Transcript Highlights:

• case management protocols.
• manage this workflow under the active case management protocols.
• But another judge actively case managed, setting case management hearings all day long to try to get
• Case managers were central and critical to the 17th Circuit as well, to set the cases for case management
• It may need some more case managers.

Summary: The Judiciary Committee met with a quorum present and heard several Office of the State Courts Administrator presentations. Judge Mark Mahan discussed the impact of 2023’s HB 837 litigation reforms on court operations, explaining that the law’s changes to comparative negligence, filing deadlines, collateral source evidence, premises liability, bad faith claims, attorney’s fees, and offer-of-judgment rules triggered a major March 2023 civil filing surge. He described how filings tripled statewide, with especially large increases in auto negligence and premises liability cases, and outlined how circuits responded through active case management, added resources, and workflow changes. Members asked whether the bill’s immediate effective date contributed to the surge and whether clearance rates would normalize over time; Judge Mahan said the court system viewed its response as a success and expected rates to settle as the backlog is worked through. The committee then received a presentation on problem-solving courts from Jennifer Grandal and Judge Nina Richardson. Grandal reviewed Florida’s drug courts, mental health courts, veterans courts, dependency and early childhood courts, noting statewide best-practice standards, annual reporting requirements, funding sources, and data collection systems. Judge Richardson gave a local perspective on treatment courts, emphasizing that they address underlying mental health and substance use issues, rely on judicial supervision and sanctions as well as incentives, and help participants achieve recovery and avoid reoffending. She said the programs are accountable, transparent, and effective, and thanked the Legislature for continued support. Finally, Judge Rachel Nordby and Eric McClure outlined the judicial branch’s legislative agenda. Nordby summarized the Supreme Court workgroup’s recommendations to expand Florida’s vexatious litigant law, including broader coverage, fewer qualifying adverse cases, a longer lookback period, and a public records exemption for stricken defamatory or sham material. McClure then highlighted additional agenda items: modernizing the duty-judge statute, expanding senior management retirement eligibility, authorizing additional judgeships based on workload studies, removing the statutory cap on court-ordered nonbinding arbitration compensation, protecting appellate clerks’ personal information, allowing alternative authentication for certain judicial notarizations, and creating a hearsay exception for guardian ad litem reports and testimony. No votes were taken, and the committee adjourned after member introductions and staff introductions.

Transcript Highlights:

• active case management protocols.
• manage this workflow under the active case management protocols.
• However, another judge actively case managed and set case management hearings all day long to try to
• as well to set the cases for case management hearings and manage them.
• It may need some more case managers.

Keywords: 999, senate, all

Transcript Highlights:

• I hear from people where they've got contracted case management, their case managers are not able to
• This is contracted case management.
• I hear from people where they've got contracted case management, their case managers are not able to
• This is contracted case management.
• case management, their case<00:09:21.600> managers<00:09:22.080> are<00:09:22.320>

Keywords: 1183, house

Transcript Highlights:

• Supreme Court's current focus on active case management of civil cases, and then look at historical
• And we do that through case management systems that are deployed... ...to track their cases.
• management on the cases on their dockets.
• for each case a case management order with actual or projected key milestones.
• managers, We've spent on staff attorneys and case managers.

Summary: The committee first heard an update from the Florida Department of Corrections on the proposed Lake Correctional Institution mental health project in Clermont. Tim Fitzgerald explained the project’s history, including the 2016 Disability Rights Florida litigation, the 2018 consent decree, and the original plan for a 550-bed inpatient mental health facility. He said inflation and design changes pushed the project above the bond amount, leading the department to shift to a “continuum of care” alternative with 572 beds total: 92 inpatient beds and 480 residential treatment beds in three special housing units. Fitzgerald said the project is currently paused pending House concurrence, while the Senate has already agreed to the alternate plan, and noted the bond balance, prior expenditures, and the need to spend down the tax-exempt bond by August 2026. Members questioned how the new plan differs from the original facility, whether it satisfies the consent decree, and what caused the cost increases. Fitzgerald said the department believes it has already met the consent decree through systemwide improvements to housing, staffing, programming, and out-of-cell time, though he said he would confirm the court documentation. He also said the original scope grew from 275,000 to 350,000 square feet as treatment, nursing, security, and programming needs were refined, and that inflation, fees, permitting, and contingencies contributed to the higher cost. Several members asked for follow-up information on Senate approval, consent decree documentation, and the project’s impact on crisis-stabilization capacity. The committee then received a joint court-system presentation from State Courts Administrator Eric McClure and Clerks Corporation Executive Director Jason Welty on caseload trends, case tracking, and staffing. McClure described statewide filing trends, the use of weighted caseload studies to certify judicial need, and recent Supreme Court rule changes aimed at active civil case management, including differentiated case tracks, stricter deadlines, and proportional discovery. He said the latest workload study led the Supreme Court to certify a need for 23 circuit judges and 25 county judges. Welty reviewed clerk workload trends, the statewide case maintenance and CCIS systems, and declining clerk FTE despite rising case volumes, and said clerks are seeking additional funding for injunctions, Baker Act/Marchman Act/sexually violent predator work, and juror management. In questions, members pressed both presenters on data quality, case-weight calculations, filing fees, and whether current resources are enough to reduce delays. McClure clarified that the workload weights are based on judge time studies and that a capital murder case averaged 3,177 minutes, while other examples such as auto negligence and dissolution cases were much lower. Welty said the Legislature could help by increasing funding or potentially revisiting filing fees, and noted that many clerk services are unfunded or underfunded, especially indigent and protective filings. The chair and members also raised concerns about backlog, inconsistent case reporting across circuits, and enforcement of judicial time standards; McClure said there is no direct sanction in the rules, and compliance is largely managed through chief judges and the Supreme Court. The meeting ended with no votes taken and adjournment by motion.

Transcript Highlights:

• So, they're facility has a case manager.
• The case manager is employed by manager.
• We will notify the case manager in the same way.
• We will notify the case manager in the same way.
• We will notify the case manager in the same way.

Keywords: 958, all

Summary: The Budget Review Subcommittee on Health and Family Services heard a 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 with serious mental illness who do not qualify for nursing home care but need structured support, medication assistance, meals, housekeeping, transportation, and supervision. They said the homes are regulated by the Cabinet for Health and Family Services, are not Medicaid-funded, and rely on a state supplementation rate of about $50.70 per day, which they argued no longer covers operating costs because of rising food, labor, insurance, and maintenance expenses. The presenters said the sector has shrunk significantly over time, citing a drop from 64 homes in 2002 to 34 today among the homes serving this population, with 30 closures over 23 years and two more closures since August. They argued that the closures have contributed to homelessness, hospital overcrowding, and longer stays in psychiatric hospitals, and they gave examples of residents who had spent many months in hospitals before stabilizing in a personal care home. One provider also described spending more than $800,000 on capital improvements after acquiring Kentucky facilities and said reimbursement is too low to sustain safe operations. They asked for an incremental reimbursement increase over two years and said they have also proposed an assisted-living model for people with mental illness. Members asked about staffing, reimbursement, and the number of people still needing placement. The presenters said there is no requirement for licensed or certified staff in these facilities, though some homes use medication technicians and occasional LPNs. They estimated they are currently serving about 2,000 residents and said they receive roughly 30 referrals for every one person admitted, with many referrals involving people whose needs exceed the personal care home level. Senator Meredith and Representative Fleming said any funding request would need documentation of savings and corresponding budget offsets, while Representative Duval expressed support and asked about possible staffing and program improvements. The witnesses also compared Kentucky’s flat-rate reimbursement to a more individualized reimbursement model in Minnesota, saying a needs-based system would better match staffing and reduce hospitalizations.

Transcript Highlights:

• But as an individual judge, I need to manage my case.
• In some cases, they're homegrown. And that is what we call our case management system.
• But as an individual judge, I need to manage my case.
• In some cases, they're homegrown. And that is what we call our case management system.
• And then going back for a minute, we have case management. This case management system.

Summary: The Appropriations Committee on Criminal and Civil Justice met to continue its review of performance measurement in the criminal justice system. The first presentation, from State Courts Administrator Eric McClure, described how the court system uses multiple data sources to track filings, dispositions, clearance rates, workload, and support services, and how those data inform judge need, budget requests, resource allocation, and court administration. He also discussed ongoing efforts to improve case-level reporting, the use of case management systems in trial and appellate courts, and performance efforts in problem-solving courts and civil case management. McClure noted that the legislature provides dedicated funding for problem-solving courts and for medication-assisted treatment, and that the courts are required to report outcomes and monitor compliance with contract requirements. Melanie Brown-Whor of the Florida Behavioral Health Association then reviewed the medication-assisted treatment program funded through the courts budget. She said the program combines medication with counseling and behavioral supports, serves people involved in or at risk of criminal justice involvement, and has expanded over time to include additional medications and more counties. She reported improved engagement and retention, with more than 10,000 people screened over five years, about 9,200 receiving medication, and over 6,600 successfully discharged. Senators asked about racial and ethnic demographics, hospital referrals, and how services are delivered; Brown-Whor explained that local community providers deliver treatment under contract and that the program is working to improve data reporting and consistency. The Department of Law Enforcement then presented on investigations, forensics, and criminal justice information services. Deputy Commissioner Vaden Pollard outlined FDLE’s strategic plan and major investigative priorities, including cybercrime, targeted violence, crimes against children, mutual aid, and the SAFE fentanyl eradication program. He said SAFE has led to major seizures, arrests, and a reported decline in fentanyl deaths. Director Jason Bundy described FDLE’s forensic laboratory operations, DNA and rapid DNA capabilities, cold case and missing persons work, and the staffing and turnaround-time challenges tied to complex evidence testing. Director Lucy Saunders reviewed FDLE’s criminal history, biometric, incident-based crime reporting, and criminal justice transparency systems, noting that Florida is still transitioning agencies from summary reporting to incident-based reporting. The committee raised questions about Rapid DNA deployment, cold case coordination, and the slow pace of NIBRS/FIBRS adoption. No votes were taken, and the meeting adjourned after the presentations and questions.

Transcript Highlights:

• The case manager can hold a case manager conference and assist them in that way.
• uh that case manager can be particularly uh that case manager can be particularly helpful.<00:40
• judge, it's the case manager. Correct. judge, it's the case manager. Correct.
• managers and other case types.
• <01:19:26.239> manager do mediation or do a case manager do mediation or do a case manager

Keywords: 928, house, all

Summary: The subcommittee met to continue its review of recommendations for New Hampshire’s family court, with the chair emphasizing a collaborative approach and noting that the group would focus on the origins of the family division, recurring problems identified in earlier reports, and comparisons with other states. Members discussed organizing testimony into three broad topics: the court hearing process and pro se litigant preparation, mediation/arbitration/counseling, and the interaction of domestic violence issues with family court and related criminal proceedings. The chair also noted that the subcommittee would not meet again for two weeks and encouraged members to review materials from Judge Michael Mace and NCSL research on other states’ family court systems. Attorney Heather Culp, senior administrator for the judicial branch’s circuit court, testified about New Hampshire’s ADR programs. She explained that the Office of Mediation and Arbitration, created by statute in 2007, oversees more than 12 statewide ADR programs across the Supreme, Superior, and Circuit Courts, including family division programs such as divorce-parenting mediation, neutral case evaluation, guardianship, termination of parental rights, and voluntary adoption mediation. She said the divorce-parenting mediation program is the largest family division ADR program, with about 3,400 mediation sessions in 2023 out of roughly 6,700 cases, and that most cases involving minor children are referred to mediation soon after the first appearance session. Culp described the family division process as beginning with a first appearance session led by a case manager, who provides information, helps with paperwork, and schedules mediation, usually within 30 to 45 days. She said mediation is strongly encouraged in parenting and divorce cases, but there is no requirement to reach agreement, and parties may settle some issues while leaving others for court. She also explained that mediation is prohibited or limited in certain domestic violence cases: cases with active civil protection orders may proceed only with both parties’ consent and possible safeguards, while cases involving criminal protective orders are not sent to mediation. Mediators in court-referred family cases are contracted with the court and must be certified by the executive branch’s mediator certification board; mediators do not communicate with judges, except through a brief ADR report noting whether the case settled or what the next procedural step is. Members asked about referrals, timing, and the meaning of “neutrals,” and Culp said the court uses in-house contracted neutrals for family division ADR and does not refer divorce-parenting cases to outside providers.

Transcript Highlights:

• So that's how we do those cases against the home care nursing agency manager, or the mental health therapist
• Now, how do we get our cases?
• We also get many of our cases from managed care organizations in their Special Investigations Unit (SIU
• from managed care organizations.
• Agency staff who manage grants.

Bills: HF3043, HF2891

Keywords: public safety, illegal remunerations, healthcare fraud, grants, criminal penalties, state law, grants management, state employees training, certification, monitoring grants, accountability, grant fraud

Transcript Highlights:

• And as you cases and our civil cases.
• case that is just a state case case that is just a state case then<00:40:34.079> we<00:40
• . cases. cases.
• about 12 cases a year. about 12 cases a year.
• Contract management, the contract quality management.

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:

• Additionally, this bill required the department to convene a case management efficiencies work group,
• We intentionally brought together frontline case managers, lead agency and case management organization
• We intentionally brought together frontline case managers, lead agency and case management organization
• Case managers and youth also expressed similar concerns, and the work group has recommended that this
• Case managers consistently noted that this additional administrative burden of completing and duplicating

Summary: The subcommittee heard two Department of Children and Families implementation updates on measures passed in prior sessions. First, DCF reviewed House Bill 633, which increased oversight of behavioral health managing entities through biennial independent audits, standardized claims-based reporting, and new monthly outcome dashboards. The department said it had awarded the inaugural audit to Ernst & Young, found no significant waste, fraud, or abuse, but identified process risks involving financial controls, claims validation, data access, and system access controls. DCF also described its transition to standardized behavioral health coding and said the new public dashboard of 11 measures is posted on its website, though members asked for easier access and for hard copies of the audit report. Members asked about how the department distinguishes Medicaid-covered services from department-funded services, how duplicate payment risks are being addressed, and whether the new reporting and audit requirements would improve oversight without disrupting services. DCF said it is the payer of last resort for uninsured or underinsured individuals, that some overlap with Medicaid is expected because Medicaid does not cover all behavioral health services, and that new claims edits and cross-checks are being built into the system. The department also said it had not found significant negative feedback from providers and that the new requirements are intended to improve transparency and accountability. DCF then updated the committee on Senate Bill 7012, covering human trafficking data collection, domestic violence center certification, limited background-screening exemptions, expanded recruitment for child welfare staff, subcontractor liability protections, a four-year treatment foster care pilot, case management efficiency recommendations, and a statewide study of residential bed capacity for child victims of commercial sexual exploitation. The department said several items are already complete or underway, including limited exemptions in the screening clearinghouse, while others are in procurement or rulemaking. It identified Circuits 4 and 12 as the treatment foster care pilot sites and said the pilot will launch in January 2026. Members questioned recruitment metrics, pilot timing, and report deadlines; the department said final reports are expected by January and that some dates were flexible because of procurement and implementation timelines. The meeting ended after the presentations and questions, and the subcommittee adjourned.

Transcript Highlights:

• But as an individual judge, I need to manage my case.
• And so we also have complementary systems that are case management systems.
• And that is what we call our case management system.
• The first is the Florida drug Court case management system.
• I mentioned the 2 databases, that case management systems that we use.

Keywords: 999, senate, all

Transcript Highlights:

• of the state fleet management system.
• way the department oversees fleet management, they have a Bureau of Fleet Management and Federal Property
• It is under the management of DMS.
• If we focus on the comp side, do you have a case management system that would be able to show an aging
• of cases as to the oldest case and the newest case and average throughput for cases through the workers

Summary: The subcommittee first heard a lengthy Auditor General presentation on the Department of Management Services’ fleet management operations. The audit found major problems with oversight, recordkeeping, policies, fee-setting, purchase and disposal approvals, public auction controls, and FleetWave system access and processing. Key findings included that 2,279 vehicles valued at more than $57 million could not be matched between FleetWave and FLAIR, disposal records were missing or incomplete, user access remained active long after employees separated, and the department had not documented a reasonable basis for its $1.75 per-vehicle monthly fee. Members expressed strong concern about the accuracy of the state’s fleet inventory and the risk of waste or misuse. DMS Secretary Allende said the department concurred with the findings, was working with the Auditor General, and planned corrective actions, including better training, clearer guidance, improved reconciliation, and possible centralization or pilot programs for fleet purchasing and management. The committee then returned to vacancy discussions with several agencies. The Division of Administrative Hearings said its two long-vacant judges of compensation claims positions had been hard to fill because of low pay and short reappointment terms, but the chief judge said the division could operate without them and offered those positions up as part of a reduction exercise. The Public Service Commission reported 42 vacancies but said statutory deadlines were still being met, though staff workloads and depth of analysis were affected. The commission also said vacancies help it manage salaries within its trust-fund budget. Members questioned whether some of those positions were truly needed given the lack of delays. The Florida Gaming Control Commission reported 29 vacancies, including a vacant chair that prevented appointment of an inspector general, and said the chair vacancy was a gubernatorial appointment issue. The acting executive director also said the commission’s compulsive gambling prevention program had lapsed after no responsive bids were received for a new contract, but an invitation to negotiate was nearly complete and a new provider was expected soon. The Public Employee Relations Commission reported that its caseload had more than doubled after Senate Bill 256, which increased union recertification work; it said it was meeting deadlines only with overtime and that the workload had not fallen despite decertifications. Members asked for follow-up data on union cases, vacancy needs, and whether some positions across agencies could be reallocated to better match workload.

Transcript Highlights:

• cases are 13 shows most pending cases are employment cases<00:46:44.880> and<00:46:45.079>
• Cases can also be delayed if the parties to the case request more time.
• evaluate the costs and benefits of different methods of tracking cases, including using a case management
• coming in the cases that cases that are coming in the cases that have<00:55:28.280> been<00:55
• manage the case load built up so it can manage the case load in<00:56:04.520> front<00:56:04.720

Keywords: 928, house, all

Summary: The Fiscal Committee met on February 21 and first approved the January 30 minutes and the consent calendar, with item 2540 removed by the Department of Education and item 25057 set aside for discussion. The committee then took up FIS 25057, a Department of Transportation request tied to a federal grant for building information modeling and related data standardization across DOT systems. Transportation officials explained that the $2.405 million consultant-heavy request would connect surveying, design, construction, and asset management systems, improve efficiency and long-term asset tracking, and help the department catch up with other states. Several senators questioned the lack of immediate, quantifiable budget savings and the reliance on consultants, but the item was ultimately adopted. The committee next approved FIS 25054 for the Department of Health and Human Services after questioning a $16 million shortfall in the Children’s Health Insurance Program. DHHS explained the variance as a budgeting and accounting issue tied to separating CHIP from Medicaid managed care, pandemic-era continuous enrollment, and the new federal requirement for 12 months of continuous coverage for children. Members also approved a Cannon Mountain fee item, where park officials described a proposed price freeze for early-bird passes, a new in-season tier, and modest increases in off-season pricing, while noting operating cost pressures, strong snow conditions, and favorable customer value ratings. That item was adopted unanimously. The committee also approved the Department of Corrections item after discussion of staffing, retirement eligibility, overtime, and recidivism. Commissioner Helen Hanks said retirement-eligible staff had declined slightly, recruitment was improving, overtime hours were down, one housing floor had been closed because of lower population, and the department had reduced reincarceration by 8% over seven years, which she said produced substantial savings. The item was adopted. During informational items, the committee heard a Legislative Budget Assistant performance audit of the New Hampshire Commission for Human Rights. The audit found the commission inefficient and ineffective in processing complaints, with average case closure taking 840 days, significant backlogs dating back decades, expired administrative rules, weak management controls, disorganized and outdated procedures, unreliable data, and unresolved prior audit findings. The audit included 25 recommendations, two of which may require legislative action. Commission staff said they appreciated the recommendations and expected the additional resources from the prior budget cycle to help address the backlog and improve transparency and efficiency.

Transcript Highlights:

• In this case, what we're talking about is the kind of a change in management practice, and that's what
• . management. management.
• regarded, uh, contested case hearings. regarded, uh, contested case hearings.
• contested case. contested case.
• hearing on that particular issue only. a case would be a contested case would a case would be a contested

Keywords: 1187, senate, all

Transcript Highlights:

• We also are going to have a case management committee.
• table to help with case management. table to help with case management.
• case management all the survivors from case management all the way<00:35:53.359> through<00:35
• What actions are the case manager going to take to move their case forward?
• > a case management process, getting a case management process, getting a rebuild,<00:45:02.960

Keywords: 958, all

Summary: The Disaster Prevention and Resiliency Task Force met with a quorum, adopted the minutes from the previous meeting, and heard a presentation from Western Kentucky University’s Disaster Science Operations Center. WKU described its multidisciplinary disaster science effort, including meteorology, emergency management, the Kentucky State Climate Center, the Kentucky Mesonet, and the Disaster Science Operations Center, which was created in 2021 and serves as an operational hub for forecasting, emergency planning, crisis management, training, and decision support. Speakers emphasized applied learning, student field work, partnerships with industry and event venues, and a five-year NSF/UK-led research project focused on weather hazards, disaster preparedness, and building a statewide disaster database to improve mitigation and resilience. Members asked about flooding, the relationship to EKU’s program, Tennessee’s capabilities, and the timeline and goals for the research project; WKU said the data collection is underway and that the evidence suggests tornado risk is shifting east and occurring more at night. A WKU graduate student also described the value of hands-on storm-chasing and operational forecasting experience, saying it helped prepare her for work in forecasting and emergency management. Members asked about her motivation for joining the program and about the practical realities of storm chasing. The discussion also touched on whether Kentucky’s tornado risk is shifting east; WKU said the evidence from tornado observations and other studies points in that direction, with added concern about nighttime events and communicating warnings to vulnerable communities. The task force then heard from Amy Shaquinn of the Mayfield Graves County Long-Term Recovery Group, who outlined the county-level recovery process after the 2021 tornadoes. She said Kentucky ranks among the top states for federally declared disasters, has seen a high number of tornadoes in recent years, and also faces major flood risk and earthquake concerns along the New Madrid fault. Shaquinn stressed the distinction between immediate response and long-term recovery, explaining that response covers rescue, cleanup, temporary housing, and short-term assistance, while recovery is the longer effort to restore survivors to safe, sanitary, and secure housing through local long-term recovery groups. She said community-led recovery is essential and that preparedness and mitigation follow once immediate recovery needs are addressed.

Transcript Highlights:

• Who should deal with case management?
• That is not case management.
• <00:21:27.679> management will refer for county case management will refer for county case
• This is not case management. And mental health and psychiatry clinics do not get case management.
• <00:22:29.520> manager you from being assigned a case manager you from being assigned a case

Keywords: 1187, senate, all

Transcript Highlights:

• Every single person, we need to review every single case, and specifically for five identified case managers
• And so, well, no, a case manager would have—sorry, in my cases.
• On January 23rd of 2026, a case manager in a case that's represented here in this room stated on the
• But I've never seen them change their minds, and I've never seen the case manager of any of these cases
• The case manager assigned to the case was excellent—one of the best I worked with.

Keywords: 1182, all

Summary: The committee met for a presentation-only hearing on the Arizona Department of Child Safety, with no bills on the agenda. Chair Blackman opened by emphasizing that the hearing was intended to be data-focused and respectful, and that personal attacks or false accusations would not be tolerated. Director Catherine Patak then presented DCS data on hotline volume, investigations, reunifications, adoptions, guardianships, foster care entries and exits, kinship placement, congregate care, missing youth, and extended foster care. She said the department investigated more than 43,000 cases in 2025, kept the out-of-home care population relatively steady, and had reunified about 3,000 children with parents, while also noting that older youth and behavioral-health-driven removals are creating a mismatch with available foster homes. She also described kinship supports, foster parent recruitment, and the impact of Family First on funding, saying DCS lost federal drawdown for congregate care while waiting on approval for prevention programs. Members questioned the director about kinship caregivers, behavioral health access, reunification services, parental rights terminations, notice and documentation practices, and the effect of increased reimbursement rates. Patak said unlicensed kin can receive support through the kinship supports contract, that behavioral health assessments are done quickly at the welcome center or within 24 hours for kin placements, and that provider capacity remains a major constraint outside DCS control. She explained reunification conditions and services, said the department is working on documentation and notice issues flagged by the Auditor General, and noted that kinship reimbursement increases have helped some families step forward. She also said DCS procurement for group homes is handled internally through an RFP process and that about 10% of kinship caregivers become licensed. Representative Gillette then delivered a lengthy presentation arguing that the child welfare, Medicaid, and disability systems are structurally intertwined and that procurement and funding rules create incentives for volume and congregate care use. He criticized DCS, DES, and AHCCCS/Access oversight structures, argued that the system diffuses accountability, and said the committee’s work and related materials would be referred to special counsel. He also raised concerns about documentation, placement decisions, and the cost of congregate care, while asserting that the system over-relies on large providers and that reforms should focus on structural and financial incentives. Vice Chair Fink followed with a brief slide noting that congregate care costs far more per child than foster or kinship care, reinforcing the committee’s concern about placement costs and the need to shift children toward family-based care when possible.

Transcript Highlights:

• The local rule LR 3303, it's the case management order.
• So, it's my understanding that every district will eventually have a case management order and.
• The other district attorneys talked about this case management system. It is hitting us hard.
• the case management orders in every single case.
• it's complying with the case management order mandates and the timeliness.

Transcript Highlights:

• fix the hellscape of case management. fix the hellscape of case management.
• <01:44:36.400> management accountable to the case management accountable to the case management
• for doing case management. for doing case management.
• <01:48:17.360> And amount of case management is. And amount of case management is.
• Case management has not.

Keywords: 1187, senate, all

Transcript Highlights:

• So we do have specific criteria those cases have to meet, and so, as I said, some have more cases that
• managers, for example.
• <00:35:29.960> Care agreements with their Managed Care agreements with their Managed Care
• > uh<00:35:45.119> so need um case managers for example uh so need um case managers for
• includes all of the Managed Care includes all of the Managed Care organizations<00:36:45.599> so<

Keywords: 958, all

Summary: The subcommittee met to review the Department for Medicaid Services’ program integrity work. Commissioner Lisa Lee and Program Integrity Director Jennifer Dudinsky outlined Kentucky Medicaid’s structure, funding, enrollment, and spending, including FMAP rates, the size of the Medicaid and KCHIP populations, the number of providers, and 2024 expenditures. They also described the managed care and fee-for-service populations, noting that managed care serves most members while fee-for-service is concentrated in long-term care and waiver populations. Most of the discussion focused on fraud, waste, abuse prevention, and provider oversight. The department described its provider enrollment and certification checks, revalidation requirements, site reviews, fingerprinting for some high-risk providers, and termination grounds such as false application information, Medicare actions, unreported ownership changes, and abandonment of a provider number. Members asked about nonprofit ownership reporting, MCO fraud oversight, and how the department tracks unusual CPT code utilization, especially in behavioral health. The department said it uses data analytics, audits, policy review, and collaboration with behavioral health staff to monitor those trends. Dudinsky explained the division’s four branches: provider licensing and certification, audits and compliance, recovery, and third-party liability/estate recovery. She described prepayment and postpayment audits, referrals of credible fraud allegations to the Attorney General, monthly meetings with the AG’s office, and coordination with the Office of Inspector General, CMS, HHS OIG, MCOs, and other partners. She also explained payment suspensions, stand-downs during law enforcement investigations, and recovery efforts for overpayments, provider/member fraud, and third-party liability. The department said its recovery and avoidance efforts produced more than $251 million in savings so far in 2025. No votes or formal actions beyond approving the minutes were taken.