Video & Transcript : 'overpayment recovery' :
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TX
Texas 89th Regular
89th Legislative Session - Second Called Session Aug 21st, 2025
Texas House Floor Meeting
Transcript Highlights:
- SB number two by Perry relating to disaster preparedness, response, and recovery, requiring a license
- SB2 by Perry, relating to disaster preparedness, response, and recovery; requiring a license and authorizing
Keywords:
youth camps, emergency preparedness, safety standards, health regulations, camp licensing, disaster preparedness, emergency management, flooding, mass fatality, mass casualty, fatality tracking, body recovery, autopsy, justice of the peace, medical examiner, county judge, sheriff, mayor, emergency coordinator, emergency manager license
AZ
Bills:
HB2118 , HB2181 , HB2308 , HB2309 , HB2402 , HB2476 , HB2682 , HB2698 , HB2875 , HB2877 , HB2903 , HB2910
Committee:
House Commerce
Keywords:
mobile food vendors, licensure, food safety, statewide regulations, health standards, zoning, temporary vendors, HB2181, death certificate, death certificates, vital records, funeral establishment, funeral home, human remains, medical certification of death, death registration, state registrar, local registrar, county medical examiner, alternate medical examiner
TX
Texas 89th Regular
Disaster Preparedness & Flooding, Select Aug 5th, 2025
Disaster Preparedness & Flooding, Select
Transcript Highlights:
- because in the disaster zones up in Leander, we got to see volunteer groups assisting with search and recovery
- required to coordinate. to coordinate efforts with the response team to ensure coordination during the recovery
- I've stood here for many sessions saying that volunteers are the backbone of Texas's... ...recovery operations
- to help if there was some... ...element of organization in vetting when we go into that phase of recovery
- You all operate the Texas Community Recovery Management System today, which has a volunteer portal.
Keywords:
emergency communication, interoperability, grant program, first responders, state council, disaster response, emergency management, mass fatality, justices of the peace, training programs, emergency manager license, volunteer management, justice of the peace training, criminal history checks, state health services, broadband, public safety, disaster preparedness, funding, flood disaster plan
HI
Transcript Highlights:
- </c> over a million dollars in overpayments over a million dollars in overpayments consistently<00:57
- How often do you guys do overpayments of a million dollars?
- How often do you guys do overpayments of a million dollars?
- </c><01:07:06.720><c> and</c> we we we're tracking overpayments and we we we're tracking overpayments
- So, director, um, I wanted to... address the overpayments TA I can't address the overpayments TA I can't
Summary:
The joint Ways and Means and Government Operations committees received a biennium budget preview from Keith Regan, Comptroller and Director of the Department of Accounting and General Services (DAGS), who introduced department leadership and described DAGS’ broad responsibilities across accounting, public works, procurement, elections, archives, risk management, and other attached agencies. He emphasized that DAGS supports nearly every state department and cited ongoing workforce challenges, while noting progress in reducing the department-wide vacancy rate from 21% in 2023 to 17.7% in 2024. He also highlighted recruitment efforts, including new salary schedules for engineers and architects, job fairs, internships, and outreach to retiring federal employees.
A major focus was modernization of the state’s aging financial systems, especially the 55-year-old FAMIS platform and the Enterprise Financial System (EFS) project. DAGS said it expects to release the RFP for the FAMIS replacement by the end of January and is seeking a second tranche of CIP funding, including $35 million, plus position augmentation and creation of a Business Transformation Office to manage EFS and future modernization work. The department also described major capital projects such as the Aloha Stadium Entertainment District, Wahiawā Civic Center, Kauaʻi Civic Center, and Ahuimanu Community Correctional Center, and reported that Public Works is managing 455 projects statewide valued at more than $2.5 billion.
Other budget requests discussed included funding for cemetery operations, with DAGS asking for two positions and $1 million in operating funds to support maintenance of eight cemeteries; a $200 million ceiling increase tied to anticipated insurance proceeds for West Maui fire-related recovery and rebuilding; and several staffing and operating items for district offices and facilities. These included full-year funding for positions in West Hawaiʻi and East Hawaiʻi, support for a small business coordinator at the State Procurement Office, funding for cloud hosting and PeopleSoft licensing, six positions and staff augmentation for the EFS project, electricity costs, and security-related funding. DAGS also noted that two requested reductions totaled $7.9 million, including transferring the security contract to the Department of Law Enforcement and reducing nonrecurring expenses; members discussed whether some security funding should remain with or be moved to DLE, and DAGS said it would not object to that transfer. No votes were taken in the portion provided.
WA
Washington 2025-2026 Regular Session
House Floor Session Mar 5th, 2026 at 05:40 pm
Washington House Floor Meeting
Bills:
HB2720 , HB2073 , HB2487 , SB5816 , SB5919 , SB5995 , SB5831 , SB6134 , SB6136 , SB6137 , HB2689 , SB5922 , SB5944 , SB5957 , SB5988 , SB5994 , SB6011 , SB6065 , SB6103 , SB6151 , SB6244 , SB5420 , SB5868 , SB6044 , SB6132 , SJM8002 , HB2720 , HB2073 , HB2487 , SB5816 , SB5919 , SB5831 , SB6137 , SB6244 , SB5420 , SB5868 , SB6044 , SB6132 , SJM8002
Keywords:
behavioral health, emergency services, health insurance, provider access, mental health funding, premium assistance, funding, healthcare, subsidies, insurance tax, state regulation, insurers, taxation, budget impact, juice grapes, agriculture, commerce, market access, fire safety, insurance incentives
WA
Washington 2025-2026 Regular Session
House Floor Session Mar 5th, 2026 at 02:05 pm
Washington House Floor Meeting
Transcript Highlights:
- adding benefits such as vision and dental, and, yeah, making sure that we address some of the overpayments
Bills:
HB2720 , HB2073 , HB2487 , SB5816 , SB5919 , SB5995 , SB5831 , SB6134 , SB6136 , SB6137 , HB2689 , SB5922 , SB5944 , SB5957 , SB5988 , SB5994 , SB6011 , SB6065 , SB6103 , SB6151 , SB6244 , SB5420 , SB5868 , SB6044 , SB6132 , SJM8002 , HB2720 , HB2073 , HB2487 , SB5816 , SB5919 , SB5831 , SB6137 , SB6244 , SB5420 , SB5868 , SB6044 , SB6132 , SJM8002
Keywords:
behavioral health, emergency services, health insurance, provider access, mental health funding, premium assistance, funding, healthcare, subsidies, insurance tax, state regulation, insurers, taxation, budget impact, juice grapes, agriculture, commerce, market access, fire safety, insurance incentives
WA
Washington 2025-2026 Regular Session
House Floor Session Mar 5th, 2026 at 09:30 am
Washington House Floor Meeting
Bills:
HB2720 , HB2073 , HB2487 , SB5816 , SB5919 , SB5995 , SB5831 , SB6134 , SB6136 , SB6137 , HB2689 , SB5922 , SB5944 , SB5957 , SB5988 , SB5994 , SB6011 , SB6065 , SB6103 , SB6151 , SB6244 , SB5420 , SB5868 , SB6044 , SB6132 , SJM8002 , HB2720 , HB2073 , HB2487 , SB5816 , SB5919 , SB5831 , SB6137 , SB6244 , SB5420 , SB5868 , SB6044 , SB6132 , SJM8002
Keywords:
behavioral health, emergency services, health insurance, provider access, mental health funding, premium assistance, funding, healthcare, subsidies, insurance tax, state regulation, insurers, taxation, budget impact, juice grapes, agriculture, commerce, market access, fire safety, insurance incentives
WA
Washington 2025-2026 Regular Session
House Floor Session Mar 4th, 2026 at 08:25 pm
Washington House Floor Meeting
Transcript Highlights:
- just ensure that we can continue to help people with their addictions and when they're entering recovery
- , and... ...to help people with their addictions and when they're entering recovery, and we're not setting
- The amendment does... to help people with their addictions and when they're entering recovery and we're
Bills:
HB2720 , HB2073 , HB2487 , SB5816 , SB5919 , SB5995 , SB5831 , SB6134 , SB6136 , SB6137 , HB2689 , SB5922 , SB5944 , SB5957 , SB5988 , SB5994 , SB6011 , SB6065 , SB6103 , SB6151 , SB6244 , SB5420 , SB5868 , SB6044 , SB6132 , SJM8002
Keywords:
behavioral health, emergency services, health insurance, provider access, mental health funding, premium assistance, funding, healthcare, subsidies, insurance tax, state regulation, insurers, taxation, budget impact, juice grapes, agriculture, commerce, market access, fire safety, insurance incentives
Summary:
The House received a Senate message that Substitute House Bill 1570 had passed the Senate, then moved several bills from Rules to the second reading calendar, including Substitute Senate Bill 5242 on anaphylaxis medications in schools and Senate Bill 6132 on Inland Port District debt. The chamber then took up several bills, beginning with Senate Bill 5988 on Department of Health accreditation fee authority for opioid treatment programs. Amendment 2336 to cap the fee at $17,000 was debated at length but rejected, and a separate amendment to add safe-injection-site language was ruled out of scope. Senate Bill 5988 then passed 62-34.
Substitute Senate Bill 6309 on enhanced municipal permitting tools for high-capacity transit projects drew multiple amendments focused on Sound Transit’s authority. Amendments to require written consent from abutting property owners, to add flood-zone and seismic/critical-area protections, and to address public-records issues were either rejected or ruled beyond scope, though the local government committee amendment was adopted. The bill passed 56-38. The House also passed Substitute Senate Bill 5886 on digital personality rights and Senate Bill 6136 on transparency in workers’ compensation rate-setting, both with strong bipartisan support.
Later, the House passed a series of additional bills: Substitute Senate Bill 6034 codifying the Governor’s Office of Indian Affairs; Gross Second Substitute Senate Bill 5395 on prior authorization reform, with remarks emphasizing limits on AI in health care decisions; Substitute Senate Bill 6248 creating the Washington Travel Insurance Act; Substitute Senate Bill 5720 establishing uniform consumer debt default judgment procedures; Senate Bill 5995 on port modernization funding and labor considerations; Senate Bill 6103 affecting rural hospitals; Engrossed Substitute Senate Bill 6110 creating a work group on e-motorcycles; Engrossed Substitute Senate Bill 5156 allowing smaller elevators to support accessible, more affordable housing; Substitute Senate Bill 6269 updating motor fuel definitions to include hydrogen; Substitute Senate Bill 6189 giving Thurston County more time to pursue an aquatics public facilities district; and Senate Bill 6134 requiring unemployment applicants to acknowledge repayment obligations if retroactive union pay is received. Most of these bills passed with large margins, and the House adjourned after completing final passage votes.
WA
Washington 2025-2026 Regular Session
House Floor Session Mar 4th, 2026 at 01:30 pm
Washington House Floor Meeting
Bills:
HB2720 , HB2073 , HB2487 , SB5816 , SB5919 , SB5995 , SB5831 , SB6134 , SB6136 , SB6137 , HB2689 , SB5922 , SB5944 , SB5957 , SB5988 , SB5994 , SB6011 , SB6065 , SB6103 , SB6151 , SB6244 , SB5420 , SB5868 , SB6044 , SB6132 , SJM8002
Keywords:
behavioral health, emergency services, health insurance, provider access, mental health funding, premium assistance, funding, healthcare, subsidies, insurance tax, state regulation, insurers, taxation, budget impact, juice grapes, agriculture, commerce, market access, fire safety, insurance incentives
Summary:
The House took up a series of Senate bills and moved most of them quickly to third reading and final passage, often suspending the rules and adopting committee amendments without objection. Early action included Senate Bill 5944, which addresses compensation for interpreters working for L&I when appointments are canceled or missed; it passed 86-10. Engrossed Substitute Senate Bill 5837, dealing with guardianship and supported decision-making, drew debate over a new right to counsel in guardianship cases and concerns about expanding civil legal obligations, but it passed 73-23. Engrossed Substitute Senate Bill 6197, a plumbers enforcement/discipline measure tied to task force work on wages and the underground economy, passed unanimously. Engrossed Substitute Senate Bill 6019, fixing a loophole in home care worker parity law, also passed unanimously, as did Senate Bill 6011, which extends authority for Court of Appeals bailiffs to assess threats against judges and staff, though members noted concerns about access to non-conviction data. Engrossed Substitute Senate Bill 6058, aimed at improving Labor and Industries’ ability to address wage theft complaints and backlog, passed 96-0 after House amendments. Substitute Senate Bill 5923, allowing an island hospital in Skagit County to become a critical access hospital, passed 96-0 amid support for rural health care. Senate Bill 5994, which changes how timber tax revenue is distributed so school districts are not penalized when levies fail, also passed 96-0. Substitute Senate Bill 6076, streamlining public utility district procurement and raising spending thresholds, passed 95-1 after a capital budget amendment.
The House then moved to second reading of Engrossed Substitute Senate Bill 5925, a major bill expanding the Attorney General’s authority to issue civil investigative demands in constitutional and discrimination-related matters. The bill prompted extensive debate over civil liberties, due process, and the potential for government overreach. Amendment 2160, which would have required clear and convincing evidence before a CID could issue, was rejected 38-48. Amendment 2149, creating a right to cure before a CID, was also rejected. Amendment 2150, requiring assistant attorney general approval and a reasonable suspicion standard, failed 38-48. Amendment 2151, requiring the Attorney General personally to approve CIDs in writing, failed as well. However, several narrowing amendments were adopted, including limits on scope and relevance (2288), a prohibition on CIDs to federal agencies (2289), a ban on sharing CID-derived information for criminal law enforcement purposes (2290), and a requirement that the Attorney General’s office consult with other agencies in certain overlapping investigations (2154 was rejected, but later amendments continued). Other proposed protections, such as fee-shifting for successful CID challenges and reimbursement when a CID produces no action, were debated at length but not adopted in the portion of the transcript provided.
WA
Washington 2025-2026 Regular Session
House Floor Session Mar 4th, 2026 at 09:30 am
Washington House Floor Meeting
Bills:
HB2720 , HB2073 , HB2487 , SB5816 , SB5919 , SB5995 , SB5831 , SB6134 , SB6136 , SB6137 , HB2689 , SB5922 , SB5944 , SB5957 , SB5988 , SB5994 , SB6011 , SB6065 , SB6103 , SB6151 , SB6244 , SB5420 , SB5868 , SB6044 , SB6132 , SJM8002
Keywords:
behavioral health, emergency services, health insurance, provider access, mental health funding, premium assistance, funding, healthcare, subsidies, insurance tax, state regulation, insurers, taxation, budget impact, juice grapes, agriculture, commerce, market access, fire safety, insurance incentives
Summary:
The House convened with a quorum, recited the Pledge of Allegiance, and heard a prayer from Tammy Stamphley, a Presbyterian minister and hospital chaplain. After approving the previous day’s minutes and receiving a Senate message, the chamber moved to second and third reading of several bills, with multiple measures advanced under suspended rules.
The first major vote was on Engrossed Senate Bill 5872, which establishes a pre-K-related account to support up to 10,000 additional early learning slots for three- and four-year-olds. Supporters emphasized the Balmer Group’s private funding commitment and the value of early learning and family support; the bill passed 97-0. Substitute Senate Bill 5834, a Department of Retirement Systems request bill changing the fund source for legal, medical, administrative, and fraud-prevention expenses using interest earnings from pension funds, also passed 97-0.
Substitute House Bill 2689, dealing with the Working Connections Child Care program, drew the most debate. Supporters said it aligned attendance policy with federal rules, adjusted reimbursement rates, and helped balance the budget while preserving child care resources. Opponents argued it cut support in rural and underserved counties, would worsen child care deserts, and placed budget savings on the child care industry; it passed 53-44. The House then passed Senate Bill 5922, allowing school districts to transfer vehicle depreciation funds with OSPI approval, by 59-38, and Senate Bill 6065, a narrower bill for districts under enhanced financial oversight such as Prescott, by 97-0. The session ended with announcements that both caucuses would meet later in the day.
WA
Washington 2025-2026 Regular Session
House Floor Session Mar 4th, 2026
Washington House Floor Meeting
Transcript Highlights:
- just ensure that we can continue to help people with their addictions and when they're entering recovery
Bills:
HB2720 , HB2073 , HB2487 , SB5816 , SB5919 , SB5995 , SB5831 , SB6134 , SB6136 , SB6137 , HB2689 , SB5922 , SB5944 , SB5957 , SB5988 , SB5994 , SB6011 , SB6065 , SB6103 , SB6151 , SB6244 , SB5420 , SB5868 , SB6044 , SB6132 , SJM8002
Keywords:
behavioral health, emergency services, health insurance, provider access, mental health funding, premium assistance, funding, healthcare, subsidies, insurance tax, state regulation, insurers, taxation, budget impact, juice grapes, agriculture, commerce, market access, fire safety, insurance incentives
Summary:
The House received a Senate message announcing passage of Substitute House Bill 1570 and then moved several bills from Rules to the second reading calendar, including Substitute Senate Bill 5242 on anaphylaxis medications in schools and Senate Bill 6132 on Inland Port District debt. The chamber then took up a series of bills, beginning with Senate Bill 5988 on Department of Health accreditation fee authority for opioid treatment programs. An amendment to cap the fee at $17,000 was debated at length but failed, and a separate amendment was ruled beyond the scope of the bill. Senate Bill 5988 then passed 62-34.
The House next considered Substitute Senate Bill 6309 on enhanced municipal permitting tools for high-capacity transit projects. Several amendments were offered to require written consent from abutting property owners, preserve setback and seismic/critical-area protections, and add transparency provisions, but the scope challenge to the transparency amendment was sustained and the other amendments failed. Supporters argued the bill would streamline permitting for Sound Transit and reduce taxpayer costs; opponents said it gave a large transit authority too much discretion and weakened property-rights and land-use protections. The bill passed 56-38. The House also passed Substitute Senate Bill 5886 on personality rights and digital likeness protections, and Senate Bill 6136 on workers’ compensation transparency, both with strong bipartisan support.
After caucuses and a rule suspension to work past 10 p.m., the House took up additional second-reading bills. It passed Substitute Senate Bill 6034 to codify the Governor’s Office of Indian Affairs, Gross Second Substitute Senate Bill 5395 on prior authorization and AI in health care, Substitute Senate Bill 6248 creating the Washington Travel Insurance Act, Substitute Senate Bill 5720 on uniform consumer debt default judgments, Senate Bill 5995 on port modernization funding with labor-related concerns, and Senate Bill 6103 affecting rural hospitals and enrollment status subject to appropriation. Later, the House passed Engrossed Substitute Senate Bill 6110 on e-motorcycle regulation, Engrossed Substitute Senate Bill 5156 allowing smaller elevators in some housing, Substitute Senate Bill 6269 updating motor fuel definitions to include hydrogen, Substitute Senate Bill 6189 extending time for Thurston County to pursue an aquatics public facilities district, and Senate Bill 6134 requiring unemployment applicants to acknowledge repayment if retroactive union pay is received. Most bills passed with large majorities, though some drew dissent over labor, property rights, transit governance, or regulatory scope.
WA
Bills:
SB6194 , SB5963 , SB5909 , SB5826 , SB5988 , SB5872 , SB5879 , SB5834 , SB5835 , SB5905 , SB5832 , SB6177 , SB5970 , SB5994 , SB6047 , SB5647
Committee:
Senate Ways & Means
Keywords:
SB 6194, Washington Medicaid, medical assistance, fee-for-service, managed care, rural hospital, Indian reservation, tribal hospital, federally recognized Indian reservation, Indian Health, hospital reimbursement, Medicaid payments, inpatient services, outpatient services, psychiatric unit, health care access, rural health, tribal health, safety-net hospital, RCW 74.09
FL
Committee:
Senate Transportation
Keywords:
electric vehicle, EV, battery fire, lithium-ion battery, towing, wrecker service, vehicle storage, submerged vehicle, saltwater damage, fire marshal, fire safety, tow yard, impound, storage fee, administration fee, local ordinance, county ordinance, municipal ordinance, insurance coverage, motor vehicle insurer
Summary:
The Senate Transportation Committee heard several bills, beginning with SB 1362 on advanced air mobility. Senator Harrell described the bill as a framework for vertiports and eVTOL aircraft, but an amendment removed the sales tax exemptions and narrowed the sovereign immunity provisions to vertiports co-located at airports. Supporters said the bill would help Florida lead in emerging aviation technology, while opponents and some members raised concerns about safety, local control, and extending immunity to unproven facilities. The committee adopted the amendment and reported the bill favorably.
The committee also considered SB 260 on storage of damaged electric vehicles. The bill, as amended, would allow local governments to set a daily administrative fee of up to three times the normal rate for storing EVs with visible battery damage or saltwater intrusion, reflecting fire-safety spacing requirements. Testimony from insurers, towing interests, and fleet operators focused on whether the fee was justified, whether cleanup language could lead to cost shifting, and whether more data reporting should be required. The amendment was adopted and the bill was reported favorably.
Members then approved SB 1352, which creates a secure online portal for license plate seizures and related DMV functions, preserves disabled veterans’ plate designations, prohibits license plate covers that obscure plates, and routes online license and ID renewals through county tax collectors. SB 1370 was also reported favorably; it closes a loophole so drivers who never obtained a license can still face habitual traffic offender penalties after repeated offenses. Finally, the committee took up SB 1220, a broad FDOT transportation package. After amendment, it retained provisions on trails, SunTrail, seaports, airports, drone delivery, autonomous vehicle protections, and FDOT coordination on federal funding, while removing the digital driver’s license provision and the rapid rail compact language. The committee adopted the amendment and reported the bill favorably.
WA
Washington 2025-2026 Regular Session
House Labor & Workplace Standards Jan 14th, 2026 at 08:00 am
Labor & Workplace Standards
Transcript Highlights:
- This bill would address that problem and allow workers a meaningful route for recovery.
- And there's also the Wage Recovery Task Force, which is working in this space as well.
- ..but again, there is the Wage Recovery Task Force, which I think...
- wage recovery processes without imposing broad and costly liability shifts on the entire industry.
- And I'll also mention, it's a great question, Representative: the worker recovery, wage recovery task
Committee:
House Labor & Workplace Standards
Keywords:
employee monitoring, workplace privacy, performance evaluations, notification, transparency, language access, collective bargaining, providers, healthcare, interpreters, social services, construction, wage theft, misclassification, independent contractor, employee classification, fringe benefits, prevailing wages, subcontractor liability, joint and several liability
TX
Transcript Highlights:
- key challenge facing natural gas utilities in Texas: the financial strain created by delayed cost recovery
- Right now, GRIP allows recovery. of essentially capital items, capital depreciation associated with that
- and subsequent rate recoveries.
- The recovery mechanism is integral to this balance.
- The bill provides an incentive to spend because of the real-time deferrals and certainty of future recovery
Committee:
House Energy Resources
Keywords:
inactive wells, oil and gas regulation, environmental protection, Railroad Commission of Texas, well plugging, Railroad Commission, penalties, violations, pipeline safety, civil penalties, criminal penalties, wildfire prevention, oil and gas, safety inspections, administrative penalties, excavation, notification, utilities, underground facilities, regulatory compliance
NH
New Hampshire 2026 Regular Session
Joint Legislative Performance Audit Oversight Committee (03/06/2026)
Transcript Highlights:
- </c> So when we do a recovery So when we do a recovery for<00:40:23.359><c> our</c><00:40:23.839><c>
- </c> presumably they get some of the recovery presumably they get some of the recovery as<00:41:56.960
- So we will do a recovery, or our managed care plans will do the recovery, and last year that amounted
- recoveries recoveries >> the<01:22:43.199><c> if</c><01:22:43.520><c> it</c><01:22:43.679><c>
- Most of the revenue that we do receive is from the estate recoveries, the Medicaid estate recoveries
Summary:
The committee chair opened by explaining that the committee has expanded from a traditional audit-follow-up role into an oversight role focused on whether audit recommendations are implemented and whether controls are in place to detect fraud. He said the committee was concerned about fraud uncovered in social service programs in other states and wanted to understand New Hampshire’s safeguards, especially around major contracts and program performance.
Charles Buchanan, director of the New Hampshire Medicaid Fraud Control Unit, and investigator Tim Brackett described the unit’s structure and mission. Buchanan said the unit, housed in the Attorney General’s Criminal Justice Bureau, investigates and prosecutes fraud by health care providers serving Medicaid beneficiaries, as well as abuse, neglect, and financial exploitation of residents in health care facilities. He outlined common Medicaid fraud schemes such as billing for services not rendered, upcoding, using unqualified staff, drug substitution, kickbacks, supplemental charges, and inflated customary charges. He also described resident abuse/neglect and drug diversion in hospitals, nursing homes, and assisted living settings. Brackett said his role is financial investigator/auditor and noted the unit is grant-funded and must include a prosecutor, investigator, and auditor.
The witnesses then explained how cases reach the unit and how they are handled. Most referrals come from the state Department of Health and Human Services’ program integrity unit and from managed care organizations’ special investigations units, which look for fraud, waste, and abuse and refer credible allegations. Other sources include qui tam whistleblower actions, the national Medicaid Fraud Control Units association, citizen complaints, provider referrals, adult protective services law-enforcement referrals, local law enforcement, and federal agencies. Once a referral is received, the unit can accept or deny it; accepted matters may be investigated criminally or civilly, while nonviable matters can be referred back to HHS or other agencies for administrative action, including repayment demands and reimbursement offsets. No votes or formal committee actions were taken in the portion provided.
MN
Minnesota 2025-2026 Regular Session
Legislative Audit Commission - Audit Subcommittee 11/12/25
Transcript Highlights:
- Initiate steps to ensure the accuracy of overtime payments in the future and assess recovery options
- Uh we take fund overpayment of $22.
- recovery of overpayments.
- We are in the process of working with our employees on recovery of those overpayments.
- We are in the process of working with our employees on recovery of those overpayments.
AR
Arkansas 2026 Regular Session
LEGISLATIVE JOINT AUDITING-MEDICAID SUBCOMMITTEE Feb 12th, 2026
LEGISLATIVE JOINT AUDITING-MEDICAID SUBCOMMITTEE
Transcript Highlights:
- Also, the state had not established a Medicaid recovery audit contractor, or RAC, program.
- and recoup those overpayments.
- The state's not established a Medicaid recovery audit contractor program.
- versus actually collecting those recoveries.
- The numbers on the slide today were the dollars identified for recovery.
Summary:
The Medicaid Subcommittee of the Legislative Joint Auditing Committee met to adopt the November 2018 minutes and receive a primer on the subcommittee’s role and Medicaid oversight in Arkansas. Legislative audit staff reviewed the subcommittee’s history and explained that Medicaid is audited annually through the statewide single audit because it is a high-risk federal program. Staff summarized recent audit findings, including weaknesses in eligibility and data-matching controls, improper use of Medicaid funds for partially non-Medicaid work, issues with incarcerated juveniles’ coverage, the absence of a Medicaid recovery audit contractor program exception request, reporting problems involving MFCU recoveries, and provider eligibility documentation concerns. Staff also noted a DHS departmental audit finding involving employees who improperly received benefits, which was referred for further action.
The Department of Human Services gave an overview of Medicaid’s structure, eligibility, delivery systems, and budget. DHS described Arkansas Medicaid as covering about 850,000 people through fee-for-service, managed care, and premium assistance for the expansion population, and outlined major spending categories such as institutional care, long-term services, pharmacy, capitated payments, and supplemental payments. DHS also explained the difference between state plan amendments and waivers, and said it has a beneficiary-fraud unit that refers cases to local prosecutors.
The Office of Medicaid Inspector General described its role in detecting and preventing fraud, waste, and abuse, distinguishing between suspensions for credible allegations of fraud and recovery actions for mistakes or overpayments. OMIG said it works with DHS and law enforcement, issues quarterly and annual reports, and has increased recoveries in recent years. The Attorney General’s Medicaid Fraud Control Unit explained that it prosecutes provider fraud criminally and civilly, can also handle long-term care neglect, abuse, and exploitation cases, and works with local prosecutors as special deputies. Committee members asked about court venue, provider suspensions, beneficiary fraud, education of providers, and the status of Medicaid expansion work requirements; DHS said it is preparing to implement community engagement requirements under HR 1 and will begin with a soft launch before full enforcement. No formal votes were taken beyond adoption of the minutes, and the meeting adjourned after questions were answered.
AR
Arkansas 2026 Regular Session
LEGISLATIVE JOINT AUDITING-MEDICAID SUBCOMMITTEE Feb 12th, 2026
LEGISLATIVE JOINT AUDITING-MEDICAID SUBCOMMITTEE
Transcript Highlights:
- Also, the state had not established a Medicaid recovery audit contractor, or RAC, program.
- and recoup those overpayments.
- The state's not established a Medicaid Recovery Audit Contractor Program.
- versus actually collecting those recoveries.
- The numbers on the slide today were the dollars identified for recovery.
WA
Washington 2025-2026 Regular Session
House Health Care & Wellness Feb 18th, 2026
Transcript Highlights:
- And fourth, recouping funds from overpayments and fraud and abuse and using them to support the original
- Another concern: the substitute removes required cost recovery, allowing DOC to provide these drugs at
- And last year, in 2025, according to MedPAC, those overpayments were $86 billion.
- Leveling the playing field will help fight the overpayments to private Medicare Advantage companies,
- Each year, overpayments increase the threats to the Medicare trust fund.
Summary:
The Health Care and Wellness Committee held a public hearing on several bills and a joint memorial. SB 5915 would update the health technology assessment program by adding technologies recommended for Medicare populations or in national guidelines to the review priority list, requiring broader evidence review for life-threatening or rare diseases, and setting timelines for posting and deciding review requests. Supporters, including rare disease advocates and providers, said the current process is outdated and too rigid; the bill was then held for later action. SJM 8002 urged Congress to strengthen original Medicare, oppose privatization, add benefits like dental, vision, and hearing, and reduce Medicare Advantage overpayments and fraud. Supporters from labor and senior groups argued it would protect beneficiaries and send a message to federal officials; the memorial was also held after testimony.
The committee also heard SB 5395 on prior authorization. Staff explained it would tighten notice requirements, require a licensed clinician—not AI alone—to deny requests based on medical necessity, add transparency around policy changes, and change how retrospective denials are treated. The prime sponsor and provider groups said the bill was a negotiated compromise meant to reduce delays and inappropriate denials, while insurers were generally neutral but sought a narrow amendment. Testifiers described prior authorization as a major source of delay and administrative burden, and the bill was held after public testimony. SB 5845 would require carriers to pay or deny clean claims within 30 days, set timelines for non-clean claims and information requests, and allow penalties for repeated noncompliance. Hospitals, physicians, and health systems supported it as a way to improve predictable payment, while insurers were neutral and asked for a narrow amendment; the bill was also held.
The committee heard SB 6025, which would change the definition of fetal death so gestational age is calculated using the best clinically accurate age rather than the last menstrual period. Obstetric and nursing witnesses said the current law can force inaccurate records and unnecessary burdens on grieving families, while opponents objected to the bill’s abortion-related definitions. The bill was held after testimony. Finally, SB 5988 would authorize the Department of Health to continue accrediting opioid treatment programs and charge fees to support that work. The department and the sponsor said the measure would preserve a patient-centered accreditation option amid budget pressure, and the committee closed testimony and held the bill.