Transcript Highlights:

• 5,800 providers of high-risk services. 5,800 providers of high-risk services.
• support plans that detail the services the provider is agreeing to provide.
• support plans that detail the services the provider is agreeing to provide.
• support plans that detail the services the provider is agreeing to provide.
• So I think on the point about providers not choosing to kind of be revalidated or the impact of a different

Keywords: 1183, house

Transcript Highlights:

• > fraud to Medicaid provider fraud to Medicaid provider fraud investigations<00:10:20.440>
• Medicaid provider for fraud. Medicaid provider for fraud.
• it says services provided by a provider it says services provided by a provider under<01:17:02.040>
• That provides me a that explanation. That provides me a little<01:20:19.920> comfort.
• providing with taxpayer money, right? providing with taxpayer money, right?

Bills: HF2354, HF3621, HF3429, HF3483

Keywords: medical assistance, fraud prevention, subpoena authority, criminal penalties, consumer protection, fraud, payment withholding, withheld payments, program integrity, public funds, state agency, program participant, credible allegation of fraud, administrative reconsideration, contested case, chapter 14, data practices, confidential data, protected nonpublic data, anti-fraud

Summary: The committee approved the minutes from March 5 by voice vote and welcomed new member Representative Van Binsbergen. It then took up House File 2354, which Chair Liebling moved to re-refer to the Public Safety Finance and Policy Committee. Representative Norris presented the bill as an updated version of the Medical Assistance Protection Act, aimed at strengthening the Attorney General’s Medicaid Fraud Control Unit, closing loopholes, equalizing fraud penalties, and increasing penalties for large-scale Medicaid fraud. Attorney General Ellison said the bill would add 18 specialized staff to the unit, moving it from 32 to 50 positions, and argued the federal-state matching structure makes the Attorney General’s office the proper home for the funding because the unit is dedicated to Medicaid fraud work. Nick Wonka, director of the Medicaid Fraud Control Unit, explained the bill’s provisions affecting committee jurisdiction: expanded subpoena authority to obtain financial account contents in provider-fraud investigations, conforming legal representation language to preserve the unit’s authority, venue changes to allow charging in counties where parts of the offense occurred, and a restitution change to let courts order restitution for related conduct in the same scheme. He said the subpoena change would speed investigations and align the Attorney General’s authority with other agencies, and that the restitution change would help recover more fraudulently obtained Medicaid funds. No public testimony was offered. Members questioned why the funding should go to the Attorney General’s office rather than the BCA, whether the new records authority was federally required, how the venue language would work across state lines, and whether the added FTEs indicated the fraud problem was larger than expected. Ellison and Wonka responded that the federal grant requires the work to stay within the Medicaid Fraud Control Unit, that the unit’s investigators are specialized and work with, but separate from, law enforcement, and that the venue provision applies only within Minnesota while out-of-state matters would be referred to the appropriate authorities. The amendment that had been posted was withdrawn and not offered.

Bills: SB241

Keywords: child care, child care assistance, child care subsidy, early childhood education, early childhood care, daycare, preschool, pre-K, Head Start, Early Head Start, Children's Code, early childhood education and care department, ECECD, child care facilities, licensed child care, registered child care, copayments, waitlist, subsidy, federal poverty level

Bills: SB241

Keywords: child care, child care assistance, child care subsidy, early childhood education, early childhood care, daycare, preschool, pre-K, Head Start, Early Head Start, Children's Code, early childhood education and care department, ECECD, child care facilities, licensed child care, registered child care, copayments, waitlist, subsidy, federal poverty level

Bills: SB241

Keywords: child care, child care assistance, child care subsidy, early childhood education, early childhood care, daycare, preschool, pre-K, Head Start, Early Head Start, Children's Code, early childhood education and care department, ECECD, child care facilities, licensed child care, registered child care, copayments, waitlist, subsidy, federal poverty level

Transcript Highlights:

• And this bill will provide a lot of choice and support our seniors in New Mexico.
• through the provider assessment that hospitals pay.
• How many providers will you be able to accommodate?
• So you have fewer providers.
• You'll be able to provide for— You'll be able to provide for, I don't know if you have midwives or OBGYN

Bills: SB21, SB42, SB81, SB101, SB139

Keywords: SB 21, Medicare supplement, Medigap, open enrollment, guaranteed issue, birthday month enrollment, health insurance, insurance regulation, senior health coverage, elderly, retiree, Medicare beneficiaries, preexisting conditions, underwriting restrictions, premium discrimination, New Mexico insurance law, superintendent of insurance, health care coverage, policy portability, healthcare

Transcript Highlights:

• House Bill 3887 removes the requirements for physicians to provide a referral for every 30 days for patients
• At what point would they have referred her back to a provider for evaluation?
• So my concern is if we keep giving these indefinite thirty-day Delays in getting back to a provider,
• if you work for a federal entity such as an FQHC or other federal entity, you are not required to provide

Bills: HB4423, HB3342, HB3645, HB3647, HB3887, HB4430, HB4431, HB2964, HB3834

Keywords: Oklahoma Health Care Authority, Medicaid, immigration verification, healthcare access, federal reporting, health care providers, auditing, patient rights, claims, protection from fraud, audit process, error correction, hospice care, physician determination, healthcare standards, symptom management, health information exchange, all-payer claims database, health care transparency, health care costs

Transcript Highlights:

• School Health and Related Services, better known as SHARRS, is a federally funded program that provides

Bills: SB 596, SB 961, SB 1398, SB 1183, SB 1952

Keywords: DFPS, Department of Family and Protective Services, child protective services, foster care, child welfare, Family Code, conservatorship, managing conservator, parental child safety placement, authorization agreement, temporary authorization order, child abuse, child neglect, placement reporting, court-ordered removal, investigation, family preservation, transparency, public reporting, data reporting

Transcript Highlights:

• But they also provide support to the SSCCs after the transition.
• Geographic variations in the availability of providers will impact that.
• Of course, this includes provider incentives and other necessary components.
• It requires healthcare providers to submit reimbursement claims that reflect the provider who truly rendered
• I think this bill is an important step toward ensuring that local providers who are responsible for providing

Bills: SB596, SB961, SB1398, SB1183, SB1952

Keywords: DFPS, Department of Family and Protective Services, child protective services, foster care, child welfare, Family Code, conservatorship, managing conservator, parental child safety placement, authorization agreement, temporary authorization order, child abuse, child neglect, placement reporting, court-ordered removal, investigation, family preservation, transparency, public reporting, data reporting

Transcript Highlights:

• School Health and Related Services, better known as SHARS, is a federally funded... program that provides

Bills: SB596, SB961, SB1398, SB1183, SB1952

Keywords: DFPS, Department of Family and Protective Services, child protective services, foster care, child welfare, Family Code, conservatorship, managing conservator, parental child safety placement, authorization agreement, temporary authorization order, child abuse, child neglect, placement reporting, court-ordered removal, investigation, family preservation, transparency, public reporting, data reporting

Transcript Highlights:

• It provides additional disclosure. It provides... ...themselves or a loved one.
• It provides additional disclosure.
• Do you in any way see where this facility providers bill of rights posted next to that patient's bill
• Are we requiring then the corporations to provide both?
• Providing this documentation. That's a good question. Valid question.

Bills: HB4336, HB1818, HB3194, HB3538, HB3682, HB3762, HB3793, HB3930, HB3931, HB3934, HB4124, HB4200, HB4410, HB4457, HB4473, HB3884, HB1912

Keywords: interventional pain management, pain management clinic, chronic pain, acute pain, spinal injections, epidural steroid injection, peripheral nerve block, nerve ablation, spinal cord stimulator, intrathecal infusion pump, endoscopic diskectomy, fluoroscopy, physician supervision, allopathic physician, osteopathic physician, CRNA, certified registered nurse anesthetist, nurse anesthetist, freestanding pain management facility, medical licensure

Transcript Highlights:

• Who currently provides oversight? I believe it's a complete system.
• So as far as, like, a state agency, when we provide state dollars, who provides oversight to them?
• So can someone who provides, I know that if, say, in that ultrasound they don't notice that there's a
• First Pharmacy provided.
• health care providers in their communities, the communities die.

Bills: HB4336, HB1818, HB3194, HB3538, HB3682, HB3762, HB3793, HB3930, HB3931, HB3934, HB4124, HB4200, HB4410, HB4457, HB4473, HB3884, HB1912

Keywords: interventional pain management, pain management clinic, chronic pain, acute pain, spinal injections, epidural steroid injection, peripheral nerve block, nerve ablation, spinal cord stimulator, intrathecal infusion pump, endoscopic diskectomy, fluoroscopy, physician supervision, allopathic physician, osteopathic physician, CRNA, certified registered nurse anesthetist, nurse anesthetist, freestanding pain management facility, medical licensure

Transcript Highlights:

• Providing providing tools that support both families and providers is essential.
• The process for loved ones to provide helpful information giving providers that valuable context while
• So you fast forward to today, those same providers. including the behavioral health providers that were
• No, this bill does provide oversight, it provides more oversight. oversight than we have right now.
• So say these eight providers here that I listed in my typical day, they're not the only providers and

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

Transcript Highlights:

• And if we can get ibogaine, that could provide relief and save one child.
• We should be trying to provide the best solution in the most cost-effective, quickest way.
• And so what we would be providing... providing is an opportunity for them to take some time, pay some
• And there's a growing part of the workforce that is... are not licensed healthcare providers.
• They are not accounted for in any of our models. that we look at for health care providers.

Bills: HB 44, HB 2200, HB 1612, HB 2747, HB 2038, HB 3717, HB 1431, HB 3800, HB 3801, HB 3560, HB 3246

Keywords: HB 44, Life of the Mother Act, abortion exceptions, medical emergency, reasonable medical judgment, pregnancy complications, maternal health, life-threatening condition, ectopic pregnancy, miscarriage, spontaneous abortion, fetal survival, Texas abortion law, abortion ban, physician liability, health care provider, disciplinary action, aiding and abetting, emergency abortion, obstetric care

Summary: The meeting of the public health committee focused on the pressing issue of opioid addiction in Texas, with a particular emphasis on House Bill 3717. Chairman Harris detailed the bill's intent to fund a grant program for Ibogaine clinical trials, framing it as a critical response to the ongoing opioid crisis. He shared poignant testimonies highlighting the struggles of families and veterans battling addiction and mental health issues. The conversation underscored the necessity of innovative treatments, like Ibogaine, which showed promising results in studies for reducing symptoms of withdrawal and PTSD.

Transcript Highlights:

• was a mental health provider shortage. was a mental health provider shortage.
• Uh, number one, they're going through the process of revalidating providers.
• <00:15:48.800> Basically of revalidating providers. Basically of revalidating providers.
• <00:18:34.559> Um that they were providing. Um that they were providing.
• , provided by the equipment providers, provided by the equipment providers, compliance<00:52:41.520

Keywords: 1187, senate, all

Transcript Highlights:

• By June, we will have done on-site visits to revalidate each of the 5,800 Medicaid providers in our remaining
• By June, we will have done on-site visits to revalidate each of the 5,800 Medicaid providers in our remaining
• Um, such as prepayment review of claims, disenrolling inactive providers, revalidation and increased
• And how any increase in the providers? providers? providers?
• . provide. provide.

Keywords: 1183, house

Summary: The committee met on March 2 and approved the February 23 minutes after a quorum was reached. The main presentation was from the Department of Human Services on non-emergency medical transportation (NEMT), a federally required Medicaid benefit that helps Minnesota Health Care Program enrollees get to medically necessary appointments. DHS said the program served more than 250,000 people in 2025 at a cost of $127 million, with participation up about 14% over five years, and described the seven transportation modes, provider enrollment requirements, STS certification, background checks, prior authorization rules, and planned transitions to a single administrator for parts of the program in 2026 and 2027. DHS officials emphasized fraud prevention efforts, saying NEMT is one of the agency’s high-risk Medicaid services. They described enhanced prepayment review, provider revalidation and site visits, removal of inactive providers, and a provider moratorium in metro counties. Inspector General James Clark said the governor’s anti-fraud proposal would add pre-enrollment risk assessments, more staffing and technology, and electronic visit verification. He also noted that about 80% of NEMT spending is in managed care and that managed care organizations have their own compliance and special investigations units. Committee members raised concerns about fraud, oversight, and privatization. Chair Robbins questioned DHS about the absence of the commissioner and the program’s use of brokers, citing past concerns and asking about the vendor MTM’s history; DHS said the RFP for the new broker had closed and the vendor selection was still underway. Representative Pinto questioned why oversight is outsourced to managed care organizations and suggested bringing more oversight back in house. MTM representative Phil Stahlberger defended the company’s record, said the Missouri dispute was about contract terms from about 15 years ago, and said MTM currently works in Minnesota counties and many other states, with on-site reviews, trip verification, and complaint review processes. No further votes or final actions on the NEMT policy were taken in the portion provided.

Transcript Highlights:

• certification provider, which is usually the QSP or the level one provider, and so they are providing
• <00:06:35.720> this provide Most states do not provide this provide Most states do not provide
• certification provider, which is usually the QSP or the level one provider, and so they are providing
• certification provider, which is usually the QSP or the level one provider, and so they are providing
• High-risk providers have more scrutiny; they have a revalidation process that occurs every three years

Keywords: 1187, senate, all

Summary: The committee heard a presentation from DHS on its early intensive developmental and behavioral intervention (EIDBI) study and related licensing proposal. Christy Grom explained that EIDBI is a Medical Assistance state plan service for children and young adults under 21 with autism or related conditions, and that DHS’s multi-phase evaluation included standards review, community engagement, and a comparison with other states. She said the service is important but that DHS identified gaps in oversight, including stretched clinical supervision, providers affiliated with many centers, out-of-state providers, and rapid growth in enrollment that has outpaced current monitoring capacity. DHS’s main recommendation was to create a provisional license for EIDBI in Chapter 245A as an immediate step, with later work toward full licensing standards. The proposal would let DHS identify controlling individuals, disqualify ineligible people, investigate maltreatment, suspend or revoke licenses, require background studies and qualifications before service delivery, move EIDBI providers into a higher-risk category for revalidation, and make DHS the lead investigative agency for maltreatment. DHS also recommended statutory standards for supervision, caseloads, training, and documentation, while emphasizing the need to balance oversight with continued access to services. Grom said the provisional licensure proposal is part of the governor’s budget and that DHS hopes to begin implementation in 2025, with a possible full license start date in 2028. Testifiers then spoke in support of EIDBI while urging the committee to preserve access and include more community input. Ana Hagi Muhammad, a parent of three autistic children and a Somali community advocate, said EIDBI has been beneficial for her family and that community organizations serving Somali families have not been sufficiently engaged in DHS’s process. Ana Muhammad, a Black mother of a young autistic child, said ABA has helped her son with communication, self-regulation, and independence, and asked that discussions reflect the diversity of family experiences. Committee members asked testifiers to keep remarks brief and to identify which modality they use, and the chair indicated the committee would continue hearing from additional testifiers before further discussion.

Transcript Highlights:

• come in and provide red cards to the insurance committee.
• actually provided a service as part of that surgery.
• How many network providers did we have drop out of network?
• Those ranges are for us to provide you with information.
• So the provider charges, OGB pays.

Bills: HB12, HB145, HB222, HB291, HB430, HB821, HB874, HB909, HB951, HB979, HB1193

Keywords: survivor benefits, law enforcement, reserve officer, auxiliary officer, public safety, firefighters, medical expenses, dental expenses, disability benefits, Medicaid, dental coverage, healthcare access, medical necessity, Louisiana Department of Health, health insurance, provider agreements, contracting actions, participating facilities, network status, survivors benefits

Transcript Highlights:

• Members, House Bill 841 by Representative Guyman, Chairman Gaiman, provides for expropriation procedures
• It basically provides a framework of things that the landman needs to do as they're negotiating with
• And Pat Raleigh with the Chemistry Association in favor and willing to provide information if requested
• It provides for oil field site restoration fees. Okay, Mr. Chairman. Thank you, Mr. Vice Chair.
• Members, Senate Bill 480 by Senator Allan provides for the use of certain fishing gear.

Bills: SB480, HB621, HB637, HB804, HB841, HB1056

Keywords: fishing gear, Oyster Bayou, shrimping, regulation, marine resources, HB621, Act 658, renewable energy, recycling, decommissioning, wind energy, solar power, solar facilities, wind turbines, energy infrastructure, end-of-life disposal, universal waste, recyclable materials, waste reduction, Department of Environmental Quality

Transcript Highlights:

• Members, House Bill 841 by Representative Gaiman provides for expropriation procedures.
• It basically provides a framework of things that the landman needs to do as they're negotiating with
• And Pat Raleigh with the Chemistry Association, in favor and willing to provide information if requested
• It provides for oil field site restoration fees. Okay, Mr. Chairman. Thank you, Mr. Vice Chair.
• Members, Senate Bill 480 by Senator Allan, provides for the use of certain fishing gear.

Bills: SB480, HB621, HB637, HB804, HB841, HB1056

Keywords: fishing gear, Oyster Bayou, shrimping, regulation, marine resources, HB621, Act 658, renewable energy, recycling, decommissioning, wind energy, solar power, solar facilities, wind turbines, energy infrastructure, end-of-life disposal, universal waste, recyclable materials, waste reduction, Department of Environmental Quality

Summary: The Senate Committee on Natural Resources met on May 14 and approved the April 29 minutes. The committee first heard HB 1056, which authorizes transfer of certain state property in Natchitoches Parish tied to a former school building now considered dilapidated and a nuisance; it was reported favorably. HB 841, described as a landman code of conduct bill and expropriation-related measure, was voluntarily deferred so the sponsor could work on additional changes over the interim. The committee then took up HB 804, the Louisiana Energy Protection Act, which would bar future lawsuits seeking climate-change damages against fossil fuel companies and other entities. Supporters said it would prevent speculative climate litigation while preserving legitimate claims for permit violations and other existing statutory causes of action. Opponents from coastal litigation and the Sierra Club argued the bill was drafted too broadly and could affect legacy cases, property rights, and regulatory enforcement; the committee adopted Amendment 3875 to grandfather existing filed cases and make the bill effective upon gubernatorial signature, then reported the bill favorably as amended. HB 621, requiring recycling of decommissioned renewable energy infrastructure and updating the state’s waste framework for modern energy components, was reported favorably. HB 637, which revises oil field site restoration fees and lowers rates for marginal, stripper, low-pressure, and incapable wells, was also reported favorably. Finally, SB 480, as amended, allowed boats to anchor in Oyster Bayou so long as they are not within an oyster lease and someone remains on board; the committee adopted the amendment and reported the bill favorably before adjourning.