Transcript Highlights:

• But it does have to come from Health and Human Services. Right. Yeah.
• I mean, we made decisions on human service zones on the zone.
• The Health and Human Services Medical Services Division The Health and Human Services Medical Services
• to pay for performance.
• quality, utilization management, and system performance.

Keywords: 908, all

Transcript Highlights:

• I THANK YOU FOR THE OPPORTUNITY TO SHARE ON THE HUMAN TRAFFICKING TODAY.
• THE DEPARTMENT TRACKS HUMAN TRAFFICKING ON TWO PRIMARY CATEGORIES.
• WE ALSO HAVE HUMAN TRAFFICKING LABOR WHICH IS A FORM OF MODERN-DAY SLAVERY WHICH INDIVIDUALS PERFORM
• THEY HAVE TO BE TRAINED IN HUMAN TRAFFICKING.
• HERE IS THE SCIENCE OF HUMAN TRAFFICKING.

Keywords: 999, senate, all

Transcript Highlights:

• or promotes a sexual performance.
• Repeat offender uses a child in a sexual performance or promotes a sexual performance of a child.
• All human life is sacred.
• The dignity of the human person is not lost even after the commission of grave evil.
• I, I get it, like, as a human, as a, I get it, like, as a human, as an auntie mama, as someone who has

Summary: The committee heard three member bills. CS/HB 1095 would create a criminal offender substance abuse pilot program in Hillsborough County for probationers ordered to abstain from drugs and alcohol, with frequent testing, immediate arrest for violations, and a cap of 150 participants. An amendment removed the fiscal impact by eliminating an appropriation and directing any appropriated funds to the administering entity; the amendment and bill both passed, and the bill was reported favorably as a committee substitute. CS/HB 1455 would establish mandatory minimum sentences for repeat sexual offenders or predators who commit specified sexual offenses, including 10-year and 20-year minimums depending on the offense, with no gain time or discretionary early release. The only public testimony was in support from the Smart Justice Alliance. The committee approved the bill 11-1 and reported it favorably. CS/HB 1283 would make the sex trafficking of a child under 12 or a mentally incapacitated person a capital felony punishable by death or life imprisonment. Members questioned the fiscal impact, housing on death row, and how the death penalty process would work; the sponsor said the bill was aimed at the worst offenders and that current law already provides mandatory life for trafficking a child under 12. Public testimony included opposition from the Florida Conference of Catholic Bishops and the Florida Association of Criminal Defense Lawyers, and support from the Smart Justice Alliance. After debate focused on constitutionality and the death penalty, the committee passed the bill 10-3 and reported it favorably.

Transcript Highlights:

• It just seems so humane and forward-thinking.
• These procedures have been performed for over 20 years by optometrists in 14 other states.
• Oklahoma was the first state to allow optometrists to perform these procedures in 1998, and they have
• performed over 50,000 procedures in Oklahoma alone.
• Surgery on and around the human eye is not something to be taken lightly.

Keywords: 996, all

Transcript Highlights:

• <00:04:34.039> Services Department of Health and Human Services Department of Health and Human
• were performed.
• were performed.
• were performed.
• were performed.

Keywords: 1191, senate, all

Transcript Highlights:

• But it does have to come from Health and Human Services. Right. Yeah.
• I mean, we made decisions on human service zones on the zones.
• The Health and Human Services Medical Services Division The Health and Human Services Medical Services
• to pay for performance.
• care quality, utilization management, and system performance.

Summary: The committee first heard an update on North Dakota’s Interagency Council on Homelessness and Continuum of Care funding. Jennifer Henderson of the North Dakota Housing Finance Agency reported that homelessness remains driven by tight housing markets, low incomes, rising rents, and barriers to rental assistance, public benefits, and disability determinations. She said the state’s one-time North Dakota Homeless Grant is serving all regions but reaches far fewer households than the former Rent Help program, and that aging homelessness, shelter staffing shortages, and limited affordable units are growing concerns. Members discussed the need for more housing supply, better coordination with Health and Human Services, landlord engagement, reentry housing, and possible continued one-time funding for the $10 million Homeless Grant and $25 million Housing Incentive Fund. Henderson also warned that federal Continuum of Care funding is uncertain, with HUD expected to issue a new notice June 1 and possible shifts away from permanent supportive housing toward transitional housing and other models. The committee then took testimony on accessibility of government services for people who are blind, visually impaired, deaf, or hard of hearing. Paul Olson of North Dakota Vision Services School for the Blind described the school’s services for infants, children, and adults, including screenings, mobility training, assistive technology, and outreach across the state. He said the agency works closely with Vocational Rehabilitation and is also involved in improving website and document accessibility, especially for PDF materials. Public testimony highlighted barriers such as inaccessible CAPTCHA systems, online forms, driver’s license requirements on job applications, and limited transportation in rural areas. A deaf resident urged broader use of video remote interpreting and video relay services, along with training so people know how to use them effectively. Finally, Kay Larson presented the final report on the child care provider licensing study. The report recommended streamlining North Dakota’s child care licensing structure into three provider types plus a preschool designation, while preserving health and safety standards and maintaining eligibility for child care assistance. The committee discussed simplifying training and qualification rules, revising ratio and group-size requirements, and adjusting age bands for infants and toddlers. The report also noted that some changes would require statutory amendments and later administrative rule changes, with a transition period likely extending through 2029. No formal votes were taken in the transcript, but the committee accepted the updates and scheduled follow-up presentations for a later meeting.

Transcript Highlights:

• I know I will be called upon to perform tasks in isolation, far from familiar faces.
• BE A GOOD HUMAN BEING. MOVE THE BALL FORWARD AND MAKE A DIFFERENCE.
• IT MAKES THE REQUIREMENT DISCRETIONARY TO PERFORM MORE THAN ONE TEST PER YEAR AND SCREENING.
• A bill to be entitled Capitol Human Trafficking of Vulnerable Persons for Exploitation.
• Core belief in the sacredness of human life.

Bills: SCR46, SB31, SB39, SB227, SB330, SB401, SB407, SB467, SB482, SB500, SB506, SB512, SB527, SB584, SB619, SB636, SB646, SB647, SB648, SB659, SB663, SB715, SB732, SB758, SB801, SB816, SB847, SB870, SB884, SB1020, SB1055, SB1065, SB1137, SB1169, SB1181, SB1283, SB1383, SB1395, SB1410, SB1433, SB1490, SB1558, SB1574, SB1626, SB1666, SB1718, SB1727, SB1756, SB1757, SB1845, SB1924, SB1964, SB1972, SB2018, SB2031, SB2075, SB2076, SB2080, SB2111, SB2117, SB2154, SB2161, SB2173, SB2206, SB2225, SB2253, SB2268, SB2314, SB2322, SB2351, SB2371, SB2476, SB2533, SB2540, SB2570, SB2589, SB2623, SB2658, SB2660, SB2692, SB2693, SB2717, SB2722, SB2753, SB2779, SB2877, SB2880, SB2900, SB2920, SB3031, HJR4, SB5, SB260, SB1786, SJR3, SJR18, SB1, SJR36, SJR50, SJR63, SJR84, SJR59, SCR12, SCR39, SCR46, SCR48, SCR19, SB2023, SB62, SB666, SB847, SB284, SB854, SB1073, SB810, SB1505, SB583, SB1502, SB507, SB1026, SB1433, SB1434, SB1376, SB1585, SB1772, SB2016, SB1163, SB619, SB1122, SB732, SB731, SB397, SB508, SB1436, SB287, SB261, SB1882, SB393, SB1791, SB529, SB209, SB2429, SB1999, SB511, SB2309, SB510, SB1924, SB2253, SB2018, SB2206, SB584, SB1085, SB1490, SB2314, SB2046, SB1975, SB2717, SB1262, SB1524, SB1137, SB636, SB2056, SB1558, SB884, SB227, SB517, SB1200, SB1410, SB1626, SB1845, SB1863, SB2681, SB2200, SB2199, SB1757, SB2050, SB2458, SB2201, SB1055, SB2660, SB2662, SB1065, SB801, SB2533, SB3014, SB3013, SB758, SB648, SB647, SB512, SB1721, SB2268, SB2366, SB1013, SB2692, SB2570, SB2797, SB2111, SB2371, SB2383, SB646, SB1169, SB1754, SB1718, SB2779, SB2004, SB1756, SB2119, SB527, SB2322, SB2448, SB1777, SB1283, SB407, SB2392, SB2076, SB2786, SB3031, SB2877, SB2876, SB2284, SB2225, SB1540, SB2920, SB2929, SB1395, SB1972, SB2540, SB2742, SB2595, SB2217, SB2117, SB715, SB2330, SB1964, SB1383, SB500, SB1640, SB2001, SB2080, SB2722, SB506, SB2514, SB2623, SB2658, SB1574, SB2900, SB2753, SB2398, SB401, SB1241, SB2927, SB2173, SB2538, SB898, SB467, SB1449, SB2529, SB1531, SB2846, SB2476, SB2031, SB986, SB1181, SB2075, SB2154, SB2864, SB31, SB2880, SB1359, SB2386, SB771, SB2844, SB2550, SB1351, SB1423, SB1931, SB2245, SB2589, SB2707, SB2807, SB2351, SB410, SB659, SB816, SB2776, SB2693, SB2580, SB1980, SB1886, SB1234, SB739, SB482, SB456, SB127, SB1666, SB2843, SB2801, SB800, SB2055, SB784, SB2986, SB735, SB1012, SB324, SB2926, SB2938, SB2007, SB2138, SB1242, HJR4, HB135, HB 1109, SCR30, SCR3, SB2615, SB1049, SB2310, SB1224, SB2972, SB1568, SB2841, SB2885, SB3016, SB2858, SB2610, SB2139, SB1856, SB2035, SB2308, SB2306, SB2041, SB1528, SB1681, SB1141, SB2401, SB2530, SB2375, SB547, SB1266, SB1373, SB1467, SB2069, SB2269, SB2480, SB2544, SB672, SB904, SB2695, SB2891, SB2422, SB2543, SB1854, SB317, SB2539, SB2532, SB2925, SB1250, SB2082, SB2203, SB457, SB2357, HCR35, HCR64, SB227, SB401, SB512, SB527, SB648, SB1490, SB1558, SB1574, SB1626, SB1756, SB1924, SB1964, SB2018, SB2031, SB2111, SB2117, SB2206, SB2570, SB2658, SB2692, SB2900, SB3031, SB407, SB1395, SB1433, SB1718, SB2322, SB2877, SR453, SR461, SJR86, SB3060, SB3061, HB18, HB26, HB36, HB37, HB48, HB 126, HB150, HB252, HB503, HB517, HB581, HB742, HB754, HB972, HB 1024, HB 1041, HB 1089, HB1442, HB1562, HB1633, HB1689, HB1690, HB1696, HB1718, HB1732, HB1741, HB2103, HB2216, HB2733, HB2884, HB2986, HB3700, SB1888, SJR86, SB3060, SB3061, HB18, HB26, HB36, HB37, HB48, HB 126, HB150, HB252, HB503, HB517, HB581, HB742, HB754, HB972, HB 1024, HB 1041, HB 1089, HB1442, HB1562, HB1633, HB1689, HB1690, HB1696, HB1718, HB1732, HB1741, HB2103, HB2216, HB2733, HB2884, HB2986, HB3700, SB1888

Keywords: Texas beef, cattle industry, agricultural heritage, Texas strip steak, economic growth, SB 31, Life of the Mother Act, Texas abortion law, medical emergency, reasonable medical judgment, pregnancy complications, maternal health, life-threatening condition, ectopic pregnancy, spontaneous abortion, miscarriage, unborn child, abortion exception, abortion ban, physician liability

Transcript Highlights:

• this is a forward-looking process of identifying what soils are good for the decomposition of the human
• Second, eligibility verification is currently the responsibility of counties and DHS, and they perform
• It's done by the county and the Department of Human Services (DHS), not the health plans, and it seems
• We integrate public health, human services, and the county-run health plan to wrap services around our
• I tried doing it in Human Services earlier this year, and it didn't work.

Transcript Highlights:

• If my mind serves me right, the Human Development Center, when we were at a six-year projection, and
• Brisei, who's over the human development centers, staffing contracts but I will say for Jay's Health
• Brzei, who's over the human development centers, Seven-year figures. And then lastly, Ms.
• The Human Development Centers are allocated 1,880 budgeted positions.
• And we have no other way to determine performance and goal management.

Summary: The council opened with a prayer, approved the prior meeting minutes, and received the February 2026 Monthly Revenue Report from Carlos Silva of the Bureau of Legislative Research. He reported gross revenues of $5.36 billion and net collections of $4.5 billion, both above the prior year to date, and said the updated forecast now shows a larger expected surplus. Members asked about declines in some tax categories, natural gas severance fee fluctuations, inflation, and economic development incentives; Silva attributed several changes to timing, refunds, tax cuts, weather, and price volatility, and generally described the state’s revenue trend as positive. The Executive Committee, Administrative Rules, Claims Review, Game and Fish, Higher Education, Infrastructure Investment and Jobs Act, Medicaid studies, Occupational Licensing Review, State Insurance Programs Oversight, and other subcommittee reports were adopted. The Medicaid studies report drew extended discussion about DHS staffing and contract nursing costs at state hospitals and human development centers; DHS officials said they were working on a recruitment and retention plan, reported significant vacancies and turnover, and said the state was not at risk of overspending the contracts. Several members urged reducing reliance on contract labor and moving staff onto state payrolls. The Review Subcommittee report prompted questions about a Department of Public Safety aircraft maintenance item and a Department of Shared Administrative Services contract for Deloitte to implement performance and goals management software tied to the state’s new personnel system. After discussion, the aircraft maintenance item was held briefly and then withdrawn from the hold, while the shared services contract was explained as a one-time integration/configuration project for a system that will support employee evaluations and performance-based pay; the report and the separate contract vote were approved. The Personnel Subcommittee also heard testimony from Commerce Secretary Hugh McDonald about reductions in force at the Division of Services for the Blind, which he attributed to funding shortfalls and fiscal mismanagement; members questioned the impact on blind and visually impaired clients, the status of board appointments, and whether federal funds could be at risk. The report was adopted with immediate consideration, and the meeting ended after filing the remaining APER report and adjourning.

Transcript Highlights:

• <00:18:17.840> in um and hope to appeal to the humanity in um and hope to appeal to the humanity
• that often absolutely requires the most human parts of us.
• <00:31:01.760> That through to some people's humanity.
• That through to some people's humanity.
• <00:43:36.720> traffickers, I've prosecuted uh human traffickers, I've prosecuted uh human

Keywords: 1183, house

Summary: The House convened with prayer, the Pledge of Allegiance, quorum call, approval of the prior journal, adoption of standing committee reports, second readings of House Files 3131, 3241, and 3436, and first readings of House Files 3814 through 3922. The chamber also referred House Resolution 6, calling for the impeachment of Governor Tim Walz, and House Resolution 7, calling for the impeachment of Attorney General Keith Ellison, to the Committee on Rules and Legislative Administration. The main floor debate centered on House File 3412, which would prohibit law enforcement officers from wearing masks while on duty, including local, state, and federal agents, with stated exceptions. Representative Long moved to suspend the rules so the bill could be recalled from committee and brought to final passage. Supporters, led by Representative Finke, argued that masked, unidentified officers undermine public trust, intimidate communities, and should not be allowed to operate anonymously; they framed the bill as a public safety and transparency measure. Opponents, including Representative Noatne, said the bill was poorly written, unnecessary, and could interfere with legitimate law enforcement needs, urging a no vote. Other members spoke at length on both sides. Supporters described recent incidents involving masked federal agents, family separations, and fear in communities, arguing that Minnesota should require identification and accountability for anyone enforcing the law. Opponents emphasized the professionalism of peace officers, the need for masks in some situations, and the importance of not stripping humanity from law enforcement. Representative Pinto also supported the motion, saying transparency and accountability are essential and that masked officers resemble “secret police.” The transcript does not include the final roll-call result or final disposition of the motion/bill.

Bills: HB1519, HB1541, HB1737, HB1782, HB1854, HB1860, HB2023, HB2104, HB2276, HB2335, HB2455, HB2468, HB2551, SB177, SB411, SB874, SB2053, SB2069, SB2108, SB2268, SB2360, SB2363, SB2405, SB2407, SB2530, SB2543, SB2568, SB2803, SB2818, SB2851, SB2907, SB2934, SB2969, SB2999, SB3097, SB3103, SB3233, SB3238, SB3245, SB3001, SB3138, HB1946, HB389, HB1510, HB469, HB1573, HB1705, HB1858, HB1875, HB1961, HB1962, HB2001, HB2093, HB2096, HB2097, SB888, SB2169, SB2367, SB2557, SB2575, SB2698, SB3082, HB344, HB939, HB1688, HB1853, HB2443, HCR103, HCR117, HCR180, HCR112, HCR18, HCR105, HCR173, HCR35, HCR98, HCR42, HCR53, HCR181, HCR101, HCR179

Keywords: campaign contributions, lobbyists, transparency, election funding, ethical regulations, HB1541, Act 057, Department of Health, Hawaii State Hospital, Developmental Disabilities Division, civil service, civil service exemption, HRS 76-16, HRS 334-4, mental health program, state hospital, secure psychiatric rehabilitation facility, associate administrator, project manager, security manager

Transcript Highlights:

• <00:19:19.080> Humanity<00:19:19.520> Center board uh the humanity Humanity Center
• board uh the humanity Humanity Center the<00:19:20.039> Historical<00:19:20.520> Society
• our state because they serve as human our state because they serve as human experiences<00:31:10.799
• Each month we feature performers from a different community.
• In 2021, some of you may have seen the performance of Amanda Gorman at the inauguration.

Keywords: 1183, house

Transcript Highlights:

• Standardization with this new claims-based system will allow us to compare performance across regions
• It provides two views of 11 behavioral health performance measures.
• Here's a comparison of the performance measures before and after implementation of HB 633.
• Monthly contract oversight teams meet with each managing entity to look at performance.
• Those are things that are identified within our system, human trafficking indicators.

Summary: The subcommittee heard two Department of Children and Families implementation updates on measures passed in prior sessions. First, DCF reviewed House Bill 633, which increased oversight of behavioral health managing entities through biennial independent audits, standardized claims-based reporting, and new monthly outcome dashboards. The department said it had awarded the inaugural audit to Ernst & Young, found no significant waste, fraud, or abuse, but identified process risks involving financial controls, claims validation, data access, and system access controls. DCF also described its transition to standardized behavioral health coding and said the new public dashboard of 11 measures is posted on its website, though members asked for easier access and for hard copies of the audit report. Members asked about how the department distinguishes Medicaid-covered services from department-funded services, how duplicate payment risks are being addressed, and whether the new reporting and audit requirements would improve oversight without disrupting services. DCF said it is the payer of last resort for uninsured or underinsured individuals, that some overlap with Medicaid is expected because Medicaid does not cover all behavioral health services, and that new claims edits and cross-checks are being built into the system. The department also said it had not found significant negative feedback from providers and that the new requirements are intended to improve transparency and accountability. DCF then updated the committee on Senate Bill 7012, covering human trafficking data collection, domestic violence center certification, limited background-screening exemptions, expanded recruitment for child welfare staff, subcontractor liability protections, a four-year treatment foster care pilot, case management efficiency recommendations, and a statewide study of residential bed capacity for child victims of commercial sexual exploitation. The department said several items are already complete or underway, including limited exemptions in the screening clearinghouse, while others are in procurement or rulemaking. It identified Circuits 4 and 12 as the treatment foster care pilot sites and said the pilot will launch in January 2026. Members questioned recruitment metrics, pilot timing, and report deadlines; the department said final reports are expected by January and that some dates were flexible because of procurement and implementation timelines. The meeting ended after the presentations and questions, and the subcommittee adjourned.

Transcript Highlights:

• audit of the New Hampshire Commission for Human Rights.
• I'm here to present our performance audit on the New Hampshire Commission for Human Rights.
• <00:43:06.280> to commission for human rights I'd like to commission for human rights I'd
• <01:16:22.600> audit 2022 went to the Joint performance audit 2022 went to the Joint performance
• allowed to go on and this uh performance allowed to go on and this uh performance audit<01:19:54.199

Keywords: 928, house, all

Summary: The Fiscal Committee met on February 21 and first approved the January 30 minutes and the consent calendar, with item 2540 removed by the Department of Education and item 25057 set aside for discussion. The committee then took up FIS 25057, a Department of Transportation request tied to a federal grant for building information modeling and related data standardization across DOT systems. Transportation officials explained that the $2.405 million consultant-heavy request would connect surveying, design, construction, and asset management systems, improve efficiency and long-term asset tracking, and help the department catch up with other states. Several senators questioned the lack of immediate, quantifiable budget savings and the reliance on consultants, but the item was ultimately adopted. The committee next approved FIS 25054 for the Department of Health and Human Services after questioning a $16 million shortfall in the Children’s Health Insurance Program. DHHS explained the variance as a budgeting and accounting issue tied to separating CHIP from Medicaid managed care, pandemic-era continuous enrollment, and the new federal requirement for 12 months of continuous coverage for children. Members also approved a Cannon Mountain fee item, where park officials described a proposed price freeze for early-bird passes, a new in-season tier, and modest increases in off-season pricing, while noting operating cost pressures, strong snow conditions, and favorable customer value ratings. That item was adopted unanimously. The committee also approved the Department of Corrections item after discussion of staffing, retirement eligibility, overtime, and recidivism. Commissioner Helen Hanks said retirement-eligible staff had declined slightly, recruitment was improving, overtime hours were down, one housing floor had been closed because of lower population, and the department had reduced reincarceration by 8% over seven years, which she said produced substantial savings. The item was adopted. During informational items, the committee heard a Legislative Budget Assistant performance audit of the New Hampshire Commission for Human Rights. The audit found the commission inefficient and ineffective in processing complaints, with average case closure taking 840 days, significant backlogs dating back decades, expired administrative rules, weak management controls, disorganized and outdated procedures, unreliable data, and unresolved prior audit findings. The audit included 25 recommendations, two of which may require legislative action. Commission staff said they appreciated the recommendations and expected the additional resources from the prior budget cycle to help address the backlog and improve transparency and efficiency.

Transcript Highlights:

• Today, we're going to present our performance audit of the Department of Human Services Behavioral Health
• training to perform their job duties.
• to train employees on how to perform to train employees on how to perform grant<00:18:54.280>
• the performance management process. the performance management process.
• um and BHS while performing the audit. um and BHS while performing the audit.

Keywords: 1183, house

Transcript Highlights:

• Director at the Health and Human Services Commission.
• Like what is the human impact on it?
• So those performance measures include.
• We're performing better than that.
• So, on slide seven, we really focus on process, how an agency performs. performs its functions rather

Keywords: 1184, house, all

Transcript Highlights:

• So it's a matter of training, human services, and information asymmetry.
• of the six core performance indicators.
• And we also have an issue because the WIOA performance metrics are over-engineered.
• And then beyond that, you can do more pay-for-performance contracts.
• And they've got some of their human service system.

Summary: The committee heard a presentation from Nick Moore, Acting Assistant Secretary of the Office of Career and Technical Education, focused on integrating workforce, education, training, and human services systems. Moore argued that WIOA, Perkins, and ESSA should be aligned more closely, with fewer federal and state bureaucratic layers, more state flexibility, and a stronger emphasis on labor force participation, postsecondary attainment, and training tied to in-demand jobs. He said the federal agencies are moving toward combined plan timelines for 2026, encouraged states to pursue combined plans and waivers, and described efforts to streamline reporting, reduce administrative overhead, and expand tools such as integrated intake, cross-training, virtual and mobile service delivery, apprenticeship, and talent marketplaces. Moore also emphasized accountability and outcomes, saying states should measure training-related employment, retention, and the share of funds going to direct services rather than administration. He criticized the current workforce system as too costly and ineffective, and said states should use primary labor market information, better wage records, and employer input to align training with actual job demand. Members asked about balancing flexibility with accountability, the role of employers versus postsecondary institutions, serving rural “training deserts,” state waivers, and data-sharing systems such as Mississippi’s workforce technology efforts. Moore said states can use waivers and technology to create common intake and co-enrollment across programs, and that enhanced wage records are key to better workforce planning. The committee then received a separate update from DHS Secretary Janet Mann and Director Jay Hill on reimbursement rates for aging and adult behavioral health services. They said DHS had compiled more than 100 public comments, submitted a recommendation to the governor to hold current rates, and was awaiting executive review, which they estimated could take 30 to 60 days. Members asked about the timeline and the scope of the legislation requiring monthly reports. The meeting ended with notice of a later audit presentation scheduled for 1:00 p.m. at the Big Mac building.

Transcript Highlights:

• I think there's no better example of this than Human Services.
• I think there's no better example of this than Human Services.
• no better example of this than human no better example of this than human services<01:21:05.840>
• fraud and when I look at the Human fraud and when I look at the Human Services<01:21:15.679>
• Department of Human Services they had a Department of Human Services they had a contractor<01:25:29.679

Keywords: 1187, senate, all

Summary: The Senate Finance Committee met on January 9, 2025, to focus on internal controls, fraud prevention, and legislative oversight of state agencies. Legislative Auditor Judy Randall explained Minnesota’s internal control framework, based on the GAO Green Book, and described five core controls: assigning responsibility, separating duties, restricting access, maintaining policies and procedures, and keeping records. She tied each control to examples from recent audits, including DHS’s Medicaid provider debt recovery, the Minnesota State Academies’ travel reimbursement issue, privileged access at the Minnesota State Lottery, missing mileage-verification procedures at the Board of Firefighter Training and Education, and weak documentation in the Board on Aging’s senior nutrition program. Deputy Legislative Auditor Jod Mson Rodriguez then presented a new follow-up report on implementation of prior recommendations from 2022 through 2024, including special reviews. She said the office gathers agency documentation, evaluates progress, and categorizes recommendations from implemented to not applicable, while noting that some items require more work to verify and that this reflects OLA capacity rather than agency performance. Examples included the Department of Commerce, where some policy changes were verified but further work would be needed to confirm consistent investigator compliance, and the Metropolitan Council, where more data analysis would be needed to determine whether bonus payments were properly earned. She also noted that a legislature-directed recommendation to require grant manager training had not been implemented. Overall, OLA reported that state agencies had implemented or partially implemented close to 70% of its recommendations, while the legislature had implemented or partially implemented about 40% of recommendations from the last three years. Members generally praised the office’s work and discussed how agencies respond after reports are issued. Senator Westrom raised concerns about a recent media report on alleged fraud in CCAP, and Randall said OLA was aware of the issue but could not discuss details. Senator Draheim asked about post-report agency engagement, and Randall and Rodriguez said follow-up varies, with some agencies seeking private meetings and others engaging less, but that the follow-up process often prompts further discussion and improvement.

Transcript Highlights:

• Department of Health and Human Services.
• This is a reallocation of resources request from the Department of Human Services.
• This is pay plan appropriation and performance fund transfer requests.
• There are four agencies that are requesting funding from the performance fund, totaling $6.8 million
• They are performing the services for the state.

Summary: The committee considered and approved several temporary appropriation requests in Section B, including spending authority for the Court of Appeals to pay appointed counsel in criminal appeals, Commerce/Aeronautics airport and aviation grants, and Insurance Department items for workers’ compensation benefits and premium tax refunds. It also approved ARPA-related requests in Section C to return unused federal funds from DHS aging, mental health, substance abuse, and Older Americans Act grants. In Section D, the committee reviewed and approved Infrastructure Investment and Jobs Act requests, including Agriculture grants for wildfire preparedness and forestry capacity, a large Commerce broadband BEAD request, environmental recycling-related reallocations, and Oil and Gas Commission grants for facility repairs and sample preservation. Members questioned the broadband program’s audit process and performance safeguards; the State Broadband Director said the funds are federal, subject to audits, and payments are released only after engineering certification of completed work. The committee also approved DHS reallocations in Section E, including major transfers within Medical Services from hospital medical appropriations to private and public nursing home lines, as well as transfers for children and family services, developmental disabilities, and youth services. The committee then reviewed cash fund requests, miscellaneous federal grants, pay plan and performance fund transfers, methods of finance, and a large set of contracts. A Northwest Arkansas Community College official explained storm-damage repairs and insurance settlement issues, and DHS explained its hospital medical transfer was moving excess appropriation rather than cash. Members also questioned several UAPB tobacco prevention subgrants, especially arts-based outreach, and asked for more data on effectiveness; the committee later voted to expunge and re-refer the J-2 item for further review at a later ALC meeting. Additional discussion covered a DEQ grant to Free Geek of Arkansas for e-waste recycling, a UAPB tobacco program, and various contracts for universities, DHS services, corrections, and public safety. The meeting ended with reports filed for information and a brief member comment thanking others for concern after a tornado in Stone County; no one was injured.

Transcript Highlights:

• We will begin with the Department of Human Services, so Secretary Mann, Arkansas Department of Human
• Thank you, Arkansas Department of Human Services. You are recognized. Give me one second.
• Those include, obviously, the Department of Human Services.
• We also have a prosecutor that worked at a human development center for...
• A prosecutor that worked at a human development center for 10 years.

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.