Video & Transcript Research : 'performance indicators'
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AZ
Arizona 2026 Regular Session
04/16/2026 - Finance Advisory Committee
Transcript Highlights:
- economic performance.
- economic performance: real GDP, real personal income less transfer payments like Medicare, Medicaid,
- Some indicators are doing better than others, and getting very different performance depending on exactly
- Non-farm payroll jobs are one of the indicators that in the past has been one of the most reliable and
- That particular indicator has been acting very strangely over the past couple of years.
Summary:
At the April meeting of the Finance Advisory Committee, staff presented an updated state revenue forecast that was more cautious than January’s because of heightened economic uncertainty tied to the Iran conflict and broader national risks. The general fund’s available resources were revised down from $577 million in January to $378 million in the April forecast, with the lower estimate driven by reduced revenue projections while spending assumptions were unchanged. Staff said the outlook depends heavily on how long the Middle East conflict lasts and noted that a prolonged disruption could weaken the forecast further, while a quick resolution could improve conditions.
George Hammond of the University of Arizona gave a broad economic overview, highlighting geopolitical risk, elevated oil and gasoline prices, sticky inflation, weak Arizona job growth, and uncertainty around federal policy, tariffs, immigration, and AI-related investment. He said Arizona’s recent job growth has been very weak and concentrated mainly in health services, while most other sectors lost jobs, and he attributed much of the slowdown to low hiring rather than layoffs. He also discussed population growth, noting that Arizona remains above the national average but is increasingly dependent on net migration as natural increase slows, and he warned that housing affordability remains strained even as Phoenix inflation has moderated.
Panelists generally echoed the cautious outlook but pointed to some offsets. Liz St. Clair said Arizona’s near-term revenues could benefit from tourism tied to spring training and the Final Four, though higher fuel costs could dampen discretionary spending. Other panelists noted that the federal policy environment, tariffs, and immigration changes are likely to restrain growth, while productivity gains, especially from technology and AI, may help businesses maintain output. Several members also discussed housing, saying single-family permits have fallen while rental supply has improved affordability, and they raised concerns about labor-force growth, wage disparities, and the reliability of recent employment data revisions. No formal votes or actions were taken.
SC
South Carolina 2025-2026 Regular Session
Healthcare and Regulatory Subcommittee Jun 24th, 2026
Transcript Highlights:
- It also sets compliance requirements such as period of performance.
- They perform weekly and monthly bank reconciliations.
- As, you know, my staff have indicated, we try to Yes, sir.
- behavioral or performance.
- or performance.
Summary:
The committee met to receive a detailed financial operations presentation from the South Carolina Vocational Rehabilitation (VR) agency, with staff walking members through funding sources, budgeting, accounts receivable, accounts payable, and grants management. Sabrina Walker explained VR’s blended funding structure, including federal grants, state appropriations, program income, and interagency contracts, and emphasized that state funds are essential to meeting the federal match and maintenance-of-effort requirements. Members asked repeatedly about transparency, audit controls, and the risk that state cuts could reduce federal drawdowns; staff responded that all reports reconcile back to the SCEIS accounting system, are subject to state audits and internal reviews, and that even modest state reductions could significantly reduce total available funding. The committee also discussed pre-employment transition services for students with disabilities, with staff confirming services are offered through school districts, charters, and private schools, and that contracts are monitored for performance and compliance.
The presentation then shifted to budgeting and internal controls. Walker described a zero-based departmental budgeting process, monthly monitoring reports, contingency reserves for unexpected expenses, and a formal annual cycle that culminates in board approval. Members asked about facilities tracking, culture, and how the agency maintains accountability; staff said facilities staff inspect buildings and equipment, supervisors justify line-item requests, and the process has become smoother over time as departments learned the system. Cynthia Johnson followed with an accounts receivable overview, describing invoicing, receipting, aging, customer verification, year-end reporting, and the use of cross-training, shared email inboxes, and spreadsheets as checks and balances. She also explained work training center billing, interdepartmental transfers, and the revolving fund used to issue consumer checks more quickly than standard vendor payments.
Olivia Perez presented accounts payable operations, including invoice processing through SCEIS and OnBase, the three-way match, travel reimbursements, revolving fund checks, State Treasury Office interactions, and handling of reversals, rejections, and levy notices. She reported that AP processed 67,723 SCEIS payments, 13,670 case management system invoices, 3,379 travel reimbursements, and 15,693 revolving fund checks in fiscal year 2025, with only 70 payment rejections. The final portion of the meeting covered Grants and Funds Management, where Walker explained federal reporting, drawdowns, payroll allocation, asset tracking, lease and IT contract reviews, cost allocation, and closing packages. She noted upcoming system changes such as S/4HANA, Workiva, and SC Pro, but said the agency is receiving training and feedback opportunities. No formal votes or legislative actions were taken during the presentation portion beyond approval of the prior minutes and a brief recess.
NM
New Mexico 2025 Regular Session
IC - Legislative Health and Human Services Oct 8th, 2025
Legislative Health & Human Services Committee
Transcript Highlights:
- According to the Indicator-Based Information System from the New Mexico Department of Health, there were
- Madam Chair, Representative Chavez, the map indicates the locations of opioid treatment programs, also
- receive more compensation, generally, which We all know that our top performers aren't necessarily good
- We don't always know what agency individuals, I mean what employees are performing.
- Overwhelming evidence indicated that we needed a sexual assault-specific helpline.
NM
New Mexico 2025 Regular Session
IC - Legislative Health and Human Services Nov 6th, 2025
Legislative Health & Human Services Committee
Transcript Highlights:
- Those dots are intended to indicate generally the presence of a food distribution in that particular
- Even if it's a doctor asking me to do that, I wasn't able to perform these services.
- They could perform blood draws, administer immunizations, deliver hospital-based oral health services
- Colorado, Oregon, and Maine also allow dental hygienists to perform diagnoses.
- Some of the collaborative hygienists now hire a dentist to perform their exams.
NH
Transcript Highlights:
- How will the factors be used to evaluate judicial performance?
- Are they looking at the current judicial performance process we have in place now?
- How what report on judicial performance.
- Are they looking judicial performance?
- at the current judicial performance at the current judicial performance process<01:13:23.120>
NM
New Mexico 2025 Regular Session
IC - Legislative Finance Aug 21st, 2025
Transcript Highlights:
- Compliance of performance in the coming year, New Mexico is poised to achieve its quality standards and
- It shows that school meal programs can improve students' academic performance, boost attendance, and
- LFC staff analysis indicates that about 3% of the student population could be affected by these changes
- In the upcoming school year, for a four-year period, it indicates that these changes are unlikely to
- Targeting Title I programs and the lowest performing children.
KY
Kentucky 2026 Regular Session
Medicaid Oversight and Advisory Board - (6-24-26) - Reupload
Transcript Highlights:
- Um, and so what we did is we selected indicators in Medicaid claims that indicate behavioral health recovery
- in Medicaid claims that indicators in Medicaid claims that indicate<00:36:46.000>
behavioral < - So indicate behavioral health recovery.
- <00:36:54.079>
of thought about what those indicators of thought about what those indicators - And that couple initial indicators.
Keywords:
During the committee meeting live stream, portion of the video was lost due to network issues. There were also some technical difficulties with content and the incorrect background image being used.
The lost footage was recovered from backup, and the other issues corrected in post production editing.
1. 00:00:41 Call to Order
2. 00:01:02 Roll Call
3. 00:02:54 Approval of Minutes
4. 00:05:06 Statutory Reports and Data Requests
5. 00:35:14 2025 and 2026 Session Update
6. 01:03:10 Board Structure Updates and Subcommittees
7. 01:05:20 Public Comment
8. 02:23:14 Adjournment, 958, all
Summary:
The Medicaid Oversight Board meeting opened with quorum, approval of the March 9 and March 16, 2026 minutes, and a welcome to new member Representative Willner. The board then heard a presentation from the Department of Medicaid Services on several statutory reports: the quarterly budget analysis (LRC) report, the quarterly MCO report, the provider tax and assessment report, the enrollee demographic report, the annual behavioral health/substance use disorder utilization report, and the Medicaid pharmaceutical rebate fund. Commissioner Lisa Lee and CFO Steve Bechal explained the reports and answered questions.
On spending, DMS said the quarterly budget analysis report should be read using the summary tabs because the first tab reflects only traditional Medicaid and does not include all populations. Lee said the first three quarters of fiscal year 2026 showed about $191 million more in waiver spending than the same period last year, about $250 million more in other categories such as nursing facilities, CCBHCs, and FQHCs, and roughly $450 million more in total fee-for-service spending. She also noted that Medicare Part D premiums are 100% state funds and estimated the state-fund increase at about $140 million. For managed care, DMS said pharmacy, inpatient hospital, and outpatient hospital spending made up about 66% of MCO payments so far this fiscal year.
Members asked about administrative costs, provider tax impacts, citizenship-status categories, medical loss ratio, and whether the reports could be expanded to show recoupments and citizenship-based spending. DMS clarified that the spending figures discussed were benefit costs only, not administrative costs, and said administrative match rates vary. On the provider tax and directed payments report, Lee said the new CMS proposed rule would allow separate payment terms to continue through the grandfathering period, but that the impact would be substantial for providers even if the administrative effect was minimal. She also said DMS was still reviewing unusual citizenship categories such as “other” and “unspecified,” and would provide more information on medical loss ratio and recoupments if available.
Auditor Ball raised concerns about alleged waste, duplicate Social Security numbers, ineligible enrollees, and high error rates in other programs. Lee responded that Medicaid focuses on fraud, waste, and abuse, but said the cited $800 million figure was not factual because it did not account for people enrolled in more than one Medicaid program at the same time. She said DMS is reviewing eligibility systems, including changes tied to community engagement requirements, and is working with the cabinet’s eligibility staff and ombudsman division on error rates. No additional votes or formal actions were taken beyond approving the minutes.
MA
Massachusetts 2025-2026 Regular Session
Combatting Antisemitism Jun 21st, 2026 at 11:00 am
Transcript Highlights:
- standards for municipal, MBTA, environmental, UMass, campus police officers, and deputy sheriffs performing
- standards of municipal, MBTA, environmental, UMass, campus police officers, and deputy sheriffs performing
- Commissioner, can you indicate that voter interest in your charge to the University of Massachusetts?
- , as we say, you hear this all the time, performing police duties, they should all have the same level
- And if they're going to perform the duties, and they have to adhere to those standards, but we try to
Summary:
The Special Commission on Combating Antisemitism met to hear testimony from Chief James Hicks of the Natick Police Department, who chairs the Municipal Police Training Committee, and Chief Thomas Fowler of the Salisbury Police Department. They described the statewide civil-rights-officer model for hate-crime response, the HEART Unit, and MPTC training authority under POST, and urged the commission to recommend incorporating the IHRA definition of antisemitism into police training and to fund that effort. Commissioners asked about how law enforcement should handle antisemitic incidents that may not rise to crimes, the 2022 Mapping Project, masking during protests, and the role of HART; the chiefs said departments can update training quickly, that every department should have a trained civil-rights officer, and that HART’s expertise should be integrated statewide. The commission also approved the October 16, 2025 minutes after correcting an initial procedural error.
The rest of the meeting focused on the draft report, especially the prefatory statement and the definition section. Commissioners broadly praised the report’s scope and the chairs’ work, but offered many edits aimed at tightening language, reducing advocacy tone, and clarifying the “Massachusetts way” of combating antisemitism. Several members wanted stronger emphasis on Massachusetts values, education, moral leadership, and the distinction between hate incidents, hate crimes, and statutory offenses; others urged clearer references to constitutional protections, First Amendment limits, and Attorney General review of legal statements. There was also discussion of whether to keep or remove references to alternative definitions of antisemitism: some commissioners argued that only the IHRA definition should be centered, while others said acknowledging other definitions was factually important and would reflect the range of testimony.
Commissioners also raised specific substantive edits for later sections, including adding examples such as the 2022 Mapping Project, strengthening language on online intimidation, academic boycotts, and divestment campaigns, and clarifying that some conduct may be hateful even if lawful. In the higher education section, members praised recommendations on mandatory training, bystander intervention, trauma-informed responses, mental health supports, and campus climate surveys, while suggesting a few technical edits and additional best-practice examples. No final votes were taken on the draft report during this portion; the chairs said they would incorporate feedback into a revised draft before the remaining meetings and eventual vote.
LA
Transcript Highlights:
- It may be that the response does not include a disposition, so it wouldn't indicate whether an arrest
- It may be that the response does not include a disposition, so it wouldn't indicate whether an arrest
- The CDC defines abortion as an intervention performed by a licensed clinician intended to terminate an
- Some who don't even know that their records indicate that today.
- And he's also indicated that we're going to ask our federal colleagues to help us in this vein.
Summary:
The Senate Committee on Health and Welfare met on May 13 and approved the minutes from the prior week before taking up a series of House bills, many of them with testimony from sponsors, agency officials, and stakeholders. Early action included HB 971, which would direct LDH to equalize Medicaid reimbursement rates between independent rural health clinics and hospital-owned rural health clinics; the sponsor described a significant payment disparity and the committee reported the bill favorably. The committee also deferred HB 1030 and HB 796 until the following week before moving to other items on the agenda.
Several bills dealing with Medicaid and provider regulation were advanced. HB 414, as amended, closes a loophole so health care providers cannot hire unlicensed workers with certain serious out-of-state convictions; amendments addressed effective dates, FBI background-check issues for therapeutic group homes, and delays for direct support professional applicants caused by minor record issues. HB 740, as amended, creates an independent review process for Medicaid claims disputes in the coordinated system of care for behavioral health providers, with amendments clarifying applicability dates and program definitions. HB 786, which prohibits extrapolation in managed care claims recoupments and requires recovery to be based on actual overpayments or underpayments, was also reported favorably. HB 915 set timelines and accountability standards for prior authorization and utilization management in Medicaid managed care and was reported favorably after testimony about delays in care.
The committee also heard and passed several bills affecting health professions and facilities. HB 405 simply updates the name of the national acupuncture certification body. HB 1095 allows nursing homes to use alternative power sources while keeping existing generator and fuel requirements. HB 557 defines long-term care pharmacies for policy purposes. HB 779 authorizes expedited partner therapy prescriptions for certain sexually transmitted diseases. HB 933 creates an optional commemorative birth certificate, with part of the fee going to the Office of Women’s Health. HB 796, carried by another representative for the author, establishes a chiropractic preceptorship program with on-site supervision requirements and was reported favorably after questions about student training and patient safety.
The committee also heard emotionally charged testimony on HB 288, which would place the term “miscarriage” alongside “spontaneous abortion” in medical documentation and patient communication. Several witnesses described the distress caused by current coding language, and supporters said the change would make records more compassionate and understandable; the bill was reported favorably. HB 403 increased the cottage food gross-sales cap, and after testimony from small producers and the committee’s discussion of other states’ higher limits, an amendment raised the cap to $150,000 before the bill was reported favorably. HB 930 modernizes cosmetic-product regulation and creates a small home-based producer exemption under a wholesale-sales threshold; it was also reported favorably. Finally, HB 1041, a no-mandate bill restricting discrimination based on medical intervention status, prompted extended debate over exemptions for schools, hospitals, and other entities, with one amendment failing on a roll-call vote and the discussion continuing over the scope of the bill and federal funding concerns.
CA
California 2025-2026 Regular Session
Assembly Budget Subcommittee No. 4 on Climate Crisis, Resources, Energy, and Transportation Apr 9th, 2025
Transcript Highlights:
- , properly perform the functions that we are required to perform.
- than what the historical is, so, you know, indicators like inflation, but also increasing costs for
- So that is sort of an indication of... is absolutely necessary and that's what these funds represent.
- So that is sort of an indication of ...spelled out, and the PUC's need determination.
- So that is sort of an indication of why we need to get going now.
Summary:
The hearing was an informational budget session on energy agency proposals, with no votes taken. Early discussion focused on Proposition 4 climate bond implementation, including funding for demand-side grid support, offshore wind development, and transmission financing. The Department of Finance said the budget includes allocations for demand-side grid support and offshore wind, but not yet for the $325 million transmission financing piece pending a required study. The Legislative Analyst’s Office urged the Legislature to consider whether to wait on offshore wind funding, whether to keep shifting funds into demand-side grid support, and how to direct future transmission financing. Members also raised concerns about local technical assistance for offshore wind, Salton Sea priorities, and the need for more information before final decisions.
The California Energy Commission and CPUC then reviewed the broader energy package. The CEC highlighted the demand-side grid support program’s growth, distributed energy backup assets, long-duration storage, hydrogen grants, and the SIRP clean energy reliability program. CPUC testimony emphasized affordability, wildfire mitigation costs, rooftop solar cost shifts, and efforts to reduce rates while maintaining reliability and clean energy goals. Members questioned CPUC staffing, delays in proceedings, coordination with the CEC and CAISO, and the impact of rate increases on customers. The agencies also discussed the AB 3264 transmission financing study, with CPUC saying work on the study had already begun and was on track for the July 1 deadline.
Several trailer bill and implementation items were also discussed. The committee reviewed a proposal to extend the Deaf and Disabled Telecommunications Program surcharge, with members split over whether it should be handled in budget trailer bill language or policy legislation; the administration said the surcharge supports a critical program serving about three-quarters of a million Californians. The committee also heard a CPUC data-sharing proposal to allow nondisclosure agreements for transmission and reliability data, which members generally supported as a technical fix. DWR explained a proposal to clarify language for the Electricity Supply Strategic Reliability Reserve so it can potentially sell three gas-fired units it owns, and the CEC presented a federal transmission grant proposal tied to grid-enhancing technologies and ratepayer cost recovery. Finally, the committee discussed California Lifeline and possible broadband pilot reforms in light of uncertainty around federal Universal Service Fund support, with CPUC saying it is exploring a statewide standalone broadband option for eligible customers.
MN
Transcript Highlights:
- The city plans to replace the system while performing the urgent improvements described above.
- its age and vintage clearly indicates its age and vintage clearly indicates that<00:46:21.520>
<00:46:38.800>- :26.560>
the <00:46:26.960>urgent system while performing the urgent system while performinga <00:46:38.960>total solutions to perform a total solutions to perform - :26.560>
- City staff have indicated that the 1984.
Bills:
HF568, HF433, HF1689, HF3135, HF3137, HF3145, HF2887, HF2819, HF2802, HF2664, HF2267, HF799, HF800, HF3049, HF296, HF580, HF1438, HF1237
Keywords:
special education, education funding, construction, Minnesota, regional educational programs, HF433, Cloquet Area Fire District, fire station, capital investment, bonding bill, state bonds, general obligation bonds, public safety, emergency services, fire protection, local infrastructure, Minnesota capital budget, DEED grant, municipal facilities, station construction
FL
Florida 2026 4th Special Session
February 10, 2026 - 09:00 AM
Transcript Highlights:
- or ability to perform my constitutional and statutory duties.
- Newsom indicated opposition to the bill. Mr.
- She indicated opposition. Chair: Harrison Lindy waiving against.
- Sonny Smith, you indicated waiving again. Spike Comeau waiving in support.
- You indicated... did you mean in support? I just wanted to make sure.
NM
Transcript Highlights:
- Virtual schools in general perform more poorly.
- performance evaluations on school districts.
- I mean, let's put performance measures where it belongs.
- I mean, if school districts are not performing and charter schools are not performing, and the Public
- Either a performing superintendent, you're performing in your budgetary process, or you're not.
KY
Kentucky 2025 Regular Session
Medicaid Oversight and Advisory Board (11-12-25) - Part 2
Transcript Highlights:
- You maybe didn't achieve the performance you had hoped. This is unique.
- The lagging indicators that Dr. Stag mentioned, what are examples of lagging indicators?
- HEDIS metrics are lagging indicators. You know, we want to get perfect on our metrics.
- The lagging indicators that Dr. Stag mentioned, what are examples of lagging indicators?
- HEDIS metrics are lagging indicators. You know, we want to get perfect on our metrics.
Summary:
The Medicaid Oversight and Advisory Board received a presentation from Dr. Stack and Commissioner Langfeld on Kentucky’s application for a federal Medicaid-related funding opportunity tied to House Resolution 1. They described a compressed six-week stakeholder process that produced more than 50 responses and letters of support, and said the application was organized around five broad priorities: maternal health, behavioral health and substance use disorder, oral health, EMS/trauma response, and chronic disease. They emphasized that the proposal was designed to align with CMS goals, use allowable funding categories, and focus on sustainability rather than a short-term grant.
Commissioner Langfeld outlined five core initiatives: rural community hubs for chronic care innovation, beginning with obesity and diabetes; a maternal and infant health effort called POWER; a behavioral health and substance use model called IMPATH; an oral health initiative called Rooted in Health; and an integrated crisis-to-care EMS and trauma response effort. He said the chronic disease work would include prevention, food-as-medicine concepts, and technology tools, while the maternal health effort would expand team-based care around mothers and infants using community health workers and doulas. The behavioral health proposal would build on existing crisis intervention models, oral health would address workforce and access gaps through training, mobile vans, and telehealth, and the EMS proposal would better connect emergency response with home-based and community care.
Several senators questioned whether the proposal would meaningfully address rural hospital closures or the broader rural health care crisis. Senator Meredith said the plan was not transformational and would not save rural hospitals, while Senator Berg asked how success would be measured. In response, the presenters said they would use both lagging and leading indicators, with an emphasis on rapid-cycle feedback and data use that is more actionable in real time. They also said the work could help existing models that already show promise, such as behavioral health units and dental workforce expansion, even if it would not solve the larger funding gap created by HR1.
Senator Douglas asked how the proposals would motivate patients to participate in their own health care. The presenters responded that the chronic disease prevention work would focus on obesity, diabetes prevention, nutrition, and consumer-facing technology tools to help people engage in their own care, and that EMS-community health worker partnerships could identify unmet needs in the home and reduce preventable problems. The board then moved on to its next agenda item, Medicaid managed care delivery models, with Tom Stevens, Katherine North, and Dr. Patel scheduled to present.
MA
Massachusetts 2025-2026 Regular Session
Formal House Session 54 Jun 21st, 2026 at 11:00 am
Massachusetts House Floor Meeting
Transcript Highlights:
- So if Cambridge decides that teaching young boys to perform fallacious on another...
- Court officers, some of the members indicated roll call is in progress.
- Chair will indicate to the members to stay within the chamber for additional roll call votes.
- Court officers, some of the members indicated roll call is in progress.
- Court officers, some of the members indicated roll call is in progress.
Summary:
The House began with routine ceremonial business, including the Pledge of Allegiance, adoption of several congratulatory resolutions, and suspension of Joint Rule 12 to send two petitions to committee. It then took up a supplemental fiscal year 2026 appropriations bill (H. 5393 / H. 5493), which Ways and Means reported at about $227.3 million for items including snow and ice costs, no-cost calls, substance use services, homeless programs, and technical changes related to lottery revenue and other outside sections. The bill was advanced through second and third reading and later passed to be engrossed after a roll call vote. The chamber also passed to engrossment a land transfer bill for the Town of Marion (H. 5388) and a Bolton alcohol licensing bill (S. 2628, as amended). The House also enacted two local bills: one further regulating special meetings of the Holyoke City Council and one amending the charter of the town of Reading.
A major floor debate centered on S. 2726, an act regarding free expression, which was framed by supporters as a response to book challenges and censorship in public and school libraries. Supporters, including Representatives Garballey and Moran, argued the bill would protect librarians, require reporting of book challenges, preserve age-appropriate access to materials, and keep challenged books on shelves during review; opponents raised concerns about parental rights and local control. Several amendments were offered and rejected, including one that would have removed a criminal-law protection for librarians and educators, and another that would have shifted school review authority more directly to elected school committees. Two amendments were adopted: one clarifying that challenged material is considered in its entirety, and another narrowing who may initiate certain complaints to parents or guardians of a student in the school. The bill ultimately passed to be engrossed by a large roll call vote.
The House also debated and passed H. 5491 / S. 1646, implementing recommendations of the Walsh Kennedy Commission on hot work safety after the 2014 Beacon Street fire. Supporters said the bill would require certification for hot work, strengthen penalties for repeated or reckless violations, and improve public notification and enforcement to prevent future tragedies; the bill passed to be engrossed unanimously or near-unanimously after roll call. In addition, the chamber advanced a local land transfer for the Yankee Doodle Bike Path in Billerica and a bill concerning ownership and maintenance of culverts and dams in Town Line Brook and Lindenbrook. The session included several recesses, quorum checks, and recognition of guests, including Danvers High School graduates, a former state representative, and WGBH representatives for Public Media Awareness Day.
NH
New Hampshire 2026 Regular Session
Joint Legislative Performance Audit Oversight Committee (03/06/2026)
Transcript Highlights:
- background for you people, this committee has historically limited our role to the progress of performance
- As I indicated, I'm the director of the unit.
- Bracket who joins me I indicated is Mr. Bracket who joins me here<00:09:31.920>
today. - indicated, I'm the director of the unit. indicated, I'm the director of the unit.
- /c><00:22:29.760>
performing performing a function, we're performing performing a function, we're
Summary:
The committee chair opened by explaining that the committee has expanded from a traditional audit-follow-up role into an oversight role focused on whether audit recommendations are implemented and whether controls are in place to detect fraud. He said the committee was concerned about fraud uncovered in social service programs in other states and wanted to understand New Hampshire’s safeguards, especially around major contracts and program performance.
Charles Buchanan, director of the New Hampshire Medicaid Fraud Control Unit, and investigator Tim Brackett described the unit’s structure and mission. Buchanan said the unit, housed in the Attorney General’s Criminal Justice Bureau, investigates and prosecutes fraud by health care providers serving Medicaid beneficiaries, as well as abuse, neglect, and financial exploitation of residents in health care facilities. He outlined common Medicaid fraud schemes such as billing for services not rendered, upcoding, using unqualified staff, drug substitution, kickbacks, supplemental charges, and inflated customary charges. He also described resident abuse/neglect and drug diversion in hospitals, nursing homes, and assisted living settings. Brackett said his role is financial investigator/auditor and noted the unit is grant-funded and must include a prosecutor, investigator, and auditor.
The witnesses then explained how cases reach the unit and how they are handled. Most referrals come from the state Department of Health and Human Services’ program integrity unit and from managed care organizations’ special investigations units, which look for fraud, waste, and abuse and refer credible allegations. Other sources include qui tam whistleblower actions, the national Medicaid Fraud Control Units association, citizen complaints, provider referrals, adult protective services law-enforcement referrals, local law enforcement, and federal agencies. Once a referral is received, the unit can accept or deny it; accepted matters may be investigated criminally or civilly, while nonviable matters can be referred back to HHS or other agencies for administrative action, including repayment demands and reimbursement offsets. No votes or formal committee actions were taken in the portion provided.
TX
Texas 89th Regular
Delivery of Government Efficiency Mar 5th, 2025
Delivery of Government Efficiency
Transcript Highlights:
- Uh, secondly, you know, you, you kind of alluded to this, what metrics or keep performance indicators
- So do you perform, you do perform audits of?
- , we evaluated the city's key performance indicators and identified. areas where measurements could be
- Performance is performance.
- Um, and, um, and so part of that is, is setting up key performance indicators. performance metrics, have
ND
North Dakota 2025-2026 Regular Session
Legislative Audit and Fiscal Review Committee Jun 17th, 2026
Transcript Highlights:
- As you had indicated, there are two individuals.
- As indicated on page two of our report, we did not identify any...
- As indicated on page two of our report, we did not identify any areas of concern.
- It is one all-encompassing performance audit. That would not be feasible for us.
- And state auditor is required to perform. And state auditor is required to perform.
Summary:
The committee was called to order, the Pledge of Allegiance and prayer were offered, and the minutes from the previous meeting were approved. Members then received a memo summarizing major audit items and began hearing audit presentations from the State Auditor’s Office and private auditors on a range of state agencies and organizations.
Several audits were reported as clean, including the Bank of North Dakota, the North Dakota Guaranteed Student Loan Program, the Office of the Governor, the Office of the State Treasurer, the Office of Management and Budget, the Department of Transportation’s flexible transportation fund, Lake Region State College, and the Department of Environmental Quality. The North Dakota Stockmen’s Association also received an unmodified opinion, though repeat findings were noted for limited segregation of duties and financial statement preparation due to its small staff. The Council on the Arts audit found two findings: payroll charged to federal awards without adequate timekeeping records, and unallowable expenditures from a restricted cultural endowment fund. The Department of Public Instruction audit identified unsupported scholarship applications in the paraprofessional-to-teacher program, though additional testing showed the funds were used for their intended purpose.
The most extensive discussion centered on the North Dakota Racing Commission audit, which identified four findings: overspending the promotion fund’s 25% operating limit, grant conditions not being met, improper Breeders Fund awards, and improper procurement for advertising services. Racing Commission director Bruce Johnson acknowledged complacency and weak controls, said the agency would tighten procedures, and explained that the commission had since worked with procurement and would follow the rules more closely. Auditors also explained that the commission would now be audited every two years because of the findings. Another major discussion involved the University of North Dakota School of Law, where auditors found a lack of documentation supporting admissions decisions for post-baccalaureate programs. UND officials said they remain in good standing with the American Bar Association but agreed better documentation and tools are needed; the committee pressed for more transparency and follow-up on admissions criteria.
The committee also received an update on Dakota College at Bottineau, where Minot State University reported that bank reconciliations had been brought current after a significant backlog and would now be maintained through shared services. Members requested a written follow-up report on the issues and corrective actions. Finally, the North Dakota Fair Association explained that its foundation has been dissolved and remaining funds were transferred to another nonprofit for continued support of the state fair, and the Department of Public Instruction provided an update on school meal debt, saying the reported amount was about $1.1 million from a partial district survey and that debt remains a local issue, though it could be revisited if school meal funding changes.
LA
Louisiana 2026 Regular Session
House Select Committee on Homeland Security May 26th, 2026
Transcript Highlights:
- I’m showing you some data and giving you an indication of some of the additional research that can be
- Is there anything in the data that indicate that?
- They were frustrated in their ability to execute those funds because the periods of performance that
- There was no, nothing developed that indicated that this is a structural change.
- They performed the same function, but at a reduced pay.” “At a reduced pay. Yes, sir.
Summary:
The committee first heard an update on the Northwest Louisiana earthquake cluster. Laura Sori of the Department of Conservation and Energy said the agency has inspected Class II injection wells within 12 miles of the earthquakes, found no permit violations, and is requiring monthly reporting of daily injection data. LSU and Tulane researchers explained that the swarm includes about 50 earthquakes detected by USGS since December 2025, including a 4.9 magnitude event on March 5, and that better monitoring is needed because Louisiana has very limited seismic station coverage. Dr. Cynthia Ebinger said her temporary array has detected more small quakes than USGS, that the pattern looks more like a swarm than normal aftershocks, and that the data suggest pressure changes in the subsurface, though no definitive cause was identified. Keith Hall of LSU described how other states responded to suspected induced seismicity with more monitoring, more frequent reporting, injection limits or moratoria, and “traffic light” systems that escalate regulatory responses as seismicity increases. Members asked about depths, fault locations, possible links to injection or fracking, and whether more monitoring and data-sharing should be pursued; several speakers said Louisiana likely needs a denser monitoring network and more structured data collection. A Texas geoscientist, William Berger, also testified that Texas uses large-scale data analysis and AI to study injection-related seismicity and argued for secure sharing of operator data to improve forecasting and risk management.
The committee then took testimony on UAV and drone incursions over Barksdale Air Force Base. GOSEP said the incident was logged in WebEOC and the common operating picture, but that Barksdale did not request direct GOSEP resources and that the matter was handled through law enforcement channels. Louisiana State Police and the FBI said they were limited in what they could disclose, but confirmed multiple drone sightings on the morning and evening of March 9 and continued monitoring for several days. State Police said they have created a task force with the Police Chiefs Association, Sheriffs Association, GOSEP, and LSP, and that officers are receiving FBI-related training to help detect and, where authorized, mitigate drones. Members discussed whether the activity was nefarious, what counts as an incursion, and the need for better public education about drone restrictions near military and critical infrastructure sites. No formal action was taken, but members said the issue will continue to be tracked alongside pending legislation.
Finally, the committee received a one-year update on the merger of GOSEP with the Louisiana National Guard and Military Department. Major General Thomas Freelieu and Brigadier General Jason Maffus said the merger has reduced GOSEP from seven divisions to three, shifted administrative functions to the Military Department, and produced about $10.5 million in first-year cost avoidance. They said the agency has modernized its common operating picture, returned staff to in-person work, and continued statewide preparedness exercises. Freelieu highlighted Guard missions including cyber expansion, the new Air National Guard cyber squadron at Jackson Barracks, modernization of the 159th Fighter Wing, and ongoing support for homeland security missions in New Orleans and Washington, D.C. Maffus said GOSEP’s core mission remains emergency preparedness, response, and recovery, and that the merger is intended to make state support to parishes faster and more efficient.
AZ
Arizona 2026 Regular Session
02/04/2026 - Senate Regulatory Affairs and Government Efficiency
Regulatory Affairs and Government Efficiency
Transcript Highlights:
- SB 1144 shifts safety oversight and liability because CVTs perform anesthesia monitoring, medication
- SB 1144 shifts safety oversight and liability because CVTs perform anesthesia monitoring, medication,
- Safety, oversight, and liability because CVTs perform anesthesia monitoring, medication calculations
- Twenty-eight findings in and of itself should indicate a pattern of what's going on at the board.
- And, Madam Chair, that should indicate, I mean, that's why this is a problem.
Keywords:
health profession, regulatory boards, criminal activity, notification, auditor general, investigations, veterinary technicians, certification, education alternative, Arizona Revised Statutes, veterinary education, ALTCS, providers, ownership change, healthcare, Arizona Long Term Care System, naturopathic physician, naturopathic medicine, naturopathic doctor, naturopathic physicians medical board
Summary:
The committee approved the minutes and held Senate Bill 1241 for a later hearing because a witness was unavailable. It then took up Senate Bill 1144, which would create an alternative pathway for veterinary technician certification through supervised on-the-job training instead of only a two-year curriculum. Supporters, including the Arizona Humane Society, a high school student in a veterinary program, and a veterinary technician employer, argued the bill would help address a veterinary technician shortage, reduce student debt, and expand access to care. Opponents, including the Arizona Veterinary Technician Association and some veterinarians, said Arizona already has an existing pathway, warned the bill could weaken competency standards and patient safety, and argued the shortage is more about retention and utilization than entry requirements. The committee adopted a Bolick amendment tightening supervision and documentation requirements, then passed SB 1144 as amended on a 6-1 vote.
The committee next approved Senate Bill 1247 unanimously. That bill would allow an individual who does not need services to live with a resident in an assisted living center or other unit in the facility, and would bar the Department of Health Services from imposing care requirements on that individual. The sponsor and a lobbyist said the bill was intended to fix a recent statutory interpretation that could force spouses or other companions to separate or pay for services they do not use; a floor amendment was mentioned to extend the same treatment to assisted living homes.
Senate Bill 1286, which would extend from 14 days to 60 days the period for veterinary prescriptions and renewals issued through telemedicine, drew extensive testimony and was ultimately held for a possible amendment next week. Supporters, including the sponsor, the Arizona Humane Society, and Animal Policy Group, said telemedicine has expanded access in rural and underserved areas and that longer prescription windows would improve convenience and continuity of care while still excluding controlled substances. Opponents, including the Arizona Veterinary Medical Association and several veterinarians, argued the current 14-day limit is a compromise that protects animal safety, that telemedicine without an in-person exam can lead to misdiagnosis and delayed diagnostics, and that the bill could function like a “pill mill.” The committee then passed Senate Bill 1164, which would let Medicaid billing continue under the prior owner’s certification number during a change of ownership for skilled nursing and assisted living facilities. Supporters said the current process can delay reimbursement for 6 to 18 months and strain providers; Access said it had legal concerns about possible conflict with federal law but was working on fixes. The committee also heard Senate Bill 1181, which would expand CPA certification pathways by adding degree-and-experience options and updating reciprocity rules, and a supporter from the Arizona Society of CPAs said it would address workforce shortages and improve mobility.