Transcript Highlights:

• </c><00:14:37.360><c> which</c> eligibility to this program which eligibility to this program which remains
• </c> means could could get into this program means could could get into this program where<00:14:53.920
• ,</c> from public schools with this program, from public schools with this program, and<00:32:20.640>
• Any further... programming at will without board programming at will without board participation.
• </c> education uh tax credit program. education uh tax credit program.

Keywords: 1191, senate, all

Transcript Highlights:

• such as the Hawaiian Homes land loans program and the Native Hawaiian housing loan guarantee program
• such as the Hawaiian Homes land loans program and the Native Hawaiian housing loan guarantee program
• </c> not consistent with their program not consistent with their program objectives<00:05:17.000><c>
• </c><00:05:24.319><c> program</c> with their program program with their program program objectives<00
• </c><00:08:49.560><c> to</c> going to use the state's program to going to use the state's program to

Keywords: 912, senate, all

Summary: The committee heard testimony on SB 834, which would change restrictions on transfers of real property under chapter 201H, HRS, and was discussed in the context of Hawaiian homelands and HHFDC-funded projects. Supporters, including HHFDC, DHHL, and individual testifiers, said the bill would clarify that Hawaiian homelands should not be subject to the 201H buyback and appreciation restrictions, while preserving affordability requirements tied to federal mortgage and tax credit programs. HHFDC explained that the main concern was the buyback/share-appreciation provisions, especially for DHHL projects using LIHTC or similar financing, and said aligning the statute with DHHL’s program goals would not be a problem. Members questioned whether removing the restrictions could weaken affordability protections, and whether the state could still prioritize beneficiaries and workforce housing, but no vote was taken in the portion provided. The committee then took up SB 759, which would add the DHHL chairperson or designee to the HHFDC board of directors and adjust quorum requirements. DHHL and several supporters argued the measure would give Hawaiian Homes a seat at the table, improve access to HHFDC funding sources such as tax credits, private activity bonds, and revolving funds, and help leverage limited resources to reduce the Hawaiian Homes waitlist. One testifier supported the bill but urged safeguards to prevent favoritism or abuse of power, and another raised concerns about whether a DHHL representative would need to recuse from voting on projects involving DHHL. HHFDC testified that DHHL projects still must compete under the same criteria and set-asides as other applicants, and that the board already includes multiple public and executive representatives. Members pressed on whether DHHL could achieve the same informational goals without a voting seat, and whether the added board role would create leverage or conflicts. The DHHL witness said a nonvoting role could provide information, but a voting seat would be more useful for decision-making and advocacy. The discussion also covered DHHL’s use of LIHTC, rent-to-own models, transitional housing, and other layered financing, as well as the broader need to coordinate state housing resources. The transcript ends during continued questioning, with no final committee action or vote shown.

Transcript Highlights:

• So starting on page one of the Trustee Program. **KJ Curtis**: ...the Trustee Program.
• **Toby**: ...this program for many years.
• At the beginning of this program, I think...
• So that happened early in the program.
• So that happened early in the program.

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:

• </c> the New Hampshire Saves Program. the New Hampshire Saves Program.
• </c> previous um uh program review. previous um uh program review.
• </c> program is done. program is done.
• And that covers nitrogen. program under EP that's an EPA program program under EP that's an EPA program
• </c> what the Nifty's program covers. what the Nifty's program covers.

Keywords: 1189, house, all

Transcript Highlights:

• I'm the Massachusetts state long-term care ombudsman, and as many of you know, our program is mandated
• One of my very first questions to the department was about the responsible person program.
• We, like many across the March membership, work in close partnership with our local PACE program and
• Massachusetts' MAP system was created for individuals living in community residential programs and is
• Opposing the MAP program. So I'm hoping that that answers your question. I think so.

Summary: The Joint Committee on Aging and Independence heard testimony on Senate 3057/House 5376, a bill to create an Assisted Living Residence Trust Fund and implement recommendations from the Assisted Living Residence Commission. Supporters, including AARP and the state long-term care ombudsman, backed the trust fund for certification staffing, compliance reviews, investigations, ombudsman services, public reporting, and appeals. The assisted living industry, represented by MassALA, supported the affordability task force and certified medication aides, but asked for amendments to expand career paths and to remove or limit fines as a funding source, arguing fines should be capped and tied to health or safety risks. The ombudsman emphasized the need for more staffing and resources, noting the current caseload and travel burden across the state. The committee also took testimony on Senate 3056/House 5243 concerning medication administration in rest homes. Rest home operators, MARCH, and LeadingAge Massachusetts opposed proposed Department of Public Health changes that would replace the long-standing responsible person model with a MAP-based framework or require more licensed nursing staff. They argued the current model has been used for decades, is safe and affordable, and is better suited to rest homes than MAP, which they said was designed for different settings. They urged the committee to preserve responsible person medication administration while improving training and oversight, and several witnesses asked for a task force or substitute language to study best practices rather than impose immediate regulatory changes. Committee members asked questions about the history of the responsible person model, how medication administration works in practice, and whether other states use similar systems. Chair Stanley said the committee was still reviewing building code-related recommendations for assisted living and noted that those issues may require more time. No votes were taken during the hearing, and the committee adjourned after testimony concluded.

Transcript Highlights:

• I'm the Massachusetts state long-term care ombudsman, and as many of you know, our program is mandated
• I'm the Massachusetts state long-term care ombudsman, and as many of you know, our program is mandated
• One of my very first questions to the department was about the responsible person program.
• We, like many across the March membership, work in close partnership with our local PACE program and
• . ...opposing the MAP program.

Bills: H5243, H5376, S3056, S3057

Keywords: rest home, rest homes, medication administration, medication management, assisted living, long-term care, elder care, older adults, senior care, nursing home, resident care, self-administration, licensed facility, Chapter 111, section 71, Responsible Person, caregiver, direct care staff, care facilities, funding

Transcript Highlights:

• And there would be a program; the funds from the program would be awarded to support practical needs
• There's a program that is meant to stretch federal dollars.
• how this program could be used.
• So it actually had been curtailed some of the... ...program, how this program could be used.
• program, that's where we should be going.

Keywords: 993, senate, all

Summary: The Health Committee met to consider a series of bills, many of them repeat proposals from prior sessions. Early measures included S.11 on disclosure for non-invasive prenatal screening, S.92 allowing redaction of certain physician names from birth certificates, S.135 creating practical support grants for abortion care, S.428A requiring chain restaurants to label high-sodium menu items, S.555 prohibiting visual images of people undergoing medical treatment without consent, and S.1614A establishing presumptive Medicaid eligibility for people leaving incarceration. The committee also advanced S.1438A to create an abortion clinical training program, S.1468 on access to medical records and limiting copy charges to actual cost, S.1619 expanding pharmacists’ authority to order and administer certain tests, and S.1714 banning the use of “excited delirium” as a diagnosis or cause of death. A substantial portion of the meeting focused on S.1633A, which would add protections for sensitive health information and allow patients to restrict disclosure of specified categories of data. One senator argued the bill could hinder care by limiting access to complete records, especially in emergencies, while supporters said the measure was needed to protect patients and providers from legal action by other states or the federal government, particularly in reproductive health cases. Staff clarified that the bill would allow segregation of specific sensitive data rather than locking an entire record. The committee also discussed S.1913, a 340B prescription drug anti-discrimination bill; supporters said it would protect safety-net providers and federally qualified health centers from pharmaceutical company practices, while one senator raised concerns about broad state intervention in a federal program. Additional bills advanced included S.5981 establishing a comprehensive sexual and reproductive health program, S.6178 directing a sickle cell disparity study, S.7457 permitting cremation or natural organic reduction for certain unclaimed decedents, S.7541 moving up reporting timelines for licensed home care services agencies, and S.8257A directing an alternative payment methodology for federally qualified health centers to support fertility care. Most bills were moved by committee vote, generally with some opposition or without recommendation, and were referred to first reading, rules, or finance as appropriate.

Transcript Highlights:

• Defendant Program.
• Our 24-7 Dads program is a program that has wraparound services for men.
• Okay, sounds like a great program. I look forward to it.
• By design, the SNAP program is operationalized with flexibilities to ensure the program responds to the
• I don't have any intention of cutting a program or eligibility.

Transcript Highlights:

• Apparently in Minnesota, fraudsters have a better meal program than kids.
• We don't believe in government programs so big that we don't know where the money is going.
• The other one was a child care assistance program. That one right now is under investigation.
• We don't believe government programs so big that we don't know where the money is going.
• And that is just one of the programs that so far that they've that they've known.

Keywords: 989, all

Transcript Highlights:

• the prenatal screening programs.
• And then finally, program participation is stable.
• The screening program. Yeah, primarily due to caseload.
• The screening program. Yeah, primarily due to caseload.
• Welcome. ...drug assistance program for the 2026-27 estimate.

Summary: The Assembly Subcommittee on Health heard an overview of the California Department of Public Health budget, including a $5.1 billion department budget and 19 non-IT budget change proposals spanning environmental health, healthcare quality, infectious disease, healthy communities, health statistics, preparedness, and laboratory sciences. CDPH also presented estimates for WIC and the Genetic Disease Screening Program, both of which were described as relatively stable, with WIC food costs rising mainly due to inflation and participation holding near 1 million monthly participants. Members and public commenters raised support for several proposals, including funding for the California Reducing Disparities Project, AB 1264 implementation on school food standards, childhood lead poisoning prevention, the hospital bed capacity registry, sickle cell care networks, and WIC protections amid federal policy changes and shutdown-related uncertainty. Dr. Erica Pond then presented the 2026 State of Public Health report, highlighting major gains such as record-low mortality rates, all-time high life expectancy, and the first decline in overdose deaths in 14 years, while warning about persistent disparities in maternal and infant outcomes, rising severe maternal morbidity, and worsening mental and behavioral health trends, especially among younger adults. She emphasized racial and geographic inequities, the role of social drivers like poverty and education, and the importance of prevention investments through the Behavioral Health Services Act. Members discussed the need for upstream public health spending, environmental health preparedness, and how to translate data into action, while public comment largely focused on sustaining community-based prevention and equity programs. In a separate update on federal actions and public health partnerships, Dr. Pond and CDPH staff described California’s response to federal funding threats, vaccine policy changes, and measles outbreaks. They outlined new collaborations such as the West Coast Health Alliance, the Governor’s Public Health Alliance, the WHO outbreak network, and the FACT Coalition, along with CDPH’s process for reviewing and updating immunization and preventive service recommendations under AB 144. Members questioned the rise in measles and declining vaccination coverage, and CDPH said it is using trusted messengers and tailored outreach while continuing to evaluate federal recommendations. The committee then heard an ADAP estimate showing lower projected budget authority needs due to reduced caseload and one-time funding expiring, followed by public support for using ADAP rebate funds to expand HIV prevention, PrEP, testing, and disease intervention staffing. The final issue focused on public health information technology systems, including Sapphire, CalReady, CalConnect, CARE, MyTurn, MyCAVAC, and the digital vaccine record. CDPH explained how these systems support disease reporting, contact tracing, immunization tracking, vaccine ordering, and outbreak response, while the Department of Finance said only Sapphire and CalReady are funded in the Governor’s budget and the rest are under review because of the state’s budget deficit and declining utilization. Local health department representatives strongly opposed losing the systems, arguing that lower usage reflects post-pandemic conditions and that the tools save staff time, improve outbreak response, and prevent a return to manual spreadsheets and phone calls. Members echoed concern that cutting the systems would undermine public health capacity and waste prior state investment, and urged the administration to present a funding plan that matches its stated commitment to public health.

Transcript Highlights:

• I just think this was a great program.
• How does this state, how does this eliminate a federal loan program, loan program, Mr. Chair? Mr.
• I just think this was a great program.
• So when the fund was created in 2021, there were programs proposed that were affordability programs to
• There were programs proposed that were affordability programs to make commercial health insurance, primarily

Summary: The committee first heard House Bill 7, the Apprenticeship Assistance Act, which would keep apprenticeship trust fund distributions at $2.5 million rather than reducing them and remove a reference to the tobacco settlement permanent fund. Labor, construction, business, and environmental groups testified in support, emphasizing workforce development, retention of workers in New Mexico, and expansion of apprenticeship opportunities. The bill was moved and adopted without opposition. Members then considered House Bill 66, as amended, to increase funding for health professional loan repayment and related workforce supports. The amendment struck an appropriation because the funding was already included in House Bill 2. Testimony from health care providers, chambers of commerce, social workers, and physical therapy advocates supported the bill as a way to address provider shortages and improve recruitment and retention. After questions about eligibility, repayment terms, and overlap with similar Senate bills, the committee voted to do pass the bill as amended. House Bill 96, creating a working group to study a possible New Mexico Space Commission, was also amended to strike an appropriation. Support came from the chamber, Virgin Galactic, and aerospace advocates, who said a commission could help coordinate economic development and workforce efforts in the space sector. Members asked about other states’ commissions, workforce pathways, and the working group’s timeline, and the sponsor agreed to add clearer dissolution language later. The committee then passed the bill as amended. The committee then took up House Bill 80, a committee substitute to redirect more of the oil and gas conservation tax to the reclamation fund for orphan well plugging and site remediation. Supporters from industry, environmental groups, tribal advocates, and chambers said the bill would better align the tax with its original purpose and provide stable funding for cleanup, while an opponent argued the bill shifts costs from industry to the public and should instead raise the tax or bonding requirements. After discussion of backlog, phase-in timing, and procurement reforms, the committee voted do pass. The committee also heard House Bill 4, as amended, which phases in a larger share of premium surtax revenue to the Health Care Affordability Fund over three years. Supporters said it would sustain BeWell enrollment and affordability programs, while opponents questioned the burden on private payers and the size of the general fund impact. The committee adopted the substitute and then passed it on a 10-7 vote. Finally, the committee approved House Bill 65, as amended, creating a Foster Care Plus pilot project for children in CYFD custody, with testimony both supporting the need for better services and cautioning that implementation should respect tribal law, cultural practices, and family reunification. The committee also tabled House Bill 68 at the sponsor’s request. The transcript then began discussion of House Bill 88, which would make minor changes to the land grant assistance fund, including capturing reverted payments that currently go back to the general fund.

Transcript Highlights:

• Program was a D.C. Opportunity Scholarship Program. The... I didn't...
• So this program, various programs around the country do an excellent job.
• When you evaluate these programs that are... lack of a better term, voucher programs, really.
• in that program.
• But there could be a program.

Bills: HB3, HB3

Keywords: education savings account, educational expenses, certified educational assistance organization, school choice, funding, special education, tuition reimbursement, emergency communication, public safety, interoperability, Texas Interoperability Council, grant program, emergency communications, public safety radio, first responders, radio system, dispatch, 911, emergency management, Texas Division of Emergency Management

Transcript Highlights:

• </c> regarding that program. regarding that program.
• Uh, and how do we again develop programs, continue to support programs, enhance programs that will allow
• </c> continue to support programs, enhance continue to support programs, enhance programs<00:47:18.560
• programs and low performing<00:56:59.920><c> programs</c><00:57:00.319><c> or</c><00:57:00.559><c> programs
• of Nursing Practice program, and four certificate programs online.

Keywords: 958, all

Summary: The committee met with a full quorum and approved the prior minutes. Members offered introductions of guests and family members, then heard a presentation from University of Louisville President Thomas Jared Bradley, who was sworn in before testifying. He described his background and outlined U of L’s strategic priorities: student success, access and affordability, workforce development, community engagement, and research. Bradley highlighted enrollment growth, increases in first-generation and Pell-eligible students, strong transfer pathways with KCTCS, and support programs such as the Cardinal Commitment Grant, 15-to-Finish, Comeback Cards, tutoring, mentoring, and mental health services. Bradley also emphasized U of L’s statewide and regional impact through UofL Health, rural outreach, the Bullitt County rural cancer education and research center, nursing expansion, and the Kentucky Manufacturing Extension Partnership program. He noted major institutional distinctions, including R1 status, a new Carnegie Opportunity College and University designation, and community-engaged classification. He said the university is one of only 10 public universities nationwide with all three designations and reported record enrollment, improved retention, and strong research expenditures. He also thanked lawmakers for significant capital and operating support, including funding for the simulation center, health science center, asset preservation, and the MEP program. During questions, members praised the university’s public service role and asked about first-generation enrollment, retention, graduation rates, and post-graduation outcomes. Bradley said the university is working to improve completion by expanding academic support, early alerts, incentives for tutoring, and faculty/advisor mentoring, especially for first-generation and high-need students. He acknowledged that post-graduation employment data is difficult to collect but said the new Carnegie classification reflects positive outcomes. No votes were taken beyond approving the minutes, and no formal actions were taken on legislation in this portion of the meeting.

Transcript Highlights:

• So really excited about those programs.
• Another program I want to highlight is a rural community investment program. This is...
• Another program I want to highlight is a Rural Community Investment Program.
• , some of these are federal programs.
• So to be upfront, these programs are not viewed traditionally as economic development programs.

Summary: The committee heard two informational presentations: one from the Department of Commerce and one from the Florida Department of Transportation. Jason Mahon of Commerce outlined the state’s economic development strategy and tools, emphasizing Florida’s GDP growth, business formation, and strengths in manufacturing, high-tech, defense, life sciences, and international trade. He described programs such as the State Small Business Credit Initiative, the Rural Community Investment Program, the Florida Opportunity Fund, the Rural Infrastructure Fund, the Job Growth Grant Fund, performance-based tax credits, and disaster recovery loans, and cited examples including ServiceNow, Williams International, NeoCity, and Point Blank Enterprises. Members asked about small-business grants, foreign investment interest, workforce needs, and whether additional tools are needed; Mahon said most Commerce programs are loan-focused and noted ongoing workforce and site-readiness challenges. Jennifer Marshall of FDOT then reviewed major transportation projects and the Moving Florida Forward initiative, highlighting congestion relief, express lanes, bridge and interchange work, and accelerated delivery methods. She cited projects such as Golden Glades, I-95 improvements, the NASA Causeway Bridge, the DuPont Bridge, I-4 corridor work, the First Coast Expressway, the Howard Frankland Bridge, A1A seawall work, and Turnpike projects, along with examples of cost savings and schedule acceleration. Senators asked about how express lane locations are chosen, toll revenue use in South Florida, the status and cost of the I-395 downtown Miami project, and whether EV and rideshare access to express lanes should be preserved. FDOT said it would follow up on several of those questions, and the committee adjourned without taking any legislative action.

Transcript Highlights:

• Expand the Community Connect program. Expand the Community Connect program.
• So calling it child care programs works?
• So housing programs, $2.5 million. Housing programs, $2.5 million.
• But we did set up the actual loan program. Yeah.
• Section 4 applies to the full FTE block grant program. Mr.

Bills: SB2015

Keywords: corrections, rehabilitation, prison budget, department of corrections, adult services, youth services, correctional facilities, Heart River correctional center, Missouri River correctional center, James River correctional center, minimum security facility, county jails, regional jails, deferred maintenance, capital construction, strategic investment and improvements fund, Bank of North Dakota, line of credit, tasers, body cameras

Summary: The Senate Appropriations Human Resources Division met with all members present and took up several bills, focusing most of the discussion on SB 1577 and SB 1619, along with a detailed review of the HHS budget bill draft. On SB 1577, Senator Magrum explained that the bill was being revised to focus on wastewater rather than raw water, possibly shifting the Washburn project to the Department of Water Resources so it could access matching funds, and potentially converting the bill into a line of credit if federal money is restored later. Members discussed whether to keep an emergency clause or instead use a date-based approach, and agreed the bill would likely be handled through the full committee and possibly reconsidered later. On SB 1619, Senator Davison said amendments were still being worked on, including changes requested by the Bank of North Dakota, and the committee planned to hold it for possible amendment before full committee consideration. The bulk of the meeting was a section-by-section review of the HHS appropriations bill draft. Members discussed one-time funding items such as technology projects, child care programs, housing programs, behavioral health facility grants, infant and toddler care provider support, juvenile justice diversion, medical housing, and other public health and human services projects. Several adjustments were noted, including reductions or changes to IMD-related funding, incarcerated-person treatment funding, the child welfare technology project, and the provider rate increase. The committee also discussed the FTE block grant structure at length, with staff explaining that the apparent increase in positions reflected budgeting mechanics, zero-dollar “phantom” positions, and positions approved previously but not counted in the FTE total. Members raised concerns about transparency and whether the bill should list FTE numbers, but staff said the block grant was intended to give the department flexibility while quarterly reporting would provide oversight. Other topics included Medicaid expansion funding and provider reimbursement rules, the move toward certifying human service centers as certified community behavioral health clinics, a moratorium on new ICF beds, and studies or reports on Medicaid, obesity, disability services, truancy, and behavioral health facility grants. The committee also discussed removing or revising broad intent language in Section 31 so the department would report findings rather than implement changes without further legislative action. No final votes were taken in the transcript; instead, members agreed to make a few technical adjustments, continue reviewing the bill, and likely revisit it the next day before moving it to conference committee.

Transcript Highlights:

• </c><00:09:24.800><c> and</c> that look at Equalization programs and that look at Equalization programs
• </c><00:15:35.880><c> so</c> in the funding for those programs so in the funding for those programs so
• </c> postsecondary enrollment options program postsecondary enrollment options program there's<00:24:
• , that are cost-based programs.
• , that are cost-based programs.

Keywords: 1183, house

Transcript Highlights:

• A farm to institution pilot program.
• , and senior nutrition programs.
• I'm the food program manager at Eastie Farm.
• program in Everett doing food systems work with youth.
• program in Everett doing food systems work with youth.

Keywords: 995, all

Summary: The Joint Committee on Agriculture and Fisheries held a public hearing on 19 legislative proposals, with testimony limited to three minutes per speaker and seven minutes per panel. The hearing opened with testimony on bills promoting urban agriculture and vacant-lot conversion, including H.121/S.61, which Green Roots staff and community members supported as a way to turn vacant lots in environmental justice communities into urban farms and gardens that improve food access, health, community cohesion, and climate resilience. Rep. James Arena-DeRosa also spoke in support of H.109/S.56, the PFAS bill, describing it as a measure to protect soil and farms from contamination and to create relief for affected farmers. A major portion of the hearing focused on H.109/S.56, which would ban land application of sewage sludge/biosolids, provide liability protection and relief funds for farmers, and address PFAS contamination in soil, water, crops, and animals. Testimony came from environmental groups, farm organizations, and individual farmers, including the Mass Food System Collaborative, Conservation Law Foundation, Clean Water Action, CEMAP, NOFA, Sierra Club, and several farmers who described contamination in Maine and Massachusetts and urged the committee to act. Witnesses emphasized that PFAS poses serious health risks, that farmers should not bear responsibility for legacy contamination, and that the bill should be paired with funding for testing, remediation, and assistance. Committee members asked questions about farm liability, the scope of the bill, contamination in different ownership situations, and the costs and timelines of remediation, with Senator Comerford and others clarifying that the bill is intended to protect farms and farmers rather than non-agricultural landholders. The committee also heard strong support for H.416, a farm-to-institution pilot program, from Rep. Lee Davis, Berkshire Agricultural Ventures, and Berkshire Bounty. They said the pilot would connect Massachusetts farms to schools, hospitals, correctional facilities, and other institutions, creating new markets, strengthening local supply chains, and supporting food-is-medicine efforts. Members discussed whether the model could be statewide and referenced existing programs such as Island Grown Initiative and local hospital and insurance partnerships. Another agricultural bill, H.1058, was supported by Rep. Mark Sylvia and the Cape Cod Cranberry Growers’ Association as a way to allow unused cranberry water rights to be transferred within the same watershed for municipal mitigation while helping growers retire or consolidate bogs. The hearing also included testimony on the broader farm omnibus bill H.112/S.55 and related measures, with the Massachusetts Farm Bureau and others praising the committee’s work on agricultural resilience, food security, agritourism, workforce development, and farmland access, while suggesting additional transportation-related fixes for farmers. No votes were taken during the hearing.

Transcript Highlights:

• ><c> technical</c><00:07:58.800><c> education</c> CT program is for technical education CT program is
• </c><00:08:08.560><c> are</c> would uh would under this program are would uh would under this program
• Education Assistance Program and GAP. Uh Education Assistance Program and GAP.
• to this particular program.
• </c><00:34:23.119><c> Does</c> the talent recruitment program. Does the talent recruitment program.

Bills: HB517, HB520, HB233, HB354, HB517, HB520, HB233, HB354

Keywords: underground damage prevention, one-call notification system, utility locating, excavation safety, dig safe, call before you dig, 811, utility lines, underground utilities, pipeline safety, gas pipeline, electric utility, telecommunications, water utility, wastewater, cable television, locate request, premark, tolerance zone, positive response

Transcript Highlights:

• They help the state Medicaid program administer the Medicaid program itself.
• It's the Medicaid program and in HHS they have the Medicaid program but they also have the program of
• It's the Medicaid program and in HHS they have the Medicaid program but they also have the program of
• :21.280><c> unit</c><00:20:21.760><c> is</c> unit. program program integrity unit is unit. program program
• </c> the overall program. the overall program.

Keywords: 1189, house, all

Summary: The committee chair opened by explaining that the committee has expanded from a traditional audit-follow-up role into an oversight role focused on whether audit recommendations are implemented and whether controls are in place to detect fraud. He said the committee was concerned about fraud uncovered in social service programs in other states and wanted to understand New Hampshire’s safeguards, especially around major contracts and program performance. Charles Buchanan, director of the New Hampshire Medicaid Fraud Control Unit, and investigator Tim Brackett described the unit’s structure and mission. Buchanan said the unit, housed in the Attorney General’s Criminal Justice Bureau, investigates and prosecutes fraud by health care providers serving Medicaid beneficiaries, as well as abuse, neglect, and financial exploitation of residents in health care facilities. He outlined common Medicaid fraud schemes such as billing for services not rendered, upcoding, using unqualified staff, drug substitution, kickbacks, supplemental charges, and inflated customary charges. He also described resident abuse/neglect and drug diversion in hospitals, nursing homes, and assisted living settings. Brackett said his role is financial investigator/auditor and noted the unit is grant-funded and must include a prosecutor, investigator, and auditor. The witnesses then explained how cases reach the unit and how they are handled. Most referrals come from the state Department of Health and Human Services’ program integrity unit and from managed care organizations’ special investigations units, which look for fraud, waste, and abuse and refer credible allegations. Other sources include qui tam whistleblower actions, the national Medicaid Fraud Control Units association, citizen complaints, provider referrals, adult protective services law-enforcement referrals, local law enforcement, and federal agencies. Once a referral is received, the unit can accept or deny it; accepted matters may be investigated criminally or civilly, while nonviable matters can be referred back to HHS or other agencies for administrative action, including repayment demands and reimbursement offsets. No votes or formal committee actions were taken in the portion provided.

Transcript Highlights:

• The Donovan Scholars is a program.
• The Donovan Scholars is a program.
• The Donovan Scholars is a program.
• The Donovan Scholars is a program.
• </c><01:15:26.480><c> Uh</c> in this two issue waiver program. Uh in this two issue waiver program.

Keywords: 958, all