Video & Transcript Research : 'validated screening tool'
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FL
Florida 2025 Regular Session
April 7, 2025 - 12:30 PM
Transcript Highlights:
- Just recently, we've procured statewide contracts of tools and services.
- Recently, we've procured statewide contracts of tools and services that meet a minimum standard.
- We offer them tools to terminate for convenience or calls where a vendor has failed to perform.
- And that is, you're finding in more and more agreements as we do that as a tool.
- And that is, you're finding in more and more agreements as we do that as a tool.
Summary:
The subcommittee heard a panel on Florida’s IT procurement process from the Florida Digital Service, the Department of Management Services, and the Department of Financial Services. Witnesses walked through the procurement lifecycle, including planning, market research, solicitation, evaluation, award, implementation, and closeout, and emphasized the role of budget timing, contract managers, and subject matter experts. DMS described the state’s enterprise contracting system, noting more than 1,100 active vendor agreements, over 800 involving IT services, and the statutory requirement to request 25 quotes for certain IT purchases. DFS demonstrated the Florida Accountability Contract Tracking System (FACS), explaining how agencies upload contract and payment data and how the public can search contracts and related documents online.
Members focused on accountability, transparency, and whether the state is getting the best products and vendors. Questions addressed how contracts are vetted, how technical evaluations are performed, how financial consequences are used for missed deliverables, how public records and confidential information are handled, and how the state screens vendors for foreign-concern or bad-actor issues. Witnesses said agencies rely on technical experts for evaluations, that contract terms should include measurable deliverables and meaningful financial consequences, and that agencies—not procurement staff—generally manage performance, though Florida Digital Service oversees large IT projects of $10 million or more.
The committee then shifted to broader policy discussion, including Senate Bill 7026 and proposals to reorganize state IT governance. Several members argued for stronger centralization under a state CIO or similar enterprise authority, while others cautioned against abrupt restructuring and stressed the need for a transition plan. Members also raised concerns about workforce retention, consulting services, recurring project overruns, and the need for better planning and periodic monitoring. No votes were taken; the meeting ended with the chair thanking members and staff and adjourning the subcommittee.
AR
Arkansas 2026 1st Special Session
EDUCATION COMMITTEE - SENATE AND HOUSE May 18th, 2026
Transcript Highlights:
- We should identify them before third grade, so I believe that even more screening testing has become
- I probably need to do a little research, and specifically how they use those instruments and tools.
- , especially around literacy, um... ...the law requirements around dyslexia screening, especially around
- of students eligible in the district, and so you can see those percentages and the amounts on the screen
- You can see on the other side of your screen the eligible uses for ESA funding.
Summary:
The committee first approved the March 9 and 10 minutes, then heard a presentation from the Arkansas Excellence in Teaching Fellowship Program featuring three third-grade teachers from Poyen, Drew Central, and Cabot, along with Department of Education Secretary Jacob Oliva. The teachers described the fellowship as a year-long collaboration among 23 merit-pay recipients from across the state, focused on sharing classroom strategies, data use, and professional support. Members asked about teacher experience, how the fellowship information is shared locally, the role of merit pay, and how teachers are addressing third-grade reading and retention concerns under the ATLAS assessment system. The teachers emphasized early intervention, relationships with students, small-group instruction, progress monitoring, and communication with families; they also described community supports such as churches, food backpacks, and local donations. Several members raised broader questions about poverty, trauma, social services, DHS involvement, and whether similar professional learning should be expanded to more teachers. Secretary Oliva said the fellowship is a small subset of a larger merit-pay program, that participation was voluntary, and that the state is working to improve literacy supports, clarity, and alignment across grades. He also said ATLAS results are now available to schools and families much faster than in the past, often within 24 to 72 hours, and that the state is using the data to identify at-risk students earlier and support intervention before retention decisions are made.
The committee then moved to the adequacy/resource allocation presentation from the Bureau of Legislative Research. Staff explained that the report is part of the statutory adequacy review and focuses on state funding sources beyond foundation aid, including categorical and supplemental funds. They noted that districts and charters spent more than $7 billion in the 2025 school year, with roughly 49% from foundation funding and 51% from other sources over the last three years. The presentation outlined the four categorical funds—Alternative Learning Environment, English Learners, Enhanced Student Achievement, and Professional Development—describing their restricted uses, student-based funding formulas, and the ability of districts to transfer some money among categoricals while keeping it within allowable purposes. Staff said categorical funds account for about 4% of total spending, or less than $300 million, and reviewed superintendent feedback on whether those funds met district needs, with responses varying by category and district.
AR
Arkansas 2026 Regular Session
EDUCATION COMMITTEE - SENATE AND HOUSE May 18th, 2026
Transcript Highlights:
- We should identify them before third grade, so I believe that even more screening, testing, it's become
- So I believe that even more screening, testing, it's become more intense for them, which is good for
- I probably need to do a little research, specifically how they use those instruments and tools.
- of students eligible in the district, and so you can see those percentages and the amounts on the screen
- You can see on the other side of your screen the eligible uses for ESA funding.
Summary:
The committee approved the March 9 and 10 minutes and then heard a presentation from the Arkansas Department of Education on the Arkansas Excellence in Teaching Fellowship, featuring three third-grade teachers from Cabot, Poyen, and Drew Central who are also teacher merit pay recipients. The teachers described the fellowship as a year-long Zoom-based collaboration with about 23 educators statewide, focused on sharing classroom strategies, data use, and professional support. Members asked about the teachers’ experience, how they share what they learn with their districts, the range of grades represented in the fellowship, and the relationship between the fellowship and merit pay. The teachers emphasized building relationships with students, using data to drive instruction, early intervention, and collaboration across grade levels, while the secretary said the program is intended to identify and elevate high-performing teachers and spread their practices.
A major portion of the discussion focused on third-grade reading, retention, and the new ATLAS testing system. Teachers and the secretary said students are screened and progress monitored throughout the year, families are notified early if students are at risk, and schools are using interventions, tutoring, and individualized reading plans. They said ATLAS results are now available much faster than in the past, often within 24 hours or a few days, allowing teachers and parents to respond quickly. Members asked about the impact of poverty, trauma, foster care, DHS involvement, IEPs, and critical shortage areas; teachers said relationship-building, small-group instruction, and coordination with counselors and special education staff are key. The secretary said the fellowship is a small subset of a broader merit pay program, that participation was voluntary, and that the state is trying to build a coherent system with literacy coaches, high-impact tutoring, and clearer standards rather than teaching to the test.
Members also discussed broader policy issues, including the need for more positive public messaging about public education, teacher input in decision-making, and support for early childhood education. Several legislators asked whether the state should expand funding for early learning and whether more literacy or academic coaches are needed in districts that improve and then lose eligibility for state support. The secretary said the state has committed literacy coaches to D and F schools and is still working through how to sustain support as schools improve. He also said the administration would look at data and return on investment before supporting additional funding, and he encouraged legislators to help recruit eligible teachers into future fellowship cohorts. After the teacher panel concluded, the committee moved on to the adequacy resource allocation study, where Bureau of Legislative Research staff began a presentation on state and local education funding sources, categorical funds, and district spending patterns.
AR
Arkansas 2026 1st Special Session
EDUCATION COMMITTEE - SENATE AND HOUSE Jun 1st, 2026
Transcript Highlights:
- the right-hand map will remain the same, so it will remain this teacher salary map that's on the screen
- These maps are all in the report if you find them hard to read from the screen.
- But we can also be a tool, I think, in pushing this information out.
- But we can also be a tool, I think, in pushing this information out.
Summary:
The committee first received a presentation from Legislative Audit on Arkansas Department of Education grant distributions for fiscal year 2025. Auditors explained the report summarizes $4.6 billion in grants to school districts, charter schools, education cooperatives, and other entities, with most funding coming from the Public School Fund and federal sources. Members asked about specific recipients and programs, including ClassWallet, master principal bonuses, Economics Arkansas, and CDC surveillance grants. Department of Education staff clarified that the audit report only shows distributions, not how recipients ultimately used the money, and noted that some funding declines reflected the end of one-time federal COVID relief dollars. Senators also asked about the special-language appropriation for Economics Arkansas and the use of public school fund revenues.
The committee then heard a Bureau of Legislative Research presentation on Consumer Price Index projections from Moody’s Analytics and S&P Global, followed by a detailed adequacy-study update on teacher recruitment, retention, and salaries. The teacher report covered teacher counts, education levels, experience, shortages, preparation pathways, licensure exceptions, survey results, and salary trends. Key findings included about 32,800 teachers statewide in 2025, an average retention rate of 87%, and 30% of surveyed teachers saying they were considering leaving the profession. The report also noted shortages in special education, math, science, and other areas, growth in alternative preparation pathways, and the phaseout of several licensure exceptions under Act 304 of 2025.
Members asked extensively about survey methodology, teacher satisfaction, preparation for classroom environment and special education, the cost and return on investment of alternative licensure routes, and whether exit-interview data exists statewide. The presenters said they could follow up on several questions, including details on alternative programs, incentives for ESL and special education endorsements, and comparisons to other surveys. On salaries, the report said the statewide average teacher salary in 2025 was $60,254, with districts averaging slightly higher than charters. Arkansas ranked 45th nationally on average salary in 2025, though 36th when adjusted for cost of living, and average district salaries had declined 8% in inflation-adjusted terms since 2016. Members also discussed the LEARNS Act minimum salary floor of $50,000, salary disparities among districts, and whether the state should focus more on retaining experienced teachers as well as raising starting pay.
AZ
Transcript Highlights:
- These changes are needed to close the loopholes in current law and give prosecutors stronger tools to
- Thank you. ...stronger tools to combat illegal weapons trafficking. Thank you.
- She herself was not permitted to see the screen of the ultrasound.
- She should be able to see an ultrasound screen without it being covered by a blanket or a cover of any
Keywords:
felony murder, unborn child, homicide, Arizona Revised Statutes, life imprisonment, death penalty, education, funding, school districts, state aid, education reform, venue, employee conflict, superior court, legal proceedings, workplace disputes, weapons, explosives, trafficking, firearm regulations
Summary:
The committee heard several criminal justice and victims’ rights bills. HB 2131 would remove the financial-gain element from weapons/explosives trafficking and impose stricter sentencing, including no early release for trafficking three or more weapons; it received a due pass recommendation on a 6-1 vote. HB 2132 would lower the fentanyl trafficking threshold from 200 grams to 100 grams and adjust related motor-vehicle language; supporters said it would help prosecutors and law enforcement, while opponents warned it would sweep in heavy users and lacked data on current prosecutions. It passed 4-3. HB 2223 would require sex offenders seeking a name change to notify prosecutors and victims, and to register under the new name with the old name as an alias; it passed 6-1.
The committee also considered HB 2411, creating the crime of coerced abortion for secretly or forcibly administering abortion-inducing drugs without a pregnant woman’s knowledge or consent. Supporters argued existing laws do not clearly cover situations where the drug is given but no death occurs; opponents said assault, manslaughter, homicide, and food-contamination statutes already address the conduct and warned the bill was unnecessary and aimed at abortion access. The bill passed 4-3. HB 2043 would add unborn children to the felony-murder statute; supporters called it a cleanup measure closing a loophole, while opponents said it was an abortion/personhood measure with broader implications. It passed 4-3.
HB 2046 would require victims of sex offenses to be notified of pre-hearings in probation review matters involving young sex offenders; victims and prosecutors said the change would ensure meaningful participation, and it passed unanimously 7-0. HB 2666 would increase penalties for sexual extortion involving 15-, 16-, and 17-year-olds when committed by an adult, and it passed unanimously 7-0. HB 2265 would eliminate court fees and assessments tied to public defenders, jury trials, appeals, and related criminal-case charges; supporters framed it as protecting constitutional rights, while counties warned of lost revenue, and it passed 7-0. Finally, HB 2133 would require commercial websites hosting sexual material to verify consent and age of depicted persons, retain records, and treat synthetic depictions as images; the sponsor said it was meant to curb CSAM and revenge porn, while testifiers raised concerns about breadth, record retention, and constitutional issues.
NM
Transcript Highlights:
- would hope that they have email addresses that aren't necessarily public or they have assistants who screen
- And we want to give the officer, the State Engineer, all the tools that they need to make sure it stops
- Oh, okay, so apparently we're having trouble with the screen part of the volume, I think.
- And we just don't have the tools we need to deter that. Thank you, Madam Chair.
WA
Washington 2025-2026 Regular Session
Senate Business, Financial Services & Trade Dec 4th, 2025
Transcript Highlights:
- Is there a way to require the companies that own the vending machines to screen for legitimacy, those
- They're supposed to just try to screen out fraudulent transactions.
- neighborhood councils, retirement homes, trying to really spread awareness and have an educational tool
- about the dangers of these kiosks and how they had become a preferred tool for scammers.
Summary:
The committee first heard a work session on cryptocurrency kiosks from the Department of Financial Institutions and Spokane City Councilmember Paul Dillon. DFI described crypto kiosks as licensed money transmission terminals that allow cash purchases of virtual currency, and said the main concern is fraud: scammers often pressure victims, especially older adults, to deposit cash into kiosks and send it to wallets controlled by organized crime. DFI cited a sharp increase in kiosk volume, nationwide fraud complaints and losses, and said Washington currently has licensing and disclosure rules but lacks transaction and fee limits. The department said it is seeking stronger disclosures, a $1,000 daily transaction limit, and a fee cap. Spokane described its unanimous ordinance banning new kiosks and removing existing ones after local scam reports, and members asked about how the machines work, whether the fraud is in the hardware or the transaction, and whether stronger warnings or screening could help.
The committee then reviewed home equity sharing agreements, or CHISAs, based on a report by Mariana Amaram and testimony from DFI and industry representatives. The report found that CHISAs provide homeowners a lump sum in exchange for a share of future home value or appreciation, with no monthly payments, but that consumers often struggle to understand the products and settlement calculations. The report said the market has grown quickly in Washington, that costs can be hard to predict, and that early uncapped contracts could produce very high settlement amounts, especially during periods of rising home prices. DFI said it views these products as mortgage loans and is moving forward with rulemaking, including counseling and clearer disclosures, while industry witnesses said the products are equity-based rather than debt-based and asked for tailored regulation. Members discussed the need for better consumer education, clearer payoff schedules, and whether the products should be treated as mortgages or a separate category.
The final panel focused on Washington’s space economy, with presentations from Amazon Leo, Blue Origin, Stoke Space, Space Northwest, and Green River College. Speakers highlighted major in-state investments in satellite manufacturing, launch systems, and workforce training, including Amazon Leo’s Redmond and Kirkland facilities, Blue Origin’s Kent headquarters, and Stoke Space’s Kent manufacturing and Moses Lake test site. Space Northwest presented data showing the sector’s growing economic footprint, high-wage jobs, and regional clusters in Kent and Redmond, and urged more workforce programs, incentives, infrastructure support, and a state space commission. The companies emphasized local hiring, apprenticeship and certification programs, and the role of Washington’s aerospace supply chain in supporting the broader space industry. No votes were taken during the transcript excerpt.
MN
Transcript Highlights:
- you so much for hearing this conversation and uh Representative Keeler, your um comments were very valid
- And uh, we're really excited about turning a good idea into a tool that's usable.
- <00:40:32.160>
And good idea into a tool that's usable. - And good idea into a tool that's usable.
- <00:57:37.440>
to and it remains an effective tool to and it remains an effective tool to
Keywords:
foster care, child welfare, enrollment priority, education programs, child care assistance, education, school board, elections, local governance, school district, site-governed schools, education reform, local control, autonomy, interchange, bond issuance, transportation, infrastructure funding, Sherburne County, student eligibility
MN
Minnesota 2025-2026 Regular Session
House Public Safety Finance and Policy Committee 3/5/25
Public Safety Finance and Policy
Transcript Highlights:
- So there's 100% validity in making this a separate crime based off of motivation, and currently Minnesota
- So there's 100% validity in making this a separate crime based off of motivation, and currently Minnesota
- So, um, I think Representative Johnson's point is valid that there is, like, some concern about what
- <01:35:24.760>
um <01:35:25.000>able <01:35:25.360>to allow them use the tools - um able to allow them use the tools um able to locate<01:35:26.440>
someone's <01:35:26.880>
MA
Massachusetts 2025-2026 Regular Session
Continuing Care Retirement Communities Jun 21st, 2026 at 10:00 am
Transcript Highlights:
- And I'll share my screen. All right.
- And, you know, there are some reporting requirements, but ultimately a lot of the tools that we have
- But ultimately, a lot of the tools that we have are reactive, you know, filing a consumer complaint when
- , you can go on there, and there are statements and disclosure statements, and it's a pretty handy tool
- And, you know, if not, what tools or structures do you think we could use to improve enforcement and
Summary:
The Special Commission on Continuing Care Retirement Communities met for its third meeting, focused on regulations, oversight, and enforcement. Staff and agency presenters reviewed the current framework: the Executive Office of Aging and Independence explained that assisted living regulations generally do not apply to CCRCs unless an assisted living component markets itself separately, and that CCRCs must submit marketing materials, contracts, and disclosure statements for public posting. The Attorney General’s office described Chapter 93A consumer protection standards and noted it is working on draft assisted living-specific regulations. DPH outlined its oversight of licensed nursing facilities associated with some CCRCs, including routine surveys, complaint investigations, and enforcement tools such as admissions freezes, fines, receivership, and license actions, along with federal CMS sanctions for certified facilities.
Commission members and presenters then discussed gaps and ambiguities in how CCRCs are defined and regulated, especially whether communities without on-site skilled nursing should still be treated as CCRCs, how assisted living-like services within CCRCs are classified, and whether residents have enough clarity about the services they are buying. A major theme was disclosure: members raised concerns about entrance fees, refund timing and conditions, whether skilled nursing is on-site or provided by contract, and how residents can compare communities. Several participants suggested more standardized disclosure and possibly broader consumer protection rules, while others cautioned that overly rigid requirements could affect community finances and development.
The commission also explored enforcement and resident protections. Some members argued that independent living residents are already covered by landlord-tenant law and that existing complaint systems and community education may be sufficient, while others said residents in supported or assisted settings within CCRCs should have clearer access to ombudsman services and oversight. The discussion turned to closure and ownership transfer, with members citing recent national examples of sales and bankruptcies that changed resident terms. DPH explained its closure process for licensed nursing facilities, and members noted that Chapter 197 of 2024 adds oversight for facility transfers and financial disclosures. The meeting ended with logistics for the next session at Brookhaven at Lexington on June 2, a public hearing on June 16, and a request to circulate the hearing notice broadly to residents and stakeholder organizations.
CA
California 2025-2026 Regular Session
Assembly Emergency Management Committee Apr 28th, 2025
Emergency Management
Transcript Highlights:
- EMD training equips dispatchers with the tools to guide callers through CPR.
- That means on the eight or so screens that a dispatcher has in front of them with the existing software
- completely happy with that The goal here is to provide all school districts with a resource and a tool
- It's just, again, a tool and a resource that everyone can utilize, that everyone has access to.
- Clearly it's a great tool. You mentioned school shootings, but it's clearly a great tool.
TX
Texas 89th Regular
89th Legislative Session - Second Called Session Aug 28th, 2025
Texas House Floor Meeting
Transcript Highlights:
- Faith should not be used as a tool to destroy the world.
- Faith should not be used as a tool to destroy the world."
- That is absolutely correct and I see people But you make a very valid point.
- It makes the law a tool of exclusion. exclusion, and our courtrooms instruments of silence.
- Scripture was never meant to be twisted into a tool for hate.
Keywords:
sex designation, restroom access, civil penalties, private civil right of action, women's privacy, abortion, healthcare, jurisdiction, civil action, qui tam, prohibition, state law, youth camp, safety regulations, advisory committee, child welfare, health standards, summer camp, camp safety, child abuse reporting
NM
New Mexico 2025 Regular Session
IC - Land Grant Aug 14th, 2025
House Rural Development, Land Grants And Cultural Affairs
Transcript Highlights:
- And on May 6, 1832, held that the Canada Chamberlain grant was valid and distributions made by the ecologists
- was stated by the attorney, the CLPC, which was the Court of Permanent Claims, that we were not a valid
- It was in this court case by the Mexican government, saying that the land grant was a valid land grant
- In 1886, the Surveyor General Proffitt questioned the validity of the land grant beyond its individual
- It's not a tool anymore. It's become a weapon.
TX
Texas 89th 2nd C.S.
89th Legislative Session - Second Called Session Aug 18th, 2025
Texas House Floor Meeting
Transcript Highlights:
- Legislation to eliminate the STAR test and replace it with effective tools to assess students' progress
- disasters, including establishing a voluntary accreditation program for disaster relief organizations, screening
CA
Transcript Highlights:
- A valid argument exists for both the general election or the primary election.
- Public financing programs are a promising tool for empowering voters.
- I support efforts to examine other tools to help with keeping voter rolls up-to-date, which is why I
- But we need to recognize that those additional tools also come with additional costs, and county elections
NM
Transcript Highlights:
- Unfortunately, we have a hard time being able to validate or audit that kind of data, and we think that
- And so that's a recruitment tool. That means I know I can come in and get certain levels of pay.
- Jacobson to create an AI tool with New Mexican teachers and students to support authentic learning in
- working group will help understand how to protect and preserve New Mexican language and culture as these tools
MN
Minnesota 2025-2026 Regular Session
Committee on Judiciary and Public Safety - 04/13/26
Judiciary and Public Safety
Transcript Highlights:
- look forward to working with every member of this committee to give this vitally important unit more tools
- look forward to working with every member of this committee to give this vitally important unit more tools
- or in fact requires them to provide information specifically regarding chemical irritants, smoke screens
- All right, you are on screen, Chris Hicks.
- , or diversionary devices the screens, or diversionary devices the lead<01:42:59.760>
law <01:42
US
US Federal 2025-2026 Regular Session
Business meeting to consider the nominations of Elise Stefanik, of New York, to be the Representative of the United States of America to the United Nations, with the rank and status of Ambassador, and the Representative of the United States of Americ Jan 30th, 2025 at 09:25 am
Foreign Relations Committee
Transcript Highlights:
- Today, China is targeting and exploiting open societies with every tool that they have.
- This is actually a tool that is pernicious and undermines the very functioning of institutions.
- The CCP's United Front sees this as a tool to achieve its goals.
- Should we be using some tools more than others?
- I think one of the most powerful tools we have is to deny the PRC a market.
CA
California 2025-2026 Regular Session
Assembly Labor and Employment Committee Jun 25th, 2025
Transcript Highlights:
- Again, SB 7 is something that will put common-sense guardrails into how some of these high-tech tools
- Automated decision-making systems, or ADS, may be a tool employers, maybe a new tool that employers have
- Automated decision-making systems, or ADS, may be a tool employers have at their disposal to squeeze
- As the previous witness stated, the growth and use of these kinds of management tools is exponential,
- As the previous witness stated, the growth and use of these kinds of management tools is exponential,
Summary:
The Assembly Labor and Employment Committee heard several bills focused on worker rights, workplace technology, pay equity, and retail/self-checkout standards. SB 703 would require ports to collect and report information on trucking companies to help identify worker misclassification in the port trucking industry; supporters, including Teamsters and the California Labor Federation, said better data is needed for enforcement, while trucking and retail groups said they were working with the author and expected to remove opposition after amendments. The bill passed 5-0 and was re-referred to Transportation. The committee also approved a consent calendar of other measures.
SB 294, the Workplace Know Your Rights Act, would require the Labor Commissioner to create a template for annual employer notices about workers’ labor and civil rights, including emergency contact notification if a worker is detained or arrested. Supporters said the bill would help workers understand their rights amid federal rollbacks and weak enforcement; the California Restaurant Association opposed it. SB 7 would require notice and human review before employers use automated decision-making systems for discipline or termination, and would bar predictive use of such systems for employment actions. Labor groups supported the bill as a safeguard against biased or opaque algorithmic management, while HR, chamber, retail, and local government groups raised concerns about breadth, notice burdens, and small-business impacts. Both bills passed 5-0 to their next committees.
The committee also advanced SB 238, which would require disclosure about workplace surveillance and AI monitoring tools, and SB 442, which sets staffing and operational standards for self-checkout, including at least one staffed lane, one employee dedicated to monitoring self-checkout, item restrictions, and a 15-item limit sign. Supporters argued both bills improve transparency, safety, and worker protections; opponents warned SB 238 could expose security practices and SB 442 could raise costs and create preemption issues. SB 464 would expand state pay-data reporting to better capture public-sector workforce demographics in line with reparations and pay-equity goals, and SB 642 would strengthen the Equal Pay Act by extending recovery periods, clarifying wage definitions, and updating pay-scale language. SB 464 and SB 642 also passed, with some opposition from county and business groups over scope and retroactivity. All measures taken up in the hearing were approved by committee, generally on 5-0 votes, and re-referred to the appropriate policy or fiscal committees.
KY
Kentucky 2025 Regular Session
Medicaid Oversight and Advisory Board (9-24-25)
Transcript Highlights:
- > organizations organizations, and these organizations organizations, and these organizations screen
- Medicare<00:46:46.440>
and <00:46:46.560>Medicaid <00:46:47.080>patients screen - Medicare and Medicaid patients screen Medicare and Medicaid patients for<00:46:47.760>
needs < - to deliver better alike, has the tools to deliver better health<00:52:29.280>
at <00:52:29.440 - tools tools uh uh uh to<01:35:52.400>
uh to uh to uh most<01:35:53.640>mental <01:35:53.920
Summary:
The Medicaid Oversight and Advisory Board met on September 24, 2025, approved the minutes from the September 9 meeting, and then continued its discussion of Medicaid waivers with Leslie Hoffman and Carmen Hancock from the Department for Medicaid Services. Members asked for updates on the 2024 waiver waitlist management assessment recommendations, including aligning waiver policies, standardizing applications and waitlist placement, and modernizing data systems. DMS said that work is being done jointly with Aging and Independent Living and Behavioral Health/Developmental and Intellectual Disabilities through task forces, that ARPA spending delayed action, and that implementation timelines extend through March 2027.
The board also reviewed per-member waiver cost averages for fiscal years 2023 through 2025 for ABI, ABI long-term care, HCBS, Model II, Michelle P, and SCL. DMS emphasized these figures were benefit-only averages based on paid claims, not full waiver costs, and explained that true budget neutrality is calculated on an aggregate basis against institutional care comparisons approved by CMS. DMS said all six waivers remain in compliance with budget neutrality and that the most recent 18-month lag review for FY 2022 and FY 2023 found costs at or below institutional care. Members also asked about unused waiver slots; DMS said slots generally cannot be reallocated mid-year if they have been used, except in cases such as death or reserved capacity, because CMS treats participants as unduplicated for the waiver year.
A major portion of the meeting focused on the new child waiver created under House Bill 6. Legislators questioned whether the waiver’s design, including the exclusion of participant-directed services and the emphasis on high-acuity children with behavioral health, DCBS, or juvenile justice involvement, matched the bill’s intent to keep children at home. DMS said it used the $14.7 million appropriated for FY 2026 to develop the program, that there is no priority list, and that the waiver is intended to serve the highest-acuity children while also addressing residential needs for those sleeping in offices or placed out of state. Members also raised concerns about the rapid growth of the HCBS waiting list and asked for more detail on age and timing patterns, which DMS said it would provide later. Finally, DMS gave average processing times from application to eligibility determination and from approval to service start, and said the overall average from application to services beginning was about 80 days, while members requested follow-up information on the Carewise assessment contract and related costs.