Video & Transcript Research : 'predictive models'
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TX
Transcript Highlights:
- At 3:19, the National Weather Service was predicting this to be a five-year flood.
- At 3:33 a.m., they predicted it to be a 10-year flood. Ms.
- And at 4:00 a.m., when we were close to the peak of the flood, the National Weather Service was predicting
- The National Weather Service was predicting this to be only a 25-year flood.
MN
Transcript Highlights:
- Finally, members, I'll conclude with Minnesota's economic strength depends on a tax system that is predictable
- strength depends on a tax system<00:10:24.720>
that <00:10:25.040>is <00:10:25.200>predictable - ,<00:10:26.240>
transparent, system that is predictable, transparent, system that is predictable
HI
Hawaii 2026 Regular Session
ECD Public Hearing - Fri Mar 20, 2026 @ 9:30 AM HST
Economic Development & Technology
Transcript Highlights:
- extending the sunset date to 2038 and including streaming platforms, SB 2580 gives studios the predictability
- 2580 gives streaming platforms, SB 2580 gives studios<00:21:33.680>
the <00:21:33.760>predictability - <00:21:35.120>
they <00:21:35.320>need <00:21:35.600>to studios the predictability - they need to studios the predictability they need to commit<00:21:36.120>
to <00:21:36.240>
Bills:
SB2580, SB2578, SB2259, SB3084, SB2816, SB2928, SB2075, SB3322, SB2377, SB2436, SB2835, SB3248
Keywords:
SB2580, Hawaii film tax credit, motion picture tax credit, digital media credit, film production incentive, income tax credit, general excise tax exemption, DBEDT, DOTAX, local hires, local workforce, film industry, movie production, television production, streaming platform, streaming series, loan-out companies, motion picture project employer, qualified production, qualified production costs
Summary:
The committee opened by reviewing hearing procedures and then took up SB 2580, which concerns Hawaii’s film production tax credit and related incentives. Testimony was strongly supportive overall, with witnesses saying the measure would help attract productions, extend the sunset date, include streaming platforms, and strengthen the state’s competitiveness. Several supporters asked for cleanup language on grant administration, tax credit management, local-hire uplifts, and limits on third-party audit requirements for smaller productions. The state film office said the bill was generally strong but suggested clarifying language and noted that DBEDT and DOTAX already provide oversight of the current credit. No vote was taken in the transcript, but the bill drew broad support with a few comments and one opposition noted later in the hearing.
The committee then heard SB 2578 SD1, a measure to create a film commission and related grant structure. Testifiers said the proposal would formalize industry input, improve accountability, and help the state compete globally, but they also raised concerns about how a new grant program would interact with the existing tax credit system. The film office said the grant program and tax credit should be separated operationally, that the advisory structure should include industry voices and possibly union representation, and that county film commissioner language may need technical adjustment. A testifier also suggested a Hawaii film museum and related tourism opportunities. The measure was described as having 42 supporters, one opposition, and five comments, with no final action shown.
The committee next considered SB 2259, a dementia training measure. Supporters, including the bill’s drafter and the Alzheimer’s Association, described personal caregiving experiences and said free dementia training could help workers and families. Suggested amendments focused on clarifying the relationship between EOA and DBED and allowing retraining every two years because of workforce turnover. DBED said the bill is worthwhile but is not really an economic development initiative, and it should align with existing dementia programs and be easy for businesses to use, preferably online. The committee then moved to SB 3084 SD1, which HTDC said would expand its R&D matching program beyond SBIR to other federal research grants because of uncertainty at the federal level; the transcript ends as testimony begins, with no vote or final action recorded.
KY
Transcript Highlights:
- She intends to go to law school, where I predict she will be highly successful, and I hope you all will
- c><00:01:24.640>
school <00:01:24.880>where <00:01:25.200>I <00:01:25.439>predict - <00:01:25.840>
she go to law school where I predict she go to law school where I predict she
Summary:
The committee first considered House Bill 774, the Cost, Fines, and Fees Reporting Act, which would require data collection and reporting on criminal and traffic-related costs, fines, fees, interest, and late fees in Kentucky. Vice Chair Decker said the bill is intended to improve transparency and accountability, not to change collection policy. A representative from Reason Foundation supported the measure, saying policymakers need reliable data on legal financial obligations. Representative Marzian asked whether the bill would help enforce collection, and Decker replied that it is only a study/data bill. During roll call, some members raised concerns about funding, but Decker said Kentucky Stats already has the staff and systems in place. The bill passed favorably with 18 yes votes, no no votes, and two pass votes.
The committee then took up House Bill 542, relating to eminent domain and declared an emergency, and adopted a committee substitute before hearing testimony. The sponsor described the bill as the product of extensive revisions and said it was aimed at improving notice, communication, transparency, and fairness in condemnation proceedings. He said property owners would have to be notified by certified mail or hand delivery, with sworn proof if delivery failed, and that condemning authorities could not make false or misleading statements during negotiations. A guest, Stephanie Barnett, described problems in her own eminent domain experience, including notices going to the wrong address and learning after the fact that people had been on her property. Members generally supported the bill as a fairness measure. It passed the committee substitute unanimously, 20-0.
Finally, Representatives Flannery and Whitaker presented House Bill 563, a DUI-related measure intended to reduce deaths and injuries caused by repeat drunk drivers. They said the bill would apply to a fourth DUI offense within 10 years and would place a two-year restriction on alcohol sales, marked on the person’s license or ID, with the goal of both public safety and encouraging treatment. Flannery cited the death of his mother by a repeat drunk driver and shared statistics on fatal crashes and the economic costs of drunk driving. The committee began discussion on the bill, but the transcript cuts off before any vote or final action is shown.
HI
Hawaii 2025 Regular Session
EDN/HED Joint Public Hearing - Thu Mar 20, 2025 @ 2:00 PM HST
Transcript Highlights:
- So, we want to provide some predictability to the market. And it's the first time we're trying it.
- So, we want to provide some predictability<00:43:59.359>
to <00:43:59.599>the <00:43:59.760 - <00:44:00.480>
And <00:44:00.720>it's predictability to the market. - And it's predictability to the market.
Summary:
The joint committees on Education and Higher Education first heard HCR 75 and HR 67, which ask the Department of Education and the University of Hawaiʻi to assess criteria for building an educational pipeline and curriculum for advanced manufacturing and cybersecurity. The Department of Education said it would stand on its written testimony, and UH supported the measure, noting existing community college and four-year programs related to the topic. Members asked how DOE promotes cybersecurity opportunities and whether it provides funding; DOE said schools usually connect with partners and its office works with them, but it does not have separate funding for such efforts. UH also explained that some advanced manufacturing concepts may overlap with 3D printing, material sciences, and entrepreneurship, and described P20 as a forum for aligning K-12 and higher education pathways. The committees then recessed the joint hearing and moved to the Education Committee agenda.
The committee next heard HCR 46 and HR 39, which would make DOE recreational facilities available to the public during non-peak hours and non-school days. DOE said it already uses facilities agreements with insurance, liability waivers, indemnification, and certificates of insurance to protect schools. The Attorney General opposed the resolutions, warning that unrestricted public use without safeguards could create substantial liability and cost risks for the state. The measure’s introducer said the goal was to help underserved communities that lack access to public recreation spaces, and DOE said it would be open to joint-use arrangements with larger organizations but remained concerned about vandalism and liability.
The committee also heard HCR 86 and HR 80 on creating an Aloha Civics working group, with DOE offering comments and Common Cause Hawaiʻi strongly supporting the idea. DOE described a civic learning and engagement task force that met with stakeholders, including UH and the PACE Commission, and produced recommendations such as building partnership inventories, integrating civic learning across grade levels, and aligning the work with DOE’s HA framework and learner outcomes. Common Cause said civic education can be implemented effectively and affordably, citing existing school projects such as ranked-choice voting and classroom constitutions.
Later, the committee took up HCR 87 and HR 81, urging an annual Climate Week in public schools. DOE again stood on written comments, while the Climate Change and Health Working Group, Climate Future Forum, a student from Kaimuki High School, and other supporters argued that a dedicated week would ensure consistent climate education, build resilience, and connect climate issues to health, food security, and disaster preparedness. Supporters said existing climate-related opportunities are uneven across schools and that a formal Climate Week would create a more equitable approach. The committee then heard HCR 95 and HR 91 on informing students about changes to gun safety and storage laws; DOE asked for clarification on the measure’s intended outcome, and one individual testified in support.
Finally, the committee heard HCR 104 and HR 100 on strengthening farm-to-school initiatives. DOE said it is already working to improve menus, emphasize local products, and meet with distributors to increase local procurement, while the College of Tropical Agriculture and Human Resilience offered food science, nutrition, and extension support. Climate Future Forum, the Hawaii Youth Food Council, and other supporters said farm-to-school efforts are important for student health, local farmers, and food sovereignty, noting that local food procurement in schools remains far below the state’s 30% by 2030 goal. DOE explained it is trying to provide distributors and farmers with more predictable demand and is meeting with distributors to set up next year’s supply chain.
MN
Minnesota 2025-2026 Regular Session
House Veterans and Military Affairs Division 2/19/25
Veterans and Military Affairs Division
Transcript Highlights:
- We have long relied on stable and predictable income from charitable gambling, and this sudden disruption
- relied on their great work we have long relied on stable<00:16:24.399>
and <00:16:24.560>predictable - <00:16:25.120>
income <00:16:26.079>from stable and predictable income from stable - and predictable income from charitable<00:16:26.759>
gambling <00:16:27.319>and <00:16:27.519
HI
Hawaii 2026 Regular Session
SPEED Task Force (STF) - Tue Jan 6, 2026 @ 9:30 AM HST
Hawaii House Floor Meeting
Transcript Highlights:
- model the IWS.<02:06:11.599>
Thank <02:06:11.760>you <02:06:11.920>chair. - Under this model, the state-level entity would certify factories and standard models against Hawaii codes
- Under this model, use and inspections.
- <04:19:06.560>
against factories and standard models against factories and standard models - Thank you. models to bring those forward. But so models to bring those forward.
TX
Transcript Highlights:
- And predictability, I mean, right now we're in the process of negotiating with the airlines about what
- I want to protect them—a model of conscientious economics. I'm at conservatism in Flower Mound.
- We should model success and build on those.
- So whether I thought of it or you thought of it, if you see a model.
- You probably have all noticed personally everyone's going to a subscription model, and it's not less
Keywords:
HB26, law enforcement contracts, sheriff, constable, county commissioners court, commissioners court, private security, special law enforcement district, property owners association, POA, municipal utility district, school district, junior college district, local government, contract policing, supplemental police services, large counties, population over 3.3 million, Texas Local Government Code, Harris County
KY
Kentucky 2025 Regular Session
Interim Joint Committee on Agriculture (9-18-25)
Transcript Highlights:
- been put put in place we are<00:14:19.199>
a <00:14:19.440>national <00:14:19.839>model - <00:14:20.480>
there <00:14:20.639>are <00:14:20.959>other are a national model - um there are other are a national model um there are other states<00:14:21.600>
that <00:14:21.839 - Then there’s no way to predict the ramp of success or interest from other people coming in and wanting
Summary:
The committee met and approved the August 21, 2025 minutes. The main presentation came from Brandon Reid of the Kentucky Office of Agriculture Policy, who reported that implementation of the Kentucky Agriculture Economic Development Board created by Senate Bill 28 and House Joint Resolution 31 is ahead of schedule. He said the board has been appointed and has met several times, has adopted guidelines and an application process, and has launched its application on the KDA website. He also noted new staffing, including a project manager, and said the office is already working on projects, though some are confidential because of coordination with the Economic Development Cabinet and nondisclosure agreements. Members praised the effort and emphasized the importance of having agriculture represented in economic development work. Reid also described ongoing outreach by Commissioner Jonathan Shell, including farmer appreciation and classroom visits across the state.
The committee then heard from Lexington Mayor Linda Gorton and Bluegrass Ag Tech Development Corp. executive director Jacob Ball about the Bluegrass Ag Tech Development Corp., a public-private partnership involving Lexington-Fayette, the Kentucky Department of Agriculture, the University of Kentucky, and Altech. They said the organization aims to make Kentucky a national and international hub for ag tech, and that it has already awarded challenge grants to startups. Ball explained that the program focuses on animal protein, nutrition, sustainability, mid-size farm solutions, and Kentucky traditions such as distilling and equine. He reported that two rounds of grants have totaled $925,000, with the first round’s seven companies leveraging that into nearly $7 million in follow-on investment, supporting 56.5 Kentucky jobs and creating more than a dozen new jobs. The presentation also highlighted statewide outreach, including applications and engagement from counties across Kentucky, and the goal of expanding participation in eastern Kentucky.
Members expressed support for both initiatives and discussed the value of agriculture-specific expertise in economic development. Reid said the Department of Agriculture and the Economic Development Cabinet maintain regular communication and that the new board gives agriculture a seat at the table for future site and industry recruitment efforts. No additional votes or formal actions were taken beyond approval of the minutes.
TX
Transcript Highlights:
- Private schools have gotten very good at understanding that the model, the education… Some would say,
- I don't know if I go this far, Some of the others say their model is we're going to take as many kids
- I have a couple of questions just to understand the model at your school.
- TEA has predicted would be the uptake rate.
Keywords:
education savings account, educational expenses, certified educational assistance organization, school choice, funding, special education, tuition reimbursement, emergency communication, public safety, interoperability, Texas Interoperability Council, grant program, emergency communications, public safety radio, first responders, radio system, dispatch, 911, emergency management, Texas Division of Emergency Management
FL
Florida 2026 5th Special Session
Appropriations Committee on Criminal and Civil Justice Feb 18th, 2026
Transcript Highlights:
- foreclosure sale must be conducted according to Chapter 45 statutory process and ensures funding predictability
- foreclosure sale must be conducted according to Chapter 45 statutory process and ensures funding predictability
Summary:
The Appropriations Committee on Criminal and Civil Justice met with a quorum and took up several bills before returning to the budget and public testimony. CS/SB 600 on bail bonds was explained as revising bail bond agent training, limiting solicitation, clarifying partial release procedures, and directing clerks to automatically discharge certain bonds when detention is ordered; an amendment adjusted cash bond return rules, charitable bail fund treatment, forfeiture remission timing, and clerk procedures. The bill and amendments were adopted, and CS/SB 600 was reported favorably after supportive appearances from clerks and industry stakeholders.
The committee then approved CS/SB 436 on felony battery, which expands qualifying prior offenses for felony reclassification and adds felony battery resulting in bodily injury to prison release offender status, after a technical amendment and supportive testimony from law enforcement. CS/SB 928, known as Missy’s Law, requiring immediate remand to custody upon conviction of dangerous crimes, drew both support and opposition; defense lawyers warned of unintended effects on co-defendants and docket management, while the victim’s family supported the measure. The bill was reported favorably. CS/SB 1332 on career offender registration, requiring more frequent in-person registration and stricter reporting, also passed favorably.
The committee next approved a substitute amendment and then CS/SB 682 on violent criminal offenses, which strengthens domestic violence penalties, electronic monitoring, injunction protections, and related procedures, including military protective orders and body camera use. CS/SB 1072 creating an anti-Semitism task force in the Attorney General’s Office was reported favorably after extensive public debate over definitions, free speech concerns, and representation on the task force; the sponsor said the bill does not criminalize criticism of Israel but addresses threats and intimidation. CS/CS/SB 532 on clerks of the court was also approved, authorizing clerks to retain more revenue and, through amendment, clarifying foreclosure sale procedures and clerk administration of judicial sales.
Finally, the committee heard the criminal and civil justice budget overview, described as a $7.9 billion proposal focused on corrections, juvenile justice, law enforcement, and courts. Public testimony centered heavily on prison conditions, staffing, heat, infrastructure, and inmate care, with speakers urging higher pay, better transparency, and more investment in facilities and air conditioning. The chair announced that SB 1632 and its conforming bill would be temporarily postponed and read into the record the many registered supporters and opponents. The committee then adjourned.
TX
Transcript Highlights:
- The market is not adept at predicting black swan events. events.
- Therefore, I believe that everyone in this room is probably better at predicting geopolitical events
Keywords:
HB 128, sister city, sister-city agreement, international exchange, municipal diplomacy, local government, state agency, political subdivision, foreign adversary, China, Russia, Iran, North Korea, Taiwan, major non-NATO ally, cultural exchange, educational exchange, tourism, bilateral cooperation, foreign relations
TX
Transcript Highlights:
- that we are equally serious about keeping costs low, securing food supply, and maintaining a fair, predictable
- that we are equally serious about keeping costs low, securing food supply, and maintaining a fair, predictable
Bills:
SB1331, SB1375, SB1443, SB1578, SB2251, SB2519, SB2553, SB2655, SB2764, SB2907, SB3030, SB3033, SB3035, SB3036, SB3037, SB3043, SB3047, SB3050, SB3051, SB3056, SB3057, SB3063, HB9, HB467, HB331, HB1244, HB1399, HB2559, HB2730, HB3307, HJR1, HJR99, SB3048, SB3052, SB3053, SJR78, HB1327, HB2723
Keywords:
civil service, firefighters, police officers, municipalities, local government, repeal, voter petition, health care, provider participation, continuation programs, population-based regulation, health care provider participation, Medicaid, hospital funding, voluntary compliance, mandatory payments, public health, healthcare program, county participation, nonpublic hospitals
Summary:
The Senate Committee on Local Government heard several bills, most of them left pending after brief public testimony. House Bill 331, by Rep. Patterson and sponsored by Sen. Hinojosa, would create a presumption that firefighters, police officers, and EMTs who suffer a heart attack or stroke within eight hours after a strenuous shift were injured in the line of duty for workers’ compensation purposes; testimony from a firefighters’ association supported the bill, and it was left pending. Senate Bill 2655, by Sen. Flores, would authorize Burnet County to establish a local provider participation fund to help support local hospital services; a hospital administrator testified in support, and the committee substitute was left pending. Senate Bill 1443, by Sen. Hughes, would extend the Northeast Healthcare Provider Participation District in three counties, and House Bill 3307, by Rep. Noble, would allow property tax arbitrators to complete required continuing education online; both were left pending without opposition. Senate Bill 3048, by Sen. Birdwell, would create the Bluebonnet Hills Municipal Management District in Midlothian and was also left pending.
The committee then took up House Bill 9 and HJR 1, sponsored by Sen. Bettencourt, which would raise the business personal property tax exemption from $2,500 to $125,000 and place the constitutional amendment on the November 4, 2025 ballot. Business groups, realtors, and taxpayers’ advocates testified in strong support, saying the change would provide meaningful relief to small businesses and help balance earlier homeowner tax relief. The City of Fort Worth testified in opposition, warning of a revenue shift to homeowners and budget impacts, but the committee adopted the committee substitutes and reported both measures to the full Senate on 6-0 votes.
The committee also heard House Bill 1399 and HJR 99, by Sen. Nichols, to exempt animal feed from property tax when it is already sales-tax exempt; no one testified against them, and both were left pending. Senate Bill 2553, by Sen. West, would let owners of historic archaeological sites protest land and structure appraisals separately, and it was left pending after supportive testimony. Senate Bill 2907 and SJR 78, also by Sen. West, would exempt certain perishable inventory, including food and some prescription drugs, from property tax if approved by voters; pharmacists, business groups, a researcher, and a coalition of retailers and food/medicine advocates supported the bill, and it was left pending. Finally, Senate Bill 1331, by Sen. Hancock and explained by Sen. Middleton, would lower the population threshold for certain municipal civil-service-related petition restrictions from 950,000 to 70,000; law enforcement representatives and a San Marcos police association supported it, and it was left pending. The committee then recessed until 15 to 30 minutes after adjournment.
ND
North Dakota 2025-2026 Regular Session
House Appropriations - Human Resources Division Apr 8th, 2025 at 03:00 pm
Appropriations - Human Resources Division
Transcript Highlights:
- the question about capping and controlling it, it seems like the first year, it seems like hard to predict
- the question about capping and controlling it, it seems like the first year, it seems like hard to predict
Summary:
The committee first took up Senate Bill 2399, concerning therapeutic leave days for psychiatric residential treatment facilities (PRTFs). Sarah Aker from the Department of Health and Human Services explained the current Medicaid rate-setting methodology, how occupancy affects rates, and why paying the full rate for leave days would create additional fiscal impact. Members debated whether the bill should pay the full Medicaid rate, a flat reduced rate, or a tiered rate, and discussed whether a cap or department authorization should be used to control use of leave days. The department said it was not supporting the change as it was not in the governor’s budget, though it supported family engagement in care.
After discussion, the committee settled on a compromise motion to set therapeutic leave days at a $500 daily rate and require department authorization of the number of leave days. The motion passed 6-2, with Representative Anderson voting no and the rest of the recorded members voting yes. The committee then moved on to Department of Corrections and Rehabilitation budget materials, where Michelle Zander walked through detailed population and rate calculations for women’s and men’s facilities, county holds, deferred admissions, transitional facilities, work release, and proposed reentry, man camp, and Grand Forks-related costs. Members asked about the county jail reimbursement rates and the overall pool of funds, and Zander explained the calculations and noted the proposal was roughly break-even depending on assumptions.
The committee also heard an overview of DOCR IT requests from Amy and NDIT staff, including data processing, medical modules, a new client management system, body scanners, data management tools, facility management software, medical software upgrades, college solutions, and body cameras/tasers. Staff explained that the new client management system would likely be a multi-phase project with a wide cost range based on vendor selection and scope, and that the current request was for phase one. Members emphasized the importance of better data tracking, staff safety tools, and information that could help explain programming and release outcomes to the public. The committee planned to continue with Veterans Affairs the next day and then return to Senate Bill 2015.
US
US Federal 2025-2026 Regular Session
Hearings to examine constructing the Surface Transportation Reauthorization bill, focusing on United States Secretary of Transportation's perspective. Apr 2nd, 2025 at 09:00 am
Environment and Public Works Committee
Transcript Highlights:
- whether you will the the the funding stream has been so important to us and I know that the lack of predictable
- about safety on those transit so as Secretary will you work with Congress in supporting long-term predictable
Keywords:
surface transportation, infrastructure reauthorization, bipartisan collaboration, safety, federal programs, funding challenges, bureaucracy, transportation needs, critical projects, public testimony
Summary:
The committee meeting focused on the development of the next surface transportation reauthorization bill. Discussions centered around key principles aimed at improving the safety and reliability of the transportation network, reforming federal programs for efficiency, and addressing the diverse transportation needs across various states. Members emphasized the importance of bipartisan collaboration to streamline processes, eliminate bureaucratic delays, and ensure timely funding for critical infrastructure projects. There were also notable conversations about specific projects and funding challenges, reflecting the urgency for action and commitment to modernizing America's infrastructure.
TX
Transcript Highlights:
- You can't completely predict the future; you give the utility an overall reasonable budget that they
- think having some sort of standard that's set in advance is going to allow utilities to have some predictability
Bills:
SB483, SB522, SB783, SB1239, SB1254, SB1255, SB1259, SB1341, SB1664, SB1762, SB1856, SB1877, SB1977
Keywords:
utility, proprietary information, customer data, data protection, electric service, customer information, emergency communication, electric utility, privacy, certification, public accountants, interstate licensing, accounting, regulatory amendment, energy efficiency, construction regulations, building codes, Texas, sustainability, cost-effectiveness
MN
Minnesota 2025-2026 Regular Session
Transportation panel hears bill to fund expanded commercial truck driver training assistance 3/10/25
Minnesota House Floor Meeting
MN
Transcript Highlights:
- I mean, I think businesses, uh, thrive in predictability, and it just is [snorts] um, it just—it’s shocking
- Um, and so it's not a question of being wedded to a particular model of delivery.
- not a question of being wedded to a not a question of being wedded to a particular<01:47:24.800>
model - <01:47:26.800>
It's <01:47:26.960>a particular model of delivery. - It's a particular model of delivery.
US
US Federal 2025-2026 Regular Session
US House Floor Proceedings (Wednesday, July 23, 2025)
US Federal House Floor Meeting
Transcript Highlights:
- He was a model for what public service looks like at its best. And, Mr.
- President's abandonment of the Iran nuclear deal, which has gotten us into a heck of a pickle, as predicted
- The conversion of the uranium hex to what's... heck of a pickle. uh the as predicted by heck of a pickle
- . uh the as predicted by the<07:24:57.600>
people <07:24:57.760>who <07:24:58.080>actually - look at one of the reasons those things are in there and we're actually starting to see some of the models
NH
New Hampshire 2026 Regular Session
Joint Legislative Performance Audit Oversight Committee (03/06/2026)
Transcript Highlights:
- <00:25:00.000>
and <00:25:00.240>then they can present damage models and then they - can present damage models and then ultimately<00:25:00.880>
look <00:25:01.120>at <00:25 - Um, is a very lowrisk model for payment.
- We do have other models of payment where we may pay on a deliverable or a specific outcome.
- And again, that's really hard to predict because we could have a really big windfall because a couple
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.