Transcript Highlights:

• We all know what Medicaid is in general terms, but it is a massive program.
• It's a massive program within our state government.
• It's all over the state, so it's a vitally important program that we have.
• </c><00:12:47.880><c> and</c> looking to go into these programs and looking to go into these programs
• </c><00:15:33.199><c> are</c> state and how those programs are state and how those programs are implemented

Keywords: Meeting start 00:00:00 Roll Call 00:00:15 HB 537 Discussion 00:01:30 HB 537 Vote 00:05:15 HB 695 Discussion 00:07:00 HB 695 Vote 00:23:15 HJR 31 Discussion 00:27:40 HJR 31 Vote 00:29:55, 958, all

Summary: The committee first took up House Bill 537, as amended by PHS 1, which was described as a technical measure needed to ensure Kentucky can receive opioid settlement funds despite changes in bankruptcy court orders. The sponsor and Attorney General’s office explained that the bill does not change the settlement formula or substantive terms, but adjusts the mechanism for receiving the money. After brief discussion, the committee adopted PHS 1 and then passed HB 537 out favorably on a 17-0 vote, with one member recording attendance after arriving late. The committee then considered House Bill 695, also amended by PHS 1, a Medicaid stabilization bill. The sponsor said the measure is intended to hold the program steady while the legislature gathers more information and awaits work by a future Medicaid Oversight and Advisory Board. The bill would limit new waivers, state plan amendments, and coverage expansions; require reporting and record retention; create a Kentucky Medicaid Pharmaceutical Rebate Fund; direct certain behavioral health and managed care changes; and include an emergency clause. Members raised questions about the rebate fund, work requirements, and whether the bill could affect coverage or funding, while supporters emphasized transparency, data collection, and preventing new expansions until oversight is in place. Several members spoke in favor of the bill’s goals but expressed caution about micromanaging a complex program and about possible unintended consequences for beneficiaries. Representative Fleming stressed the need for stronger oversight and noted the potential fiscal impact of federal Medicaid changes. Representative Stevenson voted pass, saying the committee should let the new oversight board handle the issue, and Representative Gentry also passed, citing concern about overreach and the burden of data collection. The committee ultimately reported HB 695 favorably on a 16-1 vote with three pass votes. Afterward, members recorded additional yes votes on HB 537 for the record.

Transcript Highlights:

• </c> vendor to manage the statewide program. vendor to manage the statewide program.
• . program. program.
• </c> program 3 years. program 3 years.
• </c> this program. this program.
• </c> in the name of program integrity." in the name of program integrity."

Committee: Senate Human Services

Keywords: 1187, senate, all

Transcript Highlights:

• Haas—when you talk about the maintenance program, When you talk about the maintenance program that a
• Programs.
• We piloted a program, and that program actually became official through policy on March 23, 2016.
• That $50 million program was through the Flood Mitigation Assistance Program that FEMA has.
• was funded through the FMA program, which is a program that still exists within FEMA's programs.

Committee: Joint Water Topics Overview Committee

Summary: The Water Topics Overview Committee met with a quorum and heard updates from Department of Water Resources Director Reese Haas and Lieutenant Governor/State Water Commission Chair Michelle Strinden on statewide water funding, major projects, and two legislative studies requested in House Bill 1020. Haas reviewed the status of the Northwest Area Water Supply and Southwest Pipeline projects, noting NAWS construction is expected to move water by fall and Southwest’s Hebron-Rugby expansion phase one is in final design with bids expected next month. He also summarized the department’s budget outlook, including Resources Trust Fund and Water Project Stabilization Fund balances, the effect of oil price volatility and stripper well exemptions on revenues, and the status of project buckets, carryover, lines of credit, regionalization, bid trends, and administrative/process updates. Committee members asked about project prioritization, municipal funding demand, maintenance expectations, replacement versus deferred maintenance, and whether the 2025 session may have underfunded municipal water supply needs. Haas said the commission uses the same high/medium/low prioritization process across all buckets, reviews maintenance plans as part of policy, and is seeing strong demand in the municipal bucket. He also explained that the department’s 14-year projection is based on the next seven legislative sessions and that the state faces a projected $1.3 billion shortfall over that period if all planned projects are funded under current assumptions. Deloitte then presented draft findings from the cost-share policy study and the governance/finance study. For cost share, Deloitte said the model shows a roughly $1.3 billion shortfall over 14 years and about $1.8 billion through 2031 under current policy, and offered seven options including tighter eligibility for replacement projects, state funding caps for the Mouse River and Red River Valley projects, a priority-based cost-share scale, timing shifts, use of existing lines of credit, and delayed reimbursement timing. For governance, Deloitte outlined draft options for Southwest, NAWS, and Red River ranging from maintaining current structures with stronger planning to transferring ownership or adding formal oversight, and recommended broader use of performance metrics, long-term financial planning, and clearer decision trees. No votes or formal actions were taken; the commission discussed the scenarios and the studies will return in revised form later in the spring.

Transcript Highlights:

• There are many other programs.
• It says that yes, even if it's mentioned in 354, if there was a state program or a federal program that
• </c><01:13:13.679><c> that</c><01:13:13.920><c> we</c> program or a federal program that we program or
• So, this is usually—we don't talk about this program because Medicare is a federal program, but we have
• And it starts with savings program.

Committee: Senate Finance

Keywords: 1191, senate, all

Transcript Highlights:

• We doubled down on program integrity.
• One is around the PCA program and the other one is about EAEDC.
• And certainly the PCA program, the adult health and foster programs, are, um... ...by double digits.
• And certainly the PCA program, the adult health foster programs are, we're not immune to that.
• ...program already has these strict income eligibility limits.

Committee: Joint Joint Committee on Ways and Means

Summary: The hearing opened the FY27 budget process with remarks from the Senate and House Ways and Means chairs and testimony from Governor Healey and Administration and Finance Secretary Matthew Gorzkowicz. The chairs emphasized fiscal caution amid choppy revenue growth, rising health care and education costs, and federal uncertainty, while the governor framed House 2 as a $62.8 billion budget that grows spending by about 1% without new taxes or fees and aims to protect core services while advancing affordability. The administration said the budget uses efficiencies, program integrity, and Fair Share surtax revenue to support education, transportation, housing, child care, health care, and public safety, and it also filed a supplemental Fair Share bill using surplus FY25 funds. Much of the questioning focused on the federal “OB3” tax law and the administration’s separate proposal to delay or phase in certain corporate tax changes, especially research and experimental deductions, to avoid in-year budget shocks. Members also pressed the administration on Fair Share allocations, with the governor and secretary explaining that operating-budget surtax spending is weighted more toward education while supplemental spending is more transportation-focused, and that combined spending is roughly balanced overall. The administration highlighted Chapter 70 aid, special education circuit breaker funding, rural school aid, local aid, child care, the MBTA deficit, regional transit authorities, and a new HHS transportation line item as part of the broader transportation strategy. Several members raised concerns about Chapter 70 equity, rural districts, municipal overrides, out-migration, housing affordability, public housing repairs, and the MBTA Communities Act. The governor and secretary said they are open to further discussion on school funding formulas, PILOT, and municipal aid, and stressed housing production, energy affordability, and workforce development as key responses to out-migration. On energy, the governor defended an all-of-the-above approach, including renewables, gas, and exploration of nuclear, while saying she would continue pushing utilities and regulators to reduce ratepayer costs. The governor also said fire safety grants would not be withheld for noncompliance with the MBTA Communities Act, and members discussed public safety, housing, and local grant impacts in that context. Other topics included the Bright Act and higher education capital investments, with the administration saying it is preparing to support campus infrastructure across the public higher education system and that the bill is intended to strengthen Massachusetts’ competitiveness and retain graduates. Members also questioned cuts to the PCA program and EAEDC, and the governor responded that the state’s PCA program remains strong but is under pressure from large federal health care reductions. No votes were taken; the session was a hearing on the governor’s budget proposal and related policy bills, with the administration taking questions and offering explanations of its recommendations.

Transcript Highlights:

• Our safe at home program to place.
• We have created a program in month.
• We've discovered that these program.
• </c> government for additional programming government for additional programming have<00:18:05.840><c
• And we have our new beginning farmer program through the finance corporation. nutrition programs that

Keywords: Meeting Start 00:00:00 Attendance Roll Call 00:00:15 Office of the Secretary of State 00:01:59 Office of the Attorney General 00:12:40 Department of Agriculture 00:22:44, 958, all

Summary: The Budget Review Subcommittee on General Government, Finance, Personnel, and Public Retirement heard presentations from the Secretary of State, the Attorney General’s Office, and the Department of Agriculture. Secretary of State Michael Adams said his office had no major new budget or authority requests, but he updated members on voter-roll maintenance, ongoing litigation over a law preventing voting in multiple states, the Safe at Home program for domestic violence survivors, human trafficking outreach, reduced spending, and new anti-fraud measures for business registrations and electronic service of process. Members then discussed Adams’ remarks, especially his criticism of Kentuckians for the Commonwealth. One senator objected that the organization should not be shut out of the legislative process, citing First Amendment concerns. Adams responded that he was not seeking to ban anyone from speaking, but wanted lawmakers to remember the harm he believes the group’s litigation does to election integrity and bipartisan reform. Representative Jackson praised Adams and his staff for their work. Deputy Attorney General Rob Duncan outlined the office’s work, including criminal prosecutions, civil litigation, body armor grants, administrative hearings, domestic violence and violent crime initiatives, election security, child support services, and the new Office of Data Privacy. He said the child support program transition from CHFS had created budget shortfalls and that the office would seek additional funding next session. In response to questions from Representative Lockett, Duncan said he did not yet have exact cost figures but expected funding needs and noted barriers related to personnel, budgeting, and integration. The committee also heard from Agriculture Commissioner Jonathan Shell, who highlighted the Kentucky Office of Agricultural Policy’s 25th anniversary, the new Office of Economic Development, and the role of Miss Kentucky in promoting agriculture. He said the department would seek recruitment and retention funding, possible staffing for EV station inspections, and continued support to make the agriculture economic development fund permanent.

Transcript Highlights:

• for loose batteries to include medium-format batteries. ...responsibility program for loose batteries
• to additional extended the consumer-facing fee of the e-waste program to additional battery-embedded
• product, which means that they're not easily removable by 1215 program, if they're actually embedded
• more stewardship programs, stewardship organizations.
• Kyle Jones on behalf of the San Joaquin Valley Water Collaborative Action Program in support.

Committee: House Environmental Safety and Toxic Materials

Keywords: 988, house, all

Transcript Highlights:

• proposed rule 16.06.03; Docket 16.06.12, 25.1; and 24.13.01, rules governing the Idaho Child Care Program
• transfer limitations for the community hospitalization program, directing acquisitions, requiring a
• Benefit payments, providing requirements for program integrity, clarifying the responsibility for the
• Providing for Idaho drug-free youth oversight, providing exemptions from program transfer limitations
• , the HIV prevention and surveillance program, the hepatitis prevention and surveillance program, and

Keywords: 989, all

Transcript Highlights:

• ,</c><00:04:03.560><c> but</c> professional development programs, but professional development programs
• Like our kids teacher training programs.
• So, we are doing a lot within our teacher prep programs.
• And so, our teacher prep programs.
• </c><00:10:44.520><c> in</c> requiring our educator prep programs in requiring our educator prep programs

Keywords: 1183, house

Transcript Highlights:

• The programs will be put into place when this session ends.
• Our internal folks say that this was a great program.
• Whatever the program may be, I was just worried about the communication.
• This program is called that we have just entered into, called Restore.
• Maybe that could help programs like football programs. Go ahead.

Transcript Highlights:

• The NHA is charged with oversight of Medicaid, the Children's Health Insurance Program, public health
• Assembly Bill 6 establishes the Fetal Alcohol Spectrum Disorder Treatment Assistance Program within the
• Assembly Bill 6 creates this program to serve as the primary program within the department to provide
• Assembly Bill 6 establishes the fetal alcohol spectrum disorder treatment assistance program within the
• Assembly Bill 6 creates this program to serve as the primary program within the department to provide

Keywords: 909, all

Transcript Highlights:

• The program also addresses critical workforce development needs.
• It is a very important program for us to be able to consider and support.
• This bill relates to a small but very important program within the larger Medi-Cal program called the
• This program has helped me I've had some difficulties and some challenges.
• It's not just a program.

Summary: The Assembly Health Committee met on March 25, 2025, with Chair Mia Bonta presiding and initially operating as a subcommittee until quorum was established. The committee heard several health-related bills, including AB 73 on creating a Black Mental Health Navigator certification, AB 499 on lowering the state reimbursement trigger for the Robert F. Kennedy Farm Workers Medical Plan, AB 843 on aligning California health insurance language-access rules with federal standards, AB 257 on a specialty care network using telehealth and virtual services for Medi-Cal and underserved communities, AB 64 on allowing diacritical marks on vital records, AB 315 on the Home and Community-Based Alternatives waiver, and AB 40 on clarifying that emergency services include reproductive health services such as abortion. Testimony generally emphasized disparities in access, culturally competent care, language access, rural provider shortages, and the importance of preserving or expanding programs that help vulnerable populations. Supporters included authors, state and local health organizations, advocacy groups, and affected individuals. AB 73 was backed as a way to address stigma, mistrust, and culturally competent mental health access for Black Californians. AB 499 was described as helping keep a self-insured farmworker health plan operational while maintaining a low-cost, labor-management model. AB 843 was supported as a way to prevent children and families from having to translate sensitive medical and insurance information and to protect limited-English-proficient Californians. AB 257 drew support as a demonstration project to improve specialty care access through California-based clinicians and virtual care, with examples of reduced wait times and costs. AB 64 received emotional testimony from the author, a child and his family, and others about the importance of accurately recording names with accents and other marks. AB 315 was presented as a cost-neutral or cost-saving way to expand home- and community-based care for medically fragile people, with strong support from disability, health, and provider groups. AB 40 drew support from reproductive health and medical organizations, while one opposition witness argued it could conflict with emergency care standards and overburden emergency departments. The committee took roll-call votes and advanced AB 499, AB 73, AB 843, AB 257, AB 64, AB 315, and AB 40 to Appropriations, with AB 40 receiving some no votes. The committee also adopted its 2025-26 rules and approved a consent calendar that included AB 225, AB 304, AB 403, AB 688, and AB 951. Several measures were initially placed on call and later lifted and recorded as passing out of committee before adjournment.

Transcript Highlights:

• We're at the center of the human space flight program here in this country.
• So we're full steam ahead on our Mars program, too.
• Most of our toolkit can support... ...take advantage of several programs.
• We have our accelerator programs.
• And I'm excited about this program and what it offers for the state and for the industry.

Committee: Senate Military and Veterans Affairs, Space, and Domestic Security

Summary: The committee met to hear presentations on Florida’s space economy and related infrastructure. SpaceX Vice President Kiko Donchev described the company’s Florida operations, launch cadence, reusable rocket program, Starlink service, and plans for future Starship activity at the Cape. Senators asked about Florida employment, expansion plans, satellite lifetimes, disaster-relief uses of Starlink, and recreational connectivity; members also praised SpaceX’s hurricane response and broader public benefits. Donchev said SpaceX’s Florida workforce has grown to about 1,600 and that the company hopes to add Starship pads and continue expanding in the state. The committee then recognized Commander Dennis Baker for his military service and veteran advocacy, including his leadership of the Florida Veterans Foundation, grant work, the Walk of Honor, and the Gadsden Flag license plate program. Members highlighted that revenue from the plate helps fund veterans’ dental care and noted upcoming dental services for veterans in Volusia County. Baker received a flag flown over the Capitol and a framed gubernatorial proclamation. Newview CEO Clint Grumman presented the company’s commercial satellite LiDAR mapping system, describing its Lake Nona headquarters, Florida ownership, planned jobs, and applications for infrastructure planning, environmental monitoring, and disaster response. He said the company’s satellite data could improve accuracy and lower costs, and noted partnerships including a Department of Defense contract and a European Space Agency moon-mapping effort. Space Florida then outlined its role as the state’s aerospace finance and business development authority, emphasizing its pipeline of projects, spaceport improvement program, workforce academy, and efforts to address infrastructure constraints and seek tax-exempt bond authority for spaceports. NASA’s Kelvin Manning closed with an update on Kennedy Space Center, highlighting Artemis progress, rising launch demand, commercial partnerships, economic impact, and the Florida University Space Research Consortium. No bills were voted on, and the meeting adjourned after comments from members.

Transcript Highlights:

• NSF had big programs around semiconductors with their NSF Engines program.
• </c><00:55:23.000><c> serves</c> programs each year the program serves programs each year the program
• </c> are a number of different programs are a number of different programs receiving<00:56:43.880><c>
• programming, and so forth.
• c> forth</c> arts program programming and so forth arts program programming and so forth there<01:35:

Committee: House Higher Education Finance and Policy

Keywords: 1183, house

Transcript Highlights:

• And it's really encouraging them to expand our program and expand the reach of our program.
• For our infrastructure state revolving fund program? Yes, thank you.
• So this is specific to our infrastructure state revolving fund program.
• And so we're not, right now, running out of money in that program.
• in their programs.

Summary: The Senate Rules Committee met to consider several routine agenda items and a gubernatorial appointment. The committee first approved appointments not required to appear, including Gina Castro Rodriguez to the Board of State and Community Corrections, Richard Stein to the California Arts Council, and Nicholas Hardiman to the California Housing Finance Agency Board of Directors. Members also approved references to bills and committees, committee and subcommittee appointments, joint committee appointments, and floor acknowledgments. Two rule waiver requests by Senators Perez and Padilla to suspend SR 22.5 for additional bill introductions were discussed and ultimately approved on a divided vote. The committee then heard testimony from Andy Nakahata, nominated to serve as executive director of the California Infrastructure and Economic Development Bank (IBank). Nakahata described his background in finance and infrastructure lending and said he would focus on stewardship, expanding access to IBank programs, and supporting small businesses and infrastructure projects statewide. Senators questioned him about geographic equity in lending, outreach to underserved counties, creditworthiness standards, the Transportation Infrastructure Accelerator, and whether IBank could better reach municipalities and health care providers. Nakahata said IBank tracks lending by county, works through financial development corporations, municipal advisors, and other networks, and can adjust loan sizes or partner with other funding sources when projects are not fully creditworthy. Public witnesses spoke in support of Nakahata, citing his expertise and leadership in public finance. No opposition testimony was presented. The committee then voted unanimously to move Nakahata’s nomination to the full Senate for confirmation. Afterward, the committee re-ran the earlier votes for the record, confirming the appointments and other agenda items, and then adjourned the public portion of the meeting to enter executive session.

Transcript Highlights:

• in the RMI program.
• But the program is stuck in the '80s in one key way: its funding structure.
• Our only path to securing the care he needed was through this program.
• That's the first line of defense to keep this program solvent.
• That's the second line of defense in this program.

Summary: The committee met with a quorum and heard four bills. HB 1311, relating to legal tender, ratified DFS/OFR rules to implement last year’s gold-and-silver legal tender law, repealed a prior repeal provision, and clarified the definition of custodian for electronically transferable gold and silver. The sponsor said the bill was a technical follow-up to ensure the law could take effect; members asked about the need for the bill, consumer awareness, and banking industry input. A technical amendment was adopted, and the bill passed favorably. HB 1343 would create an optional high school elective on property and casualty insurance that could satisfy pre-licensure education for a 440 insurance license after graduation. The sponsor said it would help students enter the insurance workforce or gain consumer literacy. An amendment directing DOE and DFS to develop the curriculum was adopted. Testimony from insurance groups and others supported the bill, and members spoke in favor of the workforce benefits. The bill passed favorably. HB 1291 addressed the Florida Birth-Related Neurological Injury Compensation Association (NICA), aiming to strengthen its long-term solvency by creating clearer triggers for funding remedies and expanding covered services. Public testimony focused heavily on families affected by birth injuries, with a parent and NICA board member describing the lifelong care needs of medically fragile children and the importance of stable funding. Members expressed sympathy and support, and the sponsor said the bill increases access to reserve funds, authorizes casualty insurer assessments, and preserves benefits. The bill passed favorably. HB 271 would cap bail bond rates at 6.5 percent for foreign and alien bail bond insurers as well as domestic insurers, to create a more even competitive and tax treatment across carriers. The sponsor explained that out-of-state corporations had an advantage under current reporting and premium rules. There was no public testimony or debate, and the bill passed favorably. The committee then adjourned.

Transcript Highlights:

• This is based off of a program that was used in Utah.
• I don't necessarily agree, but it was made about a 12-step program, self-help program versus a faith-based
• program.
• They like their programs. The co-ops like their programs.
• school program.

Committee: All JBC-SPECIAL LANGUAGE

Keywords: 1204, all

Transcript Highlights:

• </c> reinsurance program. reinsurance program.
• ,</c><00:35:11.520><c> um</c> way that we operate the program, um way that we operate the program, um
• </c><00:35:18.280><c> is</c> fundamentals of the way the program is fundamentals of the way the program
• So, we can seek a waiver without authorization for the program if the program doesn't go through or if
• </c><00:47:52.600><c> as</c> be a little weedy, but the program as be a little weedy, but the program

Keywords: 918, senate, all

Summary: The committee met to walk through nonpartisan side-by-side comparisons of House File 4188, focusing on differences between House and Senate language across consumer protection, insurance, financial services, health, and technical provisions. Staff highlighted numerous Senate-only items, including rules for financial providers communicating through trusted contacts, virtual currency requirements for banks and credit unions, a prohibition on virtual currency kiosks beginning in 2026, mortgage servicing and student loan servicing changes, the Rental Home Marketplace Guarantees Act, insurance and travel-related provisions, scrap metal licensing changes, protections related to minors accessing chatbots and AI companions, and several technical or conforming repealers. Staff also noted that some provisions were identical or substantially similar between the chambers, including mortgage originator standards, student loan borrower protections, securities-related changes, unclaimed property provisions, and technical updates in the bill’s miscellaneous articles. The Senate-only health-related articles were also summarized, including repeal of the prescription drug affordability advisory council, technical changes to the reinsurance program, and a series of health insurance provisions on enrollment-growth notices, limits on officer and director salary increases under certain capital conditions, guaranteed issue rights for certain Medicare supplement enrollees, data-sharing between Commerce and Health, restrictions on using artificial intelligence alone to deny claims, reimbursement for clinical trainees, home care nursing coverage, and PBM transparency. The Senate’s telecommunications article was described as largely technical and conforming, with repeals of obsolete statutes. Staff also noted that some standalone bills had already passed and would be removed from the comparison report. Public testimony followed. Thomas Elness of AARP Minnesota supported inclusion of the cryptocurrency kiosk bill, expressed support for guaranteed issue protections for a narrow group of consumers affected by discontinued plans, and urged adoption of changes to the consumer protection restitution account, including raising the cap to $10 million per fiscal year. Representative Lee testified that the restitution account proposal should be treated as policy rather than finance because it has a zero fiscal note, and said the House would accept the Senate’s $10 million cap. Robin Rowan, representing the Minnesota Insurance and Financial Services Council and the U.S. Travel Insurance Association, urged adoption of Senate travel insurance language, requested a House-style change to lead-generation recordkeeping language, and supported a Senate provision allowing employers and insurers to coordinate notice to employees when group policies are cancelled. The Department of Commerce then responded to questions, explaining that the prescription drug affordability council would be sunset because the board already has other avenues for public input, that the reinsurance changes were technical and did not alter the prior agreement, and that the abandoned cryptocurrency provisions rely on statutory definitions of inactivity and known examples such as keys stored in safes or deposit boxes.

Transcript Highlights:

• A shuttered housing program where fraud was so bad the program couldn't be saved.
• so bad the program where fraud was so bad the program<00:00:39.680><c> couldn't</c><00:00:39.920><c>
• </c><00:00:40.879><c> reports</c><00:00:41.280><c> of</c> program couldn't be saved. reports of program
• And basic program integrity measures.
• </c> their welfare programs. their welfare programs.

Keywords: 918, senate, all

Summary: Senate Republican leaders held a press event to roll out a package of anti-fraud proposals focused on state welfare and human services programs. Mark Johnson opened by citing recent fraud scandals, including a shuttered housing program and reports of vulnerable adults being left without care while providers billed for full services, and said Republicans want top-down reform, stronger accountability, new technology, and tighter oversight of taxpayer dollars. Michael Kreun said Republicans support an independent Office of Inspector General and argued the Senate-passed bill should not be weakened in the House; he also said the Senate should restore its role in confirming agency commissioners, especially at DHS, which he described as central to the fraud problem. Jordan Rasmusson outlined a plan to stop “blank checks” for DHS and DCYF services by requiring legislative audit review when a program exceeds budget by 5 percent and legislative approval for additional spending at 10 percent over budget. He also said DHS should adopt basic integrity tools such as electronic visit verification and client sign-off. Steve Drazkowski described two bills: a statewide “do-not-pay” list to block payments to ineligible people or entities, and an “I’m Not a Robot” proposal for Medicaid managed care that would require enrollee verification forms, with a 2 percent payment withhold used to encourage compliance and potentially fund county system upgrades. Mark Krueger said the state should improve technology and data use for eligibility determinations, citing other states’ rapid fraud-fighting systems, and proposed penalties for false reporting to the Legislative Auditor after a DHS audit found falsified site-visit records. Steve Gruenhagen said his bill would require DHS and DCYF to resume annual fraud-prevention and oversight reports to the legislature, which he said had stopped after 2017 despite rising fraud cases. Michael Holmstrom proposed unannounced site visits for all DHS and DCYF providers before enrollment, reenrollment, and revalidation, funded through provider service fees, and cited a recent case involving a woman with autism who was billed for far more care than she received. In the Q&A, Kreun said House Democrats’ delete-everything amendment to the inspector general bill removed the law enforcement division and stripped the bill of its “teeth,” and he suggested the governor’s office may have been involved in efforts to replace the bill with a weaker coordination council model. No votes were taken in the press conference.

Transcript Highlights:

• ,</c> And finally, with the doorway program, And finally, with the doorway program, we're<00:04:05.200
• So I think I'm the different programs.
• </c><00:10:00.240><c> work</c> in and explain how those programs work in and explain how those programs
• </c> program audit. program audit.
• . program. program.

Keywords: 928, house, all

Summary: The Legislative Performance Audit and Oversight Committee met to accept prior minutes and receive updates on ongoing audits. Audit staff reported progress on three education-related reviews: special education (34 of 71 observations completed, draft expected in the second quarter and final in the summer), education freedom accounts (22 of 41 observations completed, draft expected in the second quarter and final in the summer), and the doorway program (5 of 13 observations completed, draft expected by the end of February and final by April or May). No committee questions were raised on the audit status update. The committee then discussed possible future oversight topics, beginning with SNAP and concerns about fraud and work requirements. Members suggested inviting DHS officials and contract administrators to explain program operations and compliance, and also discussed whether the Department of Justice Medicaid fraud unit or other experienced officials could provide useful context. Members noted New Hampshire’s existing oversight layers, including the Executive Council and the joint HHS oversight committee, while also expressing interest in hearing more directly from department staff about staffing and contract management capacity. A substantial portion of the meeting focused on whether to pursue an audit of special education at the local school level. Members debated whether to wait for the ongoing statewide special education review and a legislative study commission report, or to begin scoping a local audit now so work could start sooner. Supporters argued that local-level spending, identification rates, and effectiveness vary widely by district and that an audit should examine both costs and outcomes; others cautioned that the scope would need to be manageable given limited audit staff and that the statewide report may help narrow the focus. The committee also briefly discussed a potential audit of the Bureau of Elderly and Adult Services, but no decision was made on that item.