Transcript Highlights:

• related to program integrity measures. related to program integrity measures.
• <00:41:50.800> layer, termed the Maxis integration layer, termed the Maxis integration layer
• Um, are they currently integrated?
• made to the CCAP program integrity made to the CCAP program integrity system<01:08:00.720> since
• staff is involved in program integrity staff is involved in program integrity work<01:16:07.360>

Keywords: 1187, senate, all

Transcript Highlights:

• budget request that we've set forward. budget request that we've set forward.
• Program integrity. So we have a robust program integrity.
• Program integrity. So we >> one more. Okay. Program integrity.
• have a robust u program integrity. have a robust u program integrity.
• This is integrated care.

Keywords: Meeting Start 00:00:00 Attendance Roll Call 00:00:01 Department for Public Health Budget Request 00:01:46 Department for Community Based Services Budget Request 00:31:58 Certified Community Behavioral Health Clinics (CCBHC) 00:57:13, 958, all

Summary: The committee first approved the minutes, then heard a lengthy presentation from the Department for Public Health on Kentucky’s rural health transformation plan and related budget questions. Commissioner John Langfeld said the state received a $212.9 million federal award, one of the larger awards nationally, and outlined five focus areas: maternal and infant health, integrated EMS/trauma response, behavioral health and substance use disorder, oral health, and chronic disease prevention with an emphasis on obesity and diabetes. He stressed that the effort is intended to be integrated, data-driven, and sustainable, and that the federal funds cannot be used for new construction, clinician salaries, research and development, EHR replacement, or to pay for currently billable services. He also said the program carries accountability requirements and that funds can be clawed back if milestones are not met. Members pressed for clarification on duplication with other budget requests, sustainability after the five-year funding period, and how success would be measured. Langfeld said he was not aware of any duplicate funding with the department’s additional budget requests and said the rural health funds were separate from those requests. He also said the program will be tracked through specific metrics and timelines, using both execution measures and outcome measures such as readmissions, with more rapid-cycle feedback to allow course correction. Representative Fleming raised concerns about possible overlap with navigator funding and asked for more detail on the budget breakdown; Langfeld said a detailed line-item budget had been prepared but was still awaiting final CMS approval before release, and that he would explore sharing more information once restrictions were lifted. The committee then heard from the Kentucky State Public Health Laboratory about a request for a new central lab expansion. The presenter described the current 35-year-old facility as outdated and constrained by aging infrastructure, obsolete equipment, deferred maintenance, and inadequate space, and said the lab performs critical work with no in-state alternative for many services, including newborn screening, select-agent and biosafety level 3 testing, animal necropsy for rabies, genetic sequencing, environmental and food safety testing, and response to emerging infectious diseases. The project is already in design phase C, expected to finish in mid-April, with construction funding sought at roughly $276 million on top of about $35 million already approved for design. Members asked about long-term operating costs, backup arrangements, and whether the current facility would remain in use; the presenter said the current lab would continue to be used by the department while other divisions move into vacated space, and that the lab has mutual-aid agreements with the Southeast Consortium and universities for contingency support. Finally, the Department for Community Based Services began its budget presentation on SNAP and relative caregiver issues. Commissioner Lisa Dennis and budget director Misty Sammons identified the governor’s recommended budget items tied to new federal requirements under HR1, including changes affecting payment error rates. The discussion was just beginning when the transcript ended.

Transcript Highlights:

• integrity, the strongest possible<00:13:37.519> program<00:13:37.760> integrity<00:13:
• 38.240> for<00:13:38.399> our possible program integrity for our possible program integrity
• Um uh recovery program integrity.
• report with respect to program integrity report with respect to program integrity um<00:53:07.760
• this while still maintaining integrity? this while still maintaining integrity?

Keywords: 1187, senate, all

Transcript Highlights:

• in fully... ...bit of delay in it kind of being integrated in fully into the profession.
• Of the language is done in a very public setting, allowing for individuals to participate.
• serve our constituents with the highest level of integrity?
• They are integral health care providers to a modern health care system.
• Fortunately, the Board of Pharmacy is composed of members with integrity... Patient access.

Summary: The joint Assembly and Senate business committees held a sunset review hearing on the California State Board of Pharmacy, with board leadership describing the board’s consumer-protection role and its priorities around access, enforcement, and updating pharmacy law. The board emphasized a proposed shift toward a standard-of-care model for pharmacists, arguing it would reduce rigid protocol requirements and improve access to services such as HIV PrEP/PEP, contraception, and naloxone. Board representatives also discussed pharmacy deserts, possible fee waivers for pharmacies in underserved areas, concerns about payer practices contributing to closures, continuing education audits, and a request to restore more flexibility in licensure decisions and probationary monitoring for applicants with certain criminal histories. A major focus of the hearing was the board’s ongoing compounding regulations, especially the treatment of sterile versus nonsterile compounding and substances such as glutathione and methylcobalamin. The board said the proposal was not a ban on those substances and described the rulemaking as grounded in federal law, USP standards, and public comment, noting the process had gone through multiple modified texts and hearings. Testimony from stakeholders was sharply divided: pharmacists, veterinarians, firefighters, naturopathic doctors, and patient advocates warned the rules were restricting access to compounded medications and harming patients and first responders, while the California Medical Association, psychiatric physicians, and PhRMA raised concerns that the board’s proposals could expand pharmacist authority beyond training, affect physician practice, or create safety risks. Other public comments addressed pharmacy technician ratios, remote processing, flavoring medications, hospital-specific regulation, budget and enforcement transparency, and whether the board should add members with community compounding or pharmacy technician expertise. Committee members also asked about the board’s oversight priorities and the rationale for its standard-of-care proposal. Board staff explained that consumer protection includes education, licensing, policy, and enforcement, with the highest-priority enforcement cases being those posing imminent public harm. After public testimony concluded, the chairs thanked participants and adjourned the sunset review hearing, announcing an immediate transition to the joint informational hearing on the Department of Cannabis Control.

Transcript Highlights:

• Get it, get it set up. real quick.
• In many states, health plans contract with lab integrity programs, which can determine which routine
• a regulatory scheme that does not fit for lab integrity programs.
• for lab integrity programs.
• My company provides lab integrity programs for over 30 health plans across the US, uh.

Transcript Highlights:

• We develop a curated set of 306 business requirements encompassing functional and nonfunctional needs
• The goal is not to select a single solution but to define a viable set of evidence-based options that
• Also known as Dei Data, Migration, licensing, integrations, quality assurance and support services as
• We started integrates integration testing with state agencies. In October.
• We're there will be more can't integration testing going on.

Transcript Highlights:

• This mandate is set forth in two ballot.
• <00:18:00.080> will trust, his vision and integrity will trust, his vision and integrity will
• <00:44:36.480> against most populated county, are set against most populated county, are set
• Core set of leadership values: to represent and support a diverse set of constituents, to bring
• forth in JRS 36. language set forth in JRS 36.

Keywords: 927, senate, all

Transcript Highlights:

• It also sets compliance requirements such as period of performance.
• This ensures compliance, data integrity, and continuity of services.
• This ensures compliance, data integrity, and continuity. implementation efforts.
• This ensures compliance, data integrity, and continuity of services.
• We use the integrated service model. We use the integrated service model.

Keywords: 977, all

Summary: The committee met to receive a detailed financial operations presentation from the South Carolina Vocational Rehabilitation (VR) agency, with staff walking members through funding sources, budgeting, accounts receivable, accounts payable, and grants management. Sabrina Walker explained VR’s blended funding structure, including federal grants, state appropriations, program income, and interagency contracts, and emphasized that state funds are essential to meeting the federal match and maintenance-of-effort requirements. Members asked repeatedly about transparency, audit controls, and the risk that state cuts could reduce federal drawdowns; staff responded that all reports reconcile back to the SCEIS accounting system, are subject to state audits and internal reviews, and that even modest state reductions could significantly reduce total available funding. The committee also discussed pre-employment transition services for students with disabilities, with staff confirming services are offered through school districts, charters, and private schools, and that contracts are monitored for performance and compliance. The presentation then shifted to budgeting and internal controls. Walker described a zero-based departmental budgeting process, monthly monitoring reports, contingency reserves for unexpected expenses, and a formal annual cycle that culminates in board approval. Members asked about facilities tracking, culture, and how the agency maintains accountability; staff said facilities staff inspect buildings and equipment, supervisors justify line-item requests, and the process has become smoother over time as departments learned the system. Cynthia Johnson followed with an accounts receivable overview, describing invoicing, receipting, aging, customer verification, year-end reporting, and the use of cross-training, shared email inboxes, and spreadsheets as checks and balances. She also explained work training center billing, interdepartmental transfers, and the revolving fund used to issue consumer checks more quickly than standard vendor payments. Olivia Perez presented accounts payable operations, including invoice processing through SCEIS and OnBase, the three-way match, travel reimbursements, revolving fund checks, State Treasury Office interactions, and handling of reversals, rejections, and levy notices. She reported that AP processed 67,723 SCEIS payments, 13,670 case management system invoices, 3,379 travel reimbursements, and 15,693 revolving fund checks in fiscal year 2025, with only 70 payment rejections. The final portion of the meeting covered Grants and Funds Management, where Walker explained federal reporting, drawdowns, payroll allocation, asset tracking, lease and IT contract reviews, cost allocation, and closing packages. She noted upcoming system changes such as S/4HANA, Workiva, and SC Pro, but said the agency is receiving training and feedback opportunities. No formal votes or legislative actions were taken during the presentation portion beyond approval of the prior minutes and a brief recess.

Transcript Highlights:

• Could you set up an AAS?
• Could you set up an AAS?
• . with this integrated piece.
• or rural settings.
• And from my perspective, tuition-setting as well, just like the board sets tuition across all its other

Summary: The Higher Education Institutions Committee met on the Minot State University campus for presentations on campus operations, enrollment, and new academic initiatives. President Shirley reviewed recent audits, noting mostly clean results with only minor technical findings, and highlighted MSU’s broad academic offerings, specialized accreditations, athletics, and partnerships with Minot Air Force Base and the MSU Development Foundation. Members asked about declining interest in teacher education, tuition waivers for athletes, dual credit incentives, and how MSU decides when to launch new programs and avoid duplication within the university system. Shirley also discussed several workforce-focused initiatives supported by the Legislature’s Workforce Education Innovation Funds, including the purchase of the Trinity Health Center West building for a downtown health sciences hub, a new daycare/preschool partnership near campus, the Aspire program to recruit rural students into teaching, and a paraprofessional-to-special-education degree pathway. Enrollment data showed overall headcount was flat at just under 2,750, but full-time equivalent enrollment rose slightly and new student numbers increased, including the largest freshman class in 15 years. The committee also discussed Minot State’s in-state tuition rate for all students, its dual credit “Emerging Scholars” scholarship, and concerns about the share of high school graduates who do not immediately pursue postsecondary education. Faculty then presented two new programs funded in part by WEAF: an Innovation Engineering degree and a master’s program in counseling with an integrated addiction studies focus. The engineering program was described as industry-driven, designed with broad early coursework, hands-on learning, and local employer input to prepare students for western North Dakota workforce needs; officials said it had already drawn more applicants than expected and would use renovated library space and donated or grant-funded equipment. The counseling program will be mostly face-to-face with hybrid options, aims to address shortages in mental health and substance use providers, and is structured to help students meet licensure requirements. Committee members asked about startup costs, licensure supervision hours, and whether the programs would be on campus rather than online, and presenters said both programs had recently received required approvals and were moving forward.

Transcript Highlights:

• And these are just the threats. that we can discuss in this open setting.
• That the services and interagency partners are integrated appropriately.
• Most pressing are the delivery of integrated space fires, enhanced... battle space awareness, and integrated
• Well, we have an opportunity to... get a waiver approved because of our mission set.
• General Blank, same set of questions.

Keywords: military strategy, nuclear triad, deterrence, STRATCOM, SPACECOM, SLICOM, B-21, hypersonic defense, spectrum auction

Summary: The meeting focused on the strategic posture of U.S. military capabilities with an emphasis on deterrence amid growing global threats. General Cotton from STRATCOM and General Whiting from SPACECOM provided insights into the modernization efforts of the nuclear triad. Key discussions involved the importance of maintaining control over specific frequency spectrums critical for military operations and the implications of potential auctioning of these bands. Members expressed concerns regarding the evolving landscape with adversaries like China and Russia, emphasizing that swift action is needed to adapt and preserve U.S. national security. Various proposals and existing programs, including the B-21 bomber and the nuclear-armed sea-launched cruise missile (SLICOM), were debated, alongside the necessity of increasing military investment in hypersonic defense systems.

Transcript Highlights:

• Is it like a special course, or is it integrated into the curriculum now?
• The witness said it connects and integrates to the current curriculum.
• of that has been integrated?
• I want to see that, you know, this is being integrated so that every teacher will integrate it in their
• so that and and every teacher integrated so that and and every teacher will<00:14:40.079> integrate

Keywords: 912, senate, all

Transcript Highlights:

• I volunteer full-time on election integrity, verifying Alabama's voter rolls.
• As a concerned citizen, I work toward election integrity in Alabama and other states.
• I live in Prattville, Alabama, and I too work on voter integrity.
• <00:18:09.360> a State has the authority to set a State has the authority to set a reasonable
• Well, so if the intent is voter integrity, uh, to be published is to make it publicly available.

Bills: SB249, SB259, HB67, HB214

Keywords: municipal tax, license fee, local tax increase, ordinance, public hearing, 30-day notice, municipal notice requirements, city council, town council, Alabama municipalities, Code of Alabama 1975, Section 11-45-2, open meetings website, newspaper publication, local government finance, tax transparency, fee increase, municipal ordinance procedure, University of South Alabama, Board of Trustees

Transcript Highlights:

• I only have one set of slides. No, Megan is after me. I was sent along with Nick.
• Chair Delio, the settings are different than what I practiced.
• the integrity of CETA.
• We don't have that set up in Washington now.
• Rural counties face a distinct set of challenges in doing that well.

Keywords: 904, all

Summary: The committee’s interim work session focused first on carbon capture, utilization, and sequestration (CCUS), with presenters from industry, nonprofits, and state agencies describing Washington’s geologic potential, the role of basalt formations, and the difference between point-source capture, direct air capture, utilization, and permanent storage. Industry and project developers emphasized that Washington has major opportunities to reduce industrial emissions, create jobs, and support hard-to-electrify sectors, while state agencies explained current policy touchpoints in the Cap and Invest Program, emissions exemptions for permanently stored CO2, and the Clean Energy Transformation Act. Several presenters urged clearer statutory and regulatory pathways, including rules for pore space, subsurface rights, pipeline siting, and long-term liability; others cautioned that CCUS should be limited to real emissions reductions and not treated as a substitute for broader clean energy measures. Committee members asked about public comment opportunities, whether mineralized carbon would qualify for exemption under the Climate Commitment Act, the energy intensity of capture systems, aquifer protection, and liability if storage later proves problematic. Ecology said it is developing guidance through a public engagement process running through late June and that mineralized or otherwise permanently stored CO2 would likely qualify if it meets the 1,000-year permanence standard. DNR and outside experts also discussed trust lands, water rights, and the need for additional geophysical surveys and test wells. The panel did not take any votes or formal actions. The second half of the meeting turned to hazardous waste and extended producer responsibility. Ecology reviewed existing product stewardship programs for electronics, paint, batteries, and mercury lights, and described how moderate risk waste and household hazardous waste are currently collected through county facilities and events. Ecology said the electronics program is its best model, while the mercury lamp program is currently in transition after the prior stewardship organization exited and a new organization is seeking approval. Ecology recommended that future EPR programs have clear producer and product definitions, full producer funding, convenience standards, annual reporting, and strong enforcement authority. Local government witnesses from King County and Douglas County described rising costs, access barriers in rural areas, and the need for stable funding and flexible local delivery models. King County said it collected over 3 million pounds of hazardous products in 2025 and argued that EPR could reduce costs for ratepayers and improve equity. Douglas County stressed that rural residents are willing to participate when services are available, but travel distance and operating costs make access difficult. An industry representative supported narrowly scoped stewardship programs like PaintCare but warned that broad household hazardous waste EPR systems can become difficult to administer and may require legislative revisions if responsibilities are not clearly defined. No votes were taken on the hazardous waste topic either.

Transcript Highlights:

• So we've had a steadily increasing set of needs in our student population.
• They have to respond to seven or eight different sets of expectations.
• or a 6-12 setting than they are going to middle school.
• Going to encourage people to do is move those into K-8 settings.
• I think for it to do its best, that integration is really important.

Keywords: 988, house, all

Transcript Highlights:

• <00:09:06.276> [snorts] reasons of program integrity [snorts] reasons of program integrity
• <00:21:15.120> Our commitment to program integrity. Our commitment to program integrity.
• > program integrity approach includes program integrity approach includes controls<00:21:17.280> over
• was the cost of actually setting it up? was the cost of actually setting it up?
• <00:59:10.880> The McDonald's or any other setting. The McDonald's or any other setting.

Keywords: 1183, house

Transcript Highlights:

• integrated eligibility and enrollment integrated eligibility and enrollment system<00:04:45.120>
• integrated eligibility and enrollment integrated eligibility and enrollment system<00:07:39.759>
• ,<00:08:28.160> it And so again, this this integration, it And so again, this this integration
• <00:23:55.440> Do<00:23:55.679> we<00:23:55.840> set what's Do y'all set the
• Do we set what's Do y'all set the fees? Do we set the<00:23:56.320> fees?

Keywords: 1. Call to Order and Roll Call – 00:00:00 2. Approval of Minutes – 00:02:10 3. Discussion of State-Based Marketplaces and the Federally-Facilitated Marketplace – 00:02:31 4. Discussion of the Role of Kynectors and Navigators – 00:27:29 5. Discussion of Presumptive Eligibility – 01:11:57 6. Discussion of Medicaid Eligibility, Enrollment, and Redeterminations – 01:20:09 7. Update on Rural Health Transformation Program Application Process – 01:47:35 8. Public Comment – 01:59:57 9. Adjournment – 02:06:10, 958, all

Summary: The Medicaid Oversight Advisory Board met for its third meeting and approved the July 30 minutes. The chair outlined a full agenda covering the state-based marketplace versus the federally facilitated marketplace, connectors and navigators, presumptive eligibility, eligibility/enrollment/redetermination, and a rural health transformation update. Commissioner Lisa Lee and Assistant Director David Barry presented first on Kentucky’s state-based exchange, Connect, explaining that it is an integrated eligibility and enrollment system for Medicaid, CHIP, SNAP, TANF, child care, and qualified health plans. They reviewed Kentucky’s move from a state-based exchange to healthcare.gov in 2017 and back to a state-based marketplace in 2021, and said the system helps route applicants to the correct program and allows families to move more easily between Medicaid and exchange coverage as circumstances change. The presenters said the exchange is funded by carrier assessments on qualified health plans rather than general fund dollars, with costs allocated across programs based on use. They said Kentucky’s exchange fees are lower than the federal platform’s and that the state-based system provides local assistance through DCBS offices, connectors, and licensed agents in every county. Members asked about startup and operating costs, fee-setting, and whether any general fund dollars are used; the department said it would follow up with the CFO on fee details and said it was not aware of general fund support for exchange operations. Members also raised concerns about Medicaid eligibility verification and improper enrollment, while the department emphasized that the state system uses different questions than healthcare.gov and is designed to identify the correct coverage based on monthly Medicaid income and annual tax-credit income. The board also discussed enrollment trends, including a COVID-era spike during the public health emergency when disenrollments were largely paused, and current qualified health plan enrollment of more than 97,000 people on Connect. Commissioner Lee explained presumptive eligibility as temporary Medicaid coverage, noting it applies to pregnant women and hospital-based cases, with hospitals able to grant it and certain providers able to grant it to pregnant women. She said full eligibility is still determined within 30 days and that presumptive eligibility ends when full Medicaid eligibility is determined or at the end of the following month. The meeting then shifted to connectors, with representatives from Community Action Kentucky and the Kentucky Primary Care Association describing their statewide outreach network, local offices, and role helping residents apply for Medicaid, renew coverage, report changes, and navigate benefits; they said connectors do not determine eligibility but assist with applications, recertifications, and outreach events across the Commonwealth.

Transcript Highlights:

• ULTIMATELY, THE GOAL IS TO PROVIDE CLEAR PRACTICAL GUIDANCE SO STATE AND DISTRICTS CAN INTEGRATE AI IN
• THE BELL SCHEDULE TO INTEGRATE THAT APPROACH AND BRING DOWN THAT VOLUME, THAT IS SAVING MONEY.
• ARE INTEGRATED RIGHT FROM THE BEGINNING.
• MANY OF YOU ON THIS COMMITTEE HAVE SEEN HOW WE SET A RECORD WITH 97% RETENTION RATE.
• WE ARE SEEING THE ROI WITH RETENTION AND SETTING RECORD LEVELS.

Transcript Highlights:

• Because, you know, why would the plan also be doing the integrity of Access?
• Our programs operate in urban and rural settings alike.
• Number three, a safety net for first responders in hospitals, both in rural and urban settings.
• CBI has programs across the country, but we have our largest foot and urban settings.
• Our programs operate in urban and rural settings alike.

Bills: SB1086, SB1193, SB1318, SB1345, SB1346, SB1451, SB1496, SB1611, SB1630, SB1631, SB1632, SB1672

Keywords: reimbursement, healthcare, laboratory services, noncontracting providers, Arizona health care cost containment, personal identifying information, PII, privacy, confidential records, public records exemption, commercial disclosure, data privacy, licensure, certification, health professions, health care licensing, Arizona Department of Health Services, ADHS, emergency medical care technician, EMCT

Summary: The committee first approved the February 4 minutes and then heard Senate Bill 1086, which would require AHCCCS contractors to reimburse non-contracting providers for certain laboratory services when a member was referred by a contracting provider, and would bar prior authorization for diagnostic services and retaliation tied to such referrals. AHCCCS testified neutral but warned the prior-authorization ban could increase utilization and create fiscal and federal compliance concerns. The committee adopted the Warner amendment limiting non-contracting reimbursement to no more than contracting-provider rates, then passed SB 1086 as amended on a 4-2 vote. The committee next took up Senate Bill 1611, an emergency measure to require AHCCCS to contract with an administrative services organization for program integrity and case management functions for the American Indian Health Plan, while keeping AHCCCS ultimately responsible. The chair’s amendment expanded the ASO’s duties to include provider support, quality improvement, and data analytics, removed AHCCCS claims payment authority, added more tribal observers, and exempted IHS and tribal facilities. Testimony strongly supported reforming the system after fraud and overcorrection harmed Native members and providers, but AHCCCS raised concerns about the fast timeline, possible duplication of fraud-fighting functions, and the need for 45 days of tribal consultation. The committee adopted the amendment and passed SB 1611 as amended on a 5-2 vote. Senate Bill 1630 would create a Medicaid-funded home and community-based services program for adults with serious mental illness, capped initially at 250 members under the Angius amendment, with semiannual reporting and a process for future expansion only if costs are reduced or neutral. Supporters said the bill would help the sickest SMI patients avoid repeated hospitalizations, jail, and homelessness, and could save the state general fund by shifting costs to federal Medicaid funding; AHCCCS was neutral and said it was finalizing the fiscal estimate. The committee adopted the amendment and passed SB 1630 unanimously. The committee also passed SB 1193, protecting emergency medical care technician personal information from disclosure; SB 1318, repealing an outdated state dense-breast notification requirement to align with FDA language; and SB 1345, restricting anonymous complaints against health care institutions, though AHCCCS warned that federal law may still require investigation of complaints from any source and that the bill could reduce reporting and invite litigation.

Transcript Highlights:

• So, if we have, if we set aside a pocket of money, are.
• They actually have Maybe quite confusingly, two sets of Rainy Day Funds.
• The first program is Integrated Education and Training, or IET.
• So agencies should set participation targets.
• I just think it needs to be an integrated part of the program.

Transcript Highlights:

• meet their achievement and integration meet their achievement and integration goals.<00:32:03.360
• <00:36:20.240> uh student achievement and integrated uh student achievement and integrated
• It set us on a great base.
• It set us on a great starting place. It set us on a great<00:58:47.440> base.
• program. a small amount is has been set program. a small amount is has been set aside<01:06:57.920

Keywords: 1187, senate, all