Video & Transcript Research : 'auditing'

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FL

Florida 2025 Regular Session

March 20, 2025 - 08:30 AM

Transcript Highlights:
  • again, in lines 341 through 345, is giving the Commissioner of Government Efficiency the power to audit
  • the opportunity to elect a sole representative whose single charge is to investigate, to report, to audit
  • General, who is independent and reports to the legislature directly through the Joint Legislative Audit
  • The point, though, is that the Auditor General is audit- or issue-specific.
  • We need people who have an auditing background.
Summary: The committee heard and approved several measures. HB 735 expanded Florida’s boating improvement program to fund parking for boat trailers at public ramps and offered a 10% sovereign submerged land lease discount for manufacturers using environmental best management practices; it passed unanimously. HB 4021 expanded the North River Ranch Improvement Stewardship District in Manatee County by 640 acres and was reported favorably. CS for HB 371, which promotes nature-based methods and green/gray infrastructure for coastal resilience, also passed unanimously after supportive testimony from resilience and environmental groups and committee members. The committee then took up HJR 1325, a proposed constitutional amendment to create an elected Commissioner of Government Efficiency (COGE) with authority to audit, investigate, and report on waste, fraud, and abuse in state and local government. The proposal would eliminate the lieutenant governor position, the Government Efficiency Task Force, and the legislature’s current auditor appointment, with many implementation details deferred to a future bill. Members debated the scope of the new office, its relationship to the Auditor General and inspectors general, whether it should cover the legislative and judicial branches, staffing, and the comparison to federal DOGE efforts. An amendment making a minor wording change was adopted, and the resolution passed 23-? with a favorable report after a split vote. The committee also approved two Gulf of America bills. HB 575 redesignated the Gulf of Mexico as the Gulf of America, and CS for HB 549 required Florida’s academic standards and newly adopted instructional materials to reflect the federal designation for materials acquired on or after July 1, 2025. Both measures drew criticism from members who argued the renaming was politically motivated, historically insensitive, and potentially confusing for students, while supporters said Florida should align with federal action. HB 575 passed and CS for HB 549 passed 18-7. Finally, HB 4071, a local bill adjusting the boundary between Coral Springs and Parkland in Broward County by about 8.7 acres, was amended and reported favorably with support from both cities and the Broward delegation.
FL
Transcript Highlights:
  • We use them for audit services. We use them for custodial. We use them for audit services.
  • In regards to the matter at the University of Florida, I'd start by pointing out that internal audit
  • We've got other occasions where internal audit has revealed problems that have then been corrected.
  • We've got other occasions where internal audit has revealed problems that have then been corrected.
  • Our internal audit staff gets a copy of each of those audits that are completed by the Auditor General
Summary: The Appropriations Committee on Higher Education met to examine how Florida’s state universities are funded and to begin discussing a possible university funding model. The panel included the State University System chancellor and CFOs from FSU, UF, FAMU, FAU, UNF, and UCF. Members first reviewed major cost drivers, which the universities said are broadly similar across institutions: wages and benefits, equipment and supplies, financial aid, professional services, utilities, IT, and maintenance. Several institutions noted unique pressures from geography, growth, research intensity, and mission, such as UCF’s size and engineering focus, UF’s land-grant and research enterprise, FAMU’s need to recruit top talent while serving a high-Pell student population, and FSU’s large facilities and research obligations. The chancellor also summarized systemwide cost growth since 2012-13, including higher health insurance, retirement, and salary costs, while noting tuition had been held flat. The committee then discussed other revenue sources, including auxiliaries, restricted funds, capital projects, and component units such as foundations and health systems. University leaders explained that many of these funds are restricted to specific purposes, and some, like UF Health, account for a large share of operating expenses. Members also discussed the current performance-based funding process. University representatives generally praised it for transparency, accountability, and its focus on student success, but said the heavy use of one-time funds, nonrecurring appropriations, and unfunded mandates makes long-term planning difficult. FSU and others argued that rising employee costs, waivers, and facilities expenses are not fully covered, while FAMU said performance funding has improved outcomes but can disadvantage institutions serving more low-income students. In response to questions about improvements, the universities suggested more recurring and predictable funding, better coverage of mandated costs, more flexibility in fees, and continued investment in research and strategic priorities. The chancellor said the Board of Governors is considering a version 3.0 of performance funding that would benchmark institutions against peers and Carnegie classifications. The committee also explored whether universities should have more flexibility to set out-of-state tuition and professional school tuition. Most university leaders favored giving boards of trustees more authority, while the chancellor cautioned that increasing out-of-state enrollment or tuition too much could affect legislative support. No votes were taken; the meeting ended with the chair thanking the panel and adjourning the committee.
TX
Transcript Highlights:
  • We've established intruder detection audit. Audit program within TEA.
  • When a school district has a finding, a typical audit most times is you get an email or report and you
  • That is not a surprise audit it is a random audit so you don't you know necessarily get one in 2024 and
  • then in 2029 but we also have the intruders intruder detection on it and this is a surprise audit.
  • That is a ... a less invasive or less thorough audit, but it, in fact, is an audit that occurred. every
Keywords: 1185, senate, all
KY

Kentucky 2026 Regular Session

Senate Legislative Session Day 43 (3-10-26)

Kentucky Senate Floor Meeting

Transcript Highlights:
  • firm to conduct the audits.
  • And so he's almost out of compliance every year trying to find the audit firm to do that.
  • firm to conduct the audits.
  • And so he's almost out of compliance every year trying to find the audit firm to do that.
  • firm to conduct the audits.
Keywords: 958, all
TX

Texas 89th Regular

Local Government Apr 14th, 2025

Local Government

Transcript Highlights:
  • There is no accountability, no audit, no control.
  • There is no accountability, no audit, no control.
  • Now, you mentioned compliance audit, yes?
  • Who's responsible for the audit?
  • audit.
Summary: The committee heard several local government and property tax bills, with most testimony focused on appraisal disputes, tax administration, and development rules. Senate Bill 1052 by Senator Hinojosa would address coastal county appraisal litigation by requiring property owners in certain large-value disputes to report an uncontested taxable value while appeals are pending, so taxing units can base truth-in-taxation calculations on more realistic revenue. Nueces County, Del Mar College, and Corpus Christi ISD testified in support, describing major budget shortfalls caused by refinery valuation disputes; the committee substitute narrowed and clarified the bill’s scope. No opposition was heard, public testimony closed, and SB 1052 was left pending. The committee also heard Senate Bill 1531, which would require local tax collectors to accept common electronic property tax payments such as credit cards, debit cards, and e-checks. Witnesses supported modernizing payment options and the committee substitute removed ACH/electronic funds transfer language to avoid bank-account disclosure concerns. Public testimony closed and the bill was left pending. Senate Bill 325, by Senator Perry, would restore platting and groundwater-certification requirements that were unintentionally weakened by prior legislation; supporters from county government, water groups, and builders’ representatives debated whether the real issue was groundwater protection or road standards for private roads. The bill was left pending after extensive testimony and no vote. The committee then took up Senate Bill 994 and SJR 46, which would exempt certain livestock feed inventory from property tax and provide the constitutional amendment needed for that change. Feed store and Farm Bureau witnesses supported the measure as relief for seasonal inventory taxes, and the bills were left pending. Senator Paxton presented SB 467 and SJR 84 to create a temporary property tax exemption for homes completely destroyed by fire, with refunds or corrected bills based on the date of loss; both were left pending. SB 1237 would clarify charitable property tax exemptions for senior housing and retirement communities, with testimony from Catholic and Baptist retirement organizations and a resident describing rising costs and exemption revocations; it was also left pending. The committee later voted 6-0 to report SB 2073, a pending bill on appraisal district authority to purchase or finance real property, and recommended it for the local and uncontested calendar. Finally, the committee heard SB 2172, SB 2173, and SB 2063, all related to property tax administration. SB 2172 would limit when appraisal districts can require homeowners to reapply for homestead exemptions, requiring a specific reason and written notice; SB 2173 would protect new homeowners from surprise tax liabilities caused by prior owners’ erroneous homestead exemptions, with testimony describing large back-assessment bills; both were left pending. SB 2063 would bar appraisal districts from using market-value evidence in unequal appraisal protests, and testimony sharply divided between taxpayer advocates, who said market data improperly overwhelms equity claims, and appraisal district representatives, who argued market value is inherently tied to equal-and-uniform taxation and cited a recent Texas Supreme Court decision; the bill was left pending after testimony.
MN

Minnesota 2025 1st Special Session

House Elections Finance and Government Operations Committee 3/10/25

Elections Finance and Government Operations

Transcript Highlights:
  • I should point out we are rigorously and regularly audited by the federal government on these funds.
  • So you say specifically, who is it that does that audit you're referring to?
  • Can we get a copy of the latest audit report? Yes, all the states have to do this. It's mandatory.
  • uh topics coming up doing a vot on audit uh topics coming up in<00:36:30.800> a<00:36:30.920>
  • um can we get a copy of the latest audit um can we get a copy of the latest audit report<00:38:10.599
Bills: HF1345, HF71, HF993, HF1943
AZ

Arizona 2026 Regular Session

03/24/2026 - Senate Natural Resources

Natural Resources

Transcript Highlights:
  • I read through the audit for the state land department.
  • There was nothing in the audit that said there were problems with solar leasing.
  • I've heard repeatedly, and it has to do with the audit.
  • There's no accusation in the audit that mines have done anything nefarious.
  • kind of other ideas that are not even responsive to the audit.
NM

New Mexico 2026 Regular Session

House - Appropriations and Finance Jan 16th, 2026 at 09:09 am

House Appropriations & Finance

Transcript Highlights:
  • We got two audit findings, two audits completed. One was completed by the State Board of Finance.
  • And those are the four positions that the external audits came back stating that we needed.
  • Those ones are only based on the audit recommendations.
  • audit.
  • Chair, the FY25 audit of the governor's office. Was unmodified with no findings indicated.
Keywords: 996, all
NM

New Mexico 2025 Regular Session

IC - Legislative Finance May 14th, 2025

Transcript Highlights:
  • companies and everybody else to get the audits.
  • But on top of that, year in, year out, we receive clean, no-finding audits.
  • At that point, we had not completed our 2021 audit. We are now in the middle of our 2024 audit.
  • We hope to complete our special audit like I said in June of this year, 2025.
  • , catching up on the previous audits and some contractual help.
MN

Minnesota 2025-2026 Regular Session

House Taxes Committee 2/25/25

Taxes

Transcript Highlights:
  • because the records are not very accessible, and so then they also have to pay for an audit, and it's
  • because the records are not very accessible, and so then they also have to pay for an audit, and it's
  • because the records are not very accessible, and so then they also have to pay for an audit, and it's
  • because the records are not very audit because the records are not very accessible<00:46:54.319>
  • and it's a very pay for an audit and it's a very cumbersome<00:46:58.720> thing<00:46:59.520>
Bills: HF4, HF173
MN

Minnesota 2025-2026 Regular Session

House Fraud Prevention and State Agency Oversight Policy Committee 11/19/25

Fraud Prevention and State Agency Oversight Policy

Transcript Highlights:
  • I'll note that there are random audits. I'll note that there are random audits.
  • My question is: you have audited a lot of programs.
  • My question is you have audited record.
  • and I know you have not actually audited and I know you have not actually audited this<01:41:28.320
  • we obviously have not audited this program.
Keywords: 1183, house
AR

Arkansas 2026 1st Special Session

ALC-STATE INSURANCE PROGRAMS OVERSIGHT SUBCOMMITTEE Jun 17th, 2026

ALC-STATE INSURANCE PROGRAMS OVERSIGHT SUBCOMMITTEE

Transcript Highlights:
  • How do we audit these? You've talked about coupons and... ...just a quick question.
  • How do we audit these? You've talked about coupons and a lot of other moving parts.
  • So how do you audit this?
  • legislative audit is auditing 100% of the claims that are running through on the pharmacy benefits side
  • So it is audited quite extensively. Okay. Thank you. All right.
Summary: The State Insurance Programs Oversight Subcommittee met on June 17 and reviewed a series of Employee Benefits Division and Office of Property Risk items. The committee approved formulary changes for March and April that favored lower-cost generics, removed some new-to-market drugs from coverage pending more evidence, and made maintenance changes to migraine and diabetes medications. Members also approved a cell and gene therapy policy that would route those therapies through prior authorization rather than automatic coverage; officials said the process should not delay urgent cases and that no current members would be affected. The committee then reviewed a UAMS pharmacy benefit consultant contract amendment, but after extended discussion about the written scope and dollar amounts, the motion was approved with the understanding that any use of optional services would return to the committee for further review. The committee also reviewed the U.S. Able Mutual/Blue Advantage third-party administration contract and the CompSack employee assistance program contract, which officials said would reduce per-member costs and add services. The subcommittee approved proposed 2027 rates for state employees and public employees, with a 9.8% increase for state employees and a 4.9% increase for public school employees. Officials also reported that the UnitedHealthcare rebid was in its final negotiation stage and would return in August, with medical and pharmacy coverage split as previously recommended. In response to questions, the director said the division was considering broader preventive-care offerings, including weight-loss drug coverage, but would proceed cautiously and with strong utilization controls and holistic support if such a program were adopted. On the property risk side, the committee reviewed permanent rules making prior temporary rules permanent, a contingency-fee subrogation contract, and renewals for claims management, actuarial services, and investment management. Members raised concerns about Sedgwick’s claim-adjustment timeliness and communication with school districts after severe weather events; officials said performance guarantees and communication expectations had been strengthened, but the renewal was kept at three years for continuity. Finally, the committee approved 2026-27 captive insurance program rates, which included no change to minimum deductibles, a 10% overall rate reduction, and bucketed rate changes by entity type. Officials said the captive program was working as intended, with improved actuarial support and claims experience, and the meeting adjourned after the approvals.
LA

Louisiana 2026 Regular Session

Insurance May 13th, 2026

Insurance

Transcript Highlights:
  • Real-time automated claims review, an audit-like process of 100 percent of claims.
  • We openly make sure that folks can audit us.
  • We certainly allow audits to occur, but it is the way that we feel a plan sponsor should expect their
  • turned that information over to the Columbus Dispatch and Bloomberg News, and it prompted a state audit
  • There are federal audits.
Summary: The Senate Insurance Committee met on May 13, 2026, adopted the May 6 minutes, and then took up several bills dealing with pharmacy benefit managers, prescription access, behavioral health coverage, and Citizens Property Insurance. HB 938, as amended, was the main PBM reform measure. After the committee adopted a large amendment set that narrowed the bill, members heard extensive testimony in support from Mark Bloom, Justin Joseph of Capital Rx, and Kathy Ue of Pontchartrain Cancer Center, all emphasizing transparency, pass-through pricing, reverse auctions, and patient access. Supporters described savings from reverse auctions and administrative models, while the cancer center testified that PBM-owned specialty pharmacy requirements can delay cancer medications and create financial hardship. The committee reported HB 938 favorably with amendments. The committee also heard HB 1154, which prohibits prior authorization for certain generic medications prescribed by qualified physicians, with a $250 cap discussed as a safeguard against higher-cost generics. The bill was supported by representatives from Ochsner Health and the Louisiana State Medical Society and was reported favorably. HB 909, which requires commercial coverage for behavioral health crisis services, was amended to clarify the insurers covered and then reported favorably with support from the Office of Behavioral Health and several outside groups. Testimony on HB 909 focused on reducing emergency room and law enforcement burdens and expanding crisis response capacity across the state. HB 1187, dealing with excess emergency assessment funds from Louisiana Citizens Property Insurance Corporation, was explained by the Insurance Commissioner as a way to transfer remaining Katrina-era assessment funds to the Fortified Roof Program. The committee reported the bill favorably. Finally, SB 511 and SB 512 were deferred and converted into a study resolution approach because there was not yet consensus on the underlying issue. The meeting then adjourned.
FL

Florida 2025 Regular Session

October 8, 2025 - 10:30 AM

Transcript Highlights:
  • AND THAT IS THE PRESENTATION ON WHERE WE ARE IN THE AUDIT.
  • THE OTHER THING THAT GIVES ME COMFORT IS THE AUDIT PERIOD WAS ALMOST THREE YEARS AGO.
  • TO ANSWER SOME THINGS THAT ARE IN THE CURRENT AUDIT.
  • THE DATA WILL COME TO YOU THEN WHO DOES THE AUDITING?
  • AS PART OF THE AUDIT RESPONSES WE DID UPDATE OUR POLICIES AND PROCEDURES.
KY
Transcript Highlights:
  • And if you see it in the newspaper, you can get a copy of the actual audit or the news, so this really
  • :35.080> full say go to our website and see the full say go to our website and see the full audit
  • go to our website and in addition audit go to our website and in addition if<00:18:37.919> you
  • <00:18:46.440> of<00:18:46.559> the<00:18:46.720> actual<00:18:47.000> audit
  • or the or the a copy of the actual audit or the or the news<00:18:48.520> so<00:18:48.720>
Keywords: 958, all
Summary: The committee met with a quorum and took up four bills. House Bill 131, sponsored by Representative Meredith, would give former second-class city fire departments more flexibility in firefighter scheduling. Meredith explained the committee substitute would allow a hybrid “1323” schedule while preserving existing collective bargaining agreements and affecting only 13 cities. There was no opposition or public testimony, and the committee adopted the substitute and passed the bill with a favorable expression. House Bill 256, sponsored by the chair, was presented by Representative Flry and Kentucky Land Title Association President Eric Case. The bill sets a 40-year statutory limit on certain dormant title interests to clear old encumbrances and make titles more marketable, while not specifically excluding coal and mineral interests. The committee adopted the substitute and then passed the bill with a favorable expression. House Bill 290, sponsored by Representative Wilson, would update county law library funding rules to allow local bar associations to use library funds for online legal services, addressing unused balances in some counties. The chair and others said the change would better use the resource for attorneys and the public. The committee approved the bill with a favorable expression. House Bill 368, sponsored by Representative Decker, would let smaller counties and local governments use the same alternative public notice methods already available in larger counties, such as posting notices on government websites after a brief newspaper notice. Supporters from county and city groups said the change would save money, improve efficiency, and help with transparency, while Kentucky Press Association Executive Director David Thompson said newspaper publication costs are relatively small and urged the legislature to set standards for government websites before expanding online notice options. The transcript cuts off during Thompson’s testimony, and no final committee action on HB 368 is shown.
NH
Transcript Highlights:
  • audited revenue. audited revenue.
  • How many of you read the audit? I was here. Worst audit I've seen in 16 years.
  • How many of you read the audit? I was here. Worst audit I've seen in 16 years.
  • How many of you read the audit? I was here. Worst audit I've seen in 16 years.
  • Administration, audit division, audit Administration, audit division, audit division,<01:49:27.040>
Keywords: 928, house, all
Summary: The Committee of Conference on HB 1 and HB 2 was called to order, and Legislative Budget Assistant Michael Kaine reviewed the working documents before the committee. He explained the compare report, the detailed change sheet, the HB 1 index, the HB 2 side-by-side, the surplus statement, and a revenue handout, noting that the committee would vote up or down on all detail-change items and that unresolved items on hold would be removed from the final bills. He also identified staff available to answer technical questions and noted that the committee would track the dollar impact of decisions as it proceeded. Members then turned to the revenue outlook, with discussion focused on the gap between the House and Senate budget positions. House members said their budget guidance was based on revenue estimates that were significantly below the governor’s proposal, and they discussed whether additional revenue could close part of the gap. Department of Revenue Administration Commissioner Lindsey Stepp presented updated revenue estimates based on May data, explaining the methodology and the ranges for fiscal years 2025, 2026, and 2027. She said business taxes were the largest source of uncertainty, with estimates reflecting current economic conditions, recent revenue performance, and a range of possible growth rates. Committee members questioned the assumptions behind the business-tax ranges, including why the low and high scenarios were set at 2% and 8% growth. Stepp said the range was based on historical performance and current economic factors such as inflation, tariffs, and business behavior, and she noted that June is a major estimate-payment month for business taxes. Members also discussed recent revenue trends, including the effect of tariffs and the possibility of federal tax policy changes affecting repatriated profits. The commissioner and House members also discussed other revenue sources, including rooms and meals and real estate transfer taxes, with the House side arguing that lower mortgage rates and home prices could increase real estate transfer revenue. No votes were taken in the portion provided, but the committee discussed possible upward adjustments to House revenue assumptions, including increases of roughly $70 million in total based on the updated outlook and additional insurance-related revenue.
NH

New Hampshire 2025 Regular Session

House Finance (05/28/2025)

Transcript Highlights:
  • <00:56:45.680> of, Education conducted a sample audit of, Education conducted a sample audit
  • I really see no reason in waiting for an audit which will lead clean audit being returned would lead
  • shows that regardless of what the audit shows that regardless of what the audit will<00:58:07.920
  • > the<00:58:09.920> position will the audit will say, the position will the audit will
  • things, or asking for now 10 years of audit instead of one and so on.
Keywords: 928, house, all
Summary: The Finance Committee first took up Senate Bill 63, which Representative Maguire described as a straightforward bill setting funding for the Division of Travel and Tourism. He said it was not controversial. The committee voted to retain the bill by roll call, with one no vote and one member absent, and the motion passed 23-1-1. The committee then considered Senate Bill 74, dealing with annual reporting requirements for state departments that issue permits. Representative Maguire explained Amendment 2282 would shorten the reporting burden by requiring summary data on delayed permits rather than listing every permit, and would delay the first report until 2027 so agencies would not have to reconstruct old data. The amendment was adopted by voice vote, and the bill was then approved as amended by a 24-1 roll call vote. Next, the committee heard Senate Bill 241 on construction of a public pier at Hampton Beach. Representative Sweeney moved inexpedient to legislate, saying the project was ambitious and lacked public support. The motion passed unanimously 25-0, sending the bill to consent. Division Two then took up Senate Bill 145, a replace-all amendment to the education freedom account bill. Supporters said the amendment clarified the bill, kept the policy intact, removed a reimbursement program and an open-ended appropriation, and established a cap of 10,000 students with priority for current students and certain other groups. Opponents argued the measure was still a major expansion, would increase spending after crossover, and that the cap was not meaningful. After discussion, Amendment 2301H was adopted and the bill was approved as amended by a 25-0 vote, with members noting it could go on consent because no money remained in it.
NH
Transcript Highlights:
  • of the dispute resolution audit that we had last year.
  • now and not next year when that audit is complete.
  • when um when that audit is next year when um when that audit is complete<01:16:32.239> and<01
  • <01:17:18.159> is forward now versus when the audit is forward now versus when the audit is
  • <06:05:24.760> that's uh again go back to the audit that's uh again go back to the audit that's
Keywords: 928, house, all
Summary: The committee first noted that House Bill 398, concerning Holocaust and genocide studies, and House Bill 131 had already been handled previously and were off the schedule. It then took up House Bill 740, which would require the Department of Education to maintain permanent records for closed charter schools. After brief discussion about overlap with another charter-school bill that already addressed closure and records, Representative Freeman moved to table the bill. The committee voted 16-0 to table/ITL the bill, and it was placed on the consent calendar. The main discussion centered on House Bill 557, which would require additional information on school budget ballots, including average cost per pupil, enrollment history, and teacher-to-administrator ratios. Members raised concerns that the bill was duplicative of existing law, overly detailed, costly to towns, and potentially electioneering or cumbersome on ballots. Supporters argued it would improve transparency and help voters who do not attend deliberative sessions or use online resources. The committee did not vote on the bill during the discussion; instead, members moved into caucus and later indicated they would hold the bill until Monday for further review. Later, the committee turned to House Bill 699 on special education definitions and considered Amendment 0606H. The sponsor explained the amendment was developed with the Department of Education after hearing testimony and was intended to align state definitions with federal law and incorporate recommendations from a prior audit, including changing “functionally blind pupils” to “students with visual impairments.” Some members supported the changes as responsive to the hearing and audit, while others objected that the amendment was still confusing, had not fully addressed stakeholder concerns, and should wait for a more comprehensive special education audit. The discussion also referenced House Bill 754 and another amendment, but the transcript ends before final action on HB 699 is shown.
TX
Transcript Highlights:
  • Because in our view, this was really the last reliable audit that we had, because the past few audits
  • So those audits, in our view, are not quite as reliable.
  • We have the audit tool. We do audits of MCOs on a periodic basis.
  • And regarding our audit, we kind of contract with audit firms.
  • It's documented in study and audit after audit.
Keywords: 1185, senate, all
NH
Transcript Highlights:
  • They told me that there was an audit division in your group that does all of that.
  • audits that we receive as well.
  • They told me that there was an audit division in your group that does all of that.
  • audits that we receive as well.
  • audits that we receive as well. have you and our audit team to sort of have you and our audit team to
Keywords: 928, house, all
Summary: The Health and Human Services Oversight Committee met on February 2 and first approved the draft minutes from the prior meeting, with minor corrections to the meeting date and attendance notation. DHHS Associate Commissioner Patricia Tilly then gave a department update, describing the current uncertainty around federal priorities and funding, and provided two substantive reports: progress on the new Hampstead Youth Development Center and an update on the department’s review of an ALS registry proposal. She said the YDC project is underway with tree clearing, fencing, stormwater and site-prep work, and remains on track for completion by June 30, 2026 and operation by August 30, 2026. The center currently has 12 youth, and the new design is intended to provide flexibility for fluctuating census levels. On ALS, Tilly explained that HB 576 had prompted the department to examine whether a registry could be built, but the estimated cost of a HIPAA-compliant system was about $750,000. She said DHHS is reviewing whether existing data sources, such as hospital discharge data and CHIS claims data, could provide useful information, but noted both are incomplete for registry purposes. Committee members discussed whether the Rare Disease Advisory Council, Dartmouth, or existing cancer registry infrastructure could help reduce costs. DHHS said it is neutral and willing to continue exploring alternatives, while members emphasized the value of a registry and the need to consider shared infrastructure and funding. The committee also heard from Jenny Horan of the Alzheimer’s Association, who presented the subcommittee’s report on Alzheimer’s disease and related dementias. She said the subcommittee spent the past year gathering information on dementia care, abuse and exploitation issues, caregiver strain, and available services, and is now moving into a second phase focused on identifying gaps and developing a state plan. Members asked about geriatric psychiatric capacity and long-term care availability; Horan said the state has limited capacity and that the plan will help clarify where needs are greatest. She offered to return for follow-up questions at a later meeting. Finally, Olivia May of DHHS presented the quarterly report on the 12-month postpartum Medicaid coverage extension. She said New Hampshire implemented the extension after federal and state action, and the first claims data are still emerging because of reporting lags. In the initial cohort studied, 95% received some medical services during the extended period, 52.4% received mental health or substance use disorder treatment, 26.7% received preventive visits, and 3.2% received heart or hypertension services. Members asked about return on investment and whether higher federal matching rates are being used appropriately; DHHS said it claims the highest possible match based on eligibility group and will return with more data over time. The committee then heard the annual therapeutic cannabis program report from Michael Holt, who said the program had 1,475 registered patients as of June 30, 2024 and that growth has slowed, with New Hampshire having the lowest per-capita medical cannabis enrollment nationally.