Video & Transcript Research : 'procurement audit'

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MN

Minnesota 2025-2026 Regular Session

Committee on Taxes - 04/01/25

Taxes

Transcript Highlights:
  • and then our accountant and auditor had to reorganize everything before they could even begin the audit
  • and then our accountant and auditor had to reorganize everything before they could even begin the audit
  • and then our accountant and auditor had to reorganize everything before they could even begin the audit
  • and then our accountant and auditor had to reorganize everything before they could even begin the audit
Keywords: 1187, senate, all
NH

New Hampshire 2025 Regular Session

Senate Health and Human Services (03/12/2025)

Health and Human Services

Transcript Highlights:
  • I was filling a prescription years ago, and the reimbursement levels and the audit specifications were
  • the reimbursement levels and I believe the reimbursement levels and I believe the<00:50:52.640> audit
  • <00:50:53.200> specifications<00:50:54.200> were<00:50:54.440> in the audit
  • specifications were in the audit specifications were in contrast<00:50:55.640> with<00:50:55.839
Keywords: 1191, senate, all
CA
Transcript Highlights:
  • Without privacy-protective, independently auditable data, California cannot know whether youth safety
  • Without privacy protective, independently auditable data, California cannot know whether youth safety
  • them, and policies and independent researchers need privacy-protective access to the aggregated and auditable
Summary: The Assembly Privacy and Consumer Protection Committee held an informational hearing on the impact of social media on LGBTQ+ youth, focusing on benefits, risks, and possible safeguards. Chair members framed the discussion around the tension between protecting young people from addictive design, harassment, hate speech, exploitation, and mental health harms while preserving access to affirming resources, community, and crisis support that many LGBTQ+ youth rely on online. Members emphasized that the hearing was meant to inform future policy rather than relitigate prior bills, and several members of the LGBTQ+ Caucus attended or participated. The first panel featured lived experience and advocacy testimony from Madi Roby of Alliance for Trans Youth Rights, Shea Gardner of LGBT Tech, and Casey Pick of the Trevor Project. Roby described social media as essential to exploring identity, finding trans language and safety information, and connecting to Trevor Project resources during a family crisis, while also acknowledging online hate and bullying. Gardner argued that lawmakers should regulate harms more precisely rather than impose broad age-based exclusions, warning that account bans and age-gating could cut off access to community, privacy-protective pseudonymity, and crisis resources. Pick testified that LGBTQ+ youth are more likely than peers to attempt suicide, that social media can be both a lifeline and a risk, and that Trevor Space and other moderated online spaces can improve mental health and reduce isolation; she also cautioned against policies that would push youth into less visible, less moderated spaces. Committee members questioned the witnesses about algorithmic feeds, addictive design, age verification, and whether platforms should be required to do more to protect youth. Several lawmakers distinguished between personalized feeds and addictive features such as infinite scroll and autoplay, and asked for more targeted prescriptions. Witnesses generally supported stronger privacy protections, limits on data collection and use, better reporting and moderation tools, digital literacy, and design changes that reduce harmful engagement patterns without eliminating access to community. The discussion also touched on the loss of LGBTQ-specific 988 services at the national level and the importance of maintaining alternative support pathways. The second panel presented research from Common Sense Media, UC Irvine, Hope Lab, and LGBTQ+ Health Australia. Researchers reported that LGBTQ+ youth often arrive online with higher depressive symptoms and limited in-person support, encounter homophobic and transphobic content at high rates, and may self-censor because of fear of harassment. At the same time, many said social media helps them feel less alone and find affirmation. Dr. Sean Young emphasized a harm-reduction approach, noting that online environments can be designed to support health and that policymakers should measure whether restrictions actually reduce harm or simply displace it. Dr. Amy Green echoed that social media is both harmful and supportive for LGBTQ+ youth, underscoring that the policy goal should be to make youth safer rather than less visible online.
LA

Louisiana 2026 Regular Session

Natural Resources and Environment Apr 28th, 2026

Natural Resources & Environment

Transcript Highlights:
  • So right now we do get some good data on the reported amounts, but again, the auditing and the verification
  • of that volume, as was identified in the legislative audit report, is something that I think needs to
  • So that is upsetting, and, you know, the legislative audit has been requesting it forever to have a study
Keywords: 965, house, all
LA
Transcript Highlights:
  • So right now we do get some good data on the reported amounts, but again, the auditing and the verification
  • of that volume, as was identified in the legislative audit report, is something that I think needs to
  • So that is upsetting, and, you know, the legislative audit has been requesting it forever, to have a
Summary: The committee first took up House Bill 1209, which would pause new cooperative endeavor agreements for surface water withdrawals after December 31, 2026, while allowing existing agreements to continue and renew through 2036. The author said the bill is intended to force a broader, data-driven review of Louisiana’s surface water management and to improve funding for aquatic plant control, especially giant salvinia. An amendment was adopted to broaden the description of how the aquatic plant control fund may be used and to require annual reporting on agreements, withdrawals, revenues, deposits, spending, and non-monetary consideration. Department officials said the current program is voluntary, underfunded for monitoring, and that the bill could create a gap for new users if no replacement mechanism is enacted. The bill was reported favorable as amended after testimony from supporters including the Louisiana Wildlife Federation and opposition concerns from industry representatives were noted but not formally presented. House Bill 599 was then heard, which would prohibit the sale of Louisiana running surface water outside the state. The author argued that out-of-state sales, especially involving Toledo Bend and Texas, would be short-sighted and could harm Louisiana’s long-term water interests. Supporters said Louisiana lacks a water budget and should preserve water for in-state needs, while the Department of Conservation and Energy noted that the state currently has no mandatory process for such agreements and that the bill would not affect Sabine River Authority authority. The committee reported the bill favorable. Finally, House Bill 1206, dealing with permitting and reporting of water usage at data centers, was discussed. The substitute bill and amendment would give the department authority to monitor and regulate groundwater and surface water withdrawals, require public hearings, and improve transparency through reporting and a universal project identifier. The author and supporters said the bill was prompted by concerns in communities affected by large data center projects and the lack of public hearings on water use. Department officials agreed that more comprehensive data and a clearer framework are needed, but the author voluntarily deferred the bill to continue working with the department on a broader measure for next session. The committee also heard House Bill 1171 on allowing airboats in the Mar-Paw Swamp Wildlife Management Area, but after extensive debate over noise, habitat impacts, and existing restrictions, the discussion was ongoing in the portion provided and no final action on that bill was shown.
CA

California 2025-2026 Regular Session

Senate Labor, Public Employment and Retirement Committee Apr 22nd, 2026

Labor, Public Employment and Retirement

Transcript Highlights:
  • The federal government wants to audit people in poverty.
  • I think we should be auditing the system and employers that keep people in poverty.
  • I think we should be auditing the system and employers that keep people in poverty.
Keywords: 987, senate, all
CA

California 2025-2026 Regular Session

Senate Labor, Public Employment and Retirement Committee Apr 22nd, 2026

Labor, Public Employment and Retirement

Transcript Highlights:
  • The federal government wants to audit people in poverty.
  • I think we should be auditing the system and employers that keep people in poverty.
  • I think we should be auditing the system and employers that keep people in poverty.
Summary: The committee heard SB 921, which would create a tax credit to help agricultural employers offset overtime premium costs for farmworkers. Senator Grove and supporters, including farmworkers, the California Farm Bureau, and agricultural groups, argued the bill would restore lost hours and take-home pay after California’s agricultural overtime law reduced schedules. Opponents, including the California Federation of Labor Unions and CRLA Foundation, argued the proposal would subsidize employers with taxpayer dollars and undermine the principle that employers should pay overtime themselves. The bill was held in subcommittee until more members arrived. The committee then took up SB 1083, a cleanup bill to the prior year’s school employee misconduct database law. The author and supporters said it would add due process protections for classified school employees, require an administrative law judge review before placement in the database, and improve notice and vetting rules for contractors and non-permanent staff. School employer groups and other opponents warned the bill could slow investigations and weaken child-safety protections. The committee approved the bill 3-0 and sent it to Senate Appropriations. Members also considered SB 1089, which would require CalPERS health plans to cover GLP-1 medications and expand access through CalRX for chronic weight management and related health conditions. The author and supporters, including the American Diabetes Association and medical groups, said the drugs can prevent diabetes and improve health outcomes but remain unaffordable for many. Pharma representatives expressed concerns about the bill as drafted but said they were open to continued discussions. The bill passed 4-0 to Appropriations. The committee also approved the consent calendar 4-0. Later, the committee heard SB 954, which would narrow and add guardrails to last year’s CEQA exemption for advanced manufacturing, including environmental review near disadvantaged communities and labor standards such as prevailing wage and skilled-and-trained workforce requirements. Labor, environmental, and community groups supported the bill as a cleanup of an overly broad exemption, while business and manufacturing groups opposed it, warning it would discourage investment and worsen California’s competitiveness. The bill passed 3-1 to Appropriations. Finally, SB 1299, a fire sprinkler fitter certification bill, was heard and passed 3-0 to Appropriations with support from the sprinkler fitters and building trades and no recorded opposition.
OK

Oklahoma 2026 Regular Session

Administrative Rules Jan 21st, 2026 at 12:00 pm

Administrative Rules

Transcript Highlights:
  • We in my program, we put together a best practice for the Auditor's Office for auditing the EMS, so we
  • We are 100% we audit our continuing education 100%.
  • It's audited. We have 100% success with our doctors getting their CME every year.
Keywords: 914, all
TX
Transcript Highlights:
  • So, all of the numbers that we talk about are based on desk-reviewed or audited costs. reports.
  • So when you prepare the cost report, it's required to be done that way and then And HHS sees audit group
  • heard the testimony that the Medicaid cost report When it talks to facility cost, the internal desk audit
Keywords: 1185, senate, all
CA

California 2025-2026 Regular Session

Assembly Elections Committee Jul 1st, 2026

Elections

Transcript Highlights:
  • This is to protect the evidentiary value of those ballots for future investigations or audits.
  • chain of custody must be maintained to protect their evidentiary value for future investigations or audits
Keywords: 988, house, all
NJ

New Jersey 2026-2027 Regular Session

Senate Budget and Appropriations Jun 4th, 2026

Senate Budget and Appropriations

Transcript Highlights:
  • Department of Banking and Insurance, subject to continuing education, strict compliance standards, audits
  • Department of Banking and Insurance, subject to continuing education, strict compliance standards, audits
Keywords: 1146, all
LA
Transcript Highlights:
  • Who's going to audit it? That's the purpose when I'm hearing.
  • Who's going to audit it? Who's going to pay for it? Oh, we're going to pay for it.
Summary: The House Committee on Labor and Industrial Relations met for its final meeting of the session and took up SB 312 by Senator Talbot, a bill concerning labor organizations, employee dues and fees, withdrawal from unions, collective bargaining agreements, and related notice and reporting requirements. The author explained the bill would require annual notice to employees of their right to join or refrain from joining a labor organization, allow dues deductions to be authorized and revoked electronically, and require stoppage of deductions at the nearest possible payroll period after notice. The committee first adopted a technical amendment set, then considered a larger amendment set that shifted the withdrawal request to the employer, required the employer to notify the labor organization, placed the burden of proving notice compliance on the labor organization, and made the labor organization responsible for certain administrative costs. Supporters said the bill protected employee choice and could reduce taxpayer-funded administrative burdens; opponents argued the amendments created confusion, unnecessary bureaucracy, and unclear invoicing and cost-shifting procedures. Testimony came from business and labor representatives on both sides. Jim Patterson of the Louisiana Association of Business and Industry supported the cost-shifting language as a way to protect taxpayers and public employers. Matt Wood, Peter Robbins-Brown, and Larry Carter, representing labor groups, said they had worked for months to reach a simpler opt-in/opt-out framework and objected to the new amendments as adding complexity and uncertainty. Several members questioned why police, firefighters, and later mass transit employees were exempted; the author and others said those exclusions were tied to federal law or because those groups had not requested inclusion. After debate, the committee adopted the large amendment set and then adopted a separate technical amendment adding mass transit employees to the exemption list. On the bill itself, members continued debating whether the measure was necessary if unions already allow members to opt out and whether the bill should apply only to public employees such as teachers and school workers. The committee ultimately voted to report SB 312 with amendments. The motion passed on a roll call vote, with several members voting no, and the meeting adjourned afterward.
CA

California 2025-2026 Regular Session

Senate Floor Session May 20th, 2026

California Senate Floor Meeting

Transcript Highlights:
  • The bill requires the Department of Justice to conduct annual randomized audits of public agency operators
  • How about the lack of the governor and his administration in properly auditing the expenditures of his
Keywords: 987, senate, all
LA

Louisiana 2026 Regular Session

Health and Welfare Apr 23rd, 2026

Health and Welfare

Transcript Highlights:
  • administrators, to enhance transparency, reporting, and disclosure of affiliated entities; to establish audit
  • the hidden practices that distort true drug costs, and it provides employers and regulators with auditable
Summary: The House Committee on Health and Welfare met on April 23 with a quorum and first deferred or did not hear several bills, including HB 1093, HB 1145, and HB 946. The committee then quickly advanced HB 1095, which would allow nursing facilities to use alternative power generation sources in addition to fuel-powered backup systems; supporters said it would give nursing homes more flexibility while maintaining existing safety and backup-power requirements. The bill was reported favorably without objection. The committee then took up HB 926, a bill concerning vaccination status and admission to public buildings and related medical-freedom provisions. After adopting a set of amendments, including exclusions for licensed health care providers and facilities and clarifications regarding masks and school-related provisions, the committee heard testimony both for and against the measure. Supporters framed it as a privacy and bodily-autonomy bill, while opponents warned it could interfere with public health measures and school immunization rules. After extended debate, HB 926 was reported favorably with amendments by an 8-4 vote. HB 1220, a cleanup bill concerning the Louisiana State Board of Medical Examiners, was amended and then reported favorably. HB 1227, which would require physician peer review before certain disciplinary actions against doctors, drew testimony from the sponsor, a physician supporting the bill, and the board’s executive director, who described the board’s current complaint and review process and raised concerns about practicality and staffing; the sponsor asked for more time to work with the board, and the bill was voluntarily deferred. The committee also reported favorably HB 1217 on pharmacy benefit manager transparency after technical and substantive amendments, and HB 1028 on non-emergency medical transportation reimbursement rates, which was sent to Appropriations. Finally, the committee advanced HB 1185 on rural hospital payment methodologies and HCR 76, which would continue the rural health inequities task force for another year; both were reported favorably.
LA

Louisiana 2026 Regular Session

Health and Welfare Apr 23rd, 2026

Health and Welfare

Transcript Highlights:
  • administrators to enhance transparency, reporting, and disclosure of affiliated entities, to establish audit
  • the hidden practices that distort true drug costs, and it provides employers and regulators with auditable
Summary: The House Committee on Health and Welfare met on April 23 and first disposed of several items without hearing them, including HB 1093 and HB 1145, and voluntarily deferring HB 946. The committee then quickly reported HB 1095 favorably without objection. That bill would require nursing facilities to have fuel or another alternative power generation source to maintain power, and supporters said it preserves existing backup-power safety requirements while giving facilities more flexibility as technology changes. The committee then took up HB 926, which concerns vaccination status and admission to public buildings and seeks to prohibit medical mandates. After adopting an amendment set and additional changes clarifying exclusions for licensed health care providers and facilities, medical masks, and child welfare/school-related provisions, the committee heard testimony both for and against the bill. Supporters framed it as a civil-liberties measure limiting vaccine-card requirements for public buildings, while opponents warned it could interfere with public health measures, school immunization rules, and the ability of health care facilities to protect patients. The bill was reported favorably on an 8-4 vote. HB 1220, a cleanup bill for the Louisiana State Board of Medical Examiners, was then reported favorably after a technical amendment set. HB 1227, which would require complaints involving medical judgment to be reviewed by a three-physician panel before formal disciplinary action, drew extensive testimony from a physician sponsor, a doctor describing his disciplinary experience, and the board’s executive director, who said the board already uses practicing physicians, nurses, and experts in its process and warned the proposed panel system could be impractical because physicians are difficult to recruit for such reviews. At the sponsor’s request, the committee voluntarily deferred HB 1227 for further work. Finally, the committee reported HB 1217 favorably with amendments to a pharmacy benefit manager transparency bill, after supporters said it would expose hidden pricing and rebate practices and opponents argued some provisions were duplicative or unnecessary. HB 1028, setting minimum Medicaid reimbursement rates for non-emergency medical transportation, was reported favorably and referred to Appropriations after supporters described the need for higher rates and members discussed funding. The committee also reported HB 1185 favorably, with amendments preserving the existing Rural Hospital Preservation Act while extending similar protections to additional rural-lookalike hospitals, and adopted HCR 76 to continue the Health Inequities and Disparities in Rural Areas Task Force for another year.
AR

Arkansas 2026 Regular Session

TASK FORCE ON AUTISM Apr 1st, 2026

TASK FORCE ON AUTISM

Transcript Highlights:
  • These are college classes, not audit classes, and then... College credits.
  • These are college classes, not audit classes. And then they've completed 15 internships.
Summary: The meeting opened with routine business, including approval of the January 13, 2026 minutes, and a brief recognition of Autism Awareness Month. The task force then heard a presentation from the University of Arkansas College of Education and Health Professions on two student support programs: the Empower Program for non-degree-seeking students ages 18–24 with mild intellectual disabilities, and the Autism Support Program for degree-seeking students with autism. Speakers described academic coaching, peer and career coaching, residential supports, person-centered planning, internships, and scholarship/fee structures, noting that both programs charge a $5,000 per-semester fee and rely on scholarships and fundraising to offset costs. Members asked about dorm arrangements, individualized plans, and how students transition in and out of supports; presenters explained that Empower students remain in the program throughout, while Autism Support Program students may enter or leave services as needed. The committee next heard from Pulaski Technical College’s 3D program, a three-year transition and post-secondary program for students with intellectual and developmental disabilities focused on culinary, baking, and hospitality training. Presenters outlined integrated classes with traditional students, faded support over time, internships, and outcomes such as 97 students enrolled since the program began, 57 graduates, strong completion rates, and many graduates obtaining and retaining jobs in the food service industry. Members asked about how success is measured, why rates are not 100 percent, the role of integrated classes, tuition, and community partnerships; staff explained that grading includes technical and professional skills, tuition is $5,700 per semester, and scholarships such as GETS and FAFSA help reduce costs. They also noted plans to expand offerings and pursue accreditation through the Inclusive Higher Education Accreditation Council. Finally, the task force received a presentation from SLS Community, a Fayetteville nonprofit serving neurodivergent adults through residential supports, supported employment, community activities, and advocacy. Leaders described a long-term vision tied to the Cato Springs mixed-use development, where housing, jobs, clinical services, and community amenities would be integrated in a “live, work, play” model. They discussed a residential program, a new vocational program called Program Forge, community events, and the challenges of the “services cliff” after age 21, especially for adults with complex support needs. Members and parents spoke about the importance of trained direct support professionals, ABA-based supports, and the need for better funding and service models for adults. The meeting ended with announcements about upcoming autism-related events and a request for future discussion on task force appointments and broader issues around ABA oversight and misuse.
CA
Transcript Highlights:
  • board on literally every single department that I've seen, including even as an example, we have an audit
  • board on literally every single department that I've seen, including even as an example, we have an audit
Summary: The joint Sunset Review Oversight Hearing focused on the Bureau for Private Postsecondary Education (BPPE) and its reauthorization, operations, enforcement, fiscal condition, and student protections. Committee leaders and DCA officials praised the Bureau’s recent improvements in data systems, licensing, inspections, and enforcement, while noting the Bureau’s role has become more important as federal higher education oversight weakens. Bureau Chief Deborah Cochran said the agency has met its inspection mandate for the first time since the law was enacted, increased citations and disciplinary actions, reduced pending complaints, and used data tools to identify risk and monitor institutions more effectively. A major portion of the hearing centered on student harm, especially school closures, transcript access, predatory recruiting, and the Student Tuition Recovery Fund (STRF). Members asked how the Bureau protects students when schools close, whether bad actors can reopen under new entities, and whether enforcement tools are strong enough. Cochran said the Bureau can cite, fine, place schools on probation, revoke licenses, and order refunds, but it is seeking new authority to deny approval to operators who previously closed schools improperly or failed to refund students. She also said the Bureau is tracking ownership data and is concerned about institutions targeting immigrant and visa students. On STRF, Cochran explained that the fund is currently healthy, assessments are at zero because the balance is above the statutory target, and the Bureau paid about 1,100 claims totaling roughly $17 million over the last four years. Several members questioned the fairness of the assessment structure and discussed alternatives such as surety bonds, but the Bureau said STRF is working well and no change is needed at this time. Fee increases and the Bureau’s structural deficit were another major topic. Cochran said the Bureau reduced costs by eliminating positions, streamlining inspections, improving data analysis, and shifting some student-relief costs to STRF, but that legislative action is still needed to address the deficit. She said the proposed fees were based on workload analyses and that application fees generally match service costs, while annual fees are designed to cover most of the Bureau’s revenue needs. Some members and stakeholders criticized the proposed increases as too high, especially for out-of-state registration and campus fees, while others argued the Bureau needs sufficient resources to regulate effectively. Public commenters from private schools, Northeastern University, San Joaquin Valley College/Carrington College, and TICAS generally supported the Bureau’s mission and reauthorization, but urged changes such as risk-based oversight, better transcript protections, stronger limits on repeated provisional approvals, and more targeted fee and STRF reforms. No votes were taken, and the hearing ended with no formal action beyond discussion and receipt of testimony.
AR

Arkansas 2026 1st Special Session

ALC-HOSPITAL, MEDICAID, & DEVELOPMENTAL DISABILITIES STUDY SUBCOMMITTEE Mar 16th, 2026

ALC-HOSPITAL, MEDICAID, & DEVELOPMENTAL DISABILITIES STUDY SUBCOMMITTEE

Transcript Highlights:
  • So I know maybe, as y’all know, that I asked to have an audit included in our packet today from Children
  • I want to see that Children’s want to look at their audit, and I’ve got a 10% increase, and I have hospitals
Summary: The subcommittee met to review Department of Human Services hospital payments in Arkansas Medicaid, with DHS Secretary Janet Mann and Deputy Secretary Misty Eubanks presenting first, followed by Arkansas Hospital Association Executive Vice President Jody Ann Tritt and a brief comment from Arkansas Children’s. DHS outlined the main hospital payment streams: fee-for-service per diem payments, upper payment limit (UPL) supplemental payments, cost settlements, and smaller payments such as graduate medical education and disproportionate share hospital funds. Members asked for plain-language explanations of cost settlements, why per diem rates vary by hospital type, and why UPL applies to private hospitals. DHS said cost settlements and UPL are mechanisms to help offset Medicaid underpayment, with SFY 2025 hospital payments totaling hundreds of millions of dollars and no general revenue used for supplemental payments beyond the state share funded through hospital assessments and related financing structures. Committee members focused heavily on whether Arkansas hospitals are adequately reimbursed and why rural hospitals struggle. Tritt explained that critical access hospitals, rural emergency hospitals, PPS hospitals, and specialty hospitals operate under different federal and state rules, and said lower per diem rates for some facilities help with cash flow and later cost settlement adjustments. She said Arkansas hospitals are under financial strain, citing a negative patient services margin statewide and noting that Medicaid, Medicare, and commercial payers all contribute to the problem. She also said the association had just authorized a statewide survey of hospital finances and costs, which she expected would take about a year to complete. A major theme was commercial insurance reimbursement. Tritt argued Arkansas hospitals are paid far less than hospitals in neighboring states even though premiums are similar, and said administrative burdens, prior authorizations, and denials add to the problem. She said hospitals receive about 52 to 53 cents on the dollar for Medicaid costs without UPL and about 78 cents with UPL, still below cost. Members also discussed Medicare wage index issues, Medicare Advantage, and whether hospitals could use technology or alternative arrangements to improve finances. No votes were taken on the hospital presentation. At the end of the meeting, DHS provided a brief update on Living Choices and assisted living reimbursement. Officials said one assisted living facility, Pillars of the Community in Crossett, had announced closure, with nine waiver clients being transitioned to other settings. DHS said the current cost reporting period was underway and that a new rate study could be ready for review before the end of the fiscal year if reports were submitted on time. Members also asked about the broader waiver plan, and DHS said the next waiver iteration would likely be brought back to the committee in the summer.
AR

Arkansas 2026 Regular Session

ALC-HOSPITAL, MEDICAID, & DEVELOPMENTAL DISABILITIES STUDY SUBCOMMITTEE Mar 16th, 2026

ALC-HOSPITAL, MEDICAID, & DEVELOPMENTAL DISABILITIES STUDY SUBCOMMITTEE

Transcript Highlights:
  • So I know maybe, as you'll know, that I asked to have an audit included in our packet today from Children's
  • I want to see that Children's want to look at their audit and they've got a 10% increase, and I have
Summary: The subcommittee met to review Arkansas DHS hospital spending and reimbursement methods, with Secretary Janet Mann and Deputy Secretary Misty Eubanks explaining Medicaid hospital payments. They described fee-for-service per diem payments, cost settlements, and the upper payment limit (UPL) program, noting that SFY 2025 hospital payments included $688 million in inpatient/outpatient claims, $473 million in UPL payments, $248 million in cost settlements, and about $47 million in other payments such as graduate medical education and disproportionate share hospital funds. Members asked about why per diem rates vary, how cost settlements work, why UPL applies mainly to private hospitals, and how assessment fees are structured and funded. DHS said the hospital assessment fee is broad-based and uniform, used as the state share to draw federal funds, and that supplemental hospital payments after federal match totaled $548 million with no general revenue used. The Arkansas Hospital Association’s Jody Ann Tritt then gave a broader overview of the hospital landscape, explaining the different hospital types in the state, including critical access hospitals, rural emergency hospitals, PPS hospitals, and specialty hospitals. She said Arkansas hospitals face financial strain, citing a negative 5.18% patient service margin statewide and lower reimbursement than surrounding states. She argued that Arkansas hospitals are paid less than hospitals in neighboring states for similar services, that commercial payer rates and administrative burdens are a major problem, and that Medicaid and Medicare rates remain below cost even with UPL support. She also said hospitals are the backbone of community care, provide emergency and public health functions, and are looking for ways to invest in technology and telehealth but often lack the revenue to do so. Members pressed for clearer data on hospital finances, reimbursement adequacy, and the impact of commercial insurers. Tritt said the association had just authorized a statewide survey to gather updated financial information from hospitals, which she said would take about a year to complete. She also explained that Medicaid pays weekly, Medicare and commercial plans can involve delays and denials, and that hospitals often spend significant resources on revenue cycle work. The discussion ended with a brief update on assisted living reimbursement: DHS said one facility, The Pillars of the Community in Crossett, had announced closure, nine Living Choices waiver clients were being transitioned, and the updated rate study would be available after cost reports are collected, likely before the end of the fiscal year. The meeting then adjourned.
AZ

Arizona 2026 Regular Session

02/11/2026 - House Floor Session

Arizona House Floor Meeting

Transcript Highlights:
  • government is also reducing funding, we are not appropriating any funding to implementation of this audit
  • would also like to connect this back to the universal voucher program that doesn't do any kind of audit
Keywords: 1182, all