Transcript Highlights:

• We were also able to—I was also part of the original founding committee that developed consumer-directed
• I did have an appearance form: Tasha Carter, with the Office of Insurance and Consumer Advocates, waiving
• Appearance form: Tasha Carter, with the Office of Insurance and Consumer Advocates, waiving in support
• I don't know if it's just to look at if there's sort of fraud, waste, or abuse with managed care companies

Summary: The committee took up a series of health and human services bills, beginning with CS/SB 1602, which would require emergency departments to have evidence-based pediatric care protocols, training, appropriate child-sized equipment and medications, a designated care coordinator, and participation in a pediatric readiness assessment. It was reported favorably. CS/SB 1224 followed, aligning Florida law with federal requirements so paramedics may administer controlled substances in the field under physician or nurse practitioner protocols; it also passed favorably after supportive testimony from fire chiefs. The committee then adopted a strike-all for SB 890, the Emily Adkins Family Protection Act, which addresses venous thromboembolism by creating a statewide registry, requiring screening and training in hospitals and long-term care settings, and adding assisted living facility response requirements. Assisted living representatives objected to the ALF provisions as unrealistic and potentially harmful, while supporters argued the bill would save lives; the bill was reported favorably. CS/SB 1182, requiring continuous glucose monitors to be covered as both durable medical equipment and a pharmacy benefit, also passed favorably with support from AARP. The committee next considered CS/SB 12, a claim bill for a child severely injured after a DCF home visit allegedly failed to meet standards, and it was reported favorably without opposition. CS/CS/SB 954, dealing with substance abuse treatment centers and recovery residences, drew substantial debate. The bill would limit local zoning restrictions on treatment facilities and allow larger recovery residences if staffing ratios are increased; a late-filed amendment reduced the maximum active patients from 500 to 300. Municipal and county representatives warned that the bill could override local reasonable-accommodation efforts and create institutional-scale facilities, while supporters said housing is essential to recovery and that clustering concerns are overstated. The committee ultimately reported the bill favorably. CS/SB 1050, expanding the developmental disabilities pilot program statewide and creating a statewide family care council, also passed after extensive testimony from families and advocates. Supporters emphasized the long waitlist and the need for more services, while some speakers opposed managed care and warned about provider shortages and loss of individualized supports. Later, CS/SB 614, requiring a public educational webpage about background screening clearinghouse and level two screening requirements, was reported favorably. CS/SB 1578, which would require coverage for mammograms and supplemental breast cancer screening in certain circumstances, was also reported favorably. CS/SB 1060 created a joint legislative oversight committee to review Medicaid operations and financing; members discussed the need for stronger oversight of large midyear spending adjustments, and the bill passed favorably. CS/SB 1240, a Department of Children and Families substance abuse and mental health bill, was amended to clarify Baker Act transfer timing and notification requirements after debate over whether facilities could hold patients too long; it was then reported favorably. Finally, Senator Harrell presented CS/SB 526, a major nursing education bill aimed at Florida’s low NCLEX passage rates. The bill would require nursing programs to use exit exams, remediation, reporting, and stricter oversight, and the strike-all would add graduate preceptorships for low-performing programs and temporary provisional licenses for graduates pending NCLEX passage. The transcript ended while that bill was still being explained, before final action was taken.

Transcript Highlights:

• education, making sure these programs meet minimum educational quality standards to prevent harm and fraud
• allows training schools to bypass the BPPE licensing process if they charge less than $2,500 to the consumer
• Who knows the level of training they are conducting, and the unsuspecting consumer has no idea.
• clear, I completely understand why the BPPE allows exemptions for SAT or Microsoft Word training for consumers

Summary: The Assembly Higher Education Committee met with a quorum and first approved a consent calendar containing AB 341, AB 1098, and AB 1316, sending those measures to the Human Services, Judiciary, and Appropriations Committees respectively. The committee then heard AB 977, which would require CSU to audit surplus land and work with California tribes to identify three regional burial sites for Native American remains that cannot yet be repatriated. Supporters, including tribal leaders and archaeology groups, said the bill is needed to honor ancestors and address the large number of remains still held by CSU; CSU said it is committed to repatriation but had no formal position. The bill passed to Appropriations on a 5-0 vote. Members also heard AB 1093, creating a California-Mexico higher education exchange program, and AB 1035, expanding the California College Promise to cover tuition for students pursuing community college bachelor’s degrees. AB 1093 drew support for strengthening cross-border educational and economic ties, but some members raised concerns about border-region sewage problems and the bill’s budget implications; it was held for later consideration. AB 1035 received strong support from community college leaders and faculty who said it would help low-income and first-generation students complete workforce-focused bachelor’s degrees, but several members questioned whether it would stretch Prop. 98 funding and whether the state should prioritize broader affordability concerns. AB 1035 passed to Appropriations on a 3-2 vote. The committee next approved AB 922, which would let the University of California keep access to federal criminal-history information for hiring background checks, avoiding delays and added costs if statutory authority is required. UC said the bill is needed to maintain safety and hiring operations, and it passed to Public Safety on a 5-0 vote. AB 1346, protecting military dependents from losing in-state residency status because of family travel, also passed unanimously to Military and Veterans Affairs. AB 1212, allowing UC to use low-income housing tax credits to build affordable housing for faculty and staff on UC land, drew support from UC and labor groups but opposition from members concerned about preferential access to public resources; it was held for later action. Finally, the committee approved AB 500 and AB 684, both aimed at increasing transparency around UC admissions policy changes and UC BOARS decision-making, sending AB 500 to Education and AB 684 to Governmental Organization, each on 5-0 votes. The hearing then moved on to AB 1122 on dual enrollment, with the author and witnesses presenting the bill as a way to expand college access for high school students.

Transcript Highlights:

• natural resources, enforce civil rights laws, and help victims of identity theft, mortgage-related fraud
• , illegal business practices, and other consumer crimes.
• that the department is processing, and is that information available on the website or publicly consumable
• And is that information available on the website or publicly consumable?

Summary: The committee heard extensive testimony on Proposition 36 and its implementation, with judicial and budget officials describing it as a major shift from misdemeanor to felony processing for repeat drug possession and certain theft offenses. Witnesses explained that the law creates a treatment-mandated felony process that can lead to dismissal if a defendant completes treatment, but also requires evaluations, court monitoring, and potentially long, open-ended supervision. Judicial representatives said the new law is already generating large numbers of filings, creating workload, staffing, courtroom, and facility pressures, and that access to treatment beds, housing, and evaluation capacity is limiting participation. Several speakers emphasized that collaborative courts are effective but are not a perfect fit for Prop. 36 because those programs are typically probation-based and serve different risk/need populations. Court officials from San Bernardino and Orange counties said the impacts vary by county but are severe, with some counties seeing hundreds or more filings in a short period and others moving more slowly to build treatment infrastructure first. They argued that Prop. 36 is effectively an unfunded mandate unless the state provides more resources for judges, staff, facilities, treatment, housing, and supervision. The Legislative Analyst’s Office noted that Prop. 36 will reduce the Proposition 47 savings that fund mental health and substance use treatment grants, but said the near-term reduction is relatively modest and that the full effect will take time to appear because of the way those savings are calculated. Members of the committee repeatedly raised concerns that the state is underfunding the courts and counties needed to carry out the new law. The committee also reviewed the Governor’s proposed trial court operations budget, including a partial restoration of a prior $97 million cut and additional ongoing funding. Judicial branch officials said the restoration helped avoid furloughs, hiring freezes, and service reductions, and supported cybersecurity, technology, staffing, and records management. The LAO recommended that the Legislature seek more detail on how midyear restorations are handled and consider clarifying language for transferring unspent trial court trust fund monies to the General Fund. Finance said the flexibility in the ongoing funding was intentional and would be taken back for consideration. In a separate item, the committee heard testimony on a $6.3 million increase for Supreme Court and Courts of Appeal appointed counsel programs. Judicial officials and appellate project representatives said the system is facing a crisis because indigent appeals have risen sharply while the number of panel attorneys has fallen, leaving many cases waiting months for counsel. They argued the proposed increase would help but is still below what is needed to recruit and retain attorneys and prevent delays that affect criminal, juvenile, and child welfare cases. The committee also discussed the Tracy courthouse project in San Joaquin County, where local officials said reopening a courthouse closed since 2011 is necessary to serve a growing population and relieve overcrowding elsewhere. The LAO and Finance both noted the project is next in line under the facilities plan, though LAO suggested the Legislature could consider whether other facility priorities should come first.

Transcript Highlights:

• with the Trump administration to recognize the critical role of the Department of Agriculture and Consumer
• land the plane as president over it with sake you add the solicitation or the assistance for voter fraud
• the Democratic leader, Senator Gruters office anyway and also the commissioner of Agriculture and consumer
• And just today, I mean, if you all saw the news, but consumer prices are up 30% in January.

Keywords: 999, senate, all

Transcript Highlights:

• The other big piece of this, I believe, is in the effort to address fraud, whether it be the IG or other
• agency folks or other people outside of the agencies that want to address fraud.
• c> whether<00:02:59.120> it<00:02:59.280> be<00:02:59.440> the to address fraud
• . uh whether it be the to address fraud. uh whether it be the IG<00:03:00.560> or<00:03:01.040
• of the program integrity and fraud of the program integrity and fraud issues<00:17:15.679> that

Transcript Highlights:

• <01:24:20.880> that into a program we know has fraud that into a program we know has fraud
• And then when you go to the fraud deterrent measures, it says that anyone suspected of fraud, uh, can
• , it says that anyone suspected of fraud, it says that anyone suspected of fraud, uh,<01:25:34.880
• , So if someone is suspected of fraud, So if someone is suspected of fraud, they<01:42:58.280>
• <01:43:05.320> Each fraud prevention measure. Each fraud prevention measure.

Keywords: 919, house, all

Summary: House File 3732, the Department of Employment and Economic Development appropriations bill, was presented as a package of budget and policy changes from the Workforce, Labor, and Economic Development Committee. The author described it as a set of practical fixes, including changes to reporting requirements, repealing unused programs, recommendations from a Governor’s Workforce Development Board subcommittee on direct appropriations, and creation of an Office of Community Investment within DEED. Members also noted the bill had been revised after earlier floor debate and included a modified version of a previously contentious proposal. The first major floor debate centered on Amendment A12, offered by Representative Zeleznikar, which would create an exemption from meal and break requirements for certain 24-hour care settings such as disability group homes and home care. Supporters argued the current break law does not fit the realities of one-on-one or overnight care and could force providers into unsafe or impractical staffing models. Opponents, including Representatives Johnson and Pinto, said the amendment would weaken or repeal worker break protections and remove clear standards and remedies. After debate, the House took a roll call and the amendment failed on a 67-67 tie. A second amendment, A13 by Representative Tabke, proposed a $150,000 state aviation fund-backed loan fund to help TSA and other airport workers who had gone without pay during a federal shutdown, by backstopping bank loans for affected families. Tabke framed it as worker relief tied to the aviation system, while Representative Niska argued it was not a serious proposal, had not been vetted, and unfairly used state money to address a federal dispute. Debate on the amendment became highly partisan and included a point of order over personalities in debate before the Speaker ruled the point well taken and returned discussion to the amendment.

Transcript Highlights:

• Senate, any measures to try to address that kind of fraud or that kind of abuse.
• Investments in technology, IT, to ensure that, again, any misspending, misallocation, fraud, or waste
• Senate, any measures to try to address that kind of fraud or that kind of abuse.
• Investments in technology, IT, to ensure that, again, any miss spending, misallocation, fraud, or waste
• . ...in weeding out waste, fraud, and abuse.

Keywords: 995, all

Summary: The Senate opened with the Pledge of Allegiance, adopted two commendatory resolutions honoring the Plimpton Historical Society’s Deborah Sampson Day recognition and Megan’s Light’s Cystic Fibrosis Awareness Month observance, and suspended Joint Rule 12 to refer several House petitions to committee. The chamber also briefly recognized Diane Talk of the South Shore Regional Emergency Communication Center on her retirement after 30 years of dispatch service. Later, the Senate passed two local bills to enactment: House No. 4006, authorizing Dartmouth to grant an additional all-alcoholic beverages license, and House No. 473, relating to the charter of Westwood. The main business was the Senate Ways and Means presentation of the fiscal year 2027 budget, totaling about $63.3 billion. The chair described the budget as balanced, with no new taxes or tax cuts, based on a consensus revenue estimate of $986 million in growth over FY26 (2.4%), and including about $15.8 billion in federal financial participation and roughly $2.7 billion from the Fair Share surtax. The budget emphasized record local aid, including $1.376 billion in unrestricted general government aid, $7.66 billion for Chapter 70 education aid, increased minimum school aid, higher regional school transportation reimbursement, rural aid, and the revival of the Foundation Budget Review Commission. It also highlighted major investments in MassEducate free community college, food security, housing, and support for vulnerable residents. Members then engaged in extended colloquy on the budget’s major cost drivers and policy choices. Questions focused on debt service, pension and OPEB liabilities, MassHealth caseload and rising per-enrollee costs, child care funding, and program integrity in DTA and other benefit programs. The chair said debt service would be about $2.67 billion, pension payments would be $5.1 billion, OPEB would receive a $150 million payment, and MassHealth enrollment was projected at about 2 million with costs driven by acuity and medical inflation. He also said the budget includes no collective bargaining agreements and no state tax changes. Senators supporting the budget praised its investments in education, local aid, homelessness prevention, public health, libraries, and housing, while minority leaders and others stressed the need for fiscal discipline, transparency, and further work on affordability and municipal support. The Senate also received a House message on House No. 5316, which the House had nonconcurred in, and a conference committee was appointed on the disagreement.

Transcript Highlights:

• That said, one of the issues that we deal constantly with in our office is the area of fraud.
• Uh it may or may not the area fraud.
• Also, a position for a fraud investigator.
• Also, a position for a fraud investigator.
• Also, a position for a fraud investigator.

Keywords: Meeting Start 00:00:00 Commonwealth’s Attorneys, County Attorneys, Prosecutor’s Advisory Council 00:00:18 Approval of Minutes 00:20:09 State Treasurer 00:20:33, 958, all

Summary: The meeting began with testimony from representatives of the Prosecutor’s Advisory Council, including county and commonwealth attorneys, on their proposed budget. They described the scope of their work in district and circuit court, juvenile and dependency cases, specialty courts, guardianship, involuntary hospitalization, and the Rocket Docket program. The witnesses emphasized that their budgets are overwhelmingly personnel costs and warned that proposed cuts could lead to layoffs, reduced retention, and loss of recently added positions. They also said the General Assembly’s recent salary classification plan had improved recruitment and retention, and that underfunding could reverse those gains. A major topic was the Rocket Docket program, which they said speeds lower-level cases through the system, reduces jail costs, and saves money for both counties and the state. They reported that in one circuit, average jail time for certain cases dropped from about 50 days to about 6 days. They also raised concerns that the Rocket Docket line item may not be clearly included in the committee substitute and asked for clarification on how the budget would treat it. In response, the chair said the intent was to move some of those items into the base budget, though the exact structure was still uncertain. The presenters also discussed a 2022 subsidy for county attorney employees tied to retirement contributions, saying it totals about $1.3 million and should not be reduced because the obligation remains. They said the budget would need to support the salary classification plan extensions, House Bill 8 subsidies, and a new case management system that they described as essential to modernizing operations and improving communication with victims and law enforcement. The chair thanked them for the testimony and indicated the committee would continue reviewing the budget. The committee then heard from Deputy State Treasurer Russell Weber, who reported that the treasury has now returned more than $90 million in unclaimed property to Kentuckians. He said the office faces ongoing fraud issues and requested funding for a dedicated legal counsel and a fraud investigator, along with outreach money to educate the public about unclaimed property. He also outlined several capital requests, including the final year of a printer-system lease and replacement of HVAC equipment in the treasury building. Members briefly joked with him about a mineral-rights bill and coal, but no votes or formal actions were taken beyond approving the minutes and adjourning the meeting.

Transcript Highlights:

• <00:47:48.319> detection legal costs and their fraud detection legal costs and their fraud
• There was a lot of fraud protection in it, and we know that a good portion of the fraud that's already
• There was a lot of fraud protection in it, and we know that a good portion of the fraud that's already
• I think some of those will help with the fraud issues that we are experiencing.
• <00:58:25.839> by on reduces the potential for fraud by on reduces the potential for fraud

Keywords: 1183, house

Transcript Highlights:

• We are here today because, like many charter schools, we are deeply concerned about the fraud and abuse
• In 2019, when the egregious A3 fraud case was finally investigated and prosecuted, In 2019, when the
• egregious A3 fraud case was finally investigated and prosecuted, the Legislature took quick action to
• In those two investigations, we've heard about over half a billion dollars in fraud, waste, and abuse
• The closure threatens vital funding, weakens fraud and civil rights protections, and creates a system

Summary: The Assembly Education Committee met without a quorum for much of the hearing and heard several bills out of order. SB 249 by Senator Umberg would move county board of education elections from the primary to the statewide general election. Supporters, including the League of Women Voters and many educators, argued the change would increase turnout and make the electorate more representative. The Orange County Board of Education opposed the bill, saying it would increase costs, reduce local control, and bury education races on crowded general-election ballots. The chair and members discussed turnout, cost, and representation, but the bill was held pending a quorum. Senator Grove presented SB 373, which adds safeguards for California students placed in out-of-state non-public schools through IEPs. The bill would require more robust LEA and CDE oversight, including annual site visits, student interviews, quarterly contact, stronger certification standards, and restrictions on prone, supine, and mechanical restraints. Testimony from a survivor of an out-of-state placement and from advocates emphasized abuse, neglect, and the need for stronger monitoring. There was broad support and no opposition testimony, but the measure was also held pending a quorum. Senator Ashby presented SB 568, the epinephrine in schools modernization act, to clarify and expand requirements for stocked epinephrine so they clearly apply to all public schools, including preschool programs. School nurses and medical experts said the bill would close gaps created by universal preschool and ensure life-saving treatment is available for anaphylaxis. The committee discussed dosing and implementation, and the bill was supported without opposition testimony. The committee also heard SB 414, the Charter School Accountability Act, which would strengthen fiscal oversight, audit standards, and transparency for charter schools and authorizers. Supporters said it responds to fraud and audit findings while preserving charter flexibility; opponents, including school employees and teachers, said it did not go far enough on authorizer accountability and small-district oversight. After discussion, the committee voted 7-0 to pass SB 414 as amended to Appropriations. The committee also briefly heard SB 743 by Senator Cortese, which would create an equalization reserve account to provide additional funding to underfunded school districts and reduce funding inequities tied to ZIP code. The author said the bill would support student achievement and teacher retention over time. The transcript cuts off before testimony or action on SB 743 was completed.

Transcript Highlights:

• Come on, people, we're in a state right now where fraud—we talk about it all the time here—fraud is prevalent
• , and where we have seen acts of fraud.
• And we found potential fraud and things like that.
• So that's clear evidence of fraud.
• This bill calls small mistakes fraud.

Bills: HB 1520, HB 1545, HJR 110, HJR 203, HB 245, HB 1465, HB 1482, HB 294, HB 793, HB 809, HB 3928, HB 334, HB 2037, HB 1973, HB 285, HB 4341, HB 4264, HB 1043, HB 837, HB 1234, HB 1193, HB 1194, HB 1646, HB 1729, HB 2498, HB 1314, HB 2295, HB 1353, HB 1531, HB 1988, HB 5398, HB 3960, HB 3923, HB 1407, HB 1764, HB 2221, HB 2214, HB 2517, HB 2518, HB 2213, HB 5008, HB 5092, HB 3421, HB 3663, HB 3748, HB 3800, HB 3756, HB 2613, HB 3782, HB 5246, HB 4344, HB 4044, HB 4066, HB 2702, HB 2807, HB 2869, HB 2898, HB 3181, HB 3250, HB 4153, HB 2091, HB 2115, HB 2542, HB 2768, HB 3349, HB 3352, HB 4406, HB 1593, HB 1899, HB 3133, HB 4432, HB 4960, HB 3214, HB 3915, HB 3508, HB 2145, SB 304, SB 608, SB 2312, SB 494, SB 530, HB 45, HB 2520, HB 35, HB 47, HB 318, HB 349, HB 554, HB 1359, HB 1373, HB 2254, HB 2259, HB 2853, HB 3073, HB 3088, HB 353, HB 355, HB 786, HB 762, HB 705, HB 932, HB 849, HB 1119, HB 3041, HB 713, HB 3104, HB 3970, HB 4042, HB 4490, HB 1731, HB 2607, HB 3689, HB 1788, HB 1612, HB 138, HB 15, HB 1971, HB 1338, HB 2989, HB 267, HB 1201, HB 2954, HB 5265, HB 1804, HB 5061, HB 1520, HB 1545, HJR 110, HJR 203, HB 1887, HB 1914, HB 2402, HB 2306, HB 1809, HB 2350, HB 3000, HB 3237, HB 3326, HB 3211, HB 1056, HB 2081, HB 2187, HB 3092, HB 3308, HB 3526, HB 3750, HB 3527, HB 4219, HB 4230, HB 4290, HB 5238, HB 4804, HB 4749, HB 245, HB 1465, HB 1482, HB 294, HB 793, HB 809, HB 3928, HB 334, HB 2037, HB 1973, HB 285, HB 4341, HB 4264, HB 1043, HB 837, HB 1234, HB 1193, HB 1194, HB 1646, HB 1729, HB 2498, HB 1314, HB 2295, HB 1353, HB 1531, HB 1988, HB 5398, HB 3960, HB 3923, HB 1407, HB 1764, HB 2221, HB 2214, HB 2517, HB 2518, HB 2213, HB 5008, HB 5092, HB 3421, HB 3663, HB 3748, HB 3800, HB 3756, HB 2613, HB 3782, HB 5246, HB 4344, HB 4044, HB 4066, HB 2702, HB 2807, HB 2869, HB 2898, HB 3181, HB 3250, HB 4153, HB 2091, HB 2115, HB 2542, HB 2768, HB 3349, HB 3352, HB 4406, HB 1593, HB 1899, HB 3133, HB 4432, HB 4960, HB 3214, HB 3915, HB 3508, HB 2145, HCR 6, HCR 12, HCR 34, HCR 50, HCR 55, HCR 58, HCR 70, HCR 71, HCR 72, HCR 74, HCR 75, HCR 78, HCR 80, HCR 93, HCR 100, HCR 107, HCR 116, HCR 117, HCR 90

Keywords: Angelina and Neches River Authority, river authority, Sunset Advisory Commission, Texas Sunset Act, Special District Local Laws Code, local government, natural resources, board of directors, director training, board governance, public testimony, open meetings, public information, conflict of interest, ethics, complaint system, general manager, board president, staggered terms, removal of director

Summary: The Florida House considered multiple bills on Day 59 of the legislative session. Key legislation included CS for HB 1103 on developmental disabilities services, which expanded a pilot program statewide while maintaining current contracts. CS for SB 1730 addressed affordable housing with amendments protecting historic districts. CS for HB 443 on charter schools allowed stricter codes of conduct and virtual student athletic participation. CS for HB 209 prohibited golf courses and hotels in state parks. Lucy's Law (CS for HB 289) increased boating safety penalties and education requirements. CS for HB 1205 significantly restricted citizen ballot initiatives by requiring petition circulator registration, limiting volunteer collections to 25 signatures, adding financial impact statements, and imposing new penalties. The House also passed bills on animal cruelty databases, waste incineration restrictions, and spectrum alerts for individuals with developmental disabilities.

Transcript Highlights:

• But let's say that there was some fraud in an election, right? Hypothetically.
• But let's say some fraud did happen. And that's recently, not from 1980.
• But let's say some fraud did happen. How then do you investigate the fraud?
• that may not be aware, there had been numerous studies that have been conducted showing that voter fraud
• commission disbanded the work on that because they couldn't find any credible evidence of widespread voter fraud

Keywords: 988, house, all

Transcript Highlights:

• And the product of this committee is doing nothing to stop fraud.
• prevention efforts, we might prevent the one in 5 million voters who tries to do voter fraud.
• prevention efforts, we might prevent the one in 5 million voters who tries to do voter fraud.
• prevention efforts, we might prevent the one in 5 million voters who tries to do voter fraud.
• prevention efforts, we might prevent the one in 5 million voters who tries to do voter fraud.

Keywords: 1187, senate, all

Transcript Highlights:

• Um, I want to just talk a little bit about fraud, and so forth.
• to just talk a little bit about fraud to just talk a little bit about fraud View<00:37:52.280>
• We do actually take action when we see that there is a problem. claims and or on any Fraud and Abuse
• claims and or on any Fraud and Abuse allegations<00:40:19.560> and<00:40:19.720> for<00
• Okay, and I'll just add on to how we identify fraud and abuse.

Keywords: 958, all

Summary: The Budget Review Subcommittee on Health and Family Services held its first meeting and received an overview from the Department for Medicaid Services on Medicaid’s behavioral health and substance use disorder services. Commissioner Lisa Lee and CFO Steve Beal said Kentucky Medicaid serves about 1.4 million members, including over half of Kentucky children, with 485,000 expansion members, more than 69,000 enrolled providers, and total fiscal year 2024 expenditures of $18.5 billion. They said Kentucky covers a broad range of behavioral health services, and behavioral health provider enrollment has grown from a little over 4,500 in 2019 to nearly 8,000 in 2024. They also described how Medicaid spending and utilization are tracked through claims and encounter data, with most members served through managed care organizations. Members focused on sharp increases in certain behavioral health billing codes, especially peer-to-peer services, and asked about reimbursement, utilization review, and whether the growth reflected increased need or expanded coverage. DMS said the rise was partly tied to combining facility and nonfacility behavioral health fee schedules in 2023, choosing the higher reimbursement rate to avoid cuts, and that the department has seen an uptick in peer-to-peer services. In response to concerns about overutilization, DMS said it mailed a letter to behavioral health providers, is considering limits and prior authorizations for some services, and plans to create a standardized monthly behavioral health report to monitor trends consistently and identify when controls may be needed. Lawmakers also asked whether the provider network is sufficient and whether access is adequate, especially for children. DMS said provider enrollment has expanded because behavioral health services were added to Medicaid in 2014 and because demand increased after COVID, but acknowledged studies showing children have less access than adults and said that would be an area of focus. The department said managed care organizations are required to ensure access to needed services and that current trends indicate access is available, though one member disagreed and said workforce shortages remain a major concern. Another member asked about non-emergency medical transportation spending, and DMS explained that it is handled through a capitated arrangement administered by the Transportation Cabinet rather than directly by the managed care organizations.

Transcript Highlights:

• "Senate File 106, Welfare Fraud Prevention Act, amendments, an act relating to welfare, sponsored by
• As you recall from introduction, this is a bill to prevent fraud. Um, it's a bill to prevent fraud.
• Um it's it's a bill to prevent fraud.
• Um, as mentioned, this bill is intended to combat fraud against the government.
• Um, it's intended to combat fraud against the government.

Keywords: 916, all

Transcript Highlights:

• streamlined our online applications, modernized our website, strengthened identity verification and fraud
• And one of the bigger issues was the fraud issue.
• Are there other pieces of this that have been helpful in reducing fraud, and what's our status as far
• And our fraud is, as I mentioned, we have no criminal fraud. There is still...
• We have no criminal fraud.

Keywords: 987, senate, all

Transcript Highlights:

• There are some cases of voter fraud. They're very, very rare.
• There are some cases of voter fraud. They're very, very rare.
• but you referenced elections and fraud but you referenced elections and fraud and<00:27:44.280><
• <00:28:52.040> They're are some cases of voter fraud.
• They're are some cases of voter fraud.

Keywords: MS Senate Floor - 23 March, 2026; 4:00 PM, 925, all

Summary: The Senate opened with a quorum, an invocation by Brother Marvin Curtis, and the Pledge of Allegiance. Routine business followed, including dispensing with the reading of the journal and committee reports, and several items on the calendar were passed and retained without debate. The chamber then moved to nominations and concurrence items. The main debate centered on Senate Bill 2588, the “Safeguard Honesty, Integrity and Elections for Lasting Democracy Shield Act.” Senator England moved to concur with House changes, explaining the bill would require voter-registration checks against DPS records and the federal SAVE database to verify citizenship, with the House amendment triggering SAVE review when no driver’s license or DPS information is available. Senator Blount opposed concurrence and moved to invite conference, arguing the bill could wrongly flag or burden lawful voters—especially elderly or inactive voters without current DPS records—and that the SAVE database was not designed to verify all state voter rolls. Senators Sparks and Dupree questioned Blount about whether the database would help prevent illegal voting and whether the bill’s process was similar to existing voter-roll maintenance procedures. England responded that the bill was narrowly tailored, not intended to disenfranchise anyone, and that even one non-citizen vote could undermine election integrity. The Senate rejected Blount’s motion to invite conference and then adopted England’s motion to concur, passing the bill by a recorded vote of 20-31-16 as reported in the transcript. Earlier, the Senate also considered a nomination for the Emergency Communications Authority Advisory Board, with McClendon speaking against the nominee and Williams defending the appointment before the motion to table reconsideration prevailed. In other action, Senate Bill 2477, concerning Rural Health Transformation Fund monies and competitive bidding requirements, was explained by Senator Bryan as adding guardrails and prioritizing rural providers; it passed by use of the afternoon roll call. At the end of the session, senators made announcements about upcoming committee meetings, including Judiciary, Forestry, Public Health and Welfare, and Gaming, and several members offered adjournments in memory of local residents and public figures. Senator England also thanked Elections Committee staff and noted that the committee’s work for the year was complete.

Transcript Highlights:

• As you know, the governor has been very clear on wanting to handle the fraud that continually comes up
• to the surface where you're reporting on fraud.
• give the opportunity should the governor want, but specifically should legislators want to move those fraud
• surface where you're reporting on fraud. surface where you're reporting on fraud.
• , to move those fraud preventions through, they<00:05:15.039> would<00:05:15.199> be<00

Keywords: 1187, senate, all

Transcript Highlights:

• over the last interim, last year, putting up guardrails on the processes especially when it comes to fraud
• providers understand when they're providing care what that service looks like especially in cases of fraud
• and how we would want comes to fraud and how we would want that<00:04:16.480> to<00:04:16.600
• <00:04:26.520> And like especially in cases of fraud.
• And like especially in cases of fraud.

Keywords: 919, house, all

Summary: The House took up Senate File 476, the human services policy bill on continuity of care, assisted living safety, vulnerable adult protections, and program integrity. Representative Noor, the bill’s author, described it as a broad policy package covering direct care and treatment, Department of Health policy, aging and disability services, behavioral health, maltreatment of vulnerable adults, continuity of care, and miscellaneous changes. Representative Schumacher also supported the bill, saying the final language reflected extensive stakeholder work and compromise, especially in aging and long-term care, while also adding guardrails around fraud-related processes and other DHS policy decisions. Several amendments were considered. A DE3 amendment was offered and adopted, and an A8 amendment to the amendment was initially discussed as a way to create a legislative working group and bring more community input into human services program changes, but Representative Curran withdrew it. Curran then offered A11, which would have changed billing limits for individualized home supports with training, but withdrew that as well after noting DHS concerns about possible costs. The House then suspended the rules to allow Noor’s A13 technical amendment, which was adopted. On third reading, Representative Frederick praised the bipartisan work and highlighted provisions addressing intimidation of staff in the Minnesota Sex Offender Program, extending voluntary return time for certain civilly committed individuals, and allowing some DCT staff to move from unclassified to classified positions. Noor thanked staff and reiterated that the bill protects vulnerable people while preserving program integrity and taxpayer dollars. The bill passed as amended by a vote of 93 ayes to 39 nays, and its title was agreed to.

Transcript Highlights:

• this is the pre-enrollment information strengthening enrollment on the front end to try to prevent fraud
• only the the over one year exemptions to only the purposes<00:10:44.760> of<00:10:45.440> fraud
• to claim adjustment timeline in limiting insurance recoupments beyond 12 months to cases involving fraud
• recruitments beyond 12 months to cases recruitments beyond 12 months to cases of<00:18:32.080> fraud
• of fraud or abuse. of fraud or abuse.

Keywords: 919, house, all

Summary: The committee took up House File 729, an omnibus policy bill, and walked through a series of amendments before moving the bill forward. Early amendments addressed adult maltreatment accountability, senior nutrition flexibility, MA provider enrollment and fraud prevention, Direct Care and Treatment data and staffing provisions, disability and aging policy changes, technical corrections from DHS, behavioral health language, and MDH policy updates. Most amendments were adopted without public opposition, and several members and testifiers described them as clarifications or technical fixes to existing policy. Testimony focused on the practical effects of the bill’s provisions. Direct Care and Treatment representatives said the changes would help with data sharing, governance, staffing, patient care, and longer return stays for certain patients. Several witnesses from the substance use disorder and health care provider community supported changes to discharge summary deadlines and claims recoupment rules, arguing that business-day timelines and limits on late clawbacks would reduce administrative burden and financial uncertainty. A disability advocate also urged passage of the bill, saying services for people with disabilities were at risk if it did not advance. After public testimony and member discussion, the committee adopted the DE2 amendment as amended and then approved the bill as amended. Chair Noor renewed the motion to re-refer House File 729 to the Committee on Ways and Means, and that motion passed.