Video & Transcript Research : 'generation performance'
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OK
Oklahoma 2026 Regular Session
Senate Legislative Session Apr 30th, 2026 at 09:00 am
Oklahoma Senate Floor Meeting
Transcript Highlights:
- So, last year alone, they went to 20 different rural communities to perform.
- Wade, I was the generation that was born during the passage of Roe v. Wade.
- That's 5 million generations dead.
- That's 4,130 generations dead.
- I'm fighting for one, and I'll fight for the one because the one generation might be that one generation
Bills:
HB1168
Keywords:
abortion, abortion-inducing drugs, medication abortion, mifepristone, misoprostol, methotrexate, pro-life, pro-choice, reproductive health, unborn child, trafficking, felony, contraception, pharmacist, pharmacy, Title 63, Oklahoma statutes, abortion pill, drug distribution, criminal penalty
KY
Kentucky 2026 Regular Session
House Legislative Session Day 22 (2-6-26)
Kentucky House Floor Meeting
Transcript Highlights:
- they come back to the general assembly. they come back to the general assembly. we<00:36:32.720>
- House Bill 591, Representative Bratcher, an act relating to a performing arts career path.
- <01:01:51.839>
home act relating to a first generation home act relating to a first generation - <01:03:06.960>
House to a performing arts career path. - House to a performing arts career path.
Keywords:
Convene 00:00:00
Senate Message 00:05:34
Calendar/2nd Readings 00:06:28
Orders of the Day 00:08:10
HB 542 00:08:34
HB 565 00:23:06
HB 611 00:25:32
HB 657 00:28:39
HB 762 00:31:07
HB 108 00:34:54
HB 67 00:39:02
Motions, Petitions, and Communications 00:46:48
Introduction of New Bills and Resolutions 00:58:42
Recess for ConC/Rules Meeting 00:59:12
ConC/Rules Report 01:02:18
Floor Amendments 01:03:42
Adjournment 01:04:02, 958, all
Summary:
The House convened with an invocation and pledge, established a quorum with 92 members present, excused absent members, and approved the journal. The chamber also received notice that the Senate had passed Senate Bills 5, 12, and 73 and requested concurrence. Members then moved through second reading of several bills, including measures on geoengineering, video teleconference meetings, dissolution of marriage, licensed child care centers, city franchises, trophy catfish, peer support specialists, and House Joint Resolution 25 on Kentucky becoming a “food is medicine” state.
The House then considered and passed several bills on third reading. House Bill 387, relating to the Controlled Substance Prescribing Council, was amended and passed 91-1 after debate over veterinarians’ reporting requirements; the bill bars such reporting by regulation, removes an emergency medicine physician and acute care nurse from the council, and adds two veterinarians. House Bill 45, modernizing CPA licensure, passed 93-0. House Bill 369, adding PTSD to conditions eligible for hyperbaric oxygen therapy for veterans, passed 93-0. House Bill 333, concerning faith-based small-scale affordable housing and shelters, passed 90-1 after discussion of housing needs, zoning limits, affordability requirements, and shelter standards. House Bill 50, addressing removal of persons unlawfully occupying real property, passed 92-0, and House Bill 388, a cleanup bill for the CASPER prescription monitoring program, passed 92-0.
The House also passed House Bill 385, clarifying that the Commonwealth and Cabinet for Health and Family Services are financially responsible for non-elective medical care for patients of state-operated mental health facilities, by a 91-0 vote. House Bill 212, allowing licensed veterinary technicians to administer rabies vaccinations to dogs, cats, and ferrets under veterinarian supervision, passed 92-0. After these actions, the House took up House Resolution 58 recognizing February 6, 2026, as National Wear Red Day in Kentucky; the sponsor spoke about heart disease awareness and two young constituents awaiting heart transplants, and the resolution was adopted without objection.
Later, the House received announcements about caucus meetings and committee meetings, then introduced a large slate of new bills and House Resolution 61 commemorating the 100th anniversary of Black History Month. The Committee on Committees and Rules Committee reported referrals and postings, including referral of several bills to standing committees and posting House Bills 748, 266, 305, and 470 for Monday, February 9, 2026. The session ended after introduction of floor amendments to House Bill 356.
AZ
Transcript Highlights:
- Myself, I'm a proud fifth-generation Arizona.
- overall... ...education stuff in the interim, so look forward to adding to the committee's overall performance
- explains, actor Mike Hesslin suffered a cardiac event at a Las Vegas restaurant, but no CPR was performed
- Bystanders with formal CPR training performed CPR in 25% of cases, meaning the vast majority of cardiac
Bills:
SB1009
CA
California 2025-2026 Regular Session
Assembly Budget Subcommittee No. 1 on Health Apr 20th, 2026
Transcript Highlights:
- We don't have any comments overall about the performance of the programs, but your question about any
- The funding sources include no General Fund, as I mentioned.
- The funding sources include no general fund, as I mentioned.
- General Fund in 2027-28 and ongoing to support workload at EMSA for human resources, enforcement, and
- Just as a little background context, generally we have favorable budget variances each year, somewhere
Summary:
The Assembly Budget Subcommittee on Health heard updates on five health-related budget items. First, members reviewed state support for distressed hospitals and health facilities. The California Health Facilities Financing Authority and HCAI described the Distressed Hospital Loan Program as a lifeline for 16 hospitals, many of which remain financially strained and are expected to seek loan forgiveness rather than repayment. Speakers cited reduced contract labor, new service lines, strategic partnerships, and the reopening of Madera Hospital as signs of progress, but also warned that federal policy changes under H.R. 1 will likely increase uncompensated care and pressure emergency departments. Public commenters from hospital, dental, and consumer groups supported additional funding, including a request to refresh the program with another $300 million.
The committee then heard HCAI’s update on the California Rural Health Transformation Program, a five-year federal initiative funded at $233.6 million for California. HCAI said the program will focus on rural care models, workforce development, and health technology, with grants to be rolled out on a fast timeline and all funds obligated by October 30, 2026. Members raised concerns about rural provider capacity to apply for grants, and HCAI said it will use a third-party administrator, a technical assistance center, webinars, and other supports to help applicants. HCAI also presented its budget request for the health care payments database, seeking ongoing non-General Fund support to continue operations and expand data, including pharmacy benefit manager data.
The Emergency Medical Services Authority presented three budget change proposals: funding to replace disaster medical services fleet vehicles, funding for IT security work, and additional positions for HR, enforcement, and legal workload. A member also raised concern that EMSA has not yet completed the annual ambulance rate reporting required by AB 716, and EMSA said it remains committed to the requirement but lost prior funding through later budget reductions. Covered California reported that it is still finalizing its own budget, but expects a lower operating budget due to efforts to reduce baseline costs and align spending with actual expenditures; it also projected enrollment declines tied to the expiration of enhanced premium tax credits, H.R. 1, and federal rule changes, while noting that revenues may still rise because premiums are expected to increase. Finally, the Department of Managed Health Care outlined budget proposals tied to menopause coverage and education, PBM licensure and enforcement under AB 116 and SB 41, credentialing reforms under AB 1041, and prior authorization reporting under SB 306. Public testimony generally supported the menopause and PBM proposals, while also urging clearer language and attention to Medi-Cal parity. The hearing concluded after public comment, including additional advocacy for sickle cell services and rural health workforce funding.
MN
Transcript Highlights:
- We also have $1,000,000 for the general fund.
- Do you or either of your testifiers know what that generally looks like?
- Like, you could potentially run that through another generator?
- How much potential capacity is left there with that portion of the generation?
- We generally don't make direct payments to households.
US
US Federal 2025-2026 Regular Session
US House Floor Proceedings (Monday, March 24, 2025)
US Federal House Floor Meeting
Transcript Highlights:
- <02:21:32.960>
its that Congress is able to perform its that Congress is able to perform its - problem project and performance-based problem project and performance-based learning<02:26:59.640
- We are making a strong commitment to future generations of Americans.
- <02:53:53.840>
of commitment to Future generations of commitment to Future generations of - <03:40:50.720>
lady the balance of my time General lady the balance of my time General lady
HI
Hawaii 2025 Regular Session
HRE-AEN, AEN DEFER Public Hearings 01-31-2025
Transcript Highlights:
- We're more of a third-party institution in testing their performance, basically, and evaluating it at
- My understanding is that TAT goes entirely into the general fund. No, it doesn't go entirely.
- <00:41:20.200>
to careers for our future generation to careers for our future generation to - But let me just also state that the TAT goes into the general fund.
- That's part of the money that goes into the general fund. It's a difficult decision. Thank you.
Summary:
The committee heard testimony on Senate Bill 1232, which would create a three-year wastewater technology testing pilot program at the University of Hawaiʻi Water Resources Research Center and coordinate testing with state and county agencies. The Department of Health, the Department of Hawaiian Home Lands, and University of Hawaiʻi representatives supported the bill, saying it would help certify new wastewater technologies, lower costs for cesspool conversions, and provide data to the Department of Health. Testifiers said the prior testing effort ended after the departure of Dr. Roger Babcock, and that the new program would use National Sanitation Foundation standards, graduate students, and local wastewater facilities such as Wahiawa. Committee members asked about the $750,000 total cost, the scope of existing research, prior test sites, and whether the program would be tied to individuals or a permanent program. One member raised concerns about the fairness and data basis for sewer conversion decisions in local communities, and the University said it would follow national standards and share results openly.
The committee then took up Senate Bill 686, relating to a short-term management initiative for coconut rhinoceros beetle response and related appropriations. The Department of Agriculture and the University of Hawaiʻi testified in support, while a county representative and other advocates urged broader statewide coverage, including Kauaʻi, and asked that appropriated funds be usable on any island. Testimony emphasized the need for immediate action, outreach, tree-trimmer training, canopy treatments, K-9 inspections, container fumigation, and biocontrol research. A member summarized the bill’s funding components, including amounts for training, residential palm treatments, response teams, inspections, fumigation, and research, and noted the importance of directing money toward on-the-ground response. Committee questions focused on how much funding remained available, how the agencies would coordinate with DOA, whether the department was prepared to manage all the bill’s functions, and how infestations were being communicated to the public.
Finally, the committee began hearing Senate Bill 657, which would appropriate funds for the University of Hawaiʻi School of Ocean and Earth Science and Technology’s Center for Climate Resilient Development. The Department of Land and Natural Resources testified in strong support, and the Department of Health also supported the measure, noting that it relies on the center’s data to inform decisions and recommendations on projects. The discussion on this item was brief in the portion provided, with no vote or final action shown.
LA
Transcript Highlights:
- In 1992, Attorney Richard Ieyoub appointed her as Deputy Attorney General in charge of the Civil Division
- She concluded her distinguished public service career as General Counsel for the University of Louisiana
- Therefore, be it resolved... ...public service career as General Counsel for the University of Louisiana
- I determined I wanted to make District 2 to be a... ...and District 2 to be performing for Democrats,
- which would allow the remaining districts around it to be performed better for Republicans.
Bills:
SCR12, HB221, HB509, HCR58, HB75, HB1222, SB121, SB312, SB348, SB485, SCR9, SCR58, SB65, SB215, SB249, SB269, SB282, SB296, SB323, SB363, SB369, SB474, SB490, SB492, SB500, SB514, HCR54, HCR79, HCR87, HCR94, HCR104, HCR32, HB944, HB17, HB41, HB73, HB223, HB244, HB410, HB750, HB759, HB906, HB966, HB1006, HB1009, HB1086, HB1107, HB1112, HB1215, HB1242, SB208, SB217, SB283, SB387, SB389, SB401, SB408, SB469, HB74, HB119, HB368, HB414, HB552, HB732, HB776, HB848, HB870, HB953, HB956, HB1236, SB29, SB42, SB43, SB78, SB149, SB274, SB300, SB341, SB382, SB441, SB449, HB134, HB210, HB258, HB359, HB468, HB784, HB1117
Keywords:
logging, recognition, John Keith, environment, safety, Mississippi River bridge, Trump Expressway, transportation, federal funding, Louisiana highways, injection wells, public hearing, geologic sequestration, environmental impact, public comment, Ascension Parish, state capitol, economic development, community partnership, celebration day
KY
Kentucky 2026 Regular Session
House Legislative Session Day 33 (2-24-26)
Kentucky House Floor Meeting
Transcript Highlights:
- community can't wait another generation. community can't wait another generation.
- Resolution One, not the Kentucky General Resolution One, not the Kentucky General Assembly.<01:10
- Um, what academic performance that.
- general public. I was proud to vote yay. general public. I was proud to vote yay.
- >> General from Lincoln. >> General from Lincoln.
Summary:
The House convened with a quorum, approved the journal, excused absent members, and suspended rules to allow co-sponsorship and vote modifications. The Senate reported passage of Senate Bills 52 and 124, and several House committees reported favorable action on bills including HB 1, HB 2, HB 94, HB 246, HB 282, HB 299, HB 307, HB 519, HB 613, and HB 648. Most of those measures were ordered to first reading and placed on the calendar; HB 1 and HB 307 were sent to the Rules Committee after having had two previous readings. The House then recessed briefly before returning to the orders of the day.
The chamber took up HB 568, relating to public adjusters. The sponsor explained that the bill would prohibit new public adjuster licenses, allow current licensees to renew, impose conflict-of-interest and contract requirements, set a 5% fee cap, and bar public adjusters from negotiating claims, citing consumer protection concerns and legal opinions about the practice of law. After debate and a brief explanation of vote from a member citing local storm-related abuses, the House voted on roll call and passed HB 568 with one nay vote.
The House then considered HB 1, which would opt Kentucky into the federal education freedom tax credit program. Supporters said it would allow private donations to scholarship-granting organizations to benefit Kentucky students without using state general funds, and argued it could help public, private, and homeschool families with education-related expenses. Opponents criticized the speed of the process, warned it could open the door to vouchers and charters, and argued it would mainly benefit wealthier donors while public schools remain underfunded. Members also questioned the bill’s waiver of 11th Amendment immunity and received explanations that the waiver was limited to federal-court jurisdiction over the federal program and would not create individual liability for state actors. A motion to table the bill failed with 19 votes in favor, and debate continued.
HI
Hawaii 2026 Regular Session
HOU-EIG, HOU DEFER, HOU DEFER, HOU Public Hearings 02-05-2026
Transcript Highlights:
- the maps. uh reliance on generalized the maps. uh reliance on generalized maps<00:09:43.680>
- <00:10:50.320>
GIS more efficient than a generalized GIS more efficient than a generalized - And I I like the that the generalized?
- Linda Child, Deputy Attorney General.
- I mean, they're generation be the first?
Summary:
The committees heard testimony on five housing-related measures. SB 2232 would create a three-year tiny home grant pilot program within HHFDC, with annual reporting to HHFDC and the Legislature; testimony was mixed, and the bill was later recommended for passage with amendments, including a full-time housing development specialist, a residential-use-only restriction for the tiny homes, and a blanked appropriation. SB 2192 would bar county down-zoning that reduces housing capacity unless equivalent capacity is added elsewhere in the county; it drew support from housing advocates and comments from planning officials, and was also recommended for passage with amendments. SB 2378 would clarify insurance requirements for single- and multifamily projects seeking expedited county permitting; engineers and housing groups supported it, while one testifier opposed it, and it was recommended for passage with a technical amendment. SB 2524 would appropriate funds to the City and County of Honolulu for housing-related departments to comply with prior acts; the Honolulu department supported it, and members asked about prior spending and funding sources. SB 2398 would require residential housing utility availability maps; the Honolulu Board of Water Supply opposed the bill as written, citing infrastructure security, accuracy, liability, and administrative burden concerns, while supporters said it would improve transparency for developers. The chair proposed amendments to make the maps broad and geographic rather than parcel-specific, remove contested-case and reliance provisions, allow disclaimer language, and change the date; the bill was then recommended for passage with amendments, with one member noting reservations. All five measures were ultimately passed out of committee with amendments, with votes recorded and some members excused.
NM
Transcript Highlights:
- That is the conclusion of MIT's Elections Performance Index, a nonpartisan, objective measure of election
- The index evaluates all 50 states across 18 performance indicators, voter registration rates, post-election
- And under color of law means acting or purporting to act in the performance of official duties under
- It's just whatever newspaper there is of general circulation that exists there.
- I understand just what it means in general common knowledge. Madam Chair, I'm sorry, Madam, or Mr.
AR
Arkansas 2026 Regular Session
ARKANSAS LEGISLATIVE COUNCIL (ALC) Jan 16th, 2026
ARKANSAS LEGISLATIVE COUNCIL (ALC)
Transcript Highlights:
- But as we move into page number two, the cumulative deviation from the FNA net general revenue available
- As we move to page number three, page number five, we have our general revenue collections.
- This legislature, this General Assembly, sets the adequacy amount. They say...
- This legislature, this General Assembly, sets the adequacy amount.
- Does that not impact their performance relative to comparing it to the public schools?
Summary:
The Arkansas Legislative Council meeting began with approval of the December 2025 minutes and a presentation from the Bureau of Legislative Research on the December revenue report. Dr. Carlos Silva said gross collections were about $4.02 billion, up slightly from the prior year, and net available for distribution was also above last year but down modestly from the previous month because of higher-than-expected corporate income tax refunds. Members asked about corporate tax trends, tariffs, and inflation, and Silva said it was too early to call the corporate decline a trend and that tariff effects would likely show up mainly in sales tax collections.
The council then adopted several subcommittee reports, including the Executive Committee Subcommittee, Administrative Rules, Hospital/Medicaid/Developmental Disabilities, Occupational Licensing Review, PEER, Review, State Insurance Program Oversight, and Personnel. The PEER report drew the most debate because of a Department of Agriculture grant tied to Perry County and Central Arkansas Water; members discussed whether removing the Perry County portion would affect the grant’s competitiveness, and the report was ultimately adopted with the item included. The Review Subcommittee also heard questions about a BDO contract for the rural health transformation program, with DFA explaining that the contractor would manage the program while state agencies would make funding decisions consistent with the state’s application.
A major portion of the meeting focused on the Education Freedom Account appropriation tied to LEARNS. Senators and representatives debated whether the program helps families or diverts money from public schools, with supporters arguing it funds students and choice and opponents arguing it is costly, vulnerable to fraud, and harms public school funding. Department of Education officials said roughly 28,000 private school students and 17,500 homeschool students were participating, that EFA students must submit standardized tests annually, and that the requested $32 million was to cover existing participants. After multiple substitute motions and extended debate, the body rejected a motion to strip out the $32 million and then adopted the report and related motions. The meeting ended after routine approvals of additional agency items and adjournment.
AR
Transcript Highlights:
- wonderful, beautiful day that you have given us, this final day of the fiscal session of the 95th General
- Now, therefore, be it resolved by the House of Representatives of the 95th General... And children.
- Now, therefore, be it resolved that the Senate of the 95th General Assembly of the State of Arkansas
- Assembly is organized for the 96th General Assembly, when the Senate is organized for the 96th General
- The 96th General Assembly. That I will be a candidate for President pro tem. Thank you. Thank you.
MS
Mississippi 2026 Regular Session
Judiciary, Division B - Room 409, 28 January, 2026; 9:00 A.M.
Judiciary, Division B
Transcript Highlights:
- where when we go to the attorney general where when we go to the attorney general or<00:01:20.880
- state general fund. state general fund.
- medical examiner's office for performing medical examiner's office for performing autopsies.<00:
- <00:32:15.519>
I'm Attorney General. I'm Abby Overby. I'm Attorney General. - <00:35:35.680>
is And so what the attorney general is And so what the attorney general is
Summary:
The committee first took up Senate Bill 21104, a Gaming Commission criminal penalties bill presented by Commissioner Jay McDaniel. He said the measure is essentially the same as a bill passed by the Senate last year and would keep penalties low for people merely playing gaming, but make it a felony for operators of illegal online gaming platforms, with a $100,000 fine per conviction and forfeiture authority for funds tied to the crime. The committee substitute was described as clarifying that the penalties target the operator rather than the platform being used. After no questions, the committee moved and adopted the bill.
The committee then heard three Department of Public Safety bills from Commissioner Tindle. Senate Bill 2232 would raise seat belt fines from $25 to $100 and direct the additional revenue into existing driver education-related funds, with the stated goal of supporting driver education programs and improving teen road safety. Members asked about the revenue impact and whether the money would be appropriated back to the department and schools; Tindle said the funds would still be subject to legislative appropriation. The bill was moved and adopted, though some members raised concerns about redirecting local fine revenue.
Senate Bill 2314 was described as a cleanup bill for driver’s license statutes, updating outdated references, removing obsolete paperwork requirements, allowing first-class mail and optional digital notice through mobile ID, and reflecting the department’s move from Jackson to Pearl. Members questioned whether first-class mail could shorten response time for suspension notices and how mobile ID notices would work; Tindle said the change was intended to save money and allow electronic notice if users opt in. The committee also adopted this bill. Senate Bill 2817 would reorganize DPS by consolidating several divisions into a new Mississippi State Bureau of Investigations, combine equipment and software purchases, raise autopsy fees from $1,000 to $1,200, increase salvage title inspection fees from $75 to $125, and open a broader discussion about the Highway Patrol’s future role. It was also moved and adopted. The committee then heard Senate Bill 2230 from Senator Hill, which would extend electronic warrants to misdemeanors; members discussed efficiency, warrant databases, and Fourth Amendment concerns, but no final action on that bill was shown in the excerpt.
CA
California 2025-2026 Regular Session
Joint Convention of the California Legislature State of the Judiciary Mar 18th, 2025
Transcript Highlights:
- The Attorney General is in the house.
- Can we please give a round of The Attorney General is in the house.
- They have just circulated Outlines the guardrails for safely using generative AI.
- The task force has also developed guidance for judges using generative AI in their adjudicative role,
- So I will close now with the same general thoughts that I opened with this year.
Summary:
The California Legislature met in joint convention for the annual State of the Judiciary address, with judges and justices from across the state in attendance along with Governor Newsom and other statewide officials. The opening included prayer and the Pledge of Allegiance, followed by the formal introduction of Chief Justice Patricia Guerrero and the California Supreme Court justices. Speakers emphasized the importance of judicial independence, the courts’ role in protecting rights and democracy, and the value of collaboration between the legislative and judicial branches.
Chief Justice Guerrero focused on the state of the judicial branch, beginning with budget pressures from prior cuts and noting partial restoration in the governor’s proposed budget, while urging continued stable funding for courts, court-appointed counsel, and judgeships in high-need counties. She highlighted the expansion and benefits of remote proceedings, ongoing judicial vacancies, workload growth, and efforts to improve data collection and case-weighting. She also discussed implementation of the CARE Act, the court interpreter workforce pilot, CASA and kin-first child welfare efforts, courthouse security and facilities projects, and the judiciary’s work on generative AI guardrails.
A major portion of the address addressed the recent problems with the California bar exam and broader State Bar oversight. Guerrero said the court would pursue remedies for examinees harmed by the failures and would strengthen admissions oversight, including the role of the Committee of Bar Examiners. She also reiterated support for pro bono legal services and discussed immigration-related courthouse access, citing state laws limiting cooperation with federal immigration enforcement in courthouses. The convention concluded after remarks thanking the judiciary and Legislature, and the joint session adjourned without any recorded votes or formal legislative action.
NM
New Mexico 2026 Regular Session
House - Appropriations and Finance Jan 21st, 2026 at 01:58 pm
House Appropriations & Finance
Transcript Highlights:
- And performance and audits over the previous fiscal years.
- Of the state general fund for ECCD.
- That 150 million that the executive is above the LFC and general fund.
- We can break it out, but generally, we're in agreement with that.
- At the end of the day, the performance the governor talked about yesterday, the performance that you're
Bills:
SB2
Keywords:
SB 2, State Highway Project Bonds, highway funding, transportation bonds, state road fund, motor vehicle fees, vehicle registration fees, electric vehicle fee, EV surcharge, plug-in hybrid fee, weight distance tax, road construction, infrastructure financing, Department of Transportation, State Transportation Commission, bonding authority, county road funds, municipal road funds, transportation improvement program, state highways
NM
New Mexico 2026 Regular Session
House - Appropriations and Finance Jan 21st, 2026
House Appropriations & Finance
Transcript Highlights:
- And this is a representation of the State General Fund for ECCD.
- We can break it out, but generally we're in agreement with that.
- At the end of the day, the performance the government talked about yesterday—the performance that you're
- We did do some general fund swaps.
- How much money does that student generate?
Bills:
SB2
NM
New Mexico 2026 Regular Session
House - Appropriations and Finance Jan 17th, 2026 at 09:11 am
House Appropriations & Finance
Transcript Highlights:
- Of that, $1.7 billion was from the general fund.
- There's also some items for the Attorney General.
- Just a general question: It seemed like a lot to me that we would need 2 million to do a performance-based
- The General Services Department has issued a rate sheet.
- Chair, Representative, the general fund. General fund into that fund. Yes.
KY
Kentucky 2025 Regular Session
Medicaid Oversight and Advisory Board (12-10-25) - Part 2
Transcript Highlights:
- :53.280>
Russell behalf of Attorney General Russell behalf of Attorney General Russell Coleman - c> fraud<00:01:42.560>
control So, in general Medicaid fraud control So, in general Medicaid - >> I would feel comfortable generally >> I would feel comfortable generally speaking
- Medicaid in general? Medicaid in general?
- <01:04:35.200>
sorry have come across where the general sorry have come across where the general
Summary:
The Medicaid Oversight and Advisory Board reconvened and heard a presentation from the Attorney General’s Office Medicaid Fraud and Abuse Control unit. AG staff described the unit’s structure and work: it investigates and prosecutes Medicaid provider fraud, and also handles abuse, neglect, and exploitation cases involving vulnerable adults in facility settings when asked to assist. They said the office has prosecutors, detectives, auditors, and support staff, works with federal partners, Commonwealth’s attorneys, CHFS, DMS, OIG, and MCOs, and uses a hotline and referral line for complaints. They also explained the MCO referral process, including monthly meetings, stand-down lists, and review of referrals for a “credible allegation of fraud” before the AG office decides whether to open a criminal or civil investigation.
The presentation focused heavily on current fraud trends. Staff said behavioral health is a major concern, along with participant-directed waiver services, medically assisted treatment, cash billing for services, controlled-substance billing, and vision and dental fraud. They gave examples such as duplicate time sheets for family caregivers, questionable Suboxone counseling and urine drug screening practices, and a prior optometry case involving false claims for children’s glasses. They also discussed CMS’s estimate that about 5% of Medicaid payments are improper, noted that most improper payments are at the fee-for-service level, and said there is no reliable overall fraud-rate estimate. They highlighted a sharp shift in behavioral health billing after the cabinet’s November 1, 2024 policy changes, saying individual psychotherapy spending dropped while group billing increased, suggesting providers may have moved billing to different codes.
Members asked about the scale and timing of cases, how MCO referrals are screened, and whether the data reflected more people being served or just higher spending. The AG office said investigations can take years, with some federal cases still awaiting sentencing from 2018 and 2019 matters, and that they currently had nine individuals awaiting sentencing in federal court. They also reported 58 hotline reports during the referenced period, six cases opened from MCO referrals, and four additional MCO referrals not accepted for active cases. Several members raised concerns about home-based services and the risk of abuse or fraud when family members are reimbursed, and asked whether the process could be streamlined; the AG office said it had no immediate recommendations but would be willing to return with suggestions after further review.
AL
Transcript Highlights:
- >
top <02:17:40.080>performers performer. - That's the top performers performer.
- But generally per county. But generally per county.
- Now, therefore, be it generations.
- performance-based education. performance-based education.
Summary:
The Alabama Senate convened with prayer, the pledge, and a quorum present, then adopted a resolution honoring Dr. Todd Freeman, Superintendent of Vestavia Hills City Schools, as Alabama Superintendent of the Year. Senators praised his leadership in public education and noted the recognition was especially meaningful as one of the last such honors in the current chamber. The Senate also adopted a resolution commending the 2026 Alabama Law Institute Senate interns for their service, and members offered personal remarks thanking the interns and encouraging them to remain and contribute to Alabama in the future.
The chamber then took up several conference committee and House messages. The Senate concurred in the conference report on Senate Bill 341 after extended remarks, and later concurred in the conference report on Senate Bill 32, described as a veterans-related bill that would make benefits automatic for those under the federal poverty level and allow cities and counties to opt in for veterans above that level. The Senate also received House amendments to Senate Bill 199, concerning sex offenders, and voted to non-concur and send the bill to conference, naming conferees.
In resolutions from the Rules Committee, the Senate adopted an amended House Joint Resolution 198 establishing the Alabama Mental Health Task Force. It also adopted House Joint Resolution 326, which recognizes the need for a north-south transportation route in East Alabama. Throughout the meeting, senators made extended floor remarks about slowing down on legislation, focusing on rural hospitals and other priorities, and the importance of treating children, seniors, and low-income residents fairly.