Video & Transcript Research : 'efficiency audit'
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MN
Transcript Highlights:
- We are constantly seeking out efficiencies in our work.
- MDE staff are trained in efficient contracting, procurement, and program monitoring, and we are also
- We are constantly seeking out efficiencies in our work.
- or some employee that has audit oversight.
- or some employee that towards auditing or some employee that has<01:09:17.319>
audit <01:09:17.719
MN
Minnesota 2025-2026 Regular Session
November 2025 State Budget and Economic Forecast Presentation - 12/04/25
Minnesota Senate Floor Meeting
Transcript Highlights:
- try and make government more efficient. try and make government more efficient.
- It's in there. >> The audits are not done yet. The audits are happening.
- It's in there. >> The audits are not done yet. The audits are happening.
- It's in there. >> The audits are not done yet. The audits are happening.
- The audits are happening. They're doing the forensic audits outside of this.
KY
Kentucky 2026 Regular Session
Medicaid Oversight and Advisory Board (1-12-26)
Transcript Highlights:
- to improve the efficiency of not just<00:59:30.920>
providing <00:59:31.560>the <00:59: - Sherrod, do you mind just saying just like not following timelines for audits as well as regulations?
- >> Not following timelines for audits and regulations. >> Yes, that would work. >> Okay. >> Thank you
- Violating regulations and not following timelines for audits, because we know that they're violating
- For violating regulations and not including not following timelines for audits. >> Dr.
Summary:
The Medicaid Oversight and Advisory Board met on January 12, 2026, to approve the December 10, 2025 minutes and continue finalizing its findings and recommendations. Members reviewed findings on administrative inefficiencies, Medicaid and workforce participation under HR 1, Medicaid budget growth, rural health transformation fund development, and provider tax/state-directed payment changes. The board approved a motion to change “pilot” to “partnership” in the workforce-related recommendation, and also adopted a technical amendment clarifying overlapping HCBS services by removing reference to adult daycare waiver services and revising the language to focus on reducing duplication, simplifying provider contracting, and standardizing processes across programs. A separate technical correction was noted to change “DMS” to “DPH” in the rural health transformation finding, to be handled in the final edits.
Several findings drew discussion but no final substantive vote during the meeting. On the rural health transformation fund, Dr. Berg said Kentucky had done well in federal funding and noted limits on what could be shared publicly, while Commissioner Lee said a public website had been created and recommended the department reference be changed to the Department for Public Health. Finding five prompted extended discussion about provider taxes, state-directed payment reductions under HR 1, and whether the board should address the relationship between actuarial studies, MCO payments, and actual provider reimbursement more directly. Senator Meredith and others argued for a broader, more transparent baseline review of rates across provider groups, while Commissioner Lee said CMS will require certain fee schedule comparisons to Medicare beginning July 1, 2026, and that quarterly expenditure reports already go to LRC.
The board did not finish resolving finding five during the meeting and agreed to return to it after staff prepared more explicit language. Members also discussed the possibility of an all-payers claims database as a better way to understand what is being paid across payers and services. No final vote on the full findings package was taken in the portion of the meeting provided, but the board did adopt the noted amendments and continued working through the remaining language.
MN
Minnesota 2025-2026 Regular Session
Committee on Rules and Administration - 04/10/26
Rules and Administration
Transcript Highlights:
- How do we look at maybe what other states are doing to do this more efficiently or in a more cost-effective
- <00:04:08.560>
or <00:04:09.240>in doing to do this more efficiently or in doing to - do this more efficiently or in a a a uh<00:04:10.120>
more <00:04:10.480>cost-effective other than the legislative audit other than the legislative audit commission<00:13:53.120>- :13:50.760>
than <00:13:51.040>the <00:13:51.120>legislative <00:13:51.800>audit have - :13:50.760>
NH
Transcript Highlights:
- You know, we saw audits, was it back to the 1970s or '80s that had not been addressed?
- So, Senator Waters, we have in the Senate the performance audit and oversight committee.
- Senate the performance audit and Senate the performance audit and oversight<00:25:59.120>
committee - However, last month we auditing side.
- The speaker said the audit findings are still outstanding and have not been corrected.
HI
Transcript Highlights:
- Do you have any kind of system in place for performance audits? Performance audits.
- Well, management audit, sure.
- for performance audits? for performance audits? Performance<00:25:01.360>
audits. - Well management Performance audits. Well management audit.<00:25:03.520>
Sure. - /management audit?
Summary:
The House Committee on Higher Education heard several Senate concurrent resolutions related to University of Hawaiʻi programs, audits, and workforce development. Testimony on SCR 50, which urged establishment of a Bachelor of Science in Nursing program at the Maui campus, was strongly supportive, with witnesses citing the state’s nursing shortage and Maui’s acute physician and nurse shortages. The committee later recommended passage with a technical HD1 amendment, and the measure was adopted unanimously by the members present.
The committee also heard SCR 137, SCR 138, and SCR 142, all involving proposed audits. SCR 137 sought a performance audit of the University of Hawaiʻi Foundation; the Foundation opposed it, and the chair recommended deferral after noting the legislative auditor’s view that the office lacks jurisdiction over the private nonprofit. SCR 138 proposed a management and performance audit of the Office of the Vice President for Academic Strategy, and SCR 142 proposed an audit of the UH Mānoa athletics department. UH representatives provided comments on both, with athletics explaining existing NCAA-required financial audits, internal performance evaluations, and a strategic plan that includes self-review. The committee ultimately recommended passage of SCR 138 and SCR 142 with technical HD1 amendments.
For SCR 192, which proposed a veterinary medicine expansion working group, UH and other witnesses discussed the idea of exploring a Doctor of Veterinary Medicine program, but the chair said a community college is not the appropriate venue for a doctoral program. The committee recommended substantial HD1 changes removing Windward Community College from the title and shifting the effort to the UH system level, adding the UH president or designee and a Hilo campus representative to the working group; the amended resolution was adopted. The committee also heard SCR 193, calling for community colleges to identify bachelor’s degree and workforce pathways aligned with regional needs, and SCR 203, which sought exploration of an Alzheimer’s disease research center and federal funding requirements; both drew supportive comments and no opposition. The meeting recessed briefly for lack of quorum, then reconvened for decision-making and adopted the chair’s recommendations on the measures considered.
TX
Transcript Highlights:
- The Secretary of State may audit and inspect the records of a health care entity.
- Um, question about the audit, uh, on page 11. of this bill, it's section 550A.01.
- And it says that the Secretary of State may audit and inspect the records of a health care provider.
- Secretary of State doesn't audit any business right now?
- By imposing unprecedented reporting requirements under the threat of fines and audits, this bill will
Bills:
HB5141, HB4638, HB2264, HB2035, HB4813, HB4408, HB2684, HB1621, HB2300, HB216, HB3829, HB4466, HB1747, HB2284, HB3614, HB2587, HB3219, HB3318, HB5147, HB4014, HB216
Keywords:
lease, state property, public purpose, Travis County, Health and Human Services, pharmaceutical initiative, drug distribution, healthcare services, generic drugs, advanced pharmaceuticals, cost savings, mental health, patient discharge, medical records, health care professionals, substance use, family involvement, chemical dependency, treatment facilities, minor admissions
TX
Texas 89th 2nd C.S.
Homeland Security, Public Safety & Veterans' Affairs Mar 5th, 2025
Homeland Security, Public Safety & Veterans' Affairs
Transcript Highlights:
- So we have a number of audit firms under contract to make sure that our local partners get every dollar
- they can from the federal government and that that money is taken effectively, efficiently, and spent
- We audit agencies, we review them. That's going, that's something we've done traditionally.
- It won't, no, it will no longer just be an audit of simple files.
- And, and what you're left with is, well, I, I just have to work off of this list to go and do audits
ND
North Dakota 2026 1st Special Session
Higher Education Institutions Committee Jun 18th, 2026 at 10:00 am
Higher Education Institutions Committee
Transcript Highlights:
- So there's an awful lot of audit-level kind of substance in the report.
- It is not going to streamline efficiency or result in cost savings in any respect.
- The first was methods to promote efficiency and collaboration among state universities.
- Are you being efficient with it?
- Training enhances operational efficiency, responder safety, and mutual aid interoperability.
ND
North Dakota 2026 1st Special Session
Higher Education Institutions Committee Jun 18th, 2026
Higher Education Institutions Committee
Transcript Highlights:
- So there's an awful lot of audit-level kind of substance in the report.
- The first was methods to promote efficiency and collaboration among state universities.
- So thinking about it in terms of what sort of efficiency are we trying to get at.
- One of the things that we had done within the last two years was conduct an internal audit.
- Are you being efficient with it?
Summary:
The Higher Education Institutions Committee met at NDSU and heard an extensive presentation from President David Cook/President Stewart and NDSU leadership on the university’s priorities, including enrollment, student success, research growth, and use of New Horizons funding. Leaders emphasized NDSU’s land-grant mission, its role in workforce development, and its goal of becoming more distinctive through strategic planning, recruitment and retention, commercialization, and partnerships. They highlighted that NDSU awarded 2,370 degrees in 2025, produces a large share of the state’s engineering, nursing, and agriculture graduates, and reported strong outcomes for graduates staying and working in North Dakota. They also noted enrollment headwinds, competition from other institutions, and the need to manage tuition waivers more carefully through a scholarship optimization effort.
Provost Sherry Vale outlined academic stewardship efforts, including review or consolidation of low-producing programs, strategic hiring tied to institutional priorities, faculty workload policy changes, and expanded online and regional offerings. She said the university is using New Horizons dollars to strengthen advising, student support, and programs in engineering, agriculture, and health. NDSU leaders also described new or expanded academic offerings such as robotics and automation, artificial intelligence, material science and engineering, nuclear engineering certificates, accelerated nursing, nurse practitioner certificates, a Master of Health Administration, and a clinical research master’s program with Sanford Health. They stressed that these investments are intended to improve student completion, meet workforce needs, and increase return on public investment.
The committee also heard testimony from students and recent graduates who described the value of NDSU’s education, mentorship, internships, research opportunities, and support services. Alyssa Hodges spoke about pharmacy education, public health work, and campus support as a parent and student; Ethan Blessy described engineering coursework, internships with Marvin, and career preparation; and Aiden Freolic discussed neuroscience research, federally funded projects, and plans for graduate study. Their testimony was followed by presentations on partnerships with Gateway to Science for K-12 STEM outreach and with Sanford Research on biomedical research, clinical trials, obesity research, and a joint biostatistics hire. NDSU also highlighted systemwide shared services, Governor’s School programming, and research growth, including a reported 8% increase in research expenditures from $199 million to $215 million. No bill votes were taken; the meeting was informational and featured presentations, testimony, and discussion of future planning and partnerships.
OK
Bills:
SB1936, SB1612, SB1543, SB1260, SB1988, SB1859, SB2041, SB1257, HB4272, HB3277, HB3148, HB3651, HB3323, HB4287, HB4105, HB3304, HB3345
Keywords:
forfeiture, criminal offenses, law enforcement, Class D1 offenses, property seizure, SB1612, mandatory reporting, violent injury reporting, gunshot wound, stab wound, poisoning, burn injury, explosive injury, medical reporting, healthcare providers, law enforcement notification, evidence preservation, patient video records, confidentiality waiver, misdemeanor penalty
TX
Bills:
SB8, SB4, SB43, SB1, SB2, SB13, SB6, SB10, SB16, SB8, SB4, SB43, SB1, SB2, SB13, SB6, SB10, SB16
Keywords:
education, accountability, public school assessment, state law, transparency, intervention, performance ratings, Texas congressional redistricting, U.S. House districts, congressional map, redistricting, gerrymandering, 2020 Census, census tracts, block groups, voting districts, election law, Texas House of Representatives districts, federal congressional districts, 2026 elections
TX
Transcript Highlights:
- So in fact, it makes court processes go faster and more efficiently for those judges.
- Imagine how much less efficient the... that due process would be if everybody had to be pro se, right
- So, yeah, the system just works a lot better. ...a lot more efficiently when we have lawyers involved
- It definitely improves the efficiency of the courts, and it makes sure that they're accountable to the
- Long and proud history of advocating for efficient small government.
Bills:
HB256, HCR19, HB256, HB1308, HB1554, HB1743, HB2308, HB2351, HB2858, HB3676, HB3784, HB4312, HB4552, HB4823, HB4852, HB5007, HB5010, HB5520, HB5524, HCR19
Keywords:
severe weather, adaptation plan, vulnerability assessment, environmental protection, state agencies, federal agents, transparency, law enforcement, identification, public trust, immigration enforcement, HCR 19, Texas concurrent resolution, federal immigration enforcement, masked agents, facial coverings, visible identification, uniforms, badges, name tags
TX
Transcript Highlights:
- We should invest in tech like drive-thru mobile cargo scanners to inspect trucks more efficiently, tying
- With that said, I'm in opposition to HB256 and urge this committee to consider government efficiencies
Bills:
HB256, HB1308, HB1554, HB1743, HB2308, HB2351, HB2858, HB3676, HB3784, HB4312, HB4552, HB4823, HB4852, HB5007, HB5010, HB5520, HB5524, HCR19, HB256, HCR19
Keywords:
E-verify, employment verification, illegal employment, state contracts, government entities, license suspension, immigration compliance, state grant funding, E-Verify, compliance, penalties, immigration, government contracts, employee status, state contractors, E-verify program, legally present, employment practices, legal services, public money
ND
North Dakota 2026 1st Special Session
Joint Appropriations Jan 21st, 2026 at 12:30 pm
Appropriations
Transcript Highlights:
- They undergo audits and operate under the state's oversight in that regard.
- Can we make the online sign-up easier, more streamlined, more efficient?
- So the audit is not available from last week.
- So is that the most recent audit that's been done? It is the most recent audit. Further questions.
- While we initially planned an efficiency appropriation presentation for the 70th Legislative Assembly
Bills:
HB1623
Keywords:
HB 1623, North Dakota, rural health, rural health transformation program, medical facility infrastructure loan fund, medical facility infrastructure loan program, rural health loan program, Bank of North Dakota, Department of Health and Human Services, HHS, federal grant, health care infrastructure, rural hospitals, critical access hospitals, nonprofit health care providers, gap financing, loan fund, public health funding, healthcare financing, Medicaid
Summary:
The committee first heard House Bill 1624, the “Universal Lunch Bill,” from Rep. Mike Nathie. He argued the proposal should be placed in Century Code rather than the Constitution so future legislatures can adjust it if state finances tighten, and said the bill would start the program a year earlier with a $65 million appropriation for one school year. DPI testified that the estimate did not include nonpublic schools that do not participate, and members questioned the impact on Title I, free-and-reduced applications, private-school accountability, breakfast mandates for schools that do not currently serve breakfast, and whether the funding could come from the DPI budget or other sources. Supporters, including North Dakota United, the North Dakota Catholic Conference, a pediatrician, and the American Heart Association, said universal meals improve student health and learning, reduce family costs, and are better handled in statute than by constitutional amendment. No opposition testimony was offered, and the chair closed the hearing for later work-session action.
The committee then took up House Bill 1627, introduced by Rep. Tye Dressler, which would raise the income threshold for the state-funded school lunch program from 225% to 300% of poverty, with an estimated cost of about $7 million for 2026-27. Dressler said the bill is intended as a targeted, budget-friendly alternative to the ballot measure and emphasized that the state should maximize federal meal dollars while improving participation in the current program. Members questioned whether raising the threshold would actually increase utilization, whether a dollar amount would be clearer than a percentage, and how the change would affect federal reimbursements and application rates. DPI said it could quickly calculate additional percentage levels, and the chair closed the hearing, directing DPI to prepare more numbers for the work session.
Finally, the committee opened Senate Bill 2403, presented by Sen. Schiable, to create a short-term bridge-loan program for financially distressed hospitals, centered on Jacobson Memorial Hospital in Elgin. The bill would authorize up to $5 million per loan, with a $10 million appropriation available on a first-come, first-served basis, and would run only through June 30, 2027. Schiable said the hospital’s debt and operating problems threaten local health care, ambulance service, and the community’s economy, and that the proposal was designed narrowly with Bank of North Dakota review to avoid creating a broad precedent. Committee members asked whether the appropriation could be reduced and whether the bank would still apply commercial feasibility and repayment standards; Schiable said yes, the bank would still evaluate the loan and could reject it if it was not sound.
HI
Transcript Highlights:
- But we also want to make sure that the money is being spent accurately and efficiently, and money can
- the question, but I guess it's actually fairly true of everything. >> We have started doing spot audits
- Um, we also try to do spot audits for accuracy, and that's a little bit easier to do. >> Okay.
- the question, but I guess it's actually fairly true of everything. >> We have started doing spot audits
- Um, we also try to do spot audits for accuracy, and that's a little bit easier to do. >> Right.
Bills:
SB2543, SB2014, SB2115, SB3095, SB3264, SB2114, SB2117, SB2246, SB2519, SB3055, SB3131, SB3144
Keywords:
state construction, construction manager, design review, public works, capital improvement, DAGS, Department of Accounting and General Services, DOE, Department of Education, comptroller, pilot program, design review special fund, county permit review, accessibility compliance, Disability and Communication Access Board, state infrastructure, government construction, project oversight, civil service exemption, county agencies
TX
Texas 89th Regular
Appropriations - S/C on Articles I, IV, & V Feb 26th, 2025
Appropriations - S/C on Articles I, IV, & V
Transcript Highlights:
- The state auditor did an audit.
- And trying to reconcile those two to make it efficient, especially for the workforce. so that we don't
- We firmly believe your investment will lead to significant. and outcomes in efficiency, effectiveness
- Uh, a very in-depth audit, uh, and inventory, uh, exposed that most of the resources we had available
- The smallest strategy, of course, is auditing population, in which we do receive population reports on
CA
California 2025-2026 Regular Session
Assembly Budget Subcommittee No. 7 on Accountability and Oversight Apr 23rd, 2025
Transcript Highlights:
- So with information reporting, a matter of efficiency over history is what we call 1098s, 1099s.
- So it’s an efficiency exercise that goes on.
- 30% to 40% reduction in critical staff, senior specialists who are handling the most complicated audits
- and require people to affect those audits to make sure that companies are paying what they owe, not
- There are people undoubtedly, you know, who just physically cannot process the audits of the people who
Summary:
The Assembly Budget Subcommittee on Accountability and Transparency held a hearing focused on three issues: federal funding cuts and delays, possible state revenue impacts from reduced IRS enforcement, and the fiscal effects of AB 218 on local governments. The Franchise Tax Board described how state and federal tax systems are closely linked, how most returns are filed electronically through software, and how FTB relies on IRS information sharing for compliance, fraud prevention, offsets, and nonfiler work. Members raised concerns that federal staffing cuts at the IRS could weaken audits of large corporations and reduce California revenue, and asked about VITA and ITIN filers; FTB said it was not aware of VITA reductions, noted ITIN returns are processed the same as other returns, and said ITIN filing appeared slightly down this year. The Department of Finance said it is monitoring federal developments, summarized the continuing resolution and reconciliation process, and noted that California lost nearly $940 million in earmarked federal projects under the CR, while major federal budget decisions remain uncertain until the President’s budget and later congressional action.
The University of California reported substantial federal pressure on research, student aid, and health care. UC said hundreds of millions of dollars in federal awards have already been canceled, with additional threats to NIH and DOE facilities-and-administration rates, graduate fellowships, student loan repayment plans, international student visas, Pell Grants, and Medicaid/Medi-Cal funding. Committee members pressed UC on the effects of DEIA-related federal restrictions, the loss of clinical trials and research staff, and the impact on low-income students and patients. UC said it is pursuing litigation with the Attorney General and other institutions, but emphasized that court action is only a temporary solution and that sustained state and private support may be needed.
The second panel addressed the fiscal consequences of AB 218, which extended the statute of limitations for childhood sexual abuse claims against public agencies. FCMAT presented a report with 22 recommendations, including better statewide data collection, financing mechanisms, a possible victims compensation fund, and prevention measures. Los Angeles County described a tentative $4 billion settlement tied to AB 218 claims, saying it will require reserves, borrowing, and long-term annual payments through 2050, while also forcing curtailments and cuts to vacant positions to preserve services. Members discussed insurance pools, retroactive premiums, unidentified future claims, and the need for a compensation fund or other financing tools. No formal votes were taken; the hearing concluded with public comment, including testimony from local health officials about nearly $400 million in terminated federal public health grants and the resulting layoffs and service impacts.
TX
Texas 89th Regular
Senate Committee on Health and Human Services Apr 15th, 2025
Health & Human Services
Transcript Highlights:
- to respond immediately to disenrollment notifications will make the process much smoother. more efficient
- The 2017 Federal Audit Report revealed that Texas schools were improperly... billing for services not
- The audit mandated that the Texas Health and Human Services Commission work to ensure compliance going
- They were being advised that they could claim this, and then through some audits by CMS, they caught
- I said what we found or what CMS found in their audits, our look backs, was that certain school districts
Keywords:
pharmacist, vaccine administration, COVID-19, exclusive authority, healthcare, Medicaid, provider enrollment, credentialing, administrative burden, Texas Health and Human Services, senior retirement communities, emergency response, residential safety, contract provisions, health and safety regulations, medical staff privileges, hospital administration, healthcare regulation, Texas Health and Safety Code, consistency in privileges
MN
Minnesota 2025-2026 Regular Session
Committee on Jobs and Economic Development - 03/05/25
Jobs and Economic Development
Transcript Highlights:
- NDC is also doing a third-party financial audit of the Promise Act.
- <00:10:36.399>
um also thr doing a third party audit um also thr doing a third party audit - um Financial<00:10:37.120>
audit <00:10:37.440>of <00:10:37.560>the <00:10:37.680 - >
promise <00:10:38.279>act <00:10:39.279>NDC Financial audit of the promise act - NDC Financial audit of the promise act NDC needed<00:10:40.040>
to <00:10:40.160>keep <