journal, excused absences, and suspended rules to allow co-sponsorship and vote modifications. The Senate clerk reported passage of Senate Bills 39, 70, 80, 127, and 154 and requested concurrence. The House then took up several bills on third reading.
House Bill 168, relating to boating under the influence, was explained as “Keegan’s Law.” The sponsor said it would require law enforcement to seek a search warrant for blood testing of boat operators and improve notification so Fish and Wildlife officers are alerted more quickly after 911 calls involving incidents on waterways. House Committee Substitute 2 was adopted, and the bill passed 88-0. House Bill 455, relating to artificial intelligence and declaring an emergency, was amended by committee substitute and two floor amendments. Supporters said it clarifies that AI may not perform direct therapy, make independent therapeutic decisions, generate treatment plans without professional review, or detect emotions/mental state, while still allowing therapists to use AI as a tool. It passed 88-7. House Bill 185, relating to employment and occupational licensing for people with felony records, was described as allowing applicants to seek licensing before completing education and requiring a clear connection between an offense and the occupation; it passed 95-0. House Bill 249, relating to involuntary commitment, was explained as closing a gap in the law for mentally incompetent defendants accused of felony sex offenses; House Floor Amendment 1 broadened the qualifying offenses to all felony sex offenses under Chapter 510, and the bill passed 94-0.
After the floor action, the House received House Bill 1 back from committee for second reading and heard announcements, including committee meeting notices and a birthday recognition. A member also gave a Black history tribute to Garrett A. Morgan, highlighting his inventions and civic contributions. The House introduced a slate of new bills and resolutions, including measures on high-acuity youth medical treatment, data privacy, municipal utility service, tax credits for employers, campaign finance, infantile seizure disorder, commercial surrogacy, dentistry, paid leave for state employees, crimes and punishments, postnuptial agreements, local government, land use, alcoholic beverages, and several resolutions. The Committee on Committees and Rules Committee then reported referrals and posted bills for the next regular orders, floor amendments were introduced, and the House adjourned until 2:00 p.m. Tuesday, February 24, 2026.
MN
Minnesota 2025-2026 Regular Session
State Committee Meeting - 2025-04-08
State Government Finance and Policy
Transcript Highlights:
- We, in total, manage about $150 billion among a number of clients, including the three state pension
- originally put into effect and that we provide different levels of service and oversight for different clients
- changes are meant to simplify the end-of-year reconciliation process we go through with some of our clients
Bills:
HF2783
Keywords:
state government finance, biennial budget, appropriations, Minnesota Management and Budget, Healthy Aging Subcabinet, Office of Healthy Aging, older adults, aging policy, long-term care, caregivers, public health, Medicaid fraud, medical assistance fraud, attorney general subpoena power, fraud enforcement, business filing fraud, Secretary of State, deceptive mailings, consumer protection, certified public accountant
MN
Transcript Highlights:
- <00:15:02.000>
but casinos I didn't even have a client but casinos I didn't even have a client - began representing high-profile clients began representing high-profile clients and<00:15:26.000
- telling them well I have another client telling them well I have another client who<00:30:19.159
- I have had three clients attempt suicide four times, all related to gambling.
- last year I have had um three clients last year I have had um three clients attempt<01:29:53.679
MN
Minnesota 2025-2026 Regular Session
Gov. Tim Walz's tax bill, HF2437, heard in House Taxes Committee 4/2/25
Transcript Highlights:
- Many financial planning clients have the flexibility to seek services across state lines, which could
- Many financial planning clients have the flexibility to seek services across state lines, which could
- I want to just start Minnesota clients I want to just start by<00:50:46.359>
dispelling <00:50 - Many of our clients are seniors, immigrants, day laborers, and low-income families—the very taxpayers
- Federal-credentialed professionals like me can serve clients anywhere.
Summary:
The committee took up House File 2437, the governor’s proposed tax bill, and first adopted the A25-Z42 amendment to put the bill in the desired shape. Commissioner Paul Marquardt of the Department of Revenue then presented the bill as part of Governor Walz and Lieutenant Governor Flanagan’s budget, describing it as a response to budget pressures that would make the tax system more fair and stable while supporting economic development and jobs.
Marquardt walked through the bill’s major provisions. These included sustainable aviation fuel policy, repeal of K-12 education credit assignment, elimination of the political contribution refund, expansion of the research and development credit, short-line railroad infrastructure modernization, changes to the state airport fund levy, replacement of attachments and appearances with distribution systems, a narrow personal property tax exception for low-income housing tenants, reduced aquatic invasive species aid, and a 34% reduction in PILT payments. He then focused on the sales tax article, saying it would lower the statewide rate by 0.75% while expanding the base to selected professional services such as accounting, banking, brokerage, and legal services, with business-to-business transactions exempt. He said the proposal would be effective for sales and purchases after September 30, 2025, and estimated a first-year rate-cut impact of about $99 million versus $215 million from the service expansion, while arguing that most households would see a net tax cut. He also noted other changes such as landlord penalty adjustments, a 30% reduction in sustainable aviation fuel incentive payments, repeal of local government cannabis aid, and repeal of the tax filing modernization account.
Public testimony began with Kyle Playford of the Financial Planning Association of Minnesota, who strongly opposed the proposed sales tax on professional services, especially financial planning. He argued that financial planning is an essential service for retirement, investment, and long-term financial security, and said the tax would raise costs for consumers, reduce access for middle-class families, small business owners, and retirees, and put Minnesota firms at a competitive disadvantage. The chair then indicated that additional public testimony would continue before member questions.
AR
Arkansas 2026 Regular Session
PUBLIC HEALTH- HOUSE HEALTH SERVICES SUBCOMMITTEE Jun 25th, 2026
Transcript Highlights:
- proof of this, but I would assume if I were a defense attorney and I were wanting to buy time for my client
- proof of this, but I would assume if I were a defense attorney and I were wanting to buy time for my client
- So then they can't also treat those hard-to-serve clients.
- So then they can't also treat those hard-to-serve clients.
- I guess I'm just thinking as a provider, if I were going to go hang a shingle, I know the clients that
Summary:
The House Health Services Subcommittee met to approve the October 7, 2024 minutes and then shifted to a broad discussion of behavioral health policy, taking up work previously handled by a behavioral health working group. Representatives Wooldridge and Vaught described major gaps in Arkansas behavioral health care, emphasizing access problems, workforce shortages, rural service barriers, low reimbursement, and the need to move from a reactive crisis system to more proactive community-based care. Members discussed possible 2027-session priorities such as reducing red tape, improving provider licensing and supervision pathways, expanding billing codes and reimbursement structures, and considering interstate compacts and other workforce fixes.
A major focus was the state’s crisis and forensic system, including long waits for competency evaluations, the backlog at the Arkansas State Hospital, and the use of county jails for people awaiting treatment. DHS Director Paula Stone explained that Medicaid pays for most behavioral health services, but cannot pay for services in jails or state hospitals because those individuals are treated as inmates of public institutions, leaving state general revenue to cover much of that cost. She outlined DHS efforts including secured restoration beds, therapeutic communities, community mental health center contracts for jail-based services, and plans for an institution-for-mental-disease waiver that could allow Medicaid payment for certain hospital-based services.
Members also discussed crisis stabilization units, with DHS noting that Fort Smith and Jonesboro have been more successful than Fayetteville and Little Rock, largely because of location, partnerships, and law enforcement coordination. Questions covered reimbursement for county jails, step-down facilities, civil commitment options, non-emergency behavioral health transportation, and whether DHS should create a bed-availability dashboard similar to hospital systems. DHS said it does not currently have such a dashboard but is exploring the idea. The meeting ended with a commitment to continue the work, with more detailed discussion planned for August, and the subcommittee adjourned.
AR
Arkansas 2026 Regular Session
PUBLIC HEALTH- HOUSE HEALTH SERVICES SUBCOMMITTEE Jun 25th, 2026
Transcript Highlights:
- proof of this, but I would assume if I were a defense attorney and I were wanting to buy time for my client
- proof of this, but I would assume if I were a defense attorney and I were wanting to buy time for my client
- So then they can't also treat those hard-to-serve clients.
- I guess I'm just thinking as a provider, if I were going to go hang a shingle, I know the clients that
- I guess I'm just thinking as a provider, if I were going to go hang a shingle, I know the clients that
NM
New Mexico 2025 Regular Session
IC - Courts, Corrections and Justice Sep 23rd, 2025
Courts, Corrections & Justice Committee
Transcript Highlights:
- When the transport van drops off clients, we're engaged.
- We also have prioritized clients that we have when they're released.
- So when we look at our total client visits for fiscal year 25, almost 20,000 individuals visited during
- So while we invite community providers to come meet their clients at the time of release, they don't
- That system is still very new, and we're still looking at data, but we are seeing an increase when clients
TX
Transcript Highlights:
- career, I have sold hundreds of millions of dollars in real estate, building relationships with my clients
- During the campaign, political tensions escalated, and complaints were filed against me—not by clients
- These were not clients; these were former realtors themselves.
- Clients, whom I deeply respect and consider my friends.
- We are currently in litigation against the Arizona Association of Realtors because, as my client stated
Keywords:
minors, sexually explicit materials, public libraries, age verification, civil penalties, library collection review, alcohol storage, airline permits, beverage regulations, airport, commercial flights, alcoholic beverages, local option election, zoning regulations, municipality control, land use, state law, social media, bot accounts, misinformation
TX
Transcript Highlights:
- And you always make sure to give your clients a WPI-8 when you sell them the house. Yes, sir.
- the state money after the hurricane to ensure we can continue to provide windstorm insurance to our clients
- The insured is our client, and the insurance carrier is our trading partner.
- As a result, we always strive to keep our clients' best interests at the forefront of our services. .
- You know, spend taxpayer money, and I promise we'll do the best we can to save your clients money.
Bills:
HB778, HB 1266, HB1576, HB2213, HB2517, HB2518, HB2841, HB3306, HB3320, HB3388, HB3508, HB3520, HB3689
Keywords:
credentialing, healthcare, physician assistants, advanced practice nurses, managed care, hurricane, windstorm, loss mitigation, grants, insurance discounts, property retrofitting, insurance, Texas Windstorm Insurance Association, board composition, coastal counties, property insurance, taxation, Texas FAIR Plan Association, premium taxes, maintenance taxes
FL
Florida 2025 Regular Session
Commerce and Tourism Mar 25th, 2025
Transcript Highlights:
- I HAD A CLIENT THAT WAS ACCUSED OF A CRIME AND THE ALLEGATION TURNED OUT TO BE FALSE BUT AT A TIME THAT
- ONLY VERSION AND EVERY OTHER DOMAIN WILL BE ORIGINAL VERSION THE BETTER PRACTICE WE THINK DEFAMATION CLIENTS
- MY CLIENT WAS ACCUSED OF A CRIME HE DID NOT COMMIT AND WAS ARRESTED AND SHOWN ON TELEVISION IN THE EVENING
- I'M SPEAKING TODAY FOR THIS BILL AS IT DOES PROTECT MY CLIENTS.
- LEGAL DOCUMENTS, AND PROVIDE ACTUALLY HORRENDOUS LEGAL ADVICE WHICH HAS NEGATIVE CONSEQUENCES ON OUR CLIENTS
NM
New Mexico 2025 Regular Session
House - Labor, Veterans and Military Affairs Jan 28th, 2025
Transcript Highlights:
- Staszewski is my client. I began representing him in 2000.
- But I feel bad abandoning clients because there's no attorney who's going to take on a client and work
- But when I retire, I've got 700 or 800 clients that I've represented over the years, many of them have
- Tedeschi or any other client. And if we increase it every year, Same with that one. Thank you.
FL
Transcript Highlights:
- Aaron is a lawyer who represented his client, and if the way he represented his client is not acceptable
- He is a lawyer who represented his client.
- clients.
- clients, the direct dispense formulary for H.A. clients and one for the direct dispense clients.
- They're establishing client-level expenditure caps. They're adjusting formularies.
Summary:
The Senate convened with a quorum, opened with prayer and the Pledge of Allegiance, and recognized several guests, including a state champion Crossroads Academy girls basketball team and a Florida State University student intern. The chamber then turned to executive appointment confirmations reported by the Committee on Ethics and Elections and other reference committees under Rule 12.7, with Chair Don Gates explaining that the committee had reviewed the qualifications and suitability of the nominees and held public hearings where required.
Members debated several confirmations at length. The report containing 186 appointments was adopted 31-0 after Senator Polsky explained her no votes on three nominees, citing concerns about past comments and ideological views. The Senate then confirmed Jeffrey Aaron to the Public Employee Relations Commission by a 26-10 vote after sharp debate over his role as counsel to the Hope Florida Foundation and allegations tied to the diversion of Medicaid settlement funds; supporters argued he was a competent lawyer and no formal action had been taken against him. Chavon Harris was confirmed as Secretary of the Agency for Health Care Administration by a 32-5 vote, with supporters praising her work on Medicaid funding and opponents criticizing her prior leadership at DCF and the Hope Florida-related issues. Taylor Hatch was confirmed as Secretary of the Department of Children and Families by a 33-4 vote, despite concerns raised about SNAP/EBT compliance, child welfare practices, audits, and DCF’s handling of Hope Florida; supporters emphasized her commitment to reform and the difficulty of the agency’s mission.
After a brief recess, the Senate held a lengthy recognition of outgoing President Kathleen Passidomo. Senators from both parties offered personal tributes focused on her leadership, toughness, humor, mentorship, and support for colleagues, especially women in the chamber. Several speakers also referenced her handling of difficult bills, her post-presidency service as Rules Chair, and her resilience after personal loss. No further legislative action was taken during the recognition segment.
NH
New Hampshire 2026 Regular Session
Joint Legislative Performance Audit Oversight Committee (03/06/2026)
Transcript Highlights:
- Examples of kickbacks could or a client.
- Um each one of those managed care organizations has a specific number of Medicaid clients enrolled in
- <00:56:04.079>
Um <00:56:04.400>I DHS's ability to serve clients." - Um I DHS's ability to serve clients."
- Just want to point that out. instance of client error or agency error instance of client error or agency
Summary:
The committee chair opened by explaining that the committee has expanded from a traditional audit-follow-up role into an oversight role focused on whether audit recommendations are implemented and whether controls are in place to detect fraud. He said the committee was concerned about fraud uncovered in social service programs in other states and wanted to understand New Hampshire’s safeguards, especially around major contracts and program performance.
Charles Buchanan, director of the New Hampshire Medicaid Fraud Control Unit, and investigator Tim Brackett described the unit’s structure and mission. Buchanan said the unit, housed in the Attorney General’s Criminal Justice Bureau, investigates and prosecutes fraud by health care providers serving Medicaid beneficiaries, as well as abuse, neglect, and financial exploitation of residents in health care facilities. He outlined common Medicaid fraud schemes such as billing for services not rendered, upcoding, using unqualified staff, drug substitution, kickbacks, supplemental charges, and inflated customary charges. He also described resident abuse/neglect and drug diversion in hospitals, nursing homes, and assisted living settings. Brackett said his role is financial investigator/auditor and noted the unit is grant-funded and must include a prosecutor, investigator, and auditor.
The witnesses then explained how cases reach the unit and how they are handled. Most referrals come from the state Department of Health and Human Services’ program integrity unit and from managed care organizations’ special investigations units, which look for fraud, waste, and abuse and refer credible allegations. Other sources include qui tam whistleblower actions, the national Medicaid Fraud Control Units association, citizen complaints, provider referrals, adult protective services law-enforcement referrals, local law enforcement, and federal agencies. Once a referral is received, the unit can accept or deny it; accepted matters may be investigated criminally or civilly, while nonviable matters can be referred back to HHS or other agencies for administrative action, including repayment demands and reimbursement offsets. No votes or formal committee actions were taken in the portion provided.
WY
Transcript Highlights:
- as the finances and the efficiency of your county jails, the staffing that they're dedicating to clients
- as the finances and the efficiency of your county jails, the staffing that they're dedicating to clients
- And with certain detention centers that we've executed agreements with, you've seen clients that they're
- We have seen in the last year and a half clients, uh, inmates, stabilize and return to general population
- are going through the those clients are going through the title<01:01:46.079>
25 <01:01:46.559
Keywords:
911 services, emergency response, grant funding, next generation technology, government accountability, public safety, mental health, detention, competency evaluation, treatment, contractual agreements, Wyoming, budget, funding, education, wildfire prevention, healthcare, community colleges, grants, economic development
HI
Transcript Highlights:
- Requires veterinarians to provide a written prescription upon the request of a client for any animal
- patient of a client with whom the veterinarian has established an existing veterinary client-patient
- Um, that being save our clients money.
- clients some money by doing it that way. clients some money by doing it that way.
- Um but we are client relationship.
Keywords:
veterinary medicine, prescription, consumer rights, transparency, pet medication, sustainable agriculture, climate adaptation, food system resilience, grant program, Hawaii agriculture, agriculture, clean plant program, disease-free plants, plant propagation, small farms, midsize farms, sustainable farming, Hawaii, data analysis, market study
Summary:
The committee heard several agriculture-related bills. SB 874 on veterinary medicine would require veterinarians, upon a client’s request, to provide a written prescription for an animal patient in an existing veterinary client-patient relationship, allow Hawaii-licensed pharmacies to dispense those prescriptions, and authorize the Veterinary Medicine Board to set penalties. Testimony was overwhelmingly supportive, with supporters citing lower costs and consumer choice; the Hawaii Veterinary Medical Association said veterinarians already should be doing this and supported the bill if amended. One testifier in opposition argued the bill needed a conspicuous notice requirement so pet owners know they can request prescriptions. Committee members and the Department of Agriculture said they were not aware of widespread problems, and discussion focused on whether the measure was already consistent with current practice and whether amendments would address remaining concerns.
The committee also heard SB 2097, which would create a climate-resilient food systems grant program in the Department of Agriculture and Biosecurity and appropriate funds. The department, Hawaii Farm Bureau, Hawaii Farmers Union, Hawaii Cattlemen’s Council, and others supported the bill, saying it could help farmers and ranchers invest in resilience, infrastructure, and technology. Several testifiers asked for clearer definitions, especially for terms like “food hubs” and “resilience hubs,” and suggested adding technical assistance and clearer eligibility criteria. The department explained the program was intended for shovel-ready projects in the middle of the supply chain, with a focus on farmers in a certain revenue range, and said it was modeled on a USDA program.
SB 2098 would establish a clean plant program to produce and distribute disease-free plant material to growers, nurseries, and other producers. Testimony was supportive, emphasizing biosecurity, nursery industry needs, and preventing invasive species and crop disease. The department described the program as using tested clean stock, tissue culture facilities, and data collection to support future planting decisions, and estimated a two-year ramp-up. Members questioned whether the program duplicated existing work at CTR/other partners and whether data collection should be centralized, but the department said the effort would build on existing varieties and partnerships rather than overlap them.
Finally, SB 2126 would create a conventional farming grant program for small and midsize conventional farmers. Supporters from the department, Hawaii Farm Bureau, and Hawaii Cattlemen’s Council said conventional agriculture deserves support and that the bill would help increase food production. Opposition and comments focused on the bill’s exclusion of organic farmers; one farmer said the measure was unfair unless amended to include organic producers, while a Farmers Union witness said the bill was too vague about the grant’s purpose and should be clearer about its goals. In response to questions, the department said the exclusion of organic farming was not intentional and that the bill was meant to support all agriculture, though no vote or final action was taken in the excerpt provided.