Transcript Highlights:

• The second piece of the project is around monitoring and random audits of restraint and seclusion.
• Again, best practices from monitoring and random audits by the State Department of Education.
• review on restraint and seclusion laws, looking at other states, policy guidance, monitoring and auditing
• lit review on restraint exclusion laws, looking at other states, policy guidance, monitoring and auditing

Keywords: 962, all

Summary: The meeting began with approval of the May minutes and then moved into administrative updates on several 2025 legislative workstreams. Staff reported progress on two marketing efforts tied to the youth mental health crisis: one focused on increasing awareness and use of urgent crisis centers, and another broader crisis-continuum campaign led by United Way. Both projects are refining materials based on working-group feedback and aim to have materials ready before the start of the school year. Updates were also given on the UCC private insurance review and the crisis continuum review, both of which are gathering data and reconvening working groups over the summer. The main discussion centered on a Civic Solutions Group update on Medicaid school billing. The contractor explained that the project is examining why Connecticut schools are not billing for behavioral health and related services, with the goal of maximizing federal reimbursement. Members clarified that the study is about schools billing for services, not private providers billing in schools. Questions focused on whether Medicaid has caps or authorization issues when students receive services both in school and in the community, and whether recent federal or state changes affect billing. The contractor said the work is still in data collection and analysis, and that some issues, such as reauthorization procedures, were outside his scope. Participants also raised concerns about perceived barriers, fee-for-service limitations, and the need to distinguish school-based billing from provider billing. A second major presentation came from Disability Rights Connecticut on a separate legislative study concerning behavioral health issues affecting students receiving special education. The subgroup is examining the feasibility and impact of requiring evidence-based interventions, especially for challenging behaviors that can lead to restraint and seclusion, and is also looking at monitoring and random audits of restraint and seclusion practices. The team described its project plan, including literature reviews, interviews, focus groups, surveys, and data requests from the State Department of Education and other stakeholders. Members emphasized that the work is aimed primarily at private providers under the statute, but may have broader relevance. Questions from the group focused on whether the study would include public schools, how evidence-based practices apply to students with intellectual disabilities and autism, and whether caregivers or parents would be interviewed; the presenters said caregiver input is not currently part of the charge. The meeting ended with reminders about the July 15 meeting, which will include a Solnit briefing, and a note that August TCB meetings will not be held, though a workshop on the Connecticut Children’s Behavioral Health Provider Survey is being planned for late July or early August.

Transcript Highlights:

• project sponsors or general contractors to collect payroll for the program at the time of premium audit
• 32.479> premium for the program at the time of premium for the program at the time of premium audit
• 33.840> those<00:07:34.080> records<00:07:34.400> for<00:07:34.639> three audit
• and retain those records for three audit and retain those records for three years<00:07:35.039> after

Keywords: 1187, senate, all

Transcript Highlights:

• They're just some practical issues relating to the attestation and Marcus Adams: audit requirements that
• industry stakeholders—there just isn't practical ways to implement Marcus Adams: certain attestation audit
• They audit.
• too far, but what we've added to this is to make sure that customers get quarterly reports that are audited

Transcript Highlights:

• The product will not be commercially sold, and there'll be an annual financial audit of the Farm Bureau
• Yes, ma'am: robust disclosures, annual financial audits, the works. Yes, ma'am. Thank you.
• the amendment as well, making sure that we're putting some kind of guardrails there, whether it's an audit
• its parent companies' required net worth by submitting one of the following rather than both: the audited

Summary: The committee met with a quorum present and heard several insurance- and financial-services-related bills. HB 315 was temporarily postponed. The chair also noted that, following the speaker’s remarks, members should expect additional special meetings as the committee investigates insurance-related issues and seeks transparency and the truth. HB 497, relating to nonprofit agricultural organization health coverage, was presented as a way to give Florida Farm Bureau members—especially farmers, ranchers, and small business owners—more affordable health coverage options. An amendment added statutory placement changes, disclosures that the product is not commercially sold, and annual financial audits. Members discussed ACA-related protections, fraud, and insolvency concerns, and the bill received support from Florida Farm Bureau and was reported favorably 16-0. HB 379, the annual securities package, updated exemptions, foreign jurisdiction rules, the Florida Invest Local Exemption, merger-and-acquisition broker rules, fingerprinting requirements, and technical issues in the Securities Guarantee Fund. Three amendments clarified entity definitions and fingerprint/live-scan requirements; the bill drew support from industry and OFR and passed favorably 17-0. The PCS for HB 147 on consumer debt collection clarified prohibited communications during nighttime hours, with the sponsor and supporters explaining the intent was to allow email while restricting other forms of contact and reduce litigation over passive communications. Members and public witnesses discussed ambiguity in the wording, and the sponsor said further cleanup language may still be needed; the PCS was reported favorably 17-0. HB 655 on pet insurance and wellness programs created a regulatory framework for pet insurance, drew support from industry and humane society representatives, and passed favorably 17-0. HB 367 on home and service warranty association financial requirements allowed financial compliance through multiple contractual liability insurance policies and alternative parent-company documentation; an amendment corrected cross-references and duplicative language, and after questions about consumer protections and insolvency, the bill was reported favorably 17-0. Finally, HB 7003 preserved a public-records exemption for sensitive financial technology sandbox application materials; members discussed the sandbox concept and possible future issues, but no amendments were taken and the bill passed favorably 17-0. The meeting adjourned without objection.

Transcript Highlights:

• The Office of Legislative Auditor and Legislative Audit Commission process is beginning for program evaluation
• For new members, the Office of Legislative Audit and the Legislative Audit Commission is bipartisan,
• If you have any questions about the Audit Commission, feel free to contact us.

Transcript Highlights:

• Providers who receive those will get audited to make sure they're used in an appropriate way, but there's
• <00:24:37.279> to<00:24:37.520> make receive those will get audited to make receive
• those will get audited to make sure<00:24:37.760> they're<00:24:38.000> used<00:24:38.159
• We have some internal auditing policies and procedures, and it will be very important for us to consider
• We have some internal auditing policies and procedures, and it will be very important for us to consider

Keywords: 1189, house, all

Summary: The meeting opened without a quorum, so approval of the prior draft minutes was deferred until later. The committee then heard a DHS update from Commissioner Lori Weaver and COO David Weers, who described the recent flood at the Brown building and the relocation of nearly 400 DHS staff while operations are restored. They also outlined New Hampshire Care Connections, a privacy- and consent-focused closed-loop referral platform intended to improve referrals among providers, reduce duplication, and support continuity of care, with an Upper Valley implementation partnered with Dartmouth Health and an Epic integration already underway. Members asked whether the system would merge medical records or simply track referrals. DHS said it is not intended to store or transmit full medical records, but to integrate with providers’ electronic health record systems so referrals can be sent, received, and tracked, with consent controls limiting what information can be shared. Officials said the project will be tested over the coming months, with metrics, governance, and advisory committee oversight, and that it is tied to broader rural health transformation efforts and statewide implementation after the regional pilot. The committee also received the annual report from the Child Care Advisory Council. Maryanne Barter and Jessica Carver said the council worked with licensing to streamline the child care licensing rules, reducing the handbook by about 30%, and is now helping develop an informal dispute resolution process, revising the Granite Steps for Quality system, and creating a clearer handbook for providers handling state scholarship audits. They reported ongoing concern about child care closures and workforce shortages, said there is currently no wait list for child care assistance, and discussed questions about federal CCDF immunization requirements, which DHS said it would follow up on with federal technical assistance partners. After quorum was established, the committee moved to approve the minutes from the prior meeting.

Transcript Highlights:

• But as you said, having audits, which is in here, you know, documenting, let's have transparency.
• AJD develop rules that'll be practical to, you know, audit.
• Body cams, turned off body cams should be audited and prescribed. There is, that's a no go.
• The audit that you're talking about was a facility audit. 65% of the staff that were audited.
• All of those instances were handled by TJJD at the Virginia. of that audit or as we identified those

Bills: HB31, HB3360

Keywords: juvenile justice, community supervision, felony offenses, treatment of children, juvenile facilities, chemical dispensing device, solitary confinement, rehabilitation, criminal proceedings, delinquency, 1184, house, all

Transcript Highlights:

• if they operate outside of that covered service realm, they're subject to sanction and a Medicaid audit
• Every year, one out of every 10 IEPs is audited.
• Or had required an audit to receive. Yes.
• Or had required an audit to to Yes.
• Or had required an audit to to receive.<01:57:47.440> So<01:57:47.679> they<01:57:47.920

Keywords: 928, house, all

Summary: The subcommittee opened its second meeting on House Bill 742, which would require catastrophic special education aid to be drawn from the education trust fund, and discussed whether to also examine differentiated aid within the adequacy formula. The chair said the committee had previously heard from HHS/Medicaid officials and now wanted to hear from local special education directors about how the aid system works in practice, including billing, training, data collection, and whether districts handle claims consistently. Members also referenced Arkansas as a possible comparison state and said they hoped to develop ideas by November to address the current funding process. Committee members focused on the current special education aid thresholds and the impact of proration. The chair described the existing formula as requiring districts to absorb costs up to 3.5 times the state average per student, with the state paying 80% from 3.5 times through 10 times and paying above that, and said FY25 appropriated about $34 million while actual claims were about $50.1 million, leaving roughly a $16 million shortfall that caused proration. Members also raised the possibility of lowering the threshold to 2.5 times and asked how that would affect the number of eligible students and costs. Another member asked about how districts decide whether services are education-related or medical-related and how Medicaid or private insurance reimbursement affects later state aid claims. District representatives from Boothby Therapy Services, Bedford, and Guilford introduced themselves and described their roles. Guilford’s director said the district tracks students with paraprofessional support, nurses, transportation, or specialized programming, uses a data system to log every service touchpoint, and tries to maximize both Medicaid and special education aid; she said a lower threshold would likely capture all students with paras or nurses and that rising staffing and service costs would increase the number of students over the cap. Bedford’s assistant director said the district uses a different system, tracks roughly 60 to 80 students a year, and pursues Medicaid and special education aid simultaneously but does not pursue private insurance if it would affect FAPE; she said reducing the threshold to 2.5 times would likely double the number of qualifying students. Members asked follow-up questions about software, data entry, and how districts decide whether to bill Medicaid or seek state catastrophic aid, and the directors explained that their systems log services by staff type and student, with some districts using the same data for both Medicaid and state reimbursement claims.

Transcript Highlights:

• It will be used for overtime and associated fringe costs for CDL coordinators, auditing costs and training
• , three vehicles for CDL coordinators, audit travel, a semi truck for Class A CDL examiner training,
• It's an amended contract to provide Prison Rape Elimination Act audits.
• This is to provide prison rape elimination act audits. Next item is number three on page 15.
• Actually, they’re doing one in Jonesboro, where they’re doing a pre-ED audit in Jonesboro.

Summary: The PEER Review Subcommittee met to consider a large agenda of appropriation, transfer, contract, and other review items. Members approved temporary appropriation requests in Sections B through F, including funding for prosecuting attorneys, education-related adjustments, school operating needs, labor licensing divisions, ARPA fund returns from Workforce Services, IIJA grants for state police CDL implementation and a forestry-related county grant, reserve fund transfers for teacher scholarships, school facilities, and economic development, and a Commerce reallocation tied to organizational realignment. Cash fund requests in Section G and budget classification transfers in Section H were also reviewed, along with pay plan requests in Section I, overtime requests in Section J, and multiple methods of finance in Section K. The committee also reviewed discretionary grants in Section L, including agriculture promotion board grants and DHS aging/adult behavioral health grants, plus RFQs, construction contracts, intergovernmental contracts, and out-of-state contracts in Sections M1 through M5. Several items drew questions from members. Workforce Services explained that $225,000 in TANF-related funds would be returned to the federal government because the two-year hold period for uncashed or moved checks had expired. Commerce officials described the $25 million site infrastructure grant program, saying it supports site development, due diligence, and infrastructure build-out at eligible sites of 30 acres or more, including rural communities, with grant agreements and matching requirements providing accountability. DHS and Education officials answered questions about the Care Solace mental health referral contract, saying it is a statewide concierge/referral service that helps schools connect students to Arkansas providers and follow up so students do not fall through the cracks; members asked for more information on provider selection, school-day scheduling, and Arkansas vendor participation. The committee held one item over: the DHS discretionary grant item for the RSVP retired senior volunteer program in L2, after concerns were raised about whether state general revenue was being used effectively and how much administrative overhead the providers retain. Members also questioned several contracts, including a DHS sole-source contract with EMSLink for document management software and a DHS bridge contract with Arkansas Foundation for Medical Care for Medicaid inspections of care reviews; in both cases, agency staff explained the need to avoid service disruption and said follow-up information would be provided. A Department of Corrections reentry center contract was discussed for its recidivism results, and ARDOT retirement-system investment contracts were briefly explained. The meeting ended after a lengthy discussion of the Medicaid Trust Fund balance, with DFA and DHS officials saying the state is expected to finish the fiscal year without exhausting the fund, that a restricted reserve of $100 million is available as a backstop, and that the larger question is what minimum balance should be maintained going forward.

Transcript Highlights:

• H.B. 633 required a programmatic and financial audit of the managing entities.
• The audit concluded with no findings of fraud, waste, or abuse, and included two recommendations to further
• H.B. 633 required a programmatic and financial audit of the managing entities.
• The audit concluded with no findings of fraud, waste, or abuse, and included two recommendations to further
• doing as a result is taking both the information that was produced by that operational and financial audit

Summary: The Appropriations Committee on Health and Human Services heard a presentation on the governor’s proposed fiscal year 2026-27 budget for the health and human services silo, which totals $48.5 billion. Agency leaders outlined major requests for AHCA, APD, DCF, DOEA, DOH, and the Department of Veterans’ Affairs, including behavioral health redesign, Medicaid rate changes, developmental disability services, child welfare and opioid programs, senior services, cancer research, public health initiatives, and veterans’ facility and technology needs. The committee also received an overview of the overall state budget, which was described as $117.4 billion, up 1.1% from the current year. AHCA’s presentation focused on $71.6 million for a Medicaid behavioral health redesign, including funding for residential treatment, a serious mental illness waiver, and higher inpatient psychiatric rates for youth, plus $7.1 million to raise private duty nursing reimbursement in fee-for-service Medicaid, $2.5 million for the background screening clearinghouse, and $124.4 million for the Health Care Connection System (FX). APD requested funding to continue moving people off the pre-enrollment list and to support developmental disability centers, a new forensic facility, an electronic health record system, and higher operating costs. DCF highlighted $81.9 million for eligibility and system integrity, $187.5 million for opioid prevention and treatment, $35.5 million for community-based care lead agencies, and $72.7 million to expand behavioral health bed capacity, including 474 new beds at state hospitals. DOEA sought additional funding for Alzheimer’s services, home care, and community care for the elderly. DOH emphasized $278 million for cancer research and innovation, $5 million for food and product safety testing, $5 million for the Florida FIRST blood-on-ambulance initiative, and $5.7 million for a public lab feasibility study. Veterans Affairs requested funds for facility improvements, cybersecurity, and medication management equipment. Members asked detailed questions about several items, especially the proposed changes to the AIDS Drug Assistance Program (ADAP), which would reduce eligibility and the number of people served. Senators and public witnesses criticized the lack of transparency and urged the department to pause the changes and work with stakeholders; the Surgeon General said the issue was driven by funding constraints and federal changes, not a legal barrier, and that the agency was exploring alternatives. Questions also addressed the Office of Minority Health and Health Equity, the Kids Care/CHIP expansion implementation, the cancer research funding structure, and the timeline and cost of the FX system. Public testimony focused heavily on ADAP, with speakers warning that thousands could lose medication access and calling for community involvement and a review of the program’s finances. The committee adjourned after the presentations and questions, with no votes taken on the budget items during this meeting.

Transcript Highlights:

• with federally mandated contractors, like the Unified Program Integrity Contractor and the Recovery Audit
• We also need to do more auditing and data mining, closely reviewing data to enhance our internal controls
• I think it's also a good idea to have an outside consultant or an audit.
• Behind every program, every policy, every audit, there is a person—a Minnesotan.
• limited to fraud hotline complaints, claims data mining, and patterns identified through provider audits

Transcript Highlights:

• Now, we just recently completed our actuarial audit.
• It was conducted by the audit firm Milliman, who looked over Gabriel Roeder-Smith's work.
• So there wasn't any major difference or bombshell that came out as a result of this audit suggesting
• So, the other thing—the study on, or the audit, the actuarial audit—I remember in the middle of COVID

Transcript Highlights:

• And the Department of Health would first like to thank the Joint Legislative Audit and Review Committee
• The Joint Legislative Audit and Review Committee for their efforts and their dedication to learning about
• Today we are presenting the proposed final report for the audit of the Developmental Disability Administration
• The Washington State Auditor's Office will be presenting the findings of their current performance audit
• the Washington State Auditor's Office will be presenting the findings of their current performance audit

Summary: At the May 14, 2025 JLARC meeting, members approved the January 9 minutes and adopted the 2025–27 biennial work plan with a minor typo correction. Staff reviewed the new work plan studies, including a drug take-back program fee/expenditure review due in December 2025 and a state energy performance standard compliance review due in June 2027, and noted JLARC’s recent session activity, including several bills passed related to JLARC work and recommendations. The committee then heard a preliminary cannabis market study showing Washington businesses likely produced two to three times more cannabis than retailers sold in 2023. Staff and RAND said LCB’s data systems are incomplete and unreliable, limiting regulation, tax verification, and diversion tracking; they recommended that LCB submit a plan by year-end for collecting accurate data by the end of 2026. Members and LCB discussed the long timeline for a new traceability system, the causes of missing sales and weight data, overproduction, diversion, and the social equity program’s effect on producer licenses. JLARC also presented a preliminary hospital oversight report concluding that the Department of Health is late on many hospital inspections, does not verify third-party inspection standards, does not review adverse health event correction plans, and could make hospital data more accessible. The committee discussed fee funding, language access, and inspection timing, and DOH said it would work on a strategic plan and continue coordinating with JLARC. Members also heard a preliminary report on the public records survivor exemption, which found agencies are using it but need more guidance; JLARC recommended keeping the exemption and having the Attorney General provide additional training. Finally, the committee approved the DDA processes and staffing final report for distribution, which recommended performance metrics, stronger data quality controls, and workforce planning; DDA concurred. JLARC also introduced proposed study questions for a future DCYF juvenile rehabilitation review focused on safety, security, programs, staffing, education, and contraband, and the meeting adjourned after members asked about scope and facility conditions.

Transcript Highlights:

• federal government's dismantling of the IRS, you know, radical reductions in staff, that the multi-year audits
• 40 percent reduction in critical staff, senior specialists who are handling the most complicated audits
• that's probably a hundred billion dollars in under paid corporate taxes that you know are require audits
• and require people to affect those audits to make sure that companies are paying what they own not talking
• There are people undoubtedly, you know, who just physically cannot process the audits of the people who

Keywords: 988, house, all

Transcript Highlights:

• Insufficient oversight of third-party suppliers and lack of sufficient internal auditing procedures created
• And this was despite conducting over 300 audits at Boeing in a three-year period of time.
• our safety and control and quality plans and directly addressing the findings from the FAA special audit
• The FAA did a comprehensive audit of our systems, and we found significant gaps in many of the processes
• reviewed last year found instances where Boeing supervisors worked on annual assessments on self-aught. audits

Keywords: Boeing, aviation safety, safety management system, military aviation, air traffic control, transparency, oversight, accountability

Summary: The meeting primarily focused on significant safety concerns surrounding Boeing and its compliance with federal aviation standards. Lawmakers expressed frustration over the Army's failure to provide requested operational transparency regarding helicopter operations near Washington, D.C., amid recent incidents indicating a strained air traffic control situation. Several members called for reform in Boeing's oversight, emphasizing the need for a robust safety culture and mandatory safety management systems to prevent future disasters like the 737 MAX crashes. The discussions were passionate, with survivors and families impacted by past accidents present, highlighting the urgency and seriousness of the issues at hand.

Transcript Highlights:

• Eligibility verification, and then any follow-up verification and any follow-up auditing to make sure
• audited regularly by the state auditor.
• audited regularly by the state auditor.
• We audit those applications annually.
• We audit those applications annually.

Keywords: 1187, senate, all

Summary: The Senate Energy, Utilities, Environment and Climate Committee heard Senate File 486, as amended by the A2 delete-everything amendment, which would create a supplemental, year-round energy assistance program administered by the Department of Commerce alongside LIHEAP. Senator Dibble said the bill is intended to help low-income households pay utility bills throughout the year, including summer months, by providing crisis grants, ongoing monthly assistance, emergency heating system repair or replacement help, outreach funding, and reporting requirements. The committee adopted the A2 amendment before hearing testimony on the bill as amended. Supportive testimony came from Annie Levenson-Faulk of the Citizens Utility Board, Jenny Glumac of the Minnesota Rural Electric Association, Amanda Mackey of Minnesota Valley Action Council, Ron Elwood of Legal Aid, Jamie Fitz of CenterPoint Energy, George Shardlow of the Energy CENTS Coalition, and Kent Sulum of the Minnesota Municipal Utilities Association. Witnesses said energy burdens are especially high in rural Minnesota, utility arrears and shutoffs have increased, and most shutoffs occur in summer when LIHEAP is unavailable. They argued that year-round assistance would help vulnerable households, reduce shutoffs, improve health and housing stability, and create administrative efficiencies by using existing LIHEAP infrastructure. Several witnesses cited data on the need for assistance, including high energy burdens in rural areas, more than 91,000 Minnesota households disconnected for non-payment in 2024, and the large share of LIHEAP recipients who are seniors, people with disabilities, children, or veterans. Amanda Mackey described a client story illustrating how energy assistance can stabilize a household and lead to broader benefits. Senator Mathews offered comments supporting help for households in need but said the bill is a stopgap and tied the need for expanded assistance to prior legislative actions that increased energy costs. The committee did not take final action on the bill in the portion of the transcript provided, and members indicated they would return to questions after testimony.

Transcript Highlights:

• With that team, we do a couple different kinds of investigations or audits, right?
• With that team, we do a couple different kinds of investigations or audits, right?
• With that team, we do a couple different kinds of investigations or audits, right?
• With that team, we do a couple different kinds of investigations or audits, right?
• So uh that we have to review and audit.

Keywords: 1183, house

Transcript Highlights:

• but our report provides past OA audits but our report provides the<00:12:32.160> first<00:12:
• DEED's penalties are pretty low, and the OLA audit actually recommended taking a look at it.
• we heard in the 2024 OLA audit, and we actually do have a problem across the economy.
• Construction is where we've been working on it the longest, partially because of the 2007 audit.
• audit, and that the issue is growing across the economy.

Keywords: 1183, house

Transcript Highlights:

• to reading this bill, who the independent auditor is, or who the body is that would be doing the auditing
• standards and making sure that we don't have any facilities that aren't going through the regular audits
• The recommendations for these standards came both from the audit that we did as well as the IT, all the
• supervision front: I won't go through this slide, but this summarizes what one of our legislative audits
• But at the Salt Lake prison here, the Antelope facility, based on the legislative audit, and thanks to

Keywords: 985, all

Transcript Highlights:

• So we've developed our own finance and audit committee.
• We had a rather negative audit several years ago, and we have worked very diligently to ensure that..
• There is an outside entity that does a payment error rate measurement that audits states for accuracy
• Utah was recently audited, and they did not find an error in Medicaid or CHIP.
• Utah was recently audited and they did not find an error in Medicaid or CHIP, so we're certainly proud

Keywords: 985, all