Video & Transcript : 'systemic review' :
Page 32 of 500
MN
Transcript Highlights:
- As to those two reviews, the first is an initial review, and so the commission through the initial review
- an</c> initial review.
- Second review is an initial review.
- conversion systems.
- </c> of these uh types of systems exist. of these uh types of systems exist.
Committee:
House Taxes
CA
California 2025-2026 Regular Session
Assembly Budget Subcommittee No. 6 on Public Safety Apr 7th, 2025
Transcript Highlights:
- Can you tell me the portion of the reviews that are being done? Reviews of the grievances.
- And just from a systems perspective, we are humans that run systems, I'm deeply concerned about the fact
- Review Committee.
- I mentioned post-investigation review, so that's a system where we review cases that have come through
- What we're trying to do is we stood up a new system that I mentioned, and it's a better system.
Summary:
The hearing focused first on sexual abuse, harassment, and retaliation in California’s women’s prisons, with testimony from CDCR wardens, the Office of Inspector General, advocacy groups, and formerly incarcerated survivors. Legislators and witnesses described a pattern of staff misconduct, fear of retaliation, gaps in reporting, and the need for stronger accountability, better investigations, and more outside access for survivor support organizations. CDCR said it has expanded training, body-worn and stationary cameras, outside partnerships, and PREA-related response procedures, while the Inspector General requested additional funding and staff to monitor more grievances and staff sexual misconduct cases under SB 1069. Members pressed CDCR on why accused staff are not always placed on leave, how cases are referred to prosecutors, and whether current protections are enough; several members argued the state should aim to investigate all complaints and do more to prevent retaliation and repeat abuse.
The second issue was rehabilitative and reentry programming in women’s prisons. CDCR’s Division of Rehabilitative Programs and the wardens highlighted education, vocational training, substance use treatment, peer support, and community reentry programs, citing increased enrollment and recent graduates earning diplomas, degrees, and certifications. They said these programs are intended to reduce recidivism and improve public safety. Formerly incarcerated advocates and community providers argued that current offerings are still too limited, outdated, and not aligned with today’s job market, especially around digital literacy and transferable credentials, and they urged more funding for community-based, trauma-informed, gender-responsive programming. A coalition representative asked for a $20 million continuation and expansion of the Wright Grant program, and members discussed additional budget requests for reentry and related women’s services.
AR
Transcript Highlights:
- It's currently under review.
- It's still under review. Okay.
- There are six for your review today.
- There was nothing in your system that let you know whether or not this was reviewed or not reviewed?
- there was nothing in your system that let you know whether or not this was reviewed or not reviewed
Committee:
All ALC-REVIEW
Summary:
The committee first considered an $88,000 used tire program contract for District 4 with LTR Intermediate Holdings. Senators raised concerns that the tire district’s revised business plan had not yet been approved and that the contract could worsen cash flow before funding was confirmed. Questions were also raised about procurement language in the RFP that excluded bidders under corrective action plans. After discussion, a motion was made and approved to hold the contract until next month so the tire board could appear and answer questions.
Members then reviewed a large slate of methods of finance, alternative delivery projects, and discretionary grants. These included capital projects at ASU Mid-South, Arkansas Tech, Ozarka, UA Fayetteville, UA Little Rock, UAMS, and UCA; a new UCA multi-purpose arena project estimated at $75.5 million; and DHS and Department of Health grants for aging services, substance abuse prevention, mental health, nutrition, hearing-loss follow-up, HIV services, and rural hospital quality improvement. All of these items were reviewed without objection.
The committee also heard a ratification request from UAMS for a Family and Medical Leave Act outsourcing contract with FMLA Source. UAMS said an amendment had been prepared but never submitted for review, and payments continued after expiration; members expressed frustration and asked UAMS to review whether other contracts had similarly lapsed. The committee then reviewed numerous construction-related, intergovernmental, out-of-state, and in-state contracts, including airport economic impact study work, parking guidance technology at the University of Arkansas, veteran nursing services, and multiple DHS service contracts. Most items were reviewed without objection, and the meeting adjourned after reports of routine contract amendments and minor contracts were presented for information.
MN
Transcript Highlights:
- and wind energy solar energy systems and wind energy conversion<00:08:27.919><c> systems.
- </c> required components of review required components of review individually.
- valuation of 4.1.26 wind energy conservation systems and 4.1.27 solar energy systems.
- </c> systems from 1997 to 2023. systems from 1997 to 2023.
- </c> for the solar energy systems exemption. for the solar energy systems exemption.
Committee:
Senate Taxes
WI
Transcript Highlights:
- our system change review process, and we've... ...critical incidents, how they review our system change
- So each of these jurisdictions will learn how to do a systems approach to reviewing child fatalities,
- the output of a review process, and we hope to use the reviewed lens.
- those reviews.
- Ours is all just generated from those internal reviews done by teams inside child welfare systems.
AR
Arkansas 2026 1st Special Session
EDUCATION COMMITTEE - SENATE AND HOUSE Feb 3rd, 2026
Transcript Highlights:
- This adequacy study process has included a review of these systems.
- That was last reviewed, or last produced, for the 2023 school year, so we’ll want to review that here
- The statewide accountability system, we do have a statewide accountability system, which we’ll discuss
- The statewide accountability system, we do have a statewide accountability system, which we'll discuss
- The presenter said they will review available data regarding the statewide assessment system, access
Summary:
The committee received a lengthy Bureau of Legislative Research presentation on Arkansas academic standards, accountability systems, and adequacy-related requirements. Staff reviewed the history of state curriculum and accreditation laws, the current standards for grades K-12, required high school units and graduation pathways, and recent changes such as career-ready pathways, embedded instruction requirements, and the distinction between courses required to be offered versus courses actually taken by students. Members asked for a chart comparing the 1997, 2003, 2015, 2017, and later law changes, and staff agreed to provide one.
The presentation then turned to the federal ESSA plan and Arkansas’s state accountability system. Staff summarized ESSA requirements, Arkansas’s long-term goals for proficiency, English learner progress, and graduation rates, and recent data showing that 2025 proficiency rates remained well below the 80% goal, while English learner progress and graduation rates were also below long-term targets. The committee discussed school support and improvement, equitable access to educators, report cards, and the apparent lack of evidence that equity labs are currently being conducted. Members requested follow-up from the Department of Education on equity labs, report card data, and whether the ESSA plan can be changed.
The presentation also covered state assessment results under the Arkansas Accountability Act, including ATLAS, DLM, ELPA 21, ACT, and NAEP data, along with teacher access measures and geographic shortage districts. Staff reported that Title I and high-poverty schools tend to have more emergency/provisional teachers and less experienced staff, and that shortage districts are concentrated in parts of the state. Members asked for additional information on test highs and lows, the number of assessments students take, dropout data, and whether higher teacher salaries have affected shortage areas. The committee also discussed district levels of support under the state accountability system, including the possibility of state intervention at the highest level of support.
AZ
Arizona 2026 Regular Session
04/06/2026 - Joint Legislative Oversight Committee on the Department of Child Safety
Joint Legislative Oversight Committee on the Department of Child Safety
Transcript Highlights:
- So, very quickly, this is the systemic critical incident review process that I just talked about.
- and present to the multidisciplinary review team for systemic changes.
- The middle systemic critical incident review process, the multidisciplinary care team, the MDRT selects
- The middle systemic critical incident review process, the multidisciplinary care team, the MDRT selects
- It's a very thoughtful way of which they're doing their systemic reviews in order to prevent those bad
Summary:
The Joint Legislative Oversight Committee on the Department of Child Safety met to review child welfare reforms developed after prior oversight hearings on the deaths of Emily Pike, Zariah Dodd, and Rebecca Baptiste. Committee members and the chair described a series of stakeholder meetings with tribes, DCS, law enforcement, county attorneys, schools, and other advocates that produced several bills aimed at improving communication, reporting, investigations, and court decision-making. The chair said SB 1125, creating a tribal-DCS memorandum of understanding, had already been signed, and highlighted HB 1126 on school records access, HB 1127 on mandatory reporting by people with direct knowledge, HB 1174 on hotline case history and review of prior reports, HB 1175 on photo documentation of children in care, HB 1496 on allowing attorneys to share more safety information with judges, and HB 1631 requiring advanced forensic interviews within 72 hours in sexual abuse cases, with some exceptions.
DCS Director Catherine Patak presented agency data showing nearly 160,000 hotline calls in 2025, about 43,000 investigations, and a relatively steady out-of-home care population that ended the year at 7,077 children. She said about 3,000 children were reunified, 1,300 adopted, and 800 entered guardianship, while 1,100 young adults received transition services. She also reported 534 new foster homes licensed, a 50% reimbursement increase for older youth caregivers, a 40% decrease in youth missing from care since September 2024, and a 30% reduction in fatalities of children in care since 2024. Patak discussed the annual fatality review process, noting that 52 of 123 alleged fatality or near-fatality reports had prior DCS involvement, and described agency responses such as health plans for children with complex medical needs, a diabetes training app, expanded LifeSet services, fentanyl and safe-sleep prevention campaigns, staffing realignment, retention efforts, and improved coordination with law enforcement and tribes.
Members asked about group home notification rules, the distinction between “missing” and “runaway,” behavioral health needs driving children back into care, training under Jacob’s Law, and whether best practices exist for placing sexually abused youth with appropriate staff. Patak said DCS is updating rules to remove “runaway” and “AWOL” in favor of “missing,” and that the agency is considering whether the statute’s immediate-or-24-hour reporting language should be clarified. She also said DCS does not currently have a specific staffing requirement tied to a child’s sex in group homes, but would look into practices in other states. The committee then heard from Malcolm Hightower of Casey Family Programs, who said Arizona is generally in the middle of the pack nationally: slightly higher than average in foster care entries and congregate care use, but near the national average on screening, substantiation, recurrence, re-entry, and maltreatment fatalities. He praised Arizona’s kin placement rate, said congregate care remains a challenge, and noted that neglect definitions and poverty-related removals remain an area of policy discussion. Finally, K.C. Melsick of Collaborative Safety described the organization’s safety-science approach to systemic critical incident reviews, arguing that child welfare systems should move away from blame and toward learning from near-misses and system failures. Members discussed applying similar methods across state agencies, and the committee adjourned after members and witnesses emphasized continued collaboration and further reforms in the interim and next session.
WA
Washington 2025-2026 Regular Session
JLARC – Joint Legislative Audit & Review Committee Dec 3rd, 2025 at 10:00 am
Transcript Highlights:
- The implementation of the system would, Yeah, the implementation of the system would, if it was funded
- from point of sale of various systems from point of sale and lab systems and production systems to integrate
- of reviews.
- Legislative auditor across nine reviews, and those reviews are shown on this slide here.
- A review found that less than half of the developers included in the analysis A review found that less
Summary:
JLARC met on December 3, 2025, with a quorum present and approved the September 17 minutes. The committee first voted to suspend the 2026 lodging tax expenditure report for one year, citing the report’s self-reported nature, limited use, and the availability of State Auditor accountability audits; members also discussed introducing legislation to remove the biennial report from statute. JLARC then approved renaming its I-900 subcommittee to the “Committee to Hear SAO Performance Audits,” while keeping the opening script that explains the committee’s work stems from Initiative 900.
The committee then heard follow-up presentations on the Department of Health’s hospital oversight audit and the Liquor and Cannabis Board’s cannabis market study. JLARC staff reiterated that DOH was late on most hospital inspections, could not verify third-party inspection standards, did not review adverse event reports, and had limited public accessibility for hospital data. DOH presented a draft strategic management plan with goals to improve inspection timeliness, accreditation oversight, complaint access in preferred languages, adverse event analysis, and data reporting; it said it had improved on-time inspections from 28% to 49% and planned updates in 2026, but members pressed for firmer deadlines and expressed concern that language-access improvements could take too long. LCB staff said its current cannabis tracking system remains limited because it is self-reported, but the agency has improved processing and is seeking about $9 million over two biennia for a new traceability system; members asked about plant tagging, staffing, and whether the system would improve revenue and oversight.
JLARC staff also briefed the committee on follow-up tools for tracking audit recommendations, including a new “resolved/not yet resolved” framework and improved web dashboards and landing pages. The committee then received the annual public records reporting summary, which showed 236 of more than 2,300 agencies reported, with about 484,000 requests received, 465,000 closed, and $127 million spent fulfilling requests; staff said they are working with OFM and others to simplify some reporting guidance for 2025. Finally, the committee adopted the proposed final report on the Office of Privacy and Data Protection, which found OPDP meets statutory responsibilities but should have its mandate updated and its performance measures better tied to outcomes. The meeting ended with the start of the 2025 tax preference performance reviews, covering several preferences including natural gas transportation fuel, travel agents and tour operators, nonprofit low-income housing development, multi-purpose senior centers, disabled veteran adapted housing, trade convention attendance, and several agricultural-related preferences; staff summarized whether each preference met its objective and noted where the Citizens Commission on Tax Preferences endorsed or commented on JLARC’s recommendations.
MO
Missouri 2026 Regular Session
Professional Registration and Licensing Jan 21st, 2026 at 09:00 am
Professional Registration and Licensing
Transcript Highlights:
- as peer review activities.
- peer review process.
- They were peer reviewed extensively. I was a part of that peer review.
- They were peer reviewed extensively. I was a part of that peer review.
- We have items under peer review, and we get blanket peer review privilege called.
Summary:
The committee came to order, established a quorum, and then moved into executive session to vote on two previously heard bills. House Bill 2591, relating to licensure requirements for speech-language pathologists, was moved do pass and approved unanimously, 20-0. House Bill 1844 was then also moved do pass and approved unanimously, 20-0. The chair noted an intent to use a generic committee substitute to consolidate related bills and reduce the number of measures reaching the floor.
The committee then returned to public hearing on House Bill 1980, sponsored by Representative Cook. The bill would extend peer review and quality improvement confidentiality protections to EMS professionals, including EMTs and paramedics, so their quality assurance discussions would be treated like those of other health care professionals. Supporters, including a trauma surgeon, ambulance association representatives, medical society representatives, and fire district representatives, argued that EMS personnel need to be included in frank, protected discussions to improve patient safety and system performance, and that the bill would not shield factual records or misconduct. Several members asked about the scope of the bill, especially whether it would cover ambulance drivers in vehicle accidents or dispatchers; witnesses said the measure was aimed at EMTs and paramedics under Chapter 190 and that factual evidence and deposition testimony would remain discoverable.
Opposition came from an attorney representing the Missouri Association of Trial Attorneys, who said peer review is valuable but warned that expanding its protections can be used to hide witnesses, documents, and other discoverable information. He argued the concern is not with EMS inclusion itself, but with abuses of peer review privilege that can limit access to evidence in litigation. The hearing on HB 1980 concluded without a vote, and the committee adjourned after testimony.
WA
Washington 2025-2026 Regular Session
JLARC – Joint Legislative Audit & Review Committee Dec 3rd, 2025
Transcript Highlights:
- The implementation of the system would...
- from point of sale... ...of various systems from point of sale and lab systems and production systems
- of reviews.
- , and those reviews...
- All 17 recommendations made by the legislative auditor across nine reviews, and those reviews are shown
Summary:
The committee met on December 3, 2025, with a quorum present and approved the September 17 minutes. Members first voted to suspend the 2026 JLARC lodging tax expenditure report for one year, based on staff’s explanation that the report is self-reported, not verified, and less useful than State Auditor accountability audits; the motion passed. The committee also approved renaming the JLARC I-900 subcommittee to the “Committee to Hear SAO Performance Audits,” while keeping the opening script noting that the performance audit process exists under Initiative 900.
The committee then heard follow-up updates on two prior performance audits. The Department of Health presented a draft strategic management plan in response to findings on hospital inspections, complaints, adverse event review, and hospital data access. JLARC staff reiterated that 72% of hospital inspections were late, that DOH did not verify third-party inspection standards or review adverse event reports, and that complaint data suggested possible language-access barriers. DOH said it concurred with the recommendations, had improved on-time inspection compliance to about 49%, planned annual updates starting in July 2026, and would work on accreditation oversight, complaint-language access, and data accessibility, though members pressed for firmer deadlines and questioned the three-year timeline for language access improvements.
The Liquor and Cannabis Board also reported on its cannabis market study recommendation. JLARC staff said the agency’s data were incomplete and unreliable, limiting oversight of production, recalls, tax collection, and diversion. LCB said it had improved its current CCRS system but still relied on self-reported data, and it presented a decision package for a new traceability system estimated at about $9 million over three fiscal years. LCB described a plant-tagging and serialization approach tied to production, processing, testing, and retail, but acknowledged it did not currently have sufficient staff to fully implement the system without additional funding.
The committee also received briefings on JLARC’s recommendation-tracking tools and the 2024 public records reporting summary, including a high-level review of agency response rates, request volumes, costs, and litigation. Finally, JLARC presented the proposed final report on the Office of Privacy and Data Protection, concluding that OPDP meets its statutory responsibilities and has high user satisfaction, but that its mandate should be updated to better match its current capacity and focus; the committee adopted the report for distribution. The meeting then moved into the 2025 tax preference performance reviews, where JLARC staff summarized nine reviews and noted that the Citizens Commission on Tax Preference and Performance Measurement endorsed all 17 legislative auditor recommendations, with comments on seven. Early reviews discussed included natural gas transportation fuel preferences, travel agent and tour operator B&O rates, nonprofit low-income housing development, multipurpose senior centers, disabled veteran adaptive housing, and trade convention attendance, with staff and commissioners generally recommending continuation of some preferences, modification of others, and improved objectives or performance measures where needed.
AR
Arkansas 2026 Regular Session
EDUCATION COMMITTEE - SENATE AND HOUSE Feb 3rd, 2026
Transcript Highlights:
- This adequacy study process has included a review of these systems.
- review must entail, which includes review and input from Arkansas communities, as well as an assessment
- That was last reviewed, or last produced, for the 2023 school year, so we want to review that here.
- The statewide accountability system, we do have a statewide accountability system, which we'll discuss
- And then we will review available data regarding statewide student assessment system access to educators
Summary:
The committee received a lengthy Bureau of Legislative Research presentation on Arkansas academic standards, accountability systems, and adequacy requirements. Staff reviewed how state curriculum and standards have evolved from the 1997 Public Education Act through the 2003 Quality Education Act and the 2017 Educational Support and Accountability Act, including required coursework, standards for accreditation, career and technical education, graduation requirements, and recent additions such as computer science, personal finance, firearm safety, and fetal growth and development instruction. Members asked for a chart comparing the major laws and repeals over time, and staff agreed to provide one.
The presentation then turned to federal ESSA requirements and Arkansas’s state accountability system. Staff explained Arkansas’s long-term goals for proficiency, English learner progress, and graduation rates, and reported 2025 ATLAS proficiency results, which remained below the 80% goal across student groups. They also reviewed English learner progress, graduation rates, school support and improvement, and equitable access to educators. Data showed gaps by subgroup and by school poverty/minority concentration, with Title I and high-poverty schools more likely to have emergency/provisional teachers and less experienced staff. Members questioned the lack of recent data for some ESSA measures, including equity labs and school index calculations, and asked staff to follow up with the Department of Education.
The committee also discussed NAEP results, ACT scores, and teacher quality measures under the state accountability act. Arkansas’s NAEP performance remained below national averages in fourth- and eighth-grade reading and math, and ACT composite scores and benchmark attainment were also reviewed. Members asked for additional information on historical highs and lows, the number of assessments students take by grade, dropout data, and comparisons with other states. No formal votes were taken; the main action was agreement to request additional information from DESE and to schedule department follow-up at a future meeting.
ID
Transcript Highlights:
- That is our review of plans and specs review. There is one further definition to point out.
- We created a definition here for wastewater systems.
- We created a definition here for wastewater system.
- , just the treatment system, or both of them together.
- We created a definition here for wastewater system.
Committee:
Senate Resources and Environment
TX
Texas 89th Regular
Sunset Advisory Commission Aug 12th, 2026
Transcript Highlights:
- with the system plan, and to review the state agency strategic plans and local workforce development
- Not for the whole system. No, ma'am. We are, we—that system, the one-third.
- So there's been this system.
- evaluation of the system.
- With the Sunset Review, Texas has an opportunity to strengthen how our workforce system works across
Summary:
The Sunset Advisory Commission convened for the 2026-27 review cycle, established a quorum, approved its review schedule and the January 15, 2025 meeting minutes, and heard introductory remarks from members and staff. Chair Kolkhorst and Vice Chair Hall emphasized the commission’s role in reviewing state agencies for efficiency, accountability, and transparency. Sunset staff then gave an overview of the process and noted that 16 agencies and entities are under review this cycle, representing about a third of the state budget.
The main staff presentation focused on the Texas Workforce Commission (TWC), the Texas Workforce Investment Council (TWIC), and the Purchasing from People with Disabilities Program. Sunset staff said TWC needs stronger oversight of local workforce development boards, better coordination and communication with those boards, and improved IT and data systems. Other recommendations included transferring TWC’s career schools and colleges regulatory program to the Texas Department of Licensing and Regulation, improving vocational rehabilitation integration and structure, strengthening child care fraud oversight and unemployment insurance fraud penalties, improving child care subsidy data and communication with DFPS, continuing TWC for 12 years, and retaining the Purchasing from People with Disabilities Program while removing its separate sunset date. Staff also recommended continuing TWIC for 12 years while removing outdated functions.
Members questioned staff extensively about local board performance, IT failures, fraud recovery, child care oversight, and SNAP Employment and Training (SNAP E&T). Several members argued that IT contractors and agencies should be held more accountable, and that real-time data and stronger enforcement tools are needed. Staff said TWC’s current systems and processes limit effective oversight, that child care fraud investigations are inconsistent across the 28 boards, and that the unemployment insurance fraud penalty is lower than in other states. They also said SNAP E&T participation is hampered by low standards, limited funding, and structural inefficiencies between HHSC, TWC, and local boards.
TWC leadership and TWIC leadership generally agreed with the staff report and said they were already working on many of the recommendations. TWC officials said the agency has grown significantly since its last review and acknowledged problems with IT modernization, board communication, and some oversight processes. TWIC officials supported continuing the council and said its role as the neutral state workforce board is important under federal law, while agreeing to eliminate outdated functions and update procedures. No final substantive action was taken on the agency recommendations during this portion of the meeting beyond the earlier approvals of the schedule and minutes.
WA
Washington 2025-2026 Regular Session
Senate Law & Justice Jun 4th, 2025
Transcript Highlights:
- It stresses the system.
- system.
- So that system looks a lot more like our prior parole system.
- There was a recommendation to change the three-strike system to a determinate plus system.
- There was a recommendation to change the three-strike system to a determinant plus system.
Summary:
The committee held a work session on tort liability and parole, with the chair explaining that the topics were linked because criminal justice reform and state liability often intersect, especially in cases involving child welfare and corrections. Staff first outlined Washington’s tort liability framework, including the state’s broad waiver of sovereign immunity, statutes governing mandatory reporting and investigation of abuse, the childhood sexual abuse statute of limitations, and the lack of caps on non-economic damages. Staff and presenters also compared Washington to other states and noted that Washington remains among the broadest states for state liability and childhood sexual abuse claims.
Presenters from the Attorney General’s office, Washington State Association for Justice, DCYF, DSHS, and DOC discussed how tort exposure has grown, especially in claims involving DCYF, historical child abuse, juvenile rehabilitation, vulnerable adults, employment discrimination, medical negligence, and negligent supervision. DCYF and AG staff said claims and payouts are rising, with many claims tied to older abuse and new theories of liability, while defense counsel emphasized the human harm behind the claims and argued that tort cases have historically driven accountability and reform. Agency witnesses said they face large volumes of old claims with limited records, rising verdicts and settlements, and staffing and systems challenges, and they highlighted efforts such as early resolution programs, electronic health records, medication-assisted treatment, and improved incident review processes.
The committee then shifted to parole. Sentencing experts reviewed Washington’s move from indeterminate sentencing to the current determinate sentencing system under the Sentencing Reform Act, and explained how parole could be integrated with sentencing guidelines through different models used in other states. They also summarized Criminal Sentencing Task Force recommendations related to a determinate-plus approach for three-strikes and persistent offender laws and a second-chance review process, noting there was no consensus on those ideas. Judges from the Minority and Justice Commission and the Superior Court Judges Association said a parole system could support rehabilitation and reduce disparities if it includes data collection, fairness, transparency, due process, and meaningful judicial review; they also pointed to research suggesting parole and structured reentry can reduce recidivism and costs, while warning that access and outcomes can vary by geography and other factors.
MN
Minnesota 2025-2026 Regular Session
House Fraud Prevention and State Agency Oversight Policy Committee 10/14/25
Fraud Prevention and State Agency Oversight Policy
Transcript Highlights:
- </c> Registration System. Registration System.
- </c> that SSA database for review. that SSA database for review.
- </c> attorney for review. attorney for review.
- </c><01:14:42.280><c> anything</c> system an election system or anything system an election system or
- </c> system, so do not appear. system, so do not appear.
FL
Florida 2025 Regular Session
December 3, 2025 - 08:30 AM
Transcript Highlights:
- And then system access to key systems and a spreadsheet.
- So we had already geared up for readiness review.
- So, in addition to the charge of oversight of the system and ensuring quality of the entire system of
- And I know we'll get the final report so we can review it too.
- of care and system pressures in local community areas.
Summary:
The subcommittee heard two Department of Children and Families implementation updates on measures passed in prior sessions. First, DCF reviewed House Bill 633, which increased oversight of behavioral health managing entities through biennial independent audits, standardized claims-based reporting, and new monthly outcome dashboards. The department said it had awarded the inaugural audit to Ernst & Young, found no significant waste, fraud, or abuse, but identified process risks involving financial controls, claims validation, data access, and system access controls. DCF also described its transition to standardized behavioral health coding and said the new public dashboard of 11 measures is posted on its website, though members asked for easier access and for hard copies of the audit report.
Members asked about how the department distinguishes Medicaid-covered services from department-funded services, how duplicate payment risks are being addressed, and whether the new reporting and audit requirements would improve oversight without disrupting services. DCF said it is the payer of last resort for uninsured or underinsured individuals, that some overlap with Medicaid is expected because Medicaid does not cover all behavioral health services, and that new claims edits and cross-checks are being built into the system. The department also said it had not found significant negative feedback from providers and that the new requirements are intended to improve transparency and accountability.
DCF then updated the committee on Senate Bill 7012, covering human trafficking data collection, domestic violence center certification, limited background-screening exemptions, expanded recruitment for child welfare staff, subcontractor liability protections, a four-year treatment foster care pilot, case management efficiency recommendations, and a statewide study of residential bed capacity for child victims of commercial sexual exploitation. The department said several items are already complete or underway, including limited exemptions in the screening clearinghouse, while others are in procurement or rulemaking. It identified Circuits 4 and 12 as the treatment foster care pilot sites and said the pilot will launch in January 2026. Members questioned recruitment metrics, pilot timing, and report deadlines; the department said final reports are expected by January and that some dates were flexible because of procurement and implementation timelines. The meeting ended after the presentations and questions, and the subcommittee adjourned.
AZ
Arizona 2026 Regular Session
04/06/2026 - Joint Legislative Oversight Committee on the Department of Child Safety
Joint Legislative Oversight Committee on the Department of Child Safety
Transcript Highlights:
- So very quickly, this is the systemic critical incident review process that I just talked about.
- And then they map to identify systemic barriers and present to the multi-disciplinary review team for
- The middle systemic critical incident review process, the multidisciplinary care team, the MDRT selects
- The systemic critical incident review process: the multidisciplinary care team, the MDRT, selects cases
- It's a very thoughtful way of doing their systemic reviews in order to prevent those bad outcomes from
MS
Mississippi 2026 Regular Session
Public Health and Welfare - Room 216, 17 February, 2026; 2:00 PM
Public Health and Welfare
Transcript Highlights:
- Uh, but with our systems of care work, with our mortality review committees of all type work, uh, we're
- , with our mortality systems of care work, with our mortality review<00:04:23.199><c> committees</c><
- We have maternal mortality review.
- including but not limited to infant mortality review, trauma care systems, trauma quality improvement
- </c> three main mortality review committees. three main mortality review committees.
Committee:
Joint Public Health and Welfare
AZ
Arizona 2026 Regular Session
01/29/2026 - Senate Health and Human Services
Health and Human Services
Transcript Highlights:
- There's also the issue of reviewing the applications.
- It's the system that allows this.
- S9480 was subject to a prepayment review process.
- It's a system.
- Access was unable to locate any records related to this review.
AZ
Arizona 2026 Regular Session
03/19/2026 - Senate Health and Human Services
Senate Health and Human Services COR
Transcript Highlights:
- They are essential to our system.
- They are essential to our system.
- Average processing time for claims that are in the prepayment review process and are manually reviewed
- Our system is going through...
- Our system is going through a major upgrade, so it’s difficult to make system changes to make it really
Committee:
Senate Senate Health and Human Services COR
Summary:
The Committee on Health and Human Services held another oversight hearing on Access, focusing on fee-for-service behavioral health management, prior authorization and claims processing, the Targeted Investment Program (TIP), and network adequacy. The chair criticized Access for implementing a covered behavioral health services guide without public comment and for failing to produce records such as decision-making documentation, work group minutes, and public/tribal feedback. Members also raised concerns about ARPA compliance, the reduction of intensive outpatient reimbursement to a $157 per diem, and the impact of these actions on providers and Native American communities.
Interim Director Roberta Harrison said Access had improved fraud controls and operations after the sober living fraud crisis, including tripling prior authorization speed, reducing denial codes by 64%, cutting claims processing to under 30 days, and adding dashboards and staffing. She said the agency is modernizing outdated systems and invited fraud referrals. On questions about claims and prior authorizations, Access reported average processing times of six days overall and 17 days for behavioral health prior authorizations, and said it had hired Constellation under a direct procurement to help with claims backlog. Harrison acknowledged that a proposal language suggesting higher ROI from denying more claims was not part of the contract scope.
The committee also pressed Access on TIP delays. Staff explained that TIP payments depend on provider documentation, programmatic review, and allocation across many sites, and said year one of TIP 2.0 had been paid while years two and three had not yet been distributed. The chair requested a formal plan within 30 days to pay the delayed year two and year three TIP funds, estimated at about $122 million, along with all CMS-related TIP 2.0 documentation. On network adequacy, Access described its standards and annual MCO reporting process, but acknowledged gaps in tracking and said it would follow up on whether a fiscal year 2025 report was submitted to CMS. Members cited a federal ghost network report finding 28% of providers in Santa Cruz County inactive or unavailable, and requested unredacted network adequacy reports and further information on CMS engagement. The hearing ended with the chair noting some improvements but saying more oversight may follow, and the committee adjourned.