Transcript Highlights:

• lowest<00:15:16.399> performing<00:15:17.199> level<00:15:17.440> of The efficiencies
• The efficiencies<00:15:35.279> that<00:15:35.519> my<00:15:35.760> counties<00:15
• :36.160> depend<00:15:36.480> on efficiencies that my counties depend on efficiencies that

Keywords: 1187, senate, all

Summary: The program focused first on Minnesota Republicans’ efforts to combat fraud and improve government accountability, featuring Sen. Mark Koran. He argued that fraud in programs such as Medicaid, childcare assistance, PCA, autism services, housing support, and food aid harms both taxpayers and vulnerable recipients, and he cited cases where people in need were left without services. Koran said the problem stems from weak agency oversight, overreliance on self-attestation, and poor use of available data and site visits. He described a bill and related work to strengthen an independent inspector general structure, standardize eligibility checks, require better verification and external data use, and improve agency accountability; he also said federal involvement is necessary because many programs include federal dollars. No vote was taken in the interview, but he said the Senate had already passed an inspector general-related measure and that broader reform is still needed. The second major topic was the Senate DFL’s “ICE accountability agenda” in response to federal immigration enforcement activity in Minnesota. The package includes bills to protect sensitive spaces such as schools and hospitals, ban law enforcement officers from wearing masks while on duty, and allow Minnesotans to sue the federal government in state court. DFL members framed the issue as one of constitutional enforcement tactics rather than immigration policy, and said the measures are intended to prepare the state if ICE returns. No committee vote or final action was described. The final segment covered school seclusion policy. Sen. Judy Seeberger explained that seclusion is intended as an emergency safety tool, not discipline, but said the 2023 law banning it through grade 3 removed a resource without replacing it. She said supporters of the ban point to misuse and trauma, while she and a working group sought a compromise with tighter safeguards: extending the policy through grade 12, requiring explicit parental consent and access to the room, interpreter services when needed, and reporting if seclusion is used repeatedly. She said the working group’s recommendations were largely reached by consensus, but the issue remains unresolved and it is unclear whether further legislation will advance this session.

Transcript Highlights:

• I'm the New Mexico representative for the Southwest Energy Efficiency Project.
• We're talking about energy-efficient stoves, energy-efficient refrigerators, kind of energy-efficient

Keywords: 996, all

Transcript Highlights:

• In essence, what it does, it continues to create some of the efficiencies, streamlines the presentation
• ... ...create some of the efficiencies, streamlines the presentation that was just made a little bit
• And I think what's been requested here does really speak to the efficiency and the way the department
• fact that our Ag Department has been able to live under these fees for over 50 years, shows the efficiency

Bills: SB47, SB110, SB122, SB143, SB168

Keywords: food recovery, composting, waste management, solid waste surcharge, organic waste reduction, environment, grants, advisory group, bosque management, Rio Grande, environmental protection, water resources, fiscal appropriation, drinking water, well owners, water testing, water treatment, public health, agriculture, New Mexico Department of Agriculture

Transcript Highlights:

• to overall make operations and sort of the chain of command inside the department a little more efficient
• department<00:19:06.960> a<00:19:07.200> little<00:19:07.360> more<00:19:07.600> efficient
• <00:19:08.160> and department a little more efficient and department a little more efficient

Keywords: Government Structure - Room 216, 29 January, 2026; 4:30 PM, 925, all

Summary: The committee first took up Senate Bills 2625 and 2636, both described as part of a broader effort to strengthen state cybersecurity. SB 2625 would create a state chief information officer at the governor’s office level to coordinate IT and cybersecurity policy across agencies. Members and the sponsor said it was a conceptual work in progress, and the committee added a reverse repealer before reporting the bill out as a committee substitute with a do pass recommendation. SB 2636 would create a Department of Cyber Security focused on law enforcement and post-attack response, including investigators and coordination with DPS, the auditor’s office, local jurisdictions, and federal partners. Supporters said the goal was to improve collaboration, protect taxpayer information, and separate network protection and recovery from criminal investigation. Some members questioned whether the new department would overlap with existing IT and law enforcement functions, but sponsors said it was intended to clarify responsibilities rather than duplicate them. The committee added a reverse repealer and reported the bill out as a committee substitute with a do pass recommendation. The committee also considered SB 2632, which would delay action on state disaster recovery funding while awaiting federal changes from FEMA/MEMA. The sponsor said the bill would give the state time to evaluate new federal disaster recovery rules and determine the best approach for Mississippi. The committee added a reverse repealer and reported the bill out as a committee substitute with a do pass recommendation. Finally, the committee heard SB 2817, a Department of Public Safety reorganization bill. It would move the Bureau of Investigation, narcotics, homeland security, and the forensic lab under the State Bureau of Investigation to streamline command and allow more flexible staffing. It would also preserve a telecommunications fee, raise autopsy and salvage inspection fees, and continue discussion of DPS police powers. After questions about the autopsy fee and whether the reorganization would save money, the committee adopted a do pass motion. The chair also noted that SB 2673 would be studied further over the next year before any final action.

Transcript Highlights:

• I'm just asking, is there some way to incorporate that that would make you more efficient with your time
• And so, guided by that interest, what is the most efficient way...
• By that interest, what is the most efficient way to deliver on that and make sure that we have appropriate
• If we limit oversupply, the program can maintain efficiency in that high-cost environment in particular

Summary: The committee heard a JLARC presentation on the Department of Health’s oversight of hospital inspections, complaints, and reporting. JLARC said DOH was late on 72% of acute care hospital inspections as of December 2024, had not verified that third-party accrediting standards were substantially equivalent to state standards, did not consistently require proof of those inspections, did not review adverse health event corrective plans, and could make hospital data more accessible. JLARC also raised a possible language-access barrier in the complaint system. Members asked about complaint filing by staff, the meaning of adverse health events, inspection outcomes, and whether the audit compared DOH to other agencies. JLARC said it had not reviewed inspection results or cross-agency comparisons, but noted inspectors were dedicated and working long hours. DOH later said it concurred with the recommendations and outlined a strategic plan with target dates for improving timeliness, verifying accreditation standards, expanding language access, reviewing adverse event laws, and improving public data access, with annual reporting to the Legislature expected. The committee then heard a Department of Health presentation on certificate of need modernization. DOH described the current certificate of need process, which reviews need, financial feasibility, quality, and cost containment for certain facility changes and new services, and said the program has not been modernized since the 1980s. DOH proposed 10 statutory modernization recommendations, including clarifying the program’s purpose, creating a planning entity, adding flexibility, reducing legal costs, updating access-to-care standards, expanding oversight to freestanding emergency departments and urgent care, addressing equity, improving cost control coordination, strengthening long-term funding, and using better data systems. Members asked about oversight of freestanding urgent care and EDs, funding sources, and whether the process could be streamlined or made more responsive to complaints or other triggers. A third panel discussed artificial intelligence in health care. Lucy O’Rourke of the Coalition for Health AI described CHAI’s work on responsible AI principles, technical standards, model cards or “nutrition labels,” testing and governance tools, and educational resources for providers. She said the group is focused on trust, transparency, fairness, safety, security, and privacy, and noted Washington’s AI-related policy work as among the more progressive in the country. No questions were asked. The final portion focused on the financial impact of federal and state health care policy changes. The Washington State Hospital Association said hospitals are facing low or negative operating margins, service reductions, layoffs, and closures, and that state cuts and taxes enacted in 2025, combined with federal HR1 changes, will significantly worsen finances. Providence Swedish leaders described staffing reductions, service cuts, delayed capital investments, and pressure from denials, tariffs, and reimbursement changes, while emphasizing that frontline staffing cuts are tied to service reductions rather than nurse-to-patient ratio changes. The Washington Health Benefit Exchange then began a presentation on expiring federal ACA premium tax credits, state Cascade Care Savings assistance, and eligibility changes affecting lawfully present non-citizens, with examples showing large premium increases for customers if federal subsidies expire.

Transcript Highlights:

• Madam Chair, I believe this is where we can help redirect funds to be spent more effectively and efficiently
• , the shift to the GROW funded junior appropriations has improved oversight, increased spending efficiency
• There were more pilot programs, and I'm just wondering, are you all doing a comparison of the efficiency
• Generally, some of the reasons they talk about their different levels of spending efficiency include

Transcript Highlights:

• in our managed care contract a provision for the state to have that right for DNIP, and from an efficiency
• have that right for uh dnip and<00:15:49.680> from<00:15:49.920> an<00:15:50.079> efficiency
• <00:15:50.639> standpoint<00:15:51.839> having and from an efficiency standpoint having
• and from an efficiency standpoint having the<00:15:52.480> insurer<00:15:52.959> be<00

Keywords: 928, house, all

Summary: The Committee to Study Long-Term Managed Care approved the prior meeting minutes as amended after correcting the first paragraph. The chair then outlined the committee’s plan to produce a preliminary report by October 1, with additional meetings to follow, since some questions remain about the federal One Big Beautiful Bill (OB3) and its effects on Medicaid financing and managed care. The main discussion focused on New Hampshire nursing home funding and how ProShare and MQUIP work. Members reviewed Medicaid rates, supplemental payments, intergovernmental transfers, and the role of federal matching funds. The chair and Mr. Litman concluded that OB3’s phase-down of payments above the Medicare rate likely would not directly eliminate ProShare or MQUIP in New Hampshire, but uncertainty remains about intergovernmental transfers and about how these payments would function if the state moved nursing facilities into managed care. Mr. Litman said managed care would likely require waivers for supplemental payments, and Texas was cited as an example of a state operating under such waivers. The committee also discussed dual eligibles, DNIP, PACE, and the possibility of carving out HCBS from nursing facility services. DHS said its managed care contract would allow the state to use MCOs for DNIP, with the goal of better coordination between Medicaid and Medicare, while PACE would likely require more study and might be more feasible in populated counties. Members also reviewed OB3’s new presumptive eligibility provisions and a state waiver request modeled on Washington’s approach, plus a separate grant for transitioning people from facilities back to the community. The rural health transformation fund was discussed as a possible source for workforce, telehealth, mobile integrated health, and other support investments, but not for direct construction or major building renovation. County representatives emphasized that any county role in PACE or DNIP would require significant vetting, infrastructure, capital investment, and a realistic timeline. The meeting ended with the chair saying the draft report would outline issues and possible alternatives, but not recommendations yet, and the committee adjourned without taking further action.

Transcript Highlights:

• Colleagues, I present AB 948, give school districts the flexibility and efficient option to complete
• We need a system that gets the money back in workers' pockets quickly and efficiently. AB 123.
• I've been doing weekend voting hours forever and it is simple, it is efficient, it is secure, it is transparent
• urgent and meaningful improvements to active transportation infrastructure. they allow for cost-efficient

Keywords: 988, house, all

Transcript Highlights:

• to an agreement with the town that here's the payment in lieu of taxes, and I think that's very efficient
• to an agreement with the town that here's the payment in lieu of taxes, and I think that's very efficient
• to an agreement with the town that here's the payment in lieu of taxes, and I think that's very efficient
• the commission to look at and see if they can come up with a better way to arrive at that. ...very efficient

Keywords: 1191, senate, all

Transcript Highlights:

• I appreciate the efficiency with which this committee is running.
• Super efficient, and the opportunity to have some relief on the sales tax would help us get the components
• This bill supports locally driven development efforts and ensures that the city can move forward efficiently
• Board that are being used to pay for the convention center debt, ensuring fiscal responsibility and efficient

Bills: HB 1039, HB2289, HB2370, HB2404, HB3066, HB3076, HB3117, HB3118, HB3169, HB3178, HB3179, HB3182, HB3196, HB3241, HB3377, HB3500, HB3567, HB3715, HB3954, HB4098, HB4109, HB4222, HB4226, HB4412, HB4659, HB4682, HB4683, HB4755, HB4926, HB5165, HB5562, HB5596

Keywords: hotel occupancy tax, municipal revenue, tax authority, border counties, tax legislation, municipalities, hotel tax revenue, convention centers, economic development, local government authority, HB 2370, HOT tax, venue projects, convention center, municipal finance, local government code, Section 334.0082, tourism tax, debt financing, bond repayment

Transcript Highlights:

• They find some efficiencies or demand for their product decreases.
• optimal... ...to sustain operations despite the fiscal deficits by maintaining optimal program efficiencies
• As the department takes steps to right-size its funding model, it remains committed to efficiency, long-term
• We have also encouraged the department to consider and implement enhanced efficiency measures in the

Summary: The Assembly Budget Subcommittee 5 on State Administration heard presentations from Go-Biz and the Department of Financial Protection and Innovation on the Governor’s budget proposals. Go-Biz described California Jobs First, the state’s 10-year economic development strategy, and emphasized support for small businesses, workforce development, and targeted investment in sectors such as ag tech, life sciences, semiconductors, and advanced manufacturing. Members raised concerns about federal policy changes, tariffs, tourism, housing, child care, and whether state incentives are truly additive; Go-Biz responded that it tracks federal actions closely, works with chambers and advocates, and uses programs like California Competes to target jobs that would not otherwise come to California. The committee then reviewed the proposal to restore the California Competes grant program with $60 million. Go-Biz said the grant would help businesses that cannot use the nonrefundable tax credit, and explained the program’s five-year contracts, milestone-based awards, and recapture provisions. The Legislative Analyst’s Office said the grant could be effective but recommended stronger oversight and clearer eligibility criteria, while also noting the 30% cap in trailer bill language may be too restrictive given the smaller funding level. Public testimony supported the grant and suggested considering refundability or transferability for the tax credit to broaden access for smaller and startup businesses. Members also heard the CHIPS-related proposal for $25 million to support Natcast’s semiconductor design and collaboration facility in Sunnyvale. Go-Biz and public witnesses argued the state investment would help secure a major federal research facility, retain engineering talent, and leverage billions in broader investment, while the LAO recommended rejecting the item because of its dependence on uncertain federal funding and the state’s budget condition. The committee also considered a $17 million continuation of CA RISE, which supports employment social enterprises; Go-Biz and several grantees cited strong job placement and workforce outcomes, while the LAO recommended rejection absent a more rigorous evaluation, noting prior LA RISE evidence did not show long-term employment gains. Finally, the Department of Financial Protection and Innovation presented budget requests for IT security and rent increases, and a trailer bill to raise fees across several programs. DFPI said decades-old fee schedules, inflation, and new regulatory responsibilities have created a structural deficit and warned the department could face insolvency without adjustments. The LAO recommended approving the fee increases only on a three-year limited-term basis and asked for more detailed revenue plans for programs not covered by the proposal, so the Legislature can assess actual collections and market impacts before making the changes permanent.

Transcript Highlights:

• critical fairground updates such as repairing and upgrading restroom facilities, and installing energy-efficient
• It does show a negative $3 million in the budget year, but we have not incorporated the efficiencies
• Heller's ability to continue leading here, but we also hope for the necessary support for a quick and efficient
• organics grant programs, and the community composting for green spaces grant program are all cost-efficient

Keywords: 988, house, all

Transcript Highlights:

• concerns, the Legislature enacted additional reporting requirements to ensure public funds are used efficiently
• missing pieces that are needed to help make that Housing come to fruition in an expeditious and cost-efficient
• clearly and unequivocally that California's mayors welcome increased transparency when it comes to efficiently
• clearly and unequivocally that California's mayor's welcome to increase transparency when it comes to efficiently

Summary: The Assembly Budget Subcommittee on Accountability and Oversight held a hearing on California’s homelessness funding, focusing on the Homeless Housing Assistance and Prevention (HAP) Grant and the Encampment Resolution Grant Program. HCD described new accountability requirements, including regional action plans, stronger reporting and expenditure conditions, housing-element compliance, encampment response plans, and public dashboards that track fiscal spending, service outcomes, and encampment resolution status. Officials said the goal is to use the data to identify underperforming grantees, provide technical assistance, and, if needed, withhold or reallocate funds. Local officials from San Diego, Fresno, and Santa Cruz said the programs have helped expand shelter, outreach, and permanent housing, and that state dollars have leveraged local and federal resources. Mayor Todd Gloria said San Diego has used HAP to expand shelter and safe sleeping options, reduce downtown encampments, and increase housing production, but argued the state’s new accountability website is too high-level and does not fully reflect countywide conditions, behavioral health outcomes, or the role of continuum-of-care partners. Fresno officials said HAP and other state funds helped the city add shelter beds and reduce homelessness, while Santa Cruz emphasized that state funding helped build local coordination and draw in federal vouchers. Members pressed the panel on whether HAP is actually reducing homelessness, what the best success metrics should be, and whether the state is getting full, usable data from grantees and subcontractors. Several members asked for more granular jurisdiction-level reporting, better tracking of nonprofit spending, and clearer measures beyond point-in-time counts and “people served.” HCD said it is still improving HMIS participation and data quality, but can already show outcomes such as exits to permanent housing and returns to homelessness. The hearing ended with broad agreement that transparency is important, but disagreement remained over the best measures of success and how much emphasis should be placed on housing, prevention, shelter, and treatment.

Transcript Highlights:

• This isn't about efficiency.
• And as you point out, this is not about efficiency.
• If you wanted to make the Treasury system more efficient, you would move it to a real-time payment network
• Efficiency? Sign me up.

Transcript Highlights:

• will just point again to one where we're relatively similar: line 110, supporting community energy efficiency
• include: AI, proof of concept, bringing in subject matter experts to assess, evaluate, and improve efficiency
• committee's purposes that we do intend to audit those agencies that are making deficiencies in efficiency
• We discussed the efficiency report today, and I would suggest that this should be a policy goal for the

Transcript Highlights:

• office—all the things you see me work on—I try to look at state government operations from the lens of efficiency
• But is there somebody that wakes up every single day and is looking for the most efficient way to manage
• calculating what it costs to provide these services to New Mexicans. to keep these institutions running efficiently
• spend, here's what other institutions like you spend to ensure that we have that productivity and efficiency

Transcript Highlights:

• , but we're doing America's business here, and it's important that we focus on it and that we're efficient
• Looking forward to his work in DOGE, the Department of Government Efficiency, and looking at how we can
• be more efficient and effective, but that is simply not the case.
• I think it fits squarely with this Department of Government Efficiency and one of the major issues that

Transcript Highlights:

• to working with everybody here and seeing about how do we make our health care system even more efficient
• I love this silo, so I'm very excited about spending your tax dollars effectively and efficiently to
• what I'm looking for now, or anything else that I need to add to this in order to make this more efficient
• I'm asking you what you need to make this better and more efficient. You're recognized.

Summary: The subcommittee held its first meeting of the 2025-2026 term, took attendance, confirmed a quorum, and heard introductory remarks from members and staff. Chair Anderson outlined the subcommittee’s jurisdiction over access and affordability issues, including health facility regulation, insurance, Medicaid, CHIP, and state employee health coverage. The main agenda item was an update on implementation of HB 391, which created a family home health aide program for medically fragile children. Representative Tramont, the bill sponsor, explained that the law was intended to let trained family caregivers be paid through Medicaid to care for their children, reduce reliance on private duty nursing, and relieve families. He and several members expressed frustration that implementation had taken nearly two years and that families still faced barriers. Deputy Secretary Brian Meyer of AHCA and Bridget Royce of DCF said the program was implemented October 1, 2024, with billing available, but no home health agencies had yet launched the required 80-hour training program and no claims had been paid. They described the program’s requirements, including agency employment, background screening, training, a $25-per-hour Medicaid rate paid to the agency, and an annual assessment report. A major issue discussed was that income earned by family caregivers counts toward Medicaid eligibility and could cause families to lose coverage. AHCA and DCF outlined two possible fixes that would require CMS approval: disregarding the income for eligibility purposes or treating the child as a family of one. Members and public witnesses strongly urged changes to avoid forcing families to choose between income and coverage. Several providers said they had begun preparing training programs, but asked for clearer approval processes and more patient-specific training requirements. The committee then heard extensive public testimony from parents and caregivers of medically fragile children, who described the financial, emotional, and logistical strain of caring for children with severe disabilities and argued that the bill should be expanded to include Florida KidCare families and others in the coverage gap. They also raised concerns about the eight-hour-per-day limit, low pay, and the need for simpler rules and direct support. Home health providers and associations supported the concept but asked for modifications, including more targeted training and clearer implementation guidance. The meeting then shifted to a second agenda item on the Andrew John Anderson Rapid Whole Genome Sequencing Program, which was funded in the 2023 budget. Deputy Secretary Meyer said the program has been implemented since January 1, 2024, but utilization has been lower than expected, with only about 60 claims paid and many denials occurring through managed care. Public testimony from a lab, a hospital, and a pediatric rare disease expert said the program is clinically valuable and cost-saving, but managed care billing barriers, prior authorization issues, and DRG-related denials are limiting access; they urged direct billing to Medicaid and possible expansion to all newborns.

Transcript Highlights:

• And for us, that's been more efficient than the staff time of doing it in our office.
• This would be way more efficient because we wouldn't have to deal with...
• This would be way more efficient because we wouldn't have to deal with programmers, not that I don't
• And I would agree, and I think that's the direction that we're talking about becoming more efficient
• But let's try to make this more efficient for everybody across the state.

Summary: The subcommittee of the Tax Reform and Relief Advisory Committee met to begin its study of whether the content of the real estate tax statement should be revised to improve transparency. Legislative Council staff reviewed the study directive from HB 1176 and the statutory requirements for tax statements, including required line items such as true and full value, mill levy, legislative tax relief, primary residence credit, legacy fund share, discounts for early payment, and special assessments. The Tax Department then explained how the current uniform statewide statement is prescribed and approved, and noted that changes are typically driven by statute and implemented collaboratively with counties and vendors. County officials from NDACO, including auditors from McKenzie and Richland counties, described the full annual property tax timeline from budgeting through mailing final statements. They explained how counties gather budgets, calculate levies, verify taxable values, handle centrally assessed property, and prepare required notices and statements. They also said public attendance at budget hearings is generally very low, though the notices and statements generate some calls, mostly about whether attendance is required or why taxes are changing. Several members questioned the usefulness of the legislative tax relief line and the complexity of the 5% discount calculation, and county officials said the current process can be confusing and depends on manual data entry and coordination among counties, vendors, and taxing districts. The committee also discussed assessment frequency, valuation equalization, the 3% cap, and whether more frequent reassessment would reduce large jumps in taxable value. County officials said they try to use rotating reassessments and sales-ratio reviews to keep values within statutory tolerance, but staffing, training, and local market changes make the work difficult. NDACO staff estimated, based on a small county survey, that tax statement preparation and mailing costs average about 74 cents per statement, with outsourcing generally cheaper than in-house printing, and said HB 1176 added some mailing and administrative costs even if the tax statement itself did not change dramatically. Software vendors from CPT and Tyler then began presentations showing how their systems handle budgeting, valuation notices, tax statement generation, primary residence credit processing, and levy worksheets, emphasizing that many of the required calculations and reports are still manually entered or verified by county staff.

Transcript Highlights:

• They also noted his ability to manage proceedings efficiently while keeping cases focused and moving
• proceedings noted his ability to manage proceedings noted his ability to manage proceedings efficiently
• She was knowledgeable, efficient,<00:54:12.040> and<00:54:12.160> was<00:54:12.280>
• able<00:54:12.480> to<00:54:12.560> maintain<00:54:12.960> an efficient, and
• was able to maintain an efficient, and was able to maintain an orderly<00:54:13.440> courtroom

Keywords: 927, senate, all