Transcript Highlights:

• So, we're making good contract.
• Occasionally we would have to seek for workers’ comp, but we’ve so far been able to manage workers’ comp
• for your workers? for your workers?
• I see contracts that EAB is now contracted $8 million, I think, when I'm adding them all up.
• I see contracts that EAB is<02:09:06.159> now<02:09:06.800> contracted<02:09:07.440>

Keywords: 910, house, all

Transcript Highlights:

• That means that these drivers do not have workers' compensation.
• It does not have the same guarantees for workers.
• Well, workers' compensation benefits would need to be provided immediately.
• And the workers' comp claim may take years to go.
• The workers' comp claim may take years to get reimbursed.

Summary: The committee heard several insurance-related bills. SB 371 by Senator Cabaldon would lower uninsured/underinsured motorist coverage requirements for rideshare companies from the current $1 million level to $100,000 per person and $300,000 per incident, with added transparency and data-reporting provisions. Uber, Lyft, and several business groups supported the bill as a way to reduce fares and improve affordability, while consumer attorneys, labor groups, and others opposed it as a major cut in protection for injured passengers and drivers. Committee members raised concerns about whether savings would actually reach riders and drivers, but the bill was approved on a do-pass vote to the next committee, with one member not voting. SB 487 by Senator Grayson would change how settlement or judgment proceeds are distributed when peace officers or firefighters are injured by a third party, ensuring they receive at least two-thirds of the at-fault party’s liability insurance limits in certain cases. Supporters, including public safety unions and an injured deputy sheriff, said current law can leave injured first responders with little or no recovery after employer reimbursement, while opponents representing cities, counties, and public agencies argued the bill would reduce recovery of taxpayer-funded workers’ compensation costs and lacked sufficient data. The committee members who spoke largely supported the bill, and it passed on a do-pass vote to Appropriations, with one member not voting. SB 616 by Senator Rubio would create an independent community hardening commission within the Department of Insurance to develop statewide wildfire mitigation recommendations and a post-catastrophe reporting process. The Department of Insurance, local governments, consumer groups, and fire-related organizations supported the measure as a way to improve wildfire resilience and insurance availability, while water agencies opposed provisions touching water infrastructure and warned of litigation and ratepayer impacts. The bill advanced on a do-pass vote to Appropriations, with some members not voting and one member voting no. The committee also heard SB 547 by Senator Perez, coauthored by Senator Rubio, which would extend wildfire-related insurance cancellation/nonrenewal moratoriums to commercial properties; insurers removed their opposition after amendments, and the bill passed to Appropriations on a do-pass vote.

Transcript Highlights:

• And so we implemented a kinship supports contract where they are assigned a worker as well who can help
• Medical referrals, by contract, which I have the contracts right down here, any initial placement, there
• The only way they contract is by bed space.
• These contracts and these procurement policies, these are all their contracts.
• This original contract was executed in 2019. It's been amended 13 times on this one contract.

Keywords: 1182, all

Summary: The committee met for a presentation-only hearing on the Arizona Department of Child Safety, with no bills on the agenda. Chair Blackman opened by emphasizing that the hearing was intended to be data-focused and respectful, and that personal attacks or false accusations would not be tolerated. Director Catherine Patak then presented DCS data on hotline volume, investigations, reunifications, adoptions, guardianships, foster care entries and exits, kinship placement, congregate care, missing youth, and extended foster care. She said the department investigated more than 43,000 cases in 2025, kept the out-of-home care population relatively steady, and had reunified about 3,000 children with parents, while also noting that older youth and behavioral-health-driven removals are creating a mismatch with available foster homes. She also described kinship supports, foster parent recruitment, and the impact of Family First on funding, saying DCS lost federal drawdown for congregate care while waiting on approval for prevention programs. Members questioned the director about kinship caregivers, behavioral health access, reunification services, parental rights terminations, notice and documentation practices, and the effect of increased reimbursement rates. Patak said unlicensed kin can receive support through the kinship supports contract, that behavioral health assessments are done quickly at the welcome center or within 24 hours for kin placements, and that provider capacity remains a major constraint outside DCS control. She explained reunification conditions and services, said the department is working on documentation and notice issues flagged by the Auditor General, and noted that kinship reimbursement increases have helped some families step forward. She also said DCS procurement for group homes is handled internally through an RFP process and that about 10% of kinship caregivers become licensed. Representative Gillette then delivered a lengthy presentation arguing that the child welfare, Medicaid, and disability systems are structurally intertwined and that procurement and funding rules create incentives for volume and congregate care use. He criticized DCS, DES, and AHCCCS/Access oversight structures, argued that the system diffuses accountability, and said the committee’s work and related materials would be referred to special counsel. He also raised concerns about documentation, placement decisions, and the cost of congregate care, while asserting that the system over-relies on large providers and that reforms should focus on structural and financial incentives. Vice Chair Fink followed with a brief slide noting that congregate care costs far more per child than foster or kinship care, reinforcing the committee’s concern about placement costs and the need to shift children toward family-based care when possible.

Transcript Highlights:

• It started to become a difficult situation for those workers.
• And lately, threats against election workers have increased. increased.
• and we look forward to working with you to protect our election workers.
• That was like accidentally. done by a worker or fraudulent deletion?
• I think an impatient poll worker, perhaps.

Keywords: 1184, house, all

Transcript Highlights:

• This limited contract exemption language would enable DSH to quickly process contract amendments for
• This limited contract exemption language would enable DSH to quickly process contract amendments for
• County contract has facilities in the Los Angeles County area pay for services related to that contract
• area pay for services related to that contract.
• contracted through the state.

Keywords: 988, house, all

Summary: The Assembly Budget Subcommittee on Health heard presentations on several May Revision proposals, beginning with an overview from the Legislative Analyst’s Office and the Department of Finance on the state’s budget condition and the administration’s efforts to reduce out-year deficits through a mix of revenue measures, fund shifts, and program reductions. The chair expressed support for some administration proposals, such as added health IT funding, county administration support, a delay in Medi-Cal cuts for some immigrants, and additional Covered California subsidy backfill, but also criticized proposed Medi-Cal premiums, changes to senior eligibility, the lack of a Medi-Cal dental solution, and other cuts affecting counties, workforce, and rural access. The LAO said the budget still relies heavily on reserves and borrowing and urged more reserves and caution on new commitments. The Department of State Hospitals presented several proposals, including reduced county bed billing authority, limited contract exemption authority for online clinical subscriptions, reversion of unspent prior-year funds, additional lease revenue authority for the Metro Central Utility Plant replacement, funding for electronic health record implementation, and a shift of workforce development costs to Behavioral Health Services Act funds. The department also described savings and realignments in its IST and CONREP programs, including making the Independent Placement Panel permanent and adjusting funding for jail-based competency treatment and conditional release services. Members questioned the BHSA workforce funding swap, and the administration said it was part of a broader General Fund offset strategy. The Emergency Medical Services Authority requested funding for statewide behavioral health crisis response guidance and for continued operation of its enterprise systems, and the Department of Managed Health Care sought funds to modernize its complaint system and claims settlement data systems. The largest debate centered on the administration’s proposed use of Behavioral Health Services Act revenues to offset General Fund spending and fund state-directed behavioral health programs. The Department of Finance said the proposal would support population-based prevention, workforce programs, mobile crisis services, and other state-directed uses, while the LAO said it was still reviewing whether the uses comply with Proposition 1 and whether the non-supplement and eligible-use requirements are met. The Commission for Behavioral Health strongly opposed proposed cuts to its Innovation Partnership Fund and community advocacy grants, arguing that both programs are central to community voice, culturally responsive services, and statewide innovation. Commissioners and many public commenters said the cuts would reduce grants to community-based organizations, tribal groups, veterans, LGBTQ communities, youth, and other underserved populations, and that the advocacy program helps communities participate in local planning and access services. The Department of Finance defended the reductions as a way to prioritize direct services and said the programs fit within Proposition 1, but members criticized the proposal as a midstream shift that would weaken community engagement and redirect funds away from prevention and advocacy.

Transcript Highlights:

• And did you have a contract with DEED? Yes.
• with deed yes and then uh based contract with deed yes and then uh based on<00:14:22.240> your
• <01:34:25.760> and become positive productive workers and become positive productive workers
• training and preparing more workers training and preparing more workers helps<01:43:21.520> to
• We anticipate we'll definitely meet contract goals or exceed them.

Keywords: 1187, senate, all

Summary: The committee heard testimony on SF 818, a request for funding for the Block Builders Foundation, which provides financial literacy and job-readiness training for youth. Senator Fate and testifiers described a 12-week program covering budgeting, savings, banking, credit, debt, career exploration, job preparation, entrepreneurship, and mentorship. They said the program served youth ages 13 to 19, had expanded to multiple cohorts, and had produced graduation ceremonies and job placements. Testifiers also said the organization had transportation challenges and limited space, and that additional funding would help with staffing, participant support, and transportation partnerships. Committee members asked extensive questions about the program’s outcomes, funding sources, and finances. Block Builders said it had 40 graduates in the most recent cohort, with 30 placed in jobs, and that participants who complete the program receive a $500 stipend. The organization said it had been operating since 2023 in North and South Minneapolis, had received $50,000 from the state previously, and raised additional community support. Members also asked about IRS filing status, audits, and how outcomes were measured; the organization said outcomes were tracked through graduation and certificates, and that it had not yet filed a 990 because it had not reached the threshold. The bill was laid over for possible inclusion, with committee members noting the current language makes the appropriation available only through June 30, 2026 unless amended. The committee then began hearing SF 927. An A1 technical amendment was adopted without objection. Senator Pappas introduced the bill, which would appropriate $1.5 million to the Mung American Partnership for workforce development and business lending. The transcript cuts off before further testimony or committee action on SF 927.

Transcript Highlights:

• This means fewer opportunities for many workers who are already in the pipeline.
• These workers are disproportionately immigrants, and I...
• and having the information to call out for help for other workers.
• We contract with these entities to do cleanup in these areas.
• contract to clear your home.

Summary: The committee heard several bills related to public safety, emergency response, wildfire prevention, and environmental protection. AB 2152 by Assembly Member Mark Gonzalez would streamline CEQA litigation for new fire station projects and add best-practice requirements; supporters, including firefighters, said it would help communities and firefighter safety, while opponents argued the project labor agreement requirements would raise costs and limit participation for small and nonunion contractors. The bill passed to Appropriations. AB 2041 by Assembly Member Carrillo would expand reporting related to 911 dispatcher pre-arrival medical instructions; after amendments and stakeholder agreement, opposition groups said they would remove their opposition, and the bill passed to Appropriations. AB 2101 by Assembly Member Gipson would require human trafficking notices and training at disaster sites and for disaster response workers; supporters said it would protect vulnerable workers, while broadband, city, and county representatives raised implementation concerns, especially in rural disaster areas. It passed to Appropriations despite a no vote from Vice Chair Hadwick. The committee also considered AB 1805, which would require an audit and stronger oversight of the state’s Next Generation 911 project after concerns about major spending and delays. CalNENA supported the bill’s transparency and accountability provisions, and the measure passed to Appropriations. AB 1536 by Assembly Member Addis would tighten safety and public review requirements for offshore oil pipeline restarts and require decommissioning of certain spill-prone pipelines; environmental and coastal government groups supported it, while the Western States Petroleum Association warned it would threaten fuel supply and pipeline operations. The bill passed to Appropriations on a divided vote. AB 1964 would direct the State Fire Marshal to survey home hardening in fire-prone areas and estimate costs; it passed to Appropriations with broad support. AB 1960, also by Assembly Member Bennett, would use a portion of wildfire prevention grants to encourage community-level home hardening certification. The author said the bill would create incentives and broader public awareness, while the vice chair argued it would favor communities that can already afford hardening and divert resources from higher-need areas; the bill still passed to Appropriations. AB 1863 by Assembly Member DeMaio would clarify that people cannot be charged simply for calling 911 or when no services are rendered, while preserving fees for actual services and allowing billing for legitimate emergency response costs; it passed to the Assembly floor. The committee also took up consent item AB 2517, which passed to Appropriations. After add-on votes for absent members, the meeting adjourned.

Transcript Highlights:

• We have healthcare workers on the front line, faith leaders, community organizers, and first generation
• HB 4462 by Harless relating to authorizing certain counties to contract for outside legal counsel in
• HB 4483 by Hefner rulings to the funding mechanism for the regulation of workers' compensation and workers
• AG 4827 by relating to the contract of the professional services rendered to the school district for
• Issue 44,830 by FELA relating to the regulation of service contractors and service contract providers

Transcript Highlights:

• So what we're going to do is establish a microcredential for health workers, for teachers, for daycare
• workers. ...who really help establish a safe environment in a school setting or a daycare setting for
• workers. health workers, for teachers, for daycare workers who really help establish a safe environment
• And these services will be covered under the new contracts, whatever.
• And these services will be covered under the new contracts, whatever.

Summary: The Senate opened with a prayer, pledge, and several introductions recognizing guests and groups in the gallery, including representatives from Moffitt Cancer Center, students from Lakeland Christian School, space industry guests, Kappa Alpha Psi, the Florida Association of Licensed Investigators, and local visitors from Groveland and Polk County. The chamber also noted the doctor of the day and later adopted Senate Resolution 1856 honoring the life and legacy of Senator Geraldine Thompson, with 38 co-introducers recorded. In addition, Senate Bill 1324 by Senator Simon was withdrawn from further consideration. The main floor action was on Committee Substitute for Committee Substitute for Senate Bill 112, relating to children with developmental disabilities. Senator Harrell explained that the bill is aimed at improving autism diagnosis, early intervention, and services by expanding screening and referral grants, extending Early Steps services, designating the University of Florida Center for Autism and Neurodevelopment as a coordinating research hub, creating grants for autism-focused charter schools and summer programs, and establishing a microcredential for workers who serve children with autism. Several senators spoke in support while raising implementation concerns, especially about provider recruitment, Medicaid managed care coverage, and the need for more research and technology support. In closing, Senator Harrell said the bill is a first step in a broader effort to improve services and research, and she addressed concerns by stating the services would be covered under new contracts and Medicaid, subject to a federal waiver, and that the microcredential would be developed online by the University of Florida with a stipend to encourage participation. The Senate then voted 38-0 to pass the bill. Afterward, the Rules Chair moved to waive rules and immediately certify the bill to the House, which was adopted without objection, and the Senate adjourned until the next scheduled meeting.

Transcript Highlights:

• They were about election workers, paid election workers who were breaking the law, who were making the
• Let's go to the Constitution. of Senate Bill 12 reads that a contract term, assuming a contract with
• contract.
• or contract with advocacy organizations?
• terminating a contract prematurely could lead legal to legal exposure, breach of contract claims, and

Bills: SB5, SB11, SB12, SB9, SB42, SB15, SB5, SB11, SB12, SCR1

Keywords: hemp regulation, consumable products, cannabinoids, occupational licenses, criminal offenses, SB 11, Texas attorney general, election crimes, election law enforcement, criminal prosecution, Election Code, Government Code Chapter 402, local prosecutors, county attorney, district attorney, grand jury, probable cause reports, state election offenses, voter fraud, election integrity

Transcript Highlights:

• We do not have a contract with them.
• But yes, there was an agreement or contract at some point. agreement or contract at some point once it
• We terminated that contract. So now, as a result, we are moving into this new system process.
• So, it caused confusion with the poll workers on that front.
• But then we got calls from poll workers and from... got calls from poll workers and from probate judges

Bills: HB479, HB480

Keywords: voting, elections, voter registration, voter rolls, list maintenance, address change, change of address, ERIC, Electronic Registration Information Center, AVID, Alabama Voter Integrity Database, Secretary of State, board of registrars, inactive voter, voter purge, duplicate registration, cross-state voter matching, National Change of Address, NCOA, driver license data

Transcript Highlights:

• In service of this aim, since 2023, the Public Education Department (PED) has contracted with Panorama
• So to become a licensed social worker, you would need a master's degree.
• I was thoroughly impressed as a master-level social worker myself.
• supervising social worker or psychologist.
• When I I entered into school as a licensed master level social worker.

Keywords: 996, all

Transcript Highlights:

• This is emergency dislocated worker money.
• It's what we saw in the workers' comp. We just talked about.
• No, that is a city contract with Tetra Tech, and that is their money.
• So if they signed a contract, why are we asking for more?
• This is based on the contracted rate and also additional offenders.

Keywords: 959, house, all

Transcript Highlights:

• there. ...and harassed just because they were hotel workers there.
• This would help support our small businesses, consumers, and workers.
• , electricians, and day workers.
• And yet the data shows that we've had very productive workers.
• So I do... ...the data shows that we've had very productive workers.

Summary: The Assembly met in session, established a quorum, approved dispensing with the previous day’s journal, and then took up a long third-reading file. Early procedural actions included moving AB 1589 to the inactive file and continuing reconsideration items. The chamber then considered a series of bills largely focused on immigration enforcement, detention, worker protections, child care, voting access, and related public services. Several immigration-related measures passed, including AB 2393 on damages for false imprisonment/arrest, AB 1994 on an immigrant victims’ rights and resources card, AB 1929 on health plan investment disclosures, AB 1633 imposing a tax on for-profit detention facilities, AB 1650 requiring decals on rental vehicles used for enforcement, AB 1655 protecting CalWORKs benefits when a child is detained, and AB 1896 disqualifying people who participated in immigration enforcement from certain public employment. AB 2230, which would bar immigration enforcement near polling places and child care facilities, also passed after extensive debate. Supporters framed these bills as accountability and protection for vulnerable communities; opponents argued they targeted federal law enforcement, were unnecessary, or raised constitutional concerns. AB 1851 on statewide school mental-health guidance also passed unanimously. After the midday recess, the Assembly returned and continued with more bills tied to immigration impacts and child welfare. AB 2379 passed with urgency, requiring child care providers to be informed of constitutional rights and trained on protections when confronted by immigration enforcement. AB 2460 passed to update school behavioral-health referral protocols for students affected by immigration enforcement trauma. AB 2495 passed to expand prohibitions on employer immigration-related threats, and AB 2662 was presented as a way for California to monitor and document federal enforcement actions and report on their community impacts. Throughout the day, the floor featured repeated exchanges over whether the bills addressed real problems or were political messaging, but the measures that came to a vote generally advanced with majority support.

Transcript Highlights:

• As you may have heard, Integrion has decided not to renew its contract.
• We're not waiting for the large contract statewide.
• So, we have the Workers' Compensation Fund put up by one agency.
• And even the attorney fees are capped in the Workers' Compensation Fund.
• And thank you to all of our state workers.

Transcript Highlights:

• <00:01:57.880> compensation 175a created the workers compensation 175a created the workers
• <00:04:19.600> compensation workers compensation workers compensation fund<00:04:22.079> there
• people of Minnesota the Injured Workers people of Minnesota the Injured Workers Minnesota<00:13:
• lawyers um I'm teaching workers young lawyers um I'm teaching workers comp<00:15:17.519> now<
• comp so all of a sudden you do workers comp so all of a sudden you do workers comp<00:15:58.480>

Keywords: 1187, senate, all

Summary: The Senate Labor Committee received an overview from Chief Judge Patricia Millan of the Workers’ Compensation Court of Appeals (WCCA). She explained the court’s history, created in 1981, its role as the appellate body for workers’ compensation disputes after Department of Labor and Industry and Office of Administrative Hearings proceedings, and its original jurisdiction over petitions to vacate settlement agreements. She also noted the court is composed of five judges, is funded entirely by the workers’ compensation fund, and operates with five staff attorneys and two full-time employees. The committee then heard introductory remarks from the judges present for confirmation: Deb Sunquist, Katherine Carlson, Shan Quinn, and Thomas Christensen, with a procedural note that Quinn’s reappointment had not yet been formally referred to the committee, so his motion would be held until paperwork arrived. The judges emphasized their collaborative, panel-based work, their experience representing both injured workers and employers, and their commitment to the workers’ compensation system. Quinn also described efforts to teach workers’ compensation at the University of Minnesota and encourage younger lawyers to enter the field. Members asked about the court’s caseload and about delays in workers’ compensation claims. In response, the judges said the WCCA’s caseload has generally declined and fluctuates, and they offered to provide case-count data. In a more detailed exchange, a senator described a family member’s long-delayed claim; judges explained that repetitive-trauma or “Gillette” injuries often require substantial medical proof and can be difficult for insurers to accept, but that the system is intended to be no-fault and typically takes about a year to a year and a half from filing to resolution. No votes were taken during the portion of the meeting reflected here.

Transcript Highlights:

• It states that the Veterans Services Department's analysis would allow the department to contract for
• It will supplement that, and the need for two-term employees and contracting requirements.
• Under the existing requirements, we would need both full-time employees: one as a contract manager at
• We currently do have a licensed social worker on our staff under our health care coordination so that
• For us to undertake having a social worker to start providing services and managing a... ...of having

Keywords: 996, all

Summary: The House Labor, Veterans, and Military Affairs Committee met with a quorum and heard two bills from Representative Martinez. House Bill 56 would appropriate $1 million to the Department of Veterans Services to expand behavioral health and suicide prevention efforts for veterans. Supporters, including the Greater Albuquerque Chamber of Commerce, the Department of Veterans Services, the Disability Coalition, New Mexico Professional Firefighters, the New Mexico Veterans and Military Families Caucus, and NAMI New Mexico, said the funding would help veterans navigate a difficult system, improve outreach in rural areas, and address New Mexico’s high veteran suicide rate and related alcohol and drug deaths. Committee members asked about whether the program was new or an expansion of an existing effort, how services would be delivered, and whether outreach would reach homeless and rural veterans. The secretary explained that the bill would augment an existing Suicide Prevention Act program, use contracts with outside providers rather than direct services, and require two term employees for contract management and outreach. The committee voted 7-1 to give HB 56 a due pass and send it to the next committee. The committee then heard House Bill 55, which would create an income tax deduction for retirement income earned by first responders, similar to an existing benefit for military retirees. Supporters argued it would help recruit and retain firefighters, law enforcement, and other first responders, and could encourage retirees to move to New Mexico and contribute economically. Several members raised concerns about the fiscal impact, the lack of a sunset, the narrow definition of first responder, and Taxation and Revenue Department concerns that the bill could reduce general fund revenue by about $6.1 million in the first year and might not attract retirees on its own. The sponsor said he had not yet met with Tax and Rev but would do so, and noted he was open to a sunset if it helped the bill move forward. Despite concerns, the committee voted 7-1 to pass HB 55 to the next committee, with members explaining their votes and emphasizing that the bill would receive further vetting in Tax and Revenue.

Transcript Highlights:

• AB 692 prohibited employment contracts that require workers to pay their employers a debt if they leave
• their job, regardless of whether that worker was fired, laid off, or quit.
• debt employment contracts would therefore not apply until January 1, 2027.
• This bill strengthens the Inspector General's office by giving it position classifications and contract
• We're simply ensuring that every workplace training covers the full scope of what workers are actually

Summary: The Assembly Appropriations Committee met on April 22, 2026, with a quorum present and first took up a large consent calendar. It moved a set of bills to the Assembly Floor consent calendar by unanimous vote, including AB 1773, 1785, 1828, 1873, 1918, 2001, 2085, 2173, 2412, 2536, 2644, and 2781, and separately approved another group of unanimous bills not eligible for floor consent, including AB 1544, 1555, 1614, 1621, 1637, 1704, 1816, 1933, 2529, 2559, 2663, and 2731. The committee then heard several individual bills, with each author describing the measure and witnesses generally testifying in support; no organized opposition was recorded on the bills discussed. Among the measures heard, AB 2393 would create fixed statutory damages for certain false imprisonment and arrest claims, while exempting peace officers, custodial officers, and public entities. AB 1697 would delay implementation of a recently enacted prohibition on employment contracts that require workers to repay employer debts if they leave a job, and AB 2534 would extend Domestic Violence Prevention Act restraining order protections to attempted forced marriages and survivors of forced marriages. AB 1608 would strengthen the High-Speed Rail Inspector General’s office by adding staffing and contracting authority, requiring public reports, and allowing limited temporary confidentiality for sensitive information; the bill drew questions from members about transparency and whether information could be withheld, but the author and Inspector General said the measure would increase accountability and only allow narrow, time-limited confidentiality. The committee also approved AB 1916, which would allow American Sign Language interpreters to participate in the same collective bargaining process as other certified court interpreters, and AB 1803, which would require anti-hate speech training as part of workplace harassment prevention training for employers with five or more employees. AB 1821 would change Public Records Act response timelines from calendar days to business days, with local government sponsors arguing it would better reflect actual processing time for broad and complex requests without reducing access. AB 1919 would establish election procedures to let voters decide the future of Santa Cruz Metro service funding after a one-time grant expires. Each of these bills was moved forward on due pass votes, with some members not voting on certain measures. The committee then approved a long suspense file, and the remaining suspense bills were deemed approved without further discussion.

Transcript Highlights:

• Slide three on your contracting.
• Are you contracting with all those New Mexico companies, or are some of those contracts out of state?
• The more you spend on a contract... contract, the greater your odds of failure.
• , out-of-state workers?
• states are being successful in that, i.e., remote workers, out-of-state workers.

Transcript Highlights:

• c><00:13:12.639> some<00:13:12.800> paths contract issues which have some paths contract
• They were going to be contract workers, so they weren't people within the system necessarily, but they
• workers.
• So, they weren't be contract workers.
• So that's really really contracts.

Keywords: 958, all

Summary: The committee first approved the minutes and then approved an agency amendment to a health and family services regulation. The amendment reversed a prior change so that neonatal ICU beds would remain subject to regular review rather than nonsubstantive review. The remaining administrative regulations were then reviewed without objection. The main presentation was from State Auditor Allison Ball on a report finding $836 million in concurrent Medicaid capitation payments from 2019 through 2022, involving individuals enrolled in Kentucky and at least one other state. Ball said Kentucky relied on the PARIS system, which has limitations because it is updated quarterly and depends on voluntary state participation, while a better federal data source, T-MSIS, was not fully available to the state. She said the audit found weak internal controls, siloed processes, outdated guidance, and a low-priority attitude toward residency checks, all of which contributed to missed alerts and improper payments. She also said the report identified additional problems, including payments made after beneficiaries died and cases involving multiple states paying for the same person. Ball recommended better access to federal data, stronger MCO contract provisions, and more active oversight by the Department for Medicaid Services and managed care organizations. She said the contracts reviewed did not provide a clear way to recoup the improper payments, though she and her counsel suggested possible equitable legal theories might be explored. Members expressed concern about the scale of the waste and the lack of contract enforcement, and asked whether any money could be recovered. Ball said the audit did not identify a clear contractual path to recoup the funds.