Transcript Highlights:

• The first finding, using data analytics, identified a duplicate payment of almost $3,700.
• Using data analytics, we identified a duplicate payment of almost $3,700, issued to a vendor providing
• The duplicate payment was issued within a day of the original payment in April 2024.
• After notifying the vendor, the agency received and deposited recoupment of the duplicate payment in
• The first finding, in our review of 35 career service payments, we noted one payment made by the Division

Committee: All LEGISLATIVE JOINT AUDITING-STATE AGENCIES

Summary: The committee first approved the minutes from the prior meeting. It then heard audit reports from Tom Bullington, including two reports with findings and three without findings, which were filed without objection. The Department of Public Safety FY24 audit had two findings: a duplicate vendor payment of nearly $3,700 that was later recouped, and a $2.5 million collateral shortfall tied to bank-held cash funds because securities were not properly pledged in the State Police’s name. Agency representatives from Arkansas State Police and the Department of Public Safety answered questions, and members discussed how collateralization works for deposits above FDIC coverage. The committee next reviewed the Department of Transformation and Shared Services FY24 audit, which contained five findings. These included an $800 career service overpayment caused by a rehire data entry error, delayed deactivation and inventory issues for assets including stolen cameras, a double count of more than $940,000 in year-end cash records, $10.3 million in health claims that should have been recorded as fiscal year 2024 payables, and repeated deficiencies in vehicle mileage logs. Agency officials explained that the stolen cameras were recovered through restitution, that inventory reviews are being expanded, and that the vehicle log problems are expected to be addressed through a statewide electronic GPS/telematics system. Members asked about the scope of audit testing, asset tracking, vehicle oversight, and whether the new vehicle system would allow monitoring of use, fuel purchases, geofencing, and possible sharing of vehicles across agencies. Shared Administrative Services said it would administer the statewide system, with departments retaining operational responsibility and access controls. After discussion, the committee filed the report without objection and adjourned, noting the next meeting would be held June 4.

Transcript Highlights:

• We're also proposing a growth factor on the maintenance payment that would be associated with the community
• corrections performance growth payment.
• It's a 2011 realignment payment.
• Those funding so that there's kind of a growth over time because the payments currently they haven't
• And this won't change at a statewide level, this won't change the payment a whole lot, but it could have

Transcript Highlights:

• So then we get down to payments during appeal.
• So then we get down to payments during appeal.
• Another part of it is the amount of payment.
• I know that the way statute is written right now, it allows for installment payments.
• And it's also on page eight at the bottom is the payment of property taxes.

Committee: House Special Committee on Property Tax Reform

Transcript Highlights:

• ENABLES A METHODOLOGY FOR QUALITY INCENTIVE PAYMENTS AND IMPROVES CONSUMER UNDERSTANDING FOR BETTER CARE
• AND IT WILL ALSO BE USED FOR CALCULATING THE QUALITY INCENTIVE PROGRAM PAYMENTS AS A MEASURE OF NURSING
• LASTLY WE HAVE OUR HOSPITAL DIRECTED PAYMENT PROGRAM.
• MOST PROVIDER ISSUES ARE RELATED TO CLAIMS PAYMENT MEANING THE FLAMES THAT DENIED, OR PAID AND QUICKLY
• WHICH COULD INCLUDE SYSTEMIC ISSUES WHEN THE PLANS DO NOT UPDATE PAYMENT AMOUNT OR CODES CAUSING PAYMENT

Transcript Highlights:

• This particular finding related to payment to one particular vendor.
• This particular finding related to payment to one particular vendor.
• to a similar subgroup to kind of equalize the payments.
• Our original test: we tested 30 vendor payments.
• In terms of overpayments, wrongful payments, or credit cards, were they reimbursed?

Summary: The Higher Education Budget Subcommittee met to hear a presentation from the Florida Auditor General’s office on recent operational audits of four universities and to discuss how audit findings are handled. The Auditor General explained that financial audits occur annually and operational audits at least every three years, with universities required to respond in writing to findings; the office generally follows up in the next audit cycle, though it can audit sooner if needed. Members asked about accountability, whether findings are referred to other bodies, and how internal university audit functions interact with the state audit process. The chair emphasized the committee’s oversight role in ensuring public funds are used appropriately. The audit findings highlighted issues at New College of Florida, Florida A&M University, the University of Florida, and Florida Atlantic University. At New College, auditors cited invoice/payment errors, delinquent student account collection delays, prohibited extra compensation, exceeding state remuneration limits for certain employees, weak purchasing card controls, construction management cost documentation issues, and subcontractor licensing documentation gaps. At FAMU, auditors found investment accounting classification issues, delayed bank reconciliations, late vendor payments, and incomplete annual employee evaluations. At UF, auditors reported concerns over a $6.4 million consulting contract, event and catering spending, president’s office hiring and salary practices, bonus and relocation payments, continued high compensation after the president transitioned to another role, travel expenses including charter flights, and remote work agreements. At FAU, auditors found distance learning fee revenue exceeded allowable costs by about $2.8 million, carry forward funds were underreported by about $77 million, and credit card controls needed improvement. Members pressed the Auditor General on whether overpayments were refunded, whether any findings involved statutory violations, and what enforcement exists beyond the audit report. The auditor said some issues were corrected by the universities, such as New College recovering excess compensation from foundation funds, but others would be revisited in future audits; if potential fraud were identified, it would be referred to the state attorney’s office. The chair closed by noting that accountability for public spending rests with the Legislature and the committee, and the meeting adjourned without any vote or formal action beyond receiving the presentation.

Transcript Highlights:

• These changes have broadened employment eligibility criteria and increased benefit payments, allowing
• These eligible adoptive parents could receive initially an incentive payment of up to $10,000.
• Could receive initially an incentive payment of up to $10,000.
• Law enforcement officers became eligible for a one-time lump sum payment of up to $25,000.
• The program was further strengthened to create parity in payments across all eligible populations.

Committee: Senate Children, Families, and Elder Affairs

Summary: The Committee on Children, Families, and Elder Affairs met with a quorum and first took up SB 398, which would create a statewide public health awareness campaign through the Department of Elder Affairs on Alzheimer’s disease and related dementias. Senator Burgess said the campaign would focus on early detection, brain health, risk reduction, clinical trial access, and community resources. The committee heard supportive testimony from a caregiver, AARP, the Alzheimer’s Association, and others, with members discussing the need for culturally responsive outreach and continued funding. SB 398 was reported favorably by roll call vote. The committee then heard SB 106, which would strengthen Florida’s exploitation injunction law for vulnerable adults by allowing service of an unascertainable exploiter through the same communication method used to contact the victim, such as text, Facebook Messenger, or WhatsApp. Senator Martin explained the bill as a way to close a loophole that lets scammers evade traditional service, and witnesses from the Florida Bankers Association and the Florida Bar’s Elder Law Section supported it, describing how the bill could stop ongoing thefts more quickly while preserving due process. Members asked about gift card scams, clerk workload, and the definition of an unascertainable respondent. SB 106 was reported favorably. The Department of Children and Families then presented an update on the Adoption Benefits for Qualifying Adoptive Employees Program, describing its expansion over time and the current one-time lump-sum benefit structure for eligible adoptive parents. The presentation covered eligibility rules, open enrollment, funding history, and the program’s impact on adoption placements, with members asking why tax collectors were included but other constitutional offices were not, and whether foster relatives could qualify. Finally, the committee considered SPB 7012, a committee bill addressing child welfare workforce shortages, treatment foster care for high-acuity children, and improved data collection on commercially sexually exploited children. The bill would direct DCF to recruit former public safety workers for CPI and case manager roles, create a treatment foster care pilot in two judicial circuits, and require more detailed, analyzable data and capacity studies. The bill drew support from child welfare advocates, with some members urging DCF to return with a more developed framework; it was adopted as a committee bill and reported favorably.

Transcript Highlights:

• -2023, when we made the changes to the regs. uh the TANF payment TANF payments uh the TANF payment TANF
• A payment error rate is the rate of errors in payments to recipients.
• A payment error rate is the rate of errors in payments to recipients.
• A payment error rate is the rate of errors in payments to recipients.
• A payment error rate is the rate of errors in payments to recipients.

Summary: The committee first approved the minutes from its September 24 meeting after a motion and second. It then heard a presentation from New Mexico Early Childhood Education and Care Secretary Elizabeth Gragensky on that state’s early childhood system and planned universal child care rollout. She described how New Mexico consolidated multiple prenatal-to-age-five programs into a cabinet-level department, expanded pre-K to a longer day, and uses a cost model to set reimbursement rates intended to cover true provider costs, including wages, benefits, occupancy, food, and reserves. She also said the state created an Early Childhood Trust Fund and secured a constitutional amendment to dedicate 0.60% of the land grant permanent fund to early care and education, with the department’s budget growing from about $400 million in 2021 to just under $1 billion this year. Gragensky said families can begin applying for universal child care on November 1, with participation voluntary for both families and providers. She reported that New Mexico is aiming to expand capacity by adding 1,000 registered home providers, 120 group homes, and about 55 more centers, supported in part by a $13 million low-interest loan fund and a request for an additional $20 million. She said the state has seen growth in early childhood professionals, including a 64% increase over the last three to four years, and pointed to reported outcomes such as a 21% increase in literacy and a 75% kindergarten readiness rate, while noting that some measures are new and baseline comparisons are still being developed. Members asked about the funding sources, provider profitability, workforce development, and measurable outcomes. Gragensky said the program is designed to support provider sustainability through rates tied to true cost and includes allowances for sick leave, vacation, benefits, and reserves. She also said maternal labor force participation is 10% higher than the national rate and attributed that in part to child care access. The committee then moved to a separate presentation by Department for Community Based Services Commissioner Lisa Dennis and Division of Family Support Director Roger McCann on anticipated cuts to TANF and SNAP, beginning with an overview of TANF as a federal block grant with a fixed annual Kentucky allocation of about $180.7 million.

Transcript Highlights:

• Um this facility payment system changes.
• standards would only be the payments upfront so long as the operating payment rate limits were in place
• to</c> establishes stipen payments to establishes stipen payments to bargaining<00:54:16.000><c> unit
• ><c> eligibility</c> fund payment and eligibility fund payment and eligibility determination<01:02:03.640
• </c> fund payments. Um, a note that um, Mr. fund payments. Um, a note that um, Mr.

Transcript Highlights:

• And I think the last bit of information is the tail payments, more detail on those tail payments if you
• And I think the last bit of information is the tail payments, more detail on those tail payments if you
• And I think the last bit of information is the tail payments, more detail on those tail payments if you
• And I think the last bit of information is the tail payments, more detail on those tail payments if you
• </c> getting those payments getting those payments out<01:51:09.320><c> um</c><01:51:09.679><c> the</

Summary: The Finance Committee Division II met with the New Hampshire Department of Education to review school nutrition programs and related funding. Department staff Melissa White and Kelly Rambo walked through a packet covering the National School Lunch Program, Fresh Fruit and Vegetable Program, Community Eligibility (CEP), After School Snack Program, Child and Adult Care Food Program, and Summer Food Service Program, explaining that these are federally funded USDA programs, with some state supplemental funding in certain areas. They also reviewed reimbursement rates for lunch, breakfast, child/adult care, and summer meals, noting that summer rates follow calendar-year timing while most others follow the state fiscal year. Members asked several questions about how the funding works, especially the difference between federal reimbursements and the state match. Staff explained that the state lunch line in the budget is a fixed match amount tied to federal participation, while breakfast funding is broken out by meal type and reimbursement category. They also discussed why FY 2022 federal spending was much higher during COVID, when USDA covered meals at the free rate for all students, and why FY 2023 and FY 2024 dropped as normal income-eligibility rules returned. A committee member also asked about the “severe need lunch” two-cent rate, and staff said they did not know USDA’s formula. A substantial portion of the meeting focused on summer meals and the distinction between the Summer Food Service Program and Summer EBT. Staff explained that SFSP provides meals at approved sites, which can be open or closed sites, while Summer EBT is a separate DHHS-operated benefit program that provides funds to families. They said some schools or sites may not qualify under USDA rules, but eligible children can often use another nearby open site, and the department posts an interactive map and phone line to help families find locations. The committee also discussed the Community Eligibility Provision. Staff said New Hampshire currently has three CEP schools, that the eligibility threshold had recently been lowered from 40% to 25% identified students, and that the program allows participating schools to offer free meals to all students while the local district covers the non-federal share. Members asked whether any districts in the 25% to 40% range had joined; staff said no. The department offered to provide the eligibility report in Excel and noted that the CEP intent is to reduce application burden, though the lower threshold can make the local cost share harder for some districts to absorb.

Transcript Highlights:

• ,</c> make semi-annual availability payments, make semi-annual availability payments, availability<00
• All payments are conditioned on meeting performance standards. There'll be no upfront payments.
• All payments are conditioned on meeting All payments are conditioned on meeting performance<00:10:06.920
• It is critical to upfront payments.
• One question on the payments that are, I think, $47 million in availability payments over 30 years.

Summary: The committee first approved the April 27 minutes and then received several informational reports, including University of Kentucky medical equipment purchases, UK’s use of $200 million in Ever funds for a public-private partnership, school district debt issuances, UK’s planned use of construction manager-at-risk delivery on five projects, Kentucky Communications Network Authority capital projects under House Bill 6, and 14 UK lease improvements. Members were told the House Bill 6 item was also being discussed in the Information Technology Oversight Committee and could return later if needed. The main action item was University of Kentucky’s request to approve a $600 million public-private partnership for central plants and utility infrastructure tied to the Chandler expansion. UK said it would shift $200 million from previously authorized restricted funds into the P3, leaving the project financed through private equity and nonprofit debt with no UK or Commonwealth debt. UK representatives said the project is necessary to support 24/7 hospital operations, expand and modernize utility systems, improve redundancy and efficiency, and reduce long-term operating risk. Members asked about the source of the availability payments, which UK said would come from UK Healthcare revenues, and the committee approved the P3 agreement unanimously. The committee also approved a UK lease renewal for a 20,000-square-foot College of Medicine annex near the Bowling Green Medical Center. UK said the lease costs $38 per square foot, or $912,000 annually, and supports medical education expansion in the region, including growth from 120 to 160 students over four years. Members voiced support for the local impact, and the lease passed unanimously. Later, the committee approved a Transportation Cabinet aviation project for two medium box hangars at Capital City Airport, funded by $1,153,000 in federal money and $950,000 from the Aviation Economic Development Fund, which is supported by a 6% jet fuel tax with a $1 million annual cap per company. Members asked about the fund balance, the cap, and airport revenue sources, and staff said the airport also receives entitlement and federal infrastructure funds and earns revenue from hangar rent and fuel sales. The committee then approved two Finance and Administration Cabinet pool projects: a roof and skylight replacement at the Libraries and Archives building and exterior repairs at several state buildings. Finally, the committee approved six Kentucky Infrastructure Authority action items after hearing about one loan increase for the Springfield Wastewater Treatment Plant and five grant reallocations tied to Cleaner Water Program and county allocation pool funds. Members asked why one project approved in 2024 was only now increasing, and KIA explained that design, water division review, environmental review, and bidding can take one to two years. KIA also reported additional no-action items, including a Brandenburg water grant split among two projects and 17 Kentucky Waters projects provided for information. The meeting ended with approval of the action items and no further action on the informational grants.

Transcript Highlights:

• advanced biofuels, renewable chemicals, and biomass thermal energy through production incentive payments
• Once a producer enters the program, they are eligible to receive claim reimbursement payments for 10
• Uh, for this bill, I mean, for the program requirements, uh, to receive the payments, the production
• Uh the bio incentive incentive payments.
• Um, and in the bill receiving payments.

Bills: HF858 , HF2577 , HF2576

Committee: House Agriculture Finance and Policy

Keywords: bioincentive payments, agriculture, job creation, environmental compliance, financial reporting, waste handling, sewage sludge, PFAS regulation, environment, record retention, fertilizer disposal, pesticide disposal, environmental impact, safety regulations, burning prohibition

Transcript Highlights:

• But the pre-approval is essentially an agreement the state has made with an entity to make that payment
• We just want to make sure we get this right and minimize the risk of non-payment to contractors.
• These payments are subject to an aggregate cap of $200 million.
• They're paying a lease payment to the school property, which is ...jurisdiction.
• They're paying a lease payment to the school property, which is not subject to taxes.

Bills: HB2091 , HB2140 , HB2320 , HB2384 , HB2398 , HB2502 , HB2780 , HB2918 , HB2939 , HB2950 , HB2999 , HB4020 , HB4026 , HB4029

Committees: Senate Finance , Senate Senate Finance Committee of Reference

Keywords: insurance, financial surveillance, regulations, assessments, Arizona Revised Statutes, investment, state treasurer, gold bullion, treasury management, financial regulations, school districts, lease agreements, school property, tax exemptions, impact aid revenue bonds, retirement, Arizona State Retirement System, elected officials, return to work, benefits

Transcript Highlights:

• payments by 10 percentage points beginning in 2028 until the state-directed payments are no greater
• Prior to HR1, these state-directed payments may be set up to the average commercial rate.
• payments by 10 percentage points beginning in 2028 until the state-directed payments are no greater
• for administrative payment errors.
• On the provider payment side, it ratchets down payments until they hit Medicare levels.

Summary: The joint informational hearing focused on the impacts of H.R. 1 on California’s Medi-Cal program and on community health effects from recent immigration enforcement actions. Committee leaders said H.R. 1 would sharply reduce federal funding, increase administrative burdens, and worsen access to care, especially for Medi-Cal enrollees, immigrant families, rural communities, and reproductive health patients. The second half of the hearing examined how ICE raids and related federal actions are creating fear, reducing clinic and emergency department use, and disrupting children’s access to schools and early childhood education. Department of Health Care Services Director Michelle Bass outlined the main H.R. 1 provisions affecting Medi-Cal: work requirements, semiannual eligibility redeterminations, shorter retroactive coverage, new cost-sharing, limits on provider taxes and state-directed payments, reduced federal support for emergency and lawful immigrant coverage, and a one-year ban on Medicaid funding for prohibited abortion providers. She estimated millions could lose coverage, with tens of billions of dollars in federal funding at risk. Planned Parenthood Affiliates of California warned the defunding provision could force clinic closures, service reductions, and loss of access to family planning, STI testing, and cancer screenings. The California Hospital Association said the financing changes could cut hospital revenue by tens of billions over 10 years and threaten access, especially for rural and safety-net hospitals. The Western Center on Law and Poverty argued the law would increase churn, paperwork, and uninsured rates, disproportionately harming working adults and people experiencing homelessness. Committee members asked about implementation timelines, notification systems, administrative costs, the effect on immigrant eligibility, and whether California could delay or mitigate some provisions. Bass said the state was still assessing federal guidance, planning county and provider outreach, and exploring a possible delay for work requirements and a transition period for provider-tax changes. Members also discussed how state budget actions may need to be revisited in light of H.R. 1, and how California might preserve access through state-only funding or other policy changes. In the second panel, CHIRLA, Los Angeles County Department of Health Services, and the Children’s Partnership described the health consequences of immigration enforcement. Speakers said raids and data-sharing fears are causing anxiety, trauma, and avoidance of care, with Los Angeles County reporting declines in emergency, urgent care, and clinic visits after enforcement actions. The Children’s Partnership said school and early childhood absences are rising in some communities and that enforcement is undermining children’s emotional well-being and access to education. Members asked for more data and discussed possible state protections, telehealth, mobile care, and legal and policy responses to reduce fear and preserve access to health and education services.

Transcript Highlights:

• speak to the why of what's in the bill, but I will point out that the last biennium there was the payments
• and Medicaid Services, or CMS, governs how states direct expenditures when implementing provider payment
• These payment arrangements allow states to direct specific MCO payments to providers and use permissible
• funding sources to fund the non-federal share of state-directed payments, including provider assessments
• House Bill 23... limits state directive payments and restricts the imposition of new health care related

Bills: HB2251 , HB2254 , HB2385

Committee: House Appropriations

Keywords: climate change, commitment act, emission reductions, sustainability, environmental policy, HB 2254, Washington, Health Care Authority, partnership access line, psychiatric consultation line, first approach skills training, behavioral health, mental health, assessment, administrative costs, health insurance, health carriers, self-funded plans, multiple employer welfare arrangement, MEWA

Transcript Highlights:

• So, I just came back this payment rate.
• </c> Medicaid quality incentive payment Medicaid quality incentive payment program<00:32:21.760><c> and
• <00:40:18.640><c> programs</c><00:40:19.680><c> are</c> payment programs are payment programs are &gt
• The second concern you heard was what happens to their ProShare and their MQUIP payments.
• There may be some ways MQUIP payments.

Summary: The committee to study long-term managed care met to approve the prior meeting minutes, with a clarification that “OB3” referred to the “one big beautiful bill.” The minutes were then approved. Chair Jim Kofalt outlined the day’s agenda, which included testimony from the Granite State Home Health and Hospice Association, the New Hampshire Association of Counties, and later DHHS. He also noted that future meetings were expected soon and that the meetings were being livestreamed on YouTube. Granite State Home Health and Hospice Association, represented by Kellyanne Totten and Amy Moore, urged inclusive planning and a cautious, phased approach if managed care is considered. They emphasized that home care providers are not uniform, with different licensing and service models, and said any pilot should include varied provider types, rural and southern regions, and agencies of different sizes. They warned that workforce shortages, inflation, and a possible 9% CMS cut to Medicare home health payments could force agencies to reduce service areas or service types. They also said the 2023 Medicaid CFI rate increase has begun to lose its effect. In response to questions, they said the rural health transformation fund may help with planning and telehealth but likely cannot be used directly for rates or recruitment/retention. They also described the New England Home Care Nurse Residency Program, a Department of Labor grant, as a way to bring new registered nurses into home care with added training and school partnerships. The New Hampshire Association of Counties, through county nursing home administrators Craig Labore and David Ross, revisited the earlier Step Two managed care discussions from 2016-2018. They said prior consultants found the long-term services and supports system was underfunded and needed investment to stabilize providers and expand community-based care. They argued the same concerns remain today and said a managed model would jeopardize the Medicaid quality incentive payment program and, for county nursing homes, the proportionate share payment program. Their testimony was generally opposed to moving forward with managed long-term services and supports without significant additional funding and safeguards.

Transcript Highlights:

• For rural secondary, there's only two payments, August and July, but the same principle is applied.
• As has been done in the past, we may add a payment to the schedule to catch these cities and counties
• , August and July, but the same payments, August and July, but the same principle<00:08:13.680><c> is
• </c><00:08:17.000><c> will</c> The make whole or final payments will The make whole or final payments
• </c> receive, but we will adjust payments receive, but we will adjust payments throughout<00:08:50.960

Summary: The Budget Review Subcommittee on Transportation met for its first meeting and received an overview from Transportation Cabinet officials on the governor’s executive order responding to high gas prices. Deputy Secretary Mike Hancock and budget director Shawn McKiernan explained that the order declared a state of emergency, reduced the state motor fuels tax by 10 cents per gallon, froze the tax rate for FY27, and urged Congress to suspend the federal gas tax. They said the emergency regulation would remain in effect until the war in Iran ends or Kentucky gas prices fall below $3 per gallon, and that any transportation budget shortfalls could be covered by the state budget reserve trust fund if requested later by the governor. McKiernan estimated the 10-cent reduction would reduce the road fund by about $26.8 million per month, with roughly 44% flowing to county road aid, rural secondary, and municipal road aid. He said the immediate impact to counties and cities would be about $11.8 million for one month, while the cabinet would see about $15 million per month less available for its own use. He also said the freeze on the FY27 motor fuels tax rate would prevent a scheduled increase and, compared with the budget assumption, would produce about $42 million in net additional revenue, split between local governments and the cabinet. He added that if the reduction lasted through December, the major transportation programs could be down about 16.9% from budgeted levels. Members focused on the effect on local governments, the road fund, and the cabinet’s cash management process. Several senators and representatives criticized the executive order as short-sighted or political, while others emphasized the need for a long-term solution to transportation funding. Questions were raised about how make-whole payments to counties and cities would be handled, how the cabinet manages cash flow, and whether the state should continue relying on general fund transfers to support the road plan. Cabinet officials said they would work with lawmakers, explained that project authorizations are managed based on cash flow and seasonal spending patterns, and noted that construction and maintenance costs have risen sharply, making revenue adequacy a continuing concern.

Transcript Highlights:

• AB 744 was a critical step forward by establishing payment parity for telehealth services.
• , Medi-Cal payment parity, and other supportive policies, such as those surrounding broadband access,
• Telehealth payment parity or reimbursement requirements like those added by AB 744...
• Telehealth payment parity or reimbursement requirements, like those added by AB 744, take that a step
• These bills have led the nation in expanding access to care, first through payment parity.

Summary: The committee held an outcomes review hearing on AB 744 and AB 32, two telehealth bills authored by Majority Leader Aguiar-Curry. Members and witnesses discussed how AB 744 established payment parity for telehealth in the commercial market and how AB 32 expanded Medi-Cal access to audio-only telehealth in appropriate circumstances, especially for patients facing broadband, transportation, language, and other access barriers. The hearing framed telehealth as a permanent part of California’s health care system rather than a temporary pandemic measure, while noting that disparities and implementation gaps remain. First-panel testimony from the California Health Care Foundation and the Center for Connected Health Policy reviewed telehealth trends, evidence of patient satisfaction, and the effectiveness of telehealth for behavioral health, chronic care, and e-consults. Witnesses said audio-only care remains important for patients without reliable internet, but Medi-Cal still has gaps in asynchronous care, FQHC/RHC billing, and remote-only provider participation. Committee members asked about reimbursement, data collection, clinical safeguards, broadband access, language access, and whether telehealth is being used to speed up appointments or reduce disparities. A second panel of providers and advocates described how telehealth has changed practice. A family physician said parity allowed his health system to invest in staffing and scheduling, and that virtual visits help seniors, working patients, and those with mobility or transportation barriers, while still allowing escalation to in-person care or emergency services when needed. Planned Parenthood said telehealth is essential for sensitive sexual and reproductive health services and urged broader Medi-Cal coverage for asynchronous care. A behavioral health clinician from Shasta County said telehealth has been critical for rural patients, though broadband and affordability remain barriers. Public comment from hospital, telemedicine, and consumer groups generally supported telehealth expansion while urging fixes to remaining Medi-Cal gaps and continued access to in-person care.

Transcript Highlights:

• And the payment methods they used to extract money from them. And the state is interesting to me.
• Now going to the bottom half of the slide, we have the same information regarding payment methods, and
• Now, bank transfers and payments, which only accounted for 10% of the fraud transactions, top the list
• ; you won’t have car insurance; your mortgage payment didn’t go through.
• Basically, anything that can slow a consumer down before they make a payment, or before that payment

Summary: The Consumer Protection and Business Committee held a work session on emerging consumer protection issues, focusing on elder fraud, charity fraud, and the impact of artificial intelligence on scams. Assistant Attorneys General from the Consumer Protection Division described the division’s broader enforcement work, including actions on rent stabilization, government imposter scams, service member refunds, senior living facilities, data breaches, and cases involving TikTok and Meta. They said elder fraud is often the same fraud seen in other age groups, but older adults tend to lose more money when victimized, especially in imposter scams and investment scams. The attorneys reviewed FTC data showing rising fraud losses nationwide and in Washington, with social media, bank transfers, cryptocurrency, and gift cards highlighted as especially important channels for losses. Members asked about underreporting, recovery of funds, and what consumers should do when they suspect a scam. The presenters said complaints can be reported to the Attorney General’s Consumer Resource Center and DFI, and that the most effective policy responses would likely target payment methods, especially crypto kiosks and other fast, irreversible transfer systems. They also said the AGO uses enforcement, consumer education, and scam alerts, but that many scams are difficult to pursue because perpetrators are overseas or untraceable. On charity fraud, the Charitable Asset Protection Team described several deceptive practices, including false charities, imposter charities, fundraising-first charities, causewashing, and point-of-sale solicitations. They said charity scams are underreported because donors often do not realize they were misled, and they pointed to concerns about crowdfunding platforms and commercial fundraising processors, including the collapse of Flip Cause and unpaid donations to Washington charities. The presenters recommended modernizing the Charitable Solicitation Act, increasing transparency and disclosure for point-of-sale fundraising, and strengthening public education through the AGO and Secretary of State programs such as Assured Giving and Assured Impact. The presentation closed with a discussion of AI, which the attorneys said is making scams harder to detect through deepfakes, voice cloning, AI-generated messages, and automated scam operations. They said AI can also be used to create fake charities and online ecosystems that appear legitimate, and noted that business and charity registration systems can often be completed without human interaction. No votes were taken; the committee adjourned after questions and discussion.

Transcript Highlights:

• Required reconciliation payments for federally qualified health centers.
• When we collect the assessment from Idaho hospitals to support the upper payment limit supplemental payment
• We come back and we collect on nursing home payments.
• Idaho is a state that collects on other services. ...nursing home payments.
• Director, will you lump in improper payment within the program integrity? Director.

Committee: House Health and Welfare

Transcript Highlights:

• And so I've, so we came up with the payment plan then to maybe allow people to make payments through
• And so I've, so we came up with the payment plan then to maybe allow people to make payments through
• We started the payment plans.
• come in and get on a payment plan and we'll reinstate the license.
• And we do payment plans as low as $10 a month.

Committee: Senate Appropriations Committee on Criminal and Civil Justice

Summary: The Appropriations Committee on Criminal and Civil Justice heard an update from Department of Corrections Secretary Ricky Dixon on staffing, overtime, capital needs, and inmate population growth. Dixon said the prison population has risen by about 8,000 since January 2021 while staffing has not kept pace, forcing the agency to open 53 housing units without funded positions and rely heavily on overtime and National Guard support. He cited a $189 million deficit tied to salaries and overtime, noted that most staff have less than three years of experience, and argued the solution is to fully fund posts for operational housing units. He also reviewed the department’s fixed capital outlay projects, including repairs, new housing construction, and medical modular units intended to reduce outside hospital transports, and gave an update on the VINE victim notification system and its expansion. The committee then heard from Florida clerks of court representatives Jason Welty and Miami-Dade Clerk Juan Fernandez-Barquin, who described clerks’ court-related and county duties and said clerk budgets have not kept pace with the broader justice system. They requested reimbursements for injunctions for protection ($3.3 million), Baker Act/Marchman Act/sexually violent predator cases ($2.5 million), and juror management ($4.8 million), and said future funding for new judges should include the full courtroom system, not judges alone. Fernandez-Barquin also raised concerns about unfunded mandates, rising retirement and health costs, low court-side pay, and the need to revisit filing fees and trust fund allocations. Members asked about collections, payment plans, license suspensions, and whether some fees or trust fund distributions could be redirected; the governor’s budget had already picked up the $2.5 million request for Baker/Marchman/SVP cases. During public testimony, speakers urged broader criminal justice reforms and additional funding priorities. A prosecutor emphasized that adding judges requires funding for prosecutors, public defenders, and clerks as well. Other speakers called for parole or long-term sentencing reform to reduce prison populations and costs, criticized staffing and conditions in prisons, and raised concerns about inexperienced correctional officers, visitation delays, and lack of air conditioning in some facilities. The committee took no substantive votes on the items discussed and adjourned after hearing the presentations and public comments.