Transcript Highlights:

• Now I know that this is primarily a DHS responsibility at the southern border.
• So very, very briefly, from the standpoint of who decides, that's a DHS mission.
• We're in support of DHS. With regard to the pricing, we're still understanding.
• As far as far as right now, the DHS has the chain of custody for the detainees.
• We're working with DHS to understand the flow of migrants. So, we're not going to go.

Keywords: national security, China, Russia, cybersecurity, border security, military deployment, transnational crime, defense modernization, military strategy

Summary: In this meeting, key topics included national security concerns with an emphasis on threats from China, Russia, and transnational criminal organizations. Senior military officials provided testimony on the evolving risks posed by these adversaries, particularly focusing on cybersecurity and advancements in weaponry. The discussion highlighted the importance of a cohesive strategy among government departments to effectively respond to the challenges presented by these threats, emphasizing the need for modernization in defense capabilities. Committee members grilled the witnesses on border security and the implications of deploying military resources in domestic operations.

Bills: SB2054, SB2143, SB2145, SB2400, SB2447, SB2494, SB2723, SB2727, SB3131, HCR187, SCR177, SR172, SCR5, SCR85, SR75, SCR139, SR131, SCR146, SR138, SR84, SCR31, SR27, SCR46, SR45, SCR48, SR47, SCR9, SR11, SCR83, SR73, SCR20, SR17, SCR56, SR54, SCR87, SR79, SCR160, SR151, SCR28, SCR120, SCR129, SR121, SCR71, SR66, SCR147, SR139, SCR79, SCR179, SCR181, SCR182, SCR60, SR81, SR174, SR176, SR177, SCR89, SCR69, SCR74, SR68

Keywords: public safety, Hawaii National Guard, military deployment, governor authority, federal assistance, elections, chief election officer, vacancy, order of succession, election commission, law enforcement, recording rights, private action, civil rights, police accountability, SB2400, seaglider, wing-in-ground craft, wing in ground effect, WIG craft

Transcript Highlights:

• HHFDC agrees to it as well as DHS.
• HHFDC agrees to it as well as DHS.
• HHFDC agrees to it as well as DHS.
• HHFDC agrees to it as well as DHS.
• HHFDC agrees to it as well as DHS.

Keywords: 912, senate, all

Summary: The joint Ways and Means and Hawaiian Affairs committee heard a budget presentation from the Department of Hawaiian Home Lands on its biennium requests for critical projects, repairs and maintenance, and operations. DHHL described its role in administering the Hawaiian Home Lands Trust, noted the large beneficiary wait list, and said prior funding, including Act 279, has helped the department accelerate land development and reduce vacancies. Officials said they have about 47,219 applications involving 29,548 Native Hawaiians, roughly 28 projects underway, and that about $471 million of a $600 million appropriation has been encumbered, with the remaining lapse-fix funds expected to be resolved before the June 30, 2026 deadline. DHHL emphasized that its current request would support additional lot development and could help produce roughly 6,000 units from the existing project pipeline, with another phase of requests potentially adding about 2,000 more units. The department said it is prioritizing shovel-ready projects, accelerating lease awards and orientations, and using a mix of approaches including paper leases, rental-with-option-to-purchase, owner-builder, and loan programs. Officials also discussed a shift toward denser urban development, citing projects in West Oahu and Honolulu, and said the department is working to reduce its vacancy rate and move beneficiaries onto the land more quickly. Members questioned why Oahu, despite having the largest wait list, was receiving comparatively lower amounts, and DHHL responded that land availability and cost drive those decisions, with Oahu having limited developable land and very high acquisition costs. The department pointed to land acquisition on Kauai and other islands, and to urban high-rise projects that can yield far more units on small parcels. Members also raised long-term maintenance and wildfire risk, asking whether current acquisition and development choices account for future infrastructure costs; DHHL said maintenance is a growing concern, especially on large unused or isolated lands, and that it is pursuing Firewise planning, federal funds, and partnerships to reduce risk. The discussion also touched on mixed-use and community-led development, with DHHL explaining that it leases land to nonprofit homestead associations under general leases with milestones, business-plan requirements, and land-use restrictions to support local services and community goals.

Transcript Highlights:

• I'm the person who oversees that part for the DHS. I was thinking you were in DOE. I'm in DHS.
• I'm the person who oversees that part for DHS. I was thinking you were in DOE. I'm in DHS.
• I'm the person who oversees that part for DHS. I was thinking you were in DOE. I'm in DHS.
• I'm the person who oversees that part for DHS. I was thinking you were in DOE. I'm in DHS.
• Then DHS will then go and give... To DHS. Then DHS will then go and give the money to the ELEAS.

Keywords: 1189, house, all

Summary: The subcommittee met to begin work on HB 742, which would require catastrophic special education aid to be drawn from the education trust fund, and more broadly to study special education aid/differentiated aid and related costing issues. The chair said the group was starting early because the issue has been debated for years without resolution, local districts are being forced to absorb prorated costs, and the committee wants to send the Department of Education and HHS Medicaid a clear request for data and recommendations before retained bills return in the fall. A committee clerk was also selected, with Representative Reverend volunteering to take notes for the meeting. Members reviewed background materials on special education enrollment, high-cost students, and possible funding formulas, including data on students in high-cost brackets and prior ideas such as category-based funding and caseload-based approaches. The chair also referenced research on other states, including Arkansas, which uses a different special education funding structure and audits IEPs. The committee emphasized that it was focused on the funding mechanics and costs, not on questioning whether services should be provided. Henry Lipman of HHS explained how Medicaid-to-schools currently works in New Hampshire. He said 172 school districts participate, but utilization dropped during the pandemic and remains below historical levels, in part because districts need the capacity to bill Medicaid. Under the current system, schools receive reimbursement based on half of the Medicaid fee schedule, with the school district effectively providing the state share. He said the federal government is requiring a shift by July 1, 2026, to a true certified public expenditure model based on actual costs, which should allow schools to recover 50% of their true costs and some administrative overhead. The department has received a roughly $2.5 million grant to hire a vendor and support districts through the transition, and an RFP and stakeholder meetings are underway. Committee members asked about how costs would be determined, whether the new system would use actual district-specific costs rather than averages, and how the department would support districts that do not currently participate. Lipman said the cost model would be based on each district’s own reasonable costs, subject to audit standards, and that the department expects to provide templates and technical assistance through the vendor because its staff is limited. He also said about one in four New Hampshire children are enrolled in Medicaid, that child enrollment has been relatively stable, and that continuous coverage rules should reduce churn. No votes or formal actions on HB 742 were taken during the meeting beyond organizing the subcommittee and beginning testimony and discussion.

Transcript Highlights:

• amendment clarifies that, in conducting a compliance inspection or initial compliance investigation, DHS
• alleged violation that occurred more than 12 months before the date the complaint was submitted to DHS
• It does allow DHS to initiate a complaint investigation... ...was submitted to DHS.
• that make further violations unlikely, and the licensee provides sufficient evidence of compliance, DHS
• DHS must close the complaint and no further investigation is required.

Keywords: 1182, all

Summary: The caucus reviewed a long list of House bills that had returned from the Senate with amendments, with members repeatedly noting that sponsors intended to concur on most items. Topics included public health and vaccination rules (HB 2086, HB 2248), state investment in gold and silver (HB 2140), property records and voter-registration privacy (HB 2327), municipal and county regulation of business property and development fees (HB 2460, HB 2946, HB 2999), legislative subpoenas (HB 2745), cold plunge regulation (HB 2439), nursing-facility complaint timelines and licensed health aide rules (HB 2195, HB 2189), court-ordered treatment review (HB 2923), Access/Medicaid reimbursement and prior authorization for diagnostic services (HB 2932), inmate mental health study committee language (HB 2673), prenatal development instruction in schools (HB 2830), public records requests by legislators (HB 4056), parents’ rights and social transitioning in schools (HB 2249), school district financial compliance and facilities contracting (HB 2481, HB 2482), Native American language proficiency for graduation (HB 2895), advanced math auto-enrollment (HB 2423), special education and military-family procedures (HB 2621), AI rules for state agencies (HB 2592), eviction record sealing (HB 2244), tax filing penalties (HB 2016), shade structures in HOAs (HB 2342), homelessness-related community restitution (HB 2028), medical records timelines (HB 2557), PFAS firefighting foam restrictions (HB 2641), family-court expert testimony and prisoner transition services (HB 2662, HB 2440), address confidentiality protections (HB 2594), guardianship notice attestation (HB 2661), utilities for high-load customers (HB 2756), and nuclear-ready community planning (HB 2456). The committee also briefly moved to Caucus Calendar 19 for additional bills on mobile food vendors, school board training, out-of-state travel and meeting transparency, and a medical-intervention nondiscrimination bill. Several bills drew substantive discussion or criticism. Members debated HB 2932 at length, with staff explaining that Access said the bill would have a high fiscal impact because it would require reimbursement for non-contracted lab services and eliminate prior authorization for a broad range of diagnostic services, potentially increasing costs substantially. HB 2249 also prompted concern from members who argued it could force teachers to out students and create civil liability for using preferred pronouns or failing to notify parents about social transitioning. HB 2830 was criticized as requiring prenatal-development instruction while barring discussion of sexual activity or reproduction. HB 2028, which allows community restitution instead of a $20 probation assessment for people who are indigent and experiencing homelessness, was questioned as potentially punitive. HB 2481 was discussed as a way to help, rather than punish, small rural school districts struggling with financial-record compliance. The caucus also noted that several of the measures were sponsored by Democrats, which was highlighted as notable during the meeting. No formal votes were taken in the transcript. The caucus chair repeatedly asked for questions, and in most cases there were none, after which the sponsor was understood to intend concurrence with the Senate amendments. The meeting ended with adjournment after the caucus moved through the remaining calendar items.

Transcript Highlights:

• And then we have the authority here to transfer that to DHS.
• And then in the DHS budget, they have the authority to spend it once it goes into their special fund.
• So I think the issue here is the fact that the authority to spend that's in the DHS budget bill is more
• We would have a project team that would include all the folks from DHS that need to be involved, but
• Once this fund fills up, OMB makes the transfer, and then DHS can spend it.

Bills: SB2012

Keywords: transportation, funding, infrastructure, grants, municipal, 908, all

Summary: The Government Operations division met to consider House Bill 1015, the OMB budget, with several amendments already in hand. A major portion of the discussion centered on Senator Mathern’s concerns about the proposed new state hospital in Jamestown. He argued the project is outdated, too expensive, and should be delayed or reduced in favor of local behavioral health services and deferred maintenance at the existing LaHogue facility. Other members questioned him about staffing, capacity, constitutional issues, and the relationship between the hospital proposal and broader mental health investments in other bills. The committee also reviewed budget mechanics, including the transfer of up to $240 million from the Social Services Fund to the Human Services Finance Fund, a $40 million deferred maintenance fund, a $3 million deficiency appropriation for the new and vacant FTE pool, and other OMB-related items. Members discussed whether OMB should have managerial control over the Jamestown project and generally agreed that OMB oversight could help manage costs, though concerns about the hospital remained. The committee then considered two funding items that drew the most debate: guardianship grants and a pro-life education campaign. After testimony from a representative supporting the campaign, members agreed to reduce that item by $500,000 and add $1 million for guardianship grants, while leaving the overall bill to be finalized in conference. The committee adopted Amendment Version 2006 with those changes and then passed HB 1015 as amended on a roll call vote, with all members voting aye except Senator Burckhard on the amendment vote; he later voted aye on the bill itself. The chair indicated the bill would move to conference committee.

Transcript Highlights:

• it's been the sole responsibility of DHS it's been the sole responsibility of DHS to<00:30:38.080
• in that program and um as a result DHS in that program and um as a result DHS has<00:48:11.599><
• has done since 2019 I think we um DHS has done since 2019 I think we can<00:48:24.440> ask<00
• There's a tremendous amount of angst and things that are unknown, and we asked DHS yesterday if they
• There's a tremendous amount of angst and things that are unknown, and we asked DHS yesterday if they

Keywords: 1187, senate, all

Summary: The Health and Human Services committee heard a presentation from Department of Children, Youth, and Families Commissioner Tiki Brown on the department’s 2025 budget and transition plans. Brown said the governor’s budget pairs targeted reductions with modest investments, resulting in net general fund savings, while preserving core safety-net programs. Major proposals included funding for program integrity, modernization of the child welfare SSIS system, compliance changes for the Child Care Assistance Program (CCAP), operating adjustments, and a transition account reallocation as the new department continues moving programs from other agencies through July 1, 2025. A large portion of the discussion focused on CCAP fraud prevention and oversight. Brown and Assistant Commissioner Diane Hy explained that the proposed statewide electronic attendance recordkeeping system would replace retroactive paper-based attendance reporting with more timely data, making it harder to falsify attendance and claim payments improperly. Brown also said the department is working with the Department of Human Services Office of Inspector General and other partners on compliance and fraud controls. Senators pressed for more detail on current enforcement, whether payments can be withheld for violations, and whether recent media reports showed gaps in oversight; Brown said payments can be stopped for false attendance records, suspended or revoked licenses, or fraud allegations, but not for health and safety violations alone. The committee also reviewed other budget-neutral policy changes, including expanding permanency support services for relative foster care and tribal equivalents, strengthening tribal child welfare grants, updating TEACH scholarship rules for early childhood educators, and adjusting the Great Start Compensation Support Payment Program to create a special revenue fund and extend a 10% payment increase to tribally licensed programs and programs on tribal reservation land. Brown also described a $1.5 million annual reduction to restorative practices grants, leaving a smaller ongoing base. No votes or formal actions were taken during the hearing.

Transcript Highlights:

• I have not heard any updates from DHS regarding the outcomes of that investigation or whether there has
• I have not heard any updates from DHS regarding the outcomes of that investigation or whether there has
• report regarding the investigation concerning the culture of compassion over compliance, where top DHS
• I worry about the news of the DHS employee. I was extremely concerned about that.
• I just want to let everybody know that DHS has reported multiple times that, on the 18th of December,

Bills: HF3489, HF3990, HF3825, HF3826, HF3827, HF3822

Keywords: grooming, child protection, student safety, sexual exploitation, educator licensing, teacher discipline, mandatory reporting, mandated reporter training, school misconduct, predatory offender, child abuse, sexual abuse, sex trafficking, child sexual abuse material, child pornography, position of authority, school employee, school administrator, license revocation, license suspension

Transcript Highlights:

• related<00:04:42.080> to<00:04:42.160> that Uh, section 4 of the DE1 requires that DHS
• Allow CMS and DHS to conduct unannounced site visits at any of the provider's MA-enrolled locations.
• And<00:15:32.800> when<00:15:33.040> Minnesota<00:15:33.600> DHS<00:15:34.560>
• > contracted<00:15:35.199> with And when Minnesota DHS contracted with And when Minnesota
• DHS contracted with OPTIM<00:15:36.000> last<00:15:36.240> year,<00:15:36.880> we

Keywords: 1183, house

Transcript Highlights:

• still<00:19:31.280> work pieces that DHS is trying to still work pieces that DHS is trying
• <00:48:10.079> and amendment today would insulate DHS and amendment today would insulate DHS
• It just requires DHS to have that.
• investigations it just requ requires DHS investigations it just requ requires DHS to<00:55:28.039
• County and DHS there is never been a County and DHS there is never been a disagreement<01:04:35.319><

Keywords: 1187, senate, all

Transcript Highlights:

• share<00:14:36.200> suspected This requires DHS to share suspected This requires DHS to share
• As a result, DHS added Care population.
• were forced to utilize the DHS list. were forced to utilize the DHS list.
• I don't have something I can with DHS.
• > with<01:28:01.200> others conversations with DHS and with others conversations with DHS

Bills: HF4712, HF4801, HF3756, HF4860, HF4931, HF4289, HF4460

Keywords: residential pools, swimming classes, certification, private business, health safety, health care, prior authorization, managed care, medical assistance, mental health, substance use treatment, chronic conditions, health insurance, insulin, healthcare access, pharmacy regulations, patient assistance, affordable medication, healthcare, pharmacy

Summary: The committee met at 1:00 p.m., confirmed a quorum, and approved the April 8, 2026 minutes. The first bill heard was House File 4712, which was laid over after the committee adopted a DE2 amendment. Representative Schultz said the bill would create a narrow additional exception to public pool limitations so highly certified swimming instructors could use certain pools for specialized infant, youth, and developmental-disability swim instruction. The only testifier, Tessa Seppelt, described ISR instruction as water-safety and drowning-prevention training for very young children and children with developmental delays, and said access to appropriate facilities is the main barrier. Members raised questions about emergency egress, public safety, and insurance coverage, and the author said he would follow up on those concerns. The committee then took up House File 4801, a bill by Representative Nadeau aimed at health care program integrity. He said it would align commercial and Medicaid partners to reduce waste, fraud, and abuse by changing prior authorization and retrospective review processes, improving data sharing on suspected fraud, addressing conflicting or duplicative services, allowing managed care organizations to verify provider credentials, and making risk corridors in MCO contracts permanent. The Minnesota Council of Health Plans supported the bill, saying it would help detect fraud and improve coordination, while the Minnesota chapter of the American Academy of Pediatrics opposed it, arguing that expanded prior authorization would delay care, increase physician burden, and harm children with chronic conditions. Members debated patient safety, fraud detection, and whether the bill would undermine recent prior-authorization reforms. The bill was laid over. House File 3756, a technical update to the insulin safety net program, was also laid over. Representative Backer said the bill clarifies that a hospital-use intravenous insulin product is not part of the program because it is sold only to health care institutions and infused by practitioners, not dispensed to patients for self-use. The Board of Pharmacy testified that the language was drafted to avoid affecting future legitimate uses, and members asked whether the definition could limit new uses if treatments change. The committee then began House File 4860, but the transcript cuts off before the bill’s presentation is completed.

Transcript Highlights:

• So, one of those mandated professionals is a worker from DHS.
• It is a child welfare worker paid by DHS. They just need to come staff cases with the team.
• They can still alert DHS.
• Traditionally, for one, from DHS.
• That's because I've seen issues within DHS that have harmed, in my opinion, foster children and their

Keywords: 914, all

Transcript Highlights:

• the record, my name is Karen Heert, and I'm the director for the Division of Economic Stability with DHS
• funding necessary to create or establish a single database between the Department of Education and DHS
• economic stability with DHS. economic stability with DHS.
• department of education and DHS department of education and DHS for<00:10:59.680> the<00:
• I will say as far as staffing, we have two staff members at DHS that administer the program.

Keywords: 1189, house, all

Summary: The committee first approved the June 20, 2025 minutes, with several members abstaining, and then adopted the consent calendar after removing items 223 and 224 under tab five, item 222 under tab six, and item 231 under tab seven. The committee also noted that an old business item related to YDC claims administration would be removed at a future meeting because the fiscal year had closed and no further committee action was needed. The main substantive discussion centered on Department of Health and Human Services requests. Item FIS-223 would fund a shared database between the Department of Education and HHS to identify children eligible for the summer EBT program; members asked whether it could also help with Medicaid or school reimbursement tracking, but the witness said the item was specifically for summer EBT and that broader integration questions would need follow-up with Education and Medicaid staff. The committee then adopted the item, with Representative Mooney voting no. Item FIS-224 concerned the phrase "high quality services" in child care-related funding; HHS said the standards come from the federal Office of Child Care, and the committee adopted the item. Item FIS-222 related to Money Follows the Person; HHS explained it is a 100% federally funded program that supports transitions from institutions to community living with services such as housing navigation, furnishings, and case management. Members questioned the scale and cost of the program, and HHS said the initial federal award was $5 million, with additional federal IT funding later approved; the committee adopted the item, again with Representative Mooney voting no. Under tab seven, the committee discussed item 231 involving ARPA funds and the YDC project. The Department of Administrative Services explained that recent Treasury guidance allows leftover ARPA dollars from approved projects to be repurposed only for additional work on already approved projects, not new projects. Members asked about whether the project was over budget and whether some items had been in the original plan; officials said the work reflected add alternates from the original bid and that the project was on track to meet the deadline. The committee adopted the item. The meeting then moved to the audit presentation on the New Hampshire Liquor Commission’s fiscal year 2024 management letter, which identified 13 internal control comments, including two material weaknesses, largely tied to the new NextG system. Recommendations included strengthening controls, formal risk assessment, reconciliations to New Hampshire First, cash receipt controls, subsidiary ledgers, SOC reports for vendors, internal audit functions, lease accounting, gift card breakage reporting, and IT security and access controls. The Liquor Commission said it concurred with most findings, described the system transition as successful overall, and said remediation would continue; committee members asked for estimated completion dates for audit findings and discussed the need for more regular follow-up on audit issues and budget monitoring.

Transcript Highlights:

• But for those of us in the legislature, I gave a list of 72 childcare providers a year ago to DHS, and
• But for those of us in the legislature, I gave a list of 72 childcare providers a year ago to DHS, and
• But for those of us in the legislature, I gave a list of 72 childcare providers a year ago to DHS, and
• But for those of us in the legislature, I gave a list of 72 childcare providers a year ago to DHS, and
• be required to pack act would uh DHS be required to disclose<00:20:31.200> that<00:20:31.520>

Keywords: 919, house, all

Summary: House File 3542 was heard in committee and moved forward with a recommendation to be re-referred to the Children, Families, Finance, and Policy Committee. The bill would change current law so that the commissioners of Human Services and Children, Youth, and Families must disclose the existence of an investigation, rather than may disclose it, with the stated goal of increasing transparency to the public and legislature. Members and agency officials discussed concerns that mandatory disclosure could tip off subjects of investigations, especially in fraud cases, allowing them to destroy evidence, coordinate stories, or otherwise interfere. The Department of Human Services and the Inspector General said disclosure can compromise investigations and noted that providers are typically notified when payments are reduced, suspended, or withheld, though federal law can sometimes require delayed notice. Representative Pinto offered an A2 amendment to require disclosure within 30 days unless it would compromise an investigation, but it was rejected. Representative Hudson then offered an oral amendment stating that disclosure would be required if the commissioner has taken action to reduce, suspend, or withhold payments to the subject of the investigation. The chair waived the rule to allow the oral amendment, and it was adopted. Staff clarified that the bill would only require disclosure of the existence of an investigation, not underlying details, and would not address trade secret redactions. After the amendment, the committee approved the motion to re-refer the bill.

Transcript Highlights:

• Madam Chair and members, House Bill 2176, Health Facilities Licensure Complaints, modifies how DHS can
• Modifies how DHS can deny an applicant, if the applicant or someone in the business relationship with
• It prohibits DHS in conducting a compliance inspection or initial complaint investigation to consider
• It also mandates that DHS review the information and documentation provided by the licensee within 10
• It states that DHS is responsible for all contractual costs associated with out-of-state placement and

Keywords: 1182, all

Summary: The caucus reviewed a long calendar of House bills across education, health, water, land, housing, labor, public safety, and taxation. Several measures dealt with artificial intelligence, including bills on AI disclosures for minors, AI-assisted divorce arbitration, an Arizona AI education program, AI privilege protections, and a required AI course in schools. Other topics included ESA administration funding, a prohibition on public money for certain foreign-controlled genetic sequencing devices, towing regulations, DUI and ignition interlock changes, health facility and nursing facility complaint timelines, internationally trained physicians, nurse anesthetist reimbursement, pharmacy penalties, childhood cancer research, cybersecurity encryption, school mental health instruction repeal, superintendent performance pay, adoption disclosures in student health settings, anti-Semitism in schools, and a range of water, land, and housing bills. Members frequently raised concerns about local control, unfunded mandates, constitutional issues, and the scope of state intervention. Several bills drew criticism for affecting school curriculum, public education, reproductive rights, protest activity, or tribal communities. Others were supported as technical fixes, consumer protections, or funding measures. The caucus also discussed a series of bills related to the Mexican gray wolf, state land management, solar and wind siting, groundwater transport, and rural development, with some members objecting that the proposals would undermine federal protections or tribal interests. A number of bills were pulled from consent for further discussion, including HB 2020, HB 2957, HCR 2044, HB 2352, HB 2667, HB 2906, HB 2093, HB 2386, HB 2481, HB 2830, HB 2076, HB 2411, HB 2136, HB 2665, and HB 2904. The meeting ended with an announcement of the Latino Caucus guest presentation and an emotional tribute to Reverend Jesse Jackson, followed by presentation of an Affordability Award to Representatives Lorena Austin and Stephanie Simacek for work on economic justice and working families. The caucus then adjourned.

Transcript Highlights:

• We are back for a fourth hearing related to the Axon and DHS fraud, waste, and abuse hearings.
• I knew of bad actors, and I took it to DHS. I gave it to them on a silver platter.
• I just have a few questions for you related to DHS.
• I get the letter that is on DHS letterhead. The only problem was it was dated that day.
• R.H. received an email from DHS saying the inspection was planned. I talked about that.

Keywords: 1182, all

Summary: The Senate Committee on Health and Human Services held a fourth hearing in its ongoing review of alleged fraud, waste, and abuse involving AHCCCS/Access and DHS, with a major focus on Medicaid eligibility verification for the aged, blind, and disabled (ABD) population, behavioral health and sober living oversight, and payment delays to providers. Senator Shamp presented findings she said showed major gaps in ABD asset verification, including claims that only a fraction of enrollees were checked and that many ineligible members may remain on the rolls. She urged referrals to law enforcement, tighter verification requirements, better PARIS data sharing, and legislative changes to close what she described as a compliance and taxpayer-risk gap. Reva Stewart also testified that patient brokering and fraudulent recruitment of vulnerable people, including Native Americans, continues through social media and other channels, and she called for stronger enforcement and transparency. Heather Dukes, representing behavioral health and sober living operators, argued that the state’s response to fraud has become overly punitive toward legitimate providers. She said ADHS often sends technical paperwork deficiencies straight to enforcement instead of allowing plans of correction, that zoning approvals are being questioned despite not being within ADHS authority, and that long Access approval timelines are creating licensing and billing delays. ADHS Deputy Assistant Director Tiffany Slater said the department has seen a large volume of unlicensed complaints, that it is trying to improve staffing and data systems, and that some enforcement tools have been expanded for sober living homes. She also said many sober living operators are in recovery themselves and provide low-cost housing and support rather than direct billing to Access. Access Director Virginia Roundtree said the agency is trying to balance fraud prevention with support for legitimate providers. She reported steps such as daily internal huddles, live dashboards, added project management support, an outside review of the Division of Fee-for-Service Management, and a new external claims vendor to help reduce backlogs. Senators pressed her on a specific provider’s long-delayed payments and prepayment review, and she said the agency would provide answers early the following week. Access staff also described provider resolution roundtables and said unadjudicated claims had been reduced to zero, though members questioned whether that was due to denials rather than resolution. The hearing ended with the chair announcing legislation to preserve the American Indian Health Plan as a fee-for-service option while requiring Access to contract administrative and care management functions to another entity, citing structural failures in Access’s ability to operate the plan safely and effectively.

Transcript Highlights:

• Legislators, when people say I'm mad at DHS because it took too long to get through.
• Let me say that the workers who work for DHS Construction that worked there are outstanding people.
• My church has donated a van so that we can use it to move people around that have needs based on DHS
• And so the DHS subsidy rate may not be all of the rate that a childcare center is being paid.
• He began with talking about the Pinnacle Plan and how for about 13 years, DHS was under that purview.

Keywords: 914, all

Transcript Highlights:

• I want to give you an update specifically as it relates to DHS.
• Specifically with DHS, because of the fact that their OIG currently has almost 500 employees.
• They have employees that aren't really OIG functions, but they're under that OIG head in DHS.
• I think there's one more discussion we'll be having with DHS about some of their top OIG staff as a final
• The DHS language that's included in here I think is better than where we started, but I'm not convinced

Transcript Highlights:

• I've talked to Vice Chair Gise and DHS about adjusting some of them.
• So I have a meeting tomorrow at 10 a.m. with DHS to talk about this.
• Currently, DHS, who does a great job, responds on a case-by-case basis, but there is no statutory enhanced
• Oftentimes, the mother self-reports and gives the name for a person of contact, and statutorily, DHS
• Oftentimes, the mother self-reports and gives a name for a person of contact, and statutorily, DHS is

Keywords: 914, all

Transcript Highlights:

• Legislative Management Program Evaluation, DHS Services, Child Care Services.
• DHS services, child care services. It's just the title? How does it read to you?
• Human, DHS, Child Care Services.
• And then that has to be in by August 1, and then DHS will provide a response, so that it's almost like
• Chairman Wobbema and Senator Axtman, that's current requirements in the DHS licensing review process

Bills: HB1220

Keywords: accelerated degree, high-demand occupations, education reform, North Dakota, licensing, 908, all

Summary: The Workforce Development Committee reconvened to discuss House Bill 1119, which would create a child care advisory committee and authorize a Legislative Council program evaluation of child care services. Senator Hogan explained that the bill is intended to review child care licensing rules, child care assistance, and related laws and policies, while also giving child care providers a stronger voice in the rulemaking process. He described the proposal as a new model for legislative program evaluation and noted that leadership had been briefed and was supportive. Committee members raised concerns about the bill’s wording, scope, and structure. Senator Larson questioned the title and several sections, and multiple members suggested making the response language less directive and more collaborative, including changing “shall” to “may” in the section requiring a written response from the Department of Health and Human Services. Members also discussed limiting the advisory committee to the interim, clarifying that the evaluation would focus on child care services rather than broader early childhood programs, and adjusting language about enacted legislation to sound more neutral. The committee also discussed fiscal impact, with Hogan saying the evaluation would be done by Legislative Council staff and that any costs would likely be limited to meetings and existing DHS rulemaking activities. Members compared the proposal to other oversight models, including audit-style reviews and a possible DOGE process, and Hogan emphasized that the bill is meant to evaluate why child care issues keep recurring and why some laws are not fully implemented. No vote was taken; the committee agreed to continue refining the bill and planned to meet again the following Thursday.