Video & Transcript : 'clean claim' :

Page 269 of 500
LA

Louisiana 2026 Regular Session

Appropriations Mar 4th, 2026

Appropriations

Transcript Highlights:
  • We've depleted the amount that was set aside for those claims for this fiscal year.
  • Some of those claims can take up to a week to verify. I'm not trying to make excuses.
  • They are doing their best they can to get through the claims as fast as possible, but...
  • And as well as what our claims are right now in the approximate time.
  • So let's, for a moment, drill down on the claims amount. The claims amount is $3 million.
Keywords: 965, house, all
NM
Transcript Highlights:
  • One is a decree that settles the compact claims between the states.
  • It resolves the outstanding claims and counterclaims in the Supreme Court.
  • This project operations settlement agreement resolves New Mexico's claims.
  • Some people are making claims for senior surface water rights.
  • We've resolved some of the claims of Okeawinge. Up north.
TX
Transcript Highlights:
  • I think you do have to prove the case that you have been injured in the way that you're claiming.
  • The presentation of evidence is necessary to adjudicate a tort claim, whenever you're looking at how
  • When there is a claim, and a negligent claim, certainly evidence presented to that would be admissible
  • for which damages would be claimed and 300% of Medicare rates would be paid.
  • I believe that is erroneous and not a valid claim.
CA
Transcript Highlights:
  • We have switched over to sustainable fuel because the governor and we believe in clean air and clean
  • Just as there's no money for the clean vehicles, clean cars for all.
  • Bill McGowan with the Coalition for Clean Air.
  • Continued investment in clean cars is critical in protecting our clean air, infrastructure, and public
  • Continued investment in clean cars is critical in protecting our clean air, infrastructure, and public
Keywords: 987, senate, all
NH

New Hampshire 2025 Regular Session

House Education Funding (11/10/2025)

Transcript Highlights:
  • I mean, somebody claims something bad happened, somebody claims they didn't do it.
  • </c> are claims.
  • I mean, somebody claims are claims.
  • ><c> somebody</c><00:54:35.280><c> claims</c> something bad happened, somebody claims something bad happened
  • </c> claimed victim. claimed victim.
Keywords: 928, house, all
Summary: The subcommittee met on HB 510 and HB 112, but the discussion focused almost entirely on HB 510, which would establish due process rights for students, student organizations, and faculty members in disciplinary proceedings at state institutions of higher education. The chair reviewed proposed amendments already approved or being considered, including revised definitions, confidentiality language for grievance information, removal of the adverse-inference language tied to self-incrimination, changes to cross-examination procedures, and narrowing an emergency exception by removing property damage and focusing on immediate threats to physical health or safety. The committee also discussed whether the hearing officer should have discretion to require a third party to conduct cross-examination, with the sponsor saying the word should remain “may” so the officer can respond to the circumstances of each case. Members opposed to the bill argued that existing campus procedures already provide adequate due process and that the proposal is unnecessary, potentially intimidating to complainants, and disruptive to university policies and collective bargaining agreements. They objected especially to language allowing the accused to be present during cross-examination of an accuser and to the use of the term “victim” before facts are established. Supporters said the bill is intended to ensure basic fairness for accused students and faculty, that the language was revised to address concerns, and that the rights listed are appropriate because serious allegations can have lasting consequences even outside the criminal context. No vote or final action was taken in the portion provided; the committee remained in discussion/caucus over the bill language.
MA

Massachusetts 2025-2026 Regular Session

Joint Committee on Telecommunications, Utilities and Energy Jun 21st, 2026 at 01:00 pm

Joint Committee on Telecommunications, Utilities and Energy

Transcript Highlights:
  • We are a coalition of labor unions that's united around climate and clean energy issues.
  • That is incredibly expensive, clean power.
  • There are hundreds of us who democratically chose the Save Money with Clean Heat campaign.
  • H. 3477, an act relative to clean lighting and appliance efficiency standards.
  • H. 3477 is an act relative to clean lighting and appliance efficiency standards.
Keywords: 995, all
Summary: The committee hearing focused on a broad set of energy efficiency, building decarbonization, school modernization, and lighting bills. Testimony generally came from municipal leaders, labor unions, environmental groups, and advocates who supported measures such as H. 3529/S. 2294 on building energy and decarbonization, H. 3577/S. 2286 on a zero-carbon renovation fund, H. 3476/S. 2275 on healthy and sustainable schools, H. 3565 on Mass Save zero-carbon assessments, H. 3477 on clean lighting and appliance efficiency standards, and the Dark Sky bills on outdoor lighting. Supporters argued these bills would cut emissions, lower utility bills, improve indoor air quality and school conditions, and direct resources to environmental justice, gateway, and low-income communities. Witnesses emphasized that Massachusetts’ older building stock and school facilities need major upgrades, and that state funding and financing tools are needed to close gaps left by declining federal support. Mayors, labor leaders, and environmental advocates said the proposals would create local jobs, expand apprenticeships, and help municipalities and schools undertake retrofits, ventilation improvements, heat pump installations, and other decarbonization work. Several speakers also defended Mass Save as highly cost-effective while urging new funding sources beyond ratepayer bills for larger-scale building upgrades. One representative asked about the difference between current Mass Save audits and proposed zero-carbon assessments, and the sponsor explained the new assessments would include heat pumps, solar, storage, wiring upgrades, and rate-structure guidance. There was also testimony on the Dark Sky bill, with astronomers and museum representatives arguing that better-shielded, downward-facing lighting would reduce energy waste, protect wildlife and human health, and preserve night skies without compromising safety. Committee members raised concerns about pedestrian safety and whether education might be enough instead of legislation; supporters responded that the bill follows established lighting standards and targets only unnecessary glare and skyward light. On the school bill, an open-shop contractor group opposed the measure, arguing its PLA and apprenticeship requirements would restrict bidding and reduce competition, while labor organizations strongly supported the workforce standards and prevailing wage provisions. No votes were taken during the hearing. The committee heard extensive testimony and several members asked clarifying questions, but the transcript does not show any final action or disposition on the bills.
CA
Transcript Highlights:
  • Clean Air Act, Clean Water Act. We've come a long way since the '60s. There's a parallel here.
  • Clean vehicle companies alone employ over 72,000 Californians.
  • Sophia Afakoa with the Coalition for Clean Air in support.
  • Sophia Afakoa with the Coalition for Clean Air in support.
  • Clean air, we have heard that there have been members of U.S.
Summary: The committee heard several bills, beginning with AB 1938, which would create a voluntary process for local governments to designate California surf reserves through the Ocean Protection Council. The author and supporters, including Save the Waves Coalition, the League of California Cities, and the California State Association of Counties, argued the bill would recognize surf breaks as important natural and economic assets. The bill received a due pass recommendation to Appropriations and passed on a roll call vote, with the measure left on call. The committee also approved the consent calendar, which included AB 1699, AB 1780, AB 1891, AB 1893, and AB 2566. The committee then took up AB 2051, which would convene a coastal resilience permitting working group to develop a roadmap for streamlining permits for coastal resilience projects. The author and supporters from the Bay Area Council, Port of San Francisco, and others said the bill would reduce duplicative permitting delays while preserving environmental protections. One member raised concerns about giving too much authority to the Coastal Commission, but the bill still received a due pass recommendation to Water, Parks and Wildlife and passed on a roll call vote. AB 2494, dealing with the management of demonstration state forests, drew substantial debate. The author said the bill would update outdated 1947-era management goals to emphasize biodiversity, carbon sequestration, wildfire resilience, recreation, research, and tribal co-governance, with strong support from Mendocino County, tribal representatives, and environmental groups. Opponents from the Farm Bureau, California Forestry Association, and others argued it would shift the forests away from sustainable timber production, create funding instability, and invite litigation. After extensive questioning about forest science, old growth, funding, and tribal co-management, the bill received a due pass recommendation to Appropriations and passed on a roll call vote. The committee also approved AB 2483, which would create a permanent certification pathway for formerly incarcerated firefighters who served on Cal Fire hand crews. Supporters said the bill would recognize their training and improve job prospects after release, and it passed unanimously to Public Safety. Finally, AB 1777, the California Clean Skies Act, was heard; it would affirm CARB’s authority to adopt indirect source rules to address pollution from vehicle-heavy facilities such as warehouses and ports. Environmental, health, and labor supporters backed the bill as a tool to protect public health, while trucking, business, port, and industry groups opposed it as costly and overly broad. The bill remained under discussion at the end of the transcript, with members debating whether it clarified existing authority or created new regulatory power.
CA

California 2025-2026 Regular Session

Assembly Natural Resources Committee Mar 23rd, 2026

Natural Resources

Transcript Highlights:
  • Clean Air Act, Clean Water Act. We've come a long way since the 60s. There's a parallel here.
  • Clean vehicle companies alone employ over 72,000 Californians.
  • Sophia Afakoa with the Coalition for Clean Air in support.
  • Sophia Afakoa with the Coalition for Clean Air in support.
  • Sophia Afakoa with the Coalition for Clean Air in support.
Keywords: 988, house, all
WA

Washington 2025-2026 Regular Session

House Environment & Energy Jan 22nd, 2026 at 08:00 am

Environment & Energy

Transcript Highlights:
  • As I mentioned, Ecology is the agency that enforces Clean Water Act violations.
  • As I mentioned, Ecology is the agency that enforces Clean Water Act violations.
  • The bill establishes new clean energy requirements for new and expanded ELUFs.
  • And we can stay on track with our clean energy goals.
  • , water, and clean air.
CA
Transcript Highlights:
  • General Funded Program, the Clean California Program.
  • Clean California Community Designation Initiative.
  • the streets clean.
  • Again, it's because of the successes with Clean California.
  • Clean California provided $400 million for local agencies.
Keywords: 988, house, all
WA

Washington 2025-2026 Regular Session

House Civil Rights & Judiciary Feb 24th, 2026 at 10:30 am

Civil Rights & Judiciary

Transcript Highlights:
  • There are requirements for presenting a claim under current law.
  • In order to file an actionable claim, the claimant must make certain factual assertions in that claim
  • Moving on to the next area of revisions, the Attorney General evaluates claims.
  • meets the criteria for submitting a claim.
  • Because if somebody has both a civil claim and a WCPA claim, under the civil case, they will get some—the
ID

Idaho 2026 Regular Session

Agenda Mar 17th, 2026

Revenue and Taxation

Transcript Highlights:
  • , the tax credit that you want to receive... ...actually prove that the exemption that you want to claim
  • the current year with the address that matches the primary address for which you are attempting to claim
  • an exemption, if you've claimed an exemption, is the address that's used.
  • address in question that you were submitting as a part of your application was one that you were claiming
  • When an individual submits their claim for the exemption, they're attesting to the fact that they don't
Keywords: 989, all
TX

Texas 89th 2nd C.S.

Insurance Mar 19th, 2025

Insurance

Transcript Highlights:
  • One, with regard to the all payer claims database, uh, we are excited directionally this bill aligns
  • It's not only information that's included the claims data that's in the APCD they're allowed to pull
  • Well, no, I mean, the whole purpose of the all-payer claims database was to help inform you and so what
  • To, to employers because they could, they would not have to, uh, pay claims within 45 days.
  • So then maybe even the claims database that we're already paying for that would already included all
Bills: HB138
CA
Transcript Highlights:
  • We have switched over to sustainable fuel because the governor and we believe in clean air and clean
  • Just as there's no money for the clean vehicles, Clean Cars for All.
  • Bill McGowan with the Coalition for Clean Air.
  • Continued investment in clean cars is critical in protecting our clean air, infrastructure, and public
  • Continued investment in clean cars is critical in protecting our clean air, infrastructure, and public
Summary: The subcommittee heard extensive testimony on the governor’s proposed sustainable aviation fuel (SAF) tax credit, which would provide a $1 to $2 per gallon credit against the diesel excise tax for SAF sold for use in California from 2026 to 2036. The Department of Finance and CARB argued the proposal would help decarbonize aviation, support a long-term transition in the fuel sector, and encourage in-state investment and jobs. The Legislative Analyst’s Office and several outside witnesses recommended rejecting the proposal, saying it is a relatively expensive way to reduce greenhouse gases, could have uncertain or limited net climate benefits, and may shift limited feedstocks away from renewable diesel rather than create additional fuel supply. A major point of debate was whether the credit would mainly benefit California refineries and workers or instead subsidize out-of-state producers while reducing revenue for transportation programs. Supporters, including union members, refinery workers, airlines, Boeing, and airport representatives, said SAF is one of the few viable near-term options for aviation, that California should keep fuel production and jobs in-state, and that the credit would help maintain refinery operations and support the industry’s transition. Opponents, including the LAO, trucking and fuels groups, environmental organizations, and county/road advocates, warned that the proposal could raise gasoline and diesel prices, reduce diesel excise tax revenue for highways and local streets and roads, and provide limited climate benefit compared with other uses of state funds. Some members also raised concerns about feedstock availability, food-system impacts, and whether the policy should be more narrowly targeted if the goal is to support a specific refinery. No vote was taken. The chair stated at the outset that all items on the agenda were being held open for a future hearing, and public comment was taken after the first item because of the level of interest. The hearing then continued with public testimony, which was split between strong support from labor and industry and strong opposition from environmental, transportation, and local government groups.
CA

California 2025-2026 Regular Session

Senate Energy, Utilities And Communications Committee Apr 7th, 2026

Energy, Utilities and Communications

Transcript Highlights:
  • I'm CEO of Clean Power Alliance. Thank you for having me. My name is Ted Bardacki.
  • I'm CEO of Clean Power Alliance.
  • Alicia Priag, on behalf of San Jose Clean Energy, in strong support.
  • Mark Fenstermaker for Peninsula Clean Energy and Valley Clean Energy, in strong support.
  • This morning I'm presenting SB 913, the Clean Local Power Act.
Keywords: 987, senate, all
MA

Massachusetts 2025-2026 Regular Session

Senate Committee on Climate Change and Global Warming Jun 21st, 2026 at 10:00 am

Senate Committee on Climate Change and Global Warming

Transcript Highlights:
  • Despite the clean benefits of solar for energy affordability, system reliability, air quality, and reducing
  • energy in a clean energy economy.
  • energy in a clean energy economy.
  • Despite our sometimes bleak winter days, and a clean energy economy.
  • Our mission is to reduce the soft costs of the clean energy transition so that clean energy is more affordable
Keywords: 995, all
Summary: The hearing focused on ways Massachusetts can accelerate solar deployment, lower costs, and preserve reliability as electricity demand rises and federal support for solar and other renewables changes. Chair Creem opened by emphasizing solar’s role in meeting climate mandates and peak demand, citing June heat-wave data showing behind-the-meter solar reduced wholesale prices and saved ratepayers money. Commissioner Elizabeth Mahoney of DOER said Massachusetts has grown from 3 MW of solar in 2008 to 3.5 GW today, highlighted SMART 3.0 as a flexible, evergreen incentive program, and said DOER is working on updated rates, interconnection reforms, flexible interconnection, net crediting, and a petition to the DPU to speed implementation. She also said Massachusetts joined the lawsuit over canceled federal Solar for All funding. Committee members and witnesses discussed several policy changes to speed projects before federal tax credits expire, including automated permitting, remote inspections, faster interconnection, and changes to caps on municipal and regional solar development. Senator Barrett pressed Mahoney on whether the 10 MW municipal cap and regional caps should be lifted, and on whether the state should increase its solar tax credit to offset the loss of the federal residential credit. Mahoney said the municipal cap should be revisited and that interconnection cost allocation and other market issues need to be worked out before lifting broader caps. She also said DOER is open to automated permitting and is already developing a permitting portal under the 2024 climate law. Industry and advocacy witnesses largely supported streamlining measures. Sunrun’s Bronte Payne urged removal of a proposed requirement that all net-metered facilities enroll in SMART, and recommended automated permitting, remote inspections, flexible interconnection, better hosting-capacity information, consumer protections, and continued support for Connected Solutions and virtual power plants. Permit Power’s Hannah Bernbaum and Solar App’s Matthew McAllister argued that smart permitting and remote inspections can significantly reduce soft costs and delays, with McAllister saying Solar App now operates in over 320 jurisdictions and saves about three weeks on average. They said remote inspections are already common and can be done safely with photos, video, and qualified third parties. Community solar and clean energy advocates, including CCSA’s Kate Daniel and Vote Solar’s Lindsay Griffin, supported a 10 GW solar target by 2035, a higher refundable state tax credit for low-income households, interconnection reforms, flexible interconnection, and preserving the option to build outside SMART so projects can retain renewable energy certificates. No votes were taken; the hearing was informational, and members requested follow-up materials and draft language from witnesses.
CA
Transcript Highlights:
  • Madam Chair, members, John White with CERT and the Clean Power Campaign.
  • I think this is really important to meet our clean energy goals.
  • energy investments needed to clean up our industrial facilities.
  • Coalition, Clean Power Campaign, Climate Ready Project, Silicon Valley, Coalition for Clean Air, Northern
  • Coalition, Clean Power Campaign, Climate Ready Project, Silicon Valley, Coalition for Clean Air, Northern
Summary: The Assembly Committee on Utilities and Energy heard several bills focused on grid reliability, affordability, clean energy infrastructure, and industrial decarbonization. AB 222, by Assemblymember Bauer-Kahan, would require more data reporting on data centers and aim to prevent ratepayers from bearing related grid costs; supporters said better information is needed to plan for rapidly growing electricity demand from AI and data centers, while opponents warned about privacy, security, trade-secret, and cost-shifting concerns. The bill passed the committee on a 13-4 vote, with the roll left open for absent members. AB 941, by Assemblymember Bonta, would impose a 270-day timeline for CPUC review of priority transmission projects to speed clean-energy infrastructure buildout. Supporters argued that transmission delays are slowing California’s climate goals and raising costs, while opponents raised concerns about CEQA process, staffing, and prioritization. The bill passed 15-0. AB 1191, by Assemblymember Tangipa, would make existing large hydroelectric facilities eligible for the Renewable Portfolio Standard; supporters framed it as a way to lower rates and ease affordability pressures, while opponents said it would undermine the purpose of the RPS by substituting existing resources for new renewable development. That bill failed on a 4-11 vote. AB 1280, by Assemblymember Garcia, would expand state grant programs to support thermal energy storage projects for industrial decarbonization. Supporters said it would help modernize manufacturing, cut pollution in disadvantaged communities, and preserve jobs, with broad support from environmental and clean manufacturing groups and no opposition testimony. The bill passed 17-0. AB 1117, by Assemblymember Schultz, would require the CPUC to offer optional dynamic electricity rate tariffs for customers to shift usage away from peak periods; supporters said it could lower bills and improve grid efficiency, while utilities said they were not opposed to the concept but wanted more flexibility and time in the regulatory process. That bill passed 14-0. The committee also approved its consent calendar and other noncontroversial items, with several measures moving forward unanimously.
LA
Transcript Highlights:
  • They moved their average medical cost per claim down from $7,700 to $3,100.
  • 42 days. ...claim in Ohio before ODG, and now they lose 42 days.
  • And the claims cost down from 7,700 to 3,100 per claim. That's huge. And that's pretty broad.
  • per claim in the rest, if you look at the national average.
  • That lay, deletting. to do the claims, when something's not in the schedule.
Summary: The House Labor and Industrial Relations Committee met on May 7, 2026, and first deferred several measures, including House Bill 460, Senate Bill 322, Senate Bill 32, Senate Bill 22, and House Bill 561. The committee then took up House Bill 819 by Chairman Cruz, which would replace Louisiana’s current workers’ compensation medical treatment schedule with the Official Disability Guidelines (ODG) by MCG as the primary guideline, while keeping the existing variance and appeal process. Cruz and MCG representative Troy Prevo argued that ODG is more comprehensive, updated more frequently, and used in many states, and said it could reduce delays, disability duration, and costs. Dr. Jason Picard, the state medical director, testified that Louisiana already uses ODG as a secondary reference in many cases because the state schedule lacks coverage for some body parts and treatments, and said the bill would not otherwise change the appeals process or care delivery. Committee members focused heavily on whether the bill would delay care or improve it. Several members questioned the private-company nature of ODG, the $400 annual subscription cost, and whether Louisiana doctors would be forced to rely on an out-of-state guideline. Rep. Glorioso and others raised concerns about preauthorization delays and proposed amendments to create tacit approval when treatment follows the schedule, require payment within 30 days, and make the carrier prove by clear and convincing evidence that care was not medically necessary to challenge it. Chairman Cruz said he was willing to work with those ideas, and the committee also discussed adding an on-ramp or legacy language so current patients would not be disrupted. Opposition testimony came from injured-worker advocates and representatives of medical and labor groups, including Joseph Jola St. and Robin Krumholt. They argued that Louisiana’s current guidelines are already working, that rates have fallen over time, and that the real problem is delay in approval rather than the content of the schedule. They said ODG is overly rigid, cost-driven, and can lead to denials that shift costs to workers, Medicaid, or private health insurance. They urged the committee to keep Louisiana’s existing system and instead adopt tacit approval under current law. The bill was still under discussion at the close of the transcript, with amendments being read and no final vote shown.
CA
Transcript Highlights:
  • This year, I'm happy to again share continued progress on clean energy development.
  • So last July, we're running, you know, it's six and a half hours at 100% clean.
  • Why are we continuing to work to build California's clean energy future?
  • Madam Chair and members, Jim Wood, representing Golden State Clean Energy.
  • Energy and Marin Clean Energy.
Summary: The Assembly Committee on Utilities and Energy held an oversight hearing with leaders from the CPUC, Public Advocates Office, CAISO, the Office of Energy Infrastructure Safety, and the Energy Commission. Chair Petrie-Norris framed the hearing around high utility bills, wildfire risk, grid reliability, clean energy buildout, and the state’s long-term decarbonization goals, and also noted it was CPUC President Alice Reynolds’ final week at the commission. Each agency gave an update on its role: the CPUC described efforts to reduce rate increases while maintaining reliability and clean energy procurement; the Public Advocates Office focused on affordability and the need to control underlying utility costs; CAISO discussed transmission planning, market operations, and the upcoming extended day-ahead market; Energy Safety reviewed wildfire mitigation oversight and inspections; and the Energy Commission highlighted clean energy growth, EV adoption, storage, efficiency, and gasoline price monitoring. A major theme was affordability versus the costs of the clean energy transition. Reynolds said the CPUC has lowered utility revenue requests, reduced utility returns, adopted a base services charge, and reworked net metering, while also continuing to manage wildfire-related costs and support resource adequacy and demand flexibility. Sarazawa argued that recent rate decreases may not be durable because billions of dollars in wildfire and other utility costs are still pending or unbilled, and she urged tighter use of general rate cases, lower-cost financing, program reform, and more equitable rate design. Members pressed the agencies on whether state policy is sufficiently accounting for labor, local economic development, and the cost impacts of transmission and procurement decisions, especially where out-of-state resources are being considered. CAISO and the Energy Commission emphasized that the state’s planning and market reforms are helping lower costs and improve reliability. CAISO said the Western Energy Imbalance Market has produced billions in benefits, the extended day-ahead market is on track to launch, and transmission planning is being aligned with long-term resource needs while reducing queue delays. The Energy Commission said California is now getting roughly two-thirds of its power from clean sources, has added massive amounts of storage and renewables, and is seeing strong EV and charger growth that can help spread fixed grid costs. Energy Safety reported thousands of inspections, hundreds of notices of non-performance, and a decline in reportable ignitions, while noting that major fires show more work is needed. Members also raised concerns about the SB 100 report delay, memo and balancing accounts, the future of battery storage, and whether decarbonization zone pilots will affect residential and commercial customers.
NH
Transcript Highlights:
  • , so they're recouping it from future claims to that provider, reducing their claims to that provider
  • </c> it from future claims to that provider. it from future claims to that provider.
  • claims rather from are [snorts] claims rather from recipients<01:32:07.600><c> rather</c><01:32:08.000
  • </c><01:32:21.040><c> established,</c> in the 611 that's claims established, in the 611 that's claims
  • </c> claims. Okay. claims. Okay.
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.