Video & Transcript : 'claims managers' :

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MN

Minnesota 2025-2026 Regular Session

Fraud Committee Meeting - 2025-05-05

Fraud Prevention and State Agency Oversight Policy

Transcript Highlights:
  • . management, then it becomes a game of hot potato.
  • who have grants management responsibilities, but they are not required.
  • Robust training for employees in agencies who are managing grants.
  • Agency staff who manage grants.
  • The Office of Grants Management has a robust set of policies.
Bills: HF3043 , HF2891
NH

New Hampshire 2025 Regular Session

Fiscal Committee (06/20/2025)

Transcript Highlights:
  • The claims that we are due to pay in the The claims that we are due to pay in the next<00:31:05.600><
  • So, we have Jennifer Foley from the YDC claims administrators here.
  • </c> Jennifer Foley from the YDC claims Jennifer Foley from the YDC claims administrators<00:40:26.480
  • Paige Lauren, the audit manager who worked on the report.
  • </c><00:41:34.240><c> who</c> Paige Lauren on the audit manager who Paige Lauren on the audit manager
Summary: The Fiscal Committee met on June 20, 2025 and first approved the May 16 minutes and the non-removed items on the consent calendar. It then took up a Health and Human Services item for $5 million in additional nursing facility payments (FIS 25158). HHS explained the transfer was for private and county nursing facilities and was the third and final transfer in FY25, funded through federal matching dollars, county cap funds, and general funds. Members asked about the size of the transfer, whether it signaled future shortfalls, and how projections were developed; HHS said the request reflected updated estimates and that they did not expect similarly large transfers going forward. The committee adopted the item. The committee also considered an ARPA-related item to remove a line from a funding request because the issue had been resolved and the positions/funds were no longer needed. Members approved the item with that line removed. Commissioner Caswell then answered questions about ARPA spending authority, saying remaining projects must be expended by December 31, 2026 and that the item was intended to preserve authority for ongoing capital projects; any unspent funds would revert to the federal government. Members noted the recurring nature of these ARPA adjustments and the need to keep tracking deadlines. The Department of Corrections presented several items, including a $10 million request tied to staffing shortages and overtime costs, plus additional corrections-related funding items. Interim commissioner John Skipa said 18 employees had received preliminary layoff notices pending final budget approval. He and staff said the overtime need was driven by staffing shortages, later collective bargaining pay increases, and double-time compensation for uniform officers forced into overtime; they also said one housing unit section had been closed to reduce staffing pressure. In response to questions about morale and operational risk, Skipa said the department was under strain, that leadership was in transition, and that staffing or budget reductions could create litigation risk. The committee also heard about the Site Evaluation Committee’s budget shortfall, which was attributed to fewer new facility applications but continued casework and public engagement, and approved that item. Finally, members discussed a YDC claims administration item, questioning the role and cost of the Verald Dana consultant; staff said the firm handles intake and processing of claims for the Attorney General’s office and had been involved since the claims process was created. Several items were adopted after brief discussion.
CA
Transcript Highlights:
  • ...but I would be curious, particularly with the medication management.
  • And so we really are trying to manage those costs the best we can.
  • On April 1st, 2025, we went live with care management services.
  • Yes, 59% have had warm handoffs with the community enhanced care managers.
  • The managed care plans are still bringing on new enhanced care managers, so depending on the county there's
TX
Transcript Highlights:
  • You're talking about management, Senator Hagenbuch? Sorry. It's your microphone, sir.
  • Or is it management who's unsalaried, who could have more influence at a higher level?
  • The recovery of attorney's fees, if a claim is without merit, making the recovery of fees two-way.
  • So this reflects stakeholder input and mirrors the language more closely to the Tort Claims Act.
  • We don't want to create a lot of new claims.
CA
Transcript Highlights:
  • To pay family planning claims using federal matching funds.
  • The cost per claim, for example, has gone up significantly.
  • We continue to have several levers to manage our pharmacy costs.
  • There's managed care rates. There's provider rate increases.
  • Previously, prior to HR1, in the managed care system, the state could—managed care plans could pay hospitals
Summary: The Assembly Budget Subcommittee on Health began with a hearing on the impacts of H.R. 1 on California health programs, focusing first on reproductive health state investments. HCAI outlined five state-funded reproductive health programs created after Dobbs, including uncompensated care, practical support, capital and clinical infrastructure, and workforce programs. Essential Access Health and Planned Parenthood testified that these funds have served hundreds of thousands of patients, but warned that the uncompensated care program is fully awarded and needs renewal, and that Title X and Medicaid-related federal uncertainty continues to threaten access. Members questioned who the uncompensated care program serves, why Medi-Cal covers a large share of abortions, and whether Planned Parenthood could expand prenatal services; public commenters urged continued support for reproductive health access. The committee then took up long-term care services and supports, starting with the HCBA and Assisted Living Waiver programs. DHCS reported large wait lists for both programs and said enrollment is limited by workforce and provider capacity, while LAO noted that increasing slots alone may not increase access without additional programmatic changes. Members pressed the department on whether more slots should be added given the lower cost of home- and community-based care compared with skilled nursing facilities, and public testimony argued that the wait lists should be reduced and that staffing concerns do not fully explain unused capacity. The committee also heard testimony on congregate living health facilities, where providers and a patient family described the homes as critical, lower-cost alternatives to nursing facilities for younger, medically complex people. Witnesses requested short-term bridge funding, while DHCS said it is proposing to transition CLFs into a managed care benefit by January 1, 2028, which would remove caps and expand access statewide. The final long-term care topic was PACE. DHCS explained that it has paused new PACE applications and service expansions for at least two years to reassess oversight capacity and develop a statewide strategic growth framework, while existing programs continue operating. CalPACE supported the pause as a planning measure but asked for four additional state nurse positions to reduce delays in level-of-care determinations and speed enrollment for frail older adults. Members shared personal stories about how PACE has helped family members and asked how the state will meet growing demand; DHCS said stakeholder engagement will begin later in the year and that some existing applications already in process will continue. Public commenters broadly supported PACE, HCBA, and CLF funding requests. The hearing then moved to the Department of Health Care Services’ 2026-27 Medi-Cal budget and related trailer bills. DHCS said Medi-Cal spending has grown due to coverage expansions, higher acuity, rising utilization, and especially pharmacy costs, and it described proposals to extend the current skilled nursing facility financing framework for one year while the state develops a new value-based payment strategy. LAO said most recent Medi-Cal spending growth has been driven more by higher per-enrollee costs than by caseload growth, with pharmacy spending growing especially quickly, and recommended better and more timely data to analyze the drivers. Members expressed concern about the rapid rise in Medi-Cal spending and asked for more detail on the largest cost increases.
LA

Louisiana 2026 Regular Session

Insurance Apr 29th, 2026

Insurance

Transcript Highlights:
  • reimbursement or payments, to provide for definitions, to provide for payment of dental insurance claims
  • This instrument provides relative to pharmacy benefit managers to provide for definitions.
  • But it prohibits a look-back period of longer than 12 months when a PBM audits a claim submitted by a
  • When a PBM audits a claim submitted by a pharmacy, it adds or amends definitions of enrollee.
  • , the nation's trade industry group for the pharmacy benefit managers.
Committee: House Insurance
Summary: The House Insurance Committee met on April 29 with a quorum present and took up several insurance and health care-related bills. SB 192, a dental reimbursement bill, was amended to allow dentists to opt in electronically to credit-card payment methods and to clarify applicability and effective date; it was reported as amended. SB 84 would require prostate cancer screening coverage for men over 40 under current clinical guidelines and prohibit cost-sharing; supporters from the American Cancer Society said Louisiana has a high incidence of prostate cancer and that out-of-pocket costs deter early screening. The committee adopted amendments and reported the bill as amended. SB 275, dealing with reimbursement and network participation for certified registered nurse anesthetists, drew support from nursing and hospital groups and was reported favorably. SB 169, a cleanup bill on biomarker testing, was also amended and reported. The committee spent substantial time on SB 401, which creates a temporary prescription drug affordability board to review pricing data on selected drugs and report findings to the legislature. Supporters said the board would improve transparency and help lawmakers understand drug pricing trends; opponents raised concerns about confidentiality, market effects, and the lack of a defined policy outcome beyond reporting. Amendments narrowed the scope, added confidentiality protections, and removed opposition cards, and the bill was reported as amended. SB 387, a major PBM reform bill tied to SB 401, would change PBM compensation, rebate handling, formulary practices, audits, and appeals, while excluding ERISA plans after discussion and amendment. Supporters argued it would curb spread pricing and other practices that raise costs, while opponents from the Pelican Institute and PCMA warned it would interfere with private contracts, reduce flexibility, and could raise premiums or disrupt city, school board, and small-group plans. After extensive debate and a roll call, SB 387 was reported with amendments by a 10-4 vote. The committee also considered SB 241, which requires certain insurance adjusters and public adjusters to include license numbers in written communications. After amendments limiting the requirement to individual licenses and removing one statutory reference, the bill was reported as amended. Throughout the meeting, members and witnesses repeatedly discussed the need for transparency in drug pricing and PBM practices, the role of ERISA and non-ERISA plans, and potential impacts on public employers and consumers.
CA
Transcript Highlights:
  • Any ingredient cannot be claimed as CBI if it is on one of those lists.
  • Any ingredient cannot be claimed as CBI if it is on one of those lists.
  • Again, it ensures that these ingredients cannot be claimed as confidential business information.
  • So we need help in managing these. We've been... They're a real challenge.
  • So we need help in managing these. We've been having conversations, like I said, with the U.S.
Summary: The Assembly Environmental Safety and Toxic Materials Committee heard five bills, with testimony focused on farmworker climate equity, product recall responsibility, diaper ingredient disclosure, agricultural commissioner fee authority, and vape disposal and youth protection. Members also took up one consent item. The chair reviewed testimony rules, and the committee established a quorum before proceeding. AB 1600 by Assembly Member Arambula would treat farmworker housing as disadvantaged communities for purposes of climate and environmental funding. Supporters said farmworkers face severe climate, housing, water, and pollution burdens but are often excluded from existing DAC mapping tools. The bill passed 4-1 to the Committee on Appropriations. AB 2462 by Assembly Member Pellerin would require manufacturers to take back recalled products at no cost from consumers and additional collection points such as recycling centers, waste facilities, and thrift stores, while strengthening CalRecycle enforcement. It drew support from counties, cities, and waste stewardship groups, and opposition from manufacturers and juvenile product interests concerned about implementation, coordination, and penalties. The bill passed 5-1 to Appropriations. AB 1901 by Assembly Member Berman would require children’s diaper manufacturers to disclose ingredients online and on packaging. Supporters framed it as a parents’ right-to-know measure, while industry witnesses sought amendments to align it with other California disclosure laws and protect confidential business information. The bill passed 5-0 to Appropriations. AB 2380 by Assembly Member Papin would raise the maximum fee counties may charge to support agricultural commissioner operations and pesticide enforcement; it received support from county agricultural officials and passed unanimously to the Assembly Floor. AB 2667 by Assembly Member Hadwick would ban deceptively marketed disposable vapes, allow household hazardous waste facilities to disassemble them, and direct DTSC to address school-confiscated vapes. School and local government witnesses described widespread youth vaping and disposal challenges, and the bill passed unanimously to the Business and Professions Committee. AB 2086, the consent item, also passed unanimously. Later add-on votes confirmed the earlier actions, and the committee adjourned.
AZ
Transcript Highlights:
  • You manage it, and don't be afraid to make those hard decisions.
  • We did look through our licensing management system and none came up.
  • You’ve said OCR’s not investigating the retaliation claims, yeah?
  • Which has nothing to do with the retaliation claim.
  • And we're working closely with the Department of Forestry and Fire Management.
Summary: The Committee on Director Nominations met with four members present and approved the prior minutes without objection. Chair Jay Kaufman outlined the committee’s role in reviewing executive nominations and explained the hearing process for three nominees: Mary Foote for the Office of Economic Opportunity, Debbie Johnston for the Department of Health Services, and Chuck Bassett. Foote did not appear for her hearing, and members discussed her absence and alleged omissions in her disclosure materials, including prior service with Planned Parenthood-related organizations. The committee then moved to reject her nomination, and the motion passed 3-2, recommending that the full Senate reject Mary Foote. Debbie Johnston, nominee to lead the Department of Health Services, appeared and gave an opening statement describing her Arizona background, prior Senate staff work, and more than 20 years with the Arizona Hospital and Health Care Association. She said her priorities at ADHS include rebuilding trust in public health licensing, improving stakeholder engagement, standardizing rulemaking communication, addressing alleged religious discrimination and retaliation concerns in licensing, and using technology and AI to improve efficiency. In questioning, senators pressed her on her management style, conflict-of-interest safeguards given her prior industry role, enforcement priorities, budget pressures, behavioral health and assisted living oversight, and the department’s response to COVID-19. Johnston said she would follow statutes, recuse herself from enforcement matters involving former contacts, and resign if directed to carry out an unlawful policy. She also said the department does not regulate therapy itself, only facilities, and that it would rely on legal counsel regarding the governor’s conversion-therapy executive order and related federal civil-rights allegations. Several senators focused on public health trust and the department’s pandemic response, with Johnston acknowledging concerns about closures, data collection, and communication during COVID-19 while saying she would review past after-action materials and be better prepared in the future. Public testimony from stakeholders in aging services and health care strongly supported her confirmation, praising her accessibility, responsiveness, and collaborative approach. After testimony, the vice chair moved to recommend Johnston’s confirmation to the full Senate. The roll call was underway when the transcript ended, with several members voting aye and one member expressing reservations about her not reviewing the pandemic after-action report before another crisis occurs.
TX

Texas 89th Regular

Insurance Apr 2nd, 2025

Insurance

Transcript Highlights:
  • David Durden, General Manager, Texas Windstorm Insurance Association.
  • That money could be used in the CRTF to pay claims.
  • And I guess I would throw in that if you just take a simple windstorm claim.
  • The cost of the claim is not substantial.
  • These are the biggest claims I see, and I've seen a surge in claims on homes over the last four to five
Committee: House Insurance
WA

Washington 2025-2026 Regular Session

House Appropriations Feb 26th, 2026

Transcript Highlights:
  • who has been approved for subsidy attends at least one day in the calendar month, the provider may claim
  • DCYF must adopt rules that allow child care providers to accept state subsidy payment to claim a full
  • And the standards must be adopted by the health care authority by January 1st of 2028, and the managed
  • My homeowners insurance, 228% without a claim. Car insurance, 196%, and medical premiums 77%.
  • Other impacts at PERC, such as additional unfair labor practice claims or representation cases, are not
Summary: The House Appropriations Committee held a public hearing on a series of bills, beginning with House Bill 2689 on Working Connections Child Care. Staff explained that the proposed substitute would keep eligibility at 60% of state median income, eliminate scheduled expansions to 75% and 85%, reduce future subsidy rates from the 85th to the 75th percentile of market, end enhanced regional rates, and change reimbursement rules from prospective enrollment-based payments back to attendance-based payments with a reduced monthly payment after 11 absent days. Child care advocates thanked the committee for removing the proposed cap on the program but opposed the cuts to provider rates and eligibility expansions, warning of harm to families and providers. The committee then heard Engrossed Substitute Senate Bill 5124 on Medicaid network adequacy for post-acute care, with staff noting administrative costs and indeterminate fiscal effects; hospitals supported the bill as a way to reduce discharge delays and reliance on single-case agreements. Senate Bill 5832, which would raise the new motor vehicle arbitration fee from $3 to $6 to support the Lemon Law arbitration program, drew support from the Attorney General’s Office and auto dealers, who said the fee had not been updated since 1995 and the program was underfunded. The committee also heard Substitute Senate Bill 5862, providing a one-time 3% COLA for certain PERS 1 and TRS 1 retirees, with retirees testifying in favor and local government representatives warning about added employer costs. The committee next heard Senate Bill 5922, allowing school districts to transfer money from the Transportation Vehicle Fund to other funds if they reduce their fleet and receive OSPI approval; staff said the bill would mainly add administrative work for OSPI, and no one testified. Substitute Senate Bill 5923 would allow a hospital on an island in Skagit County to qualify as a critical access hospital if federally certified; Island Health testified that the designation would help sustain rural services, and a committee member asked about bed count and Medicaid/charity-care pressures. Senate Bill 5944 would require language access providers to bargain over compensation for missed or canceled appointments and clarify that statutes prevail over conflicting contract terms; WFSE supported the bill, saying it would equalize bargaining rights across agencies. Substitute Senate Bill 5972 would extend interest arbitration rights to correctional employees in city and county jails regardless of population size; labor supported the bill as a retention tool, while cities and counties opposed it, arguing it would raise costs and should include ability-to-pay protections. The committee also heard Senate Bill 5988, authorizing the Department of Health to continue accrediting opioid treatment programs and charge accreditation fees, which DOH said was needed to avoid winding down the program. Later, the committee heard Senate Bill 6151, which would move Ecology fee revenues for landfill methane emissions and laboratory accreditation into dedicated accounts; Ecology supported the bill as improving transparency and reinvesting fees into the programs, and staff said the lab fee shift would be offset by a related budget action. Engrossed Substitute Senate Bill 6194 would pay a rural hospital on a federally recognized Indian reservation, specifically Astria Toppenish, at 150% of the Medicaid fee-for-service rate beginning in 2027; hospital leaders and community members testified that the hospital serves a high-Medicaid, rural, and tribal population and faces persistent losses. Finally, Engrossed Substitute Senate Bill 6302 would direct L&I to investigate possible misclassification of independent contractors on public works projects involving multiple workers doing the same finishing work; labor and business representatives both described it as a negotiated compromise to address underground economy abuses. The committee took no final votes during the hearing and ended by reiterating amendment deadlines for bills scheduled for executive session.
AZ
Transcript Highlights:
  • It allows individuals to assert an actual or threatened violation of this act as a claim or defense in
  • in which an appraisal management company shall put together a panel for real estate management services
  • Approved for a claim.
  • the AG to investigate credible claims.
  • I mean, it's interesting that it says credible claims.
Summary: The caucus reviewed a long list of bills and resolutions, with members frequently asking to pull measures from consent and noting party-line or unanimous votes. Topics included medical and vaccination restrictions (HB 2248, HB 2086), state investment and conflict-of-interest rules for the treasurer (HB 2303), budget and reporting requirements (HB 2688, HB 2015), procurement limits involving China-linked companies (HB 2170, HB 2134), homelessness administration (HB 2533), traffic and transportation measures (HB 2109, HB 2574, HB 2210), school testing and education policy (HB 2032, HB 2033, HB 2075, HB 2266, HB 2395, HCR 2003), and several health-care bills involving lactation services, gender-transition care for minors, abortion-related restrictions, and hospital immigration-status reporting (HB 2072, HB 2085, HB 2364, HB 2689, HB 2796). Members also discussed water policy, including desalination, groundwater transport, and water-use limits (HB 2052, HB 2056, HB 2098, HB 2758, HB 2328), as well as food and agriculture measures such as SNAP restrictions, cultivated-cell food labeling and bans, and the Beef Council extension (HB 2396, HB 2762, HB 2791, HB 2155). Several members criticized bills as unconstitutional, costly, or harmful to affordability, while sponsors described them as clarifications, consumer protections, or administrative fixes. The caucus also considered a number of bills affecting labor, property, and consumer issues, including unemployment eligibility changes, mobile home park submetering fees, appraisal management company rules, digital goods seller requirements, property tax clarifications, and protections for minors in online content creation (HB 2690, HB 2459, HB 2501, HB 2010, HB 2120, HB 2192, HB 2261, HB 2279). Other measures addressed sexual extortion penalties, name-change procedures for sex offenders, and restrictions on abortion-inducing drugs and gender-transition procedures for minors (HB 2666, HB 2223, HB 2364, HB 2085). Members repeatedly raised concerns about federal preemption, constitutional issues, implementation costs, and unintended consequences, and several sponsors or members indicated they were working on amendments or stakeholder discussions. At the end of the meeting, the caucus also heard memorials and resolutions, including a proposal to limit voting centers and precinct voting, and memorials urging withdrawal from the United Nations and defunding the IMF (HCR 2016, HM 2001, HM 2004). The meeting concluded with caucus announcements, including an affordability-themed award recognizing Rep. Betty Villegas, a Black History Month sign-up request, and reminders about upcoming affordability and Latino Caucus events. No final floor votes were taken in the transcript, but multiple bills were pulled from consent or noted for opposition.
NM

New Mexico 2025 Regular Session

IC - Land Grant Jul 14th, 2025

House Rural Development, Land Grants And Cultural Affairs

Transcript Highlights:
  • And graduate or advanced degree nurses for careers in leadership, careers in management, and careers
  • I have a question in regards to the supply chain management.
  • Later on, after the Civil War, that got switched to a court of private land claims, but it was still
  • Joe Chavez, to really file notice with the BLM that you're making claims to those parcels.
  • Because that's what happened with a lot of our land grants: people would just do a quick claim. claim
TX
Transcript Highlights:
  • It has to do with the employment-based claims. negligent entrustment.
  • If that is true, then that is admitted to support an independent claim.
  • It goes on to say, "Find that 90% of all accidents are caused by management.
  • They claimed they did parking lot meetings before and after. None of that was recorded.
  • I'm the secretary-treasurer and business manager of Teamsters Local Union 745.
Bills: SB39 , SB2129 , SB2141 , SB2246 , SB2323 , SB2439 , SB2722 , SB 39
LA

Louisiana 2026 Regular Session

Civil Law and Procedure Apr 7th, 2026

Civil Law and Procedure

Transcript Highlights:
  • What it does is it says this is the cap of each individual's claim.
  • There is no claim by the other parents.
  • and, in cases, how much a claim can allow it to be recovered.
  • We need to find a way to crack down on the claims that aren't legitimate claims—the claims where, like
  • Because the difference is between property damage claims only and injury claims where people are substantially
Summary: The committee first took up HB 51 by Rep. Villio, a constitutional amendment to prohibit post-conviction bail for people convicted of aggravated offenses against minors. Members adopted a technical amendment to simplify the ballot language, heard a 6.8A report explaining the committee’s authority over constitutional amendments, and then adopted the report and passed HB 51 with amendments. Support was noted from law enforcement and district attorney groups. The main item was HB 526 by Rep. Dickerson, which would cap general damages in civil cases at $500,000 in most cases and $1 million for severe permanent injury, while leaving economic damages uncapped. The bill drew extensive testimony from trucking, logging, business, and insurance-reform advocates who argued that unpredictable verdicts and “nuclear verdicts” drive up commercial insurance costs and push businesses out of Louisiana. Opponents, including attorneys and victims’ advocates, argued the bill would unfairly limit recovery for seriously injured people and could harm sexual assault survivors and families in wrongful death cases. After debate, the committee adopted an amendment clarifying the cap applies per individual plaintiff rather than to the action as a whole, but then rejected a motion to report the bill; the roll call was 4 yeas and 5 nays, so HB 526 remained in committee. The committee then heard HB 173 by Rep. Bamberg, which would bar recovery for bodily injury or property damage by a driver who had failed to maintain required auto insurance for at least 30 days before the crash. Supporters said uninsured motorists contribute to higher premiums and should not recover large awards, while opponents warned the bill would punish innocent spouses, children, and other people who may be unaware coverage lapsed. An amendment was adopted to add the 30-day uninsured requirement, and the bill moved to opposition testimony, but the transcript cuts off before any final vote on HB 173.
MN
Transcript Highlights:
  • </c> by managing care. by managing care.
  • </c> manage care. They mostly manage money. manage care. They mostly manage money.
  • </c> much less manage it. much less manage it.
  • </c> management so difficult. management so difficult.
  • </c> in managed care. in managed care.
Summary: The committee first took up House File 3939, a bill to support a Helping Paws service-dog litter named in honor of Gilbert and the Hortman family. Testimony from Helping Paws and service-dog graduate Angie Foley described the organization’s work, the significance of the “Guided by Gilbert” litter, and how the funding would help train dogs that provide independence and support to people with disabilities, veterans, and others. Members from both parties spoke warmly about Speaker Hortman’s connection to the organization and Gilbert, and the bill was laid over for possible inclusion. The committee then considered House File 3769, the Department of Corrections’ technical omnibus bill, with an A1 amendment adopted to clarify tuberculosis testing language. The bill updates TB screening procedures in correctional facilities, including how refusals are handled, and adds Quantiferon Gold Plus testing as an option alongside existing methods. Members discussed whether the bill would create costs for counties and jails, with some noting added testing and segregation costs and others arguing the changes would improve accuracy and reduce time in restrictive housing. The bill, as amended, was recommended to the general register. House File 3978 was next, a technical cleanup bill for a provider wellness program created last year. The bill expands eligibility and confidentiality protections from physicians to all health care providers, while supporters said the program is meant to address burnout and mental health strain in the workforce and does not require new money. Some members questioned whether the change was redundant or would broaden the program without additional funding, but the Minnesota Medical Association testified that the program is separate from insurance and was intended to serve all providers. The bill was recommended to the general register. Finally, the committee began House File 3476, which Rep. Liebling described as a cleanup bill related to Minnesota’s Medicaid managed care system and public program oversight. She argued that the state spends billions through managed care organizations and that the system has never been proven better than direct payment, setting up a broader discussion of the bill’s purpose and the state’s oversight of public health care spending.
MN

Minnesota 2025-2026 Regular Session

House Fraud Prevention and State Agency Oversight Policy Committee 12/17/25

Fraud Prevention and State Agency Oversight Policy

Transcript Highlights:
  • Um again, medication<00:02:46.080><c> management</c><00:02:46.640><c> services,</c> medication management
  • </c> risks before we pay claims. risks before we pay claims.
  • </c> that have been seen by a case manager. that have been seen by a case manager. the<01:02:01.760><
  • </c> have on the on the case management have on the on the case management demand<01:08:34.319><c> side
  • ><c> that</c> demand side case managers signaling that demand side case managers signaling that we<01
LA

Louisiana 2026 Regular Session

House of Representatives Apr 16th, 2026

Louisiana House Floor Meeting

Transcript Highlights:
  • privilege report from Committee on Enrollment. for coordination between the Board of Regents and Management
  • House Committee amendments: $500,000 to the Office of Management and Finance for the development of a
  • House Committee amendments: $500,000 to the Office of Management and Finance for the development of a
  • But we did manage to reallocate some P1 funds, some places where we thought they were overbudgeted.
  • To urge and request the Federal Emergency Management Agency to review Louisiana's floodplain maps and
Summary: The House convened with a quorum, opened with prayer and the Pledge of Allegiance, and received Senate messages, including several Senate bills and resolutions that were referred or laid over. The chamber also adopted a series of House resolutions honoring local organizations, commemorations, and community events, and referred one resolution on climate action to Natural Resources. Several Senate bills were read and referred to the appropriate committees, including measures on peer review confidentiality, higher education research security, pre-K program standards, police civil service, and a memorial highway designation. The main floor business was the budget. The House considered House Bill 1, the general appropriations bill, in Committee of the Whole and reviewed major funding levels and committee changes across state government. The bill included significant funding for early childhood education, higher education, TOPS, health care, corrections, public safety, transportation, and other agencies, along with adjustments tied to LASERS debt payoff, Medicaid, MFP, and various one-time or recurring items. Members heard brief questions on higher education funding and DOTD road needs, but no amendments were offered on the floor during the schedule-by-schedule review. HB 1 was reported from Committee of the Whole with amendments and then finally passed by a vote of 104 yeas. The House then took up House Bills 2 and 3, the capital outlay bill and the omnibus bond authorization act, both of which were explained as the financing measures for the capital program. HB 2 emphasized limited member project funding, reallocation of dormant projects, and bundling of projects to move them forward more efficiently; HB 3 authorized the bond sales needed to fund HB 2. Both bills passed unanimously or near-unanimously. The chamber also passed supplemental and fiscal bills including HB 312, HB 313, HB 383, HB 314, HCR 3, HB 983, and HB 1126, covering supplemental appropriations, treasury fund transfers, ancillary funds, hospital assessments, judiciary funding, and legislative expenses. The meeting ended with personal privileges, staff recognition, announcements, and adjournment to Monday at 1:00 p.m.
LA

Louisiana 2026 Regular Session

Finance May 27th, 2026

Finance

Transcript Highlights:
  • We're actually in the department within, but they actually manage those funds now, those grants now,
  • So they’re just going off of the average number of claims per year.
  • Okay, but a lot of these are done through contracts with MCOs that are managing that whole risk pool.
  • A lot of these are done through contracts with MCOs that are managing that whole risk pool.
  • So it should be managed throughout the whole risk pool.
Committee: Senate Finance
Summary: The Finance Committee met on May 27, 2026, with six members present and took up a series of House bills, most of them dealing with education funding, criminal justice staffing, transportation, health care access, and economic development. HB 325 was reported favorably after testimony that it would expand TOPS eligibility by allowing dual-enrollment credits to satisfy eligibility criteria and by making part-time students eligible for TOPS Tech, with supporters saying the program has been underused and the change would help working students. HB 719 was amended and reported favorably to increase assistant district attorney positions in various judicial districts; the Louisiana District Attorneys Association said the changes were based on workload data and local input, and members discussed the need to coordinate any expansion with public defender funding. The committee also reported HB 749 favorably, which would move Louisiana’s 529 savings accounts to a more secure online platform after a cyber incident, and HB 1028 favorably, which concerns transportation reimbursement for providers and was described as already subject to appropriation. Several bills focused on food access and local economic development. HB 1222, the Grocery Initiative Act, was reported favorably to let LED use existing grant resources to map food deserts and develop a program, with members noting it could return for funding later if needed. HB 1194 was amended and reported favorably to define food deserts and direct the LSU AgCenter and the Department of Agriculture and Forestry to identify and map them, with authors emphasizing it was a study and not a government-run grocery program. HB 755, which would create IDIQ contracting for architects and engineers on smaller state projects, was reported favorably with no fiscal impact. HB 823, a local diversion pilot for Orleans Parish, was also reported favorably after the fiscal note was revised to remove state impact and reflect only local costs. The committee spent substantial time on HB 488, a proposal from Plaquemines Parish to use severance-tax revenue to help buy out a private toll concession on the parish’s bridge. The author and local officials described severe toll burdens, economic harm to local businesses, and what they called an unfair contract, but members noted the bill was not funded and ultimately deferred it without a motion. HB 797, the Bayou Gold/Louisiana Sound Money Act, was amended to make implementation subject to appropriation and then reported favorably. The committee also took up HB 198, which would raise Medicaid reimbursement for ambulatory surgery centers for certain outpatient procedures; after extensive discussion about fiscal notes, access to care, and potential long-term savings, the bill was amended to narrow its scope and make implementation subject to appropriation, then reported favorably as amended. The meeting ended with the chair noting it would be the committee’s last meeting and asking members to spread the word.
CA
Transcript Highlights:
  • ...but I would be curious, particularly with the medication management.
  • And so we really are trying to manage those costs the best we can.
  • On April 1, 2025, we went live with care management services.
  • The managed care plans are still bringing on new enhanced care managers.
  • Health care services manages our federal reimbursement.
Summary: The Senate Budget Subcommittee heard presentations from the Office of the Inspector General (OIG), California Correctional Health Care Services (CCHCS), the California Advancing and Innovating Medi-Cal (CalAIM) program, and the Coleman mental health receivership. The hearing focused on correctional health care, reentry, aging incarcerated populations, and the state’s progress toward compliance in the Plata and Coleman receiverships. Members also discussed the OIG’s intake complaint workload and medical inspection findings, as well as broader questions about staffing, vacancies, and the cost of court oversight. The OIG requested $275,000 General Fund for two permanent positions in its intake processing unit, citing a sharp rise in complaints from 3,200 in 2022 to 7,860 in 2025. OIG officials said complaints are categorized by issue and prison, prioritized by urgency, and generally responded to within 30 days, but they do not track complaint “validity” rates. The medical inspection unit reported that in cycle seven, case review performance was generally adequate while policy compliance was often inadequate; the lowest-scoring areas included emergency services, medication management, and health care environment. Members asked for more detailed reporting on complaint types, priority levels, and systemic issues. CCHCS described rising health care costs driven by an aging prison population, staffing vacancies, and contract medical expenses. Officials said more than 80% of the budget is personal services, and they are using hiring events, social media outreach, and expanded classifications to reduce vacancies. CalAIM officials reported early implementation success in pre-release and reentry services, including 89% Medi-Cal activation at release, 87% assigned managed care plans, 88% reentry care plans, and 59% warm handoffs, with about 169,000 claims submitted and $14.7 million reimbursed. The LAO noted that the Plata medical receivership has increased per-person costs and that the state should continue oversight while seeking ways to reduce vacancies and expand federal reimbursement opportunities. For the Coleman mental health receivership, the receiver’s office requested $33.9 million from the Mental Health Special Deposit Fund, including $8.2 million for receiver office staffing and $25.3 million to make court-ordered bonus payments permanent. The LAO supported continued oversight but recommended additional steps to address vacancies, including greater out-of-state recruitment, expanded telemental health, and possible consolidation of mental health services. The LAO also recommended reducing the telemental health staffing request and monitoring its effects. Members questioned the long-term cost of receiverships, the pace of compliance, and whether more detailed benchmarks and staffing data should be provided. No formal votes were taken during the portion of the hearing provided.
KY
Transcript Highlights:
  • I'm the assistant director of fiscal management for Education and Labor Cabinet. have appearing with
  • </c> assistant director of fiscal management assistant director of fiscal management for<00:06:15.880
  • But again, the commissioner of the Department of Workers' Claims reviews the caseloads and can make a
  • I hear you, attorneys claim that you all are...
  • “Attorneys claim that you all are practicing, and still practicing.
Summary: The Senate Standing Committee on Economic Development, Tourism, and Labor met and first took up SB 129, with a committee substitute adopted before testimony. The bill would allow certain qualified third-party entities in Louisville Metro, including public bodies and long-standing nonprofits, to purchase certificates of delinquency on vacant and abandoned residential properties after 90 days, with the goal of returning blighted property to productive use and back on the tax rolls. Several members supported the measure as a tool for housing and economic development, while Senator Boswell and Chair Willer noted concerns about protecting vulnerable property owners, such as widows, the elderly, and people with disabilities. SB 129 was approved by the committee with favorable expression. The committee then heard SB 178, which updates statutes related to the Education and Labor Cabinet by moving the Office of Vocational Rehabilitation’s Division of Program Policy into statute, renaming Business and Apprenticeship to Industry and Apprenticeship, and making related organizational changes. Testimony from cabinet staff said the changes reflect work already being done and that a floor amendment would be needed for one additional correction. The bill was advanced unanimously with favorable expression. Next, the committee considered SB 151, which would bar state tax dollars from being used to pay persons not legally present in the United States. The sponsor argued the bill was needed to prevent Kentucky funds from going to undocumented workers on state job sites, while Senator Wheeler questioned what the bill would change beyond existing law and how such payments would occur through contracts or appropriations. Senator Yates said he was not opposed to the premise but wanted more time to review the bill’s mechanics, and Senator Thomas voted no for the same reason. Despite those concerns, SB 151 passed with favorable expression. Finally, the committee heard SB 2011, a workers’ compensation bill that would delay newly appointed administrative law judges from taking office until Senate confirmation, extend current ALJ terms through June 1 of next year, and allow retention votes for board members to improve stability and attract more applicants. The sponsor said the bill addresses a loophole that can discourage qualified candidates from applying because they may have to leave private practice before confirmation. After a question about whether the bill would affect salaries, the sponsor explained compensation is set by statute and caseload need is separately reviewed. The bill received favorable expression and the meeting concluded with no further business.