Video & Transcript Research : 'audit procedures'

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MN

Minnesota 2025-2026 Regular Session

House State Government Finance and Policy Committee 1/16/25

State Government Finance and Policy

Transcript Highlights:
  • Audit Division.
  • audit division you know you hear audit audit division you know you hear audit you<00:37:54.880><
  • controls audits, and we do some IT audits.
  • audit.
  • Audits, the legislature has a couple ways of producing audits.
Keywords: 1183, house
Summary: The committee met on January 16, 2025, for an organizational and informational session. Members and staff introduced themselves, and Chair Jim Nash reviewed committee expectations, including that nonpartisan staff are to be used for factual information rather than political arguments. He also noted the committee rules were a blend of prior chairs’ rules and would be posted without a vote. Helen Roberts of House Fiscal gave a high-level overview of the committee’s jurisdiction and budget structure. She explained that the State Government Finance Committee oversees funding for major administrative agencies, the legislature, constitutional offices, and several boards, councils, and commissions. She emphasized that the committee’s general fund base for fiscal years 2026-27 is about $1.31 billion, less than 2% of the state general fund, and that the largest pieces are the Department of Revenue, the legislature, and pension aids. She also described how all-funds presentations differ from general fund views, highlighting internal service funds such as Minnesota IT Services, Department of Administration services, and other chargeback or reimbursement arrangements. Members asked questions about House and Senate budgets, debt service related to the Capitol Area building project and move costs, and how Minnesota IT Services is funded through fee-for-service chargebacks. Colby Sullivan of House Research then summarized a memo in the packet that outlines the entities within the committee’s jurisdiction and the constitutional and statutory provisions governing them. He pointed members to the memo as a reference and noted that the committee also has jurisdiction over the Legislative Coordinating Commission, the legislative auditor, the legislative reference library, the reviser of statutes, the Secretary of State’s budget and certain duties, and three gambling-related agencies, though gambling policy itself is generally handled by another committee. He offered to help members with bill drafting and amendments and to provide a linked electronic version of the memo. The Office of the Legislative Auditor then began an overview of its work. Legislative Auditor Judy Randall explained that the office is nonpartisan, serves all 201 legislators, and provides oversight through financial audits, program evaluations, and special reviews focused on state funds. She distinguished the Legislative Auditor from the State Auditor, noting that the State Auditor is an elected constitutional officer who focuses on county and local government funds. Randall said the office would also present a deep dive into its November performance audit of the Minnesota State Lottery. No votes or formal actions were taken during the meeting.
NM
Transcript Highlights:
  • Now, the audit would be against USDA would be doing that audit against the records of the state, and
  • So, it's a percent of the audits at the New Mexico audits, the federal audit.
  • What percent does New Mexico audit?
  • Maybe they don't do procedures.
  • Tab G has the LFC audit which has been released. It was a clean audit.
Keywords: 996, all
CA

California 2025-2026 Regular Session

Joint Legislative Audit Committee Jun 18th, 2025

Transcript Highlights:
  • audits that do not currently impact our audit staffing.
  • audits that do not currently impact our audit staffing.
  • I oppose the audit because we are really committed to putting those systems and procedures in place.
  • I'm not arguing with the audit. I support the audit.
  • That audit fails. The next audit is going to be Senator Ashby's.
Summary: The committee heard several audit requests and related testimony. The first major item was an audit of Coachella Valley Unified School District’s contract and fiscal management. The author and supporters described long-standing fiscal mismanagement, large budget shortfalls, layoffs, contracting concerns, and questions about the district’s foundation and use of public funds. District representatives and the Riverside County Office of Education said the district is already under fiscal oversight, has a stabilization plan, and is working to reduce deficits and improve student outcomes. After extensive debate and public comment, the motion to approve the audit was put on call because the committee did not have the required votes from both houses at that moment. The committee then approved an audit of East Bay transit agencies in Alameda and Contra Costa counties. Senator Wahab argued the region’s many overlapping transit agencies create fragmentation, duplication, and inefficiency, especially amid a fiscal cliff and possible future tax increases. Transit agencies and labor representatives opposed the audit, saying the agencies already undergo multiple audits, serve distinct local needs, and are implementing regional coordination efforts. After testimony from agency leaders and public commenters, the committee voted to approve the audit. The next item was an audit of California Community Colleges’ unrestricted reserves. Senator Archuleta and supporting faculty representatives said reserves have grown substantially and may be diverting resources from student services, instruction, and workforce programs. They argued there is little oversight when reserves become too high. The Chancellor’s Office and Calbright College were invited to respond, and the audit objectives focused on reserve growth, reasons for high balances, oversight by the Chancellor’s Office, and effects on students and staff. The transcript cuts off during the Chancellor’s Office response, so the final committee action on this item is not shown.
FL

Florida 2025 Regular Session

March 19, 2025 - 01:00 PM

Transcript Highlights:
  • that we get that is audited by a separate entity than the auditors that do the ASR audits.
  • Audit shareholder with Thomas L.
  • And so we've designed procedures to test that.
  • And then we design additional really audit procedures to go with... ...and then we designed additional
  • really audit procedures to go in and test that accumulation of the data.
Summary: The Health Care Budget Subcommittee took up two bills and then continued oversight discussions with APD and AHCA. CS/HB 27, the Social Work Licensure Interstate Compact, was presented as a way to let Florida social workers practice in other compact states and vice versa; AARP, the Florida Chamber, and NASW Florida supported it, and the bill passed favorably. HB 1127, a child welfare bill, would create a treatment foster care pilot for children with high behavioral needs, improve DCF data collection on commercially sexually exploited children, and expand recruitment for protective investigators and case managers; the bill also passed favorably after brief supportive testimony. The committee then questioned APD at length about the iBudget waiver waitlist, enrollment pace, spending projections, and provider capacity. APD said it had sent more than 1,100 interest letters in categories 3, 4, and 5, enrolled 1,124 people so far this year, and expects to spend about 96.4% of its waiver appropriation, leaving roughly $82 million unspent. Members pressed APD on why prior discussions suggested more reserve was needed, how long the SANS process takes, whether category 6 could be expanded, and whether the agency has enough waiver support coordinators and direct support providers. APD said it has about 1,061 waiver support coordinators statewide, adequate capacity for current enrollees, but would need further analysis if the legislature directed a much larger enrollment increase. Members also asked about outreach, annual maintenance of the waitlist, portability for military families, and whether communication efforts should be privatized. Finally, AHCA walked the committee through the 2023 Achieved Savings Rebate (ASR) report for Aetna and explained how the report is used for financial monitoring, rebate calculations, and transparency. AHCA said the ASR is separate from the medical loss ratio (MLR) calculation, though both are reviewed, and that Florida uses the ASR mechanism rather than an MLR remittance requirement to recover funds from plans. Members asked about related-party disclosures, CVS/Caremark relationships, expanded benefits, encounter data, network adequacy penalties, denials and appeals reporting, interest earned on capitation payments, and whether rate increases were reaching providers. AHCA and the outside auditors said they review the plans’ reported data, reconcile it to underlying records, and can assess liquidated damages for network adequacy violations; several members requested follow-up data on rebates, interest, provider capacity, and related-party reporting.
AR

Arkansas 2026 Regular Session

JBC-CLAIMS Apr 14th, 2026

JBC-CLAIMS REVIEW/LITIGATION REPORTS OVERSIGHT SUBCOMMITTEE

Transcript Highlights:
  • Currently, the Department of Corrections is undergoing audits for compliance with PREA, the Prison Rape
  • That really doesn't have anything to do with the audits; we're just making sure that things like that
  • If the committee would like to hear a procedural history of this claim, I'm happy to provide it.
  • If the committee would like to hear a procedural history of this claim, I'm happy to provide it.
  • Irby, anything to add to that procedurally? No, sir. Okay.
Summary: The Joint Budget Committee’s Claims Review and Litigation Reports Oversight Subcommittee met to consider two proposed Department of Corrections litigation settlements and one appealed claim from the Claims Commission. The first settlement, Caroline Arnett v. Larry Norris et al., involved allegations of long-term sexual abuse by a corrections employee. Committee members asked about PREA audits, facility practices, and whether the inmate had been placed at the proper facility. The department said audits and other safeguards were underway, and the committee approved the settlement. The second settlement, Latasha Ridgel v. Arkansas Department of Corrections, also involved sexual harassment/assault allegations. Members questioned the seven-year delay in the case and whether the issue was systemic; the department cited attorney turnover, COVID delays, and legislative changes making inmate exposure a felony. The committee approved that settlement as well. The committee then heard an appeal in Sharon Greer and Deanna Hayes v. Commissioner of State Lands, a denied and dismissed claim involving a tax-delinquent sale of family property in Crittenden County. Staff and the Commissioner of State Lands’ office said the property was certified in 2000, sold in 2009 after notice was sent, and that excess proceeds were available for a limited period before escheating to the county. The claimants argued they were not properly notified of the sale or the excess proceeds and only learned of the matter in 2025 after receiving the deed at a family funeral. Committee members discussed the notice process, statute of limitations, and the handling of excess proceeds, with several noting the issue may call for legislative review rather than relief in this case. After debate, the committee voted to affirm the Claims Commission’s dismissal of the Greer/Hayes claim. Members also discussed broader concerns about how excess proceeds from tax sales are handled and whether the current statutory process should be revisited in future legislation.
AZ

Arizona 2026 Regular Session

01/13/2026 - House Education

Education

Transcript Highlights:
  • Thank you for the audit report.
  • Safety Program Audit of 2025.
  • It's a self-audit, essentially, and having ASU do that self-audit for you...
  • Some numbers that came out of that audit. And this was not an audit of ADE.
  • With that said, the audit—the audit was of 47 schools throughout our state, equally divided between 15
Keywords: 1182, all
AZ
Transcript Highlights:
  • Madam Witt, members, as amended by the Committee on Government, House Bill 2660 outlines the procedures
  • Madam Witt members, as amended by the committee on government, House Bill 2660 outlines the procedures
  • Madam Whip and members, House Bill 2425 directs the Auditor General to conduct a special audit of the
  • State Land Department and outlines items for the special audit to examine.
  • outlines items for the special audit to examine.
Keywords: 1182, all
Summary: The meeting was a rapid review of a very large bill package, with the chair repeatedly asking staff to keep descriptions high level and many bills placed on third-read consent or consent calendars. A major theme was artificial intelligence: bills would require minors to be told when they are interacting with AI, allow AI-assisted divorce arbitration by consent, create an AI education program, privilege certain AI communications, and require K-12 instruction on ethical and practical AI use. Other education measures addressed school district superintendents, health instruction, anti-Semitism prohibitions, fetal development standards, and school safety, including a bill allowing concealed firearms on school grounds under specified conditions. Several health and public safety bills were also discussed. These included funding and oversight measures for childhood cancer research, nursing care complaint timelines, firefighter cancer data collection, limits on pharmacy penalties, and a bill making it a felony to administer abortion-inducing drugs without consent. Members also heard bills on overtime wage enforcement, domestic violence evidence standards in parenting cases, probation limits for dangerous crimes against children, and a measure expanding manslaughter liability to online encouragement of teen suicide. One sponsor strongly opposed a provisional medical licensing bill for foreign-trained applicants, while other sponsors emphasized rural health access, nurse anesthetist reimbursement parity, and the need for a dental board member who is an oral surgeon. A large portion of the meeting focused on water, land, energy, and state agency oversight. Bills would streamline or change rules for small modular reactors, new power plants, water supply determinations, groundwater transportation fees, water hauling, and state land disposition. Members also considered measures affecting the State Land Department, including audits, oversight boards, continuation, land-use maps for data centers and energy projects, and rules for mineral leases and solar or wind siting. Other topics included wildlife and ranching, Mexican wolf policy, annexation, housing and development incentives, transportation and towing rules, digital driver licenses, and a proposed four-year moratorium on municipal and county fee, tax, and utility-rate increases, which drew questions about stakeholder input and the impact on enterprise funds and local utilities. No recorded roll-call votes were taken in the transcript; most items were simply presented, briefly discussed, and left on consent or calendar status, with one bill noted as held in rules and another pulled for further discussion.
CA

California 2025-2026 Regular Session

Senate Business, Professions and Economic Development Committee Jun 8th, 2026

Business, Professions and Economic Development

Transcript Highlights:
  • If a patient I've cared for needs a procedural abortion beyond, current law forces me to hand her off
  • We know the babies won't survive these procedures, but the risks are serious enough that the woman may
  • APCs presently perform first-trimester procedural abortions, and it is the first-trimester abortions
  • In response to this trend, I asked the Joint Legislative Audit Committee in 2024 to request a review
  • In response to this trend, I asked the Joint Legislative Audit Committee in 2024 to request a review
Keywords: 987, senate, all
MN

Minnesota 2025-2026 Regular Session

Legislative Audit Commission 11/4/25

Minnesota House Floor Meeting

Transcript Highlights:
  • So this is our standard performance audit, a full scope audit of a constitutional office.
  • Each time we audit a constitutional office, we do what we call a full scope audit.
  • who oversaw this audit, audit director who oversaw this audit, Heather<00:02:30.480> Rodriguez,
  • include that within that audit. Um and include that within that audit.
  • that procedures. uh basic procedures that procedures. uh basic procedures that need<00:49:14.000
Keywords: 919, house, all
Summary: The committee heard a presentation from the legislative auditor on a performance audit of the governor’s office and lieutenant governor’s office covering July 1, 2022 through December 31, 2024. The audit reviewed receipts, inventory, payroll, and non-payroll expenditures and found 12 findings, concluding the office generally did not comply with the criteria tested because of internal control deficiencies. The auditor said four of five prior findings that remained relevant were not fully resolved, and that the problems were widespread across financial operations, creating opportunities for waste and fraud, though no evidence of wrongdoing or misuse of funds was found. The main findings involved weak segregation of duties, late vendor payments, inaccurate reimbursements and vendor payments, missing documentation, and poor receipt management. Auditors said one employee handled purchasing, receiving, payment processing, and inventory functions without adequate oversight; vendors were often paid late, resulting in more than $1,000 in late/reactivation fees; reimbursements and some state airplane payments contained errors; and many vendor payments, reimbursements, and purchasing card transactions lacked required support. The office also failed to collect about $12,000 for events at the governor’s residence, did not fully process several deposits, and lacked documentation for some billed or deposited amounts. Members reacted strongly to the repeated control failures and the lack of documentation, with several saying the issues were pervasive and concerning even if the dollar amounts were not large. Questions focused on whether the problems reflected different treatment of vendors versus employee expenses, whether restitution was being sought, and whether legislation was needed. The auditor responded that the state already has the necessary policies and procedures, and that the issue is implementation and oversight by the governor’s office, not new legislation. The auditor also said the governor’s office had been receptive and had begun taking steps to address the findings.
MN

Minnesota 2025-2026 Regular Session

House Environment and Natural Resources Finance and Policy Committee 3/5/26

Environment and Natural Resources Finance and Policy

Transcript Highlights:
  • is executed as well as to for procedures is executed as well as to for procedures that<00:02:39.120
  • ,<00:04:04.959> financial potential grant's audits, financial potential grant's audits, financial
  • grant-making policies and procedures. grant-making policies and procedures.
  • This was in our behavioral health audit.
  • Um, and because the health audit.
Keywords: 1183, house
Summary: The committee approved the March 3 minutes and then heard a presentation from the Office of the Legislative Auditor on state grant-management requirements. Deputy Legislative Auditor Katherine Tyson outlined the main controls agencies must follow, including pre-award risk assessments for grants of $50,000 or more, reimbursement as the preferred payment method, limits and documentation requirements for advance payments, and monitoring obligations for active grants. She emphasized that these controls are intended to reduce improper payments and fraud, but also require staff time and strong internal systems. In response to questions, she said advance payments are used in some grants but reimbursement is more common, and noted that agencies can add controls such as retaining a portion of funds, surprise visits, or audits. She also said surety bonds are required in some state programs, but not generally for grants, and that this could be a policy discussion for the executive branch. The committee then received a Department of Natural Resources presentation on the new Environment and Natural Resources Trust Fund community grant program created in 2023 law. DNR officials said the program is intended to expand access to ENRTF funding, especially for communities affected by pollution and environmental degradation, and to support projects such as environmental education, resource restoration, trail work, and aquatic invasive species management. They said the department will use the same grants team that handles Outdoor Heritage Fund and LCCMR grants, which already manages a large volume of grants, and that the advisory council application is open through April 10. DNR described its implementation plan as similar to the Conservation Partners Legacy program, with both standard and expedited grant rounds, technical assistance, and use of technical experts. Differences include no match requirement, allowance for fiscal agents to help smaller organizations, and more flexibility for administrative expenses to reduce barriers to participation. Officials said the program will follow state grant rules, including pre-award financial reviews and monitoring, and will use the 5 percent administrative allowance to support both oversight and grantee assistance. They also said the report’s suggestion of advance payments for grants under $50,000 was raised for discussion, but they did not dispute the auditor’s emphasis that reimbursement is the preferred approach.
WV

West Virginia 2026 Regular Session

WV Senate Government Organization Committee in Session Mar 10th, 2026 at 09:03 am

Government Organization

Transcript Highlights:
  • One of the key provisions of the bill is the change in the cyber risk assessment procedures.
  • It is in response to a PEER audit.
  • manuals, guidelines, procedures, and algorithms, related training manuals and materials, and various
  • other audit-related information to be disclosed.
  • No additional procedural requirements otherwise applicable to municipal ordinances or charter amendments
Keywords: 994, senate, all
NH

New Hampshire 2025 Regular Session

Fiscal Committee (12/19/2025)

Transcript Highlights:
  • Is there anything else before we come to the audits? Audit. All right.
  • For the record, I'm Christine Young, director of audits for the LBA.
  • Thomas Ward is a financial audit manager in our office.
  • There were no changes to our risk assessment or planned audit strategy.
  • There were no changes to our risk assessment or planned audit strategy.
Keywords: 928, house, all
Summary: The Fiscal Committee met on December 19, with Senators Long and Lang serving as replacements. The committee approved the November 21 minutes and adopted the consent calendar after removing two Department of Health and Human Services items for separate discussion. It then took up an HHS request involving nursing facility rates, where Nathan White explained that $2.2 million would be transferred from a long-term care Medicaid eligibility contract to the nursing facilities budget. He said the funds would offset an otherwise projected 3.9% average rate decrease and bring the overall average change to zero for the next six months, with rates reset again in July under state law. Members asked about the budget adjustment factor, bed counts, and whether additional funds could raise rates further; White said the factor is statutory, capped at 28.76%, and that more money would lower the factor and increase rates. The committee also corrected a date in the request from February 1, 2025 to February 1, 2026, and approved the item. The committee next approved another HHS item related to rural health transformation grants. Members confirmed the request covered the full amount applied for this biennium, and asked about the technology component. HHS said the grant is not solely about AI, but about broader technology improvements such as electronic medical records, back-end systems, and tools to improve access and sustainability in underserved areas. The committee approved that item as well. The Judicial Council then requested funds for contract attorneys providing indigent defense on a fixed-fee basis. The council said current funds had already been exhausted and that the new appropriation would be used immediately. Members questioned the size of the request and the number of people awaiting counsel; the council reported about 150 incarcerated people and about 300 non-incarcerated people waiting for counsel, more than in recent years. It attributed the increase to competition for attorneys, public defender offices closing intake in some locations because of caseload limits, and broader case and court-system changes. One member raised constitutional concerns about delays in counsel for incarcerated defendants. The committee ultimately amended the request downward to $1 million, approved it, and then approved a motion to place several annual financial reports on file and release them to the public when available. The committee also discussed dashboard reporting from HHS, asking for more detail on community mental health center caseloads and budget-reduction information, and HHS agreed to provide more useful monthly detail.
AR

Arkansas 2026 1st Special Session

JBC-CLAIMS Apr 14th, 2026

JBC-CLAIMS

Transcript Highlights:
  • Rape Elimination Act, and that those audits will help ensure proper practices are in place.
  • If the committee would like to hear a procedural history of this claim, I'm happy to provide it.
  • Irby, anything to add to that procedurally? No, sir. Okay.
  • Under Rule 12(b)(6) of the Civil Procedure Rules, but nothing else. Okay. All right.
  • But I do agree that this is a procedure that we likely need to try to fix.
Summary: The Joint Budget Committee’s Claims Review and Litigation Oversight Subcommittee met to consider two proposed litigation settlements from the Department of Corrections and one appealed claim from the Claims Commission. In the first settlement, Caroline Arnett v. Larry Norris, et al., members asked about the underlying sexual assault allegations, whether policies had changed, and whether PREA audits and other safeguards were in place. The department said audits were underway and that steps had been taken to prevent similar conduct. The committee approved the settlement by voice vote. In the second settlement, Latasha Ridgel v. Arkansas Department of Corrections, members raised concerns about the length of the case and the fact that it involved similar allegations. The department cited attorney turnover, COVID-related delays, and scheduling difficulties; the settlement was approved by voice vote. The committee then reviewed Sharon Greer and Deanna Hayes v. Commissioner of State Lands, an appeal of a Claims Commission dismissal involving a 2009 tax sale of family property in Crittenden County. The claimants said they did not learn of the sale or the $4,200 in excess proceeds until 2025, and argued that notice was inadequate and that the overage should not have gone to the county. The Commissioner of State Lands’ office responded that notice was sent to addresses on file, certified mail receipts were returned, and a post-sale notice explained the process for contesting the sale and claiming excess proceeds. The office also argued the claim was untimely, that the commission lacked jurisdiction, and that state law bars monetary damages against the commissioner for actions related to tax-delinquent land sales. Members discussed broader concerns about the tax-sale and excess-proceeds process, including whether excess proceeds should be held longer or routed differently, but noted those issues would require legislative changes rather than action in this case. The committee then voted to affirm the Claims Commission’s dismissal of the claim. The meeting adjourned after the motion passed.
NH
Transcript Highlights:
  • The first one though, EFA audit and special education audit reports.
  • He spoke to committee members of the Legislative Performance Audit and Oversight Committee.
  • You can see that in our audit and our annual audit and in our 990. And we can send that Our 990.
  • Also, the second part was the procedure, or how these funds are to be used.
  • The last one was Skids, who was a LBA senior audit manager. ...who was a LBA senior audit manager explained
Keywords: 928, house, all
Summary: The Education Freedom Account Oversight Committee met on March 27 and approved the agenda, adding a request for clarification on how the Children’s Scholarship Fund separates applications for the EFA program and the education tax credit program. The committee also approved minutes from December 30, 2025, and March 27, 2026, with a request that the March minutes include a link to the live stream. Members discussed the status of pending Legislative Budget Assistant audit reports on EFA and special education, noting the reports were still not released and would likely come later in the summer after review by the Department of Education and the Children’s Scholarship Fund. A major topic was the EFA program’s administrative fee, which statute allows up to 10% of deposits. Children’s Scholarship Fund representatives said current administrative costs were under 8%, that staffing had been reduced through the ScholarVia platform, and that any unused amount is reconciled and returned to students at year’s end. Members asked for historical administrative-cost data and a written explanation of how the withholding and reconciliation process works. The committee also reviewed the distinction between the EFA and education tax credit funding streams and was told the two programs use separate applications and separate funds, though both use the same platform. The committee spent substantial time on assessment and accountability. Department of Education staff explained that EFA students may satisfy annual assessment requirements through a portfolio, a norm-referenced test, or the statewide assessment; only about 10 EFA students took the statewide assessment, while most used portfolios or standardized tests such as the California Achievement Test and NWEA. Staff described how statewide assessment data are kept separate by student identifier and can be aggregated for EFA reporting, and members asked for breakdowns by grade, test type, and school district. The department also discussed linking assessments through Lexiles and Quantiles and said it could provide a list of commonly used formative assessments in New Hampshire districts. The committee additionally discussed a possible PSAT addition to the state contract and the costs of the statewide assessment program. Another major issue was special education eligibility and services within the EFA program. Members questioned the rule allowing a medical certification of disability from a licensed professional anywhere in the United States as an alternative to an IEP-based determination. Department staff said the current system allows either pathway, that about 1,000 EFA students are identified as special education students, and that the program does not track growth or service alignment on an individual basis. Members expressed concern that the medical-certification route may be too broad and asked for data on the disability categories used. The committee also discussed career and technical education access for EFA students, noting that Senate Bill 491 would provide guidance and that House Bill 1817 would address access and funding issues, but that current law still allows EFA funds to be used to pay CTE costs. The meeting ended with a request for future agenda items and a decision to leave the next meeting date open until fall, pending further information from the LBA audit process.
KY
Transcript Highlights:
  • This procedure for a one-surface filling here is reimbursed at $44.
  • like that's the way that auditing is done."
  • like that's the way that auditing is done."
  • like that's the way that auditing is done."
  • like that's the way that auditing is done."
Keywords: 958, all
Summary: The Medicaid Oversight and Advisory Board meeting began with a roll call and approval of the October 7 meeting minutes. The chair then reordered the agenda to hear the item on Medicaid reimbursement rates and network adequacy first because of scheduling issues. Dr. Steve Robertson of the Kentucky Dental Association was sworn in and testified at length about Kentucky’s dental Medicaid program, arguing that reimbursement rates are unsustainably low, have been largely flat for decades, and are often below the cost of providing care. He said Kentucky ranks near the bottom nationally in oral health, dental Medicaid rates are often 60% or less of commercial rates, and the program’s share of the Medicaid budget has effectively remained around 2% despite growth in enrollment and services. Dr. Robertson said the low rates are contributing to provider losses, rural access gaps, longer wait times, dental deserts, and greater use of emergency rooms for preventable dental problems. He cited examples of office costs exceeding reimbursement for basic procedures, noted that many dentists are small private businesses, and said the state is struggling to recruit and retain dentists because of low payment levels and high student debt. He also pointed to disparities with neighboring states and said recent increases in some oral surgery and cleaning codes were not enough to address the broader problem. His recommendations included completing the rebasing study, increasing dental reimbursement in the upcoming budget, tying future reviews to inflation and cost data, aligning benchmarks, and prioritizing preventive and restorative care to improve workforce stability and access. Board members asked about the size of the needed increase, the effect of private insurance on dental practice finances, and what a new dentist might expect to earn. Dr. Robertson said the association is working on an appropriations request and that private insurance pressures are part of the problem as well, since many plans are HMOs or PPOs with limited provider control over rates. He also said the association can no longer conduct reimbursement surveys because of FTC restrictions, but would try to obtain current ADA data. In response to questions about the future of the program, he warned that without significant changes it could become unsustainable and cited Ohio and Missouri as examples where higher reimbursement improved provider participation and access. The board then heard from Mr. Bowman of Baldwin Consulting, who discussed outpatient behavioral health providers, including ABA therapy and mental health/substance use disorder services. He said these providers face similar issues of rising costs, flat reimbursement, and access problems. He reviewed Kentucky’s network adequacy standards, including travel-time standards, 30-day appointment limits, and newer federal requirements that will require services within 10 business days by 2029. He said wait times for outpatient behavioral health, especially children’s services and ABA, have grown substantially, sometimes to more than a year, and emphasized that the Medicaid department must enforce these standards.
TX

Texas 89th Regular

89th Legislative Session May 15th, 2025

Texas House Floor Meeting

Transcript Highlights:
  • Forensic audits. So while some school districts may have an audit that's done at a high...
  • This is a vendor bill to again do another audit—the third audit—which is the exact opposite of what a
  • Getting back to the audit, when you do an audit, it takes an amazing amount of time away from whoever
  • is being audited.
  • No, no, no, it doesn't require any audits or independent audits.
Bills: HB75, HB188, HB199, HB4029, HB330, HB507, HB524, HB1517, HB 1065, HB1375, HB1630, HB1398, HB 1227, HB689, HB1814, HB2160, HB2140, HB4897, HB5600, HB5489, HB4188, HB2881, HB2048, HB3900, HB4074, HB5568, HB5528, HB3811, HB3726, HB3382, HB4507, HB4775, HB3626, HB3569, HB5212, HB5248, HB5178, HB3453, HB3231, HB3941, HB1571, HB1969, HB1865, HB2879, HB2643, HB4799, HB4891, HB5567, HB5549, HB5187, HB5118, HB3191, HB1730, HB1687, HB2192, HB4511, HB4805, HB1863, HB3195, HB3199, HB5562, HB5551, HB5169, HB3290, HB3712, HB3996, HB5098, HB5097, HB5089, HB3897, HB3868, HB3829, HB4840, HB3753, HB4368, HB4142, HB2841, HB3457, HB3784, HCR46, HCR109, HCR10, SB1844, SB1833, SB2284, SB2052, SB1666, SB1265, SB1146, SB1921, SB480, SB1734, SB296, SB2039, SB462, SB1646, SB2173, SB2925, SB682, SB1173, HB4535, HB4520, HB3824, HB3066, HB2442, HB3863, HB4773, HB4327, HB5115, HB5515, HB3372, HB5659, HB 127, HB386, HB 115, HB2868, HB 1249, HB4766, HB3720, HB4879, HB5383, HB4621, HB5431, HB5678, HB5534, HB4212, HB3954, HB3966, HB3918, HB1422, HB4765, HB4732, HB4742, HB4518, HB5084, HB3986, HB4144, HB3976, HB4473, HB3425, HB3641, HB3642, HB3475, HB3424, HB4744, HB4539, HB3159, HB5228, HB5370, HB4359, HB4443, HB4466, HB3849, HB4240, HB5141, HB5686, HB3629, HB3554, HB3567, HB2015, HB3575, HB5381, HB4398, HB3514, HB4614, HB4546, HB5681, HB5663, HB4271, HB4350, HB4035, HB3812, HB3540, HB3715, HB3664, HB4233, HB3333, HB3510, HB4222, HB2070, HB2854, HB2347, HB 113, HJR218, HB5623, HB4921, HB5673, HB5520, HB 105, HB4685, HB5354, HB4683, HB75, HB983, HB4847, HB1449, HB3833, HB5151, HB265, HB1845, HB782, HB 108, HB1960, HB158, HB1954, HB1955, HB2512, HB605, HB2581, HB2803, HB627, HB2667, HB1738, HB636, HB3679, HB2638, HB2655, HB871, HB2438, HB 1107, HB1765, HB1822, HB2153, HB4099, HB3732, HB3171, HB3178, HB3182, HB3749, HB2814, HB3977, HB4204, HB4207, HB4449, HB1820, HB1876, HB1939, HB1347, HB2593, HB2136, HB2132, HB2658, HB2413, HB2757, HB2080, HB3154, HB3063, HB3009, HB3448, HB3006, HB2844, HB3241, HB3680, HB3169, HB2078, HB2507, HB4559, HB3946, HB3460, HB3405, HB475, HB3463, HB3441, HB3441, HB3520, HB2060, HB4731, HB4991, HB1991, HB5596, HB2014, HB2142, HB2673, HB2731, HB2417, HB2399, HB2301, HB2301, HB3335, HB3234, HB3320, HB5573, HB5573, HB4848, HB4848, HB4748, HB4769, HB4795, HB2086, HB2086, HB2234, HB2234, HB2203, HB4916, HB5624, HB4505, HB139, HB5093, HB5302, HB5402, HB5606, HB2333, HB4630, HB4701, HB2583, HB2983, HB4924, HB3339, HB3339, HB3793, HB3631, HB4882, HB5509, HB5499, HB5430, HB5561, HB5561, HB5611, HB5043, HB5064, HB5064, HB3733, HB3733, HB3781, HB3219, HB32, HB4515, HB5348, HB3902, HB4420, HB3269, HB469, HB336, HB316, HB5396, HB993, HB1342, HB1342, HB5216, HB2046, HB2046, HB2188, HB2188, HB2450, HB2813, HB2857, HB4075, HB4075, HB2911, HB4682, HB4682, HB3117, HB3253, HB3442, HB4820, HB4336, HB5356, HB3669, HB3428, HB5465, HB3662, HB2590, HB2288, HB2288, HB1886, HB3458, HB3458, HB5603, HB5620, HB1489, HB1489, HB4101, HB4990, HB5685, HB5685, HB4950, HB4950, HB4980, HB5684, HB3507, HB3507, HB3566, HB4487, HB4487, HB4462, HB4462, HB4876, HB4915, HB4663, HB5570, HB2929, HB5261, HB2920, HB4642, HB4746, HB1609, HB5403, HB5453, HB3844, HB2336, HB1572, HB 1226, HB 1226, HB2806, HB2806, HB2617, HB2617, HB2827, HB3948, HB3948, HB3945, HB4266, HB4542, HB3319, HB1772, HB2496, HB1970, HB3434, HB5545, HB5545, HB5577, HB5577, HB31, HB31, HB279, HB370, HB370, HB4768, HB513, HB875, HB982, HB 1085, HB 1085, HB2677, HB2874, HB5478, HB4880, HB4798, HB4514, HB4958, HB4958, HB4508, HB4508, HB3758, HB3830, HB3744, HB3622, HB741, HB741, HB2204, HB2204, HB2860, HB4659, HB4578, HB813, HB712, HB712, HB1551, HB2790, HB2698, HB3365, HB3504, HB3118, HB3118, HB2959, HB1862, HB1862, HB 1026, HB4401, HB4401, HB4164, HB4164, HB3920, HB4737, HB4966, HB4966, HB4967, HB1958, HB4979, HB4979, HB5459, HB3862, HB1823, HB1823, HB4415, HB4893, HB2343, HB 1228, HB4337, HB188, HB199, HB4029, HB330, HB507, HB524, HB1517, HB 1065, HB1375, HB1630, HB1398, HB 1227, HB689, HB689, HB1814, HB2160, HB2140, HB4897, HB5600, HB5489, HB4188, HB2881, HB2048, HB3900, HB4074, HB5568, HB5528, HB3811, HB3726, HB3382, HB3382, HB4507, HB4775, HB3626, HB3569, HB5212, HB5248, HB5178, HB3453, HB3231, HB3941, HB1571, HB1969, HB1865, HB2879, HB2879, HB2643, HB4799, HB4891, HB5567, HB5549, HB5187, HB5118, HB3191, HB1730, HB1687, HB1687, HB2192, HB4511, HB4805, HB4805, HB1863, HB3195, HB3199, HB5562, HB5562, HB5551, HB5169, HB3290, HB3712, HB3996, HB5098, HB5098, HB5097, HB5089, HB5089, HB3897, HB3868, HB3829, HB4840, HB3753, HB4368, HB4142, HB2841, HB3457, HB3784, HCR76, HCR76, HCR127, HCR9, HCR40, HCR118, HR559, HCR59, HCR59, HCR135, HCR141, HCR46, HCR46, HCR109, HCR10
NH

New Hampshire 2025 Regular Session

House Health, Human Services and Elderly Affairs (10/08/2025)

Health, Human Services & Elderly Affairs

Transcript Highlights:
  • a little bit about what procedural a little bit about what procedural safeguards<00:28:42.640>
  • 27.599> investigations<00:43:28.319> for auditing as well as investigations for auditing
  • Again, we're responsible to the federal level, and we're audited all the time.
  • level and we're audited um all the time. level and we're audited um all the time.
  • So it's a procedures as well.
Keywords: 1189, house, all
NH

New Hampshire 2025 Regular Session

House Finance Division III (02/19/2025)

Transcript Highlights:
  • It might be the LBA, it might be a federal audit, it might be the single audit.
  • We do audits in my division. We also work as a liaison when we get audits.
  • <01:29:47.679> uh audit it might be the single audit uh audit it might be the single audit
  • audit.
  • in the most recent audit.
Keywords: 1189, house, all
Summary: House Finance Division III convened a work session on the DHHS budget, with the chair noting there would be no votes and that the committee would spend the day hearing from the commissioner’s office. Nathan White, DHHS Chief Financial Officer, opened with the Division of Finance/Office of Business Operations, explaining that the unit supports the department through daily financial management, AP/AR, audit work, expense projections, transfers, and procurement functions such as contracts, amendments, RFPs/RFAs, and grants management. He also described the division’s revenue and reporting work, including federal draws, CMS-64 reporting, and the public assistance cost allocation plan, and said the department had centralized rate-setting work and a small team handling Medicaid rate analysis and nursing facility rebase work. Members asked about vacancies, turnover, and budget changes. White said the division had 18 positions unfunded in the governor’s budget, reducing personal services from about $10.8 million to $9.9 million, and estimated the division’s vacancy rate at about 11 percent, below the department average. He said turnover was relatively low, with one retirement at the manager level and higher turnover mainly at lower AP-level positions. He also explained that some budget lines reflected reallocations rather than new spending, including fringe benefits centralized elsewhere and an EBT card contract moved into this unit because the staff member overseeing it works in Finance. When asked about a rent/lease increase, he said it was due to higher copier leasing costs under a statewide DAS contract. White highlighted several management and technology improvements. He said a business intelligence tool procured in 2022, using Salesforce and Excel-based data, helped DHHS better track federal revenue and maintenance-of-effort spending, reducing FY24 General Fund lapse by about 70 percent and federal/other revenue lapse by 88 percent compared with FY23; he warned that the tool is not funded in the current budget. He also described Lean Six Sigma efforts in the contracts team, training for vendors and nonprofits on procurement and indirect cost rules, and a Finance Academy to standardize policies and procedures. On the contracts side, he said the department uses Smartsheet for project management and DocuSign for electronic signatures, which cut contract execution time dramatically, but noted DocuSign is also not funded in the governor’s budget. The session ended as the committee prepared to move on to the Employee Assistance Program presentation.
CA

California 2025-2026 Regular Session

Joint Legislative Audit Committee Mar 24th, 2026

Transcript Highlights:
  • and audit specialist staff.
  • The audit primarily has three audit objectives shown as objectives two through four.
  • But why do an audit?
  • what the audit entails.
  • Audits are not, I mean, just a quick add: my view is audits are not punishment.
Summary: The committee met as a subcommittee for much of the hearing because it initially lacked a quorum, then later established one and began taking votes. The state auditor gave a status update on ongoing audits, including several JALAC-requested audits in progress, other statutory audits, staffing growth in his office, and the number of new JALAC audits his office could start in the coming months. The committee also heard that one audit request on Prop. 28 was held, and another PUC-related request was moved off consent and heard on the regular calendar. Members then heard and discussed several audit requests. Senator Cervantes presented a request to audit California fusion centers, with witnesses from the FBI and ACLU supporting the need for transparency and oversight; opponents argued the request was politically motivated and could interfere with counterterrorism work. Senator Allen presented a request on CPUC enforcement of Rule 21 interconnection timelines for solar and storage projects, supported by industry and school representatives who described long delays and financial harm, while CPUC staff said the issue was being addressed through workshops and a formal proceeding. Senator Perez presented a request to audit Caltrans’ administration of the former SR 710 extension properties and affordable sales program, citing tenant complaints about maintenance, pricing, and transparency; Caltrans said it was working to complete sales and improve administration. Senator Umberg presented a request to audit the Orange County Board of Education over transparency, contracting, litigation spending, charter oversight, and whistleblower issues, while board representatives said there was no factual basis for an audit and that existing legal remedies had not been invoked. After quorum was established, the committee approved the consent-calendar DMV license revocation audit and then approved the PUC utility timeliness audit and the Caltrans SR 710 audit. The fusion center audit was left on call after a split vote, and the Orange County Board of Education audit continued with testimony from the board’s representatives after the committee had already moved on to other business.