Video & Transcript Research : 'overpayment'
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FL
Florida 2026 4th Special Session
January 20, 2026 - 01:00 PM
Transcript Highlights:
- And so if and when this process uncovers an overpayment or an underpayment, the coalition has ways to
- in terms of the fraud restitution is that when we do see that fraud has resulted in any form of overpayment
- Thank you, Madam Chair, and thank you. form of overpayment, the coalition does have the authority and
- The number of SR cases that B-PF is actively investigating or where a request was made for overpayment
Summary:
The Pre-K through 12 Budget Subcommittee met with a quorum and first heard House Bill 731, which would address coach and extracurricular sponsor compensation and change how student-athlete transfer eligibility is determined. The bill would allow local school boards to adopt policies letting booster clubs or similar associations support coaches and activity sponsors, and it would let superintendents treat certain coaches and athletic leaders as administrative personnel for compensation purposes. It would also shift eligibility decisions for transferred student-athletes to the governing athletic association and require clearer bylaws and timelines for those determinations. Members raised questions about booster club oversight, pay equity, the new athletic administrator language, and safeguards against abuse or unequal treatment, while supporters argued the bill would help retain coaches and better support student athletics. The bill was debated and then reported favorably by roll call vote.
The committee then received presentations from the Department of Education’s Division of Early Learning and the Florida Association of Early Learning Coalitions on school readiness fraud prevention and mitigation. Speakers explained that Florida’s school readiness program pays providers based on verified attendance rather than enrollment, requires daily parent sign-in/sign-out records, and uses multiple layers of oversight including coalition anti-fraud plans, annual audits, programmatic monitoring, DCF inspections, and referrals to state fraud investigators when needed. They emphasized that Florida delayed implementation of a federal rule that would have required prospective enrollment-based payments, and said the state’s current system makes fraud difficult. Members asked about military and grandparent guardianship situations, audit findings, and the number of fraud referrals; presenters said fraud cases are relatively limited and that the existing controls and public enforcement act as deterrents. The meeting ended after members thanked the presenters and the committee adjourned without further business.
FL
Florida 2025 Regular Session
FL House Floor Session - 2025-04-03 (9:00AM Session)
Florida House Floor Meeting
Transcript Highlights:
- Secretary: Committee Substitute for Senate Bill 944, a bill to be entitled an act related to insurance overpayment
- pre-approve and pay in advance and have 12 months to Senator Davis: file a reimbursement claim for any overpayment
- insurers or health maintenance organizations, which are Senator Davis: HMOs, to submit claims for overpayment
- Secretary: Committee Substitute Senate Bill 944, a bill to be entitled an act related to insurance overpayment
TX
Transcript Highlights:
- It's our job to look for overpayments and underpayments and the mistakes in the billing process, and
- We identified $5.3 million in Medicaid overpayments.
- So reportedly in your report, macOS reported collecting a billion in overpayments of this amount.
- It could be an overpayment or an underpayment of benefits.
- So you actually see this overpayment.
Summary:
The Senate Committee on Health and Human Services convened to discuss interim charges regarding fraud, waste, and abuse in Texas human services, particularly focusing on Medicaid and childcare programs. The meeting highlighted the importance of preventing misuse of taxpayer funds, with testimony from various stakeholders emphasizing the need for increased oversight and accountability in these programs. Key points included the alarming rise in healthcare fraud in other states, the necessity for Texas to enhance its fraud prevention measures, and the potential financial repercussions of failing to meet federal compliance standards.
Several committee members expressed concerns about the impact of fraud on vulnerable populations, particularly those relying on Medicaid services. Testimonies from experts underscored the effectiveness of Texas's Office of Inspector General (OIG) in combating fraud, yet pointed out existing vulnerabilities, such as inconsistent enforcement and the need for better data sharing among agencies. The discussion also touched on the challenges faced by hospice care providers, with a significant increase in the number of hospices in Texas raising concerns about quality and oversight.
The committee heard from various witnesses, including representatives from health plans and advocacy organizations, who provided insights into the complexities of managing Medicaid and the importance of maintaining program integrity. The meeting concluded with a commitment to further explore legislative solutions to enhance oversight and ensure that resources are directed to those in genuine need.
MN
Minnesota 2025-2026 Regular Session
House Children and Families Finance and Policy Committee 2/25/26
Children and Families Finance and Policy
Transcript Highlights:
- We recoup the overpayment. We can even increase the benefit if we'd underpaid them.
- So again, you've got client errors, you've got underpayments, you've got overpayments.
- Even if all of it is overpayments.
- So the error rate mentioned, to be clear, includes both overpayments and underpayments?
- It is overpayments, it's underpayments, and it's overpayments where we recouped the funding as well.
Keywords:
HF45, Lake Benton, capital investment, bonding bill, state bonds, bond proceeds fund, Public Facilities Authority, public infrastructure, sanitary sewer, water main, storm sewer, utility replacement, U.S. Highway 75, road reconstruction, municipal infrastructure, local government grant, Minnesota bonding, capital appropriation, food insecurity, prepared meals
FL
Transcript Highlights:
- Senators, we're going to move on to Senate Bill 944 by Senator Davis regarding insurance overpayment
- Currently, Florida health insurance companies can make claims for overpayments to participating psychologists
- simply removed, it changes some section of 627, and it adds provision to 6141, which applies the overpayment
Summary:
The committee heard and acted on six bills. SB 480, by Senator DeSigley, would allow a narrowly tailored nonprofit agricultural organization to offer health coverage to its members, especially farmers and ranchers, outside the Florida Insurance Code; supporters said it would improve affordable access in rural areas, while the American Cancer Society Cancer Action Network warned the plans would not have to cover preexisting conditions or comply with ACA protections. An amendment aligning the bill with the statute for nonprofit religious organizations was adopted, and the bill passed as amended. SB 1226, also by Senator DeSigley, would create a regulatory framework for pet insurance and wellness programs; it drew no opposition and was reported favorably. SB 988, by Senator Truenow, would revise securities exemption and filing requirements under Florida’s Invest Local exemption law; a strike-all amendment clarifying terms, fingerprinting, and related compliance provisions was adopted, and the bill was reported favorably with the committee substitute.
SB 944, by Senator Davis, would correct an omission in the law governing insurance overpayment claims so the 12-month limit applies to psychologists and HMO claims, with an effective date tied to January 1, 2026; the Florida Psychological Association supported the measure, and it was reported favorably with committee substitute after an amendment. SB 756, by Senator Burton, would remove the age-8 diagnosis cutoff and age cap for mandated insurance coverage for autism services, update the autism definition to the current DSM, and also repeal age caps for Down syndrome diagnosis; disability advocates and provider groups supported the bill, and it passed as amended. SB 1078, introduced on behalf of Senator McLean, would streamline permitting and inspection procedures for certain fire alarm and sprinkler projects, set deadlines for local agencies, limit extra documentation demands, and restrict enforcement of local ordinances not properly submitted; fire industry representatives supported the compromise amendment, some senators questioned local flexibility and permitting delays, and the bill was reported favorably after the amendment was adopted. The committee also approved a motion allowing staff to make technical and conforming changes and then adjourned.
FL
Florida 2025 Regular Session
March 13, 2025 - 01:00 PM
Transcript Highlights:
- So now we will move to HB 839, insurance overpayment claims submitted to psychologists, by Representative
- Today I bring before you House Bill 839, House Bill 839, insurance overpayment claims submitted to psychologists
- Currently, Florida health insurance companies can make claims for overpayment to a participating psychologist
- Shortening the period for health insurance companies to claim overpayment leads to increased participation
Summary:
The committee met with a quorum and heard five bills. HB 1097 would rename the Florida Catastrophic Storm Center at FSU as the Florida Center for Excellence in Insurance and Risk Management, transfer the public hurricane loss projection model from FIU to FSU, and provide recurring and nonrecurring appropriations to support independent insurance research and collaboration with OIR and other universities. Members discussed university roles, model oversight, independence from industry funding, and student/workforce benefits. The bill passed favorably on a roll call vote.
HB 319 would create a regulatory framework for virtual currency kiosk businesses, requiring registration with the Office of Financial Regulation, consumer disclosures, and penalties for violations. Much of the discussion focused on fraud prevention, especially for seniors, and whether the bill should include transaction caps or stronger recovery tools; AARP supported the bill but urged additional protections. The bill passed favorably. CS/HB 385 made technical changes to the Florida Trust Code and Community Property Trust Act, including decanting, trustee claims, redemption by satisfaction, and homestead transfer treatment; an amendment conforming to the Senate version was adopted, and the bill passed favorably.
CS/HB 97 would allow service of process for exploitation injunctions against unascertainable scammers through the same communication method used to contact the victim, such as text or social media, and would let courts freeze funds temporarily while the matter is heard. Testimony from elder law practitioners and AARP supported the bill as a tool against scams, while some members raised due process and overreach concerns; the bill passed favorably. HB 839 would shorten the overpayment recovery window for claims submitted to psychologists and HMOs to match other health providers, with the goal of improving parity and access to mental health care; an amendment was adopted, and the bill passed favorably. The meeting concluded with adjournment after the final roll call votes.
NH
New Hampshire 2026 Regular Session
Joint Legislative Performance Audit Oversight Committee (03/06/2026)
Transcript Highlights:
- or it can result resulted in overpayment or it can result in<01:17:26.880>
what <01:17:27.040> - Sixteen had overpayments, and we recouped $18,000. We also do child care subsidy audits.
- That's just an overpayment that we recoup administratively.
- And so an error rate can be both<01:26:12.960>
overpayments <01:26:14.080>or <01:26:14.320 - >
underpayments <01:26:15.120>and both overpayments or underpayments and both overpayments
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.
MN
Minnesota 2025-2026 Regular Session
Suspend rules to take up HF3819 4/30/26
Minnesota House Floor Meeting
Transcript Highlights:
- It all became overpayment fraud.
- And it all went to a committee to determine if there were in fact overpayments. these years.
- .<00:18:31.320>
It <00:18:31.520>all <00:18:31.640>became <00:18:32.280>overpayment - It all became overpayment fraud. fraud. It all became overpayment fraud.
- 00:18:38.800>
fact to determine if there were in fact to determine if there were in fact overpayments
Summary:
The House took up an urgency motion to recall House File 3819 from committee and advance it to final passage. Supporters said the bill was needed to address fraud in the child care assistance program (CCAP), citing recent FBI raids on child care centers, prior audit findings, and long-standing concerns about weak oversight. They described the bill as restoring a penalty of perjury for attendance records, requiring electronic attendance tracking, mandating unannounced inspections, and requiring camera monitoring for higher-funded providers so the state can verify attendance and reduce improper payments.
Opponents argued the bill was not ready, raised concerns about cost, implementation, and the inclusion of camera surveillance, and said the language could create problems related to retention and possible misuse of video. One member said the state had already taken bipartisan action on child care fraud in prior sessions and that the larger fraud estimates being cited were overstated compared with convictions. Another member emphasized that electronic attendance monitoring was the one part they supported, but said the bill lacked clarity and a Senate companion.
Members also discussed the history of CCAP fraud investigations, including earlier OLA reports, criminal investigations within DHS, and allegations that fraud vulnerabilities had been known for years. Supporters argued the bill would help recover taxpayer dollars and improve affordability by reducing fraud, while critics warned that added camera requirements could increase costs for providers and potentially threaten child care center viability. The debate included questions and answers about video retention, with the bill author stating the intended retention period was 90 days, though a member noted that language was not clearly visible in the version before the House.
FL
Florida 2025 Regular Session
October 8, 2025 - 03:00 PM
Transcript Highlights:
- But if the department was unable to provide intent there, an overpayment But if the department was unable
- to provide intent there, an overpayment is issued to that recipient for the benefits that they receive
- And just to clarify on that point, too, so for folks who don't know and clarify for me, an overpayment
- So it's dependent on the situation, and like I said, what type of overpayment and that intent there,
Summary:
The Human Services Subcommittee met to receive implementation briefings on House Bill 1267, which was enacted to address benefit cliffs and help public assistance recipients move toward economic self-sufficiency. The Department of Children and Families reviewed SNAP, Temporary Cash Assistance (TCA), and Medicaid-related eligibility and work requirements, including who must participate in work activities, the role of Florida Commerce and CareerSource Florida, and the new standardized intake and exit surveys required by the law. Members also discussed the TCA program’s household-based structure, the 48-month adult limit, and how work requirements differ for SNAP and TCA participants.
Florida Commerce and CareerSource Florida then reported on implementation of HB 1267, including the CLIFF financial forecasting tool, case management changes, and survey data collected from welfare transition participants. They said intake surveys showed common barriers such as child care, transportation, and flexible work schedules, while exit surveys showed many participants were employed or had gained credentials, though response rates were low because the surveys are voluntary. A local workforce board, CareerSource Tampa Bay, described using CLIFF in case management and shared a success story about a participant who completed training, earned certifications, and moved into employment.
The committee also heard a separate DCF briefing on the federal One Big Beautiful Bill Act and its impact on SNAP. DCF said the law expands able-bodied adult without dependents requirements, changes non-citizen eligibility, ends future SNAP-Ed funding, increases state administrative cost sharing, and may require states to share in benefit costs if payment error rates remain above federal thresholds. Members focused heavily on Florida’s SNAP payment error rate, which DCF said was 15.13% for federal fiscal year 2024 and 12.60% for 2023, with the state currently on a corrective action plan. DCF described steps to reduce errors, including more verification of rent and utility expenses, improved income matching, staff training, and system modernization. No votes were taken, and the meeting adjourned after questions concluded.
MN
Minnesota 2025-2026 Regular Session
Fraud Committee Meeting - 2025-07-08
Fraud Prevention and State Agency Oversight Policy
Transcript Highlights:
- We also work with a private sector contractor to conduct audits of providers and recover overpayments
- sector to help us with reviewing billing data and conducting audits of providers and recovering overpayments
- At the Office of Administrative Hearings, we recover overpayments.
- You said you'd done a lot of administrative recovering of overpayments, just when it wasn't fraud, but
MN
Minnesota 2025-2026 Regular Session
Legacy finance bill, HF2563, heard in House Ways and Means Committee 4/21/25
Transcript Highlights:
- There was an overpayment from a tax entity for 15 years.
- $31 million. there was an<00:21:08.240>
overpayment <00:21:08.880>from <00:21:09.039> - 09.520>
tax <00:21:10.240>uh <00:21:10.559>entity <00:21:11.600>uh an overpayment - from a tax uh entity uh an overpayment from a tax uh entity uh for<00:21:11.919>
15 <00:21:12.320
Summary:
House File 2563, the Omnibus Legacy Bill, was presented as a roughly $779 million package funding projects across Minnesota through the four Legacy funds: Outdoor Heritage, Clean Water, Parks and Trails, and Arts and Cultural Heritage. Chairs Vang and McDonald described the bill as a responsible one-time spending measure with no ongoing base funding, emphasizing habitat restoration, water protection, parks and trails, and arts and cultural heritage. Nonpartisan staff then walked through the spreadsheet, explaining that the bill largely follows the recommendations of the relevant councils and governor, with some additions such as a Wilderness Inquiry partnership, an Ash River sewer extension, competitive grant funding, and several arts and history projects.
Staff highlighted the major allocations and structure of the bill: Outdoor Heritage funding for land and habitat projects, Clean Water funding for water-quality work, Parks and Trails funding following the traditional 40-40-20 split, and Arts and Cultural Heritage funding for the State Arts Board, Minnesota Historical Society, Humanities Center, Indian Affairs Council, Department of Education, and other recipients. They also noted policy provisions requiring Clean Water Council recommendations to be broken out by fiscal year, requiring recent 990 forms for arts grantees, limiting arts funds from being used for capital construction except in specified cases, and extending a prior appropriation for the Sunni Lee memorial project. Members asked about land acquisition, the new 990 requirement, and reduced funding for children’s museums; chairs and staff responded that Outdoor Heritage includes land acquisition, the 990 is simply a documentation requirement, and children’s museum funding is lower because more money is now placed in a competitive grant pool.
The chairs said the bill reflects compromise and an effort to keep the bill relatively clean of earmarks, while also noting that a Department of Revenue transfer of more than $31 million from legacy funds affected available funding and forced difficult choices. After discussion, the committee laid the bill over, with the chair noting it was also being done in honor of Representative Mary Murphy.
FL
Transcript Highlights:
- Committee substitute for Senate Bill 944, a bill to be entitled an act relating to insurance overpayment
- pre-approve a service and pay in advance and have 12 months to file a reimbursement claim for any overpayment
- frame for health insurers or health maintenance organizations, which are HMOs, to submit claims for overpayment
- Committee substitute for Senate Bill 944, a bill to be entitled an act relating to insurance overpayment
Summary:
The Senate convened with an opening prayer, pledge, and several recognitions, including visiting student groups, chambers of commerce, and apprenticeship participants. Senators also observed a moment of silence for a fallen Walton County deputy and later for the late John Pasadoma. The chamber then moved through a long third-reading calendar and special order calendar, with most bills passing overwhelmingly and several amendments adopted along the way.
Among the major measures, SB 234 on criminal offenses against law enforcement officers passed 37-0 after debate and an amendment clarifying “good faith” in an officer’s duties; SB 7020 on open government and cybersecurity information passed 37-0; SM 1488 urging Congress to create a U.S. sovereign wealth fund was adopted by voice vote; SB 944 reducing insurance overpayment claim deadlines for psychologists passed 37-0; SB 878 expanding misdemeanor probation treatment provisions to controlled substances passed 36-1; SB 538, the state court system package, passed 37-0; SB 480 on nonprofit agricultural organization medical benefit plans passed 32-4; SB 472 on correctional-facility education credit for licensure passed 37-0; and SB 56 on geoengineering and weather modification passed 28-9 after extensive debate about enforcement, federal preemption, and the bill’s purpose.
Later, the Senate passed CS/HB 421 on peer support for first responders 37-0 after substituting the House companion, and SB 164 on vessel accountability advanced with a technical amendment. SB 166 on administrative efficiency in public schools drew the most extended debate and multiple amendments; it changes testing, promotion, teacher evaluation, certification, and facilities rules, and passed 37-0. The chamber also passed SB 282 on warranty association financial requirements 36-0, SB 316 creating series LLCs 35-1, and SB 384 on annexing state-owned lands 36-0. At the end of the day, the Senate waived rules to immediately certify all passed bills to the House, received budget schedule guidance from Appropriations Chair Hooper for SB 2500 and SB 2502, and adjourned until April 9.
FL
Transcript Highlights:
- Committee Substitute for Senate Bill 944, a bill to be entitled an act relating to insurance overpayment
- preapprove service and pay in advance and have 12 months to file a reimbursement claim for any overpayment
- frame for health insurers or health maintenance organizations, which are HMOs, to submit claims for overpayment
- Committee Substitute for Senate Bill 944, a bill to be entitled an act relating to insurance overpayment
Summary:
The Senate opened with prayer, the Pledge of Allegiance, and several recognitions, including state championship athletic teams, visiting chambers of commerce, apprentices, students, and other guests. The chamber then moved through a long third-reading calendar and special order calendar, with no committee reports or executive messages on the desk. A moment of silence was held for Walton County Deputy William Will May, who died in the line of duty.
Among the major bills passed was SB 234, which strengthens restrictions on resisting law enforcement officers and increases penalties related to manslaughter of an officer; an amendment clarifying “good faith” in an officer’s duties was adopted, and the bill passed 37-0. The Senate also passed SB 7020 on open government review of certain cybersecurity information, SM 1488 urging Congress to create a U.S. sovereign wealth fund, SB 944 reducing the overpayment claim period for insurers/HMOs seeking reimbursement from licensed psychologists from 30 months to 12 months, SB 878 extending probation treatment options for misdemeanor offenses involving controlled substances, SB 538 updating the state court system, SB 480 expanding nonprofit agricultural medical benefit plans, SB 472 giving correctional education credit toward professional licensure, SB 86/House companion 421 expanding peer support for first responders to include support personnel, SB 164 on vessel accountability, SB 282 on warranty association financial requirements, SB 316 creating Series LLC rules, and SB 384 requiring notice to legislative delegations before municipal annexation of state-owned lands.
The most debated measure was CS/CS/SB 56 on geoengineering and weather modification, which Garcia said would prohibit unauthorized atmospheric interventions, create reporting and enforcement mechanisms through DEP, and impose felony penalties; Polsky questioned the bill’s practicality, federal preemption issues, and agency capacity, while supporters said it would address public concerns and close loopholes. The Senate also passed CS/SB 166 on public school administrative efficiency after adopting several amendments affecting school purchasing timelines, third-grade retention exemptions, teacher contracts, certification, facilities planning, and an OPPAGA study of cost-per-student-station limits; senators debated testing, teacher evaluations, and school accountability. At the end of the day, the Senate waived rules to immediately certify all passed bills to the House, received budget process guidance from Appropriations Chair Hooper on SB 2500 and SB 2502 amendment deadlines, and then adjourned until April 9.
AR
Arkansas 2026 1st Special Session
LEGISLATIVE JOINT AUDITING-MEDICAID SUBCOMMITTEE Feb 12th, 2026
LEGISLATIVE JOINT AUDITING-MEDICAID SUBCOMMITTEE
Transcript Highlights:
- to establish programs to contract with one or more Medicaid RACs to identify underpayments and overpayments
- and recoup those overpayments.
- Also, overpayments recovered as a result of the Medicaid Fraud Control Unit, or MFCU, for short, casework
Summary:
The Medicaid Subcommittee of the Legislative Joint Auditing Committee met to receive a primer on the subcommittee’s history and on how Medicaid oversight works in Arkansas. Legislative audit staff reviewed the subcommittee’s origins in response to earlier Medicaid audit concerns and explained that Medicaid is audited every year in the statewide single audit because it is a high-risk, large federal program. Staff summarized recent audit findings, including issues with eligibility controls, data matching, contractor charging, incarcerated juveniles’ coverage handling, provider eligibility support, and the state’s Medicaid recovery audit contractor exception request. They also noted a DHS departmental audit finding involving employees who improperly received benefits, which was referred for possible prosecution.
The Department of Human Services gave an overview of the Medicaid program, describing eligibility groups, delivery systems (fee-for-service, managed care/PASSE, and premium assistance for expansion adults), the size of the program, and the agency’s budget and provider base. DHS also outlined the difference between state plan amendments and waivers and said other committee materials would be sent to members. The Office of Medicaid Inspector General described its role in detecting and preventing fraud, waste, and abuse, explaining that it investigates suspected intentional fraud, suspends providers when there is a credible allegation of fraud, recovers improper payments in mistake cases, and recommends policy changes when trends are identified.
The Attorney General’s Medicaid Fraud Control Unit explained that it prosecutes provider fraud criminally and civilly, handles neglect, abuse, and exploitation cases in long-term care settings, and works with DHS, OMIG, and federal partners. Members asked about where cases are filed, how provider suspensions work, whether beneficiary fraud is investigated, and how education is provided to providers. DHS confirmed that beneficiary fraud cases are referred to local prosecutors and said the expansion population will move toward community engagement/work requirements under federal changes, with a soft launch planned before full implementation. The meeting ended with no formal votes beyond adoption of the prior minutes and no other committee actions.
AR
Arkansas 2026 Regular Session
LEGISLATIVE JOINT AUDITING-MEDICAID SUBCOMMITTEE Feb 12th, 2026
LEGISLATIVE JOINT AUDITING-MEDICAID SUBCOMMITTEE
Transcript Highlights:
- to establish programs to contract with one or more Medicaid RACs to identify underpayments and overpayments
- and recoup those overpayments.
- Also, overpayments recovered as a result of the Medicaid Fraud Control Unit, or MFCU, for short, casework
Summary:
The Medicaid Subcommittee of the Legislative Joint Auditing Committee met to adopt the November 2018 minutes and receive a primer on the subcommittee’s role and Medicaid oversight in Arkansas. Legislative audit staff reviewed the subcommittee’s history and explained that Medicaid is audited annually through the statewide single audit because it is a high-risk federal program. Staff summarized recent audit findings, including weaknesses in eligibility and data-matching controls, improper use of Medicaid funds for partially non-Medicaid work, issues with incarcerated juveniles’ coverage, the absence of a Medicaid recovery audit contractor program exception request, reporting problems involving MFCU recoveries, and provider eligibility documentation concerns. Staff also noted a DHS departmental audit finding involving employees who improperly received benefits, which was referred for further action.
The Department of Human Services gave an overview of Medicaid’s structure, eligibility, delivery systems, and budget. DHS described Arkansas Medicaid as covering about 850,000 people through fee-for-service, managed care, and premium assistance for the expansion population, and outlined major spending categories such as institutional care, long-term services, pharmacy, capitated payments, and supplemental payments. DHS also explained the difference between state plan amendments and waivers, and said it has a beneficiary-fraud unit that refers cases to local prosecutors.
The Office of Medicaid Inspector General described its role in detecting and preventing fraud, waste, and abuse, distinguishing between suspensions for credible allegations of fraud and recovery actions for mistakes or overpayments. OMIG said it works with DHS and law enforcement, issues quarterly and annual reports, and has increased recoveries in recent years. The Attorney General’s Medicaid Fraud Control Unit explained that it prosecutes provider fraud criminally and civilly, can also handle long-term care neglect, abuse, and exploitation cases, and works with local prosecutors as special deputies. Committee members asked about court venue, provider suspensions, beneficiary fraud, education of providers, and the status of Medicaid expansion work requirements; DHS said it is preparing to implement community engagement requirements under HR 1 and will begin with a soft launch before full enforcement. No formal votes were taken beyond adoption of the minutes, and the meeting adjourned after questions were answered.
TX
Bills:
HB 660, HB 4845, HB 3902, HB 5396, HB 4615, HB 1825, HB 1403, HB 4336, HB 4585, HB 4371, HB 863, SB 1589, HB 5223, HB 3195, HB 2734
Keywords:
child protective services, adult protective services, caseload limits, call processing goals, child-care licensing, employee workload, reporting requirements, employee caseload limits, protective services, workload management, accountability, Department of Family and Protective Services, employee goals, call processing, child care, human resources, government accountability, Medicaid, provider enrollment, revalidation
TX
Bills:
HB660, HB4845, HB3902, HB5396, HB4615, HB1825, HB1403, HB4336, HB4585, HB4371, HB863, SB1589, HB5223, HB3195, HB2734
Keywords:
child protective services, adult protective services, caseload limits, call processing goals, child-care licensing, employee workload, reporting requirements, employee caseload limits, protective services, workload management, accountability, Department of Family and Protective Services, employee goals, call processing, child care, human resources, government accountability, Medicaid, provider enrollment, revalidation
TX
Bills:
HB660, HB4845, HB3902, HB5396, HB4615, HB1825, HB1403, HB4336, HB4585, HB4371, HB863, SB1589, HB5223, HB3195, HB2734
Keywords:
child protective services, adult protective services, caseload limits, call processing goals, child-care licensing, employee workload, reporting requirements, employee caseload limits, protective services, workload management, accountability, Department of Family and Protective Services, employee goals, call processing, child care, human resources, government accountability, Medicaid, provider enrollment, revalidation
TX
Transcript Highlights:
- Health Plans brought to address potential duplication or interference in the managed care's own overpayment
- And the estimated overpayments and fraud in some states is actually over 30%.
- Plan, for example, this is a timely bill to reveal how much the degree of there's just not just overpayments
- And the estimated overpayments and fraud in some states is actually over 30%.
- There's actually a disincentive to do auditing because once they reveal overpayments, then quite often
Keywords:
SB 500, Texas adoption law, Family Code, DFPS, Department of Family and Protective Services, child-placing agency, prospective adoptive parents, adoption records, confidential information, nondisclosure agreement, child history report, health history, social history, educational history, genetic history, termination of parental rights, permanency plan, single source continuum contractor, privacy, redaction
Summary:
The committee first took up several pending bills and reported them favorably: SB 968, SB 636 as substituted, SB 1137, and SB 1138 as substituted. Each was advanced by roll call vote, and the committee also recommended the approved bills for the local and uncontested calendar. The chair then moved to the posted agenda and heard SB 719, a mental health bed-capacity study bill by Senator Eckhart, with a committee substitute that refined the data collection to distinguish state and non-state beds, child and adult beds, include two point-in-time counts, and capture jail diversion data.
Testimony on SB 719 was largely supportive from Integral Care, NAMI Texas, and the Children’s Hospital Association of Texas, all of whom said Texas needs better data on inpatient psychiatric capacity, workforce needs, and future demand. Several witnesses described long waits for beds, especially for forensic restoration, and argued the study would help target future investments. Senator Perry and others noted the state has already made major investments in new beds and urged the bill to account for beds already coming online; the committee ultimately withdrew the substitute and left SB 719 pending after public testimony closed.
The committee then heard SB 1864, which would allow small egg producers to sell ungraded eggs more broadly, including to restaurants and retailers, with the substitute increasing the weekly sales threshold and addressing sanitation and labeling. Supporters said grading is about size, not safety, and that the bill would help small farms reach new markets; opponents from the Texas Poultry Federation argued grading and candling help identify cracks and defects that can affect safety and quality. The committee adopted the substitute and left the bill pending. It also heard SB 1467, requiring DSHS to share death record information with hospitals for record accuracy and quality review, and SB 912, which would modernize continuing education tracking for health licensing agencies; both bills drew supportive testimony and were left pending. Finally, the committee heard SB 2023, which would create an HHSC grant program to help counties pay for indigent burial costs, with county representatives testifying in support.
KY
Kentucky 2025 Regular Session
House Standing Committee BR Sub. on Primary & Secondary Education & Workforce Dev (2-11-25)
Transcript Highlights:
- So we have to get what's called an overpayment, and they have to repay that overpayment.
- So we have to get what's called an overpayment, and they have to repay that overpayment.
- 32:01.760>
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Summary:
The House Budget Review Subcommittee on Primary and Secondary Education and Workforce Development received a presentation from Kentucky Department of Education officials on the final SEEK estimate for fiscal year 2025. Commissioner Robbie Fletcher, Matt Ross, and Chay Ritter explained that SEEK is developed through a consensus process with the Office of the State Budget Director using multiple models and district-level inputs, and that the estimate is a projection made well before actual data are available. They emphasized that the discussion was separate from the pending education-funding lawsuit and described SEEK as one part of a much larger K-12 budget picture.
The presenters said the current SEEK estimate shows a statutory shortfall of about $14.7 million, or roughly 0.53% of the appropriation, with additional optional items that could bring the total to about $40.5 million if funds are available. They noted that prior years have sometimes produced excess funds, which are redirected according to budget language rather than automatically flowing back through SEEK. They also reviewed the main drivers of the estimate, including property assessments, average daily attendance, free lunch counts, exceptional child counts, home hospital, and limited English proficiency, and said property assessments have been especially volatile while exceptional child counts and ELL populations are difficult to predict.
Members asked about why the estimate missed on some categories, especially special education and ELL, and whether district-level changes were being monitored closely enough. The presenters said KDE does monitor special education counts and will review larger districts and districts with unusual growth, and they acknowledged that exceptional child growth has been hard to forecast. Representative Bojanowski asked about the Cloverport virtual school, and staff said its growth was much larger than projected and accounted for a significant portion of the shortfall. Members also discussed the impact of property value growth, population shifts, illness, and legislative changes on SEEK projections. No vote or formal action was taken, and the meeting ended after questions and discussion.