Transcript Highlights:

• independent review to appeal an audit independent review to appeal an audit finding<00:10:42.639
• And she said she had an MCO audit, which you have to do as part of the program.
• The first audit found no deficiencies whatsoever.
• The first audit found no deficiencies whatsoever.
• There are measures within the contract to monitor performance, but monitoring performance is not the

Keywords: 958, all

Summary: The Senate Standing Committee on Health Services met with a quorum, first taking up referred administrative regulations. One regulation was deferred, and two others were noted as deficient; with no one wishing to speak, the committee treated the regulations as reviewed. The committee then heard Senate Bill 13 from Chairman Meredith, which would reduce the number of Medicaid managed care organizations from five to three. Meredith argued the bill would reduce administrative burden, improve oversight, help rural providers, and potentially lower costs for families and the Medicaid program. Senators Berg, Herron, and Douglas asked about data, patient impact, network adequacy, and prior authorization burdens; Meredith said the effect on patients would be indirect through better access and less administrative delay. The committee approved a committee substitute and passed SB 13 favorably on a 10-0 vote. The committee next considered Senate Joint Resolution 26, presented by Senator Richardson and Kentucky Pharmacists Association Executive Director Ben Mudd. The resolution asks the Department of Medicaid Services to provide data and cost analysis on paying pharmacists fairly for clinical services already within their scope of practice under Medicaid and KCHIP. Supporters said pharmacists can improve access, especially in rural areas, by providing services such as medication therapy management, chronic disease management, and preventive care, and that the resolution is intended to gather information before any future bill. Senator Douglas questioned whether expanded pharmacy duties have actually improved access or outcomes and whether there is published data; Mudd said the Board of Pharmacy tracks use of protocols but that more data is needed. The committee approved the resolution by roll call, with all members voting aye. At the end of the meeting, Chairman Meredith announced that Senate Bill 27 would be heard for discussion only and not acted on that day so members could review it further. Senator Brandon Storm introduced SB 27, which would create a Kentucky Parkinson’s disease research registry, and noted that a Michael J. Fox Foundation representative could not attend because of a winter storm; her letter was included in the packet. Storm said the registry is intended to support research and policy by tracking Parkinson’s disease in Kentucky, citing national prevalence and cost figures. No vote was taken on SB 27 during this meeting.

Transcript Highlights:

• Then, as I talked about, the Medicare Value-based purchasing total performance score.
• So, I'm not going to go through all the agency goals and keep performance metrics.
• Actually, performed a little better than I had hoped for. some of them.
• And those are our agency key goals and performance metrics 1, 2, and 3.
• Please write in an auditability requirement.

Keywords: 914, all

Transcript Highlights:

• She performs countless tasks every day that we never see, as well as many that we do see.
• They perform the functions of Caltrans and expend funds for our roads from Caltrans, SANDAG has been
• Under the framework, randomized audits ensure compliance with health and safety codes, and the approach
• Some counties are still disputing whether they agree with those audit findings or not.
• So all the while in the future, we'll be performing mandates and being required to perform those mandates

Summary: The Assembly Local Government Committee heard a full agenda of bills focused largely on housing, permitting reform, transportation governance, and local government finance. Early in the hearing, AB 24 by Assemblymember DeMaio proposed changing SANDAG board selection to give rural unincorporated areas a stronger voice; members raised concerns about the approach and local input, and the bill ultimately did not receive a second at the time it was heard. The chair later clarified that because no second was made, the bill was held rather than voted out, though the transcript also reflects confusion and later attempts to revisit the item. Several housing and permitting bills advanced with committee amendments and broad support. AB 671 by Assemblymember Wicks would streamline restaurant permitting through self-certification and faster plan review; AB 920 by Assemblymember Caloza would require a centralized online portal for housing permit tracking in larger jurisdictions; AB 1061 by Assemblymember Kirk Silva would allow SB 9 housing in historic districts with limits to protect historic character; AB 818 by Assemblymember Anamarie Farías would streamline temporary manufactured housing after disasters; AB 660 by Assemblymember Wilson would tighten timelines and remedies for post-entitlement housing permits; AB 1308 by Assemblymember Hoover would allow third-party inspections for small residential projects if local inspections are delayed; and AB 1445 by Assemblymember Haney would expand downtown revitalization financing tools for mixed-use housing. Each of these measures drew support from housing, business, and industry groups, with some local-government and special-district stakeholders seeking continued amendments on certain bills. The committee also approved AB 1156, which updates the solar use easement program to better accommodate renewable energy development on water-constrained agricultural lands, and AB 964, which would let local governments offset certain state mandate reimbursement debts against amounts the state owes them. AB 1223, by Assemblymember Wynn, would let Sacramento-area transportation authorities propose sales tax measures for portions of the county and keep revenues local; it advanced despite some transportation and taxpayer concerns. Consent items AB 36 and AB 1131 were also approved. Most bills were reported out on bipartisan votes, often with committee amendments and some members noting they would continue working on the measures in later committees.

Transcript Highlights:

• A number of audit firms under contract to make sure that our local partners get every dollar they can
• The Department of Public Safety perform every day. So quick question on TDA.
• We audit agencies. We review them. That's something we've done traditionally.
• It will no longer just be an audit of simple files.
• state, and what you're left with is, well, I just have to work off of that. this list to go and do audits

Keywords: 1184, house, all

Transcript Highlights:

• We review various prison practices, policies, and procedures by conducting performance audits and special
• Who monitor and assess internal affair investigations performed by CDCR's Office of Internal Affairs.
• That investigative work will be performed by the additional attorneys requested in our BCP.
• we can see if the department is actually doing what they're supposed to be doing and we we had our audits
• Why would they be allowed to still perform the functions of their job if they've proven that they're

Keywords: 988, house, all

Transcript Highlights:

• Perform such other acts as may be necessary to carry out the intent and purpose of this article.

Bills: HJR 98, HB 142, HB 912, HB 2525, SCR 19, SB 66, SB 128, SB 209, SB 250, SB 317, SB 383, SB 393, SB 397, SB 517, SB 571, SB 612, SB 614, SB 715, SB 731, SB 801, SB 865, SB 867, SB 872, SB 905, SB 913, SB 945, SB 946, SB 986, SB 1013, SB 1015, SB 1071, SB 1086, SB 1087, SB 1113, SB 1117, SB 1181, SB 1212, SB 1241, SB 1250, SB 1263, SB 1278, SB 1285, SB 1444, SB 1483, SB 1525, SB 1528, SB 1553, SB 1556, SB 1588, SB 1660, SB 1708, SB 1802, SB 1833, SB 1844, SB 1854, SB 1957, SB 1965, SB 1999, SB 2056, SB 2082, SB 2119, SB 2133, SB 2138, SB 2203, SB 2221, SB 2337, SB 2340, SB 2373, SB 2419, SB 2422, SB 2452, SB 2477, SB 2487, SB 2501, SB 2533, SB 2586, SB 2587, SB 2615, SB 2622, SB 2633, SB 2675, SB 2681, SB 2690, SB 2713, SB 2717, SB 2753, SB 2781, SB 2782, SB 2835, SB 2841, SB 2857, SB 2891, SB 2929, SB 2933, SB 2994, SB 3016, SJR 3, SB 5, SB 29, SB 72, SB 326, SB 494, SB 509, SB 530, SB 616, SB 769, SB 783, SB 963, SB 985, SB 1143, SB 1172, SB 1238, SB 1267, SB 1271, SB 1273, SB 1506, SB 1759, SB 1786, SB 1967, SB 2312, SB 2361, SB 1, SB 260, SB 1506, SB 1637, HJR 98, HJR 99, HJR 2, HJR 1, HB 1109, HB 1392, HB 22, HB 2525, HB 3093, HB 517, HB 912, HB 1130, HB 142, HB 1689, HB 2018, HB 136, HB 2884, HB 1393, HB 2730, HB 1399, HB 1244, HB 467, HB 331, HB 2559, HB 29, HB 26, HB 166, HB 353, HB 2000, HB 2756, HB 3248, HB 3513, HB 3204, HB 3135, HB 3012, HB 2763, HB 2523, HB 2457, HB 2415, HB 2198, HB 2143, HB 1708, HB 1672, HB 767, HB 1327, HB 2723, HB 451, HB 140, HB 109, HB 3096, HCR 6, HCR 12, HCR 29, HCR 50, HCR 55, HCR 56, HCR 58, HCR 70, HCR 71, HCR 74, HCR 78, HCR 80, HCR 107, HCR 116, HCR 117, SJR 36, SJR 50, SJR 63, SJR 59, SCR 12, SCR 39, SCR 48, SCR 19, SB 2023, SB 1844, SB 2533, SB 62, SB 666, SB 847, SB 284, SB 854, SB 1073, SB 810, SB 1505, SB 583, SB 507, SB 1434, SB 1772, SB 2016, SB 1163, SB 1122, SB 731, SB 397, SB 508, SB 1436, SB 287, SB 261, SB 1882, SB 393, SB 1791, SB 209, SB 2429, SB 1999, SB 511, SB 2309, SB 510, SB 1085, SB 1975, SB 2717, SB 1262, SB 636, SB 2056, SB 884, SB 517, SB 1200, SB 1845, SB 2681, SB 2458, SB 801, SB 3014, SB 3013, SB 758, SB 1013, SB 2797, SB 2076, SB 2876, SB 2929, SB 715, SB 1640, SB 2538, SB 1449, SB 986, SB 1181, SB 1359, SB 410, SB 1234, SB 2926, SB 2138, SB 2615, SB 2972, SB 2841, SB 3016, SB 1856, SB 1528, SB 1373, SB 672, SB 2891, SB 1854, SB 317, SB 2539, SB 2532, SB 1250, SB 2082, SB 2203, SB 1285, SB 1454, SB 2520, SB 1237, SB 1586, SB 2819, SB 629, SB 2342, SB 2903, SB 2477, SB 3029, SB 1957, SB 375, SB 250, SB 777, SB 2367, SB 2703, SB 2608, SB 2965, SB 2521, SB 865, SB 2165, SB 2501, SB 2675, SB 2452, SB 2835, SB 872, SB 1212, SB 1278, SB 1588, SB 1602, SB 1704, SB 1723, SB 1833, SB 1858, SB 1946, SB 2009, SB 2177, SB 2460, SB 2785, SB 2373, SB 1660, SB 614, SB 867, SB 1608, SB 1525, SB 905, SB 640, SB 2487, SB 1698, SB 383, SB 705, SB 748, SB 1113, SB 1117, SB 1802, SB 2340, SB 2586, SB 2680, SB 2690, SB 2994, SB 2747, SB 1950, SB 913, SB 1071, SB 1086, SB 1087, SB 1483, SB 1444, SB 1553, SB 1556, SB 1703, SB 2133, SB 2297, SB 2298, SB 2622, SB 2955, SB 3059, SB 2782, SB 2781, SB 2637, SB 2633, SB 2337, SB 2334, SB 1861, SB 2043, SB 1367, SB 946, SB 945, SB 2857, SB 128, SB 571, SB 1263, SB 3058, SB 612, SB 2221, SB 2587, SB 2044, SB 2363, SB 2713, SB 2311, SB 1986, SB 2565, SB 2943, SB 1888, SB 2417, SB 3048, SB 3052, SB 3053, SB 3036, SB 3057, SB 3056, SB 3043, SB 3037, SB 3050, SB 3063, SB 3047, SB 3035, SB 2446, SB 466, SB 2611, SB 2794, SB 2105, SB 2017, SB 1790, SB 1778, SB 1730, SB 2995, SB 2847, SB 205, SB 2619, SB 1903, SB 203, SB 3061, SB 1581, SB 2600, SB 2799, SB 2790, SB 2688, SB 2515, SB 1230, SB 876, SB 2522, SB 2639, SB 2137, SB 2519, SB 2403, SB 2459, SB 3051, SB 2655, SB 2251, SB 2764, SB 2878, SB 1884, SB 111, SB 582, SB 2617, SB 1835, SB 2751, SB 2959, SB 250, SB 614, SB 865, SB 872, SB 905, SB 986, SB 1113, SB 1212, SB 1278, SB 1525, SB 1588, SB 1660, SB 1802, SB 1833, SB 2487, SB 2586, SB 2675, SB 2690, SB 2929, HB 912, HB 2525, SB 1844, SB 2533, SB 1957, SB 1999, SB 2138, SB 2615, SB 3016, SR 469, SB 29, SB 326, SB 494, SB 530, SB 769, SB 783, SB 1238, SB 1967, SB 2312, SB 1506, HJR 34, HB 42, HB 198, HB 247, HB 367, HB 449, HB 632, HB 668, HB 677, HB 766, HB 1105, HB 1160, HB 1169, HB 1592, HB 1778, HB 1781, HB 1868, HB 2017, HB 2038, HB 2128, HB 2240, HB 2316, HB 2510, HB 2516, HB 2563, HB 2582, HB 2663, HB 2712, HB 2715, HB 2760, HB 2788, HB 3010, HB 3069, HB 3112, HB 3120, HB 3146, HB 3157, HB 3305, HB 3348, HB 3464, HB 3474, HB 3505, HB 3512, HB 3560, HB 3597, HB 3686, HB 3783, HB 3860, HB 4063, HB 4081, HB 4214, HB 4215, HB 4224, HB 4273, HB 4325, HB 4361, HB 4386, HB 4395, HB 4665, HB 4783, HB 5032, HB 5180, HJR 34, HB 42, HB 198, HB 247, HB 367, HB 449, HB 632, HB 668, HB 677, HB 766, HB 1105, HB 1160, HB 1169, HB 1592, HB 1778, HB 1781, HB 1868, HB 2017, HB 2038, HB 2128, HB 2240, HB 2316, HB 2510, HB 2516, HB 2563, HB 2582, HB 2663, HB 2712, HB 2715, HB 2760, HB 2788, HB 3010, HB 3069, HB 3112, HB 3120, HB 3146, HB 3157, HB 3305, HB 3348, HB 3464, HB 3474, HB 3505, HB 3512, HB 3560, HB 3597, HB 3686, HB 3783, HB 3860, HB 4063, HB 4081, HB 4214, HB 4215, HB 4224, HB 4273, HB 4325, HB 4361, HB 4386, HB 4395, HB 4665, HB 4783, HB 5032, HB 5180

Keywords: Article V, federal government, fiscal restraints, constitutional amendment, term limits, HB 142, Texas Health and Human Services Commission, HHSC, Office of Inspector General, OIG, Medicaid, Medicaid managed care, recovery audit contractor, RAC, overpayment recovery, underpayment, fraud, waste, abuse, provider enrollment

Transcript Highlights:

• experienced a fatal medical emergency in the presence. of untrained staff who lacked the knowledge to perform
• Face-to-face interaction has shown to improve academic performance, communication, and campus life.

Bills: HJR98, HB142, HB912, HB2525, SCR19, SB66, SB128, SB209, SB250, SB317, SB383, SB393, SB397, SB517, SB571, SB612, SB614, SB715, SB731, SB801, SB865, SB867, SB872, SB905, SB913, SB945, SB946, SB986, SB1013, SB1015, SB1071, SB1086, SB1087, SB1113, SB1117, SB1181, SB1212, SB1241, SB1250, SB1263, SB1278, SB1285, SB1444, SB1483, SB1525, SB1528, SB1553, SB1556, SB1588, SB1660, SB1708, SB1802, SB1833, SB1844, SB1854, SB1957, SB1965, SB1999, SB2056, SB2082, SB2119, SB2133, SB2138, SB2203, SB2221, SB2337, SB2340, SB2373, SB2419, SB2422, SB2452, SB2477, SB2487, SB2501, SB2533, SB2586, SB2587, SB2615, SB2622, SB2633, SB2675, SB2681, SB2690, SB2713, SB2717, SB2753, SB2781, SB2782, SB2835, SB2841, SB2857, SB2891, SB2929, SB2933, SB2994, SB3016, SJR3, SB5, SB29, SB72, SB326, SB494, SB509, SB530, SB616, SB769, SB783, SB963, SB985, SB1143, SB1172, SB1238, SB1267, SB1271, SB1273, SB1506, SB1759, SB1786, SB1967, SB2312, SB2361, SB1, SB260, SB1506, SB1637, HJR98, HJR99, HJR2, HJR1, HB1109, HB1392, HB22, HB2525, HB3093, HB517, HB912, HB1130, HB142, HB1689, HB2018, HB136, HB2884, HB1393, HB2730, HB1399, HB1244, HB467, HB331, HB2559, HB29, HB26, HB166, HB353, HB2000, HB2756, HB3248, HB3513, HB3204, HB3135, HB3012, HB2763, HB2523, HB2457, HB2415, HB2198, HB2143, HB1708, HB1672, HB767, HB1327, HB2723, HB451, HB140, HB109, HB3096, HCR6, HCR12, HCR29, HCR50, HCR55, HCR56, HCR58, HCR70, HCR71, HCR74, HCR78, HCR80, HCR107, HCR116, HCR117, SJR36, SJR50, SJR63, SJR59, SCR12, SCR39, SCR48, SCR19, SB2023, SB1844, SB2533, SB62, SB666, SB847, SB284, SB854, SB1073, SB810, SB1505, SB583, SB507, SB1434, SB1772, SB2016, SB1163, SB1122, SB731, SB397, SB508, SB1436, SB287, SB261, SB1882, SB393, SB1791, SB209, SB2429, SB1999, SB511, SB2309, SB510, SB1085, SB1975, SB2717, SB1262, SB636, SB2056, SB884, SB517, SB1200, SB1845, SB2681, SB2458, SB801, SB3014, SB3013, SB758, SB1013, SB2797, SB2076, SB2876, SB2929, SB715, SB1640, SB2538, SB1449, SB986, SB1181, SB1359, SB410, SB1234, SB2926, SB2138, SB2615, SB2972, SB2841, SB3016, SB1856, SB1528, SB1373, SB672, SB2891, SB1854, SB317, SB2539, SB2532, SB1250, SB2082, SB2203, SB1285, SB1454, SB2520, SB1237, SB1586, SB2819, SB629, SB2342, SB2903, SB2477, SB3029, SB1957, SB375, SB250, SB777, SB2367, SB2703, SB2608, SB2965, SB2521, SB865, SB2165, SB2501, SB2675, SB2452, SB2835, SB872, SB1212, SB1278, SB1588, SB1602, SB1704, SB1723, SB1833, SB1858, SB1946, SB2009, SB2177, SB2460, SB2785, SB2373, SB1660, SB614, SB867, SB1608, SB1525, SB905, SB640, SB2487, SB1698, SB383, SB705, SB748, SB1113, SB1117, SB1802, SB2340, SB2586, SB2680, SB2690, SB2994, SB2747, SB1950, SB913, SB1071, SB1086, SB1087, SB1483, SB1444, SB1553, SB1556, SB1703, SB2133, SB2297, SB2298, SB2622, SB2955, SB3059, SB2782, SB2781, SB2637, SB2633, SB2337, SB2334, SB1861, SB2043, SB1367, SB946, SB945, SB2857, SB128, SB571, SB1263, SB3058, SB612, SB2221, SB2587, SB2044, SB2363, SB2713, SB2311, SB1986, SB2565, SB2943, SB1888, SB2417, SB3048, SB3052, SB3053, SB3036, SB3057, SB3056, SB3043, SB3037, SB3050, SB3063, SB3047, SB3035, SB2446, SB466, SB2611, SB2794, SB2105, SB2017, SB1790, SB1778, SB1730, SB2995, SB2847, SB205, SB2619, SB1903, SB203, SB3061, SB1581, SB2600, SB2799, SB2790, SB2688, SB2515, SB1230, SB876, SB2522, SB2639, SB2137, SB2519, SB2403, SB2459, SB3051, SB2655, SB2251, SB2764, SB2878, SB1884, SB111, SB582, SB2617, SB1835, SB2751, SB2959, SB250, SB614, SB865, SB872, SB905, SB986, SB1113, SB1212, SB1278, SB1525, SB1588, SB1660, SB1802, SB1833, SB2487, SB2586, SB2675, SB2690, SB2929, HB912, HB2525, SB1844, SB2533, SB1957, SB1999, SB2138, SB2615, SB3016, SR469, SB29, SB326, SB494, SB530, SB769, SB783, SB1238, SB1967, SB2312, SB1506, HJR34, HB42, HB198, HB247, HB367, HB449, HB632, HB668, HB677, HB766, HB1105, HB1160, HB1169, HB1592, HB1778, HB1781, HB1868, HB2017, HB2038, HB2128, HB2240, HB2316, HB2510, HB2516, HB2563, HB2582, HB2663, HB2712, HB2715, HB2760, HB2788, HB3010, HB3069, HB3112, HB3120, HB3146, HB3157, HB3305, HB3348, HB3464, HB3474, HB3505, HB3512, HB3560, HB3597, HB3686, HB3783, HB3860, HB4063, HB4081, HB4214, HB4215, HB4224, HB4273, HB4325, HB4361, HB4386, HB4395, HB4665, HB4783, HB5032, HB5180, HJR34, HB42, HB198, HB247, HB367, HB449, HB632, HB668, HB677, HB766, HB1105, HB1160, HB1169, HB1592, HB1778, HB1781, HB1868, HB2017, HB2038, HB2128, HB2240, HB2316, HB2510, HB2516, HB2563, HB2582, HB2663, HB2712, HB2715, HB2760, HB2788, HB3010, HB3069, HB3112, HB3120, HB3146, HB3157, HB3305, HB3348, HB3464, HB3474, HB3505, HB3512, HB3560, HB3597, HB3686, HB3783, HB3860, HB4063, HB4081, HB4214, HB4215, HB4224, HB4273, HB4325, HB4361, HB4386, HB4395, HB4665, HB4783, HB5032, HB5180

Keywords: Article V, federal government, fiscal restraints, constitutional amendment, term limits, HB 142, Texas Health and Human Services Commission, HHSC, Office of Inspector General, OIG, Medicaid, Medicaid managed care, recovery audit contractor, RAC, overpayment recovery, underpayment, fraud, waste, abuse, provider enrollment

Bills: HJR98, HB142, HB912, HB2525, SCR19, SB66, SB128, SB209, SB250, SB317, SB383, SB393, SB397, SB517, SB571, SB612, SB614, SB715, SB731, SB801, SB865, SB867, SB872, SB905, SB913, SB945, SB946, SB986, SB1013, SB1015, SB1071, SB1086, SB1087, SB1113, SB1117, SB1181, SB1212, SB1241, SB1250, SB1263, SB1278, SB1285, SB1444, SB1483, SB1525, SB1528, SB1553, SB1556, SB1588, SB1660, SB1708, SB1802, SB1833, SB1844, SB1854, SB1957, SB1965, SB1999, SB2056, SB2082, SB2119, SB2133, SB2138, SB2203, SB2221, SB2337, SB2340, SB2373, SB2419, SB2422, SB2452, SB2477, SB2487, SB2501, SB2533, SB2586, SB2587, SB2615, SB2622, SB2633, SB2675, SB2681, SB2690, SB2713, SB2717, SB2753, SB2781, SB2782, SB2835, SB2841, SB2857, SB2891, SB2929, SB2933, SB2994, SB3016, SJR3, SB5, SB29, SB72, SB326, SB494, SB509, SB530, SB616, SB769, SB783, SB963, SB985, SB1143, SB1172, SB1238, SB1267, SB1271, SB1273, SB1506, SB1759, SB1786, SB1967, SB2312, SB2361, SB1, SB260, SB1506, SB1637, HJR98, HJR99, HJR2, HJR1, HB1109, HB1392, HB22, HB2525, HB3093, HB517, HB912, HB1130, HB142, HB1689, HB2018, HB136, HB2884, HB1393, HB2730, HB1399, HB1244, HB467, HB331, HB2559, HB29, HB26, HB166, HB353, HB2000, HB2756, HB3248, HB3513, HB3204, HB3135, HB3012, HB2763, HB2523, HB2457, HB2415, HB2198, HB2143, HB1708, HB1672, HB767, HB1327, HB2723, HB451, HB140, HB109, HB3096, HCR6, HCR12, HCR29, HCR50, HCR55, HCR56, HCR58, HCR70, HCR71, HCR74, HCR78, HCR80, HCR107, HCR116, HCR117, SJR36, SJR50, SJR63, SJR59, SCR12, SCR39, SCR48, SCR19, SB2023, SB1844, SB2533, SB62, SB666, SB847, SB284, SB854, SB1073, SB810, SB1505, SB583, SB507, SB1434, SB1772, SB2016, SB1163, SB1122, SB731, SB397, SB508, SB1436, SB287, SB261, SB1882, SB393, SB1791, SB209, SB2429, SB1999, SB511, SB2309, SB510, SB1085, SB1975, SB2717, SB1262, SB636, SB2056, SB884, SB517, SB1200, SB1845, SB2681, SB2458, SB801, SB3014, SB3013, SB758, SB1013, SB2797, SB2076, SB2876, SB2929, SB715, SB1640, SB2538, SB1449, SB986, SB1181, SB1359, SB410, SB1234, SB2926, SB2138, SB2615, SB2972, SB2841, SB3016, SB1856, SB1528, SB1373, SB672, SB2891, SB1854, SB317, SB2539, SB2532, SB1250, SB2082, SB2203, SB1285, SB1454, SB2520, SB1237, SB1586, SB2819, SB629, SB2342, SB2903, SB2477, SB3029, SB1957, SB375, SB250, SB777, SB2367, SB2703, SB2608, SB2965, SB2521, SB865, SB2165, SB2501, SB2675, SB2452, SB2835, SB872, SB1212, SB1278, SB1588, SB1602, SB1704, SB1723, SB1833, SB1858, SB1946, SB2009, SB2177, SB2460, SB2785, SB2373, SB1660, SB614, SB867, SB1608, SB1525, SB905, SB640, SB2487, SB1698, SB383, SB705, SB748, SB1113, SB1117, SB1802, SB2340, SB2586, SB2680, SB2690, SB2994, SB2747, SB1950, SB913, SB1071, SB1086, SB1087, SB1483, SB1444, SB1553, SB1556, SB1703, SB2133, SB2297, SB2298, SB2622, SB2955, SB3059, SB2782, SB2781, SB2637, SB2633, SB2337, SB2334, SB1861, SB2043, SB1367, SB946, SB945, SB2857, SB128, SB571, SB1263, SB3058, SB612, SB2221, SB2587, SB2044, SB2363, SB2713, SB2311, SB1986, SB2565, SB2943, SB1888, SB2417, SB3048, SB3052, SB3053, SB3036, SB3057, SB3056, SB3043, SB3037, SB3050, SB3063, SB3047, SB3035, SB2446, SB466, SB2611, SB2794, SB2105, SB2017, SB1790, SB1778, SB1730, SB2995, SB2847, SB205, SB2619, SB1903, SB203, SB3061, SB1581, SB2600, SB2799, SB2790, SB2688, SB2515, SB1230, SB876, SB2522, SB2639, SB2137, SB2519, SB2403, SB2459, SB3051, SB2655, SB2251, SB2764, SB2878, SB1884, SB111, SB582, SB2617, SB1835, SB2751, SB2959, SB250, SB614, SB865, SB872, SB905, SB986, SB1113, SB1212, SB1278, SB1525, SB1588, SB1660, SB1802, SB1833, SB2487, SB2586, SB2675, SB2690, SB2929, HB912, HB2525, SB1844, SB2533, SB1957, SB1999, SB2138, SB2615, SB3016, SR469, SB29, SB326, SB494, SB530, SB769, SB783, SB1238, SB1967, SB2312, SB1506, HJR34, HB42, HB198, HB247, HB367, HB449, HB632, HB668, HB677, HB766, HB1105, HB1160, HB1169, HB1592, HB1778, HB1781, HB1868, HB2017, HB2038, HB2128, HB2240, HB2316, HB2510, HB2516, HB2563, HB2582, HB2663, HB2712, HB2715, HB2760, HB2788, HB3010, HB3069, HB3112, HB3120, HB3146, HB3157, HB3305, HB3348, HB3464, HB3474, HB3505, HB3512, HB3560, HB3597, HB3686, HB3783, HB3860, HB4063, HB4081, HB4214, HB4215, HB4224, HB4273, HB4325, HB4361, HB4386, HB4395, HB4665, HB4783, HB5032, HB5180, HJR34, HB42, HB198, HB247, HB367, HB449, HB632, HB668, HB677, HB766, HB1105, HB1160, HB1169, HB1592, HB1778, HB1781, HB1868, HB2017, HB2038, HB2128, HB2240, HB2316, HB2510, HB2516, HB2563, HB2582, HB2663, HB2712, HB2715, HB2760, HB2788, HB3010, HB3069, HB3112, HB3120, HB3146, HB3157, HB3305, HB3348, HB3464, HB3474, HB3505, HB3512, HB3560, HB3597, HB3686, HB3783, HB3860, HB4063, HB4081, HB4214, HB4215, HB4224, HB4273, HB4325, HB4361, HB4386, HB4395, HB4665, HB4783, HB5032, HB5180

Keywords: Article V, federal government, fiscal restraints, constitutional amendment, term limits, HB 142, Texas Health and Human Services Commission, HHSC, Office of Inspector General, OIG, Medicaid, Medicaid managed care, recovery audit contractor, RAC, overpayment recovery, underpayment, fraud, waste, abuse, provider enrollment

Transcript Highlights:

• I mean, we have numerous recounts and audits of these machines.
• I mean, we have numerous recounts and audits of these machines.
• It is not an audit or recount.
• It's not an audit.
• V voting machine on when they performed V voting machine on when they performed their<04:58:12.638

Keywords: 1189, house, all

Transcript Highlights:

• whether that's at a is being performed whether that's at a like<00:19:09.080> a<00:19:09.159>
• My understanding is if I were to be audited, the expectation is that I do...
• the expectation is that I to be audited the expectation is that I do<00:26:08.520> H okay<00:
• the books of where you essentially audit the books of employers<00:40:10.839> to<00:40:11.000
• The Department of Labor auditing your files also can't do that.

Keywords: 1191, senate, all

Transcript Highlights:

• They perform a wide range of outreach activities per the contract.
• We have a so we do lots of audits.
• <01:32:18.560> and lot of tracking um and auditing and lot of tracking um and auditing and
• <01:32:33.360> um information. they are also auditing um information. they are also auditing
• six months um that we'll have to perform six months um that we'll have to perform that<01:35:27.040

Keywords: 1. Call to Order and Roll Call – 00:00:00 2. Approval of Minutes – 00:02:10 3. Discussion of State-Based Marketplaces and the Federally-Facilitated Marketplace – 00:02:31 4. Discussion of the Role of Kynectors and Navigators – 00:27:29 5. Discussion of Presumptive Eligibility – 01:11:57 6. Discussion of Medicaid Eligibility, Enrollment, and Redeterminations – 01:20:09 7. Update on Rural Health Transformation Program Application Process – 01:47:35 8. Public Comment – 01:59:57 9. Adjournment – 02:06:10, 958, all

Summary: The Medicaid Oversight Advisory Board met for its third meeting and approved the July 30 minutes. The chair outlined a full agenda covering the state-based marketplace versus the federally facilitated marketplace, connectors and navigators, presumptive eligibility, eligibility/enrollment/redetermination, and a rural health transformation update. Commissioner Lisa Lee and Assistant Director David Barry presented first on Kentucky’s state-based exchange, Connect, explaining that it is an integrated eligibility and enrollment system for Medicaid, CHIP, SNAP, TANF, child care, and qualified health plans. They reviewed Kentucky’s move from a state-based exchange to healthcare.gov in 2017 and back to a state-based marketplace in 2021, and said the system helps route applicants to the correct program and allows families to move more easily between Medicaid and exchange coverage as circumstances change. The presenters said the exchange is funded by carrier assessments on qualified health plans rather than general fund dollars, with costs allocated across programs based on use. They said Kentucky’s exchange fees are lower than the federal platform’s and that the state-based system provides local assistance through DCBS offices, connectors, and licensed agents in every county. Members asked about startup and operating costs, fee-setting, and whether any general fund dollars are used; the department said it would follow up with the CFO on fee details and said it was not aware of general fund support for exchange operations. Members also raised concerns about Medicaid eligibility verification and improper enrollment, while the department emphasized that the state system uses different questions than healthcare.gov and is designed to identify the correct coverage based on monthly Medicaid income and annual tax-credit income. The board also discussed enrollment trends, including a COVID-era spike during the public health emergency when disenrollments were largely paused, and current qualified health plan enrollment of more than 97,000 people on Connect. Commissioner Lee explained presumptive eligibility as temporary Medicaid coverage, noting it applies to pregnant women and hospital-based cases, with hospitals able to grant it and certain providers able to grant it to pregnant women. She said full eligibility is still determined within 30 days and that presumptive eligibility ends when full Medicaid eligibility is determined or at the end of the following month. The meeting then shifted to connectors, with representatives from Community Action Kentucky and the Kentucky Primary Care Association describing their statewide outreach network, local offices, and role helping residents apply for Medicaid, renew coverage, report changes, and navigate benefits; they said connectors do not determine eligibility but assist with applications, recertifications, and outreach events across the Commonwealth.

Transcript Highlights:

• Anyway, um, it looks like this takes out the random audit.
• Was that intentional to get rid of the random audits?
• And, you know, that we're using Census data, so I want to audit the Census Bureau.
• And, you know, we're using Census data, so I want to audit the Census Bureau.
• I guess I was thinking that the audit was more that they were verifying that this was actually on the

Keywords: 1187, senate, all

Transcript Highlights:

• It can also be a performative assessment, but there needs to be a third, independent mechanism and a
• assessment but that we're performative assessment but that we're need<00:21:06.840> to<00:21:
• <00:21:53.159> our upstream and looking and auditing our upstream and looking and auditing
• <00:25:57.840> the<00:25:57.919> area<00:25:58.440> of performance the area of performance
• of the components in the performance of the components in the performance reporting<01:14:01.159

Keywords: 1183, house

Transcript Highlights:

• SHOULD THERE BE FEASIBILITY STUDIES AND PERFORMANCE AND ALL THAT STUFF? I'M VOTING YES TODAY.
• EVERYBODY ELSE IT WAS LIKE A 37/1 VOTE AND ADD SPECIFIC PARAMETERS FOR THE ANNUAL AUDITING REQUIREMENT
• AND BE REVIEWED IN THE AUDITS BEFORE YOU DRAFTED THE BILL? >> I DID NOT. >> Sen.
• HELD THEM ACCOUNTABLE AND THEN WE DO HAVE A SENATOR JONES SAID, AND ORGANIZATION TO POLICE THEM AN AUDIT
• POLICE THEM AN AUDIT THEM AND MAKE SURE THEY ARE DOING THE RIGHT THINGS WITH THIS MONEY.

Keywords: 999, senate, all

Transcript Highlights:

• Regarding performance measurement, there are various ways of measuring performance based on the local
• The existing performance indicators that we have are for drug courts.
• In order to measure performance statewide, we realize that we need to have participant-level data that
• We just finished getting audited recently, and we had to ensure that all of our numbers and data were
• Currently, judges are sometimes asked to swear in members of the bar or to perform marriages, and there

Keywords: 999, senate, all

Transcript Highlights:

• audit and a financial audit.
• audit and a financial audit.
• of your school conducting an audit of your school district. district. district.
• <00:17:31.280> Um audit, uh you would be in default.
• Um audit, uh you would be in default.

Keywords: 1191, senate, all

Transcript Highlights:

• Still, piss poor performance. I can tell military folks are shaking their heads.
• That's actually the performance is 18.8.
• The judge at the time was very concerned, like you are, about the performance.
• We should not be penalizing schools that are performing well.
• Reallocation of programs that are poorly performing.

Keywords: 996, all

Transcript Highlights:

• audit process. audit process.
• So with the audit, how would the audit be conducted?
• per day per audit. per day per audit.
• >> per audit. >> per audit.
• do an audit. do an audit.

Keywords: 1136, house, all

Transcript Highlights:

• to attend 50% of the meetings that they thought they may be good to go, the town moderator shall perform
• 21:01.039> town<00:21:01.280> moderator<00:21:01.760> shall<00:21:02.000> perform
• Um the town moderator shall perform Um the town moderator shall perform duties<00:21:02.559>
• That doesn't mean that the whole audit report is actually mailed to the town.
• President. whole audit report is actually mailed to whole audit report is actually mailed to the<00:24

Keywords: 927, senate, all

Transcript Highlights:

• For the last year and a half of the administration, I performed the duties of Deputy Secretary, among
• the way they need to perform.
• And I think we need to audit all of those and take a hard look.
• It's not because they are the most expendable or the worst performers.
• Well, I view the whole DOJ effort as a way to take a hard audit look at systems, personnel, staffing,

Keywords: transportation, air traffic control, safety regulations, Boeing 737 MAX, Department of Transportation, infrastructure funding, public safety, legislative oversight

Summary: The committee meeting addressed several pressing issues concerning transportation, particularly focusing on the need for improved safety standards and efficient management at the Department of Transportation. Specific discussions revolved around air traffic control, with members highlighting the urgency for a significant upgrade in systems and personnel. Notably, concerns were raised regarding past practices, especially the handling of safety regulations during the Boeing 737 MAX incidents. The committee expressed a clear intent to ensure rigorous safety oversight moving forward, emphasizing that the health and safety of the public must remain the top priority in all legislative and funding decisions.