Transcript Highlights:

• you've explained very well the complexity of where the data is, but I want to know, why is there not an audit
• adequately explain that sometimes big box stores are all that they have access to, but there's no audit
• It does allow for auditing, full-scale audits by the Health Resources and Services Administration.
• In fact, it allows manufacturers to demand audits themselves.
• Entities must recertify on an annual basis, and they are subject to audit and monitoring by the federal

Transcript Highlights:

• And when I first read it, I assumed that you're striking this language to do audits before you do the
• before you do the upgrades or audits before you do the upgrades or even<00:05:19.760> even<00
• ,<00:05:33.080> what's if you're not doing the audits, what's if you're not doing the audits
• They do require audits.
• They do require audits.

Keywords: 1187, senate, all

Transcript Highlights:

• Sherrod, do you mind just saying just like not following timelines for audits as well as regulations?
• >> Not following timelines for audits and regulations. >> Yes, that would work. >> Okay. >> Thank you
• Violating regulations and not following timelines for audits, because we know that they're violating
• For violating regulations and not including not following timelines for audits. >> Dr.
• Sherrod, do you mind just saying just like not following timelines for audits as well as regulations?

Keywords: 958, all

Summary: The Medicaid Oversight and Advisory Board met on January 12, 2026, to approve the December 10, 2025 minutes and continue finalizing its findings and recommendations. Members reviewed findings on administrative inefficiencies, Medicaid and workforce participation under HR 1, Medicaid budget growth, rural health transformation fund development, and provider tax/state-directed payment changes. The board approved a motion to change “pilot” to “partnership” in the workforce-related recommendation, and also adopted a technical amendment clarifying overlapping HCBS services by removing reference to adult daycare waiver services and revising the language to focus on reducing duplication, simplifying provider contracting, and standardizing processes across programs. A separate technical correction was noted to change “DMS” to “DPH” in the rural health transformation finding, to be handled in the final edits. Several findings drew discussion but no final substantive vote during the meeting. On the rural health transformation fund, Dr. Berg said Kentucky had done well in federal funding and noted limits on what could be shared publicly, while Commissioner Lee said a public website had been created and recommended the department reference be changed to the Department for Public Health. Finding five prompted extended discussion about provider taxes, state-directed payment reductions under HR 1, and whether the board should address the relationship between actuarial studies, MCO payments, and actual provider reimbursement more directly. Senator Meredith and others argued for a broader, more transparent baseline review of rates across provider groups, while Commissioner Lee said CMS will require certain fee schedule comparisons to Medicare beginning July 1, 2026, and that quarterly expenditure reports already go to LRC. The board did not finish resolving finding five during the meeting and agreed to return to it after staff prepared more explicit language. Members also discussed the possibility of an all-payers claims database as a better way to understand what is being paid across payers and services. No final vote on the full findings package was taken in the portion of the meeting provided, but the board did adopt the noted amendments and continued working through the remaining language.

Transcript Highlights:

• They must have audited financial reports for the past three years.
• They must have audited financial reports for the past three years.
• They must have audited financial reports for the past three years.
• They must have audited financial reports for the past three years.
• They must have audited financial reports for the past three years.

Keywords: 919, house, all

Summary: The House first adopted non-controversial motions, then approved an urgency motion to suspend the rules so Senate File 4476, the human services program integrity package, could move quickly to conference committee before the end of session. The House then adopted a DE amendment to insert House language into the bill, and proceeded to debate several amendments focused on program integrity, fraud prevention, and reporting requirements in human services programs. Representative Schultz offered Amendment A5 to remove a sunset on the periodic data matching report requirement, arguing the report helps ensure only eligible people receive medical assistance and welfare benefits and should continue to be delivered annually. Supporters said the report had been inconsistently delivered, cited past findings of ineligible recipients, and framed the amendment as a low-cost accountability measure. Opponents, including Representative Nor, said the report had been sent to the chairs, that the issue should be handled through broader HR1-related changes and negotiations with the Senate, and that the amendment was not the right vehicle. After roll call, A5 failed on a 63-67 vote. Schultz then offered Amendment A6, which would require reporting on homelessness programs, including how many people are served, total costs, outcomes, and possible recoupment of funds if reporting is inadequate. Schultz said the state spends tens of millions on homelessness programs without clear results and that better data would help the legislature make decisions and protect taxpayers. Several members supported the idea of more accountability, while others said the state already receives reports, that homelessness work is being done in partnership with stakeholders, and that the amendment was not the best approach. The discussion continued with further comments on homelessness data and program oversight, but no final vote on A6 is shown in the transcript excerpt.

Transcript Highlights:

• in other Audits and risks violating<00:32:46.080> the<00:32:46.279> family<00:32:46.720
• He said it would be prudent to wait for the results of the audit before making significant changes to
• He said it would be prudent to wait for the results of the audit before making significant changes to
• of that audit is still several months away.
• <00:59:52.119> that education is conducting an audit that education is conducting an audit

Keywords: 1189, house, all

Transcript Highlights:

• Just want to let this committee know that every two years the Bureau undergoes its own audit.
• We hire an independent auditor, and we got the results, and the Bureau had no findings in its last audit

Summary: The committee met and first heard from Superintendent Chester Shannon, who requested an addendum to a previously approved waiver related to TIPS/TAPS construction work. He explained that while construction was underway, the district was able to use grants and take advantage of lower-cost change orders to make additional building improvements, including items that could be viewed as either construction or maintenance, such as door replacement. He said he wanted the board’s waiver to cover those changes. A member apologized for requiring him to return, noting there was no procedure to approve the added amount without another presentation. The committee then approved the waiver request by motion and vote. In other business, Marty Garrity, Director of the Bureau of Legislative Research, reported that the Bureau’s most recent independent audit had no findings. Members congratulated him on the result. No other business was raised, and the meeting adjourned.

Transcript Highlights:

• Representative Simacek, yes, if the Auditor General is conducting an audit. ...conducting an audit.
• You can't intervene in an audit.
• We also know the Auditor General audited EVIT and raised the concern that EVIT was not auditing the member
• Now, that was just an audit of EVIT.
• The audit subject needs to take action, then they do a response. They say, we agree to take action.

Keywords: 1182, all

Summary: The committee first heard House Bill 4043, which would require each school district and charter school to ensure that at least one employee at each school is trained in CPR, first aid, and AED use by August 1, 2027. The sponsor said he would consider floor amendments to clarify that a trained person should be available at all times and to tie the requirement to schools that actually have AEDs. Supporters, including a constituent who lost a child, said the bill could help save lives; opponents and some members raised concerns about cost, staffing, and whether one trained employee is enough. The bill received a due pass recommendation on a 7-1 vote with several members voting present. The committee then took up House Concurrent Resolution 2015, as amended by a strike-everything amendment supporting at least 60 minutes of daily physical activity for students and prominent display of the federal Dietary Guidelines for Americans. A public health advocate testified in favor, emphasizing chronic disease prevention in children. The committee adopted the strike-everything amendment and then gave the resolution a due pass recommendation on a 12-0 vote. House Bill 2621, as amended, addressed enrollment and special education access for pupils in unorganized territory, tribal land, and certain military-connected students, including changes to certificates of educational convenience and timelines for district and county action. The sponsor and stakeholders described it as a technical fix to reduce enrollment delays and improve access to services. After adopting both the strike-everything amendment and a Garcia amendment, the committee passed the bill 11-0. The committee also advanced House Bill 2385, which limits superintendent contracts to one-year terms during the first three years of employment and allows longer terms only after three consecutive years. The sponsor framed it as a way to reduce costly buyouts and give school boards more flexibility; there was no public testimony, and the bill passed 7-4. House Bill 4106, creating the One Arizona Service Fellowship Program, also passed after amendment. Supporters said it would build service opportunities and workforce experience, while some members objected to creating and funding a new state program; it passed 8-2 with one present. Later, House Bill 2992, as amended, established a pilot program in schools for child sexual abuse and assault awareness and prevention, expanded to K-12 in the amendment and funded from the Victim Compensation and Assistance Fund. A survivor and anti-trafficking advocate strongly supported teaching children and training staff, while some members objected to the funding source and possible unintended consequences. The bill passed 6-5 with one present. House Bill 2370, concerning who may modify weapons detection systems and requiring superintendent notification to governing boards within 24 hours, passed 8-3 after a debate over school safety, accountability, and whether the bill was too vague or too narrow. House Bill 4056, as amended, would bar fees for legislators making public records requests in their official capacity and require electronic delivery; the sponsor cited large fees charged by school districts, while opponents warned against broad fee exemptions. It passed 8-3. Finally, the committee began House Bill 2478, which would create the Arizona Commission on Student Outcomes to study K-12 performance, accountability, graduation requirements, finance, and related issues, with a proposed amendment to add early childhood analysis. The sponsor said the commission would help drive a statewide conversation and that the Classroom Site Fund had sufficient unused balances to support it. Testimony from early learning and advocacy groups was generally neutral but supportive of including early childhood in the study, and the discussion was still underway when the transcript ended.

Transcript Highlights:

• We have multi-state audit firms.
• We have multi-state audit firms.
• We have multi-state audit firms.
• We have multi-state audit firms.
• Moving into the audit division, we separate out our auditors in kind of complexity.

Keywords: 1191, senate, all

Transcript Highlights:

• I mean, we see that now in some of our concession agreements that we audit, where sometimes the money's
• When I'm looking at things under audit, it's confidential.
• It's just when you start your kind of assessments and I start my audits, that's when the walls kind of
• It's not an audit. It's not a bill.
• Single source of truth for the data that it's coming from, and it's not an audit.

Summary: The task force first approved the March 25, 2026 minutes as amended, including a correction removing language that suggested the auditor’s office would contract with a security vendor. Members then moved to a bill draft on concessions (LC 27.0161.00000), which would raise the competitive solicitation threshold from $25,000 to $50,000, allow requests for proposals in addition to bids, clarify that proceeds go to the entity’s operating fund or general fund, and make other technical updates. OMB explained the draft and answered questions about scope, fragmentation, vendor restrictions, school districts, and whether concession proceeds could be directed to nonprofits; OMB said the draft could be refined further, including clarifying covered entities and contract length. No vote was taken on the draft during the discussion. OMB also reported on other survey items. It said a proposal to broadly allow agencies to create pre-qualified architect/engineering/land surveying vendor pools would not move forward, because the existing authority is working well for the agencies that already have it. On legal notices, OMB said it has been working with the North Dakota Newspaper Association on modernization, including an ADA-compliant online notice system and possible statutory updates to reflect changing technology and notice definitions. On click-through agreements for routine IT purchases, OMB and the Attorney General’s office said policy clarification—not statutory change—was enough, and the $20,000 threshold was intended to distinguish low-dollar adhesive contracts from purchases where terms can be negotiated. The committee also heard that OMB and the Center for Distance Education had resolved questions about alternate procurements and food/beverage expenditures through existing policy, so no statutory changes were needed there. North Dakota University System representatives gave a brief update on ongoing collaboration with OMB on statutory efficiency ideas, including concessions and surplus property. Finally, the task force discussed a draft on requirements for new or expanded spending programs, which would require agencies to identify purpose, expected benefits, alternatives, success measures, and full implementation costs, and would require reporting on outcomes over time. Members debated whether OMB or Legislative Council should collect and report the information, how to use the new program evaluators, whether real-time dashboards should be used, and how to choose which programs to evaluate; staff from Legislative Council said they would work with OMB and the auditor’s office to revise the draft and process.

Transcript Highlights:

• Those losses will be coupled with exponentially more complicated agency audit...
• Those losses will be coupled with exponentially more complicated agency audit and compliance challenges
• In the 1960s and 1970s, the Franchise Tax Board began auditing on a mandatory, unitary, combined worldwide
• respond to what was mentioned by the opposition regarding double taxation, regarding instability and audits
• Yet if California FTB wants to do the audit, the FTB is going to demand that all the financial statements

Summary: The Assembly Committee on Revenue and Taxation heard several bills dealing with tax policy, local revenue authority, consumer protections, and incentives for development. AB 1726 would create catastrophe savings accounts for homeowners to save pre-tax dollars for disaster mitigation and recovery costs; it drew support from the Department of Insurance and the California Bankers Association, while the California Teachers Association opposed it because of the General Fund and Prop. 98 impact. The bill was referred to suspense. AB 1768 would authorize Los Angeles and Contra Costa counties to ask voters to approve local transaction and use taxes to offset projected federal funding cuts affecting health care and safety-net services; it received broad support from health providers and county representatives, opposition from one member and a resident, and passed the committee 5-2 to the Assembly Local Government Committee. The committee also considered AB 1790, which would repeal the Waters Edge corporate tax election and require worldwide combined reporting for multinational corporations. The author and supporters argued it would close a loophole, raise several billion dollars annually, and help fund schools, Medi-Cal, and other programs; opponents warned of double taxation, compliance burdens, retaliation from foreign governments, and job losses. After extensive testimony and member debate, the bill was referred to suspense. AB 2020 would provide a full property tax exemption for the primary residence of 100% disabled veterans and surviving spouses, and AB 2069 would create a targeted sales and use tax exemption to spur development projects at fairgrounds; both measures had support from sponsors and related organizations, no opposition, and were referred to suspense. Finally, AB 2705 would regulate third-party “asset finders” who help claim excess proceeds from tax sales by requiring written agreements, disclosure that claims can be filed free with the county, and a cap on fees at 10%. County officials and local government groups supported the bill as a consumer protection measure, while recovery companies and related firms opposed it, arguing the work is complex and the cap would reduce access to services. The committee moved AB 2705 to the Assembly floor on a 4-0 vote.

Transcript Highlights:

• Reinsurance is one of the most audited programs in the state, and everything you need to know is in these
• Quarterly program audits and reporting consistently show that the funds are being used to cover the costs
• Quarterly<00:16:02.320> program<00:16:02.639> audits<00:16:03.120> and<00:16:03.279
• > reporting Quarterly program audits and reporting Quarterly program audits and reporting consistently

Keywords: 1183, house

Summary: The committee took up House File 3388, and an A1 amendment was adopted by voice vote. The bill, as amended, would direct the Department of Commerce to seek another federal waiver to continue Minnesota’s reinsurance program and preserve the assessment-and-tax-credit funding model adopted last session. Chair O’Driscoll said the measure is intended to give future legislators options before the current reinsurance structure ends, warning that without it individual-market premiums could rise substantially and more people could lose coverage. Testimony was largely supportive. Dan Andre of the Minnesota Council of Health Plans said reinsurance has been a success since 2018, has lowered premiums by covering a portion of high-cost claims, and helped subsidize care for more than 5,000 Minnesotans in 2024. Ann New Brindley of the Minnesota Business Partnership and Steven Rubis of the Health Plan Partnership of Minnesota also backed the bill, saying market stability is important amid the loss of federal premium tax credits and that continued reinsurance would help prevent further premium increases and cost shifting. Jonathan Carter of the Minnesota Chamber of Commerce likewise supported the bill, citing the program’s role in keeping Minnesota’s individual-market premiums among the lowest in the country. Members also discussed how the assessment and tax-credit mechanism works, with Chair O’Driscoll describing it as an assessment on plans followed by a tax credit against state liability. Representative Elkins questioned how insurers self-assess, and Representative Smith said the assessment model is preferable to a general-fund approach if the program continues. Representative Kaggel raised concerns about taxpayer costs and the broader health care system, while also saying the current system is unsustainable and in need of more fundamental change. The committee then renewed the motion to lay House File 3388, as amended, over for possible inclusion in an omnibus bill.

Transcript Highlights:

• The A22 was a recommendation from the Office of the State Auditor to elevate the amount for the audit
• /c><00:09:55.040> amount<00:09:55.680> for<00:09:56.240> the<00:09:56.959> audit
• elevate the uh amount for the audit elevate the uh amount for the audit threshold<00:09:57.920><
• It could impact state revenues with less auditing and collections and so forth, and also impact our fraud

Keywords: 1183, house

Transcript Highlights:

• federal government's dismantling of the IRS, you know, radical reductions in staff, that the multi-year audits
• 30% to 40% reduction in critical staff, senior specialists who are handling the most complicated audits
• roll that down to California, that's probably $100 billion in underpaid corporate taxes that require audits
• and require people to affect those audits to make sure that companies are paying what they owe, not
• There are people undoubtedly, you know, who just physically cannot process the audits of the people who

Summary: The Assembly Budget Subcommittee on Accountability and Transparency held a hearing focused on three issues: federal funding cuts and delays, possible state revenue impacts from reduced IRS enforcement, and the fiscal effects of AB 218 on local governments. The Franchise Tax Board described how state and federal tax systems are closely linked, how most returns are filed electronically through software, and how FTB relies on IRS information sharing for compliance, fraud prevention, offsets, and nonfiler work. Members raised concerns that federal staffing cuts at the IRS could weaken audits of large corporations and reduce California revenue, and asked about VITA and ITIN filers; FTB said it was not aware of VITA reductions, noted ITIN returns are processed the same as other returns, and said ITIN filing appeared slightly down this year. The Department of Finance said it is monitoring federal developments, summarized the continuing resolution and reconciliation process, and noted that California lost nearly $940 million in earmarked federal projects under the CR, while major federal budget decisions remain uncertain until the President’s budget and later congressional action. The University of California reported substantial federal pressure on research, student aid, and health care. UC said hundreds of millions of dollars in federal awards have already been canceled, with additional threats to NIH and DOE facilities-and-administration rates, graduate fellowships, student loan repayment plans, international student visas, Pell Grants, and Medicaid/Medi-Cal funding. Committee members pressed UC on the effects of DEIA-related federal restrictions, the loss of clinical trials and research staff, and the impact on low-income students and patients. UC said it is pursuing litigation with the Attorney General and other institutions, but emphasized that court action is only a temporary solution and that sustained state and private support may be needed. The second panel addressed the fiscal consequences of AB 218, which extended the statute of limitations for childhood sexual abuse claims against public agencies. FCMAT presented a report with 22 recommendations, including better statewide data collection, financing mechanisms, a possible victims compensation fund, and prevention measures. Los Angeles County described a tentative $4 billion settlement tied to AB 218 claims, saying it will require reserves, borrowing, and long-term annual payments through 2050, while also forcing curtailments and cuts to vacant positions to preserve services. Members discussed insurance pools, retroactive premiums, unidentified future claims, and the need for a compensation fund or other financing tools. No formal votes were taken; the hearing concluded with public comment, including testimony from local health officials about nearly $400 million in terminated federal public health grants and the resulting layoffs and service impacts.

Transcript Highlights:

• The 2017 Federal Audit Report revealed that Texas schools were improperly... billing for services not
• The audit mandated that the Texas Health and Human Services Commission work to ensure compliance going
• They were being advised that they could claim this, and then through some audits by CMS, they caught
• I said what we found or what CMS found in their audits, our look backs, was that certain school districts
• We appealed over the course of five years through all of the administrative appeals, but the actual audit

Bills: SB623, SB1266, SB1310, SB1373, SB1580, SB1952, SB2032, SB2269, SB2544, SB2653, SB2796

Keywords: pharmacist, vaccine administration, COVID-19, exclusive authority, healthcare, Medicaid, provider enrollment, credentialing, administrative burden, Texas Health and Human Services, senior retirement communities, emergency response, residential safety, contract provisions, health and safety regulations, medical staff privileges, hospital administration, healthcare regulation, Texas Health and Safety Code, consistency in privileges

Transcript Highlights:

• three big IOUs, had their storm costs sent off to independent accounting firms for an independent audit
• , which then my office audited.
• Audited.
• So much so that we were playing with the idea of not auditing again and relying upon just my office's
• audit.

Summary: The committee met to hear invited presentations on storm recovery and storm protection from the Florida Public Service Commission, Florida Power & Light, Duke Energy, Tampa Electric, Chesapeake Utilities, and the Office of Public Counsel. The PSC reviewed the history of storm restoration financing and utility hardening efforts after major storms such as Hurricane Andrew, the 2004-05 hurricane seasons, Irma, and Michael, explaining storm reserve funds, storm recovery bonds, and the current three-year storm protection plan process. The commission’s role in approving plans and later reviewing prudence of actual costs was emphasized, along with the types of work included in the plans such as vegetation management, pole replacement, undergrounding, feeder hardening, and substation flood protection. The utilities described their own storm-hardening investments and recent storm performance. FPL said it has spent about $4.9 billion on storm protection and recovery-related efforts, highlighted improved restoration times during Helene and Milton, and said it is expanding undergrounding, feeder hardening, and smart-grid technology. Duke Energy reported more than 40,000 hardened poles and structures since 2021, major gains from self-healing grid technology, and faster restoration during recent storms. Tampa Electric described a roughly $200 million annual storm protection effort, including vegetation management, undergrounding, substation hardening, and new storm surge protections, and Chesapeake Utilities discussed its smaller-scale hardening program, vegetation work, pole replacement, and rapid restoration after Helene in Nassau County. Committee members asked about how utilities prioritize neighborhoods for lateral hardening, whether maps of planned projects could be shared, how much each utility has spent on undergrounding and hardening, and how reliability comparisons are normalized against the national average. Public Counsel Walt Trierweiler argued that storm recovery and hardening costs fall too heavily on investor-owned utility customers, said the current framework lacks a meaningful cost-benefit or prudence check at the planning stage, and urged broader sharing of storm costs because the benefits extend to the whole state. Senators also discussed whether the commission can review the reasonableness of approved programs and whether future reports or recommendations from Public Counsel would be helpful. No votes or formal actions were taken.

Transcript Highlights:

• So one of the things that the OMMU does is we do essentially desk audits of the data packages that underlay
• And then the other desk audits were designed to make sure that the labs were using scientifically valid
• So one of the things that the OMU does is we do essentially desk audits of the data packages that underlay
• close attention to so the patients weren't getting things that had failed and then the other desk audits
• And then the other desk audits were designed to make sure that the labs were using scientifically valid

Summary: The Health Professions and Program Subcommittee met to receive oversight briefings on Florida’s medical marijuana program from the Department of Health’s Office of Medical Marijuana Use (OMMU) and from the University of Florida’s Consortium for Medical Marijuana Clinical Outcomes Research. OMMU Director Christopher Kimball outlined the program’s structure, including more than 900,000 active patients, nearly 7,000 caregivers, 27 MMTC licensees, 706 dispensing locations, and nine certified testing labs. He described the state’s pre-approval process for products and advertising, plain packaging requirements, seed-to-sale tracking, registry operations, and compliance efforts such as background checks, inspections, complaint investigations, and lab desk audits. He also said the Bureau of Public Health Laboratories in Jacksonville had been accredited to begin supporting testing. Members asked about telehealth, patient growth, product safety, advertising to children, inspections, and the status of MMTC licensure; Kimball said recertifications by telehealth now make up more than half of recertifications, that patient growth has slowed, and that ongoing litigation is delaying issuance of 22 new MMTC licenses. Kimball also discussed implementation of recent legislation and licensure changes, including licenses issued under HB 387 and SB 1582 to applicants from the original Pigford-related pool, with additional cure opportunities still ongoing. He said the department is monitoring diversion, inversion, and unapproved products, and that it coordinates with law enforcement when needed but does not itself have sworn authority. In response to questions, he said the department does not regulate physicians directly, but may refer concerns to the Division of Medical Quality Assurance, and that caregiver and physician participation requirements are set by statute. Members raised concerns about edibles, child access, and continued use of child-attractive branding; Kimball said the department tries to catch issues through pre-approval and enforcement, and that complaints involving children are treated as serious and investigated using available records and camera footage. Dr. Almond Winterstein then presented the consortium’s research overview. He explained that the consortium was created by statute in 2019, includes 10 universities, and is funded by annual state appropriations. He said its work includes grants, a research repository, a clinical core, outreach, and evidence synthesis, including a recent FDA-supported review of cannabis evidence. He emphasized that the current evidence base is limited and often low quality, with the strongest signals for symptom relief in PTSD-related symptoms, nausea, and some pain outcomes, but with many studies inconclusive or mixed. He also described the consortium’s use of registry data linked to Medicaid, Medicare, death, fetal death, and birth records to study safety and outcomes, including children, pregnancy, driving safety, opioid-sparing effects, and adverse events. Winterstein said adverse event reporting is sparse and likely underreported, with most reports mild but some serious events noted, and he expressed concern about use among young adults because of uncertain benefit-risk and possible effects on the developing brain. The committee discussed the need for better surveillance, more robust adverse event reporting, and the possibility of using linked data to identify harms more quickly. At the end of the meeting, the committee rose without objection.

Transcript Highlights:

• The legislative auditor's existing audits don't really give us any meaningful insight into policy impact
• A financial audit can tell us that the Department of Health paid dues to a national association.
• A financial audit can tell us that the Department of Health paid dues to a national association.

Summary: The House Committee on Health and Welfare met on May 26 for what was described as the last meeting of the legislative session. H.R. 318 was voluntarily deferred without discussion. The committee first took up H.R. 298, which would have directed the Louisiana Department of Health, with the legislative auditor, to study LDH’s relationships with certain nonprofits, foundations, professional associations, and other nongovernmental entities. The author presented amendments narrowing the definitions, but LDH testified the language was still too broad, would still require substantial review of contracts, memberships, conferences, and related interactions, and would still carry a significant fiscal note. Members raised concerns that hospitals, provider associations, nonprofit care facilities, and other stakeholders could be swept in. The author then voluntarily deferred the resolution, and the committee agreed without objection. The committee then heard Senate Bill 405, which establishes a statewide quality oversight initiative for nursing facilities, directs LDH to work with facilities on care standards and remediation for lower-rated homes, and requires reporting and transparency for families. The bill drew broad support from members and stakeholders, including nursing home and senior advocacy groups, and was reported favorably without objection. House Resolution 290, which asked LDH to study a possible correlation between gender-affirming hormone therapy medications and psychosis or related psychiatric conditions in people 26 and younger, prompted questions about the purpose of the study and concerns that it could affect broader policy debates. The author, a licensed clinical social worker, said the request was intended to examine whether medications were being used too quickly and what effects they might have on adolescent mental health; after discussion, the author voluntarily deferred the resolution, and the committee agreed. Finally, the committee considered Senate Concurrent Resolution 61, urging LDH and commercial insurers to increase reimbursement rates for behavioral health crisis centers operating under a crisis receiving center license. Testimony focused on the Bridge Center for Hope, described as the state’s only Level 3 crisis receiving center, and the need to revisit Medicaid reimbursement for the first 23 hours of crisis care. With no questions or objections, the resolution was adopted. The meeting ended with members thanking the chair and staff, and the committee adjourned for the year.

Transcript Highlights:

• It was also highlighted in an SAO audit that we were not performing these queries, and we are trying
• to address that audit finding.
• For instance, we only have nine FTEs to audit over 82,000 active licenses.

Bills: SB1, SB 1

Keywords: appropriations, budget, state funding, education, healthcare, infrastructure, campground safety, youth camp regulations, flood safety, emergency evacuation, health and safety standards, 1185, senate, all

Transcript Highlights:

• Well, if I may interrupt, I will be glad to give you a copy of their audit, and it gives you their code
• We do have their audits.
• These boards, we do have their audits here, and it gives you the code all right here.

Keywords: 1136, house, all

Transcript Highlights:

• "Um, the audit.
• <02:48:46.640> that want to ask about the state audit that want to ask about the state audit
• but prior to the the well the audit but prior to the audit<02:51:00.319> um<02:51:01.120>
• uh<02:51:01.920> the audit um uh the audit um uh the VP<02:51:04.160> of<02:51:04.319
• audit and ethics. ethics. ethics.

Keywords: 910, house, all