Video & Transcript Research : 'referral process'
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AZ
Transcript Highlights:
- review process, and there is a disciplinary process in all of the professions.
- As you know, there's still process going on.
- This is a referral to the voters themselves to weigh in on how they want to see elections processed.
- This is an essential part of the audit process because we don't have a legitimate audit process today
- It's not for referrals and referendums.
Bills:
SB1015, SB1049, SB1066, SB1081, SB1092, SB1133, SB1134, SB1139, SB1147, SB1148, SB1168, SB1189, SCR1001, SCR1002, SCR1005, SCR1010
Keywords:
gender transition, detransition, healthcare liability, medical malpractice, youth protection, legal action, Arizona law, spousal maintenance, court guidelines, self-sufficiency, financial support, marriage dissolution, child safety, dependency cases, attorney regulation, foster care, legal representation, probation, dangerous crimes, children
Summary:
The Senate Judiciary and Elections Committee heard several bills and took action on multiple measures. SB 1066 would create civil liability for knowingly or recklessly publishing fraudulent scientific research, allowing the Attorney General, county attorneys, and injured parties to sue; the sponsor and supporters argued it would deter research fraud and protect the public, while opponents warned it would chill research and speech. After debate over peer review, fraud standards, and the bill’s scope, the committee voted 4-3 to give SB 1066 a do-pass recommendation. SB 1015 would impose strict personal liability on providers who perform gender transition procedures on minors, including liability for later detransition costs and injuries; supporters framed it as accountability for irreversible treatment on children, while opponents called it discriminatory and likely to function as a backdoor ban. After testimony from the sponsor, medical professionals, detransitioners, and civil liberties advocates, the committee also passed SB 1015 on a 4-3 vote.
The committee then considered SB 1049, which would limit spousal maintenance awards to four years and change the factors courts use in setting support. The sponsor said the bill was intended to curb long-term maintenance and align support with self-sufficiency, while judicial and family-law witnesses explained the existing guideline system, the 2022-2025 court study, and concerns that a hard cap could ignore case-specific circumstances such as disability or housing instability. The committee adopted an amendment setting the duration cap at four years and approved the bill as amended by a 4-2 vote. SB 1189, allowing campaign funds to be used for personal security for candidates and family members, passed unanimously after supporters cited threats against public officials and personal experiences with harassment.
The committee also passed SB 1081, which would prevent a Department of Child Safety attorney from appearing before a judge they had appeared before in the prior five DCS cases; the sponsor said it was meant to reduce familiarity between attorneys and judges, while opponents raised concerns about rural court access and arbitrary limits. SB 1133, which would eliminate the need for a candidate to file a second financial disclosure statement if one had already been filed that year, was amended to add an emergency clause and passed unanimously. The committee then moved to SCR 1001, a referral measure to end early voting at 7 p.m. on the Friday before the general election and require affirmative request for a mail ballot by voters who have provided proof of citizenship; the transcript cuts off as that measure was being introduced.
FL
Transcript Highlights:
- It has worked through the committee process for weeks and weeks.
- It has worked through the committee process for weeks and weeks.
- Senators, this is the bill related to out-of-network referrals that we passed.
- Senators, this is the bill related to out-of-network referrals that we passed.
- This is a bill related to referrals, out-of-network referrals in particular.
Summary:
The Senate convened with prayer, the Pledge of Allegiance, and several introductions, then moved into special order and returning messages. Early floor action included passage of HB 6503 (relief for Mandy Penny Lamon by Sarasota County), HB 1123 (sewer collection systems), HB 211 (farm products), and a joint resolution on ad valorem tax exemption for agricultural tangible personal property, all approved without opposition. Several other measures were temporarily postponed before the chamber recessed and later returned to messages from the House.
The Senate then took up a series of House amendments and conference-style motions on major bills. SB 180 on emergency preparedness and response was amended and concurred in after debate over hurricane recovery, local government moratoriums, evacuation timing in the Keys, and property tax and redevelopment provisions; it passed 34-1. CS/HB 1609 on waste incineration and auxiliary containers was heavily debated over plastic and polystyrene preemption, local beach and park regulations, and landfill/incinerator provisions, then passed 26-10. CS/HB 1205 on citizen initiatives was amended to allow volunteers to carry up to 25 petitions without registration/training and passed 28-9. The Senate also refused to concur in a House amendment to SB 234 on offenses against law enforcement, and in SB 116 on veterans, seeking to restore funding for veteran suicide prevention.
Later, the chamber approved or advanced several education and health-related bills. CS/HB 1255 on education was amended and passed, with changes to school readiness and other education provisions. CS/HB 875 on educator preparation passed after discussion of cognitive science, classroom management, teacher excellence programs, and the phaseout of the general knowledge test. CS/HB 1105, a large education package, passed after debate over charter school conversions, cell phone restrictions, and other school governance changes. In health care, CS/HB 1427 was introduced as a comprehensive package combining multiple health-related provisions, though the excerpt ends before final action on that bill. Throughout the day, the Senate also concurred or refused to concur in various House amendments on mental health, financial institutions, land development, brownfields, and out-of-network provider legislation, with votes generally recorded and several measures passing on divided but mostly favorable roll calls.
MN
Minnesota 2025-2026 Regular Session
House Judiciary Finance and Civil Law Committee 3/10/26
Judiciary Finance and Civil Law
Transcript Highlights:
- It We They We get referrals with it.
- referrals. Last year, we had over 200. referrals. Last year, we had over 200.
- that we're following the proper process. that we're following the proper process.
- is being undertaken, there is a process is being undertaken, there is a process in<00:52:00.560>
- . process. process.
Keywords:
medical assistance, fraud prevention, subpoena authority, criminal penalties, consumer protection, fraud, payment withholding, withheld payments, program integrity, public funds, state agency, program participant, credible allegation of fraud, administrative reconsideration, contested case, chapter 14, data practices, confidential data, protected nonpublic data, anti-fraud
Summary:
The committee approved the minutes from March 5 by voice vote and welcomed new member Representative Van Binsbergen. It then took up House File 2354, which Chair Liebling moved to re-refer to the Public Safety Finance and Policy Committee. Representative Norris presented the bill as an updated version of the Medical Assistance Protection Act, aimed at strengthening the Attorney General’s Medicaid Fraud Control Unit, closing loopholes, equalizing fraud penalties, and increasing penalties for large-scale Medicaid fraud. Attorney General Ellison said the bill would add 18 specialized staff to the unit, moving it from 32 to 50 positions, and argued the federal-state matching structure makes the Attorney General’s office the proper home for the funding because the unit is dedicated to Medicaid fraud work.
Nick Wonka, director of the Medicaid Fraud Control Unit, explained the bill’s provisions affecting committee jurisdiction: expanded subpoena authority to obtain financial account contents in provider-fraud investigations, conforming legal representation language to preserve the unit’s authority, venue changes to allow charging in counties where parts of the offense occurred, and a restitution change to let courts order restitution for related conduct in the same scheme. He said the subpoena change would speed investigations and align the Attorney General’s authority with other agencies, and that the restitution change would help recover more fraudulently obtained Medicaid funds.
No public testimony was offered. Members questioned why the funding should go to the Attorney General’s office rather than the BCA, whether the new records authority was federally required, how the venue language would work across state lines, and whether the added FTEs indicated the fraud problem was larger than expected. Ellison and Wonka responded that the federal grant requires the work to stay within the Medicaid Fraud Control Unit, that the unit’s investigators are specialized and work with, but separate from, law enforcement, and that the venue provision applies only within Minnesota while out-of-state matters would be referred to the appropriate authorities. The amendment that had been posted was withdrawn and not offered.
MN
Transcript Highlights:
- I mean >> focus not so much on the process.
- <00:04:37.840>
all you you know, we could talk process all you you know, we could talk process - So, I guess that sounds like the process So, I guess that sounds like the process is<00:13:15.520
- And the longer we drag this process out, the more people that are going to get hurt in the process, in
- >
and This process is inefficient and This process is inefficient and impractical<01:34:20.160
MN
Minnesota 2025-2026 Regular Session
Committee on State and Local Government - 02/11/25
State and Local Government
Transcript Highlights:
- As a first-term senator, having a new perspective on the legislative process has motivated me to ask
- The executive needs to have some role in the selection process to satisfy separation of powers concerns
- General to me is the is the referral General to me is the is the referral source<00:27:25.520>
- And then if we go throughout the entire process, I'll try to go through quickly.
- Are you talking about compulsory referral or compulsory prosecution?
KY
Kentucky 2025 Regular Session
Interim Joint Committee on Licensing, Occupations, & Administrative Regulations (11-20-25)
Transcript Highlights:
- They will only serve to streamline referrals when medically necessary.
- <00:04:24.440>
to <00:04:24.560>other undermine referrals to other undermine referrals - >
medically streamline referrals when medically streamline referrals when medically necessary. - There's only 10 states that do not have it in some sort of process.
- . process. process.
Summary:
The committee first approved the October 23 meeting minutes and then heard testimony on a planned 2026 bill to modernize Kentucky’s audiology practice act. Witnesses from the Academy of Doctors of Audiology and a Kentucky audiologist said the proposal would largely codify existing authority and add new powers to order certain imaging and lab tests related to auditory and vestibular conditions, as well as prescribe topical ear medications. They argued the changes would reduce delays, especially in rural areas, improve access to hearing and balance care, and help address provider shortages. Committee members asked about evidence for the expansion, responsibility for reviewing imaging results and incidental findings, and whether the changes might affect referrals or scope of practice. The witnesses said they could provide evidence, that the audiologist would be responsible for obtaining and reviewing radiology reports and following up with patients and primary care providers, and that the goal was to speed treatment and streamline referrals when needed.
The committee then heard a separate proposal to update the Kentucky Board of Medical Imaging and Radiation Therapy statutes by licensing MRI technologists and diagnostic medical sonographers, who are not currently required to be licensed in Kentucky. The bill would create a transition period through January 1, 2028 for current practitioners, require national credentialing for new applicants after that date, expand the board from 9 to 11 members, and clarify scope and enforcement provisions. Supporters said the measure would improve patient safety, align Kentucky with most other states, and recognize national credentials. Members questioned how many workers would be affected, whether the state currently meets national standards, the cost of licensure, and whether the bill could worsen staffing shortages, especially in rural areas. The witnesses said about 800 MRI technologists and 1,600 sonographers in Kentucky are currently certified, initial licensure would cost $100, and existing licensees would not pay an additional fee. They also said the board viewed the change as a safety measure and noted increasing portability of MRI services across state lines.
Finally, the committee began hearing a respiratory care interstate compact proposal. The sponsor and respiratory care representatives described the compact as a way to allow licensed respiratory therapists from member states to practice across state lines. They outlined the profession’s role in hospitals, emergency departments, home care, pulmonary labs, long-term care, and telehealth, and said the compact would help with workforce flexibility and access to care. The transcript cuts off before the discussion concluded or any action was taken on that item.
CA
California 2025-2026 Regular Session
Assembly Select Committee on California's Mental Health Crisis Dec 2nd, 2025
Transcript Highlights:
- So the plan was developed over a year-long process.
- They're under a 60-day pilot process.
- So one of the challenges... ...year for an annual process.
- rate-setting is on an annual process.
- And we make a lot of referrals. We have a really great referral system.
Summary:
The hearing focused on California’s 988 suicide and crisis lifeline and the broader crisis response system, with members and witnesses emphasizing both the system’s life-saving role and the risks posed by funding gaps, rising demand, and uneven local implementation. Opening remarks highlighted the personal impact of suicide and the need to strengthen crisis response so calls are answered quickly and linked to appropriate care rather than defaulting to 911, emergency rooms, or law enforcement. State officials described the AB 988 five-year implementation plan, which sets goals around public awareness, equitable access, high-quality call/chat/text response, and better integration with ongoing behavioral health services.
State agencies reported progress on infrastructure, coordination, and related behavioral health investments. CalHHS said California has expanded mobile crisis teams, crisis stabilization units, and youth behavioral health supports, and is preparing additional public awareness and grant programs tied to Proposition 1. DHCS explained that 988 is funded through a federal SAMHSA grant and the AB 988 surcharge, while Medi-Cal separately funds mobile crisis services; officials said the mobile crisis benefit is active in 53 counties and that statewide expansion remains a work in progress. Cal OES described the statewide technical buildout, including network infrastructure in all 11 crisis centers, interoperability with 911, and a pilot of next-generation routing and call-handling tools. The 988 California Consortium said call volume continues to rise sharply, missed calls remain a major concern, text/chat capacity is limited, and centers need more stable funding, better reimbursement, and stronger feedback loops with the state.
County and community witnesses stressed that local systems need more flexible, sustained support to match the demand. Lake County described a peer-led rural mobile crisis model that has reduced law enforcement holds and increased housing placements, but said county-run mobile crisis teams still cannot reliably access 988 surcharge dollars and face reimbursement problems from Medi-Cal and commercial plans. Santa Clara County reported strong performance metrics, rapid call answer times, and a broad continuum of mobile crisis services, but said staffing and funding are strained and commercial reimbursement remains slow. The Mental Health Association of San Francisco said the peer-run warm line complements 988 by offering non-emergency support and warm handoffs, but recent budget changes forced cuts to Spanish-language service, federation support, and hours. No formal votes or legislative actions were taken during the hearing; members mainly asked questions about surcharge levels, budget timing, coordination among agencies, data collection, and how to improve collaboration with frontline crisis centers.
AR
Arkansas 2026 1st Special Session
ALC-HOSPITAL, MEDICAID, & DEVELOPMENTAL DISABILITIES STUDY SUBCOMMITTEE Jun 18th, 2026
ALC-HOSPITAL, MEDICAID, & DEVELOPMENTAL DISABILITIES STUDY SUBCOMMITTEE
Transcript Highlights:
- And even where coordination referrals occur, and I've seen this over decades, people talk about better
- coordination, better referrals.
- And again, that's even with some of the referral work with Launch, Or six different people.
- And again, that's, even with some of the referral work, with Launch and other things, part of the question
- that DHS and workforce services has to go through just to do what we want to do, it's not an easy process
Summary:
The meeting focused on the state’s “one door/no wrong door” workforce and social services modernization effort, with consultants Mason Bishop and Cameron Christie presenting recommendations. They argued that Arkansas should shift from fragmented programs and multiple access points to a more integrated system that promotes upward mobility, longer labor force attachment, better employer access to talent, greater efficiency, and faster adaptation to changes such as AI and economic shocks. They described the current system as overly siloed, with separate offices, portals, and funding streams that force job seekers and employers to navigate multiple doors and bureaucratic handoffs.
The consultants emphasized that Arkansas should treat workforce and safety-net programs more like a coordinated franchise model, with a single point of access, one team, and integrated governance, service delivery, and financial administration. They discussed federal workforce waivers already submitted, a possible cost-allocation plan with the federal Office of Management and Budget, and a potential benefits-cliff pilot. They also said Arkansas Launch is a useful tool but not a full service-delivery system. Members asked how the proposal would affect DHS offices, local workforce boards, TANF, and disability-related services, and the consultants said TANF should be viewed as a workforce program and that Arkansas could consider co-locating or integrating staff, or even merging agencies as Utah did.
Committee members repeatedly cited Utah as a model, noting its high workforce participation and lower reliance on Medicaid and SNAP, and asked whether Arkansas could use TANF and other programs to cross-train DHS workers and make county offices more work-focused. The consultants explained Utah’s 1990s reforms, later audits showing improved customer service, and the role of cost allocation in blending funds behind the scenes. They also addressed federal flexibility and said current waiver efforts are a fallback after a broader federal pilot proposal did not advance. The meeting ended with a request to continue examining case management, specifically whether Arkansas should case-manage people rather than programs, and the chair adjourned the meeting.
TX
Transcript Highlights:
- Guerin moves to defer the reading and referral of bills.
- Or during bill referral if permission is granted or authorized to convene upon adoption by the House
- Thank you. 644 Members, the Speaker's desk is clear except for bill referrals.
- Alan Muz at the The House adjourned pending reading and referral of bills until 10 a.m.
- The following bills and resolutions on first reading and referral to committee.
HI
Transcript Highlights:
- Referrals and re-referrals are made in accordance with any supplemental orders of the day that may be
- Referrals and passes final reading.
- Referrals and re-referrals.<00:43:18.040>
Referrals <00:43:18.600>and <00:43:18.800> - re-referrals re-referrals.
- Referrals and re-referrals re-referrals.
Bills:
HB2241, HB1163, HB1514, HB1696, HB2021, SB2135, SB2466, SB2727, SB3082, SB3097, SB2861, SCR100, SB3096, SB99, SB2138, HB2289, HB2319, HB1711, HB2270, SB3138, SB3076, HB1642, HB2338, HB2171, HB1785, SB2881, HB2505, SB2552, HB1518, HB1815, SB3125, SB3234, SCR162, SB2614, SB3118, SB2053, SB2494, SB2851, SB3073, HB1678, HB1721, HB2475, HB2246, HB1667, HB1516, SB2532, SB3131, SB3154, HB2297, HB1737, SB2143, SB2398, SB2623, HB1740, HB1920, HB1682, SB2153, SB3140, HB2158, HB1718, HB2207, HB1801, SB3229, SB2338, SB3069, SB2600, HB2300, HB1800, HB1960, SB2999, SB2060, SB2866, SB2239, HB1741, HB1713, HB2023, HB2417, SB2877, SB2598, SB2921, SB2645, HB2547, HB2275, HB2452, HB2329, HB2339, HB1838, HB1509, HB1661, HB2271, HB2272, HB2344, HB1888, HB1707, SB2340, HB2474, HB1576, HB1853, HB1804, HB1854, HB2095, HB2050, HB472, SB3215, SB2247, SB2400, HB1618, HB1802, HB1969, HB1541, HB2310, HB2498, HB2443, HB2218, HB649, HB2104, HB1710, SB2802, HB1973, HB1974, HB1894, HB1891, HB1890, SB177, SB2101, SB3320, SB2487, HB2429, HB1870, HB1839, HB2583, HB1391, HB2094, SB2671, SB2673, SB2892, SB2057, SB3245, HB306, HB2592, SB3157, SB3204, SB3324, SB2580, SB2074, SB411, SB3025, SB2934, SB2567, SB2125, SB3238, SB2367, SB2599, SB3007, SB2001, SB2756, SB3029
Keywords:
renewable energy, income tax credit, solar energy, wind energy, low-income households, energy policy, commercial drivers license, non-domiciled, federal regulations, commercial learner's permit, citizenship, lawful residency, Department of Transportation, workers' compensation, vocational rehabilitation, injury recovery, employment services, return to work, commercial driving, driver's license
KY
Kentucky 2025 Regular Session
House Standing Committee BR Sub. on Health & Family Services (2-26-25)
Transcript Highlights:
- conviction through the judicial process conviction through the judicial process um<00:13:50.279>
- I've kind of talked about the process that we make those referrals.
- that we make of talked about the process that we make those<00:25:06.120>
referrals <00:25:07.120 - um sometimes though the those referrals um sometimes though the referrals<00:25:09.159>
do <00 - an RFP Pro request for proposal process an RFP Pro request for proposal process we<00:36:53.599>
Summary:
The subcommittee met to review the Department for Medicaid Services’ program integrity work. Commissioner Lisa Lee and Program Integrity Director Jennifer Dudinsky outlined Kentucky Medicaid’s structure, funding, enrollment, and spending, including FMAP rates, the size of the Medicaid and KCHIP populations, the number of providers, and 2024 expenditures. They also described the managed care and fee-for-service populations, noting that managed care serves most members while fee-for-service is concentrated in long-term care and waiver populations.
Most of the discussion focused on fraud, waste, abuse prevention, and provider oversight. The department described its provider enrollment and certification checks, revalidation requirements, site reviews, fingerprinting for some high-risk providers, and termination grounds such as false application information, Medicare actions, unreported ownership changes, and abandonment of a provider number. Members asked about nonprofit ownership reporting, MCO fraud oversight, and how the department tracks unusual CPT code utilization, especially in behavioral health. The department said it uses data analytics, audits, policy review, and collaboration with behavioral health staff to monitor those trends.
Dudinsky explained the division’s four branches: provider licensing and certification, audits and compliance, recovery, and third-party liability/estate recovery. She described prepayment and postpayment audits, referrals of credible fraud allegations to the Attorney General, monthly meetings with the AG’s office, and coordination with the Office of Inspector General, CMS, HHS OIG, MCOs, and other partners. She also explained payment suspensions, stand-downs during law enforcement investigations, and recovery efforts for overpayments, provider/member fraud, and third-party liability. The department said its recovery and avoidance efforts produced more than $251 million in savings so far in 2025. No votes or formal actions beyond approving the minutes were taken.
NH
New Hampshire 2026 Regular Session
Fiscal Committee (06/19/2026)
Transcript Highlights:
- They're learning the process. They're guiding their clients through the process for the first time.
- you going through full process on a lot of these claims, but some limited process to get us to October
- So, that just relieves the process a little bit.
- , which is really a three-month process to which is really a three-month process to assess and then take
- There's going to have to be a process that kicks out of our regular A process that kicks out of our regular
Summary:
The Fiscal Committee opened by approving the May 15 minutes and then recognized Pam Ellis for her long service with the Legislative Budget Assistant’s office and upcoming retirement. The committee adopted the consent calendar with two items removed for separate consideration, then approved transfers for the Administrative Office of the Courts and the Department of Environmental Services after questions about court benefit costs and dam project funding. The Department of Health and Human Services also received approval for a general fund transfer item.
A major portion of the meeting focused on the Youth Development Center settlement fund. New administrator Jared Boyle, joined by the Attorney General, described the fund’s remaining caseload, the payment matrix, and the need for additional funding to begin hearings in August. Members raised concerns about administrative costs, attorneys’ fees, payday loans, structured settlements, and the long-term fiscal impact on the state. Boyle requested $55 million, but the committee ultimately approved a reduced appropriation of $20 million, with members noting the possibility of returning for more funding later depending on revenues and the October revenue review.
The Department of Corrections then received approval for a smaller shortfall transfer and a larger overtime-related transfer, with officials citing a 52% corrections officer vacancy rate, ongoing recruitment, academy classes, and efforts to use civilian staff in some non-security roles. A late item from the Veterans Home was also approved to cover overtime, holiday pay, and indirect cost shortfalls within its existing budget.
The committee then heard an informational presentation on implementation of Senate Bill 134 and the new federal Medicaid work-requirement rule. DHHS said it plans to submit a state plan amendment, seek approval for hardship exceptions, start with one eligibility check cycle, and use existing federal grant funding to make system changes. Finally, the committee received a performance audit of the Doorway opioid treatment program, which found weak written procedures, incomplete data use, reimbursement delays, and problems with the Governor’s Commission on Addiction Treatment and Prevention. Members discussed follow-up reporting, and the next Fiscal Committee meeting was scheduled for August 21 at 11:00 a.m.
KY
Kentucky 2025 Regular Session
House Standing Committee BR Sub. on Econ. Dev., Public Protection, Tourism, and Energy (2-26-25)
Transcript Highlights:
- We track and we know that 109 counties got referrals, and we did 146 specific referrals, and we actually
- know that 109 counties got uh referrals know that 109 counties got uh referrals and<00:09:23.200
- <00:09:26.120>
and and we did 1,46 specific referrals and and we did 1,46 specific referrals - Understand that process is really the critical factor here.
- <00:23:59.880>
and matter of where they in the process and matter of where they in the process
Keywords:
00:01 Call to Order and Roll Call
00:34 Economic Development Cabinet
27:51 Adjournment, 958, all
Summary:
The committee met without a quorum, so the minutes from the last two meetings were not approved. Secretary Noel of the Cabinet for Economic Development then gave a broad overview of the cabinet’s work and an update on the Kentucky Product Development Initiative (KPD), with Deputy Secretary Katie Smith and General Counsel Matt also present. He said the cabinet’s strategy is to focus on high-wage job creation, especially in automotive transformation, business and financial professional services, tourism, logistics, agri-tech, aerospace, and other high-tech sectors, while also supporting small and medium-sized businesses and existing employers.
Noel highlighted several program results and examples, including average incentivized wages approaching $27 per hour, 877 jobs and $346 million in investment through hub operations, $90 million through Commonwealth Ventures, help for hundreds of companies through the Kentucky Intellectual Property Alliance, work with 220 companies through the Kentucky Science and Technology Council, nearly 3,000 students in Advanced Kentucky, and more than 1,100 participants in Kentucky Valor. He also cited 35,000 workers trained through Bluegrass State Skills, 177 businesses helped by the small business tax credit, and 77 entertainment incentive transactions totaling about $200 million and 7,400 jobs. On the grant side, he said the cabinet had approved 155 projects under a federal grant program, committing $99 million, with outreach aimed at smaller communities and all 120 counties.
The main focus of the second half was KPD. Noel described it as a program that requires more than basic due diligence, emphasizing community readiness, local vision, title and mineral-rights review, sewer validation, and consultant review. He said 109 projects had been awarded in the earlier rounds, and in 2024 there were 45 requests for information seeking $81 million against $35 million in available funding, showing strong demand. He also said the cabinet has worked with local economic developers through five regions aligned with area development districts, and that the secretary, deputy secretary, or commissioner of business development must attend the regional meetings, with 100% attendance reported for the key three last year. In response to questions, he said Jefferson County’s lack of KPD projects so far likely reflects where local land and development strategies are in the process rather than a lack of interest, and he said the cabinet has not heard that Kentucky’s occupational safety and health rules are clearly helping or hurting competitiveness, though he offered to look into it further.
MA
Massachusetts 2025-2026 Regular Session
Joint Committee on Ways and Means Jun 21st, 2026 at 11:00 am
Joint Committee on Ways and Means
Transcript Highlights:
- referral is outdated.
- process.
- process.
- And we've met with hospital systems and DMH to uncover this issue with the referral process.
- And it's continually frustrating to hear this conversation about the referral process because what I've
Summary:
The Joint Ways and Means Committee held its final public hearing on the FY26 state budget, with chairs and members emphasizing that public testimony would help shape the budget and asking speakers to keep remarks brief. Committee leaders introduced members, explained the hearing process, and repeatedly thanked residents, students, and advocates for participating. No votes were taken during the hearing.
Testimony focused heavily on education funding and the Chapter 70 formula. Students from Amherst, Northampton, Gateway Regional, Chester Elementary, and other districts described budget-driven cuts to electives, special education supports, paraprofessionals, counselors, transportation, and building maintenance. They urged higher Chapter 70 aid, increased minimum aid, rural school aid, and a reopening or restructuring of the funding formula, arguing that current formulas leave many districts unable to meet student needs and force local layoffs and overrides.
Other speakers urged funding or protection for a range of programs and facilities, including the Louis D. Brown Peace Institute for homicide survivor services, the Museum of African American History, the Massachusetts Commission for the Deaf and Hard of Hearing and CART/interpreter services, the Access to Counsel housing legal aid program, the Department of Mental Health and Pocasset Mental Health Center, and Pappas Rehabilitation Hospital for Children. One speaker opposed offshore wind-related spending and urged a reset of the state’s energy approach, while another advocated ending the aircraft sales tax exemption. Committee members responded sympathetically to many speakers, asked a few follow-up questions, and several expressed support for maintaining or expanding the programs discussed.
CA
California 2025-2026 Regular Session
Assembly Floor Session Mar 13th, 2025
California House Floor Meeting
Transcript Highlights:
- notice the following bills for their hearing on Wednesday, March 19th: AB 253, Ward, pending re-referral
- yan, pending re-referral from the Insurance Committee. Thank you.
- AB 597, Harbiddy, and pending re-referral from the Insurance Committee.
- Think, for example, an iPad or an iPhone that's being imaged and forensically processed by your local
- Probation officers serve as the arm of the courts and are uniquely involved in the judicial process,
Summary:
The Assembly convened after a quorum call, heard a prayer and Pledge of Allegiance, and then moved through routine procedural business, including dispensing with the reading of the prior journal, re-referring several bills, and approving committee scheduling requests. There was also a point of order from Assemblymember DeMaio asking about a possible Governor’s message regarding Medi-Cal, but the chair said no formal message had been received at the desk.
The main floor debate centered on AB 321 by Assemblymember Schultz, the Better Informed Decisions Act, which would allow courts to consider reducing certain “wobbler” offenses from felonies to misdemeanors later in the criminal process if new evidence emerges. Supporters argued it would improve fairness, transparency, and efficiency by letting judges make better-informed decisions; opponents said it would weaken felony accountability and conflict with voter intent on public safety. The bill passed on a 46-5 vote.
The Assembly also adopted ACR 47 by Assemblymember Chen, declaring March 16–22 as National Surveyors Week, with 63 co-authors added and the resolution adopted by voice vote. AB 387 by Assemblymember Alanis, which expands jury duty exemptions to include probation officers, passed 64-0. On the consent calendar, ACR 46, HR 9, HR 22, and SCR 17 were adopted with unanimous votes, and the Assembly adjourned until Monday, March 17 at 1 p.m.
HI
Hawaii 2026 Regular Session
House Chamber - Thu Apr 9, 2026, 12:00PM HST - Day 42
Hawaii House Floor Meeting
Transcript Highlights:
- Members, please note that per committee referral sheet number 26, House Resolution number 113 and House
- <00:36:49.720>
to <00:36:49.880>their Land waive their referral to their Land waive - their referral to their respective<00:36:50.680>
measures <00:36:51.200>and <00:36:51.440 - , the same one well-established process, the same one utilized<00:49:54.800>
by <00:49:54.920>< - And this process has been the only way to bring these issues forward.
Bills:
SB3136, SB2521, SB2851, SB3154, SB3262, SB2387, SB3001, SB2818, SB2972, SB2372, SB2108, SB888, SB3320, SB2798, SB2110, SB3007, SB2615, SB2095, SB2101, SB3138, SB2756, SB3229, SB2969, SB3286, SB3238, SB2557, SB3140, SB2014, SB3097, SB3096, SB3069, SB99, SB2930, SB2268, SB2543, SB3022, SB3109, SB3215, SB3152, SB3156, SB3234, SB3053, SB3067, SB2673, SB411, SB2041, SB2919, SB2532, SB2152, SB2721, SB2446, SB2601, SB2239, SB2804, SB3324, SB2802, SB2577, SB2320, SB2706, SB2595, SB2781, SB2961, SB2433, SB2657, SB2340, SB3045, SB3203, SB2861, SB3245, SB2803, SB3204, SB3025, SB2138, SB2645, SB3082, SB2109, SB2261, SB3332, SB2811, SB2567, SB2125, SB2866, SB83, SB874, SB2386, SB3137, SB3132, SB2175, SB2272, SB2271, SB847, SB3302, SB2089, SB2102, SB2050, SB2694, SB2487, SB2061, SB709, SB3083, SB2151, SB2852, SB2471, SB2568, SB2253, SB2697, SB2429, SB2929, SB3032, SB2057, SB148, SB2353, SB2075, SB2907, SB2074, SB3219, SB3218, SB2367, SB3048, SB17, SB3253, SB2376, SB3103, SB2999, SB3255, SB1166, SB3157, SB2698, SB3029, SB2146, SB2470, SB3040, SB3076, SB2575, SB3294, SB2438, SB2530, SB2688
Keywords:
lead-free, lead in drinking water, drinking water, water infrastructure, public water system, plumbing, pipe fittings, solder, flux, fixtures, cast iron pipe repair, nonpotable water, Safe Drinking Water Act, Department of Health, water quality, lead exposure, lead contamination, water utilities, backflow preventer, fire hydrant
TX
Transcript Highlights:
- Are we doing a referral? Mr.
- Garin moves to defer the reading referral bills until the end of today's business.
- subcommittees scheduled to meet to reconvene today upon final adjournment or recess during bill referral
- Guillen moves that the House adjourned pending the reading referral bills until 10:00 a.m. Tuesday.
- The chair hears none and the House stands adjourned pending the reading referral of bills.
NH
New Hampshire 2025 Regular Session
House Finance Division III (03/10/2025)
Transcript Highlights:
- <00:09:54.640>
food families um information referral food families um information referral - <00:17:17.280>
for note that it's been a long process for note that it's been a long process - We can see where they're at in the process.
- uh they provide information referral uh they provide information referral information<00:35:48.480
- referral supports um person information referral supports um person centered centered centered counseling
Summary:
The Division of Long-Term Supports and Services presented its budget and program overview as part of the Department of Health and Human Services operating budget review. Leadership described the division’s three bureaus—Aging and Adult Services, Developmental Services, and Family-Centered Services—and explained that the division provides guidance, technical assistance, quality monitoring, and contracted provider oversight across the lifespan. Members also discussed staffing, with reported vacancy rates of 4% in Aging and Adult Services, 15% in Developmental Services, and 6% in Family-Centered Services; the division said the higher BDS vacancy rate is partly due to the small number of authorized positions. The governor’s budget had left eight positions unfunded in the division, including three in Aging and Adult Services and five in BDS.
A major topic was the division’s roadmap initiatives, especially building a system of care for healthy aging and strengthening developmental disabilities systems through a new reimbursement rate structure. The division said it contracted with an actuary to study DD service costs and found rates had not been reviewed since 2017 and were significantly below actual costs and other states’ rates, contributing to provider shortages even when services are authorized. Members asked about the impact on service delivery and whether rates would need to rise overall; the division said its strategy is to focus on lower-cost services that help people remain in the community. The division also reported waiver enrollment figures, including about 4,161 people on the Choices for Independence waiver, 3,688 average nursing facility residents, 5,061 people on the DD waiver, 228 on the acquired brain disorder waiver, and 488 children on the in-home support waiver, while noting there is no funding waitlist but provider availability remains a constraint.
The division highlighted IT modernization as a major accomplishment, especially moving Adult Protective Services and Developmental Services into the New Heights system. Officials said these changes improve case-note access, data retrieval, service authorization tracking, and transparency for providers, and they asked for future oversight discussion focused on IT leverage. Members noted that New Heights maintenance is budgeted in the Office of the Commissioner under class 27 and suggested better transparency on system costs and benefits. The division also reported that it closed out a long-running CMS corrective action plan for BDS on July 1, 2023, and said it is now focused on strengthening the system rather than compliance alone.
Other discussion covered the Aging and Adult Services bureau’s name change from Elderly and Adult Services to Adult and Aging Services, intended to avoid negative connotations and better reflect preventative services. The bureau described Adult Protective Services trends involving scams, financial exploitation, self-neglect, and isolation, and explained that it administers the CFI waiver, determines medical eligibility for nursing facility level of care, and braids funding from Medicaid, state funds, Older Americans Act money, Social Service Block Grants, and other grants. Members asked about waiver growth targets and federal consequences if enrollment remains below projections; the division said it would explain the shortfall in a future waiver amendment and did not anticipate a federal penalty. The meeting ended without any votes or formal actions taken.
MN
Transcript Highlights:
- the dramatic increase in referrals. the dramatic increase in referrals.
- , and we have a process here.
- Got the process wrong. apologize. Got the process wrong.
- So, our process goes: we get a referral from DHS. We look at it.
- goes we get a referral from DHS. goes we get a referral from DHS.
MN
Minnesota 2025-2026 Regular Session
House Fraud Prevention and State Agency Oversight Policy Committee 3/2/26
Fraud Prevention and State Agency Oversight Policy
Transcript Highlights:
- >
is The STS certification process is The STS certification process is overseen<00:04:04.200>< - internally to um vet those process internally to um vet those processes<00:28:36.240>
to <00:28 - , If you think about our current process, If you think about our current process, um,<00:30:27.480
- That referral was in November of 2024. That referral was in November of 2024. Okay. Okay. Okay.
- Um, in terms of referrals, um, I believe we only had 11 referrals from managed care organizations in
Summary:
The committee met on March 2 and approved the February 23 minutes after a quorum was reached. The main presentation was from the Department of Human Services on non-emergency medical transportation (NEMT), a federally required Medicaid benefit that helps Minnesota Health Care Program enrollees get to medically necessary appointments. DHS said the program served more than 250,000 people in 2025 at a cost of $127 million, with participation up about 14% over five years, and described the seven transportation modes, provider enrollment requirements, STS certification, background checks, prior authorization rules, and planned transitions to a single administrator for parts of the program in 2026 and 2027.
DHS officials emphasized fraud prevention efforts, saying NEMT is one of the agency’s high-risk Medicaid services. They described enhanced prepayment review, provider revalidation and site visits, removal of inactive providers, and a provider moratorium in metro counties. Inspector General James Clark said the governor’s anti-fraud proposal would add pre-enrollment risk assessments, more staffing and technology, and electronic visit verification. He also noted that about 80% of NEMT spending is in managed care and that managed care organizations have their own compliance and special investigations units.
Committee members raised concerns about fraud, oversight, and privatization. Chair Robbins questioned DHS about the absence of the commissioner and the program’s use of brokers, citing past concerns and asking about the vendor MTM’s history; DHS said the RFP for the new broker had closed and the vendor selection was still underway. Representative Pinto questioned why oversight is outsourced to managed care organizations and suggested bringing more oversight back in house. MTM representative Phil Stahlberger defended the company’s record, said the Missouri dispute was about contract terms from about 15 years ago, and said MTM currently works in Minnesota counties and many other states, with on-site reviews, trip verification, and complaint review processes. No further votes or final actions on the NEMT policy were taken in the portion provided.