Transcript Highlights:

• But in addition to accountability, it includes comprehensive reforms to our Medicaid service programs
• But in addition to accountability, it includes comprehensive reforms to our Medicaid service programs
• But in addition to accountability, it includes comprehensive reforms to our Medicaid service programs
• But in addition to accountability, it includes comprehensive reforms to our Medicaid service programs
• > for programs and safeguarding services for programs and safeguarding services for those<00:03

Keywords: 919, house, all

Summary: House DFL leaders held a press availability outlining a broad anti-fraud agenda focused on state programs, especially Medicaid-related services, but also unemployment and tax fraud. They said the package is intended to strengthen accountability, improve oversight, and prevent fraud before it occurs, while arguing that fraud harms vulnerable Minnesotans such as children with autism, people with disabilities, seniors, and homeless people. They also tied the problem to long-term privatization of public services, arguing that outsourcing creates more layers and opportunities for fraud, and cited examples like county case management and managed care arrangements. Specific proposals discussed included strengthening the attorney general’s Medicaid fraud control unit, creating or expanding inspector general functions, requiring more in-person site visits, using electronic visit verification, improving background checks and fingerprinting, and upgrading outdated IT systems. Members said some bills would be relatively low-cost while others would require funding, and that bills without fiscal notes might move separately while others could be folded into budget discussions. They also said the House DFL had already taken steps in prior sessions, including creating a fraud unit at the BCA and adding DHS staff for site visits. The discussion also covered the Office of Inspector General bill, with DFL members saying they support placing the office in the executive branch and that the governor should make the final appointment for constitutional reasons. They said Republicans had blocked amendments they viewed as adding fraud-prevention authority to the OIG bill, and that the governor’s staff had not been involved in working groups. On a separate bill involving disclosure requirements, they said the committee version was improved but still flawed because it could interfere with investigations; they said it would next go to the Children and Families Committee. No votes were taken in the exchange, and members said they were still early in session and hoped for more constructive negotiations later.

Transcript Highlights:

• development programs.
• development programs.
• Do we cover the monthly service?
• Do we cover the monthly service?
• for our program.

Keywords: 1183, house

Transcript Highlights:

• Medicaid program.
• Services team utilizes.
• that is a program that is used for emergency shelter services.
• <01:47:03.520> that program and and that is a program that program and and that is a program
• program and the progress of the program program and the progress of the program it<01:58:02.079>

Keywords: 928, house, all

Summary: The meeting began as a Division 3 work session on HB 71, but much of the early discussion focused on whether a previously discussed non-germane amendment could be considered or voted on that day. Members and the chair debated process and notice requirements, and the clerk’s guidance was that the amendment needed a separate public hearing before the full Finance Committee. The amendment was described as requiring DHHS contracts and addenda to include compliance with the Patient Bill of Rights, with a repeal date so the requirement would expire on November 30, 2026. The motion to move OTP on HB 71 with the amendment was withdrawn, and the committee agreed the amendment would be scheduled for a future full Finance hearing instead. The committee then turned to HB 71 itself and heard testimony from DHHS representatives John Williams and Jenny O’Higgins on the fiscal note and policy implications. Members questioned the estimate that the bill could put $12 million to $18 million per year in federal funding at risk, including HUD and Office of Refugee Resettlement funds. DHHS explained that the estimate was based on a broad reading of the bill’s term “specified alien,” which they said was not clearly defined in the bill, so they analyzed it using the federal definition of “alien” and assumed the bill could affect lawfully present non-citizens as well as undocumented individuals. They said the figure represented a worst-case scenario and that they were not claiming the loss was certain. Members also pressed DHHS on whether the bill could affect emergency sheltering in schools, public academies, or institutions of higher learning during disasters. DHHS said the language could create conflicts with federal funding conditions because emergency shelter programs generally cannot impose barriers on who may be sheltered, and they warned that excluding certain people could affect refugee-related and HUD funding. Questions were raised about whether the bill’s language would apply to private institutions as well as public ones, and whether the state could still use schools in short-term emergencies. DHHS said the language was broad, that they could not answer every legal question definitively, and that they would need input from public health and legal staff. No final vote on HB 71 was taken in the portion provided; the committee remained in discussion/work session mode after the amendment motion was withdrawn.

Transcript Highlights:

• and Family Services clients.
• It helps develop program initiatives or change program initiatives.
• the program.
• They provide reentry services.
• They provide reentry services.

Summary: The review subcommittee met to consider a supplemental agenda, methods of finance, an alternative delivery project, discretionary grants, and a large slate of construction, out-of-state, and in-state contracts. The supplemental item was a $2.6 million out-of-state contract with Tyler Technologies for a mobile app that would let citizens access state services through a single sign-on, initially for DFA vehicle and licensing services, with possible expansion to other agencies. Members also reviewed five methods of finance, including University of Arkansas projects for roof and cooling tower replacements, a new $100 million academic classroom building at U of A Fayetteville, a police department renovation at UA Fort Smith, and a boiler/chiller replacement at Hope-Texarkana. Questions focused on project timing, why some items were being reviewed after work had begun, and the high estimated cost of the Fayetteville classroom building; DFA explained that projects under $250,000 are not reviewed and that the larger project was still in design and would later seek a guaranteed maximum price. The committee also reviewed two DHS discretionary grants: one for targeted youth advocacy in southwest Arkansas and another adding $582,000 for family-centered treatment training and implementation. In the services contract section, members discussed construction-related contracts, including an ASMSA electrical scope increase tied to three-phase power requirements and the U of A Fayetteville architect contract for the classroom building. Out-of-state contracts included major items such as ACT Education’s $17 million amendment to provide required pre-ACT testing for 9th and 10th graders, a $12.5 million DFA contract for rural health transformation grant management, DHS’s $16.5 million EBT services contract with updated chip-card and fraud-prevention features, and ADH’s special procurement for the Behavioral Risk Factor Surveillance System survey. The committee also reviewed U of A system consulting contracts for financial advisory and sponsorship strategy work, with university officials saying the outside expertise was needed for specialized planning and revenue-generation efforts. In-state contracts covered corrections reentry services, nursing board investigations, foster care and child welfare services, DHS office janitorial work, emergency management radio system expansion, veterans’ home nursing staffing, and UAMS grants consulting. A lengthy exchange centered on the Department of Corrections’ reentry housing contract, with members pressing officials about vacant beds and urging fuller use of the program, while corrections staff said placements depend on screening and eligibility. Another discussion addressed the balance between out-of-state and in-state contracting, with a member noting the large dollar volume going to out-of-state vendors and asking whether Arkansas vendors receive any preference; State Procurement said current law does not allow an in-state preference. The committee approved the supplemental agenda, the methods of finance, the alternative delivery project, the discretionary grants, and the contract lists, and then received routine reports and an emergency action report before adjourning.

Transcript Highlights:

• that are going to offer services or expand services are, again, necessary within that community and
• some tertiary services offered by hospitals. ...and then some tertiary services offered by hospitals
• But when patients don't cover, and the programs don't cover the cost of delivering services, we can get
• We took deep cuts to the PEBB and SEB program.
• are delivered by commercial insurers, protecting important programs such as the 340B program that allows

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

Transcript Highlights:

• It's a beloved program. It's a beloved program in my district.
• And the AgSTEP program is a remarkable program.
• Program.
• So the fact that the program is an existing program, if we were to...
• programs.

Keywords: 988, house, all

Transcript Highlights:

• The RSVP program, retired senior volunteer program, is a program for retired seniors.
• It's a program for retired seniors.
• ASU requests ratification of services valued at $37,500 for services rendered prior to proper review.
• Is to make sure that a student that has been identified for needing services is getting those services
• This is new services; the ratification in M1 was for services that were already rendered.

Summary: The PEER Review Subcommittee met to consider a large agenda of appropriation, transfer, contract, and other review items. Members approved temporary appropriation requests in Sections B through F, including funding for prosecuting attorneys, education-related adjustments, school operating needs, labor licensing divisions, ARPA fund returns from Workforce Services, IIJA grants for state police CDL implementation and a forestry-related county grant, reserve fund transfers for teacher scholarships, school facilities, and economic development, and a Commerce reallocation tied to organizational realignment. Cash fund requests in Section G and budget classification transfers in Section H were also reviewed, along with pay plan requests in Section I, overtime requests in Section J, and multiple methods of finance in Section K. The committee also reviewed discretionary grants in Section L, including agriculture promotion board grants and DHS aging/adult behavioral health grants, plus RFQs, construction contracts, intergovernmental contracts, and out-of-state contracts in Sections M1 through M5. Several items drew questions from members. Workforce Services explained that $225,000 in TANF-related funds would be returned to the federal government because the two-year hold period for uncashed or moved checks had expired. Commerce officials described the $25 million site infrastructure grant program, saying it supports site development, due diligence, and infrastructure build-out at eligible sites of 30 acres or more, including rural communities, with grant agreements and matching requirements providing accountability. DHS and Education officials answered questions about the Care Solace mental health referral contract, saying it is a statewide concierge/referral service that helps schools connect students to Arkansas providers and follow up so students do not fall through the cracks; members asked for more information on provider selection, school-day scheduling, and Arkansas vendor participation. The committee held one item over: the DHS discretionary grant item for the RSVP retired senior volunteer program in L2, after concerns were raised about whether state general revenue was being used effectively and how much administrative overhead the providers retain. Members also questioned several contracts, including a DHS sole-source contract with EMSLink for document management software and a DHS bridge contract with Arkansas Foundation for Medical Care for Medicaid inspections of care reviews; in both cases, agency staff explained the need to avoid service disruption and said follow-up information would be provided. A Department of Corrections reentry center contract was discussed for its recidivism results, and ARDOT retirement-system investment contracts were briefly explained. The meeting ended after a lengthy discussion of the Medicaid Trust Fund balance, with DFA and DHS officials saying the state is expected to finish the fiscal year without exhausting the fund, that a restricted reserve of $100 million is available as a backstop, and that the larger question is what minimum balance should be maintained going forward.

Transcript Highlights:

• administrator to operate and service the programming.
• administrator to operate and service the programming.
• before you offers a wide range of programs and services, including food programming, career services
• > food<00:41:58.280> programming service including food programming service including food
• /c><01:25:58.880> a<01:25:59.119> program Services Program and this is a program Services

Keywords: 1187, senate, all

Transcript Highlights:

• The Governor Scholar Program is more than a five-week summer program.
• <00:37:24.720> is program the beginning of the program is program the beginning of the program
• plan, or individual education program for a student who is a child of a service member serving on active
• family service plan, or individual<01:03:30.240> education<01:03:30.799> program<01:03
• So, services.

Keywords: 958, all

Summary: The committee heard presentations from the Family, Career and Community Leaders of America and the Governor Scholars Program. The FCCLA student speaker described how career and technical education helped her gain certifications, work in early childhood settings, and recognize a child who needed speech help, emphasizing support for CTE, FCCLA, and related student organizations. The Governor Scholars Program presentation, led by Dr. Jennifer Price with student speakers Max Corbett and Abigail Ziggler, focused on the program’s role in serving about 1,500 rising seniors each summer, its history since 1983, its statewide reach, and its impact on leadership development, college readiness, and keeping students connected to Kentucky. Members praised the students and program, and several shared personal stories about the program’s long-term benefits. Representative Camuel asked about funding, and Dr. Price said the program’s request was $2.1 million to maintain current enrollment levels of about 1,020 scholars for 2026; no vote was taken on that request during this segment. The committee then took up House Bill 498, sponsored by Representative Duvall, with Aaron Looper of Graduation Alliance testifying in support. A committee substitute was adopted after explanation. The substitute broadened eligibility for accredited providers to include public and nonprofit entities, allowed each county an opportunity to provide services with a $200,000 aggregate maximum per county, reduced the dollars per credit to serve more students, and made date corrections. Representative Duvall said the bill was a workforce measure developed from the Workforce Attraction and Retention Task Force and aimed at adults who lack a high school diploma but have two years or less remaining to graduate. Looper said the bill would create a pathway for adults to earn a regionally accredited high school diploma, paired with workforce and industry-recognized credentials, and stressed that it would not compete with GED programs, which are better suited for adults farther from graduation. He said the model is pay-for-performance, with providers paid only after milestones are completed, and that it would be available online, in person, or in hybrid form to improve rural access. In response to questions, he said students would not be charged fees, providers would handle transcript retrieval and remediation, and the program would include built-in accountability measures. He also said the budget request is $2 million per year, with the goal of maintaining the current level of service and eventually expanding if successful. Members asked about how the program differs from existing adult education options, access in all counties, and whether there are deserts in service availability; Looper said the online model and provider outreach are intended to address those gaps.

Transcript Highlights:

• At one point early on in the program, we accessed more than 300 different kinds of services offered by
• What we try to do with this program is broker the services.
• , so if kids were referred to a program, um, you know, that service provider or that program wouldn't
• , so if kids were referred to a program, um, you know, that service provider or that program wouldn't
• , so if kids were referred to a program, um, you know, that service provider or that program wouldn't

Keywords: Meeting Start: 00:00:00 Roll Call: 00:00:08 Agency Updates: 00:01:27 Truancy: 00:01:43, 958, all

Summary: The Juvenile Justice Oversight Council met on October 8, 2025, approved the minutes from the August 29 meeting, and then focused its agenda on truancy and chronic absenteeism. Chad Butler, director of pupil personnel for Meade County and president of the Kentucky Department of Pupil Personnel directors, said chronic absenteeism remains a major problem statewide, citing recent Kentucky rates around 28% to 30% and noting that schools are trying to identify best practices to get students back in class. He said causes appear to include post-COVID social-emotional distress and confusion about when students should stay home, and he described a local effort to use a Healthy Kids Clinic model to keep some students in school when possible. In response to questions, he said chronic absenteeism has only been tracked seriously in the last two to three years and that House Bill 611 appears to have increased the number of youth entering the court system for habitual truancy; AOC said it would provide county-by-county data and outcomes later in the meeting. The council then heard from John Tyson of Alabama, a former Mobile district attorney, who described the Helping Families Initiative as a school-community partnership designed to address truancy and related behavior issues without arrest. Tyson said Alabama defines chronic absence as missing 10% of the school year and emphasized that the program is preventive rather than punitive, using warning letters, family engagement, assessments, individualized intervention plans, and referrals to community services. He said the program has operated since 2003, now includes 20 district attorneys and 44 school systems, and served more than 95,000 students, 73,000 families, and 162,000 parents in the most recent year. Tyson reported that in Mobile County the program was associated with a 3.15% attendance improvement in 2023-24 and a 4% reduction in the issue in 2024-25, along with a 50% reduction in truancy and 58% reduction in chronic absenteeism, and he said the program produced a large return on investment. Tyson also stressed that student absenteeism wastes tax dollars and that better attendance improves educational outcomes and community safety. He described the program’s use of a case-management database, real-time data tracking, and more than 1,000 referral agencies, and said the model is intended to be replicated statewide. He closed with examples of students whose attendance and family circumstances required coordinated support rather than punishment, including a teen mother and a disruptive child, to illustrate his view that schools, courts, and social services should work together to address underlying needs and keep children in school.

Transcript Highlights:

• Historically, we want these programs, but we need to make sure that the people that are in the programs
• services?
• So the judge will authorize the person to get into that program, to the 28-day program, and priority
• With that, our program is a voluntary program, and we'll go into that more at the tour.
• back for services.

Transcript Highlights:

• Is this a new program? Mr.
• wraparound services.
• We have had a lot of discussion about peer-to-peer services and peer services.
• They do have these programs.
• So, cutting—I agreed with cutting services. Suicide services are so important.

Keywords: 996, all

Transcript Highlights:

• of service delivery.
• of service delivery.
• To ensure stability, compliance, and uninterrupted service, the program must be properly right-sized.
• To ensure stability, program.
• <00:04:27.040> properly service, the program must be properly service, the program must be

Keywords: Meeting Start 00:00:00 Attendance Roll Call 00:00:10 Office of the Attorney General 00:00:58 Office of Homeland Security 00:17:39, 958, all

Summary: The House Budget Review Subcommittee on General Government heard presentations on several Attorney General and Homeland Security budget items. Amy Burke of the Department of Child Support Services said the program inherited a structural shortfall of more than $13 million after the transition from CHFS, including about $14 million in federal child support incentive funds that had been used to cover core operating costs and county attorney contracts. She explained that federal law requires incentive funds to supplement, not supplant, baseline services, and said the Attorney General’s budget request seeks general fund support to replace that gap and help balance the program going forward. Members asked for clarification on the misuse of the funds, the size of the shortfall, and whether the requested money would be unrestricted; staff said the intent is to use it as a contract offset for core services. Commissioner Rich Ferretti then presented the Department of Criminal Investigations’ request for additional staffing and a Western Kentucky Digital Forensics Lab. He said DCI wants one additional special victims unit investigator and one digital forensic examiner to handle increasingly digital cases involving child exploitation, sexual assault, human trafficking, and technology-facilitated abuse. He also described plans for a lab in Mayfield, co-located with the new Mayfield Police Department facility, to reduce travel time, speed forensic processing, and improve access for rural communities. Committee members responded positively and asked no substantive questions. Finally, the Office of Homeland Security outlined Kentucky’s Next Generation 911 project. Officials said the current 911 system was built for landlines, while most calls now come from mobile devices, and the upgrade will add precise location routing plus text, photo, and video capability. Shelley Clark described the funding model, including wireless subscriber fees and a dedicated tech fund, and reviewed progress on mapping, vendor selection, and migration to the new platform, with completion expected by July 2027. Members asked about local maintenance costs and the impact on rural areas; officials said maintenance is local but supported in part by collected funds, and implementation will not be delayed for rural localities. The meeting concluded with no votes or formal actions taken.

Transcript Highlights:

• veterans education program.
• However, with the growing need for veteran services throughout the state, our programs that directly
• We currently have a waitlist of about 35 programs that are waiting for us to be able to bring that service
• Services.
• And how vital that funding is to the programs across Texas that provide these services to survivors.

Keywords: 1184, house, all

Transcript Highlights:

• So I know how important that is to TSU, your planes and your program, your aviation program.
• or impact services.
• We support wildlife services through water conservation programs. programs.
• . and support services.
• As we move forward in this session, we seek your support to further enhance our programs and services

Bills: SB1, SB 1

Keywords: appropriations, budget, state funding, education, healthcare, infrastructure, campground safety, youth camp regulations, flood safety, emergency evacuation, health and safety standards, 1185, senate, all

Transcript Highlights:

• This bill seeks to protect our shared services program, which allows a staff person to work with two
• Shared services is an option in both the PCA program, in traditional and PCA choice.
• Shared services is an option in both the PCA program, in traditional and PCA choice.
• Shared services is an option in both the PCA program, in traditional and PCA choice.
• We also provide home care services in the consumer direct community support program.

Keywords: 1183, house

Transcript Highlights:

• This program works.
• program.
• The AIS prevention aid program program.
• > services.
• , remote services, out of state services, remote services, out of state services, you<01:21:36.159

Keywords: 1187, senate, all

Transcript Highlights:

• We only look at the nursing program.
• Within the nursing program of any academic institution, we look to make sure that that program will meet
• programs.
• When I was a nursing program...
• I did it an accelerated program.

Summary: The joint Assembly and Senate Business and Professions sunset oversight hearing focused first on the Board of Registered Nursing (BRN), with committee chairs emphasizing oversight, consumer protection, workforce access, and economic mobility. BRN leaders reported improvements since the last review, including faster licensing timelines, streamlined enforcement, higher consumer satisfaction, growth in pre-licensure enrollment, and expanded data collection. Members questioned the board about nurse practitioner scope and supervision, international and military pathways to licensure, online nursing education and clinical requirements, rural workforce shortages, and the 30-unit LVN-to-RN option. BRN staff explained California’s tiered advanced practice system, the NCLEX and certification requirements, English proficiency rules, clinical hour standards, and the board’s role in approving programs and supporting schools through nursing education consultants. Several members and the board president also discussed the need to retain new graduates, improve diversity in the workforce, and better support nontraditional students and rural placements. Public comment on the BRN sunset review was extensive and largely supportive of the board, while also urging policy changes. Nurse practitioner, nurse anesthetist, nurse midwife, and nursing education groups generally supported the BRN report and especially backed clarification of APRN-to-RN delegation authority under issue 13. Other commenters asked for clearer implementation of AB 890, more flexibility for clinical nurse specialists, streamlined renewals for nurse midwives, and changes to federal loan limits affecting graduate nursing education. Higher education representatives and private nursing schools raised concerns about duplicative BRN documentation, clinical placement bottlenecks, and barriers faced by out-of-state and online programs seeking to serve California students. The California Medical Association and some physician groups opposed easing transition-to-practice requirements for out-of-state nurse practitioners and cautioned against changes to specialty and delegation rules, while the California Nurses Association and others stressed the importance of community college pathways, new graduate support, and workforce retention. The hearing then moved to the Physical Therapy Board of California. Board leadership reported that the board oversees more than 41,000 active licensees, has seen about 15% growth since 2021, and continues to maintain high exam pass rates among California physical therapy and physical therapist assistant programs. The board described its mission as consumer protection through licensing, enforcement, continuing competency oversight, and stakeholder engagement. The vice president’s remote testimony encountered technical problems, so the executive officer continued with a brief overview of the board’s work and its commitment to efficient service and public protection. No votes or formal actions were taken in the portion of the meeting provided.

Transcript Highlights:

• or the SNAP program.
• If I might, I'll spend just a moment explaining how we are both programs and services on the Animal Protection
• Delivering services and programs since 1979, and Animal Protection Voters has been around since 2002.
• Just to be clear, this particular program does not provide services to unhoused people.
• I'm answering the question because I oversee the care program services for Animal Protection New Mexico

Transcript Highlights:

• Program.
• programs.
• We've had programs for hygiene closets and treatment services, restorative justice programs, drug testing
• programs, housing assistance for re-entry services.
• We provide funding to a program So it would depend on the program and what the parameters of the program

Keywords: 996, all