Transcript Highlights:

• is the payment delay. is the payment delay.
• payments and seek recovery.
• payments and seek recovery.
• payments and seek recovery.
• payment withhold to request an appeal. payment withhold to request an appeal.

Keywords: 1187, senate, all

Transcript Highlights:

• I'm going to talk a little bit about our payment error rates in a minute.
• I'm going to talk just briefly about our payment error rate.
• Those are the kinds of things that go into the payment error rate.
• We also have agency-caused payment Error rate.
• It looks at... how many improper payments were there?

Transcript Highlights:

• The federal government reported an estimated $162 billion in payment errors or improper payments during
• The first is Medicaid improper payments.
• You get risk-adjusted capitated payment or a population-based payment with the risk adjustment from diagnosis
• While all fraud is an improper payment, not all improper payments are fraudulent.
• systems—who are not making improper payments...

Keywords: artificial intelligence, waste reduction, fraud prevention, government efficiency, improper payments, data reliability, oversight

Summary: The meeting was chaired by Chairman Schweikert and involved a comprehensive discussion on how to utilize artificial intelligence (AI) for reducing waste, fraud, and improper payments within federal programs. Key witnesses, including Mr. Andrew Canarsa from the Council of the Inspectors General, provided insights on the potential of AI in enhancing government efficiency. The committee emphasized the importance of reliable data and thorough examination of AI application to avoid unintended consequences while addressing the estimated $162 billion in improper payments reported by the federal government. Concerns were raised regarding the recent firing of inspectors general and the impacts that could have on oversight and accountability processes.

Transcript Highlights:

• And lastly, down payment foreclosure.
• And the first-generation home buyer community down payment assistance program.
• <00:21:58.159> assistance buyer community down payment assistance buyer community down payment
• payment assistance. payment assistance.
• in first generation down payment in first generation down payment assistance<00:30:31.360> as

Keywords: 1183, house

Transcript Highlights:

• The HESA payments are payments made at the request on or behalf of an official for a legislative, governmental
• report within 30 days of the payment being received for payments of $5,000 or more from a single source
• donor after the initial behested payment report has been submitted.
• This would also codify certain information currently on the behested payment form.
• payments, who's directing these payments, and who's benefiting from these payments, right?

Summary: The Assembly Elections Committee met on March 26, 2025, adopted its 2025-26 committee rules, and approved a five-bill consent calendar. The committee then heard several election-related measures focused on transparency, accessibility, and election administration. AB 775 (Fong) would modernize behested payment reporting by extending filing deadlines, requiring direct filing with the FPPC in most cases, and improving online public access; the FPPC chair testified in strong support, and the bill drew no opposition. AB 287 (Lackey) would require vote centers and polling places to provide accessible parking and curbside voting accommodations for voters with disabilities; Los Angeles County election officials and Disability Rights California supported the bill, while LAUSD raised concerns about parking shortages and storage costs and requested amendments. AB 331 (Pellerin) would clarify that certification of election results is a ministerial duty, address misleading ballot return envelopes, and ensure voter information guides reach incarcerated voters in a usable format; the Attorney General’s office sponsored the bill, while the Secretary of State expressed concerns about the feasibility of a state takeover of county canvassing and said it was working on a solution with the author. The committee members generally supported the bills, emphasizing transparency, voter access, and election integrity. AB 775 and AB 287 both received favorable votes after brief discussion, with members noting the importance of transparency in campaign-related reporting and accessibility for voters with disabilities. AB 331 also passed, though the Secretary of State’s office flagged implementation concerns about the proposed certification backstop and the lack of state equipment and staff to canvass ballots. The chair indicated she would continue working with the Secretary of State and other stakeholders on amendments or a workable remedy. All items ultimately passed out of committee. AB 775 was approved 5-0 and re-referred to Appropriations, AB 287 passed 6-0, and AB 331 passed 6-0 and was re-referred to Public Safety. The committee also later confirmed the votes of absent members and adjourned after all agenda items were disposed of.

Transcript Highlights:

• shall include payment Restitution shall include payment payable<01:13:51.840> to<01:13:52.000
• those payments. those payments. any<01:52:11.920> allocation<01:52:12.480> of<01:52
• whereby payment can be determined. whereby payment can be determined.
• <03:36:52.720> made those relocation payments made those relocation payments made following
• I payments made at prescribed by law.

Keywords: 920, all

Summary: The meeting included a Senate recognition ceremony honoring the Winona High School boys basketball team for winning the 2026 Alabama High School Athletic Association 5A state championship. A resolution was read commending the team for its 101-40 victory over Silicag, noting the team’s record-setting performance, Brendan Davis’s MVP honor, the contributions of other players, and Coach Cedric Lane’s leadership. Senators and the lieutenant governor praised the players’ sportsmanship, the school community, and the team’s historic season, and copies of the resolution were presented to the team, coaches, and administrators. Several guests and school representatives also spoke briefly, including the coach and principal, who thanked the Senate and noted the team’s success and the principal’s retirement after 35 years. After the recognition, the Senate returned to session and adopted the Committee on Rules report setting the special order calendar. The calendar included Senate Bill 99 on the Ten Commandments, Senate Bill 298 on Class 3 municipalities, House Bill 381 on camp safety, Senate Bill 370 on tax increment districts, Senate Bill 363 on the Department of Economic and Community Affairs, House Bill 466 on firefighters, House Bill 95 on elections, House Bill 259 on stablecoin, and Senate Bill 342 on education. The chamber then took up SB 99, sponsored by Senators Kelly and Sessions. Senator Kelly described the bill as requiring local school boards to display the Ten Commandments, together with founding documents such as the Declaration of Independence, Constitution, Bill of Rights, and Alabama Constitution preamble, in certain history classrooms and common areas for grades five through 12, using donated displays and funds when available. He said the bill was intended as a historical and educational measure, not religious instruction, and emphasized the inclusion of a disclaimer stating Alabama is not establishing a religion. After extended debate and a petition to close debate from the Rules Committee, the Senate voted on the bill by long roll and passed SB 99, with the recorded vote announced as 30 yeas and 4 nays.

Transcript Highlights:

• , Before making an advanced payment, Before making an advanced payment, agencies<00:05:22.720>
• for advanced payments. for advanced payments. >> Very<00:10:35.519> well.
• Um, I am like advanced payments.
• advanced payment option. advanced payment option.
• And they said, "Well, it's payment." payment." payment."

Keywords: 1183, house

Summary: The committee approved the March 3 minutes and then heard a presentation from the Office of the Legislative Auditor on state grant-management requirements. Deputy Legislative Auditor Katherine Tyson outlined the main controls agencies must follow, including pre-award risk assessments for grants of $50,000 or more, reimbursement as the preferred payment method, limits and documentation requirements for advance payments, and monitoring obligations for active grants. She emphasized that these controls are intended to reduce improper payments and fraud, but also require staff time and strong internal systems. In response to questions, she said advance payments are used in some grants but reimbursement is more common, and noted that agencies can add controls such as retaining a portion of funds, surprise visits, or audits. She also said surety bonds are required in some state programs, but not generally for grants, and that this could be a policy discussion for the executive branch. The committee then received a Department of Natural Resources presentation on the new Environment and Natural Resources Trust Fund community grant program created in 2023 law. DNR officials said the program is intended to expand access to ENRTF funding, especially for communities affected by pollution and environmental degradation, and to support projects such as environmental education, resource restoration, trail work, and aquatic invasive species management. They said the department will use the same grants team that handles Outdoor Heritage Fund and LCCMR grants, which already manages a large volume of grants, and that the advisory council application is open through April 10. DNR described its implementation plan as similar to the Conservation Partners Legacy program, with both standard and expedited grant rounds, technical assistance, and use of technical experts. Differences include no match requirement, allowance for fiscal agents to help smaller organizations, and more flexibility for administrative expenses to reduce barriers to participation. Officials said the program will follow state grant rules, including pre-award financial reviews and monitoring, and will use the 5 percent administrative allowance to support both oversight and grantee assistance. They also said the report’s suggestion of advance payments for grants under $50,000 was raised for discussion, but they did not dispute the auditor’s emphasis that reimbursement is the preferred approach.

Transcript Highlights:

• payment reform look like? payment reform look like?
• through per member per month payments through per member per month payments made<00:34:26.679>
• Requires per person per month payment payments to all primary care practices, not just medical homes,
• Requires per person per month payment Requires per person per month payment payments<00:37:30.040
• to primary care practices to payments to primary care practices to include<00:38:03.400> payment<

Keywords: 926, house, all

Summary: The House first took up S. 298, the Vermont Voting Rights Act. Members explained the Senate’s further proposal of amendment, including changes to language about how the State Ethics Commission may respond to ethics inquiries, a directive for the Secretary of State and Ethics Commission to work out a shared process for the candidate financial disclosure form by January 30, and a technical PAC-related wording change. The committee reported an 11-0-0 vote in favor, and the House concurred in the Senate proposal of amendment. The chamber then suspended rules to take up S. 328, the omnibus housing bill, and heard detailed committee reports from General and Housing, Ways and Means, and Appropriations. The bill addresses common interest community resources, a service-supported housing advisory council, expansion of the 10% for Vermont program to 12.5%, an off-site construction accelerator pilot, VHFA’s rental housing revolving loan program, special assessment districts, municipal housing planning requirements, and several reports on housing-related issues. Ways and Means described revenue impacts from the cash-balance expansion and revised the off-site construction pilot and loan program language; Appropriations removed a section already included in the budget and adjusted advisory council per diem funding. The House adopted the amendments, ordered third reading, suspended rules to place the bill in all remaining stages, passed it in concurrence with proposal of amendment, and messaged the action to the Senate forthwith. The House then suspended rules to take up S. 197, relating to payment reform for primary care. The House Health Care Committee recommended a strike-all amendment, saying the health care system is in crisis, premiums are rising, access to primary care is limited, and clinicians are burdened by documentation and administrative work. The committee vote on its amendment was 10-0-1, and the bill was also referred to Ways and Means and Appropriations because of fiscal implications. The transcript cuts off as the House was beginning consideration of the bill.

Transcript Highlights:

• directed payments facing out in 2028. directed payments facing out in 2028.
• Payments have started.
• payment you get.
• Uh, we did receive payment yesterday, and we're expecting another payment today.
• And these payments may fall payments.

Transcript Highlights:

• payment processing I just spoke to. payment processing I just spoke to.
• payment and support functions. payment and support functions.
• . payments. payments.
• withhold payment, and to allow payment withhold payment, and to allow payment withholdings<00:41
• payments? payments? No. No. No.

Keywords: 1183, house

Transcript Highlights:

• These payments often...
• My other question was the just-in-time payment.
• Could you educate me on what a just-in-time payment is?
• My other question was the just-in-time payment.
• Could you educate me on what a just-in-time payment is?

Summary: The Commerce and Tourism Committee heard and reported favorably several bills. SB 386, by Sen. Trumbull, would create consumer rights and manufacturer obligations for defective farm equipment, modeled on lemon-law concepts, and passed without opposition. SB 528, also by Sen. Trumbull, would strengthen Florida’s manufacturing sector through Department of Commerce responsibilities, a chief manufacturing officer role, workforce grants, and reporting requirements; it drew questions about whether it differed from last year’s bill and was supported by several appearance forms before passing favorably. SB 806, a right-to-repair bill for portable wireless devices and agricultural equipment, drew the most testimony: supporters said it would expand consumer choice and repair access, while dealers and industry representatives argued existing manufacturer agreements already provide access and warned the bill could disrupt dealer/manufacturer relationships and future technology; it nevertheless passed favorably. The committee also approved SB 696 on trademark registration, which would modernize the trademark classification system, allow online applications, and clarify document verification procedures, and SB 930, which creates a 15-member Florida Retirement Savings Task Force to study retirement coverage gaps and recommend policy options without imposing employer mandates. SB 826, by Sen. Leak, would address reward cards that function like gift cards but expire, while excluding loyalty programs; the Florida Restaurant and Lodging Association raised concerns about unintended consequences and the need for tighter definitions, but the bill was reported favorably after the sponsor said the language would be refined. SB 874 would expand professional licensure reciprocity for experienced out-of-state surveyors and mappers to address workforce shortages, and it also passed favorably. After a pause, the committee took up CS/SB 838 on electronic payments of retail installment contracts. Sen. Yarbrough said the bill clarifies that reasonable convenience fees for optional electronic payments are permissible, provided they are disclosed and a fee-free option remains available, to reduce ambiguity and litigation. Members questioned whether the bill could authorize or expand fees and whether the “reasonable” standard was sufficiently clear; the sponsor said the fees are tied to processor costs and are not intended as revenue. An amendment adding the word “retail” was adopted, and the committee substitute was reported favorably. Several members later asked to be recorded as voting in the affirmative on bills they had missed, and the meeting adjourned.

Transcript Highlights:

• These payments often...
• My other question was the just-in-time payment.
• Could you educate me on what a just-in-time payment is?
• My other question was the just-in-time payment.
• Could you educate me on what a just-in-time payment is?

Bills: S0386, S0528, S0806, S0696, S0930, S0874, S0898, S0826, S0838

Keywords: farm equipment, agricultural machinery, farm machinery, tractor, combine, harvester, implements, warranty, lemon law, defective equipment, repair rights, consumer protection, manufacturer liability, authorized service agent, replacement, refund, rural agriculture, urban agriculture, Florida Statutes, chapter 604

Summary: The Commerce and Tourism Committee met with a quorum and considered several bills, most of them receiving favorable reports. SB 386, relating to farm equipment repair rights, was briefly explained by the sponsor as a lemon-law style measure for farm equipment; it passed without questions or debate. SB 528, aimed at strengthening Florida’s manufacturing sector by expanding Department of Commerce responsibilities, codifying the chief manufacturing officer role, creating a workforce development grant program, and requiring reporting, drew support from several appearance forms and was reported favorably. SB 806, a broader right-to-repair bill covering portable wireless devices and agricultural equipment, drew the most discussion: dealership and industry representatives opposed it, arguing existing manufacturer agreements already provide access to repair information and that the bill could force manufacturers into competition with dealers, while supporters framed it as pro-consumer and pro-repair access; it was still reported favorably. SB 696 on trademark registration modernization and SB 930 creating a Florida Retirement Savings Task Force were both explained as administrative/policy measures and passed without opposition. SB 874, which creates a professional licensure reciprocity path for out-of-state surveyors and mappers to address workforce shortages, also passed favorably. The committee then took up SB 826 on gift certificates, which the sponsor said is intended to target bank-branded “reward cards” that function like gift cards but expire, while not affecting loyalty programs. The Florida Restaurant and Lodging Association expressed concern about unintended consequences and asked to work on tighter definitions, but the bill was reported favorably after the sponsor said clarifying language would be added later. The committee also heard SB 838, as amended, on electronic payments for retail installment contracts; the sponsor said it would clarify that reasonable convenience fees for optional electronic payments are permissible, require disclosure, and preserve a fee-free option. Members raised concerns about what counts as a “reasonable” fee and whether the bill could authorize junk fees, but the committee substitute was reported favorably. Several votes were taken by roll call, with the bills above reported favorably and SB 898 temporarily postponed at the sponsor’s request. Members later asked to be recorded as voting affirmatively on bills they had missed. The meeting concluded after the final vote on SB 838 and a motion to adjourn.

Transcript Highlights:

• Payment stable coins issuance to just banks, issuing payment stable coins is inherently different than
• Second, payment stable coins are backed one-to-one in reserves.
• Colombia where payments don't exist and you don't have the ability to transact.
• for timely redemptions of outstanding payment stable coins. stable coins.
• infrastructure between banks are tailored to payment stablecoin issuers.

Bills: SB875

Keywords: banking regulation, federal agencies, reputational risk, financial services, supervision, FIRM Act, bank supervision, depository institutions, federal banking agencies, FDIC, OCC, Federal Reserve, NCUA, CFPB, credit unions, Operation Choke Point, financial discrimination, safety and soundness, supervisory guidance, examination manual

Summary: This meeting focused on the markup of the Genius Act and the FIRM Act, two significant pieces of legislation addressing stablecoin regulation and the financial industry's regulatory framework. The Chairman noted the importance of providing clarity to the digital asset community and protecting American consumers, while also promoting innovation and competition within the financial sector. Members of both parties expressed varying viewpoints, with some highlighting concerns related to national security and the potential risks associated with stablecoins.

Transcript Highlights:

• payments.
• payments.
• payments.
• Officer Payments. Officer Payments.
• Equivalent payments, 10,94,22. Payments to OIT.

Keywords: 981, all

Summary: The House convened with a quorum, approved the prior journal, and heard several brief recognitions before moving to business. Members welcomed foster care advocates for Child Abuse Prevention Month, Girl Scouts visiting the Capitol, and participants in Black Maternal Health Week, with remarks emphasizing foster youth voice, leadership development, and the need for culturally competent maternal health care and doula/midwife support. The chamber then took up House Joint Resolution 1026, honoring former Governor Roy Romer and designating a portion of I-25 as the Governor Roy Romer Memorial Highway. Supporters highlighted Romer’s long public service, his work on education and infrastructure, and his role in major state projects. A proposed amendment to strike the word “memorial” was withdrawn, the House suspended the rules to allow Romer to speak from the well, and Romer offered remarks about legislative collegiality and the importance of democracy and listening to opposing views. House Joint Resolution 1026 was adopted on a 60-0 vote, with four excused and one absent. After a brief recess, the House returned to special orders and resumed reading House Bill 1410 at length, continuing through extensive appropriations language for the Department of Human Services, including child welfare, youth services, Medicaid-related transfers, SNAP and benefits administration, and other funding line items. No final action on House Bill 1410 was taken in the portion provided.

Transcript Highlights:

• payment has been made or not. payment has been made or not.
• payment within 60 days of the invoice. payment within 60 days of the invoice.
• The GC would not provide the payment.
• But, unfortunately, the payment paid.
• their rights to seek timely payment. their rights to seek timely payment.

Keywords: 1187, senate, all

Transcript Highlights:

• What this means is the payment schedule is built assuming that UAL payments in the future will grow by
• What this means is the payment schedule is built, assuming that UAL payments in the future will grow
• payments as you move further. smaller payments in the near term and larger payments as you move further
• That's how the payments are being calculated.
• That's how the payments are being calculated.

Keywords: 959, house, all

Summary: The Joint Committee on Public Employee Retirement held a hearing focused on the Missouri State Employees’ Retirement System (MOSERS) and its long-term financial condition. MOSERS staff and its investment consultant reviewed the system’s structure, membership, funding policy, and investment approach. They reported a June 30, 2025 funded ratio of 55.4%, with about $17.4 billion in liabilities and $9.6 billion in assets, and explained that the board certified a 32% employer contribution rate under its minimum contribution policy, up from 30.25%, which will increase state appropriations. They also described the system as mature, with more retirees and inactive members than active employees, and said declining payroll growth has made it harder to improve funding. The presentation emphasized that recent board actions were intended to strengthen the plan over the long term, even though they increased near-term costs. Those changes included lowering the assumed investment return over time to 6.95%, updating mortality assumptions, moving from an open to a closed amortization schedule, and adopting a minimum employer contribution policy. The investment consultant said MOSERS historically used a more risk-balanced asset allocation than many peers, which helped explain weaker relative returns during a long period when public equities outperformed; the board has since shifted toward a more equity-oriented allocation. He said recent performance has improved, with the portfolio outperforming its policy index and ranking better against peers in the short term, though longer-term peer performance remains a concern. Committee members questioned why the funded ratio had declined over roughly 20 years and whether past investment and actuarial assumptions were too optimistic or too conservative. MOSERS officials responded that the current board is trying to correct earlier decisions and that the present strategy is more in line with industry practice. Members also discussed a proposed MOSERS bill package that would automatically refund small balances to terminated non-vested members and increase deferred compensation auto-escalation, with officials saying the refund provision would improve efficiency and return small balances sooner. The committee also briefly discussed ongoing litigation involving Catalyst Capital; MOSERS said attorney fees have been about $20 million so far, the case remains on appeal, and the damages amount is sealed. No formal votes were taken, and the committee adjourned after questions and discussion.

Transcript Highlights:

• motor vehicle payments.
• The holder may not establish electronic payment as the expected form of payment and must inform the borrower
• motor vehicle payments.
• The holder may not establish electronic payment as the expected form of payment and must inform the borrower
• The holder may not establish electronic payment as the expected form of payment and must inform the borrower

Bills: HB111

Summary: The committee heard a long series of House bills, with most measures laid out by Senate sponsors and then left pending after brief public testimony. Early bills focused on construction and licensing issues, including HB 305 on prompt payment for public construction audits, HB 5093 on restoring public access to notary contact information, HB 2037 on updating landlord-tenant repair and security deposit rules, HB 4214 on a centralized public information request contact database, and HB 5435 exempting higher education institutions from a 90-day notice requirement for certain public-private partnership projects. Testimony was generally supportive on these bills, and no votes were taken; each was left pending. The committee also considered several transparency and regulatory bills. HB 111 would expand the Public Information Act to certain nonprofit state associations and narrow some attorney-client and working-paper exceptions, with supporters arguing it would improve oversight of public funds and critics questioning the scope and thresholds. HB 5129 would protect occupational license holders’ personal identifying information from disclosure without consent, HB 4350 would allow peace officers to redact personal information from online real property records, HB 4748 would authorize multiple-award state purchasing contracts, and HB 4765 would clean up code enforcement officer licensing rules. HB 4134 would allow motor vehicle creditors to charge limited fees for electronic payment options while requiring a free alternative, and HB 1043 would direct a study of blockchain-based property title records; both drew testimony, with some concern about the practical effects and vendor implications of the blockchain study. Several bills addressed insurance, workforce, and digital-asset regulation. HB 3520 would reduce the insurance coverage required for transportation network companies during the period when a driver is en route to pick up a passenger, drawing support from Texans for Lawsuit Reform and opposition from trial lawyers who argued the higher coverage better protects the public. HB 3320 would create a self-insurance pool for religious institutions, with TDI explaining it would still be regulated but operate under a special statutory framework. HB 4233 would modernize rules for digital asset service providers by removing certain auditor-access requirements and updating reporting and licensing provisions. HB 3923 would reduce bachelor’s-degree requirements for some state jobs, though Every Texan argued low pay, not degree requirements, is the main driver of turnover. HB 4518 would create a legal structure for decentralized unincorporated nonprofit associations tied to blockchain governance; business law experts opposed it as unnecessary and potentially risky, while crypto advocates supported it. Finally, HB 1803 would join an interstate compact for dentists and dental hygienists, with supporters citing workforce shortages and opponents saying Texas already licenses quickly and that the compact could weaken state oversight. Throughout the hearing, the committee repeatedly closed testimony and left bills pending, and a quorum was eventually established before later items were heard.

Transcript Highlights:

• Late payments erode profits.
• interest on late payments. interest on late payments.
• , retainage payment, or final payment made to the contractor.
• 45:41.680> made retainage payment, or final payment made retainage payment, or final payment made
• those payments if they request it. those payments if they request it.

Keywords: 1187, senate, all

Transcript Highlights:

• And non-claims can be like value-based payments, right?
• But there are value-based payments for HCBS, too. Is that question about value-based payments?
• Value-based payment is a very important... Value-based payment is a very nice term. Sounds great.
• And if those differences in payments go up substantially, then that hospital is receiving more payments
• That hospital is receiving more payments than, or higher payments than, a benchmark that is set for this

Keywords: 962, all

Summary: The Complex Care Committee meeting focused first on a new Diabetes Caucus launched at the Capitol. Rep. Johnson described the caucus as a forum to educate people about type 1 and type 2 diabetes, genetic risk, early testing, pregnancy-related diabetes, and ways Medicaid policy might improve prevention and lower long-term costs. Members agreed the caucus could intersect with care management, and Carolyn Grandell of CHNCT offered to share information about current diabetes-related care management services at a future meeting. The committee then heard a detailed presentation from Alex Rigger of the Office of Health Strategy, who is moving to the Office of Policy and Management. He reviewed Connecticut health care benchmark data, including total health care expenditures, medical spending, and market-by-market trends. He said 2023 to 2024 per-capita spending grew more than 8.5% statewide and 14% in Medicaid, with long-term care accounting for about 46% of Medicaid spending and retail pharmacy also identified as a major cost driver. Members asked about enrollment changes, dual-eligible populations, Medicare Savings Program members, 340B drug pricing, and value-based payment models. Rigger explained that his office tracks alternate payment models and quality benchmarks, but does not separately capture 340B data. Discussion then shifted to Medicare Advantage, dual eligibles, and hospital discharge planning. Members said they want better data on how many Medicaid members are in Medicare Advantage plans and whether those plans shift costs back to Medicaid or affect access to care, especially for complex-care patients. Staff noted DSS does have some Medicare Advantage indicators and that CMS is developing encounter-data rules for states. Kathy Holt and others raised concerns about denials, nursing home stays, and the need to compare Medicaid spending for dual eligibles in Medicare Advantage versus traditional Medicare. The meeting ended with plans for follow-up data sharing, including Alex Rigger’s slides, the diabetes caucus materials, and a future discussion with DSS and other agencies; no formal votes were taken.

Transcript Highlights:

• So these payments will continue...
• analysis that has to go into the calculation of the payments.
• Madam Chair, members, we draw the federal funds at the time we make the payment.
• We draw the federal funds at the time the payment is made. All right. Thank you.
• , and this is why the TIP payments aren’t being made.

Keywords: 1182, all

Summary: The Committee on Health and Human Services held another oversight hearing on Access, focusing on fee-for-service behavioral health management, prior authorization and claims processing, the Targeted Investment Program (TIP), and network adequacy. The chair and other members criticized Access for repeated transparency failures, including missing records related to the Covered Behavioral Health Services Guide, lack of public comment, unanswered questions about ARPA compliance, and concerns about ghost networks and delayed payments to providers, especially in Native communities and rural areas. Interim Director Roberta Harrison said Access had improved fraud controls after the sober living scheme crisis and acknowledged the need for modernization. She reported faster prior authorization processing, fewer denial codes, real-time dashboards, additional staffing, and claims processing under 30 days. She also said the agency wants more fraud referrals and is working to strengthen internal systems and communication. On the TIP program, Access officials explained that payments are delayed because of complex data validation and allocation across many provider sites; they said year one of TIP 2.0 was paid, but years two and three had not yet been distributed. The committee requested a formal plan within 30 days for paying the estimated $122 million in delayed TIP funds and asked for CMS-related documentation. Committee members also questioned Access about a direct contract with Constellation for claims processing, noting language in the proposal suggesting higher ROI from denying more claims; Access said that language was not part of the contract scope and was verbally rejected. On network adequacy, officials described time-and-distance standards, annual MCO reports, and internal review processes, but could not immediately confirm whether a fiscal year 2025 report had been submitted to CMS or whether any corrective action plans had been imposed. The chair concluded that Access’s improvements appeared to be driven by legislative pressure, said the committee would review the information received, and announced that Access would be sent detailed monthly reporting directions before the hearing adjourned.