Video & Transcript Research : 'improper payments'

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CA

California 2025-2026 Regular Session

Assembly Judiciary Committee Apr 8th, 2025

Transcript Highlights:
  • Mold was always an issue due to improper ventilation.
  • Improper service can also cause Californians to lose their homes.
  • Improper service can also cause Californians to lose their homes.
  • Elena and Stephanie are just two of many, many victims of improper service.
  • Improper service can also cause Californians to lose their homes.
Summary: The committee heard several bills, beginning with AB 2, which would create enhanced civil penalties for large social media companies when negligence proven in court causes harm to children and teens. The author and supporters argued the bill is needed to address addictive algorithms and harmful content, while opponents warned it was vague, could chill speech, and might be preempted by federal law. Members largely focused on whether the bill changed the standard of care or burden of proof; the bill passed out of committee on a roll call vote, with some members noting concerns but supporting it to continue the discussion. AB 282, dealing with housing vouchers and source-of-income discrimination, would clarify that housing providers may prioritize applicants who qualify for rental assistance without violating fair housing law. Supporters from housing authorities, local governments, and advocacy groups said it would help voucher holders find units and improve use of housing funds. There was no opposition, and the bill passed to Appropriations on a roll call vote, with two no votes. The committee also considered AB 882 on court reporter availability and electronic recording in certain cases when a court reporter is unavailable. Supporters said the bill is a temporary, narrowly tailored response to a shortage of reporters and would preserve access to accurate records, while opponents argued it was too narrow, raised access-to-justice concerns, and should be broadened. Members from both sides emphasized the importance of court reporters and electronic recording as a backup; the bill passed with an urgency clause and was sent to Appropriations. The committee then heard AB 325 on algorithmic price fixing, AB 935 on civil rights data clarity, AB 1414 on tenant choice of internet service provider, and AB 67 on Attorney General enforcement of the Reproductive Privacy Act; each drew support from sponsors and advocacy groups, opposition centered on overbreadth or policy concerns, and each advanced on committee votes, with several members requesting further amendments or clarification.
TX

Texas 89th 2nd C.S.

Health and Human Services Apr 8th, 2026

Health & Human Services

Transcript Highlights:
  • For the first time in history, states must now fund part of the Snap program. and improper payments and
  • This can reduce improper payments before they actually occur.
  • So specifically for SNAP, you need to get your error rate and improper payment rate below 6%.
  • improper payment rate.
  • It's a subset of your improper payment that's focused just on eligibility.
Summary: The Senate Committee on Health and Human Services convened to discuss interim charges regarding fraud, waste, and abuse in Texas human services, particularly focusing on Medicaid and childcare programs. The meeting highlighted the importance of preventing misuse of taxpayer funds, with testimony from various stakeholders emphasizing the need for increased oversight and accountability in these programs. Key points included the alarming rise in healthcare fraud in other states, the necessity for Texas to enhance its fraud prevention measures, and the potential financial repercussions of failing to meet federal compliance standards. Several committee members expressed concerns about the impact of fraud on vulnerable populations, particularly those relying on Medicaid services. Testimonies from experts underscored the effectiveness of Texas's Office of Inspector General (OIG) in combating fraud, yet pointed out existing vulnerabilities, such as inconsistent enforcement and the need for better data sharing among agencies. The discussion also touched on the challenges faced by hospice care providers, with a significant increase in the number of hospices in Texas raising concerns about quality and oversight. The committee heard from various witnesses, including representatives from health plans and advocacy organizations, who provided insights into the complexities of managing Medicaid and the importance of maintaining program integrity. The meeting concluded with a commitment to further explore legislative solutions to enhance oversight and ensure that resources are directed to those in genuine need.
TX
Transcript Highlights:
  • This can reduce improper payments before they actually occur.
  • This can reduce improper payments before they actually occur.
  • Specifically for SNAP, you need to get your improper payment rate down below 6%.
  • It’s a subset of your improper payment rate that’s focused just on eligibility.
  • We've also recouped funding if a provider is doing improper payments, like a waiver provider.
Keywords: 1185, senate, all
AZ
Transcript Highlights:
  • Since federal fiscal year 2022, the department's SNAP improper payment rate has exceeded 6%, requiring
  • And as of federal fiscal year 2024, the department's improper payment rate was approximately 8.8%.
  • We had recommended that the department continue to develop and implement its improper payment reduction
  • payment rate.
  • payment rate.
Keywords: 1182, all
Summary: The committee conducted sunset reviews for the Arizona State Board of Pharmacy, the State Board of Nursing, the Arizona Board of Occupational Therapy Examiners, and the Arizona Regulatory Board of Physician Assistants. The Auditor General’s reports praised each board for timely licensing in some areas but identified recurring problems with complaint investigations, public safety oversight, fee analysis, records/documentation, and internal controls. For Pharmacy, the main concerns were weak enforcement of controlled substances prescription monitoring program (CSPMP) requirements and slow complaint resolution; the board said it had implemented some recommendations, was pursuing a new database vendor, and supported legislation to strengthen CSPMP enforcement. For Nursing, the audit found a large and growing backlog of complaints and repeated delays in resolving cases; the executive director said the board was under-resourced and requested 28 additional investigative positions, while nursing stakeholders supported process reforms and cited a bill to improve timelines and fairness. For Occupational Therapy, the audit focused on missing or poorly documented fingerprint clearance card checks, delayed action on a serious criminal-charge disclosure, and other compliance issues; the board said it had accepted and was implementing all recommendations, including new procedures and rulemaking. For Physician Assistants, the audit found weak oversight by the executive director, extensive delays in complaint handling, and an incentive-pay system that did not align with key performance goals; the board said it had already made structural changes, was improving tracking and IT systems, and planned to continue implementing recommendations. After discussion and testimony from board officials, public members, and nursing stakeholders, the committee voted to continue the Arizona State Board of Pharmacy for six years until July 1, 2032, the State Board of Nursing for four years until July 1, 2031, the Arizona Board of Occupational Therapy Examiners for four years until July 1, 2030, and the Arizona Regulatory Board of Physician Assistants for a continued term with statutory changes (the transcript includes the board review and related discussion, but the final motion text for the physician assistants board is not fully captured in the excerpt). The votes on the first three continuations were approved by roll call, with members generally supporting continuation while expressing concern about complaint backlogs and the need for reforms.
TX

Texas 89th Regular

Education K-16 (Part II) Apr 15th, 2025

Education K-16

Transcript Highlights:
  • Specifically, Senate Bill 1635 aims to provide a credit against required recapture payments.
  • If a school district's recapture payment exceeds the amount of their premiums, the excess funds would
  • And then in the third column, you have what the recapture payments would be.
  • In the third column, you have what the recapture payments would be under my proposed legislation.
  • It appears. could be immediately ejected upon improper behavior.
Summary: The Committee on Education K-16 heard testimony on SB 1635, which would give certain coastal, recapture-paying school districts a credit against recapture payments for mandatory windstorm and hail insurance costs. Senator Hinojosa said the bill is intended to offset unusually high insurance expenses for districts in Tier 1 or Tier 2 coastal zones, and he estimated about a $12 million impact to state revenue. Witnesses from Port Aransas ISD and Gregory-Portland ISD described sharp premium increases, reduced coverage, higher deductibles, and the effect on teacher pay and classroom spending. Senators asked about the number of affected districts, the accuracy of the fiscal estimate, and whether the bill might encourage districts to maintain coverage. Public testimony was closed and SB 1635 was left pending. The committee then took up several other bills and committee substitutes, adopting and reporting favorably SB 2786, SB 2623, SB 646, SB 843, SB 2392, SB 1998, SB 1418, SB 2788, and SB 2076, with most votes unanimous or near-unanimous. SB 2392 was amended to add improper relationship between educator and student to mandatory reporting offenses and to authorize an attorney general civil penalty for failure to report. SB 2623 was revised to clarify duties and exemptions related to the Safe Schools and Neighborhood Task Force and school proximity restrictions. SB 843 would create a TEA database of school district bonds and related projects, and SB 2788 would exempt certain PSAT scorers from the Texas Success Initiative assessment. The committee also heard SB 2929, which would allow referees and other officials at school athletic events to immediately eject disruptive spectators. The Texas Association of Sports Officials testified in support, citing abusive spectator behavior and a shortage of officials. SB 2929 was left pending. Finally, the committee heard a substitute for SB 2927 on 1882 partnerships and a substitute for SB 2619, which would require more transparency and accountability for failing school districts, superintendent hiring, trustee training, and takeover timelines. Testimony on SB 2619 was mixed, with one witness from Texas 2036 supporting parts of the bill’s accountability provisions. The committee adopted the substitute for SB 2619, left it pending, and then recessed subject to the call of the chair.
AR

Arkansas 2026 Regular Session

LEGISLATIVE JOINT AUDITING Feb 13th, 2026

LEGISLATIVE JOINT AUDITING

Transcript Highlights:
  • The Department of Human Services reported instances of improper benefit payments to employees from the
  • The agency also made a duplicate payment to a vendor and did not properly approve overtime.
  • cost for the review period, an estimated $2,157 in fuel expenses paid by county claim appear to be improper
  • We really couldn’t speak to whether the expenditures were improper or not because the scope,” “To whether
  • the expenditures were improper or not because the scope was so broad.
Summary: The Legislative Joint Audit Committee met on February 13, 2026, and first adopted the January 9, 2026 minutes. It then received and adopted reports from the Executive Committee, the Standing Committee on Counties and Municipalities, the Standing Committee on Education Institutions, the Standing Committee on State Agencies, and the Medicaid Subcommittee. Those reports covered audit follow-up items, delinquent private water and sewer audits, municipal accounting compliance issues, education audit findings, state agency audit findings, and a Medicaid oversight presentation. Several reports were filed after discussion, and in multiple cases agencies or local officials were present to answer questions about repeat findings or compliance concerns. Among the notable audit matters, the committee reviewed a Cleburne County library audit that found more than $80,000 in unauthorized or questionable disbursements, including purchases that appeared personal in nature and improper fuel expenses. The library director had been placed on leave, later charged with felony theft of property and abuse of office, and the matter was referred to the prosecuting attorney and Attorney General. The committee also heard a special report on the Charles W. Donaldson Scholars Academy at the University of Arkansas at Little Rock, which found scholarship ineligibility issues and numerous disbursement-processing exceptions, while noting that the program had ended in 2024 and remaining funds were returned to the school districts. During the state agency report, Legislative Audit described findings at DHS, Parks, Heritage, and Tourism, Corrections, and Veterans Affairs, including improper benefit payments, a cashed warrant by someone other than the intended payee, missing receipts, unauthorized fuel card purchases, and payroll and overtime issues. The committee filed that report after agency representatives responded to questions. The meeting ended with the filing of the Cleburne County and Donaldson Scholars Academy reports, and the next committee meeting was announced for March 12-13, 2026.
MN

Minnesota 2025 1st Special Session

House Human Services Finance and Policy Committee 1/16/25

Human Services Finance and Policy

Transcript Highlights:
  • payments.
  • It also includes efforts to educate providers, recommend system edits to prevent improper claim payment
  • payments.
  • provider fraud and uh improper provider fraud and uh improper payments<01:11:03.120> this
  • <01:11:29.719> claim improper claim improper claim payment<01:11:31.840> again<01:11:32.239
Keywords: 1183, house
Summary: The committee met for an introductory overview of its jurisdiction and staff roles. Nonpartisan House Research and House Fiscal staff explained that they draft bills and amendments, prepare bill summaries and background research, answer legal and fiscal questions, and help track revenue and budget effects. They also distributed a Budget Overview Brief intended to condense the larger budget materials into a more usable format for members. Staff then walked through the Human Services budget and the committee’s areas of responsibility. They described the department structure, noting that DHS oversees administration, compliance, rulemaking, and county support, and that the overall Human Services budget is large, with medical assistance as the dominant program. They also explained recent and upcoming reorganizations: many children and family-related functions are moving to the new Department of Children, Youth, and Families, Direct Care and Treatment is becoming its own agency, and some homelessness-related functions remain at DHS. Staff reviewed how the budget is organized by program and budget activity, the difference between direct appropriations and standing appropriations, and how forecasted programs and “tails” work in the budget process. The presentation also covered Medicaid financing and long-term care. Staff explained the federal-state FMAP match, including Minnesota’s current 51.16% federal match for most Medicaid spending, the CHIP match, and the 90% federal share for the expansion population. For long-term care, they outlined Medical Assistance services for elderly and disabled people, state-funded long-term care supports, and Board on Aging programs. They highlighted the personal care assistance program’s phaseout and replacement by Community First Services and Supports, and reviewed the five home- and community-based waivers. Members asked one question about refugee resettlement funding, specifically whether it covers flights; staff said they would need to follow up on the exact use of the federal funds. No bills were heard, and no formal votes or other committee actions were taken during this meeting.
AR

Arkansas 2026 1st Special Session

LEGISLATIVE JOINT AUDITING Feb 13th, 2026

LEGISLATIVE JOINT AUDITING

Transcript Highlights:
  • The Department of Human Services reported instances of improper benefit payments to employees from the
  • The agency also made a duplicate payment to a vendor and did not properly approve overtime.
  • cost for the review period, an estimated $2,157 in fuel expenses paid by county claim appear to be improper
  • cost for the review period, an estimated $2,157 in fuel expenses paid by county claim appear to be improper
  • We really couldn't speak to whether the expenditures were improper or not because the scope was so broad
Keywords: 1204, all
MN
Transcript Highlights:
  • payments for the tribal residential facilities.
  • <00:50:12.160> payments<00:50:13.160> for<00:50:14.559> um<00:50:15.559> uh
  • c><00:50:15.880> the<00:50:16.079> tribal improper payments for um uh the tribal improper
  • <00:51:54.280> payment<00:51:54.920> so<00:51:55.359> the because of that improper
  • payment so the because of that improper payment so the the<00:51:56.680> settle<00:51:56.880>
Keywords: 919, house, all
Summary: Minnesota Management and Budget presented the February 2025 budget and economic forecast, with Commissioner Aon Campbell, State Economist Anthony Becker, and Budget Director Anam Mingi outlining updated revenue, spending, and long-term balance projections. The state’s FY 2026-27 general fund outlook remains positive but weaker than in November, with an ending balance of $456 million, down $160 million from the prior forecast. Looking ahead, the planning years FY 2028-29 show a projected deficit of just under $6 billion, driven largely by spending growth outpacing revenues. Officials emphasized that discretionary inflation is a major factor in the forecast, but also noted that those amounts are not automatically appropriated and would require legislative action. Becker said the national outlook has changed since November, with higher expected inflation, higher interest rates for longer, and slower growth in later years. He highlighted uncertainty around tariffs, trade policy, immigration policy, federal spending, and possible changes to tax and debt-ceiling policy, all of which could affect Minnesota’s economy and revenues. Minnesota’s labor market remains tight, with low unemployment and rising wages, and the revenue forecast was revised upward overall for FY 2026-27, including higher income and sales tax receipts, though corporate tax revenue was slightly lower than previously projected. Mingi said projected general fund spending is up $79 million in FY 2026-27 and $960 million in FY 2028-29 compared with November. The largest increases are in education and health and human services, especially due to inflation, higher pupil counts, special education costs, long-term care, and higher Medical Assistance spending. She noted that higher utilization of weight-loss drugs also raises Medicaid costs, and that a smaller assumed bonding bill helps offset some debt service costs. The commissioner and staff repeatedly warned that federal policy changes, especially possible Medicaid reductions, pose a major risk; they said Minnesota could face billions in lost federal funding, including a potential $2.4 billion hit if the enhanced Medicaid match for adults without children were eliminated. No votes or legislative actions were taken in the presentation.
MN

Minnesota 2025-2026 Regular Session

Workforce Development Committee Meeting - 2026-04-09

Workforce, Labor, and Economic Development Finance and Policy

Transcript Highlights:
  • Um, if we have<00:56:08.000> an<00:56:08.160> improper<00:56:08.640> payment<00:
  • 56:09.839> um<00:56:10.240> either<00:56:10.559> for have an improper payment um
  • either for have an improper payment um either for innocuous<00:56:11.760> reasons<00:56:12.160
  • And we know from other programs that sometimes, even after all the hoops, sometimes an improper payment
  • <01:19:50.800> payment the hoops, sometimes an improper payment the hoops, sometimes an improper
Bills: HF3217, HF2252
Summary: The committee first approved the prior day’s minutes as amended, correcting the meeting number from the 46th to the 45th meeting. It then took up House File 3217, which would restore funding for the Minnesota Bioincentive Program. Representative Kisha argued the state should honor commitments made to companies that met program requirements and had not received full reimbursement. Testifiers from the Great Plains Institute and Minnesota Biofuels Association said the program has supported bioeconomy investment, reduced greenhouse gas emissions, and generated strong economic returns, but has been underfunded, leaving unpaid claims. Members raised questions about whether the bill was retrospective and whether it should be reviewed by another committee; the bill was laid over for further consideration without a vote. The committee then heard House File 2252, a proposal to modernize Minnesota’s private activity bond volume cap by shifting unused allocation from the small issuer/manufacturing bucket to the public facilities bucket while leaving the overall cap unchanged. The bill’s public finance testifier said the current allocation formula is outdated, housing would remain the top priority, and the change would be budget neutral. Testifiers from the Minnesota Milk Producers Association and Minnesota Biofuels Association supported the bill, saying it would better align financing with rural infrastructure, clean water, manure management, renewable natural gas, dairy processing, and low-carbon fuel projects, and could lower borrowing costs for those sectors. Members questioned whether the bill fit the committee’s jurisdiction and noted it might be more appropriate for another committee; the bill was also laid over for further consideration.
US
Transcript Highlights:
  • Senator Brashley, I've got a figure in front of me of $610 billion of improper payments just in health
  • Ways that have made it so that they're not looking at improper payments. All right.
  • We spent $350 billion in interest payments the last year that I was there.
  • payments, waste, fraud, and abuse.
  • We know that there are improper payments in Medicaid.
MN

Minnesota 2025-2026 Regular Session

Committee on Jobs and Economic Development - 03/04/26

Jobs and Economic Development

Transcript Highlights:
  • So there's also, it's called by the Department of Labor, improper payments.
  • Going back to the data, like 90% of improper payments are generally attributable to an applicant's error
  • <00:33:16.880> payments<00:33:17.200> are 90% of the you of improper payments are 90%
  • of the you of improper payments are generally<00:33:17.679> attributable<00:33:18.240> to<
  • I assume it's the improper payment? I assume it's the first. first. first.
Keywords: 1187, senate, all
TX

Texas 89th Regular

Business and Commerce (Part II) Apr 1st, 2025

Business & Commerce

Transcript Highlights:
  • It says a payment method which drafts money straight from an individual's bank account.
  • It says a payment method which drafts money straight from an is electronic funds transfer.
  • It says a payment method which drafts money straight from an individual's bank account.
  • However, many people choose this convenient method of payment.
  • It allows for easy payment and increases the likelihood of continuous participation.
Summary: The Senate Committee on Business and Commerce heard Senate Bill 2021 by Senator Johnson, as substituted, on distributed energy resources (DERs). Johnson said the bill was intended to create a regulatory framework for DERs and virtual power plants, address interconnection and registration issues, and prevent regulatory capture as the industry grows. Testimony was split: Texas Electric Cooperatives asked for clarification so co-ops would not be unintentionally excluded from owning or operating DERs; AECT supported the bill as providing needed rules and customer protections; TABA, Texas Solar and Storage Association, Sierra Club, Texas Solar Energy Society, and several others opposed it or raised concerns that it was too utility-centric, imposed red tape, and could burden homeowners and small businesses with registration and interconnection requirements. Johnson repeatedly said the bill was not meant to stop rooftop solar or backup systems and that he was open to specific redlines and further changes. SB 2021 was left pending after testimony. The committee then took up Senate Bill 2330 by Senator Parker, which would end government payroll deduction for dues to certain public employee organizations, while exempting first responders under Chapters 143 and 147 and making other conforming changes in a committee substitute. Parker argued the bill was about government neutrality, transparency, and employee freedom from coercion, and said organizations can collect dues directly using modern payment methods. Supporters from Texas Public Policy Foundation, Texas Business Coalition, Freedom Foundation, ABC Texas, and Texans for Fiscal Responsibility said taxpayer-funded payroll systems should not be used to collect dues for private organizations, especially ones involved in political activity. Opponents, including ATPE, Texas Classroom Teachers Association, Texas Public Employees Association, and correctional employees, said payroll deduction is a convenient, secure service that helps professional associations and employee groups, and argued the bill would burden teachers and other public employees. Several witnesses and senators focused on the bill’s exemptions and whether it treated teachers differently from first responders. Senator Menendez questioned why some public employees were excluded while others were not, and a Houston police union representative said he moved from opposing to supporting the bill after being told the substitute would preserve meet-and-confer deductions under Chapters 143 and 147. Senator Parker closed by saying the bill was not meant to eliminate associations or payroll deduction entirely, only to remove the state as a middleman. SB 2330 was left pending, and the committee then recessed subject to call.
AR

Arkansas 2026 1st Special Session

LEGISLATIVE JOINT AUDITING Feb 13th, 2026

LEGISLATIVE JOINT AUDITING

Transcript Highlights:
  • The Department of Human Services reported instances of improper benefit payments to employees from the
  • The agency also made a duplicate payment to a vendor and did not properly approve overtime.
  • cost for the review period, an estimated $2,157 in fuel expenses paid by county claim appear to be improper
  • We really couldn't speak to whether the expenditures were improper or not because the scope was so broad
Summary: The Legislative Joint Audit Committee met on February 13, 2026, and first adopted the January 9, 2026 minutes and then adopted reports from its executive and standing committees. The Executive Committee reported on scheduled audits, denied a special report request concerning the I-owned fire department, approved questions to the Arkansas Department of Health about Title V sexual risk avoidance education funds, authorized the Office of Property Risk to hire a CPA for its annual audit, and asked staff to gather information on circuit judge caseload assignments in Benton County. The Counties and Municipalities Committee reported progress on delinquent private water and sewer audits, including reinstatement of 19 entities after required reports were filed and 59 of 64 delinquent 2023 entities submitting reports. It also noted that Adona was now in substantial compliance with municipal accounting law, while officials from Denning and Gum Springs appeared regarding noncompliance. Of 109 current reports reviewed, 15 were referred to prosecutors and the Attorney General, two were certified to the Governmental Bonding Board, 94 were filed, and 15 were deferred. The Education Institutions Committee filed 31 audit reports, including one for Cedarville School District that was referred to the prosecuting attorney, Attorney General, and Governmental Bonding Board, and the State Agencies Committee filed 10 reports involving issues at DHS, Parks, Heritage, and Tourism, Corrections, and Veterans Affairs. The committee also heard a Medicaid Subcommittee report that included presentations from DHS, the Office of Medicaid Inspector General, and the Attorney General’s Office on their Medicaid-related roles. In special reports, Legislative Audit presented a review of Cleburne County’s library expenses, finding more than $80,000 in unauthorized or questionable disbursements, including purchases lacking a documented business purpose, undocumented disbursements, and possible improper fuel expenses; the matter was referred to the 16th Judicial District Prosecuting Attorney and the Attorney General. The committee also reviewed the Charles W. Donaldson Scholars Academy at UALR, where auditors found scholarship awards to ineligible students, numerous disbursement-processing exceptions, and that the program had ceased in 2024 with remaining funds returned to the school districts. After discussion, the committee filed both special reports and adjourned, with the next meeting set for March 12-13, 2026.
US
Transcript Highlights:
  • Now we know that's actually not true, that they were looking at code in the payment system to try and
  • determine either efficiency or improper payments.
  • BVA reduced improper payments by more than 350 million dollars, and in 2020, during the pandemic, I conducted
  • One of the points it says reduce improper payment and fraud about 500 million is improperly paid out
  • So that would be improper, but they use the word fraud. Well, the.
Summary: The meeting involved detailed discussions on various veterans' issues, particularly focusing on the challenges faced by the Department of Veterans Affairs (VA) amidst a backdrop of significant staffing changes. Members expressed deep concerns over the recent layoffs of over 1,000 VA employees, emphasizing the crucial nature of these positions in the context of mental health support for veterans, particularly amid rising suicide rates. Senators articulated the need for transparency and effective communication between the VA and Congress to avoid further breakdowns in services. The session also spotlighted the ongoing modernization of VA systems and the urgent need to streamline processes to benefit veterans effectively.
MN
Transcript Highlights:
  • <00:03:13.080> but would lower their monthly payments but would lower their monthly payments
  • prevent lenders from collecting payments prevent lenders from collecting payments from<00:10:39.360
  • and $41 on subsequent late payments.
  • and $41 on subsequent late payments.
  • <00:14:07.120> are they face um their payments are they face um their payments are mismanaged
Keywords: 1187, senate, all
KY
Transcript Highlights:
  • An improper payment is a payment that otherwise should not have been made.
  • So, while all fraud payments are by definition improper payments, not all improper payments are fraud
  • An improper payment is a payment that otherwise should not have been made.
  • So, while all fraud payments are by definition improper payments, not all improper payments are fraud
  • at<00:13:10.639> the improper payments were occurring at the improper payments were occurring
Keywords: 958, all
Summary: The Medicaid Oversight and Advisory Board reconvened and heard a presentation from the Attorney General’s Office Medicaid Fraud and Abuse Control unit. AG staff described the unit’s structure and work: it investigates and prosecutes Medicaid provider fraud, and also handles abuse, neglect, and exploitation cases involving vulnerable adults in facility settings when asked to assist. They said the office has prosecutors, detectives, auditors, and support staff, works with federal partners, Commonwealth’s attorneys, CHFS, DMS, OIG, and MCOs, and uses a hotline and referral line for complaints. They also explained the MCO referral process, including monthly meetings, stand-down lists, and review of referrals for a “credible allegation of fraud” before the AG office decides whether to open a criminal or civil investigation. The presentation focused heavily on current fraud trends. Staff said behavioral health is a major concern, along with participant-directed waiver services, medically assisted treatment, cash billing for services, controlled-substance billing, and vision and dental fraud. They gave examples such as duplicate time sheets for family caregivers, questionable Suboxone counseling and urine drug screening practices, and a prior optometry case involving false claims for children’s glasses. They also discussed CMS’s estimate that about 5% of Medicaid payments are improper, noted that most improper payments are at the fee-for-service level, and said there is no reliable overall fraud-rate estimate. They highlighted a sharp shift in behavioral health billing after the cabinet’s November 1, 2024 policy changes, saying individual psychotherapy spending dropped while group billing increased, suggesting providers may have moved billing to different codes. Members asked about the scale and timing of cases, how MCO referrals are screened, and whether the data reflected more people being served or just higher spending. The AG office said investigations can take years, with some federal cases still awaiting sentencing from 2018 and 2019 matters, and that they currently had nine individuals awaiting sentencing in federal court. They also reported 58 hotline reports during the referenced period, six cases opened from MCO referrals, and four additional MCO referrals not accepted for active cases. Several members raised concerns about home-based services and the risk of abuse or fraud when family members are reimbursed, and asked whether the process could be streamlined; the AG office said it had no immediate recommendations but would be willing to return with suggestions after further review.
US

US Federal 2025-2026 Regular Session

US House Floor Proceedings (Wednesday, June 10, 2026)

US Federal House Floor Meeting

Transcript Highlights:
  • <02:20:38.640> payment program integrity and improper payment program integrity and improper
  • separate from the payment system. separate from the payment system.
  • The bill's stated intent is to stop improper payment, which we all agree is important.
  • Madam Speaker, no one in this chamber disputes that improper and fraudulent payments are a serious problem
  • that improper and fraudulent payments<02:55:03.520> are<02:55:03.680> a<02:55:03.840><
FL

Florida 2026 Regular Session

Judiciary Jan 14th, 2025

Judiciary

Transcript Highlights:
  • Vexatious litigation is essentially a subset of improper litigation.
  • When we use the term improper litigation, we're referring to activity in a case that is frivolous, sham
  • And I want to emphasize that although there are other tools available to address improper litigation,
  • studying improper litigation and its impact on the court system.
  • This And other improper matter stricken by the court in non-criminal filings.
Summary: The Judiciary Committee met with a quorum present and heard several Office of the State Courts Administrator presentations. Judge Mark Mahan discussed the impact of 2023’s HB 837 litigation reforms on court operations, explaining that the law’s changes to comparative negligence, filing deadlines, collateral source evidence, premises liability, bad faith claims, attorney’s fees, and offer-of-judgment rules triggered a major March 2023 civil filing surge. He described how filings tripled statewide, with especially large increases in auto negligence and premises liability cases, and outlined how circuits responded through active case management, added resources, and workflow changes. Members asked whether the bill’s immediate effective date contributed to the surge and whether clearance rates would normalize over time; Judge Mahan said the court system viewed its response as a success and expected rates to settle as the backlog is worked through. The committee then received a presentation on problem-solving courts from Jennifer Grandal and Judge Nina Richardson. Grandal reviewed Florida’s drug courts, mental health courts, veterans courts, dependency and early childhood courts, noting statewide best-practice standards, annual reporting requirements, funding sources, and data collection systems. Judge Richardson gave a local perspective on treatment courts, emphasizing that they address underlying mental health and substance use issues, rely on judicial supervision and sanctions as well as incentives, and help participants achieve recovery and avoid reoffending. She said the programs are accountable, transparent, and effective, and thanked the Legislature for continued support. Finally, Judge Rachel Nordby and Eric McClure outlined the judicial branch’s legislative agenda. Nordby summarized the Supreme Court workgroup’s recommendations to expand Florida’s vexatious litigant law, including broader coverage, fewer qualifying adverse cases, a longer lookback period, and a public records exemption for stricken defamatory or sham material. McClure then highlighted additional agenda items: modernizing the duty-judge statute, expanding senior management retirement eligibility, authorizing additional judgeships based on workload studies, removing the statutory cap on court-ordered nonbinding arbitration compensation, protecting appellate clerks’ personal information, allowing alternative authentication for certain judicial notarizations, and creating a hearsay exception for guardian ad litem reports and testimony. No votes were taken, and the committee adjourned after member introductions and staff introductions.