Video & Transcript : 'ABA services' :
Page 200 of 500
NM
New Mexico 2026 Regular Session
House - Appropriations and Finance Jan 17th, 2026 at 09:11 am
House Appropriations & Finance
Transcript Highlights:
- So when I'm flagging enterprise services, enterprise services bring money, revenues into the general
- health services.
- Related to community-based youth mentoring services.
- Just one quick question, Joey, on Line 312, Rural Air Service Enhancement. ...Service Enhancement.
- This is to subsidize services out of those airports.
CA
California 2025-2026 Regular Session
Assembly Budget Subcommittee No. 1 on Health Apr 20th, 2026
Transcript Highlights:
- But no, there was no debt service reserve.
- And then you mentioned new lines of service. Can you elaborate on that?
- as defined by the Health Resources and Services Administration.
- Gabrielle Santor with the Emergency Medical Services Authority.
- I hear you're not cutting services.
WA
Washington 2025-2026 Regular Session
Senate Local Government Jan 15th, 2026
Transcript Highlights:
- There are a few different ways to fund fire service in our state.
- But the goal is voter-approved funding for fire service. Fantastic.
- Voters will see upfront... for fire services.
- Service continuity and employee protections.
- We get our cars serviced by our trusty local mechanic.
Summary:
The Senate Local Government and State Parks Committee heard several bills focused on local government finance, land use, and public safety. SB 5903 would deem a cemetery district commissioner elected if only one qualified candidate files, with sponsor Senator Cortez saying it would save ballot-printing costs and local resources; there was no testimony in opposition. SB 6037 would create or modify a voter-approved option for cities and towns to form a single-city fire protection district, adjust levy and notice rules, allow administrative service contracts with the city, and clarify commissioner elections; Senator Cortez and multiple city and fire officials said it would give communities more flexible, locally controlled funding tools for fire service, while committee members asked about how it would work and the fiscal impact. SB 5983 would exempt certain current-use land transferred to a government entity for right-of-way from rollback taxes when the transfer is tied to development conditions and stays within a 20% acreage limit; Senator Leas described it as helping a family farm avoid an unfair tax bill, and there was no testimony on the bill.
The committee also heard SB 5995, which would remove the 2031 sunset on the prohibition against using port funds to buy fully automated marine container cargo handling equipment. The sponsor and labor witnesses argued the bill protects jobs, keeps public dollars from underwriting automation, and still allows zero-emission, human-operated equipment; port and labor representatives testified in strong support, while the sign-in sheet showed substantial public interest both for and against. SB 6016 would change how urban growth area swaps treat critical aquifer recharge areas, making the rules for annual and periodic updates more consistent and allowing swaps if they do not increase net CARA acreage within the UGA; the sponsor, Commerce, housing, business, and development interests said it was a technical fix that supports housing and consistency, while one witness warned it could weaken groundwater protections and create litigation risk.
Finally, the committee heard SB 6066, which would let counties, cities, towns, or WSDOT designate “accident risk zones” on roads with repeated crashes, require a public hearing and engineering review, double certain traffic penalties in the zone, and dedicate half the extra revenue to safety improvements before dissolving the zone. Supporters from cities, counties, and Pasco said it could help address dangerous intersections and fund fixes, though several witnesses raised liability and implementation concerns and asked for further stakeholder work. No votes were taken in the transcript; the chair closed each hearing after testimony and sign-in counts were noted.
US
US Federal 2025-2026 Regular Session
Hearings to examine the nomination of Paul Lawrence, of Virginia, to be Deputy Secretary of Veterans Affairs. Feb 19th, 2025 at 08:30 am
Senate Veterans' Affairs
Transcript Highlights:
- Service lines at VA hospitals and clinics have been halted.
- Well, thanks again for your service. Thanks for taking this yet again.
- female service members that have survived raped rape and by other Service members want to only speak
- , five years of federal service.
- My service was such that I'm ineligible for healthcare.
Keywords:
veterans affairs, VA modernization, employee layoffs, mental health, suicide prevention, transparency, senate committee, bipartisan support, oversight
Summary:
The meeting involved detailed discussions on various veterans' issues, particularly focusing on the challenges faced by the Department of Veterans Affairs (VA) amidst a backdrop of significant staffing changes. Members expressed deep concerns over the recent layoffs of over 1,000 VA employees, emphasizing the crucial nature of these positions in the context of mental health support for veterans, particularly amid rising suicide rates. Senators articulated the need for transparency and effective communication between the VA and Congress to avoid further breakdowns in services. The session also spotlighted the ongoing modernization of VA systems and the urgent need to streamline processes to benefit veterans effectively.
CA
California 2025-2026 Regular Session
Assembly Budget Subcommittee No. 3 on Education Finance May 19th, 2026
Transcript Highlights:
- , Disabled Student Programs and Services, apprenticeship programs, CalWORKs student services, the mandates
- We're excited to be of service.
- We're excited to be of service.
- It's called an ITS2 in state service.
- , referrals services for homeless children and youth, tutoring services, referrals services for homeless
KY
Kentucky 2025 Regular Session
Budget Review Subcommittee on Health and Family Service (9-17-25) - Reupload
Transcript Highlights:
- </c> >> Um it came via guardianship services. >> Um it came via guardianship services.
- </c> Medicaid Services. Medicaid Services.
- for 25% of our budget on services.
- </c> is spent in that setting on services. is spent in that setting on services.
- </c> for Medicaid services. for Medicaid services.
Summary:
The Health and Family Services committee heard an informational presentation on Kentucky personal care homes from representatives of the Kentucky Association of Healthcare Facilities, Management Systems of Kentucky, and Elder Care Partners. Witnesses described personal care homes as a lower-cost, 24/7 residential option for adults, often with serious mental illness, who do not meet nursing home criteria but need structured supervision, medication assistance, meals, and daily support. They said the homes are regulated by the Cabinet for Health and Family Services, are not Medicaid-funded, and are supported largely through state supplementation payments and residents’ SSI income.
The presenters argued that the current reimbursement rate of about $50.70 per day is no longer sufficient to cover staffing, food, insurance, utilities, maintenance, and other costs, and said the sector has shrunk significantly over time. They cited figures showing a decline from 64 to 34 homes serving the seriously mentally ill since 2002, with 30 closures over 23 years, and said the loss of beds contributes to homelessness, hospital overcrowding, and longer psychiatric stays. They also gave examples of residents who had spent many months in hospitals before being successfully placed in personal care homes, which they said can prevent more costly institutional care.
Committee members asked about staffing credentials, fraud controls, referral processes, and how reimbursement works in other states. The presenters said Kentucky does not require licensed or certified staff in these facilities, though some homes use certified medication technicians or an LPN, and they described a county case-manager-based assessment process used to set individualized rates in other states such as Minnesota. Members expressed support for the work but emphasized the need for documentation of savings and budget offsets. The presenters said they are seeking an incremental reimbursement increase over two years, roughly 25% to 50% in the first year and another 50% after that, and urged the committee to support the homes to prevent further closures.
FL
Florida 2026 5th Special Session
Community Affairs Feb 10th, 2026
Transcript Highlights:
- The fire service is no exception to that.
- Upon application for service, a utility must expand its service territory to a property outside its current
- service territory if the property is... ...to a property outside its current service territory if the
- for provision of services from a private utility.
- I don't know. ...services.
Summary:
The committee heard and advanced a wide range of bills, with several focused on water safety, utilities, and local government transparency. CS/SB 848 on stormwater treatment was explained as clarifying water quality credits and water quality enhancement areas, and it was reported favorably after one support appearance. SB 28, a claim bill for Reginald Jackson against the City of Lakeland arising from injuries caused by a police shooting, was also reported favorably. CS/CS/SB 658 on water safety requirements for rental properties drew extensive testimony in support from child advocacy and drowning prevention advocates, who cited Florida’s high child drowning rates and the disproportionate impact on children with autism; the bill was amended to require front-end certification and remove local add-on authority, then passed favorably. CS/SB 18, a claim bill involving the estate of a deceased minor and the Broward County Sheriff’s Office, was reported favorably after questions about the verdict, settlement posture, and who would receive the funds. SB 934 on areas of critical state concern was amended to remove a provision viewed as conflicting with the Live Local Act and then passed favorably. SB 1622, which creates a one-time waiver for certain late-filed financial disclosure fines, also passed favorably with support from an appearance form. SB 1264 on private schools and zoning was reported favorably after members noted ongoing concerns and planned further discussion. CS/CS/SB 260 on electric vehicle storage in towing yards was amended to narrow the bill to storage issues and cap the fee period until inspection; it drew both support and opposition from insurers, fire officials, and vehicle industry representatives, and was reported favorably. CS/CS/SB 1014, dealing with municipal utility service to properties outside city limits, was amended to limit it to residential development and clarify capacity standards, then passed favorably. CS/SB 1102 expanded the local infrastructure surtax to include body camera programs and was reported favorably after an amendment requiring voter approval. Finally, CS/SB 1724 and SB 1566, both on local government utility and budget transparency, were amended and reported favorably despite concerns from cities and counties about implementation costs and burdens.
WA
Washington 2025-2026 Regular Session
House Labor & Workplace Standards Jan 27th, 2026 at 10:30 am
Labor & Workplace Standards
Transcript Highlights:
- Actually, the bill does limit this to the commercial services.
- We supply the services to the state around those services needed.
- We supply the services to the state around those services needed.
- Residential is carved out in residential service, so residential construction and residential service
- , and that this really is only addressing commercial services.
Keywords:
plumbing contractor, plumber, license suspension, credential suspension, administrative penalty, infractions, repeat violator, consumer protection, residential plumbing, construction licensing, Washington Department of Labor and Industries, advisory board of plumbers, plumbing certificate fund, code enforcement, professional licensing, trade regulation, security, regulation, employment standards, security guards
ND
North Dakota 2025-2026 Regular Session
House Floor Session Apr 7th, 2025 at 01:00 pm
North Dakota House Floor Meeting
Transcript Highlights:
- The Public Service Commission is okay with this amendment.
- at the request of the Department of Health and Human Services.
- Speaker, your Human Services Committee, Representative M.
- Human service zones are the legal designee of the North Dakota Department of Health and Human Services
- , service providers, families, custodians, and guardians.
Summary:
The North Dakota House convened with prayer, roll call, and recognition of guests and student visitors, then moved through a long calendar of resolutions and bills. Early in the session, members honored Mandan High School’s e-sports team for state championships and recognized House Minority Leader Zachary Ista’s birthday. The House then passed HCR 3037 unanimously, urging mandatory reporting requirements for public officials, after committee support and remarks emphasizing accountability in public office.
The chamber then considered numerous Senate amendments and final-passage votes on bills covering ambulance service grants (HB 1597), Public Service Commission records and open meetings (HB 1110 and HB 1063), squatter/trespass law (HB 1305), nonconforming structures in local governments (HB 1500), academic tenure policy (HB 1437), retirement eligibility for correctional officers and state radio dispatchers (HB 1274 and HB 1419), a Medicaid dental study (HB 1567), above-ground fuel storage tank regulation (HB 1058), gaming site authorization procedures (HB 1615), an oil extraction tax incentive outside the Bakken and Three Forks formations (HB 1483), and simple assault protections for hospital workers (HB 1341). Most of these measures passed, though HB 1231, which would have created a study on early discontinuation of sex offender registration, failed on final passage.
A major point of debate was Senate Bill 2354, which would restrict student use of personal electronic devices during the school day in public and nonpublic schools, with exceptions for medical and special education needs and annual reporting on impacts. Supporters argued it would improve focus, behavior, and mental health, while opponents raised concerns about private-school regulation, logistics, liability, and duplication with a similar bill. The House passed SB 2354, and also passed SB 2112, which temporarily authorizes the Life Skills and Transition Center to serve certain non-eligible youth in crisis, despite objections that the facility should remain focused on developmental disabilities and concerns about repeating past institutional problems. The House also debated and rejected HB 1300 on legislative term limits after extensive discussion about whether the Senate’s date change altered the effect of the voter-approved measure. The session ended with announcements, committee notices, and adjournment until April 8, 2025.
CA
California 2025-2026 Regular Session
Senate Budget and Fiscal Review Subcommittee No. 4 on State Administration and General Government Mar 19th, 2026
Transcript Highlights:
- There's a delivery fee and there's a service charge. I'm sorry, I did mean service charge. Yeah.
- First, it will enhance taxpayer services.
- , the vendor-related services.
- Interrelated services.
- companies that service. or support or service companies that service the facilities.
CA
California 2025-2026 Regular Session
Senate Budget and Fiscal Review Subcommittee No. 4 on State Administration and General Government Mar 19th, 2026
Transcript Highlights:
- For the 2024-25 service year, enrollment hit 100% for the Youth Service Corps program.
- fee and with the taxation on the service fee currently “With the taxation on the service fee currently
- , the vendor-related services.
- Interrelated services.
- Thank you. ...or support or service companies that service the facilities.
Summary:
The subcommittee first received an informational update on the Governor’s Office of Service and Community Engagement (GoServe), including California Volunteers, the Office of Community Partnerships and Strategic Communications, and the Youth Empowerment Commission. GoServe reported strong participation in College Corps, Youth Service Corps, and Climate Action Corps, along with outreach results from OCPSC and the Trusted Messenger Network. The Department of Finance said the programs remain a priority but noted prior budget reductions, while the LAO said it had no new recommendations. Committee members raised questions about program diversity, geographic reach, administrative costs, and whether the programs duplicate existing volunteer opportunities; one member criticized the programs as costly and duplicative, while another emphasized the value of volunteerism and asked about the men’s service challenge. The item was informational only.
The committee then heard an overview of the Board of Equalization’s property tax responsibilities and its first budget proposals since the 2017 reorganization. BOE described its role in county assessment oversight, state-assessed property valuation, and related tax administration. Members asked about BOE’s interaction with counties, property tax reassessments, and local tax notices; BOE explained it mainly works with county assessors and handles technical property tax questions, while local special district charges are generally outside its scope. The committee also considered a BOE proposal to implement SB 293, which would give additional time for certain intergenerational property tax transfer claims after the 2025 wildfires. BOE requested $154,000 for guidance, public materials, and inquiry response work, saying the change is urgent for wildfire-affected families, especially in Altadena. The LAO had no concerns, and the item was held open.
BOE also presented an information technology modernization proposal for its state-assessed property program, seeking $3.2 million in 2026-27 and $3.1 million in 2027-28 to replace a 30-year-old mainframe system. BOE said the current system relies heavily on manual data entry and paper processes, creating inefficiencies, cybersecurity risks, and delays, while modernization would free staff for more audits and valuation studies. The LAO supported the need but urged a high bar for new IT projects; Finance said the project met the threshold of necessity. Members generally supported the upgrade but asked about audit gains, revenue impacts, and implementation risks, and the item was held open.
Finally, CDTFA gave its department overview and then discussed a proposal to require all delivery network companies, such as Uber Eats and DoorDash, to be treated as marketplace facilitators for sales tax purposes. CDTFA said the current carve-out creates confusion for restaurants and small businesses because some DNCs collect and remit tax while others do not, and the change would improve compliance and shift reporting to larger platforms. Members debated whether the proposal amounts to a tax increase for consumers, with CDTFA and Finance arguing it is a consistency and compliance measure rather than a new tax, while others said it would likely raise consumer costs. The committee also discussed broader CDTFA issues, including local sales tax districts, revenue-sharing agreements, and the growth of special taxing jurisdictions. No votes were taken, and the agenda items were informational or held open.
CA
California 2025-2026 Regular Session
Assembly Budget Subcommittee No. 1 on Health Mar 9th, 2026
Transcript Highlights:
- Michelle Boss, Director of the Department of Health Care Services. H.R....
- And that is a covered Medi-Cal service that can assist with that.
- So as a result, we're having to reconsider how we provide services.
- In 2024-25, cancer, burn, transplant, and trauma services.
- You don't choose a life of service because you don't have feelings.
Summary:
The Assembly Budget Subcommittee on Health held a hearing on the impacts of H.R. 1 and related federal actions on Covered California, Medi-Cal, and immigrant access to care. The chair framed the discussion around three main issues: expected losses in marketplace coverage as enhanced federal premium subsidies expire, new federal work and renewal requirements that would add administrative burden to Medi-Cal, and the loss of eligibility for certain lawfully present immigrants. Covered California testified that H.R. 1 and new federal rules, combined with the end of enhanced premium tax credits, are driving higher premiums, lower new enrollment, and more cancellations, especially among middle-income, Latino, and Black enrollees. The agency said California’s $190 million state subsidy program is helping lower-income enrollees but cannot replace the lost federal assistance, and it noted that roughly 120,000 lawfully present immigrants in Covered California will lose federal tax credits in 2027.
On Medi-Cal, the Department of Health Care Services said H.R. 1 will require work and community engagement verification, six-month renewals for certain adults, and other changes that the department expects will reduce enrollment substantially. DHCS estimated 233,000 members could lose coverage by June 2027 from the work requirement and 289,000 from six-month renewals, with losses rising much higher by 2028; it also said it is using automation, outreach, clinic navigators, coverage ambassadors, community health workers, and street medicine providers to reduce procedural disenrollments. The department described a two-phase outreach plan and said it is working with counties on implementation, while the Department of Finance said the Governor’s budget maintains $190 million for the state subsidy program and does not propose additional changes at this time. The LAO said its independent forecast is somewhat higher than the administration’s, estimating about 2.1 million fewer Medi-Cal enrollees by June 2028, and urged the Legislature to review county administrative workload and readiness.
Public testimony and member comments focused on the human and fiscal consequences of coverage losses. A representative from the Sacramento Native American Health Center warned that reduced reimbursement and coverage losses would destabilize community health centers, increase uncompensated care, and worsen outcomes by pushing patients into emergency care. Members raised concerns about paperwork burdens, county capacity, outreach effectiveness, and whether the state should do more to preserve coverage, including possible modeling of additional H-CARF spending and support for middle-income consumers and immigrant enrollees. The hearing did not take any votes or formal actions, but it ended with public comment and continued discussion of implementation and budget options.
LA
Louisiana 2026 Regular Session
House Select Committee on Women and Children Mar 5th, 2026
Transcript Highlights:
- They still need these services.
- On the length of service for 2025, you mentioned that 33% of the victims remained engaged in service
- to get the services they need.
- Whatever services you provide for the men, why are those services not being provided for the women?
- services.
Summary:
The committee held its inaugural meeting and heard opening remarks from the chair and vice chair about the committee’s purpose: studying issues affecting women and children in Louisiana, including health, education, economic opportunity, safety, and criminal justice. After roll call, the committee proceeded with informational presentations rather than taking any formal votes. Members emphasized the committee’s role in gathering testimony and identifying policy solutions.
The first major presentation came from the Governor’s Office of Human Trafficking Prevention. The director reviewed 2025 data showing 2,963 identified victims, 15,437 service instances, and trafficking reports in 62 of 64 parishes. She explained Louisiana’s coordinated response system, including screening tools, child advocacy center referrals, and the DCFS hotline option for trafficking reports. She also described familial trafficking, new victim outreach and identification tools, and two priority bills: HB 321, which would create immunity from prostitution offenses for child victims under Safe Harbor principles, and SB 83, which would require school board trafficking policies and expand victim advocacy services to labor trafficking victims and survivors up to age 21. Committee members asked about reporting procedures, school use of the tools, service gaps, and whether the data showed increases due to better identification.
The committee then heard from the Attorney General’s office on online child exploitation and child sexual abuse material. The presenter said the Louisiana ICAC Task Force received 31,203 tips in 2025, made 545 arrests, identified or rescued more than 80 child victims, and executed over 1,500 search warrants. He described rapid tip-to-arrest responses in recent cases, the expansion of partner agencies statewide, and the creation of an Orleans Metro ICAC task force. Members asked about community presentations, the role of social media in exploitation, the use of geolocation, the prosecution of out-of-state offenders, and the need for more analysts and outreach staff. The discussion also covered sadistic online enticement, sextortion, live-streamed abuse, and the need for parents and schools to monitor children’s online activity.
At the end of the meeting, the committee began receiving a legislative auditor’s presentation on the treatment and care of incarcerated women, focusing on jail policies, health care, restraint use, and reentry, but the transcript cuts off before that presentation is completed. No committee votes or formal actions were recorded in the portion provided.
MS
Transcript Highlights:
- and service.
- 110 unauthorized service Section 110 unauthorized service prohibited.<00:04:25.199><c> That's</c><00
- </c> inside the county's authority service inside the county's authority service area<00:04:31.040><c
- ,</c> to promote coordinated reliable service, to promote coordinated reliable service, prevent<00:05
- Only thing we doing here is service.
NM
New Mexico 2025 Regular Session
IC - Legislative Health and Human Services Jun 25th, 2025
Legislative Health & Human Services Committee
Transcript Highlights:
- Reimbursement for several types of services.
- Uh, the US Department of Health and Human Services, Health Resources Services Agency, Bureau of Health
- So it's for bipolar individuals, it's for, um, domestic violence services, it's for services for victims
- Where are the services?
- Do you mean to, to provide the actual service?
MA
Massachusetts 2025-2026 Regular Session
Informal House Session 20 Mar 2nd, 2026
Massachusetts House Floor Meeting
Transcript Highlights:
- The House Bill authorizing Kenneth Navarro to take the civil service examination for the position of
- The House Bill authorizing William Rob Cargill to take the civil service examination for the position
- The House Bill authorizing William Pallari to take the civil service examination for the position of
- The House Bill authorizing William Pallari to take the civil service examination for the position of
- An act authorizing Sean Duffy to take the civil service examination for the position of firefighter in
Summary:
The House took up several committee reports and routine procedural matters. The Committee on Rules and the Committee on Steering, Policy and Scheduling recommended adoption of resolutions commending the New England Hemophilia Association for Bleeding Disorders Awareness Month and congratulating Gavin William Roberts on earning Eagle Scout, and the House suspended the rules and adopted both resolutions. The House also adopted orders extending reporting deadlines for the Committees on Mental Health, Substance Use and Recovery and on Revenue.
The House then scheduled and advanced a package of bills, including a Senate bill designating January 30 as Fred Korematsu Day of Civil Liberties and the Constitution, several local civil service and public safety bills for Haverhill, Arlington, Conway, Boston, and Malden, a bill establishing August 10 as Agent Orange Awareness Day, and a bill on housing court jurisdiction. After suspending Rule 7A, the House gave these bills second reading and ordered them to a third reading.
On final action, the House adopted an emergency preamble for a bill authorizing the Massachusetts Department of Transportation to convey land in Stoneham, passed a Bourne election-validation bill to be engrossed, and approved an amended bill establishing a sick leave bank for a Department of Correction employee. The House then enacted the Stoneham land conveyance bill and a Natick charter amendment bill. Before adjourning, the House adopted an order to meet again Thursday at 11 a.m. in informal session and then adjourned.
TX
Texas 89th Regular
Appropriations - S/C on Articles I, IV, & V Feb 24th, 2025
Appropriations - S/C on Articles I, IV, & V
Transcript Highlights:
- What type of services are you doing? Are you doing legal advocacy? Are you doing crisis services?
- And then after that, 12% is other services. like legal advocacy, crisis services, other human trafficking
- Protect and financially reward first responders and emergency services personnel for years of service
- It was over 750,000 services with counseling representing the number one service across victims.
- Thank you all for your service.
AZ
Arizona 2026 Regular Session
03/19/2026 - Senate Health and Human Services
Senate Health and Human Services COR
Transcript Highlights:
- The Committee on Health and Human Services is called to order.
- committee is convened to examine the performance of Access, and specifically its division of fee-for-service
- Access under state law recommended reimbursement providers $295 for critical intensive outpatient service
- Arizona Medicaid members, particularly those seeking behavioral health treatment, recovery services,
- For example, there are multiple iterations of service types.
Summary:
The Committee on Health and Human Services held another oversight hearing on Access, focusing on fee-for-service behavioral health management, prior authorization and claims processing, the Targeted Investment Program (TIP), and network adequacy. The chair criticized Access for implementing a covered behavioral health services guide without public comment and for failing to produce records such as decision-making documentation, work group minutes, and public/tribal feedback. Members also raised concerns about ARPA compliance, the reduction of intensive outpatient reimbursement to a $157 per diem, and the impact of these actions on providers and Native American communities.
Interim Director Roberta Harrison said Access had improved fraud controls and operations after the sober living fraud crisis, including tripling prior authorization speed, reducing denial codes by 64%, cutting claims processing to under 30 days, and adding dashboards and staffing. She said the agency is modernizing outdated systems and invited fraud referrals. On questions about claims and prior authorizations, Access reported average processing times of six days overall and 17 days for behavioral health prior authorizations, and said it had hired Constellation under a direct procurement to help with claims backlog. Harrison acknowledged that a proposal language suggesting higher ROI from denying more claims was not part of the contract scope.
The committee also pressed Access on TIP delays. Staff explained that TIP payments depend on provider documentation, programmatic review, and allocation across many sites, and said year one of TIP 2.0 had been paid while years two and three had not yet been distributed. The chair requested a formal plan within 30 days to pay the delayed year two and year three TIP funds, estimated at about $122 million, along with all CMS-related TIP 2.0 documentation. On network adequacy, Access described its standards and annual MCO reporting process, but acknowledged gaps in tracking and said it would follow up on whether a fiscal year 2025 report was submitted to CMS. Members cited a federal ghost network report finding 28% of providers in Santa Cruz County inactive or unavailable, and requested unredacted network adequacy reports and further information on CMS engagement. The hearing ended with the chair noting some improvements but saying more oversight may follow, and the committee adjourned.
AR
Arkansas 2026 1st Special Session
LEGISLATIVE JOINT AUDITING-MEDICAID SUBCOMMITTEE Feb 12th, 2026
LEGISLATIVE JOINT AUDITING-MEDICAID SUBCOMMITTEE
Transcript Highlights:
- , health care provider charges, eligibility for services, and questions for Department of Human Services
- The United States Department of Health and Human Services, Centers for Medicare and Medicaid Services
- Services, you are recognized.
- Primarily, we are a fee-for-service state, which is we cover, Primarily, we are a fee-for-service state
- DMS, Division of Medical Services, is covering the bulk of our fee-for-service population.
Summary:
The Medicaid Subcommittee of the Legislative Joint Auditing Committee met to receive a primer on the subcommittee’s history and on how Medicaid oversight works in Arkansas. Legislative audit staff reviewed the subcommittee’s origins in response to earlier Medicaid audit concerns and explained that Medicaid is audited every year in the statewide single audit because it is a high-risk, large federal program. Staff summarized recent audit findings, including issues with eligibility controls, data matching, contractor charging, incarcerated juveniles’ coverage handling, provider eligibility support, and the state’s Medicaid recovery audit contractor exception request. They also noted a DHS departmental audit finding involving employees who improperly received benefits, which was referred for possible prosecution.
The Department of Human Services gave an overview of the Medicaid program, describing eligibility groups, delivery systems (fee-for-service, managed care/PASSE, and premium assistance for expansion adults), the size of the program, and the agency’s budget and provider base. DHS also outlined the difference between state plan amendments and waivers and said other committee materials would be sent to members. The Office of Medicaid Inspector General described its role in detecting and preventing fraud, waste, and abuse, explaining that it investigates suspected intentional fraud, suspends providers when there is a credible allegation of fraud, recovers improper payments in mistake cases, and recommends policy changes when trends are identified.
The Attorney General’s Medicaid Fraud Control Unit explained that it prosecutes provider fraud criminally and civilly, handles neglect, abuse, and exploitation cases in long-term care settings, and works with DHS, OMIG, and federal partners. Members asked about where cases are filed, how provider suspensions work, whether beneficiary fraud is investigated, and how education is provided to providers. DHS confirmed that beneficiary fraud cases are referred to local prosecutors and said the expansion population will move toward community engagement/work requirements under federal changes, with a soft launch planned before full implementation. The meeting ended with no formal votes beyond adoption of the prior minutes and no other committee actions.
TX
Transcript Highlights:
- . $77 million to maintain crime victim services and offset federal revenue losses, and $69.4 million
- years of ERS and TRS state service.
- , and staff layoffs are imminent in local service areas across the state.
- but we aren't sure what this means for people currently enrolled in services.
- Thank you all so much for your time today and your service to the people of Texas. Thank you, Mr.
Keywords:
appropriations, budget, state funding, education, healthcare, infrastructure, state budget, mental health funding, education funding, infrastructure improvements, public safety, campground safety, youth camp regulations, flood safety, emergency evacuation, health and safety standards, 1184, house, all