Transcript Highlights:

• It is from several agencies. Can you pull it up? Thank you.
• We are uniquely challenged by this obligation we have to the residents of Lummi Island.
• Raising our rates becomes a challenge.
• The fact of the matter is, with Ride Free, a lot of agencies—14 agencies are fare-free anyway—and the
• or the students' institution and the agencies, like most of the programs that are out there.

Summary: The committee held public hearings on several transportation-related bills. On Substitute House Bill 2251, staff explained changes to Climate Commitment Act accounts and revenue distribution, including new operating and capital accounts and a revised split of auction proceeds among transportation, capital, operating, and air quality accounts. Members asked about the bill’s effect on CERA funding, the air quality account, and whether the bill responded to projected revenue declines. Testimony was mixed but generally supportive of the bill’s goal of clearer, more predictable budgeting; tribal testimony requested clearer protections and a dedicated tribal set-aside, while other witnesses supported the bill for its transparency and climate/transportation benefits. No action was taken on the bill during the hearing. The committee then heard House Bill 2588, which would allow county ferry districts to operate and finance vehicle ferries, not just passenger-only ferries. The prime sponsor and county officials from Whatcom and Pierce described the bill as a local option to help fund aging ferry systems without raising taxes, and public testimony from island residents, county representatives, and advocacy groups strongly supported it as a way to stabilize essential ferry service. The committee also heard House Bill 2722, which would raise the vehicle weight threshold for Transportation Benefit District fees from 6,000 to 10,000 pounds. Staff said the change would modestly increase TBD revenue statewide, and the sponsor argued the current law unfairly exempts heavier trucks while lighter vehicles pay the fee. Cities and local officials supported the bill, while the trucking association said it would support a compromise at 9,000 pounds instead of 10,000. The committee also heard House Bill 2727, creating an Educational Transit Access Grant Program for transit agencies and community and technical colleges to pilot free or reduced fares for students; the sponsor and transit advocates said it would improve affordability and access, and testimony emphasized equity and student retention benefits. In executive session, the committee considered Second Substitute House Bill 1923, which would expand who can form passenger-only ferry service districts and where they can be formed, with added intent language related to southern resident orcas and a revised effective date. After discussion, the committee voted 23-4 to pass the bill out of committee with a do pass recommendation. The chair also announced a deadline extension for amendment requests on bills heard that day and thanked staff before adjournment.

Transcript Highlights:

• I think it's already challenging to live in California.
• Also, this circumvents legal challenges to federal PFAS regulation.
• . challenging for the department.
• We appreciate your hard work on this, your willingness to undertake this job. challenge.
• This means many of our communities face unique challenges.

Keywords: 988, house, all

Transcript Highlights:

• General Guyot, NORTHCOM, publishes its Homeland Defense Policy Guidance to address this challenge. on
• I would note that many of these efforts have already been underway by the Missile Defense Agency for
• Turning to Southern Command, Admiral Halsey, your command faces growing challenges from China and Russia
• China is working with Russia, North Korea, and Iran to challenge the United States.
• Security Agency in executing your missions and how do you coordinate with these agencies and deconflict

Keywords: national security, China, Russia, cybersecurity, border security, military deployment, transnational crime, defense modernization, military strategy

Summary: In this meeting, key topics included national security concerns with an emphasis on threats from China, Russia, and transnational criminal organizations. Senior military officials provided testimony on the evolving risks posed by these adversaries, particularly focusing on cybersecurity and advancements in weaponry. The discussion highlighted the importance of a cohesive strategy among government departments to effectively respond to the challenges presented by these threats, emphasizing the need for modernization in defense capabilities. Committee members grilled the witnesses on border security and the implications of deploying military resources in domestic operations.

Transcript Highlights:

• And that's a challenge.
• And so employer engagement might be a bit more challenging these days.
• So could that be an apprenticeship for people with learning challenges?
• And if we can... ...and maybe invite people from different agencies to come.
• So that's a big challenge. Agreed. Josh, this is just a great exchange.

Keywords: 995, all

Summary: The subcommittee opened with roll call and approved the January minutes. Members then heard from Undersecretary of Labor and Workforce Development Josh Cutler, who gave an update on the Healey-Driscoll administration’s apprenticeship efforts and emphasized apprenticeship as an earn-while-you-learn model that can help address workforce shortages while including people with disabilities. He described growth in apprenticeships across sectors such as banking, bio, early education, health care, and human services, and noted recent milestones including the state’s 10,000th registered apprenticeship, expanded tax credits, reduced program fees, added apprenticeship liaisons, and Grow grants to support program development. Committee members focused on how apprenticeship could be adapted for human services and disability-related jobs, including early education, direct care, PCA work, sterile processing, and related health occupations. They asked about funding structures, employer participation, community college involvement, and how to make programs accessible to people with disabilities. Cutler explained that apprenticeship programs are employer-designed but must meet core requirements such as paid employment, at least 2,000 hours of on-the-job learning, related technical instruction, mentorship, and progressive wages. He said the state can support programs through the registered apprenticeship tax credit, which he said is $4,800 per apprentice and can be stacked with the disability employment tax credit, and through Grow grants, which were most recently awarded at about $2.1 million statewide. Members and Cutler discussed using intermediaries such as trade associations, nonprofits, and disability organizations to help employers set up programs and navigate incentives. He said the commission could be useful as a convener and suggested a targeted panel or information session with apprenticeship liaisons, employers, and existing sponsors to identify a few specific occupations and build a proof of concept. The meeting ended with agreement to follow up offline on potential partner employers, including Eastern Bank, and on possible next steps for a focused panel or pilot opportunities.

Transcript Highlights:

• There are incredible challenges still. with this bill as written, AB 715. In my estimation.
• And this time of the year is always a little bit challenging and heavy.
• For local agencies to make those decisions themselves. Thank you, Assemblymember.
• Patel asked earlier about the implementation challenges.
• We're going to be doing that in a new agency, in an agency that doesn't have the networked expertise

Keywords: 988, house, all

Transcript Highlights:

• And these are law enforcement agencies, parking enforcement agencies, and transportation agencies.
• In Washington State, we had issues related to an agency, a federal agency that my caucus cares about,
• In Washington State, we had issues related to an agency, a federal agency that my caucus cares about,
• for collection agencies.
• enforcement agencies?

Bills: SB6011

Keywords: court security, bailiffs, threat assessment, judicial safety, law enforcement, 904, all

Transcript Highlights:

• little bit and share some additional background on the HPC in case folks are not familiar with the agency
• Office of Health and Human Services, but we do a lot of direct work with EOHHS and with all the agencies
• But I'm happy to try to provide resources or direct you to other state agencies or entities that maybe
• And it is very challenging to access.
• This is one of the most common challenges reported among nurses.

Keywords: 995, all

Summary: The Massachusetts Commission on the Status of Persons with Disabilities subcommittee on workforce supports met with Chair Andrew Lerault presiding. Members completed roll call, approved the August 2025 minutes, and then heard a presentation from Amy Doyle, director of the Behavioral Health Workforce Center at the Massachusetts Health Policy Commission. Doyle described the center’s launch in September 2024 and its legislative mandate to study behavioral health payment rates, workforce needs, and licensure/certification barriers, with an emphasis on recruitment, retention, capacity building, diversity/equity, and sustainability. She also shared data on unmet behavioral health needs, ED boarding, workforce shortages, aging and turnover in nursing and direct care, and the need to improve data collection on non-licensed workers and populations such as people with developmental disabilities and autism. Committee members asked questions about what provider types were included in the workforce data and whether DDS-related residential and direct support roles were captured. Doyle said the center is still working to define and measure the full behavioral health workforce, including non-licensed roles, and welcomed follow-up on missing data sources. Members suggested additional sources such as CHIA and the Association of Developmental Disability Providers’ workforce survey. Doyle noted that the center is working with CHIA and that new licensure renewal surveys for behavioral health and allied mental health professionals will begin in 2025, which should improve future workforce data. The discussion also touched on the Health Policy Commission’s broader workforce findings, including nurse attrition, burnout, low wages, and the importance of career ladders and advanced training. Doyle said the center’s first policy recommendations will come from its rate study, expected in the next one to two months, and will likely focus on capacity building and sustainability. After the presentation, members thanked Doyle and discussed subcommittee leadership. Chair Lerault announced he was stepping down, and Chris White volunteered to serve as co-chair; the committee agreed to move forward with that arrangement and to revisit FY26 goals once new leadership is in place. The meeting then adjourned by motion and second.

Transcript Highlights:

• in that agency.
• in that agency.
• in that agency.
• in that agency.
• . agency. agency.

Keywords: Meeting Start 00:00:00 Budget Process 00:02:28 Allotment Process 00:10:30 School Facilities Construction Commission 00:29:10 Role of KDE in School Facilities Funding 00:47:00 Kentucky School Boards Association 01:13:25 Elementary and Secondary School Construction 01:20:40 Perkins V Funding 01:35:32, 958, all

Transcript Highlights:

• An agency may not proceed with a proposed action if it does not meet its burden.
• The bill requires state agencies to engage tribes before decisions are made.
• The bill requires state agency to engage tribes before decisions are made.
• This required environmental justice assessments by state agencies.
• But, as I'm sure this particular committee is well aware, agencies, private agencies such as ERIC, of

Bills: HB2210, HB2123, HB2206, HB2281, HB2411

Keywords: local representation, fair elections, government accountability, voter rights, transparency, foreign nationals, elections, Washington state, voter participation, government oversight, voting rights, uniform standards, overseas voting, civilian voting, state legislation, tribal relations, government, state policy, sovereignty, federalism

Transcript Highlights:

• So even trying to do an apples to apples comparison would be... challenging.
• Education agencies that are now in that 55% from the governor's budget.
• Moving forward as we're implementing TK, is that going to create challenges?
• Ongoing FAFSA challenges and emergency data privacy concerns.
• , county offices of education. local welfare agencies.

Keywords: 988, house, all

Transcript Highlights:

• An additional challenge there is that we don't know who is taking the tax deduction.
• So enforcement on the internet is particularly challenging.
• So for a lot of reasons, we have challenges on the...
• We have challenges on the internet, on enforcing the CSA and other rules.
• And he described some of the challenges that their agency was facing, including AI being used to create

Summary: The Consumer Protection and Business Committee held a work session on emerging consumer protection issues, focusing on elder fraud, charity fraud, and the impact of artificial intelligence on scams. Assistant Attorneys General from the Consumer Protection Division described the division’s broader enforcement work, including actions on rent stabilization, government imposter scams, service member refunds, senior living facilities, data breaches, and cases involving TikTok and Meta. They said elder fraud is often the same fraud seen in other age groups, but older adults tend to lose more money when victimized, especially in imposter scams and investment scams. The attorneys reviewed FTC data showing rising fraud losses nationwide and in Washington, with social media, bank transfers, cryptocurrency, and gift cards highlighted as especially important channels for losses. Members asked about underreporting, recovery of funds, and what consumers should do when they suspect a scam. The presenters said complaints can be reported to the Attorney General’s Consumer Resource Center and DFI, and that the most effective policy responses would likely target payment methods, especially crypto kiosks and other fast, irreversible transfer systems. They also said the AGO uses enforcement, consumer education, and scam alerts, but that many scams are difficult to pursue because perpetrators are overseas or untraceable. On charity fraud, the Charitable Asset Protection Team described several deceptive practices, including false charities, imposter charities, fundraising-first charities, causewashing, and point-of-sale solicitations. They said charity scams are underreported because donors often do not realize they were misled, and they pointed to concerns about crowdfunding platforms and commercial fundraising processors, including the collapse of Flip Cause and unpaid donations to Washington charities. The presenters recommended modernizing the Charitable Solicitation Act, increasing transparency and disclosure for point-of-sale fundraising, and strengthening public education through the AGO and Secretary of State programs such as Assured Giving and Assured Impact. The presentation closed with a discussion of AI, which the attorneys said is making scams harder to detect through deepfakes, voice cloning, AI-generated messages, and automated scam operations. They said AI can also be used to create fake charities and online ecosystems that appear legitimate, and noted that business and charity registration systems can often be completed without human interaction. No votes were taken; the committee adjourned after questions and discussion.

Transcript Highlights:

• It's a very challenging question in terms of how you reverse 400 years of policies, right?
• These challenges are occurring on top of longstanding barriers to capital.
• Policymaking without data makes it harder to address longstanding and newfound challenges.
• The one particular agency missed their benchmark by about $67 million for MBEs alone.
• Despite these challenges, we know what works.

Keywords: 995, all

Summary: The Joint Committee on Racial Equity, Civil Rights, and Inclusion held a hearing on the impact of federal policy on the racial wealth gap in Massachusetts, the fourth in a series on federal impacts on racial equity. Chair Bud Williams and Chair Miranda opened by emphasizing that no bills were being heard and that the committee would instead take testimony from invited witnesses; public written testimony was also accepted. The chairs and witnesses repeatedly cited long-standing wealth disparities affecting Black and brown communities, including homeownership, wages, business ownership, and access to capital, and linked those disparities to federal policy changes, housing, education, health care, and workforce development. Administration officials testified first. Secretary of Labor and Workforce Development Lauren Jones described persistent labor market disparities, including higher unemployment for Black and Latino residents, lower median hourly wages, and underemployment among degree holders, and highlighted state efforts such as ESOL-for-work funding, workforce training grants, MassHire career centers, skills-based hiring, and the state equity dashboards. Secretary of Health and Human Services Kiami Mahania argued that poverty drives poor health, not the reverse, and said wealth gaps contribute to chronic disease, maternal health inequities, medical debt, and shorter life expectancy; she pointed to the Advancing Health Equity Massachusetts initiative, a health care affordability working group, and the governor’s push to bar medical debt from credit reporting. Assistant Secretary Juan Vega of EOED focused on entrepreneurship and procurement, citing technical assistance grants, founder support programs, place-based investment, the Business Front Door, and the need to broaden access to contracts, capital, and business growth opportunities. Committee members pressed the panel on the effects of the federal “big beautiful bill” on households, especially single-parent and Black women-led households, and on whether the state could develop more timely data systems instead of relying on federal numbers. Officials said the impacts were still being monitored, but warned that Medicaid and SNAP changes would likely hit lower-income households and community institutions hard. Members also asked about unions and apprenticeships, microbusiness definitions, supplier diversity, pay equity, and degree inflation; the administration said registered apprenticeships and skills-based hiring are key tools, and noted that wage equity reporting is still in its early stages. Later testimony from BECMA’s Nicole O’Bean stressed that tariffs, DEI rollbacks, immigration enforcement, capital gaps, and federal funding cuts are constraining Black-owned businesses and inclusive procurement, while Gastón Institute researchers described severe Latino homeownership and rent burdens, educational inequities, and the need for housing, labor, and education policy changes to close the wealth gap.

Transcript Highlights:

• As we have discussed from the very beginning of this year, we know that there are tremendous challenges
• ahead of us, particularly challenges from Washington, D.C. that may be coming our way.
• Of the Business Consumer Services and Housing Agency and the creation of the Housing Development and
• Finance Committee, in addition to the Business and Consumer Services Agency.
• Middle-class workers already face challenging times to keep up with affordability in California.

Keywords: 988, house, all

Transcript Highlights:

• Our current challenges are not just straining the system; they're putting lives at risk.
• The challenges we face can be summarized into two critical areas: workforce and funding.
• Our current challenges are not just straining the system; they're putting lives at risk.
• The challenge moves in our negotiation.
• ,</c><00:29:48.960><c> the</c> with the Senate with the agencies, the with the Senate with the agencies

Keywords: 919, house, all

Summary: The meeting focused on the financial and workforce crisis facing Minnesota emergency medical services, especially ground ambulance providers in rural areas. Michael Johnson of the Minnesota Ambulance Association said EMS serves more than 600,000 Minnesotans a year and argued that reimbursement rates do not cover the cost of readiness, staffing, and 24/7 response. He and others called for ongoing EMS sustainability funding of about $50 million, higher Medicaid reimbursement, and continued support for EMT/paramedic scholarships, first responder training, and high school EMS programs. Senator Grant Hoschild and Representative Jeff Backer echoed the urgency, describing EMS as a moral imperative and emphasizing that rural communities cannot wait for ambulances when lives are at risk. Backer, who also volunteers as an EMT, described staffing shortages, reliance on volunteers, and a recent cardiac arrest response to illustrate the importance of local EMS coverage. Becca Hitch of PUM Area EMS said rural services are paid only when patients are transported, not for responding or treating on scene, and that one-time aid helped but did not solve underlying deficits. Bradley Peterson of the Coalition of Greater Minnesota Cities said local governments that hold ambulance licenses are being forced to absorb unrecovered costs through property taxes, and that state support is needed to prevent service failures and rising local burdens. In response to questions, speakers said a 2023 statewide study found about $120 million in need, with roughly half tied to operational deficits and half to volunteer support; last year’s aid included about $24 million for rural services and some improvements in volunteer call pay and equipment needs. They also discussed a proposed 10% Medicaid increase, possible special tax district ideas, and the need to target any new funding toward rural services most at risk.

Transcript Highlights:

• Ultimately, if this were to be challenged, we think that it would be constitutionally doubtful, but the
• So when challenged in court, the combination frequently leads to a strict scrutiny analysis.
• So if a court were considering a challenge based on the parents' rights aspect of this question, the
• This has to do with artificial intelligence and the use of that technology by state agencies and rules
• that are needing And the use of that technology by state agencies, and rules that are needing to be

Summary: The Rules Committee considered several bills for constitutional and proper-form review. House Bill 2171, which would bar certain hostile governments and related persons from owning or possessing Arizona real property and create enforcement penalties, was flagged for possible conflict with federal foreign-relations law but was recommended 5-2. House Bill 2446, requiring commercial truckers to demonstrate English proficiency and allowing out-of-service orders, was also recommended 5-2, with staff noting a needed amendment to carve out the federal border commercial zone. House Bill 2331, as amended, would require electric utilities to obtain 85% of generation from “reliable” sources by 2030; staff raised concerns about the Arizona Corporation Commission’s exclusive constitutional authority over utility regulation, but the committee still recommended it 5-2 after discussion of Johnson Utilities and related case law. House Bill 2589, making it a felony to allow minors to see or be present at a drag show or to perform a drag show in a minor’s view, drew the strongest constitutional concerns. Staff said it implicated the First Amendment and parental rights and would likely face strict scrutiny, but noted the sponsor was working on an amendment; the committee nevertheless recommended it 5-2. House Bill 2592, dealing with artificial intelligence use by state agencies and legislative ratification of temporary rules, was said to be generally acceptable except for provisions that would require the legislature to act within 30 days and by simple majority, which staff described as an impermissible attempt to bind future legislatures; it was recommended 5-2. The committee then approved a large mass motion covering many additional bills, memorials, and resolutions, all deemed constitutional and in proper form. Staff highlighted House Bill 2976 as one measure that may need amendment because of possible tension with the Arizona Supreme Court’s authority over justice court administration, though it was still included in the mass motion. The mass motion passed 7-0 with one absent, and the meeting adjourned.

Transcript Highlights:

• Ultimately, if this were to be challenged, we think that it would be constitutionally doubtful, but the
• So when challenged in court, the combination frequently leads to a strict scrutiny analysis.
• So if a court were considering a challenge based on the parents' rights aspect of this question, the
• This has to do with artificial intelligence and the use of that technology by state agencies and rules
• So if a court were considering a challenge based on the parents' rights aspect of this question, the

Keywords: 1182, all

Transcript Highlights:

• </c><00:14:31.360><c> looking</c> possible agency deferral, you're looking possible agency deferral,
• </c> Is uh the agency requesting a deferral? Is uh the agency requesting a deferral?
• </c> agency advice. agency advice. &gt;&gt; Agency<00:21:14.720><c> adi.
• Could you &gt;&gt; Agency adi.
• </c><00:21:27.440><c> you</c> someone higher up in the agency told you someone higher up in the agency

Keywords: 958, all

Summary: The Administrative Regulation Review Subcommittee met in August with a quorum present and approved the prior meeting minutes without objection. The committee then reviewed several regulations, generally adopting staff-suggested amendments without objection, and heard brief explanations from agency representatives on each item. The Board of Pharmacy regulations would clarify what registered and certified pharmacy technicians may do under supervision and what certified technicians may not do, while updating registration applications. The Board of Cosmetology package included changes to executive director authority, licensure and reciprocity rules, school requirements, training hours, instructor ratios, sanitation and disease-related rules, complaint procedures, and permit terms; members asked about straight razor language and the increase in student-to-instructor ratios, and the board explained that cosmetologists are not permitted to use straight razors and that the higher ratio was intended to give schools flexibility, especially for part-time students and schools with wait lists. The Occupational Therapy emergency compact regulation added four compact rules adopted in April 2025, and Senator West raised a technical question about certification requirements under House Bill 6; the agency said it had been instructed to file the regulation as submitted. The Department for Fish and Wildlife Resources presented a package covering wildlife management area rules, a northern pintail bag limit increase, reportable disease reporting, and a repeal tied to boat registration fees. After a brief explanation of the new wildlife disease reporting rule, the agency requested and received a deferral of 301 KAR 2:031 to avoid a gap while replacement language is finalized. The Economic Development Finance Authority explained an emergency regulation for the Kentucky Entertainment Incentive Program, saying it was needed because the program had become oversubscribed and because administration was shifting to a new film office and council; members also asked about certification issues under House Bill 6, and the agency said it had filed the regulation as directed. The Department of Workplace Standards emergency PPE regulation was also discussed, with members asking about HB 6 certification language, and the agency gave the same response. The Department of Insurance regulation would create a $10,000 registration fee and a $1,000 annual licensing fee for pharmacy benefit manager licenses, with an agency amendment exempting PBMs that solely serve workers’ compensation plans. Members asked how many PBMs would be affected and why workers’ compensation PBMs were carved out; the agency said there were 70 registered PBMs total, four solely workers’ comp, and that workers’ comp rates are set by statute and could not absorb the fee. Finally, the Public Service Commission’s pole attachment regulation was summarized as a broadband-expansion measure that speeds application review, increases the number of poles allowed in a single application, and shortens dispute timelines; the commission explained it grew out of earlier legislative direction and subsequent emergency amendments, and the committee adopted the staff amendment.

Transcript Highlights:

• Lottery is the only agency that we have that's actually a profit center.
• And this is an important question, not only at this agency, but on all the other ones that we did.
• For the current year, the Senate agency and GovRec took a similar approach.
• challenges that we've had, the governor has had to call in the National Guard to support the DOC.
• That's a new challenge. So we'll navigate that together as we've been doing.

Summary: The Senate took up the 2026-2027 budget package, beginning with an overview of the $115 billion General Appropriations Bill (SB 2500). Appropriations Chair Hooper said the budget reduces overall spending from the prior year, preserves reserves, and includes a 3% pay raise for state employees and 5% raises for law enforcement, firefighters, correctional officers, and park rangers. Committee chairs then highlighted major spending in their areas, including K-12 education, higher education, health and human services, criminal and civil justice, transportation/economic development, and environmental/agricultural programs. Major items discussed included school funding increases, workforce and university investments, Medicaid and child welfare funding, corrections operating deficits, housing and hurricane recovery, Everglades and water quality projects, and state employee compensation. Members asked detailed questions about several budget items. In education, senators discussed teacher salaries, declining enrollment supplements, scholarship funding growth, and charter school capital outlay. In higher education, they asked about Bright Futures, New College funding, and the EASE grant program. In health and human services, senators focused on the iBudget waiver, Medicaid hospital rate reductions, the ADAP HIV drug program, and the use of opioid settlement funds. In criminal justice, questions centered on DOC deficits, inmate health care and food service costs, public defender and state attorney funding, and whether the budget would prevent the need for National Guard support. In environmental and state agency budgets, senators discussed Florida Forever land acquisition, conservation easements, cultural grants, the Emergency Management Trust Fund, and election security funding. After the budget presentations and questions, the Senate substituted House bills for the Senate budget bills and adopted amendments to place Senate language onto the House vehicles for conference. The chamber passed HB 5001, the appropriations bill, by a 36-0 vote and agreed to conference. It also passed the implementing bill, collective bargaining and state employee bills, retirement legislation, fuel tax and SLERS bills, the court trust fund bill, judicial certification bill, K-12 and higher education conforming bills, and other related measures, generally by unanimous votes. Several motions were adopted to request the House to pass the Senate versions or include them in budget conference.

Transcript Highlights:

• It has been occurring since at least 2019, and government agencies can't keep blaming each other.
• When agencies charged with protecting the public repeatedly ignore warnings, fail to shut down known
• Any barriers and challenges and how they're going to move forward.
• The agencies acknowledge that providers and members are alleging due process violations, The agency acknowledged
• The agency currently has no plans to modify its existing practices.

Summary: The committee continued its fourth hearing on fraud, waste, and abuse involving Arizona’s Medicaid and behavioral health systems, with a major focus on Access/ALTCS eligibility, behavioral health licensing, and payment delays. Senator Shamp presented findings alleging large gaps in ABD Medicaid asset verification, including that only a portion of enrollees were checked and that many with substantial liquid assets remained on the program. She argued the state’s waiver and lack of asset limits created a compliance and fiscal risk, and urged referrals to law enforcement, tighter verification, and broader reforms. Heather Dukes, representing behavioral health and sober living operators, testified that ADHS and Access have become overly punitive toward licensed providers, often sending technical paperwork violations straight to enforcement instead of allowing correction plans, and that zoning and licensing delays are harming legitimate businesses. Reva Stewart testified that patient brokering and fraudulent recruitment of vulnerable people into behavioral health and sober living settings remain ongoing, especially through social media, and called for stronger accountability and enforcement against bad actors. ADHS Deputy Assistant Director Tiffany Slater said the department has received more than a thousand complaints about unlicensed sober living operations, which has diverted staff from routine oversight of licensed facilities. She said ADHS has expanded enforcement tools for sober living homes, is using a new licensing system to flag repeat bad actors, and is trying to make the application process easier, while acknowledging that inspections can tip off unlicensed operators. Access Director Virginia Roundtree described steps the agency has taken since the prior hearing, including daily staff huddles, live dashboards, added project management support, an external claims vendor, and an independent review of the Division of Fee-for-Service Management. She said Access is trying to balance fraud prevention with support for legitimate providers, and committed to follow up on a specific provider payment dispute by early the next week. Committee members repeatedly pressed Access and ADHS on delayed claims processing, prepayment review, and whether the current system is driving providers out of business. Roundtable testimony from Access staff described the new Provider Resolution Roundtables, which are intended to work with a small number of providers facing the most claims and authorization problems. Members questioned why claims are being denied or held for long periods, why some providers are still waiting on payments from 2023 and 2024, and whether the agency’s actions are sustainable. Access also explained the Targeted Investment Program, saying it is a federally approved Medicaid initiative with large dollar amounts still being paid out on a delayed schedule, and agreed to provide more information on provider participation and payment timing. No formal votes or committee actions were taken in the portion provided, but the chair indicated the committee would continue reviewing the issue and requested additional reports and follow-up information from Access and ADHS.

Transcript Highlights:

• The long-term management practices of the agency are also significant.
• The OIG looks at how agencies plan. Have they asked the right questions?
• How the agency handles questions and answers from respondents.
• Is the agency actively managing the contract, or is it on autopilot?
• That's something that agencies have the ability to do, right?

Keywords: 1212, all