Transcript Highlights:

• the prepayment audits, but we identify providers to audit based on some in-house data analytics algorithms
• 24.160> analytics based on some in-house data analytics based on some in-house data analytics algorithms
• 25.839> run<00:15:26.680> uh<00:15:26.800> looking<00:15:27.040> at algorithms
• that we run uh looking at algorithms that we run uh looking at high<00:15:27.560> utilization
• They identify algorithms and high utilizers across the nation and report back to each state.

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.

Transcript Highlights:

• The small business owner, the farmer, comes in and he pays full price.
• the small trucker, or whoever takes out the policy, and then the agent contacts, and he pays full price
• The reason being that when you tap that card without that direct touch, it generates an algorithm.

Summary: A joint House-Senate Insurance and Commerce meeting focused on the growing threat of financial fraud in Arkansas, with members hearing from bankers, regulators, law enforcement, AARP, and mortgage and insurance industry representatives. Witnesses described a wide range of scams, including spoofed bank calls and texts, fake websites and social media impersonation, romance and investment scams, business email compromise, gift card fraud, check fraud, wire fraud, reverse mortgage scams, and crypto kiosk schemes. Several speakers emphasized that fraud is increasingly organized, technology-driven, and amplified by artificial intelligence, and that seniors are disproportionately targeted and often suffer the largest losses. Testimony highlighted both prevention and recovery efforts. Bankers said institutions spend heavily on training, customer education, and fraud detection, but often cannot stop losses once customers have been convinced to authorize transfers. The Attorney General’s office described its Consumer Protection Division, a new Financial Fraud Task Force, and examples of recovering funds quickly from crypto kiosk and wire fraud cases. The State Bank Department and Securities Department said Arkansas’s 2025 crypto ATM legislation and related education requirements have helped, and they urged continued public education. The Insurance Department reported major insurance-fraud trends, including fake insurance cards, forged policies, premium-finance schemes, and staged auto accidents, and said it prosecutes these cases aggressively. Members asked about reporting scams, the security of tap payments, how fraud losses are tracked, the role of crypto kiosks, and whether Arkansas should pursue model legislation or stronger action against telecom and social media companies. Witnesses said tap payments are generally safer than chip or swipe, that crypto transfers are often unrecoverable, and that spoofed caller ID and impersonation ads remain major problems. Paul Benda of the American Bankers Association urged state and federal action against telecom and social media platforms and supported national scam legislation. No new bills were voted on at the meeting, but members approved the November 3, 2025 minutes and several witnesses offered to share model legislation, consumer education materials, and state-by-state fraud data with the committee.

Transcript Highlights:

• of non-competes was an important important step we took in 2023 that allowed workers to say, at the price
• Or how the formula, or the algorithm, or the methods, or the technology.
• But you just work in sales and you have things that are confidential pricing because that's what you

Transcript Highlights:

• I do want to say that just in listening to this and in Senate Finance, I'm not sure we're pricing our
• It's priced like that.
• And what to believe, because a lot of the algorithms that are used in social media look for engagement

Bills: SB623, SB1266, SB1310, SB1373, SB1580, SB1952, SB2032, SB2269, SB2544, SB2653, SB2796

Keywords: pharmacist, vaccine administration, COVID-19, exclusive authority, healthcare, Medicaid, provider enrollment, credentialing, administrative burden, Texas Health and Human Services, senior retirement communities, emergency response, residential safety, contract provisions, health and safety regulations, medical staff privileges, hospital administration, healthcare regulation, Texas Health and Safety Code, consistency in privileges

Transcript Highlights:

• I'm one of those people who unfortunately watch some of this stuff on social media, and then the algorithm
• Victoria Price, Florida Public Utilities Company, waiving in support.
• Victoria Price, Florida Public Utilities Company, waiving in support, and Drew Love, Florida Electric

Summary: The committee heard and voted on a long agenda of criminal justice, public safety, victims’ rights, and related bills. SB 984 on aggravating factors in capital cases was reported favorably after debate over its focus on religious, school, and government gatherings; the Florida Conference of Catholic Bishops opposed expanding the death penalty, while supporters said it was about accountability rather than deterrence. CS for SB 1140 creating a Hillsborough County substance abuse pilot program for offenders, CS for SB 1180 broadening child sexual image protections, CS for SB 10 compensating Sidney Holmes for a wrongful conviction, CS for SB 500 creating a Spectrum Alert system for missing children with autism, and SB 1054 on tampering with electronic monitoring devices all passed favorably, with the substance abuse bill drawing supportive testimony about treatment and recovery and the Holmes bill receiving emotional support from Holmes himself. The committee also approved SB 1072 on expedited DNA testing grants, CS for SB 240 on domestic and dating violence victims, CS for SB 494 creating a statewide animal abuse database, and CS for SB 1422 on unmanned aircraft over critical infrastructure and weaponized drones. SB 240 drew extensive testimony from advocates describing a feasibility study for a discreet emergency alert system and the need to align domestic and dating violence protections; SB 494 drew strong support from animal welfare groups and county officials who described local registries and the link between animal abuse and violence toward people, while members discussed whether the bill should also bar known abusers from adopting animals. SB 1422 passed after questions about “reasonable force” against drones and concerns about firearms use, with the sponsor saying the bill was meant to protect privacy and property rights. Additional measures reported favorably included SB 1268 updating Department of Law Enforcement statutes and increasing reimbursement for retired police dogs, CS for SB 1344 revising juvenile status-offender procedures, CS for SB 1252 creating a feasibility study for a statewide pawn data database, CS for SB 1386 increasing penalties for assault and battery on utility workers, CS for SB 1084 strengthening sexual cyber harassment laws for intimate and digitally forged images, CS for SB 1654 revising sex offender/predator registration and reporting rules, CS for SB 1650 expanding the vexatious litigant law, and CS for SB 1652 creating a public records exemption for stricken court filings. The final and most heavily debated bill, CS for SB 1284 on wrongful death of an unborn child, drew extensive testimony from supporters who framed it as recognizing unborn life and opponents who warned it could be used to harass abortion patients, providers, and supporters and could increase malpractice exposure; the sponsor said the bill would allow parents to recover damages while protecting mothers and lawful medical care. The transcript ends before the roll call on SB 1284 is completed, but the committee had already reported the other measures favorably by recorded votes, generally along party lines with broad support from members present.

Transcript Highlights:

• commissioner said, it's within the program integrity division that does it, but they have various algorithms
• they Integrity division that does it but they have<00:42:33.240> various<00:42:33.800> algorithms
• that<00:42:34.960> they<00:42:35.160> run<00:42:36.000> um have various algorithms
• that they run um have various algorithms that they run um daily<00:42:37.400> weekly<00:42:37.800

Keywords: 958, all

Summary: The Budget Review Subcommittee on Health and Family Services held its first meeting and received an overview from the Department for Medicaid Services on Medicaid’s behavioral health and substance use disorder services. Commissioner Lisa Lee and CFO Steve Beal said Kentucky Medicaid serves about 1.4 million members, including over half of Kentucky children, with 485,000 expansion members, more than 69,000 enrolled providers, and total fiscal year 2024 expenditures of $18.5 billion. They said Kentucky covers a broad range of behavioral health services, and behavioral health provider enrollment has grown from a little over 4,500 in 2019 to nearly 8,000 in 2024. They also described how Medicaid spending and utilization are tracked through claims and encounter data, with most members served through managed care organizations. Members focused on sharp increases in certain behavioral health billing codes, especially peer-to-peer services, and asked about reimbursement, utilization review, and whether the growth reflected increased need or expanded coverage. DMS said the rise was partly tied to combining facility and nonfacility behavioral health fee schedules in 2023, choosing the higher reimbursement rate to avoid cuts, and that the department has seen an uptick in peer-to-peer services. In response to concerns about overutilization, DMS said it mailed a letter to behavioral health providers, is considering limits and prior authorizations for some services, and plans to create a standardized monthly behavioral health report to monitor trends consistently and identify when controls may be needed. Lawmakers also asked whether the provider network is sufficient and whether access is adequate, especially for children. DMS said provider enrollment has expanded because behavioral health services were added to Medicaid in 2014 and because demand increased after COVID, but acknowledged studies showing children have less access than adults and said that would be an area of focus. The department said managed care organizations are required to ensure access to needed services and that current trends indicate access is available, though one member disagreed and said workforce shortages remain a major concern. Another member asked about non-emergency medical transportation spending, and DMS explained that it is handled through a capitated arrangement administered by the Transportation Cabinet rather than directly by the managed care organizations.

Transcript Highlights:

• or delaying care based on an algorithm. or delaying care based on an algorithm.
• Chair, this bill would ban, uh, surveillance pricing and end this personalized pricing.
• <02:40:55.439> pricing.
• maintain affordable prices at the shelf. maintain affordable prices at the shelf.
• capture routine practices such as cost-based pricing, dynamic pricing, personalized pricing, or voluntary

Keywords: 1187, senate, all

Transcript Highlights:

• What if we could utilize algorithms based on instruments that we're already using to test your specimens
• blood and, with those biometrics in that secure electronic health record, we're able to utilize algorithms

Bills: SB1786

Keywords: artificial intelligence, content verification, provenance data, transparency, digital content, 1182, all

Summary: The committee first heard a presentation from Sonora Quest Laboratories on how the company is using artificial intelligence and innovation in clinical lab work. Testimony emphasized that AI is already being used in digital pathology, cytology, genetics, genomics, predictive analytics, and quality control, with a strong focus on human oversight, validation, and closed, secure systems that keep patient data in-house. Speakers said AI can improve accuracy, speed diagnosis, reduce repeat testing, support precision medicine and pharmacogenomics, and potentially help with rare disease management and drug selection, while also noting the need for governance and safeguards. Members asked questions about accuracy, safeguards, data security, whether AI could reduce repeat specimen collection, expand to other hospital labs, and how AI might affect treatment decisions such as step therapy and pharmacogenomics. The presenters said AI outputs are reviewed by specialists, that the systems are validated and monitored, and that the organization uses a closed ecosystem with no external data sharing. They also discussed future possibilities such as digital twins, earlier cancer detection, and more tailored medication choices, while acknowledging that AI is still developing and must be used carefully. The committee then took up Senate Bill 1786, as amended, which requires covered providers using generative AI to add provenance data to AI-created or significantly modified video, image, or audio content, using methods like watermarking or metadata, with exceptions for minor edits and certain interactive or non-user-generated content. The amendment clarified that identifiable individual information generally cannot be included unless the user opts in, protected trade secrets, and set an effective date of February 1, 2027. After discussion about consumer transparency, scope, and possible legal issues, the committee adopted the amendment and voted 4-2 with one absent to give SB 1786 as amended a do pass recommendation.

Transcript Highlights:

• But when one of your teammates is now an agent, it becomes a very different dynamic. an algorithm, this
• point out with the re-engineered degrees of freedom in the hips and legs and the improved control algorithms

Transcript Highlights:

• It's a glowing screen, a digital landscape dominated by social media, driven by algorithms, and largely
• These algorithms are not neutral. They are designed to exploit developing minds.

Bills: HB186, HB201, HB229, HB796, HB1506, HB2702, HB2885, HB3225, HB3909, HB4285, HB5138

Keywords: social media, children, account verification, data privacy, parental control, financial crime, card fraud, motor fuel theft, law enforcement, criminal activity, skimmers, prevention, training, biological sex, government information, definitions, sex-based distinctions, public health, federal directives, state authority

Transcript Highlights:

• have the resources to meet these requirements by requiring commercial coverage of behavioral health prices
• I’ve recently been made aware of—I don’t know, it was a public congressional hearing—of algorithms, of

Keywords: 995, all

Summary: The committee held a hearing on a large group of behavioral health and insurance-related bills. Topics included expanding access to mental health services by allowing physician assistants to authorize Section 12 emergency holds and be recognized as licensed mental health professionals (H. 1131/S. 773); improving coverage for community behavioral health centers so commercial insurance matches MassHealth’s bundled outpatient and crisis services (H. 1276/S. 703); eliminating cost sharing for certain behavioral health services (S. 718); extending detox and clinical stabilization coverage from 14 to 30 days and adding transitional support services (H. 1319/S. 772); requiring coverage for dual-diagnosis treatment in psychiatric facilities (H. 1277/S. 771); and preserving access to treatment for serious mental illness through coverage of coordinated specialty care and assertive community treatment (H. 1135/S. 709). The committee also heard bills on preventive behavioral health services for children (H. 1228/S. 802) and post-pregnancy mental health care, including postpartum depression and pregnancy loss-related care (H. 1314/S. 823).

Transcript Highlights:

• So these are these multi analyze as SA's with algorithmic analyses and they combine multiple biomarkers
• Once the CMS pricing information becomes available and then that will take us to 941 codes.

Transcript Highlights:

• Professional Responsibility during the investigation and the vast majority, just because of the algorithms
• We'll put more stress on our producers when I got to tell you, if you look at barley and wheat prices

Keywords: Customs and Border Protection, Rodney Scott, border security, asylum, transparency, Hernandez Rojas, migrant treatment, public testimony

Summary: The meeting centered on the nomination of Rodney Scott to serve as the Commissioner of U.S. Customs and Border Protection (CBP). Throughout the session, various senators expressed concerns regarding CBP's recent practices, including issues related to border security and the treatment of migrants. Questions were raised about Scott's involvement in previous incidents, particularly surrounding the controversial death of Mr. Hernandez Rojas while in custody, which sparked a heated discussion about accountability and transparency in current border policies. Senators emphasized the importance of balancing efficient border security with humane treatment of individuals seeking asylum.

Transcript Highlights:

• Price, thank you.
• France are not constantly criticized by the social media posters and creators that they see in their algorithm

Bills: HB295, HB824, HB1579, HB1581, HB2189, HB295

Keywords: bullying, antisemitism, school policies, school discipline, education, education policy, Texas Education Code, hate speech, student rights, civics education, high school curriculum, government, voting process, elected officials, Texas Seal of Biliteracy, biliteracy, bilingual education, multilingual, language proficiency, high school diploma

Transcript Highlights:

• or gas prices one or two cents a gallon.
• or gas prices one or two cents a gallon.
• They want to see lower gas prices, lower grocery prices, and they want lower utility bills.
• We took action to stabilize gas prices to prevent price shocks while keeping health and environmental
• We stopped exploitative digital algorithms from raising consumer prices.

Summary: The chamber reconvened after a late-night session and first adopted the consent calendar, including ACR 107 on the Diablo Range, by a 48-0 vote. Members then took up several Senate bills and Assembly measures, with repeated remarks about the long hours and the need to respect staff and keep proceedings moving. A vote change was also announced for Assembly Member Patel on SB 414, changing from aye to not voting. The main policy debate centered on energy, climate, and affordability. SB 237, dealing with oil and gas policy, refinery closures, pipeline safety, Kern County permitting, gasoline blend flexibility, and regional fuel coordination, drew strong support from members who framed it as a managed transition to stabilize fuel supply and protect jobs, and strong opposition from members who called it a giveaway to oil interests and a setback for climate goals. The bill passed 59-0. SB 254, an energy affordability and wildfire package, included wildfire mitigation financing, a successor wildfire fund, transmission cost reductions, clean energy permitting changes, and energization timelines; members raised some concerns about local control, but the bill passed 58-0. SB 840 and AB 1207 advanced the cap-and-invest reauthorization package, with supporters emphasizing emissions reductions, housing, transit, wildfire prevention, and community air programs, while opponents argued it would raise costs and function as a tax-and-spend scheme. SB 840 passed 54-15 and AB 1207 passed 55-10, both with urgency and immediate transmittal. Members also approved SB 352, which makes the Bureau of Environmental Justice permanent and requires air quality monitoring and reporting on AB 617 implementation, by 43-19. AB 825, authorizing California to help establish a Westwide electricity market, was presented as a way to lower bills, improve reliability, and reduce emissions; it passed 67-2 and was sent to the Governor. Additional actions included concurrence in Senate amendments to AB 8 on cannabinoids and AB 383 on firearms cleanup, and the chamber began consideration of AB 764 on wildlife as the transcript ended.

Transcript Highlights:

• "I would like to be able to speak to that, but unfortunately I'm not sure of their algorithm on figuring
• "I would like to be able to speak to that, but unfortunately I'm not sure of their algorithm on figuring
• "I would like to be able to speak to that, but unfortunately I'm not sure of their algorithm on figuring
• The paid lunch prices are configured at the local level. And then what's the State lunch?
• are configured at the paid lunch prices are configured at the<00:21:12.480> local<00:21:12.840

Keywords: 928, house, all

Summary: The Finance Committee Division II met with the New Hampshire Department of Education to review school nutrition programs and related funding. Department staff Melissa White and Kelly Rambo walked through a packet covering the National School Lunch Program, Fresh Fruit and Vegetable Program, Community Eligibility (CEP), After School Snack Program, Child and Adult Care Food Program, and Summer Food Service Program, explaining that these are federally funded USDA programs, with some state supplemental funding in certain areas. They also reviewed reimbursement rates for lunch, breakfast, child/adult care, and summer meals, noting that summer rates follow calendar-year timing while most others follow the state fiscal year. Members asked several questions about how the funding works, especially the difference between federal reimbursements and the state match. Staff explained that the state lunch line in the budget is a fixed match amount tied to federal participation, while breakfast funding is broken out by meal type and reimbursement category. They also discussed why FY 2022 federal spending was much higher during COVID, when USDA covered meals at the free rate for all students, and why FY 2023 and FY 2024 dropped as normal income-eligibility rules returned. A committee member also asked about the “severe need lunch” two-cent rate, and staff said they did not know USDA’s formula. A substantial portion of the meeting focused on summer meals and the distinction between the Summer Food Service Program and Summer EBT. Staff explained that SFSP provides meals at approved sites, which can be open or closed sites, while Summer EBT is a separate DHHS-operated benefit program that provides funds to families. They said some schools or sites may not qualify under USDA rules, but eligible children can often use another nearby open site, and the department posts an interactive map and phone line to help families find locations. The committee also discussed the Community Eligibility Provision. Staff said New Hampshire currently has three CEP schools, that the eligibility threshold had recently been lowered from 40% to 25% identified students, and that the program allows participating schools to offer free meals to all students while the local district covers the non-federal share. Members asked whether any districts in the 25% to 40% range had joined; staff said no. The department offered to provide the eligibility report in Excel and noted that the CEP intent is to reduce application burden, though the lower threshold can make the local cost share harder for some districts to absorb.

Transcript Highlights:

• Senator Price. We have five members in a quorum. We have a quorum. Very good.

Bills: SCR53, HB259, HB267, HB478, HB548, HB555, HB617, HB670, HB672, HB797, HB848, HB917, HB921, HB1096, HB1103, HB1166, HB1195, HB1230

Keywords: payable-on-death accounts, transfer-on-death accounts, estate planning, beneficiary designations, Louisiana law, task force, inheritance, nonprobate transfers, excavation, demolition, infrastructure repair, BEAD Program, utility damage, construction coordination, contact point, home inspectors, board membership, licensing, term limits, Louisiana State Board

Transcript Highlights:

• You may be on the same drug for a while, but maybe there ends up being a price difference and you have

Bills: SB128, SB640, SB672, SB904, SB1141, SB1263, SB1525, SB1528, SB2041, SB2306, SB2308, SB2357, SB2446, SB2695, SB2857, SB2891, SB2583

Keywords: hospital reporting, child abuse, neglect, administrative penalty, medical ethics, child protection, SB 640, Texas Family Code, Department of Family and Protective Services, DFPS, child welfare, foster care, managing conservatorship, suicide attempt, youth suicide, mental health, child protective services, state custody, annual report, reporting requirements

Transcript Highlights:

• benefit plans to combine their purchasing power to negotiate. more competitive prescription drug prices
• know a purchasing pool focuses solely on leveraging participant volume to negotiate those lower drug prices
• Bulk purchasing harnesses the buying power of an entity or a pool to achieve lower prices on prescription

Bills: SB128, SB640, SB672, SB904, SB1141, SB1263, SB1525, SB1528, SB2041, SB2306, SB2308, SB2357, SB2446, SB2695, SB2857, SB2891, SB2583

Keywords: hospital reporting, child abuse, neglect, administrative penalty, medical ethics, child protection, SB 640, Texas Family Code, Department of Family and Protective Services, DFPS, child welfare, foster care, managing conservatorship, suicide attempt, youth suicide, mental health, child protective services, state custody, annual report, reporting requirements

Transcript Highlights:

• She is aware of the price.

Bills: HB44, HB2200, HB1612, HB2747, HB2038, HB3717, HB1431, HB3800, HB3801, HB3560, HB3246, HB44

Keywords: HB 44, Life of the Mother Act, abortion exceptions, medical emergency, reasonable medical judgment, pregnancy complications, maternal health, life-threatening condition, ectopic pregnancy, miscarriage, spontaneous abortion, fetal survival, Texas abortion law, abortion ban, physician liability, health care provider, disciplinary action, aiding and abetting, emergency abortion, obstetric care