Video & Transcript : 'payment system' :

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AR

Arkansas 2026 Regular Session

LEGISLATIVE JOINT AUDITING-COUNTIES AND MUNICIPALITIES Jun 4th, 2026

LEGISLATIVE JOINT AUDITING-COUNTIES AND MUNICIPALITIES

Transcript Highlights:
  • approved payment plan.
  • So we haven't actually, and both of those payments were a property tax relief payment that was deposited
  • We selected 10 dates during 2023 and 2024 that we requested payment tape reports, which detailed payments
  • But that's a systemic problem.
  • But that's a systemic problem.
Summary: The committee approved the prior meeting minutes and then received updates on delinquent water and sewer reports, including seven new reinstatements and a reduction to four remaining delinquent filers. Staff also reported on municipal accounting code noncompliance, removing Denning and Gum Springs from the 60-day clock after improved records were verified, and presenting repeat findings for Fargo, Lead Hill, Alma, Jericho, and Haynes. Members discussed repeated audit problems, the length of time some issues had persisted, and whether towns should be given additional time or face stronger action; motions were made and adopted to place some entities on a 60-day clock or defer action to later meetings. For Fargo and Alma, staff described extensive repeat accounting deficiencies, including missing budgets, bank reconciliations, financial statements, receipts, journals, and supporting documentation. Fargo’s mayor said the town had been understaffed and was beginning to improve its office systems; the committee voted to defer the matter for 60 days and file the report. Alma’s officials said they were trying to correct water audit and accounting issues, and the committee likewise deferred the matter to the August meeting while warning that water-audit delays could jeopardize turnback funds. The committee then reviewed misuse-of-street-funds findings for Jericho and Haynes. Jericho’s police chief and officials explained that traffic fines, drug-related arrests, and other citations had pushed the town over the statutory threshold, while staff clarified that the speed-trap calculation excludes certain add-on fines and is referred to the prosecuting attorney for any action. Haynes officials said repayment problems stemmed from lost revenue and staffing changes, including the loss of the police department, but staff reported the town remained behind on its repayment plan and also owed the IRS. The committee voted to defer the Haynes matter to September and to defer Jericho as well, with members emphasizing the need for consistency and possible broader legislative review of small-town viability. A special report on the Pulaski County Regional Solid Waste Management District drew substantial discussion. Staff cited findings involving board approval of payroll and contracts, credit card documentation, car allowances and personal vehicle use, competitive bidding, and unusually high advertising spending, as well as the sale of trailers and other equipment at low prices. The district director said the board had delegated authority for many expenditures, that personal use was reported for tax purposes, and that advertising was necessary to educate the public about recycling. Members questioned the procurement and disposal decisions and the size of the advertising budget; after discussion, the committee deferred the report to September and asked the director to return. The meeting also included brief deferred reports on Biggers, Gilmore, and Holly Grove, which were filed after local officials described ongoing efforts to resolve long-standing audit and tax issues.
TX

Texas 89th Regular

Health and Human Services Apr 8th, 2026

Health & Human Services

Transcript Highlights:
  • CMS makes the payment for most services. Medicaid also makes payments.
  • That is the claim system.
  • improper payment rate.
  • type of supplemental payment and a managed care system.
  • It was more like, there was not documentation in a system to support whether or not the payment was correct
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.
ND
Transcript Highlights:
  • And then right-sizing health care delivery systems.
  • And then right-sizing health care delivery systems.
  • So this is teaching health care systems.
  • The payment error rate is not a measure of fraud.
  • payment error.
Summary: The committee met with a quorum, approved the March 18 minutes, and then received a series of updates on major health-related projects and programs. CHI St. Alexius representatives reported progress on behavioral health buildouts in Bismarck, Williston, and Grand Forks, including demolition and construction milestones, staffing plans, and timelines. The Bismarck project remains on track for completion in June 2027 with about $346,500 spent to date. Williston reported construction underway, a $750,000 unbudgeted air handler replacement, active recruitment for psychiatrists and other staff, and a projected substantial completion in early 2027. Grand Forks reported about 30% completion, weather-tight status expected in August, and continued staffing ramp-up as the facility expands from its current 24-bed operation. The Department of Health and Human Services then reviewed a set of technical line-item transfers, emphasizing that they were administrative corrections with no net change in funding. The department also walked through the Salaries and Wages Block Grant and FTE counts, noting overall staffing remained within appropriated limits and that behavioral health staffing had increased. Members asked about vacancies, consultant use, and the mix of in-state versus out-of-state expertise for the Rural Health Transformation Program. HHS said it had posted 12 funding opportunities, received 422 applications, obligated $8.4 million so far, hired 26 people, and was preparing additional grant rounds and a CMS budget submission. The department said the program is structured around workforce, prevention/healthy living, care closer to home, and technology/data, with ongoing stakeholder engagement and community forums. The committee also heard on the certified community behavioral health clinic implementation plan, SNAP payment error rates, and the state laboratory project. HHS said CCBHC certification is being implemented in four regions—Williston, Minot/North Central, Fargo/Southeast, and Dickinson/Badlands—with care coordination expanding and baseline data still being collected. On SNAP, the department reported a 2025 payment error rate of 9.89%, acknowledged cost impacts under HR1, and said it is using training, system changes, and pre-authorization quality checks to reduce errors toward a 6% target over the next 6 to 12 months. Finally, Public Health reported the state laboratory reached substantial completion on June 12, with total costs at $69.95 million of the $70 million budget, though a service elevator issue will require a new lift to be added using contingency funds.
CA
Transcript Highlights:
  • payments.
  • So FQHCs, as you know, are paid through the prospective payment system, PPS, and this sustains the comprehensive
  • And then the directed payments are ways that the state can direct payments through the managed care system
  • The reductions to state-directed payments are catastrophic for our system.
  • The reductions to state-directed payments are catastrophic for our systems.
Summary: The Assembly Budget Subcommittee on Health began with a hearing on the impacts of H.R. 1 on California health programs, focusing first on reproductive health state investments. HCAI outlined five state-funded reproductive health programs created after Dobbs, including uncompensated care, practical support, capital and clinical infrastructure, and workforce programs. Essential Access Health and Planned Parenthood testified that these funds have served hundreds of thousands of patients, but warned that the uncompensated care program is fully awarded and needs renewal, and that Title X and Medicaid-related federal uncertainty continues to threaten access. Members questioned who the uncompensated care program serves, why Medi-Cal covers a large share of abortions, and whether Planned Parenthood could expand prenatal services; public commenters urged continued support for reproductive health access. The committee then took up long-term care services and supports, starting with the HCBA and Assisted Living Waiver programs. DHCS reported large wait lists for both programs and said enrollment is limited by workforce and provider capacity, while LAO noted that increasing slots alone may not increase access without additional programmatic changes. Members pressed the department on whether more slots should be added given the lower cost of home- and community-based care compared with skilled nursing facilities, and public testimony argued that the wait lists should be reduced and that staffing concerns do not fully explain unused capacity. The committee also heard testimony on congregate living health facilities, where providers and a patient family described the homes as critical, lower-cost alternatives to nursing facilities for younger, medically complex people. Witnesses requested short-term bridge funding, while DHCS said it is proposing to transition CLFs into a managed care benefit by January 1, 2028, which would remove caps and expand access statewide. The final long-term care topic was PACE. DHCS explained that it has paused new PACE applications and service expansions for at least two years to reassess oversight capacity and develop a statewide strategic growth framework, while existing programs continue operating. CalPACE supported the pause as a planning measure but asked for four additional state nurse positions to reduce delays in level-of-care determinations and speed enrollment for frail older adults. Members shared personal stories about how PACE has helped family members and asked how the state will meet growing demand; DHCS said stakeholder engagement will begin later in the year and that some existing applications already in process will continue. Public commenters broadly supported PACE, HCBA, and CLF funding requests. The hearing then moved to the Department of Health Care Services’ 2026-27 Medi-Cal budget and related trailer bills. DHCS said Medi-Cal spending has grown due to coverage expansions, higher acuity, rising utilization, and especially pharmacy costs, and it described proposals to extend the current skilled nursing facility financing framework for one year while the state develops a new value-based payment strategy. LAO said most recent Medi-Cal spending growth has been driven more by higher per-enrollee costs than by caseload growth, with pharmacy spending growing especially quickly, and recommended better and more timely data to analyze the drivers. Members expressed concern about the rapid rise in Medi-Cal spending and asked for more detail on the largest cost increases.
HI

Hawaii 2025 Regular Session

LBT Public Hearing 02-05-2025

Labor and Technology

Transcript Highlights:
  • </c> employees sure um in terms of the system employees sure um in terms of the system as<00:05:19.160
  • , missed car payments.
  • > it</c> missed rent payment Miss car payments it missed rent payment Miss car payments it was<00:13:
  • payment will not happen unless a date is in the system so that the data from the DOE side—my understanding
  • date is in in the system so that the date is in in the system so that the data<00:13:57.120><c> from<
Summary: The Committee on Labor and Technology heard several labor-related measures. SB 183 would allow arbitration to resolve disputes over state and county contributions to the EUTF benefits trust fund; labor groups supported it, and the committee advanced it with amendments. SB 185, concerning indebtedness to the state, drew support from unions and discussion with DAGS about tiered repayment options for lower-paid employees; DAGS said the system could be programmed to accommodate the bill, and the measure was also advanced with amendments. SB 458 would expand the definition of employer for wage-payment laws to include the state and counties when no comparable public-employee provision exists; HSTA testified in support, citing repeated delayed pay for teachers, while DAGS and county representatives raised operational concerns. The committee deferred SB 458 for further administrative work. SB 425, on qualified community rehabilitation programs and the aggregate contract cap, was advanced with technical amendments after UPW said employers were splitting contracts to exceed the statutory threshold. The committee also considered SB 1287, which would apply unfair and deceptive practices law to tipped food and beverage establishments and require tip-pool signage with wage-division contact information. The Attorney General’s office recommended a savings clause to avoid retroactive application issues, and the committee passed the bill with amendments. SB 1660 would require hospitality employers to adopt anti-harassment measures, training, panic buttons, and anti-retaliation protections; the Commission on the Status of Women and worker advocates supported it, while DLIR noted existing complaint systems and the need for rulemaking. The committee adopted amendments incorporating sexual assault hotline information, panic-button guidance, and employer flexibility on translation languages, then passed the bill with amendments. SB 631, relating to the Department of Human Resources Development, was deferred, with the chair noting a prior law already allows departments to screen and select applicants from initial pools.
WA
Transcript Highlights:
  • It is once it's in their system.
  • It is once it's in their system.
  • .settlement payment varies.
  • over that upfront payment.
  • There's no partial payments.
Summary: The committee first heard a work session on cryptocurrency kiosks from the Department of Financial Institutions and Spokane City Councilmember Paul Dillon. DFI described crypto kiosks as licensed money transmission terminals that allow cash purchases of virtual currency, and said the main concern is fraud: scammers often pressure victims, especially older adults, to deposit cash into kiosks and send it to wallets controlled by organized crime. DFI cited a sharp increase in kiosk volume, nationwide fraud complaints and losses, and said Washington currently has licensing and disclosure rules but lacks transaction and fee limits. The department said it is seeking stronger disclosures, a $1,000 daily transaction limit, and a fee cap. Spokane described its unanimous ordinance banning new kiosks and removing existing ones after local scam reports, and members asked about how the machines work, whether the fraud is in the hardware or the transaction, and whether stronger warnings or screening could help. The committee then reviewed home equity sharing agreements, or CHISAs, based on a report by Mariana Amaram and testimony from DFI and industry representatives. The report found that CHISAs provide homeowners a lump sum in exchange for a share of future home value or appreciation, with no monthly payments, but that consumers often struggle to understand the products and settlement calculations. The report said the market has grown quickly in Washington, that costs can be hard to predict, and that early uncapped contracts could produce very high settlement amounts, especially during periods of rising home prices. DFI said it views these products as mortgage loans and is moving forward with rulemaking, including counseling and clearer disclosures, while industry witnesses said the products are equity-based rather than debt-based and asked for tailored regulation. Members discussed the need for better consumer education, clearer payoff schedules, and whether the products should be treated as mortgages or a separate category. The final panel focused on Washington’s space economy, with presentations from Amazon Leo, Blue Origin, Stoke Space, Space Northwest, and Green River College. Speakers highlighted major in-state investments in satellite manufacturing, launch systems, and workforce training, including Amazon Leo’s Redmond and Kirkland facilities, Blue Origin’s Kent headquarters, and Stoke Space’s Kent manufacturing and Moses Lake test site. Space Northwest presented data showing the sector’s growing economic footprint, high-wage jobs, and regional clusters in Kent and Redmond, and urged more workforce programs, incentives, infrastructure support, and a state space commission. The companies emphasized local hiring, apprenticeship and certification programs, and the role of Washington’s aerospace supply chain in supporting the broader space industry. No votes were taken during the transcript excerpt.
MN

Minnesota 2025-2026 Regular Session

Committee on Human Services - 01/29/26

Human Services

Transcript Highlights:
  • system and the Department of Human Services payment system.
  • </c><00:47:42.079><c> of</c> payment system and the department of payment system and the department of
  • human<00:47:42.560><c> services</c><00:47:42.960><c> payment</c><00:47:43.280><c> system.
  • </c><00:47:43.599><c> And</c><00:47:43.760><c> so</c> human services payment system.
  • And so human services payment system.
MN

Minnesota 2025-2026 Regular Session

How will federal law affect Medicaid in Minnesota? 2/24/26

Minnesota House Floor Meeting

Transcript Highlights:
  • State directed payments, or SDPs, are provider payment arrangements through managed care.
  • </c> enactment July 4, 2025 for new payments. enactment July 4, 2025 for new payments.
  • HR1 limits CMS's payment errors.
  • </c> contradictory to our system out there. contradictory to our system out there.
  • </c> system just in the seven county metro? system just in the seven county metro?
MN

Minnesota 2025-2026 Regular Session

Committee on Health and Human Services - 03/25/26

Health and Human Services

Transcript Highlights:
  • <c> accuracy</c><00:03:09.360><c> and</c> Uh increase SNAP payment accuracy and Uh increase SNAP payment
  • </c> payment error rates. payment error rates.
  • </c> for consolidated policy and system for consolidated policy and system manuals<00:04:58.080><c> and
  • What we do know is that system?
  • </c> payment program. payment program.
CA
Transcript Highlights:
  • It's a very impressive system that all California counties utilize.
  • Upfront capital through advance payments for state grants and contracts, prompt payments for nonprofits
  • First, delayed payments.
  • advance payment as an option.
  • So one is the timeliness of payments, both advance and just timely payment as per agreement.
Summary: The joint Senate and Assembly Select Committee hearing focused on the nonprofit sector’s mounting challenges in 2025 and possible state responses. Opening remarks emphasized the sector’s size and importance in California, the impact of federal funding disruptions and new federal tax policy, and the need for stronger public-private coordination, especially during disasters. Witnesses and members repeatedly pointed to nonprofits as essential providers of food, housing, health, education, environmental, and emergency services, while warning that sudden funding losses are forcing layoffs, service cuts, and operational instability. Testimony from community foundations and food bank leaders described how federal cuts, delayed reimbursements, and disaster-related demand are straining nonprofits. Monica White of Food Share Ventura County said H.R. 1 and USDA food cancellations are worsening hunger needs, while immigration enforcement fears are keeping some families from seeking help. Abby Browning of Cal OES outlined how the state coordinates with nonprofits, philanthropy, and businesses through VOADs and long-term recovery groups in wildfire response. Bruce Yerman of the Camp Fire Collaborative said recovery groups are effective but lack dedicated funding, and urged flexible spending, sustainable support, and streamlined partnerships. The second half of the hearing focused on institutional reforms, including a proposed Office of Nonprofit Empowerment, advance payments, prompt payment, and higher indirect cost coverage. Jeff Green of CalNonprofits argued for a central state office to coordinate policy, technical assistance, and interagency alignment. Annie Chang of Nonprofit Finance Fund cited survey data showing widespread late payments, low cash reserves, and indirect cost rates below federal guidance. Alfredo Cruz Jr. of Community Resource Project described how reimbursement-only contracts, delayed payments, and underfunded overhead create cash-flow crises and staffing problems. Members discussed possible interim steps, including expanding advance pay, improving payment timeliness, modeling best practices, and using state leadership to spotlight nonprofit needs. The hearing ended with public comment from nonprofit, labor, and advocacy representatives, and no votes or formal actions were taken.
CA
Transcript Highlights:
  • So when all of the opioid settlements involve payments over time according to specific payment schedules
  • , the managed care payment system generally, have been very complex.
  • care delivery system.
  • The main question I have is that this really could be a significant shaping of the payment system.
  • Shaping of the payment system, and so in concurrence with the LAO's feedback, this is very broad.
LA

Louisiana 2026 Regular Session

Insurance Apr 14th, 2026

Insurance

Transcript Highlights:
  • We recognize the policy arguments favoring greater incentivization of unconditional payment.
  • Arguments favoring greater incentivization of unconditional payments.
  • It clarifies that a payment doesn't restart prescription. Simple as that.
  • Basically, if I receive a partial payment, it. I'm sorry, say that again.
  • any payments.
Committee: House Insurance
Summary: The House Insurance Committee met on April 14 with a quorum present and first deferred Senate Bill 241 to the following week. The committee then took up House Bill 1117, which would clarify that an insurer’s payment on a first-party claim does not restart the two-year prescriptive period for filing suit. The sponsor said the bill responds to a Louisiana Supreme Court decision and is intended to restore a fixed deadline from the date of loss. Testimony from the Department of Insurance and industry representatives was generally supportive, and members discussed whether policyholders could be confused by partial payments and whether insurers have any duty to warn them about prescription. Representative Glorioso moved the bill favorably, and it was reported favorable without objection. The committee next considered House Bill 943, which creates a process for insurers to check for delinquent child support before issuing certain settlement payments and to withhold and remit arrears to DCFS. The committee adopted a substitute bill and then a committee amendment narrowing the scope by removing annuities and life insurance beneficiaries from the definition of covered recipients. The sponsor described the measure as a tool to help children receive overdue support, and DCFS said Louisiana currently lacks a legal mechanism to capture some settlement payouts owed by noncustodial parents. Members discussed how the bill differs from existing child support liens and whether it would close gaps in current enforcement. The transcript cuts off during that discussion, before any final vote on House Bill 943 is shown.
LA
Transcript Highlights:
  • And that is... ...is the community and technical college system, and that is centralized under system
  • That's the initial payment, not medical; it's just the initial payment.
  • That's the initial payment. Not medical, it's just the initial payment.
  • We need to create stability in the system. House Bill 357 does not create stability in the system.
  • We need to create stability in the system. 357 does not create stability in the system.
Summary: The Labor and Industrial Relations Committee first took up House Bill 680 by Rep. Weibel, which proposes a major overhaul of Louisiana’s workforce development system. The bill and a large amendment package were described as modernizing workforce planning, consolidating some state-level strategy and administration, and strengthening coordination with local workforce partners, employers, and regional stakeholders. A transition advisory team with an 18-month sunset was added to help implement the changes, and members repeatedly raised concerns about preserving local input for different regions, parishes, and cities. Rep. Weibel, the secretary of Louisiana Works, parish officials, and other supporters said the goal is to shift more resources from overhead to training and direct services while keeping local boards and parish involvement in place. Testimony from a Utah official and from local government and business representatives emphasized that similar consolidations can create efficiencies without eliminating local responsiveness. The committee adopted the amendments and then reported HB 680 with amendments. The committee then heard House Bill 780 by Rep. Furman on workers’ compensation. The bill seeks to streamline disputes over compensation and medical benefits, reduce litigation, and lower costs by restoring an expedited preliminary determination process and changing the standard for penalties and attorney fees to an arbitrary-and-capricious standard. Supporters, including lobbyists and defense attorneys, argued that the current process is outdated, overly technical, and too litigious, especially because adjusters now often work remotely and the statute still relies on fax and certified-mail procedures. They said the bill would speed up decisions, reduce unnecessary attorney-fee claims, and help employers and injured workers alike. Opponents, including attorneys for injured workers, argued the bill would make it harder for workers to recover penalties when benefits are delayed, shift the burden in favor of insurers, and fail to address understaffing and defense costs. Members debated whether the bill’s new standard should replace the current “reasonably controverted” language; an amendment to restore that language was offered but opposed by the author and other members and was not adopted. The committee adopted technical amendments and other committee amendments, heard additional testimony, and continued debating the bill’s substantive changes.
AZ

Arizona 2026 Regular Session

01/30/2026 - House Health & Human Services Committee of Reference

House Health & Human Services Committee of Reference

Transcript Highlights:
  • system, through the wholesalers that he partnered with.
  • We were in the Centria portal, and that's our licensing system.
  • 40-hour work week processing credit card payments.
  • As for the amount of that incentive payment, I— As for the amount of that incentive payment, that would
  • And so as a result, reducing the department's payment. the highest match rate of 15%.
Summary: The committee met as a Joint Health and Human Services Committee of Reference to hear sunset reviews and performance audit findings for several health-related boards. The first action taken was on the Arizona State Board of Pharmacy. The Auditor General reported that while the board met some licensing deadlines, it had significant problems enforcing controlled substances prescription monitoring program (CSPMP) requirements, timely investigating complaints, and documenting fee analyses and other compliance items. The board director said the agency had implemented some recommendations, was seeking legislative help on CSPMP enforcement and data issues, and described staffing and vendor challenges. A public member testified that the board was generally efficient but that statutory gaps limited its effectiveness. The committee then voted 13-0, with six not voting, to continue the Board of Pharmacy for six years until July 1, 2032, with statutory changes to improve its operations. The committee next reviewed the Arizona State Board of Nursing. The Auditor General found the board timely processed licenses but continued to resolve too many complaints late, with a large and growing backlog of open cases, and identified additional issues in oversight, accounting, public records, and conflict-of-interest practices. The executive director said the board had been under-resourced as nursing volume and complaints increased, requested 28 additional investigative positions, and described efforts to triage cases and improve tracking. The Arizona Nurses Association supported the board’s role and said it was working on a bill, House Bill 2408, to improve accountability, prioritization, and fairness in the disciplinary process. A nurse attorney testified that changes to complaint notice, the scope of investigations, and triage could shorten delays. The committee approved continuation of the Board of Nursing for four years until July 1, 2030, by a 14-0 vote with five not voting. The committee then heard the sunset review for the Arizona Board of Occupational Therapy Examiners. The Auditor General reported that the board generally met licensing timelines but had documentation problems verifying fingerprint clearance cards or criminal history checks, and it failed to act promptly on a renewal application involving serious sex-trafficking-related charges. The board said it had accepted all recommendations, had implemented most of them, had moved to a new licensing platform, and had hired help to address rulemaking delays. Members asked about fingerprint verification and the handling of the serious criminal charges. The committee voted 16-0 to continue the board for four years until July 1, 2030, with statutory changes to improve its performance. Finally, the committee began the review of the Arizona Regulatory Board of Physician Assistants. The Auditor General found the board had met some licensing and enforcement requirements but lacked adequate executive oversight, accountability, and tracking systems, and it had very high complaint-resolution delays. The report also criticized the board’s incentive pay structure, which paid all staff based on measures unrelated to complaint timeliness. The new executive director said the board had created formal investigative timelines, improved reporting, sought additional support staff, and was updating IT and incentive metrics; she also explained that the board is a shared agency with the Medical Board. The transcript ends during this presentation, before any vote on the physician assistant board is shown.
TX
Transcript Highlights:
  • errors in that system will cost us hundreds of millions of dollars. ...and improper payments and errors
  • CMS makes the payment. For most services, Medicaid also makes payments.
  • different type of supplemental payment in a managed care system.
  • It was more like there was not documentation in a system to support whether or not the payment was correct
  • of the system, I can tell you the challenges create discrepancies that can appear as improper payments
AZ

Arizona 2026 Regular Session

01/29/2026 - Senate Health and Human Services

Health and Human Services

Transcript Highlights:
  • That means because there's people cheating the system, and we haven't...
  • It's the system that allows this.
  • Why were these payments paid late?
  • It's a system.
  • incentive-based payments.
LA

Louisiana 2026 Regular Session

Labor and Industrial Relations Mar 26th, 2026

Labor & Industrial Relations

Transcript Highlights:
  • That's the initial payment. Not medical, it's just the initial payment.
  • That's the initial payment. Not medical, it's just the initial payment.
  • That's the initial payment. Not medical, it's just the initial payment.
  • We need to create stability in the system. 357 does not create stability in the system.
  • We need to create stability in the system. 357 does not create stability in the system.
Summary: The committee first took up House Bill 680 by Representative Weibel, which would modernize Louisiana’s workforce development system by consolidating strategy and administrative functions at the state level while preserving local input. After adopting two sets of technical amendments and a larger amendment package that added a transition advisory team, consultation requirements with local workforce partners, and other planning and governance changes, the committee heard extensive testimony from the author, the Secretary of Louisiana Works, parish and local workforce representatives, and a witness from Utah describing that state’s consolidation experience. Supporters said the bill would reduce overhead, direct more money to training and services, improve coordination, and better align workforce programs with regional labor needs, while several members pressed for assurances that local boards, parishes, cities, and small businesses would remain involved. The committee ultimately adopted the amendments and reported HB 680 favorably with amendments. The committee then heard House Bill 780 by Representative Furman, a workers’ compensation bill aimed at reducing litigation and speeding dispute resolution. After adopting technical amendments and a separate amendment set allowing authorized agents or attorneys to prepare certain notices, members also adopted a committee amendment deleting a statutory definition of “arbitrary and capricious” after concerns were raised that the language could create confusion or conflict with existing jurisprudence. The author and supporting attorneys argued the bill would restore an expedited preliminary determination process, create a single standard for attorney fees, and reduce costs for employers by limiting unnecessary litigation and delays. They said the changes would not affect an injured worker’s choice of physician or existing penalty provisions, and that the bill mainly addressed notice and dispute procedures. Opponents, including attorneys representing injured workers, argued the bill would make it harder for workers to recover penalties and attorney’s fees when benefits are delayed or denied, and said the new standard could favor insurers that are understaffed or slow to process claims. They also criticized the shift from reasonableness to a more restrictive standard and raised concerns about delayed payments and the lack of transparency around defense costs. After hearing testimony from both sides, the committee continued discussion of the bill with these issues still under consideration.
FL
Transcript Highlights:
  • And the system worked.
  • And the system worked.
  • So our funding system has to change.
  • We create a monthly system, a monthly payment system.
  • And so what we propose is a front-loaded system, monthly, but front-loaded, so that the first payment
Summary: The committee first heard the Pre-K-12 education budget proposal for fiscal year 2025-26 and voted to adopt it as the committee’s recommendation to the full Senate Appropriations Committee. The proposed $34.7 billion budget includes increases for the FEFP, Family Empowerment Scholarships, VPK, school safety, the Florida School for the Deaf and Blind, school hardening, Jewish day school security, and an education enrollment stabilization fund. Members asked no questions on the budget before it was advanced, and staff was authorized to make technical corrections. The committee then passed CS/SB 1402, which expands eligibility for dropout retrieval services to any individual who has withdrawn from high school and clarifies how school grades are calculated for virtual instruction providers that offer only dropout retrieval services. An amendment to clarify the grading calculation was adopted without objection, and the bill was reported favorably after a roll call vote. The committee also took up SPB 7030, a comprehensive scholarship-program bill sponsored by Senator Gates, which would separate Family Empowerment Scholarship funding as its own categorical, expand the education stabilization fund, create fall and spring application windows, require a single scholarship application and more documentation, assign student IDs, change payments to a monthly schedule, require background checks for paid instructional providers, mandate annual FTE audits by the Auditor General, and standardize reimbursement and eligibility procedures. After extensive discussion and public testimony, the bill was adopted as a committee bill and reported favorably, with Senator Osgood voting no. Finally, the committee considered CS/SB 508, which requires private schools participating in the Family Empowerment Scholarship Program to disclose in writing what accommodations, modifications, and services they will provide for students with existing plans such as IEPs, 504 plans, or ELL plans. An amendment was adopted to require public schools to consult with private schools about equitable services, and the bill was reported favorably. Public testimony included support from parent-choice advocates and concerns from private-school representatives about administrative burden and the scope of the required disclosures. The meeting concluded after the final roll call votes and adjournment motion.
ND
Transcript Highlights:
  • And then right-sizing health care delivery systems.
  • So this is teaching health care systems.
  • So this is teaching health care systems.
  • The payment error rate is not a measure of fraud.
  • That can lead to spikes in the payment error rate.
Summary: The committee was called to order, the roll was taken, and the March 18 minutes were approved. Members then received several project and program updates, beginning with CHI St. Alexius’s behavioral health buildouts in Bismarck, Williston, and Grand Forks. St. Alexius reported that the Bismarck project remains on track for June 2027 completion, with demolition underway and final design work nearing completion. Williston reported construction is progressing, staffing recruitment is underway for psychiatrists and other staff, and an air handler replacement is creating a roughly $750,000 unbudgeted barrier that will slightly delay the timeline. Grand Forks reported its expansion is about 30% complete, with no major barriers beyond weather, and leaders said the project should be substantially complete in the first quarter of 2027. The Department of Health and Human Services then presented a series of budget and program updates. Donna Ockland explained several recent line-item transfers as technical corrections that net to zero and do not require new spending, then reviewed salaries, wages, and FTE counts, noting the department remains within its authorized staffing levels. Pat Rainer followed with an update on the Rural Health Transformation Program, saying 12 opportunities have been posted, 422 applications received, and $8.4 million obligated so far, with a goal of obligating the full $199 million by September. He described grants for workforce retention, rural rotations and housing, community gardens, school wellness, behavioral health promotion, safety net services, equipment, technology, EMS, and other initiatives, emphasizing that the program is intended to be transformational and tied to metrics. Members asked extensive questions about how rural eligibility is defined, how grants will support both rural facilities and hub hospitals, and how future years of funding will build on current awards. The committee also heard an update on certified community behavioral health clinics from Elena Zeller, who said North Dakota has been accepted as a demonstration state, implementation is underway in Williston, North Central/Minot, Fargo, and Dickinson, and care coordination and service counts are increasing. Rebecca Askins then reviewed SNAP payment error rates, saying the 2025 rate was finalized at 9.89%, with the state aiming to get below 6% through policy updates, training, data tools, and a quality assurance team. Members pressed her on the causes of the error rate, the role of the SPACES software system, and the need for accountability and improvements. Finally, Dirk Wilkie reported the state laboratory project reached substantial completion on June 12 and is on budget at about $69.95 million, though a service elevator had to be redesigned because it was too small for equipment.
FL
Transcript Highlights:
  • So are funding system has to change.
  • We create a monthly system, a monthly payment system.
  • And so what we propose is a front loaded system monthly Matt front load it so that the first payment
  • They re CRA monthly payment, rather, they receive frontloaded monthly payments and that money goes into
  • I do have a question when it comes to the monthly payments, if in a while the monthly payments or be