Transcript Highlights:

• For federal CSBG dollars, currently they are managed by the New Mexico Health Authority and allocated
• We do have a mechanism around our state statute that is where our current funding Lives and is managed
• For schools that have contracts with food service management companies, the PED recognizes that they
• These projects are typically stalled due to a lack of audit compliance or readiness to proceed.
• Being able to get audits done and move projects forward on time...

Transcript Highlights:

• > handbook<00:29:51.679> that pavement management field handbook that pavement management
• I am the airport manager at the Henderson City-County Airport.
• <01:12:27.760> requirements a huge burden uh the audit requirements a huge burden uh the audit
• Um an audit u for a 4-year time frame.
• <01:19:56.560> and personally know the airport manager and personally know the airport manager

Keywords: 958, all

Summary: The subcommittee approved the October 15 minutes and observed a moment of silence for the victims of the UPS Worldport plane crash. The main presentation was from Transportation Cabinet Commissioner Bobby Joe Lewis on the Local Assistance Road Program/County Priority Projects Program (LAARP/CPP), which was implemented under House Bill 546 and now requires rehabilitation projects to restore roads to original condition, cap funding at $500,000 per project, use a new scoring matrix, include a local match, and submit one photograph per 300 feet of project length. He reported that the 2026-2027 cycle ran from June 1 to October 1 and drew 1,215 project applications from 107 counties and 106 cities, with total submitted project costs of about $121.1 million and about $102.3 million requested after local match. He also said 30% of submissions scored 10s and 22% scored 9s, and that the list of requests and required photos had been submitted to the General Assembly and LRC. Members asked about how scores change over time, whether roads can move from lower scores to 10s, and whether the new process gives a better picture of local needs. Lewis said scores can change based on weather and road conditions, but the new system provides more information and a more standardized evaluation than before. Several members raised concerns about the volume and size of required photographs, suggesting drone footage or video as an alternative; Lewis said the photo requirement has caused confusion and large file uploads, and he was open to considering easier ways to document conditions. Members also discussed continuity in scoring across districts, and Lewis explained that district staff appointed by chief district engineers use a handbook and scoring matrix, with the scores entered into a computer system so evaluators do not see the final score while scoring. The committee also discussed funding levels and carry-forward balances for the program. Lewis said the program began with $20 million authorized in HR92, noted underruns from completed projects, and reported a carry-forward amount that had grown to $355,432.42 available for reauthorization as of October 13. In response to questions, he said the current process concentrates applications into a short window, with 63% of applications arriving in the last few days and 417 on October 1, which created a heavy workload but was completed on time. The meeting then moved to multimodal funding priorities, with Jennifer Kersner of Kentuckians for Better Transportation introducing herself and offering condolences for the UPS aviation incident before beginning her remarks.

Transcript Highlights:

• So schools file with the school business manager, cities file with the city auditor, counties file with
• It's an audit. Yeah.
• section is not required to file with their city auditor or their county auditor or their business manager
• All righty, bottom of page 25, line 29, audited by the Secretary of State.
• they were breaking different rules or whatever, they could just, which would easily be caught in an audit

Bills: SB2156

Keywords: campaign finance, disclosure, political contributions, election transparency, North Dakota Century Code, 908, all

Summary: The subcommittee met to review HB 2156, which reorganizes North Dakota campaign finance disclosure law by repealing Chapter 16.1 and moving the provisions into a new Chapter 16.2 with mostly technical cross-reference updates. Legislative Council and the Secretary of State’s office walked through the bill section by section, explaining that most language is carried over from current law, with some cleanup to definitions, reporting requirements, public access rules, and filing procedures. The committee discussed how the new chapter would apply to candidates, candidate committees, political committees, political parties, ballot measure groups, and conduits. Several substantive issues were raised and adjusted during the discussion. Members questioned the open-records language for expenditures and contributions over $250, the use of “deposit” versus “receipt” as the reporting trigger, and whether the 48-hour supplemental reporting deadline should be changed to three calendar days; the group ultimately favored keeping 48 hours and using “deposit” consistently. They also clarified reporting dates, including changing one special-election deadline from 40 days to 39 days, and confirmed that balances of campaign funds would be reported but not made publicly available. The Secretary of State’s office also explained that the bill would make late fees public and that the chapter-wide penalty for willful violations remains a Class A misdemeanor. The main policy change debated at length was the late-filing fee schedule. Members expressed concern that the existing penalties were too low to deter intentional non-filers, and after discussion the committee agreed to increase the final late fee from $100 to $500 while keeping the new public posting of delinquent filers. The committee also reviewed an inflation-adjustment provision for reporting thresholds and the “ultimate true source of funds” language, which was described as existing law being carried into the new chapter. The meeting ended with the understanding that additional drafting changes would be made and that the bill would be ready for further committee action later in the week.

Transcript Highlights:

• Audit.
• They're not management problems.
• <01:37:44.239> has the our our you know, the management has the our our you know, the management
• funds in the animal damage management funds in the animal damage management program<02:22:11.200
• Uh that is not on the facility audit.

Keywords: 916, all

Transcript Highlights:

• How do we manage that? And how do we bring people into the workforce?
• How do we manage that? And how do we bring people into the workforce?
• from plumbers in this state, one of the complaints has been about the plumbing board's ability to manage
• And based on examining their budget and legislative audit reports, all of those individuals appear to
• And again, admirable respect for the unions and how they manage this with me.

Bills: SB147, SB414, HB220, HB750, HB799, HB827, HB952, HB953

Keywords: roof standards, construction code, residential property, fortified roofs, insurance, medical debt, interest rate, healthcare services, consumer protection, debt collection, Louisiana Medical Debt Protection Act, child exploitation, online reporting, platforms, cyber crime, PROTECT Act, automatic renewal, cancellation policy, subscription service, transparency

Transcript Highlights:

• Item two, this regular meeting at the Oklahoma 911 Management Authority has been convened in accordance
• The audit is complete with all 126 PAPs reporting.
• So the audit is complete.
• So, there's been a project management change within Mission Critical that slowed things a Little bit
• Comments are to be limited to items under the purview of the Oklahoma 911 Management Authority.

Keywords: 914, all

Transcript Highlights:

• in the contractual services category to cover increased costs to the department's annual financial audit
• Recommendation is $33,000 less than the Executive Recommendation, mostly as a consequence of aligning audit
• I am so very proud of my staff and their dedication, our program managers, our field office managers,
• Our 300 category for contracts, a large part of that category is used for nurse case management.
• The WCA is required by statute to provide a system of nurse case management to coordinate healthcare

Keywords: 996, all

Transcript Highlights:

• It also removes the requirement to have an aerial wildlife management permit for photography, removing
• What this bill would do is to amend the Parks and Wildlife Code to include audit sheep to allow landowners
• House Bill 4588 regarding improper management of aquatic vegetation creates undue financial burden and
• Local fishery management biologists, river controlling authorities, and lakefront landowners in recent
• and Wildlife Department seeks the ability to enforce compliance for existing aquatic vegetation management

Transcript Highlights:

• /or maintain major infrastructure projects, including transportation, utilities, and stormwater management
• That depends on the management of the airport. Further questions? Further questions, seeing none.
• Same thing with an employee in New Hampshire, a hotel manager. She works three jobs.
• So I know risk management, I know audit.
• And my company, along with other companies in the space, have developed well-defined audit procedures

Summary: The Ways and Means Committee met on April 2, 2025, with a quorum present and took up four bills. The committee first heard HB 4041, which would create the Corkscrew Grove Stewardship District in Collier County to finance and maintain infrastructure such as transportation, utilities, and stormwater systems without changing county regulatory authority. The bill drew no opposition, was reported favorably, and passed 14-0. The committee then considered HB 1485, which repeals Florida’s aviation fuel tax provisions. The sponsor argued the change would simplify the tax code, attract airline investment, and support lower fares and more routes. Members raised concerns about the estimated recurring $22.8 million impact on the State Transportation Trust Fund and $2 million on general revenue, and airport representatives warned of reduced grant and development funding, especially for general aviation and municipal airports. Supporters said the change would increase competition and fuel sales in Florida. The bill was reported favorably on a 12-5 vote. Next, the committee heard HB 999, which would recognize gold and silver as legal tender, allow electronic debit access to bullion accounts, and remove tax burdens on transactions involving precious metals. The sponsor and supporters described the bill as a way to protect purchasing power and provide an alternative parallel to the dollar, while opponents and some members raised concerns about consumer protections, predatory practices, privacy, and the role of the Office of Financial Regulation in rulemaking. After extensive testimony, the bill was reported favorably 19-0. Finally, the committee considered PCB WMC 25-01, which would reduce the state sales tax rate from 6% to 5.25% and also lower several related taxes, including the business rent tax, nonresidential electricity tax, mobile home sales tax, and coin-operated amusement machine tax. The proposal was estimated to reduce revenue by about $5.5 billion annually. Members discussed impacts on the budget, education funding, and whether savings would reach consumers, while supporters emphasized relief for Floridians and business competitiveness. The bill passed unanimously 19-0 and was reported favorably. The chair then noted a prior procedural apology on the record, and the meeting adjourned.

Transcript Highlights:

• Managed Care Organizations, the procurement and managed care contracts under Medicaid and managed health
• Managed Care Organizations, the procurement and managed care contracts under Medicaid and managed health
• Managed Care Organizations, the procurement and managed care contracts under Medicaid and managed health
• Managed Care Organizations, the procurement and managed care contracts under Medicaid and managed health
• Managed Care Organizations, the procurement and managed care contracts under Medicaid and managed health

Keywords: 1184, house, all

Transcript Highlights:

• And when I first read it, I assumed that you're striking this language to do audits before you do the
• ,<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.
• affiliated We manage our parent affiliated We manage our parent affiliated nonprofit<00:13:34.680

Keywords: 1187, senate, all

Transcript Highlights:

• He says that when they are doing an audit in a hearing, he can ask how many have been in the process
• commission, we have been uh audit commission, we have been uh discussing<00:52:01.839> and<00
• Everything from equipment for managing body cams to fleets to all the training that goes in from the
• Everything from equipment for managing Everything from equipment for managing body<01:08:58.159>
• everything that goes into managing everything that goes into managing complex<01:09:09.839> carry

Bills: SF856, HF3168, HF3528, HF389

Keywords: Inspector General, fraud prevention, state audit, public funds, misuse, transparency, government accountability, ethnic councils, diversity, governance, state participation, community representation, barbering, licensing, examinations, barber schools, public safety, certifications, Barber Examiners Board, Minnesota Historical Society

Transcript Highlights:

• Uh, that, that that is how it's being managed at Holloman. The other piece that I would add, Mr.
• state law, and under state Superfund, um federal Superfund law, it's also illegal for them to be managing
• a new business, expand or expand a business, or that you come into knowledge through conducting an audit
• You know, with a, with a few exceptions to that, um, but yeah, that, that we have people doing audits
• We're just contacted by somebody who wants to do an audit with us, so, yeah, interesting.

Transcript Highlights:

• that that's their job is to audit that that's their job is to audit tobacco<00:47:46.400> so<
• <03:31:33.880> that's sorry so that's the annual audit that's sorry so that's the annual audit
• They're not going to resolve any of their audits by the end of this fiscal year.
• They're not going to resolve any of their audits by the end of this fiscal year.
• They're not going to resolve any of their audits by the end of this fiscal year.

Keywords: 1189, house, all

Summary: The committee received a Department of Revenue Administration update from Commissioner Lindsay Stepp focused on revenue estimates for fiscal years 2025, 2026, and 2027. She explained the department’s forecasting method, which uses five scenarios based on the first seven months of actual collections and different assumptions for the remaining months, then selects a reasonable high and low range for FY 25 and applies projected growth rates for FY 26 and FY 27. Members asked several clarifying questions about how the scenarios are chosen and how the estimates relate to economic growth and taxpayer behavior. For business taxes, Stepp reported FY 25 year-to-date collections of $110.3 million, 18.2% below plan and 17.2% below prior year. She said the shortfall reflects both economic conditions and a resetting of estimated payments after unusually strong pandemic-era profits, and noted that the department cannot fully separate changes in taxpayer liability from changes in estimated payment behavior. She said approximately just under $72 million was refunded in FY 24 due to the CCO cap, and that FY 25 year-to-date refunds are at 41.7%. For business taxes, the department’s FY 25 range was based on either continued underperformance versus plan or a return to prior-year levels, with FY 26 and FY 27 growth projected at 3% to 8%. The committee also reviewed meals and rooms tax, tobacco tax, and related trends. Meals and rooms revenue was $6.9 million, or 3.3%, ahead of plan and prior year; the FY 25 gross estimate was $475.894 million, with a net range of about $331.82 million to $335.259 million after municipal transfers and school building aid. Stepp said recent monthly results suggest some fluctuation tied to disposable income, weather, and travel patterns, but no clear sustained decline. Tobacco tax was $18.1 million, 14% below plan and 4.8% below prior year; she said cigarette stamp sales are declining while e-cigarettes and other tobacco products are growing, with FY 25 tobacco revenue projected at $182.5 million to $185.3 million and FY 26-FY 27 growth ranging from -5% to flat. No votes or formal actions were taken.

Transcript Highlights:

• I'm the fire chief and emergency management director... To testify today.
• I'm the Fire Chief and Emergency Management Director for the Town of Orange, Massachusetts, located in
• So as I pulled up, the track manager there offered...
• So as I pulled up, the track manager there offered me a tour, and I said, oh no, thank you.
• There should be a risk management program in place.

Keywords: 995, all

Summary: The Joint Committee on Public Safety and Homeland Security heard testimony on several bills, with strong support expressed for a proposed municipal and public safety building authority (H. 2571/S. 1650). Municipal officials, fire chiefs, the Massachusetts Municipal Association, regional planning leaders, and Senator Comerford described aging town halls, fire stations, DPW facilities, and other local buildings, especially in small towns and gateway cities, and argued that local budgets and Proposition 2 1/2 make major capital projects difficult to fund. Testimony emphasized the need for a dedicated revenue stream, with the bill proposing a share of marijuana excise tax revenue and a rural funding set-aside. Committee members asked about prioritization and funding levels, and witnesses said even a modest start would help address a large statewide backlog. No votes were taken during the hearing, and the committee later adjourned unanimously. The committee also heard testimony on H. 2689, requiring fuel gas alarms/detectors in residential dwellings using explosive gases. Representative Jeff Roy, Susan Brown, Jason Cohn, and representatives from NEMA and Kidde supported the bill, describing it as a life-saving measure similar to carbon monoxide detector requirements. Witnesses cited the 2015 Franklin propane explosion that killed Nancy and Robert Brown, the Merrimack Valley gas explosions, and national fire data showing fatalities and property damage from gas leaks. They said detectors are affordable, commercially available, and should be required where gas is used; one witness noted battery-backed or battery-operated options exist. Committee questions focused on cost, battery power, outdoor propane setups, and whether the bill would cover private databases or only residential safety devices. Another major topic was S. 1755 on missing and abducted children. Senator Pavel Payano testified in favor, citing the case of Lee Manuel Villoria Paolino and arguing that misclassification of missing children as runaways can delay urgent response and worsen outcomes, especially for Black and brown youth. He said the bill would set minimum law enforcement response standards, require training, and expand multilingual intake forms. The committee also heard support for expanding the state DNA database through familial DNA searching, with Dr. Amory Myers explaining that the technology could help solve long-unsolved cases while including guardrails to prevent use of private consumer DNA databases. Finally, the committee heard extensive testimony on H. 2740, “Colby’s Law,” establishing safety standards for BMX and motocross tracks. Colby Lippincott’s family, community members, and industry representatives described his fatal crash and urged requirements for medical staff, insurance, inspections, warning systems, barriers, and access roads. Witnesses said the bill would not end the sport but would create basic protections, and the committee heard that Massachusetts would join a number of other states with similar standards. The hearing ended with a motion to adjourn, which passed unanimously.

Transcript Highlights:

• dispatchers to turn a bystander into a first responder through calm direction. ...coaching CPR, managing
• , the dispatcher did give pre-arrival instructions, actually came out of a center that KT used to manage
• We've tried to get audits, but due to some of the technical deadlines and things like that, we were not
• I feel more like a marketing manager and advertising manager than I feel like a fire safety person with
• I feel more like a marketing manager and advertising manager than I feel like a fire safety person with

Keywords: 988, house, all

Summary: The committee first took up a consent calendar item, AB 2517, which was moved to the Assembly Committee on Appropriations. The main hearing then focused on several public safety and environmental bills. AB 2152 (fire station construction/CEQA streamlining) was presented by Assembly Member Mark Gonzalez and supported by firefighters, while contractors opposed it over concerns about project labor agreements, small business access, and workforce restrictions; it passed to Appropriations. AB 2041 (emergency medical dispatch/pre-arrival instructions) was presented by Assembly Member Carrillo and supported by dispatch and EMS witnesses, with several local government and fire groups saying they would remove opposition once amendments were in print; it also passed to Appropriations. AB 2101 (human trafficking notices and training at disaster sites) drew support from the author and anti-trafficking advocates, but broadband, county, city, and communications groups raised implementation concerns, especially for rural and remote disaster sites; the bill passed to Appropriations despite a no vote from Vice Chair Hadwick. The committee also heard AB 1805, which would audit and strengthen oversight of the state’s troubled Next Generation 911 modernization project. The author described the bill as a fix to improve transparency, create an oversight board, and require quarterly reports; CalNENA supported the need for accountability while cautioning that the oversight structure should not delay deployment. AB 1805 passed to Appropriations. AB 1536 (offshore oil pipeline safety) was presented as a coastal protection measure requiring public comment, CEQA review, best available technology, and decommissioning of pipelines with major spill histories; environmental, local government, and coastal city representatives supported it, while the Western States Petroleum Association opposed it as too broad and harmful to fuel supply. The bill passed to Appropriations on a divided vote. Later, AB 1964 would require the State Fire Marshal to survey home hardening conditions and costs statewide; it passed to Appropriations after questions about county recorder data and survey methods. AB 1960 would allow Cal Fire wildfire prevention grants to support community-level hardening efforts, but it drew concerns that it could favor wealthier communities able to harden first; the author said the bill was meant as a voluntary certification and marketing incentive, and it passed to Appropriations. Finally, AB 1863, which would prohibit local agencies from charging people simply for calling 911 when no service is rendered while preserving cost recovery for actual services, received no opposition and passed to the Assembly Floor. After add-on votes were taken for absent members, the meeting adjourned.

Transcript Highlights:

• And you can see the awards that we are actively managing right now.
• To get the payment, it's dependent upon the contract manager reviewing all of those awards.
• There was a CTE audit that looks at grading programs, essentially.
• Our office does not manage any facilities, so I would have to defer to...
• But our grant manager has a...

Summary: The Higher Education Budget Subcommittee met to review funding models for the Florida College System and district workforce education programs, with an emphasis on how new dollars are allocated in the program fund and how performance and targeted funding are incorporated. Chancellor Hebda explained the Florida College System model, including base program funding, student success and pipeline funds, performance incentives for industry certifications, and the 2022 president-developed formula that weights enrollment, workforce enrollment, completions, small-college factors, and regional cost differences, plus a targeted funding floor for colleges below a minimum per-FTE level. Vice Chancellor Goodman then outlined the district workforce model, which uses lagged enrollment, program cost weights, local revenue offsets, small-district adjustments, and unmet-need calculations to distribute lump-sum appropriations to school districts offering workforce education. The department also provided updates on several grant programs and funding delays. Goodman said the Workforce Development Incentive Grant, Pathways to Career Opportunities Grant, Graduation Alternative to Traditional Education Startup Grant, and teacher apprenticeship/mentor bonus programs all involve multi-year awards and often require reversions and reappropriations because projects are delayed, extended, or not fully obligated by year-end. She said the department is moving toward an electronic grants system and had already adjusted internal deadlines to speed awards, while acknowledging some reimbursement delays and explaining that mentor bonuses for teacher apprentices will not be paid until the first cohort reaches the statutory timing requirement. Members asked about tracking whether CTE students work in their trained fields, how Xello is used to inform students about career pathways, how FTE is calculated, whether the funding formulas could encourage growth over quality, and how students with disabilities are counted in workforce funding. Questions also focused on tuition, enrollment trends, and the gap between college and university funding. The committee heard that tuition has remained flat for more than a decade, enrollment has rebounded from COVID and is projected to exceed pre-pandemic levels, and the college system’s funding per FTE varies widely. Valencia College President Kathleen Plinsky testified in support of the proposed formula and an additional $200 million for the Florida College System, saying Valencia is the second-largest college in the state but ranks last in per-FTE funding, which has made it difficult to recruit and retain faculty and admit qualified students in high-demand programs like nursing. The committee took no vote and adjourned after the presentations and questions.

Transcript Highlights:

• We did have a report to you earlier on in January of 2025 on that audit.
• We did have a report to you earlier on in January of 2025 on that audit.
• We did have a report to you earlier on in January of 2025 on that audit.
• We did have a report to you earlier on in January of 2025 on that audit.
• We did have a report to you earlier on in January of 2025 on that audit.

Bills: HF3635, HF3638

Keywords: teacher mobility, interstate compact, licensure, military spouses, education, teacher regulation, teacher qualifications, state sovereignty, educator licensing, paraprofessional credentials, mental health, professional development, data sharing, 1183, house

Transcript Highlights:

• Independent audits or evaluations.
• This will be a whole lot of people, a whole lot more top managers.
• Kyla, thank you for managing to get that story in. Really important, yes. Senator Fernandez.
• also the project manager for the school safety program.
• Epstein had spoken about the audit.

Bills: HB2014, HB2111, HB2156, HB2165, HB2202, HB2305, HB2321, HB2399, HB2403, HB2416, HB2418, HB2446, HB2601, HB2615, HB2620, HB2812, HB2939, HB2940, HB2955, HB2957, HB2960, HB2992, HB4026, HB4049

Keywords: air emissions, fuel blends, environmental quality, feasibility study, Arizona Department of Agriculture, driver license, examinations, motorcycle awareness, public safety, traffic laws, livestock, compensation, funding, ranching, agriculture, veterans, state parks, admission fees, military exemption, recreation access

Summary: The committee heard House Bill 2615, a strike-everything amendment creating an Independent Oversight Committee tied to the Department of Child Safety, with authority to review DCS practices, request briefings and audits, visit sites, and receive confidential complaints, along with a $2.2 million appropriation. The sponsor and several parents and advocates testified that stronger independent oversight was needed because of serious DCS failures affecting children and families. Some members supported the goal but objected to housing the committee in the Ombudsman’s office or questioned whether the structure was the right approach. The strike-everything amendment was adopted, but the bill itself then failed on a 5-5 vote. The committee then passed House Bill 2620, which provides $300,000 annually for five years to the Arizona Department of Veterans Services to grant funds to emergency shelters serving veterans without requiring scheduled intake appointments. The sponsor and shelter representatives said the money would support trauma-informed case managers, help veterans connect to VA and shelter resources, and move the state closer to functional zero for veteran homelessness. The bill received unanimous support and a do-pass recommendation. House Bill 2321 also passed unanimously. It requires DCS to place a security freeze on the credit reports of children entering foster care, with the freeze remaining until age 16 unless the child later chooses otherwise, and includes a $100,000 appropriation and one ongoing FTE. The sponsor said foster youth are especially vulnerable to identity theft and need automatic protection. House Bill 2601, which directs ADOT to seek federal segmentation for the Interstate 11 project between Casa Grande and Wickenburg, passed 6-4 after testimony from supporters who said it would keep the project moving and opponents who raised environmental, cost, and litigation concerns. House Bill 2992, a pilot program for child sexual abuse and grooming awareness education in six public schools, also passed 6-4 after testimony from a survivor and advocates; supporters framed it as prevention and critics argued it duplicated existing sex education and should be handled through broader curriculum or parent education. Additional bills considered included House Bill 2156, which appropriates $250,000 to the livestock compensation fund and passed 7-3 despite transparency and conflict-of-interest concerns from an opponent; House Bill 2165, which exempts certain veterans and military members from state park admission fees, as amended to narrow the exemption to retired or disabled veterans and similar National Guard members, and passed 6-4 amid concerns about lost park revenue; House Bill 2960, creating a veterans specialty court grant program and requiring better coordination on incarcerated veterans, which passed 8-0; House Bill 2014, directing studies on gasoline blends and emissions modeling, which passed 6-2 despite concerns about cost and limited impact; and House Bill 2957, preserving non-REAL ID driver licenses and restricting biometric collection and data sharing, which passed 5-4 after amendment.

Transcript Highlights:

• <00:50:13.599> Care<00:50:13.880> Management<00:50:14.680> and The case management
• So the one where we're... sorry, my phone is picking up... uh case management servic uh case management
• that the for those who are in managed that the for those who are in managed care<01:45:18.320>
• <01:45:45.440> care piece of it to uh managed care piece of it to uh managed care facilities
• Sure, um, we do cover... procurement of the Managed Care Program procurement of the Managed Care Program

Keywords: 1189, house, all

Summary: The House Finance Division 3 work session continued its review of the Department of Health and Human Services’ Medicaid budget and related policy issues, with CFO Nathan White and Medicaid Director Henry Litman presenting updated materials. The discussion focused on a crosswalk between the adjusted FY 2025 Medicaid budget and the governor’s FY 2026 recommendation, plus handouts showing service additions, eligibility changes, dental rates, and other Medicaid changes since 2019. The department also said it would provide a clearer breakdown of the pharmacy cost-sharing item by general, federal, and other funds. Members asked detailed questions about the Medicaid enhancement tax, the 80% plan, and how funds are allocated between hospital payments, directed payments, and DSH uncompensated care. The department explained that the MET is being used more toward rates and directed payments to better align with federal matching rules, while DSH remains important for uncompensated care. They also noted that a pending Senate Bill 249 would keep the 80% structure and move to Senate Finance. On the trigger law, the department identified the governing provision as Chapter 342:12, Laws of 2018, and explained that if the federal match for Medicaid expansion falls below 90%, the state must notify legislative leaders and participants and the program would sunset after 180 days unless the legislature acts. The committee also reviewed current Medicaid expansion enrollment and program trends. Officials said enrollment was just under 59,000 as of March 3, with about 87,000 people enrolled over the past year and more than a quarter-million residents having used the program over its lifetime. They said enrollment has fallen from a post-pandemic high of nearly 97,000 and may eventually settle in the low 50,000s. Finally, the department discussed federal DSH funding risk, saying New Hampshire could face a significant reduction if Congress does not extend current protections, which is part of why the state has shifted more funding toward payment rates and directed payments.