Transcript Highlights:

• It's an amended contract to provide Prison Rape Elimination Act audits.
• It's for CastleArk Management. It's an amended contract.
• This is managing the State Highway Employees' Retirement System.
• The contract will still be managed by DHS.
• Meridian just operates as a bond manager for us. Okay.

Summary: The PEER Review Subcommittee met to consider a large agenda of budget, appropriation, transfer, and contract items. Members approved temporary appropriation requests for several agencies, including the Auditor of State, Department of Education, and Labor and Licensing; ARPA return requests from Workforce Services; Infrastructure Investment and Jobs Act requests for State Police and Agriculture; restricted reserve transfers for teacher scholarships, school facilities, and economic stimulus; a Commerce reallocation of positions and spending authority; cash fund, budget classification, overtime, and pay plan requests; and 17 methods of finance items for universities and other agencies. Most items were approved without objection after brief explanations from staff and agencies. Several items drew questions and were held or discussed further. A Department of Human Services discretionary grant package for the RSVP program was held over after Senator Irvin raised concerns about whether the grants were an effective use of state general revenue and asked for more information on administration costs and program operations. In the contracts section, Representative Richardson questioned a DHS sole-source contract with EMS Link for document management software and a DHS contract with Presidio; the EMS Link item was held for additional answers, while the Presidio item was clarified as not sole-source and was allowed to proceed. Members also asked for more information on a Department of Education mental health referral contract with Care Solace, which officials said is a statewide concierge/referral service connecting students to Arkansas providers and telehealth options. The committee also reviewed monthly reports, including the Medicaid Trust Fund. DHS and DFA officials said the fund was currently sufficient to finish the fiscal year, though it was being drawn down and would likely require a $100 million transfer from restricted reserves in FY27, with another $100 million set aside in the governor’s budget as a backstop. Members discussed the need to define a minimum reserve level and to better account for ongoing Medicaid costs in the budget. The meeting ended with no further business and adjournment.

Transcript Highlights:

• The development of the grant management system is one of our major projects.
• So we are also getting ready for our own audits.
• Our own audits will be more comprehensive as opposed to just a component of a DMR audit.
• We manage those revolving loan funds on your behalf.
• , strong talent management... ...the bank, focusing on strong banking, strong risk management, strong

Summary: The committee received a compliance and budget update on Industrial Commission agencies and programs, including the Industrial Commission administrative office, the Oil and Gas Research Program, the Clean Sustainable Energy Authority, the State Energy Research Center, the Research Technology Park grant program, and related funds. Staff reviewed spending and balances for items such as electric grid resiliency grants, lignite research, enhanced oil recovery, the salt cavern business case study, and the new NDSU research and technology park grant. Members also discussed timing, carryover balances, matching requirements, and how some programs are structured to reimburse projects over several years rather than spend funds immediately. Karen Tyler of the Industrial Commission described the agency’s administrative budget, the grant management system nearing completion, and the transition to standalone audits and staffing after separating from other agencies. She also outlined the status of active grant rounds across lignite, oil and gas, renewable energy, outdoor heritage, and clean sustainable energy programs. Members asked about the length of active grants, demand for clean energy funding, and the possibility of future grant rounds. Tyler and members also discussed the salt cavern study, the need to better define its commercial value, and the research technology park grant’s cash-match requirement. Ron Ness then testified on enhanced oil recovery and broader oil and gas market conditions. He said North Dakota production remained steady, but future growth depends on infrastructure, longer laterals, and better use of natural gas and carbon dioxide for EOR. He described the state’s EOR grant round, the use of federal DOE funding to replace part of a state-funded project, and the expectation of additional grant rounds. Members asked about CO2 supply, storage, and the economics of using legacy fields and pipelines to extend oil production and support agriculture and industrial uses. The committee also heard from Bank of North Dakota President Don Morgan, who reviewed the bank’s mission, governance, lending verticals, disaster programs, and new initiatives. He said the bank is seeing deposit growth flatten and is responding to fintech competition by focusing on liquidity, risk management, and a new payment infrastructure initiative called Rough Rider Coin, which he emphasized is not crypto and not a public coin, but a banking payment rail for North Dakota institutions. Members asked about student loan rates, disaster lending, and how the bank’s lines of credit and balance sheet capacity are affected by deposit trends. Morgan said the bank remains profitable and continues to support agriculture, commerce, and industry through participation loans, student lending, and state-directed programs.

Transcript Highlights:

• Audits on Cindy Wheelus: use of force are a good idea.
• Turned off Cindy Wheelus: body cams should be audited and prescribed. That's a no go.
• Representative Wu: ...any managers that were responsible for that lose their jobs?
• The audit that you're talking about was a facility audit. 65% of the staff that were audited did...
• That was what was in the facility audit as mentioned in the DOJ report.

Transcript Highlights:

• What we learned, basically, or what came to light really in the audit finding, there was that for all
• And the FBI CJIS audit revealed that our practice was such that division directors, hiring managers,
• :35:01.520> our<00:35:02.000> practice CEUS audit revealed that our practice CEUS audit
• and and other folks were managers and and other folks were obviously<00:35:06.960> reviewing<
• And the FBI CJIS audit revealed that our practice was such that division directors, hiring managers,

Keywords: 1191, senate, all

Transcript Highlights:

• savings for all ratepayers as California manages our transition away from fossil fuels.
• The bill requires an audit from the State Auditor so that the Legislature can get a clear answer for
• I think this audit is incredibly important.
• I would be remiss if I did not mention that we currently have an audit proposal sitting in the J-LAC
• be pushback against that audit being brought forward.

Keywords: 988, house, all

Summary: The Assembly convened in Sacramento, established a quorum, offered a prayer and pledge, and then moved through the daily file with several procedural motions, including moving AB 1566 to the inactive file and removing SCR 177 from the consent calendar. The chamber then took up a series of bills, mostly on third reading, with many measures described by authors as support bills and passing with little or no opposition. Among the early items, AB 2257 on county jail accountability was presented but the call was moved before a recorded result was announced in the excerpt; AB 2529 on claims against public agencies passed 41-2; AB 2689 on affordable housing management passed 49-0; AB 1722 on fish and wildlife passed 51-0; AB 2071 on digital wellness instruction passed 54-0; AB 1976 on pedestrian and bicycle safety passed 42-17; AB 2012 on manufactured home transport passed 57-0; AB 2139 on surplus land and an Inland Empire soccer project passed 58-1; AB 1548 creating a Monterey Bay stewardship authority passed after the call was moved; AB 1707 allowing online electrician license renewal passed 60-0; AB 2105 on navigation app impacts passed 44-14; and AB 2051 on coastal resiliency permitting passed 46-6. The floor also approved a number of other measures with broad bipartisan support, including AB 2074 on streamlined housing development in transit-rich downtowns (55-5), AB 2129 on Cal Fire firefighter compensation (57-1), AB 2279 on communications (16-0), AB 2282 allowing Del Puerto Health Care District to provide emergency care in rural Patterson-area communities (64-0), AB 2316 extending school facilities hardship relief to charter schools (59-0), AB 2337 adding theft by a peace officer under color of authority to serious misconduct (68-0), AB 2374 creating a state designation for AANHPI-serving institutions (47-14), AB 2464 on energy (67-0), AB 2537 on cannabis (62-0), AB 2562 requiring suicide prevention plans at alcohol and drug treatment facilities (62-0), AB 2667 on vape products (62-0), and AB 2727 raising the threshold for elderly parole review for violent sex offenses (66-0). AB 1958, which clarifies procedures under the California Racial Justice Act, was taken up later and the author said he would accept Senate amendments, but the excerpt cuts off before the final vote is shown. AB 2313, allowing customers with planned gas service line replacements to opt into electrification, drew debate over cost shifts and equity concerns before passing 41-21. The most extensive debate centered on AB 1709, which would set a minimum age of 16 for accounts on social media platforms using addictive features and create an e-safety commission. The author and supporters from both parties framed the bill as a child-safety measure responding to research on anxiety, depression, sleep disruption, and other harms, while also emphasizing protections for vulnerable youth and the need for age verification and ongoing oversight. Several members raised concerns about preserving access for LGBTQ youth, isolated rural youth, and others who rely on online spaces, but said they trusted the author’s approach and the commission structure. The bill drew strong bipartisan support in floor speeches from members who described it as necessary to protect children from addictive platform design, and the excerpt ends amid that debate without showing the final vote on AB 1709.

Transcript Highlights:

• Own audit of those particular deals, but we remain very interested as well.
• Maffei, will the audit lead to a discussion with Panama about those contracts?
• Well, I believe that that's what the Comptroller's Office is auditing.
• A new administration came in and they called for an audit of that contract immediately. Mr.
• The country has asked for an audit of the company.

Transcript Highlights:

• for their yearly or annual audit?
• It's an independent audit that's currently required. It aligns with the current requirements.
• Thanks for that brief thorough description. for the audit that is For the audit that is due annually,
• It's an independent audit that's currently required. It aligns with the current requirements.
• Representative Overdorf and our co-manager here, Representative Jeff here.

Summary: The House convened with prayer, a moment of silence for former Washington County administrator Alan Massey, the Pledge of Allegiance, and several gallery recognitions. The chamber adopted the special order report and then took up a series of bills on the special order calendar. Early measures included CS/HB 967 on electronic payments to local governments, which passed 110-0, and HB 127 requiring cursive writing instruction in grades 2-5, which passed 111-0 after members spoke about literacy, signatures, and heritage. CS/HB 453 on high school diploma requirements passed 111-0 and would allow certain students to use Special Olympics participation for PE credit and marching band for PE and arts credit. The House also passed CS/HB 237 on use of professional nursing titles, which requires APRNs using the title doctor to clarify they are APRNs, by 111-0. The chamber then debated HJR 583, a proposed constitutional amendment on religious expression in public schools. Supporters said it would codify existing statutory protections for student and school personnel religious expression and let voters decide; opponents argued it was unnecessary, could create confusion, and risked constitutional problems involving school-sponsored prayer and the separation of church and state. After structured debate, the resolution passed 93-17. The House next passed CS/HB 363 on dental therapy, which creates a licensed mid-level dental provider and drew sharp debate over access to care versus patient safety; it passed 80-29. HB 375 on autonomous practice by certified registered nurse anesthetists passed 78-28, and HB 301 on psychiatric mental health APRN autonomous practice passed 88-18. Later, the House passed HB 863 on arbitration for Citizens Property Insurance disputes, giving policyholders a choice between arbitration and court, by 105-3, and HB 1399 on property insurance affiliates, which increases oversight of insurer-affiliate transactions, by 160-3. Members also heard and advanced a local claims bill, HB 6517, for relief of Eribeito and Sanchez Mayan against the City of St. Petersburg, describing severe injuries allegedly caused during an arrest and transport; the bill was rolled over for third reading at the end of the transcript. Throughout the day, members also paused for multiple recognitions of visiting students, local officials, professional groups, and community organizations.

Transcript Highlights:

• outlined in this act and clarify that the scope of the financial audit shall include an audit of each
• responsible for conducting the audits responsible for conducting the audits outlined<00:36:23.599
• <00:36:27.040> shall the scope of the financial audit shall the scope of the financial audit
• shall include<00:36:27.640> an<00:36:27.760> audit<00:36:28.000> of<00:36:28.160
• <00:50:08.359> agreement Stadium operating management agreement Stadium operating management

Keywords: 912, senate, all

Summary: The committees considered a large number of Senate bills, with many measures advanced either unamended or with technical or substantive amendments. Early action included SB 88 and SB 11 SD1, both passed unamended, and SB 562 SD1 and SB 642 SD1, which were passed with amendments reflecting agency testimony. SB 1133 SD1 was amended to remove duplicative county requirements and clarify tax credit carry-forward eligibility, while SB 1569 SD1 on sports wagering was deferred. Later, SB 933 on nonprofit/federal funding support drew strong testimony from nonprofit and health advocates emphasizing the risk of federal funding freezes and the importance of protecting services such as early learning, domestic violence support, housing, and workforce supports; the committee recommended amendments to define eligible organizations, require reporting, and include the Judiciary. SB 934 and SB 935 were also amended, with SB 934 tying mass transit funding to Honolulu project milestones and SB 935 revising retirement-system language to change “fewer than five years” to “five or more years.” The committees then took up additional measures with targeted amendments. SB 1033 was amended to clarify that the bill applies to legal entities, not individuals, though members noted concerns about closely held family corporations and asked that the issue be reflected in the committee report. SB 1166, SB 1249, and SB 1256 were advanced with amendments or committee-report notes reflecting concerns from the Attorney General, Hawaii Cattlemen’s Council, and Hawaii Farmers Union United, respectively. SB 1432 and SB 137, both relating to electric utilities, were amended to require retention of covered employees after mergers or acquisitions and to direct the PUC to consider whether proposed transactions further state policy goals. SB 157 on antitrust was narrowed to focus on coordinator conduct in rental housing markets, SB 252 on invasive species received a defective effective date, and SB 336 on defense of state employers and employees passed unamended. SB 536 on the Hawaii Community Development Authority was deferred to a later hearing, and SB 1064 on medical cannabis was heavily amended to authorize cultivator licenses with limits on canopy size, license counts, physician fees, and a special-fund appropriation for enforcement. In the Ways and Means portion, the committee passed several bills unamended, including SB 19, SB 124, SB 264, SB 345, SB 422, and SB 741 and SB 747 later in the agenda. SB 361 was amended to remove references to the attorney general and delete an appropriation section, SB 438 was amended to redefine buffer zones and landfill-unit language, and SB 441 and SB 494 were amended to blank appropriations and, in SB 494, assign charter-school audit responsibility to the state auditor. SB 659 was substantially amended to promote local procurement, including county-level geographic preferences and higher thresholds for locally sourced purchases, and SB 732 was amended to adjust film tax credit provisions, including the streaming-platform definition and sunset-related language. SB 819 was amended to replace references to “educators” with “teachers.” Throughout, most measures were adopted without recorded opposition, though several members noted reservations on particular bills.

Transcript Highlights:

• Are they skilled in managing a difficult airway with a bag valve mask or whatever tools they need to
• Are they skilled in airway management.
• with a bag managing a difficult airway with a bag valve<00:11:37.920> mask<00:11:38.240> or
• And so the board, this comes out of the board audit from I think it was like 2017.
• Um, and so there's a big audit and they found like this doesn't really need to be cleaned up a little

Keywords: 1191, senate, all

Transcript Highlights:

• For example, energy audits that are being done by a six-month certification program, not a full audit
• So, the program requires an energy audit. There are different levels of energy audit.
• Management is a source of a lot of problem-solving.
• However, we have to manage the system holistically.
• That tool is going to be increasingly important in managing both surface water and groundwater. ...managing

Transcript Highlights:

• It's often said that Florida has the best emergency management system in the nation.
• The reason for it is because... ...the best emergency management system in the nation.
• They're training with the Florida Division of Emergency Management.
• I've been in constant communication with the Division of Emergency Management and with staff here in
• So here's my question: Have you reviewed any of those audits of the 200 CRAs before you drafted this

Summary: The Committee on Community Affairs met and took up a long agenda of bills, beginning with SB 262 on trust law technical changes. Senator Berman explained four clarifications involving trust decanting, successor trustee actions, ademption by satisfaction, and homestead/community trust definitions; a technical amendment was adopted and the bill was reported favorably. The committee also approved SJR 174 and SB 176, which together would prevent certain homestead tax assessment increases when owners elevate flood-prone homes, and SB 180, a hurricane preparedness and response bill that included a strike-all amendment addressing FEMA reimbursement, mutual aid, hazard mitigation, and post-disaster rebuilding issues. Supporters from emergency management, beaches, counties, and local business groups testified in favor of SB 180, and it was reported favorably. Members then approved SB 608, which renames the Gulf of Mexico to the Gulf of America in Florida statutes, despite questions about cost and an appearance in opposition. SB 1002, dealing with utility service restrictions and local government limits on energy-related policies, drew opposition from Earthjustice and Florida for All over possible unintended consequences and fossil-fuel favoritism, but was still reported favorably. SB 466 on the Florida Museum of Black History generated extensive testimony, with strong support from St. Augustine, Florida Memorial University, pastors, local officials, and the museum foundation for locating the museum in St. Johns County; one witness argued for Eatonville instead, but the bill was reported favorably. The committee also passed SB 1128 on building permits for single-family dwellings after an amendment clarified local zoning review and added insurance and liability protections for design professionals. SB 582, increasing penalties for unlawful demolition of historic buildings and structures, was reported favorably with support from preservation advocates. SB 1202, extending family health insurance premium benefits to firefighters permanently disabled during training exercises, also passed without opposition. Finally, SB 1242 on community redevelopment agencies prompted the most debate: supporters argued CRAs can be valuable tools for affordable housing and redevelopment, while opponents warned the bill would effectively end all CRAs by 2045 and block new projects; after extensive discussion, the bill was reported favorably. At the end, senators recorded additional votes on several tabs, and the committee adjourned.

Transcript Highlights:

• Requires that the Medicaid Inspector General comply with standards relating to the audit and review of
• Requires that Medicaid Inspector General to comply with standards relating to the audit and review of
• This clearly does need to be managed, this issue, in the confines of the budget.
• , and fraud detection to conduct a comprehensive audit of state government programs receiving state funds
• Requires the audit to be made publicly available. Any questions or comments? Mr. Chair.

Keywords: 993, senate, all

Summary: The Senate Finance Committee, chaired for the day by Senator John Liu, took up a long agenda of bills covering labor and benefits, corrections, health, taxation, government transparency, and public services. Early measures included increasing short-term disability benefits, adjusting a poverty-level-related earned income disregard, expanding correctional health staffing review, and authorizing the Inspector General to investigate sexual assault complaints in correctional facilities; each of these advanced to the floor. The committee also advanced bills on ovarian cancer screening access, retirement system membership changes, a trail stewardship program, live agency representative access, FOIL/open meetings fee awards, a Harriman campus development plan, court data reporting, educator conventions, park water testing, an energy storage tax abatement, a Native American Affairs office, adult changing tables in public facilities, Medicaid Inspector General audit standards, remote training certification for agency personnel, newborn Gaucher disease testing, electronic self-exclusion requests for gambling, and child daycare inspections and opioid antagonist requirements. Several bills drew discussion. The prescription drug transparency bill (Print 488A) prompted questions about possible overlap with federal Hatch-Waxman/FTC oversight and whether a New York notice requirement could slow generic-drug settlements; sponsors and staff said it was intended as a supplemental transparency measure for consumers. The court reporting bill (Print 1849A) raised concerns about mandates on local governments, but supporters said it mainly required OCA to compile data in one format. The Medicaid local-share phaseout bill (Print 5519) generated the most debate, with supporters arguing it would provide major property tax relief and should be addressed in the budget, while opponents emphasized the need to curb Medicaid fraud, waste, and abuse first. Two major fiscal oversight proposals were defeated. Print 8661, which would have required the Comptroller to hire an independent private auditing firm to review state-funded programs for fraud and abuse, was opposed despite support from some members who argued outside auditing was overdue; it failed by one vote. Print 5519 was also ultimately defeated after a recount confirmed it lacked the required majority of the full 22-member committee. Most other bills were approved and sent either to the floor or, in the case of the drug transparency bill, to the Rules Committee.

Transcript Highlights:

• You know, we saw audits, was it back to the 1970s or '80s that had not been addressed?
• Senate the performance audit and Senate the performance audit and oversight<00:25:59.120> committee
• However, last month we auditing side.
• The speaker said the audit findings are still outstanding and have not been corrected.
• its former pulled risk management trust. its former pulled risk management trust.

Keywords: 1191, senate, all

Transcript Highlights:

• Because we use different case management systems.
• Was there any audit of the effectiveness of sending it to higher ed?
• If there’s a case manager at the DHS...
• Did they go through legislative audits?
• Did legislative audit ever audit any of those administrative entities that you’re eliminating?

Keywords: 1204, all

Transcript Highlights:

• . ...and financial audits for any non-state agency that receives grant and aid funds, and also allows
• The report shall include corrective actions, any governance changes, personnel actions, and audit plans
• Section 28 provides authorization to the Office of Management and Budget to identify, reallocate, and
• It would authorize the Office of Management and Budget to reprogram these funds.
• Also, I want to acknowledge our partners from the Office of Management and Budget.

Summary: The Joint Finance Committee met to review and vote on the fiscal year 2027 Grants and Aid Act, which was expected to be pre-filed as Senate Bill 337. Members first reviewed Section 1, covering county seat payments, paramedic operations, senior center allocations, senior center transportation, and Homeland Security grants. They approved Section 1 after discussion of how senior center transportation is being moved from DART to grant-in-aid and how some organizations can appear in both the senior center formula and the general aging category. The committee then worked through Section 2, which included one-time appropriations and the various grant categories for aging, arts/historical/recreation, economic housing or labor services, family and youth services, health or disability services, and neighborhood and community services. Members discussed several specific items, including New Castle County reassessment-related funding, Friends of Cooch’s Bridge, Slaughter Neck Community Action Organization, Plastic-Free Delaware, Love, Inc. of the Delmarva, and the Southern Delaware Horse Retirement Association. One aging line for Slaughter Neck was reduced back to flat funding after members questioned a large increase, and the revised category total was adjusted accordingly. Each of the Section 2 subcategories was then adopted. Section 3, covering fire companies and public service ambulance companies, was approved with increases across apparatus, ambulance, rescue truck, aerial truck, rescue boat, substation, and insurance rebate equalization funding. Section 4, for veterans organizations and youth programs such as Boys State, Girls State, and Trooper Youth Week, was also adopted. The committee then approved the epilogue sections, which included eligibility, audit, payment, and reporting rules; special provisions for the Wilmington Senior Center contingency; conditions tied to several one-time appropriations; withholding funding from Merri-Dell Volunteer Fire Company pending a corrective report; and reprogramming $1,485,000 from a prior SMART food program appropriation toward SNAP/WIC-related food access initiatives. The meeting ended with remarks thanking staff and noting that it was likely the last JFC meeting for two members, followed by adjournment.

Transcript Highlights:

• As we saw with our audit, there were some issues.
• Because we use different case management systems.
• Did legislative audit ever audit any of those administrative entities that you’re eliminating?
• The case management staff that are doing the work on the front end.
• The majority of what they do is case management.

Summary: The meeting focused on Arkansas’s proposed workforce system overhaul, including a combined WIOA/Perkins state plan and a package of federal waiver requests intended to consolidate workforce governance, reduce administrative costs, and redirect more funding to training and supportive services. Commerce officials said the plan would replace the current structure of 10 local workforce boards and more than 200 board members with a single statewide board and one administrative entity, while keeping local offices open and using regional business councils to preserve employer and local input. They said the state has already reduced Commerce headcount and operating costs, and that the changes would improve coordination with higher education, adult education, vocational rehabilitation, DHS, and Arkansas Industry Connect. Much of the discussion centered on the waiver package, especially the proposal to make the state board function as the local board, allow more flexible movement of funds across regions, eliminate the WIOA “last dollar” requirement for training and supportive services, create affiliate sites instead of requiring every area to maintain a comprehensive center, and relax the 14 youth program element requirement. Officials said the State Board of Workforce Development approved the waiver package 11-3 before it was submitted to the U.S. Department of Labor, and that implementation would begin only after federal approval and a closeout process, likely taking up to a year. They also described plans to streamline referrals and data sharing, expand mobile and virtual services, and use a more centralized model to improve customer service and employer engagement. Members raised repeated concerns about rural representation, local control, board composition, and whether jobs and relationships would be lost if local boards were eliminated. Commerce officials responded that local offices would remain open, some current staff could be rehired by the state, and regional business councils would help ensure local employer voice. Several members also questioned how the funding was being used, citing audit findings that only about $1.8 million to $1.9 million of roughly $14 million to $15 million in federal workforce funds had gone to training and supportive services. Officials said the reorganization could increase annual training spending to roughly $6 million to $7 million by reducing overhead, one-stop operator contracts, and board administration. The committee also discussed how the changes might support workforce training facilities, apprenticeships, child care and transportation assistance, and employer-driven training in fields such as manufacturing, health care, technology, and welding. The Division of Higher Education also briefed members on Workforce Pell. Officials explained that the new federal program would extend Pell eligibility to short-term programs, but only within narrow limits, such as 150 to 599 clock hours and 8 to 15 weeks of instruction, with additional completion and employment benchmarks. They said Arkansas is working with colleges and universities to identify programs that fit the criteria and that the governor has designated the Division of Higher Education to lead implementation. No votes were taken by the committee during this portion of the meeting.

Transcript Highlights:

• That's more manageable now. The contracting issue, yes. seem to be calming down.
• That was a product we got deemed by the SAO in an audit that we were not doing that.
• Our focus is on improving movement and managing pain for those with chronic conditions, injuries, or
• The agency recently went through a statutorily required state auditor's office audit, and that audit
• There are, we do in pain management, but that is. coming from statutory authority to do that.

Keywords: 1184, house, all

Transcript Highlights:

• But we're also rewriting right now how we do our utilization management contract.
• We do...” “...internal audits, internal approval.
• They’re a managed care entity, and they set up their own rules.
• Our utilization management vendor does a prior authorization every six months, which is different from
• When you had the ability to manage that contract and that RFP and utilize the independent assessment

Summary: The committee approved the December 8 minutes and referred items C1 and C2 to the labor and environment subcommittees, adopting the chair’s recommendations. The main substantive item was a DHS rule package revising the State Plan Personal Care Manual and the Arkansas Independent Assessment (ARIA) Manual. DHS said the revisions would repeal and replace the current manuals with streamlined versions, remove overlapping language, implement Act 853 by shifting licensure/certification for personal care agencies to the Department of Health, lengthen personal care prior authorizations from six months to one year, and keep the 64-hour monthly cap. For ARIA, DHS said it would remove references to state plan personal care, clarify telehealth and in-person assessments, and add/update sections for PASS, AR Choices, Living Choices, and PACE. DHS argued the current independent assessment process is costly and not controlling utilization, citing a 95% approval rate, annual spending of more than $212 million on personal care for about 17,000 people, and an estimated $6.173 million in savings from eliminating the Optum assessment and reducing prior-authorization frequency. Agency witnesses said the new process would reinsert primary care practitioner involvement, use standardized evaluation and prescription forms, and rely on personal care provider nurses for the assessment step, with training already available through an AFMC contract. Several members questioned whether PCPs should be used as gatekeepers, whether the change would delay services, and whether the savings estimate accounted for training or provider burden. Some members also raised concerns about conflicts of interest, the workload on physicians, and whether the agency had adequately worked with the existing vendor to improve the current system. The discussion became contentious, with Senator Irvin and others strongly opposing the proposal as inconsistent with the earlier independent-assessment approach and urging DHS to slow down and work with legislators. Other members asked for clarification on how the new process would work for new applicants and whether it would affect waiver or PASS participants; DHS said the rule would not apply to PASS and should not delay services. At the end of the hearing, the chair offered DHS the option to pull the rule down and work off-record with legislators on a revised proposal, and DHS agreed. The meeting then adjourned without further business or a final vote on the rule.

Transcript Highlights:

• This is what we are audited on on a regular basis.
• I'm a policy manager with Bold Futures.
• She is a graduate of the Anderson School of Management at UNM.
• We've been audited. We always receive clean audits every year.
• We have an audit, and Madam Chair talked about it, but we have an unqualified clean audit every year.

Bills: SB246, SB146, SB300, SB301, SB309, SM17

Keywords: massage therapy, licensure, health and safety standards, continuing education, establishment licensing, civil rights, sovereign immunity, damages, public body, lawsuit limitations, legal notice, child welfare, computing infrastructure, data management, Department of Health, appropriation, foster care, Indian children, cultural competency, training services

Transcript Highlights:

• So, Madame Chair, so forth on auditing.
• And so my guess is we would follow the same process here, where we would audit purchases.
• There goes an audit right there. So, uh, Commissioner Markart, uh, thank you.
• I'm the city manager for Rapids.
• I'm the city manager for the city of Maplewood.