Video & Transcript : 'developmental services' :
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CA
California 2025-2026 Regular Session
Assembly Floor Session Mar 20th, 2025
California House Floor Meeting
Transcript Highlights:
- Thank you for your service, Sam. You will be missed.
- we are fortunate here in California to have have developmental disability services who is providing
- services to 500,000 individuals.
- They started with two people in a closet providing services.
- His unwavering service earned him accolades such as a 2024.
NH
New Hampshire 2025 Regular Session
House Finance (03/12/2025)
Transcript Highlights:
- and the Bureau of Developmental Services.
- and the Bureau of De Support Services and the Bureau of De developmental<01:33:10.199><c> Services</
- c><01:33:11.199><c> thank</c><01:33:11.400><c> you</c> developmental Services thank you developmental
- developmental services.
- </c><04:22:22.840><c> Services</c> funding the developmental Services funding the developmental Services
Summary:
The House Finance Committee opened a public hearing on House Bills 1 and 2, which concern the governor’s proposed FY 2026-2027 budget. The chair explained that the committee must fit the budget to House Ways and Means revenue, which is about $800 million below the governor’s estimate in an almost $16 billion budget. He also noted a projected current-budget overspend, the impact of recently passed legislation, possible fee updates, no new tax proposals at that time, and the importance of federal funding and Medicaid stability. Testimony was limited to three minutes, with the chair asking speakers to avoid duplication.
Much of the testimony focused on Medicaid, disability services, and home- and community-based care. Speakers urged the committee to restore or protect funding for transportation, Medicaid, day programs, in-home supports, and behavioral health services. Several individuals and providers described how cuts would affect people with disabilities, medically fragile children, and families who rely on services to remain employed and avoid institutional care. A home care provider argued that a proposed 3% Medicaid cut would increase hospitalizations and costs, while a behavioral health representative asked for sustainable Medicaid rates, uncompensated care support, housing resources, and continued funding for community behavioral health clinics.
Another major topic was the Group II retirement provisions in HB 2 for public safety workers. Representatives from police, fire, corrections, probation/parole, and related associations testified in support, saying prior pension changes hurt recruitment and retention, pushed experienced workers to neighboring states, and should be reversed to restore promised benefits. They argued the provisions would help keep public safety careers viable and honor commitments made to first responders. An executive counselor also warned that when the state shifts costs away from itself, local property taxpayers bear the burden, and she opposed cost shifts such as Medicaid premiums and universal vouchers. A separate speaker urged funding public schools rather than universal vouchers, arguing vouchers can leave other students behind as resources are diverted.
ID
Idaho 2026 Regular Session
Jan 22nd, 2026
Transcript Highlights:
- The Medicaid program supports services that help people stay at home with personal care services, developmental
- The Medicaid program supports services that help people stay at home with personal care services, developmental
- I believe there were about 28 positions that were moved from developmental disability services over to
- We also see that developmental disability services are and hospital services are.
- We also see that developmental disability services are and hospital services are.
Summary:
The committee heard a budget presentation on the Division of Medicaid within the Department of Health and Welfare, including an overview of the division’s five programs, staffing, spending trends, and the large share of the budget that goes to trust and benefit payments. Ms. Williamson explained the difference between ongoing and one-time enhancements, the role of population forecast adjustments, and why the fiscal year 2026 and 2027 numbers change significantly. Members asked about the growth in the budget, the FMAP match rate, the impact of provider rate changes, and the shift of some positions into Medicaid from other divisions after last year’s reorganization.
A major topic was House Bill 345 and related budget changes, including the hospital assessment fund alignment, the 4% provider rate reduction, and the effect on Medicaid expansion and other populations. The committee discussed the decline in expansion enrollment, rising costs in traditional Medicaid populations, and the governor’s recommendation to offset part of the 2027 increase with additional reductions. Members raised concerns about access to care, especially for dental, behavioral health, developmental disability, and home- and community-based services, while the deputy director said the department is trying to contain costs through prior authorization, fraud and abuse work, and policy changes.
The committee also focused on the MMIS replacement project, which is in year four of a five-year procurement and is funded through dedicated and federal dollars tied to milestones. Another significant item was estate recovery, where the department requested funding to replace an outdated case management system and add contractor support to address a backlog of roughly 20,000 cases; members questioned the return on investment and asked for more detail on the software and staffing split. The deputy director also explained the federally qualified health center reconciliation issue, saying the state had not been properly paying change-in-scope amounts and is now using a new process with interim payments and later reconciliation.
In addition, lawmakers asked about program integrity staffing, the use of AI, and whether the department could better target fraud, waste, and abuse investigations. The deputy director said the department is reviewing AI use cautiously and sees opportunities for it in claims review and anomaly detection, but emphasized that the current request is for dedicated receipt authority rather than general funds. No formal votes were taken in the excerpt, but the committee received the presentation, asked extensive questions, and was told that some follow-up information would be provided later.
OK
Oklahoma 2026 Regular Session
Senate Legislative Session Apr 28th, 2026 at 01:30 pm
Oklahoma Senate Floor Meeting
Transcript Highlights:
- In section two, we're updating the mentoring program to allow a broader range of mentoring service models
Bills:
HB2894 , HB3418 , HB3415 , HB3413 , HB3414 , HB3416 , HB3417 , HB3419 , HB3420 , HB1739 , HB1752 , HB1979 , HB2941 , HB2992 , HB3075 , HB3086 , HB3177 , HB3269 , HB3278 , HB3279 , HB3497 , HB3644 , HB4432 , HB3720 , HB3849 , HB3882 , HB3919 , HB3941 , HB4118 , HB4141 , HB4268 , HB4342 , HB4428 , HB4429 , HB4434
Keywords:
HB2894, Oklahoma Rural Jobs Act, rural jobs, rural investment, tax credit, capital investment tax credit, state tax credits, economic development, rural fund, rural investor, qualified investment, eligible business, Department of Commerce, rural business, investment certification, tax liability, credit cap, workforce development, small business finance, rural development
OK
Oklahoma 2026 Regular Session
House of Representatives Second Regular Session of the 60th Legislature Day 48 - Afternoon Session Apr 28th, 2026 at 01:15 pm
Oklahoma House Floor Meeting
Bills:
SB1475 , SB1447 , HB2288 , SB1521 , SB592 , SB1533 , HB1276 , SB201 , SB1477 , SB1232 , SB1255 , SB1327 , SB1525 , SB1721 , SB667 , SB1436 , SB1317 , SB604 , SB1325 , SB1496 , SB2007 , SB1567 , SB2112 , SB1980 , SB1735 , SB1558 , SB1491 , SB1287 , SB1378 , SB1369 , SB1441 , SB137 , SB483 , SB843 , SB1433 , SB1257 , SB1365 , SJR49 , HJR1090 , HJR1091 , HJR1092 , HJR1093 , HJR1095 , HJR1094
Keywords:
memorial, infrastructure, transportation, dedication, Toby Keith, employees insurance, contract awarding, certifications, state procurement, insurance plan, teachers, retirement, postretirement employment, earnings limitations, Oklahoma, artificial intelligence, AI, generative AI, chatbot, conversational AI
OK
Oklahoma 2026 Regular Session
House of Representatives Second Regular Session of the 60th Legislature Day 48 - Morning Session Apr 28th, 2026 at 09:30 am
Oklahoma House Floor Meeting
Bills:
SB1475 , SB1447 , HB2288 , SB1521 , SB592 , SB1533 , HB1276 , SB201 , SB1477 , SB1232 , SB1255 , SB1327 , SB1525 , SB1721 , SB667 , SB1436 , SB1317 , SB604 , SB1325 , SB1496 , SB2007 , SB1567 , SB2112 , SB1980 , SB1735 , SB1558 , SB1491 , SB1287 , SB1378 , SB1369 , SB1441 , SB137 , SB483 , SB843 , SB1433 , SB1257 , SB1365 , SJR49 , HJR1090 , HJR1091 , HJR1092 , HJR1093 , HJR1095 , HJR1094
Keywords:
memorial, infrastructure, transportation, dedication, Toby Keith, employees insurance, contract awarding, certifications, state procurement, insurance plan, teachers, retirement, postretirement employment, earnings limitations, Oklahoma, artificial intelligence, AI, generative AI, chatbot, conversational AI
OK
Oklahoma 2026 Regular Session
Senate Legislative Session Apr 28th, 2026 at 09:00 am
Oklahoma Senate Floor Meeting
Transcript Highlights:
- Marc Wood is the director of the Office of Management and Enterprise Services.
- nomination of Marc Wood of Oklahoma City as the director of the Office of Management and Enterprise Services
- It's telling OMEs to add a reporting function to reports to document whether a contract is a service-based
- meaning are you asking for a one-time service or whether it is to Senator Haste, you are recognized
- source and sole brand contracting report to be posted on the Office of Management and Enterprise Services
Bills:
HB2894 , HB3418 , HB3415 , HB3413 , HB3414 , HB3416 , HB3417 , HB3419 , HB3420 , HB1739 , HB1752 , HB1979 , HB2941 , HB2992 , HB3075 , HB3086 , HB3177 , HB3269 , HB3278 , HB3279 , HB3497 , HB3644 , HB4432 , HB3720 , HB3849 , HB3882 , HB3919 , HB3941 , HB4118 , HB4141 , HB4268 , HB4342 , HB4428 , HB4429 , HB4434
Keywords:
HB2894, Oklahoma Rural Jobs Act, rural jobs, rural investment, tax credit, capital investment tax credit, state tax credits, economic development, rural fund, rural investor, qualified investment, eligible business, Department of Commerce, rural business, investment certification, tax liability, credit cap, workforce development, small business finance, rural development
AL
Alabama 2026 Regular Session
Alabama Senate County and Municipal Government Committee Jan 28th, 2026
County and Municipal Government
Transcript Highlights:
- You may have noticed we've been getting especially around the Alabama Public Library Service and their
- </c><00:35:33.040><c> population,</c><00:35:33.760><c> which</c><00:35:34.000><c> is</c> highest service
- population, which is highest service population, which is continuing<00:35:34.480><c> to</c><00:35:34.640
- </c><00:36:05.200><c> and</c><00:36:05.440><c> their</c> Alabama Public Library Service and their Alabama
- Public Library Service and their decisions<00:36:06.000><c> around</c><00:36:06.320><c> how</c><00:36
Bills:
SB115 , SB131 , SB93 , HB319 , HB163 , HB268 , SB115 , SB131 , SB93 , HB319 , HB163 , HB268 , HB181 , HB153 , SB132 , SB26 , SB189 , SB196 , HB140 , SB197 , HB117 , HB181 , HB153 , SB132 , SB26 , SB189 , SB196 , HB140 , SB197 , HB117
Committee:
Senate County and Municipal Government
Keywords:
SB115, Alabama, impersonating a peace officer, peace officer, law enforcement impersonation, police impersonation, unauthorized police officer, fake cop, certification revoked, certification suspended, Alabama Peace Officers' Standards and Training Commission, APOSTC, Class C felony, law enforcement hiring, appointment of officers, federal law enforcement, arrest authority, public order, criminal offenses, Judiciary Committee
WA
Transcript Highlights:
- They provide services, paid services to about 83,000 clients.
- So in order for clients to receive services in long-term care and developmental disabilities, they must
- or developmental disability services, that that won't affect them?
- things like respite, meals, information and assistance, and developmental services for children under
- If they receive developmental disability or long-term care services through the ACA, which personal care
Committee:
Senate Ways & Means
Summary:
The committee held a work session to review how H.R. 1 would affect Washington’s Medicaid, long-term care, developmental disabilities, and food assistance programs, with a focus on state budget impacts and implementation challenges. Staff and agency officials explained Washington’s Medicaid financing, eligibility categories, caseload trends, and the role of managed care, then outlined H.R. 1 provisions affecting the expansion population, including work requirements, six-month redeterminations, changes to immigrant eligibility, reduced retroactive coverage, cost sharing, provider tax and state-directed payment limits, and penalties tied to eligibility error rates. Officials also described the need for major IT and systems changes across agencies, including the state’s existing CMS corrective action plan for automated renewals and the difficulty of implementing new federal requirements before guidance is finalized.
Health Care Authority and DSHS witnesses said the expansion population would be most affected, with potential coverage losses for about 620,000 Apple Health expansion enrollees and additional impacts for some lawfully present immigrants and a smaller number of long-term care and developmental disability clients. They said many current enrollees already work, but the new requirements would create administrative barriers and could increase uninsured rates, emergency room use, and uncompensated care. Agency leaders also discussed the immediate prohibition on Medicaid funding for Planned Parenthood services, with the state planning to backfill about $11 million so clients can continue care. Members asked about FMAP comparisons, work requirement experiences in other states, waiver possibilities, definitions of exemptions, and whether the changes would affect COFA communities, rural areas, and behavioral health services.
The committee then heard a separate presentation on H.R. 1’s food assistance provisions. DSHS said the bill would broaden SNAP work requirements, end certain immigrant eligibility for federal SNAP, eliminate SNAP-Ed, increase the state administrative match from 50% to 75%, and create a future state cost share for SNAP benefits based on payment error rates. Officials estimated a four-year fiscal impact of about $750 million, with significant costs tied to the immigrant eligibility shift, administrative match changes, and possible benefit cost sharing. DSHS also described the state’s integrated eligibility system and the large amount of work needed to update it across multiple quarterly releases while coordinating with other agencies. No votes or formal actions were taken.
FL
Florida 2026 Regular Session
Appropriations Committee on Health and Human Services Feb 12th, 2026
Appropriations Committee on Health and Human Services
Transcript Highlights:
- The Appropriations Committee on Health and Human Services will now come to order.
- the focus from Chapter 751 to Chapter 39 to deal with substance misuse and to provide potential services
- definition of harm and neglect so that more children can be protected sooner with safety plans, services
- the focus from Chapter 751 to Chapter 39 to deal with substance misuse and to provide potential services
- , and housing services for children in these areas.
Summary:
The Appropriations Committee on Health and Human Services heard and advanced a series of health, child welfare, aging, disability, and public records bills. CS/SB 1002, on child welfare and parental substance abuse, was described as clarifying that acute or chronic parental drug abuse can constitute harm or neglect when it creates an ongoing risk to a child; it passed after limited questions and supportive testimony from Florida Smart Justice Alliance. CS/SB 1630, a broad aging and long-term care modernization bill, would streamline eligibility screenings, allow temporary DOEA services during emergencies or lead agency failures, tighten oversight of area agencies on aging, permanently establish the Florida Alzheimer’s Care Center of Excellence, and expand guardianship training and enforcement tools; it drew support from AARP, area agencies, and the Alzheimer’s Association and was reported favorably. The committee also approved SB 1022 to add Bay County and Pompano to the Florida Children’s Initiatives, and CS/SB 1030, via strike-all amendment, to streamline regulation of substance abuse and behavioral health providers and clarify background screening and privacy rules.
Several bills focused on health care practice and patient access. CS/SB 36, with an amendment, allows nurses with doctoral degrees to use appropriate titles while requiring clear identification as nurses and making misuse grounds for discipline; nursing organizations supported it and it passed. CS/SB 844 requires physicians and nurses to complete a one-time, board-approved continuing education course on sickle cell disease care management, with multiple patients and advocates testifying about delayed care, bias, and the need for better provider education; the bill was reported favorably after an amendment aligning it with the House version. CS/SB 560 streamlines procedures for psychotropic medication for children in DCF custody by reducing duplicative reports, clarifying evaluator qualifications, limiting repeated background checks, and simplifying consent documentation; an amendment removed postsecondary education language, and the bill passed. The committee also approved a public records exemption bill for a uterine fibroids research database (CS/SB 864).
The committee also advanced measures affecting disability services and forensic care. SB 6, a claims bill, would pay $3.8 million to a trust for a child who suffered severe abuse-related injuries after DCF involvement; it passed without opposition. SB 778 updates the definition of forensic clients so certain individuals with intellectual disabilities or autism found incompetent to proceed can be housed in the same secure forensic setting, reducing duplicative staffing and space needs; it was reported favorably. CS/SB 1016 codifies the Working People with Disabilities Program, allowing eligible developmentally disabled adults to work while retaining Medicaid waiver benefits and requiring notice to enrollees; advocates described the bill as essential to employment and independence, and it passed. Throughout the meeting, most bills received supportive public testimony, few questions, and unanimous or near-unanimous favorable votes.
WA
Washington 2025-2026 Regular Session
Senate Ways & Means Oct 16th, 2025
Transcript Highlights:
- outpatient mental health services and substance use disorder services.
- So in order for clients to receive services in long-term care and developmental disabilities, they must
- or developmental disability services, that that won't affect them?
- things like respite, meals, information and assistance, and developmental services for children under
- If they receive developmental disability or long-term care services through the ACA, which personal care
Summary:
The Ways and Means Committee held a work session to review how H.R. 1 (the One Big Beautiful Bill Act) could affect Washington’s Medicaid, long-term care, developmental disabilities, and food assistance programs, with a focus on implementation challenges, fiscal impacts, and likely coverage losses. Staff and agency officials explained Washington’s Medicaid financing structure, eligibility categories, caseload trends, and the role of the Health Care Authority and DSHS in administering Apple Health and related services. They also described how Medicaid expansion increased access to behavioral health services and how H.R. 1’s provisions are expected to affect the expansion population most directly.
Health Care Authority and DSHS officials outlined several major H.R. 1 changes: new work and community engagement requirements for the Medicaid expansion population, six-month redeterminations instead of annual renewals, changes to immigrant eligibility, limits on provider taxes and state-directed payments, new cost-sharing requirements, reduced retroactive coverage, and changes affecting long-term care eligibility. They said Washington is still awaiting federal guidance on many details, but estimated that about 620,000 Apple Health expansion enrollees could be subject to work requirements, that roughly 30,000 immigrants could lose Medicaid eligibility under the new definition of qualified alien, and that some long-term care and developmental disability clients could be indirectly affected. Officials also said the state is working with other agencies to build shared verification systems and may seek a delay waiver, though they do not expect broad federal flexibility.
The committee also heard that H.R. 1 immediately blocks Medicaid reimbursement for Planned Parenthood services for one year, with the state planning to backfill about $11 million to preserve access. In addition, officials warned that the law could reduce federal Medicaid revenue by billions over time and strain hospitals and emergency rooms as more people become uninsured. They noted that Washington’s rural health transformation grant application is due November 5 and could bring some funding, but not to offset coverage losses. No votes were taken; the session was informational only. The committee then heard a separate presentation on food assistance, where staff and DSHS described H.R. 1’s SNAP changes, including expanded work requirements, immigrant eligibility restrictions, higher state administrative costs, and a possible future state share of benefit costs tied to payment error rates. DSHS estimated a four-year fiscal impact of about $750 million for food assistance changes and said the state is working on system and policy changes across agencies before the new requirements take effect.
KY
Kentucky 2026 Regular Session
Interim Joint Committee on Families and Children.(6-17-26)
Families & Children
Transcript Highlights:
- </c> access services. access services.
- </c> intellectual and developmental intellectual and developmental developmental<01:13:36.240><c> disabilities
- protective services.
- </c> child protective services. child protective services.
- </c> services block grant, social services services block grant, social services block<01:56:53.800><
Committee:
Joint Families & Children
NH
New Hampshire 2026 Regular Session
Joint Legislative Performance Audit Oversight Committee (02/06/2026)
Transcript Highlights:
- </c><00:13:00.480><c> That</c><00:13:00.720><c> was</c> Developmental Services as well?
- That was Developmental Services as well?
- Developmental Services.
- </c><00:17:00.240><c> services</c><00:17:00.959><c> work</c> bureau of developmental services work bureau
- of developmental services work group<00:17:02.399><c> and</c><00:17:02.639><c> there's</c><00:17:03.120
Summary:
The Legislative Performance Audit and Oversight Committee met to accept prior minutes and receive updates on ongoing audits. Audit staff reported progress on three education-related reviews: special education (34 of 71 observations completed, draft expected in the second quarter and final in the summer), education freedom accounts (22 of 41 observations completed, draft expected in the second quarter and final in the summer), and the doorway program (5 of 13 observations completed, draft expected by the end of February and final by April or May). No committee questions were raised on the audit status update.
The committee then discussed possible future oversight topics, beginning with SNAP and concerns about fraud and work requirements. Members suggested inviting DHS officials and contract administrators to explain program operations and compliance, and also discussed whether the Department of Justice Medicaid fraud unit or other experienced officials could provide useful context. Members noted New Hampshire’s existing oversight layers, including the Executive Council and the joint HHS oversight committee, while also expressing interest in hearing more directly from department staff about staffing and contract management capacity.
A substantial portion of the meeting focused on whether to pursue an audit of special education at the local school level. Members debated whether to wait for the ongoing statewide special education review and a legislative study commission report, or to begin scoping a local audit now so work could start sooner. Supporters argued that local-level spending, identification rates, and effectiveness vary widely by district and that an audit should examine both costs and outcomes; others cautioned that the scope would need to be manageable given limited audit staff and that the statewide report may help narrow the focus. The committee also briefly discussed a potential audit of the Bureau of Elderly and Adult Services, but no decision was made on that item.
LA
Louisiana 2026 Regular Session
Commerce, Consumer Protection and International Affairs May 6th, 2026
Commerce, Consumer Protection, and International Affairs
Transcript Highlights:
- Once a platform becomes aware of CSAM, child sex trafficking, or online enticement on its service, federal
Keywords:
roof standards, construction code, residential property, fortified roofs, insurance, medical debt, interest rate, healthcare services, consumer protection, debt collection, Louisiana Medical Debt Protection Act, child exploitation, online reporting, platforms, cyber crime, PROTECT Act, boiler safety, inspection, licensing, state fire marshal
LA
Transcript Highlights:
- I work with child protective services. I understand what to call law enforcement.
- I want to commend Act 409 for its work with the Department of Children and Family Services.
- I'm also ensuring that our teachers receive training and creating a safe and developmentally appropriate
Committee:
House Education
Keywords:
mandatory reporter, child abuse training, online training, Department of Children and Family Services, Department of Education, educator requirements, early childhood education, microcenter, school board, cooperative endeavor, economic disadvantage, vaccination, meningococcal disease, school entry, immunization requirements, public health, academic freedom, free speech, retaliation, faculty rights
OK
Oklahoma 2026 Regular Session
House of Representatives Second Regular Session of the 60th Legislature Day 38 Apr 9th, 2026 at 09:30 am
Oklahoma House Floor Meeting
Transcript Highlights:
- Saint Francis, TFI Family Connections, Tulsa Boys Home, Westview Boys Homes, and Youth and Family Services
- Increases of OAF's budget, and that is at fire suppression and at the Langston extension services.
Keywords:
education funding, mental health services, public safety, housing, state budget, tax credit, parental choice, private school, income tax, dental insurance, health care, medical necessity, insurance claims, dentist rights, military discharge, veterans, DD Form 214, confidentiality, grandchildren access, veteran burial
LA
Transcript Highlights:
- But I worked, I opened the first legal service program in Houma, and then I was a workers' compensation
- I have no problems with it, but I want to make sure that we address the issues and that services are
- In exchange, liability for those services, especially special education, will shift away from the school
- When you take this on, you're taking on the legal liability risk for the services you provide.
- We're not going to rely on your services.
Committee:
House Education
Keywords:
mandatory reporting, school employees, child protection, training requirements, Department of Children and Family Services, education, reading program, student eligibility, literacy, school performance, R.E.A.D. program, book distribution, École Pointe-au-Chien, French immersion, public school, Terrebonne Parish, grade levels, independent school, virtual school, extracurricular activities
MN
Minnesota 2025-2026 Regular Session
House Public Safety Finance and Policy Committee 3/18/26
Public Safety Finance and Policy
Transcript Highlights:
- Thank you. 3230, that would provide for service fee 3230, that would provide for service fee on<00:13
- </c> during services during services not<01:29:28.520><c> to</c><01:29:28.640><c> join</c><01:29:29.000
- . service. service.
- or a mosque service or wherever?
- </c><01:38:53.080><c> or</c> a church service or a mosque service or a church service or a mosque service
Committee:
House Public Safety Finance and Policy
Keywords:
fireworks, public safety, regulation, tax revenue, local government, sale, safety standards, fire safety, ethanol, fuel equipment, compatibility standards, law enforcement, peace officer, unauthorized practice, criminal justice, civics education, jail medication, correctional facility, detention, incarcerated persons
AL
Alabama 2025 Regular Session
Alabama Senate State Governmental Affairs Committee Apr 9th, 2025
State Governmental Affairs
Committee:
Senate State Governmental Affairs
Keywords:
cybersecurity, Office of Information Technology, data management, telecommunications, state government, emergency management, public awareness, promotional materials, education, state funding, Alabama State House, Montgomery, Legislative Council, demolition, state capitol, state capitol building, historic preservation, state property, inventory removal, fixtures
NH
New Hampshire 2026 Regular Session
Joint Legislative Performance Audit Oversight Committee (02/06/2026)
Transcript Highlights:
- Did you want to discuss the Bureau of Developmental Services as well?
- That was Developmental Services as well?
- </c><00:15:12.480><c> Melissa</c><00:15:12.880><c> Hardy</c> Developmental Services.
- Melissa Hardy Developmental Services.
- </c><00:17:00.240><c> services</c><00:17:00.959><c> work</c> bureau of developmental services work bureau
Summary:
The Legislative Performance Audit and Oversight Committee approved the November 7 minutes with three abstentions and then received status updates on several ongoing audits. Audit staff reported that the special education oversight audit was in report-writing, with 34 of 71 observations completed and a draft expected in the second quarter and a final report in the summer. The education freedom accounts audit had 22 of 41 observations completed, with a draft also expected in the second quarter and a final report in the summer. The Doorway program audit had 5 of 13 observations completed, with a draft expected by the end of February and a final report by April or May.
The committee then discussed possible new oversight topics, prompted by concerns about fraud in other states and the need to ensure New Hampshire programs are not vulnerable. Members suggested hearing from DHS officials, contract administrators, and possibly the Department of Justice Medicaid fraud unit about SNAP and other programs, as well as reviewing staffing levels in HHS contract management. There was also discussion of whether to revisit the Bureau of Elderly and Adult Services, though members noted that prior work on that area had been suspended because of litigation.
A representative from HHS, Teresa Narrow, briefed the committee on the Bureau of Developmental Services. She said the state had been in compliance with CMS since July 1, 2023 after resolving issues tied to a system redesign and billing changes, and that provider-side billing problems had also been fixed. She also described three existing bodies involved in developmental disability housing oversight, including the Council on Housing Stability, the ABLE Housing Task Force, and a legislative study committee created by HB 168 in 2024. Committee members asked for her notes to be shared.
The committee spent substantial time debating whether to pursue a new special education audit at the school-district level. Members discussed the need to examine why some districts have much higher special education rates and costs than others, and whether a statistically selected sample of schools could be used. Audit staff said no new audits could begin until about May or June and that only a couple of auditors would then be available. Members also noted that a legislative study committee is already working on special education and may issue a report later this year, and the committee appeared to leave the school-level audit idea as a potential future item rather than taking immediate action.