Video & Transcript : 'postpayment review' :

Page 80 of 500
TX

Texas 89th 2nd C.S.

Human Services May 5th, 2026

Human Services

Transcript Highlights:
  • They use professional reviewers.
  • Does anything trigger reviews for you guys?
  • That would trigger a review.
  • The second is post-payment review.
  • I hope as we're going through this sunset review that we can start to look at a review for the waivers
Keywords: 1184, house, all
MN

Minnesota 2025-2026 Regular Session

Legislative Task Force on Child Protection 8/13/25

Minnesota House Floor Meeting

Transcript Highlights:
  • review teams.
  • review teams.
  • review teams.
  • solely by the local review team, which is responsible for reviewing all cases not subject to joint review
  • </c><01:23:14.239><c> team</c> reviewed solely by the local review team reviewed solely by the local
Keywords: 1183, house
FL

Florida 2025 Regular Session

November 18, 2025 - 10:30 AM

Transcript Highlights:
  • WE DID THIS FIRST REVIEW IN 2011 AND THIS IS THE FOURTH REVIEW SINCE THEN.
  • THIS YEAR'S REVIEW LOOKS AT THE NUMBER OF DEGREES AWARDED IN EACH PROGRAM IN THE SYSTEM OVER THE PAST
  • AS PART OF THE REVIEW WHAT WE IDENTIFIED OVER 200 PROGRAMS THAT WERE BELOW THE THRESHOLD.
  • SOME OF THESE PROGRAMS WERE ALSO ONES THAT HAD APPEARED ON THE PRIOR REVIEW AS WELL.
  • FOR THAT LOW PRODUCTIVITY REVIEW WE DID NOT LOOK AT FLORIDA COLLEGE SYSTEM.
FL

Florida 2026 Regular Session

Appropriations Committee on Transportation, Tourism, and Economic Development Feb 12th, 2026

Appropriations Committee on Transportation, Tourism, and Economic Development

Transcript Highlights:
  • This is FDOT coordinating with and providing assistance to local governments on development and review
  • The county has 15 days to initiate its review.
  • So, again, as proposed, there's no review or approval by the board of county commissioners.
  • DRI review under Chapter 380, which is the closest thing we've ever had to this, took months.
  • DRI review under Chapter 380, which is the closest thing we've ever had to this, took months.
Bills: S0002 , S0026 , S0354 , S1112 , S1192 , S1220 , S1352 , S1670
Summary: The Appropriations Committee on Transportation, Tourism, and Economic Development heard several bills and reported most of them favorably. The first major measure, CS/SB 1220, was described as a broad transportation package expanding FDOT authority over trails, seaports, aviation, advanced air mobility, delivery devices, and related technology, while also addressing toll revenue use, autonomous vehicle penalties, digital driver licenses, and an FDOT study on alternative-fuel vehicles. An amendment narrowed some provisions, including local regulation of personal delivery devices and FDOT airport language. Senator Smith and others raised concerns about language involving FDOT assistance to local governments on federal grant applications, but the bill passed unanimously after support from industry and local-government appearance cards. The committee also approved SB 1112, the Labor Pool Act, which would prohibit labor pools from charging placement fees when workers are hired permanently by a third-party employer and require annual registration with the Department of Commerce. The sponsor and supporters said the bill would reduce barriers to full-time employment, improve oversight, and help returning citizens and low-wage workers; multiple witnesses testified in support, including labor advocates and individuals describing high placement fees. Senators from both parties praised the bill’s worker and reentry benefits, and it passed unanimously. The committee then favorably reported SB 2, a claims bill for the estate of Danielle Maudsley arising from a fatal FHP arrest incident and settlement, and SB 26, another claims bill providing relief for the estate of Mark Legata after alleged FDOT negligence. Senate Bill 1352 on motor vehicles also passed without opposition. It would create a secure online portal for license plate seizure processing, allow disabled veterans to retain their DV plate designation upon reissuance or transfer, ban license plate covers and similar devices that obscure plates, and route certain online driver license and ID transactions through county tax collectors. SB 1192, a customer service pilot requiring callback queues for certain calls to the Department of Commerce and Department of Children and Families, was likewise reported favorably to improve response times and reduce hold times. The most extensive debate centered on CS/SB 354, the Blue Ribbon Projects bill, which would create a new process for very large developments on 10,000-acre or larger parcels if the owner sets aside 60% of the land for conservation or reserve uses. Supporters said it was intended to promote long-range planning, preserve land, and provide certainty for infrastructure and services, while opponents from counties, planning groups, and environmental organizations argued it would preempt local land-use authority, weaken public participation, and allow conservation requirements to be too vague. An amendment added more detail, but concerns remained about administrative approval, timelines, and the definition of reserve areas. Despite opposition from some members, the committee reported the bill favorably on a divided vote. SB 1670 was temporarily postponed, and the committee adjourned after recording one member’s vote on SB 1220.
TX

Texas 89th 1st C.S.

State Affairs (Part II) Aug 4th, 2025

State Affairs

Transcript Highlights:
  • officer, with all the good and bad substantiated material, wherever he goes, and is required to be reviewed
  • Unfortunately, SB 14 would effectively dismantle the Community Police Review Commission.
  • Unfortunately, SB 14 would effectively dismantle the Community Police Review Commission.
  • So it's a very close group that's looking at that review.
  • Some cities have city review commissions for complaints against police.
Bills: SB7 , SB14
Summary: The Committee on State Affairs took up Senate Bill 14, which would create a confidential department file for law enforcement officers and jailers and limit public access to records involving unsubstantiated misconduct, while preserving access for hiring agencies, TCOLE, and certain criminal justice uses. TCOLE’s Gretchen Grigsby explained the current rollout of law enforcement recordkeeping reforms, including the distinction between the public personnel file and the confidential G-file, and answered questions about when TCOLE would request files during investigations. Senator Perry and other members focused on how the bill would interact with existing personnel-file rules, public transparency, and criminal discovery obligations. Public testimony was largely opposed. Critics argued the bill was drafted too broadly, could sweep in records beyond misconduct files, and would reduce transparency for the public, journalists, oversight bodies, and families seeking answers in cases such as Uvalde and jail deaths in Tarrant County. Several witnesses said the bill could allow small or single-officer agencies, including elected constables, to shield their own records, and some warned it could chill reporting and oversight. Supporters, including law enforcement representatives, said the bill would protect officers from false or unsubstantiated allegations, align agencies without civil-service protections with those that already have G-files, and preserve confidentiality for records that should not be public. Dallas County prosecutors and Harris County deputies supported the general policy but asked for clarifying amendments, especially to separate language they said could affect the Michael Morton Act and to preserve existing protections through in-camera review or protective orders. Committee members spent significant time questioning witnesses about how substantiated versus unsubstantiated allegations would be handled, whether body camera footage and case files would remain public, and how the bill would affect discovery in criminal cases. After hearing all registered witnesses, the chair closed public testimony. Senate Bill 14 was left pending, and the committee recessed.
AR

Arkansas 2026 1st Special Session

LEGISLATIVE JOINT AUDITING-COUNTIES AND MUNICIPALITIES Jun 4th, 2026

LEGISLATIVE JOINT AUDITING-COUNTIES AND MUNICIPALITIES

Transcript Highlights:
  • The board has not reviewed that yet. In terms of the competitive...
  • So we reviewed the proposal and accepted that.
  • Our review covered the period January 1, 2024 through October 7, 2025.
  • our review of through August 31st, 2024.
  • This review was conducted.
Summary: The committee approved the prior minutes and then received a series of audit and compliance updates. Staff reported on delinquent private water and sewer reports, delinquent 2013-2023 water reports, and several municipal accounting code noncompliance cases. Denning and Gum Springs were recommended to be removed from the 60-day clock after staff visits showed improved records, while Fargo, Lead Hill, Almy, Jericho, Haynes, Biggers, Gilmore, and Holly Grove were discussed for repeat findings involving missing audits, poor bookkeeping, unpaid or misapplied street funds, deficit balances, and other accounting deficiencies. Several of these entities were given additional time or had reports filed without objection, while others were deferred for later review. Fargo’s mayor said the town had been understaffed and was working to improve its accounting systems; the committee voted to defer the matter to the August meeting. Lead Hill’s mayor described efforts to complete overdue water audits and improve office procedures, and the committee also postponed action for 60 days. Almy’s mayor and recorder-treasurer were present, and the committee placed the town on the 60-day clock for repeat accounting issues. Biggers and Gilmore both acknowledged long-running audit problems and said they were working with auditors and the IRS; their reports were filed. Holly Grove’s treasurer said she had only recently taken the position, and that report was filed as well. The committee spent considerable time on the street-fund misuse cases for Jericho and Haynes. Jericho was found to have exceeded the statutory threshold tied to fines and costs, with staff noting the town had since become current on its repayment plan; the committee deferred the report to September. Haynes was also behind on its repayment plan for street funds, with staff saying the town had recently made up the shortfall and was current as of the meeting, but the committee still deferred the report to September. Members and staff also discussed how the speed-trap law is applied, whether certain fines and costs count toward the threshold, and the role of the prosecuting attorney in deciding whether to take further action. The committee then reviewed a special report on the Pulaski County Regional Solid Waste Management District, which had six findings involving board approval of payroll and contracts, credit card documentation, vehicle and cell phone use, competitive bidding, electronic funds controls, and unusually high advertising spending. District Director Craig Douglas said the board had delegated some authority, that receipts were missing during a temporary staffing gap, and that advertising was needed to educate the public; he also defended the sale of trailers and other equipment as a way to exit the trailer business. Several members questioned the explanations and the low resale value of equipment, but the committee ultimately deferred the report to September. The meeting also included a recognition of accounting students interning with audit staff and a final set of actions on deferred water and sewer reports: 11 were filed, seven were deferred for lack of proper responses, and a private report on Shannon Hills Water, Sewer, and Fire Department was noted as involving misappropriation by an office manager and inadequate internal controls.
CA
Transcript Highlights:
  • We have been continuing to do significant environmental review and mitigation of the project.
  • Ada Welder, with Earthjustice, opposed the bill in print and is reviewing amendments.
  • I'm still also reviewing the amendments as well. We'll be voting the bill out.
  • And if it hasn't, and it's in a sensitive area, it has to go through environmental review.
  • And if it hasn't, and it's in a sensitive area, it has to go through environmental review.
Summary: The committee heard SB 1375 by Senator Cortese, which would streamline environmental review for certain transit and rail projects that have already undergone extensive prior review. Supporters, including VTA, San Jose transportation staff, BART, Caltrain, MTC, and Climate Reality Silicon Valley, said the bill would reduce duplicative analysis, save time and money, and help advance projects like the Diridon Station modernization in San Jose. Committee members emphasized the bill’s narrow scope and the added amendments requiring displacement planning, legal services for displaced residents, construction-impact mitigation, and natural resources planning. The bill was approved on a 5-0 vote and sent to Transportation as amended. The committee also took up SB 1031 on compostable plastics labeling and waste-stream impacts. The author and supporters such as Californians Against Waste argued the bill would reduce greenwashing, clarify labeling, cut contamination in compost and recycling streams, and direct OEHHA to study health and environmental effects. Opposition from manufacturers, BPI, retailers, and others focused on concerns that the bill would effectively ban compostable products in California, create costs, and fail to fix a separate federal/NOP labeling problem. After extensive discussion about composting capacity, labeling clarity, and costs, the bill passed 3-2 to Appropriations. SB 958 by Senator Weber Pierson addressed the Midway Rising redevelopment project in San Diego. The bill, as amended, would no longer create a full CEQA exemption but instead clarify CEQA treatment of building-height impacts in the project’s future EIR. Supporters said the project would deliver thousands of housing units, including affordable housing, along with parks, a new arena, and economic benefits on underused city land. The committee voiced support for the project’s housing and revitalization goals, and the bill passed 3-0 to Local Government as amended. The committee also heard SB 1075 on strengthening AB 617 community air protection plans, with environmental justice supporters backing stronger enforcement and local implementation while local governments, business groups, and air district representatives warned it could create uncertainty, raise costs, and function as a land-use mandate; the bill was held on a 2-2 vote after the author accepted several amendments and continued negotiations.
KY
Transcript Highlights:
  • </c> to talk about today and that is a review to talk about today and that is a review of<00:09:34.399
  • </c> the process of starting this next review the process of starting this next review cycle.<00:10:21.519
  • </c> this is a different one, a reviewing this is a different one, a reviewing actuary.<00:11:30.240>
  • May and June the reviewing actuary would submit that report for review.
  • > would</c><00:15:41.120><c> submit</c> reviewing actuary would would submit reviewing actuary would
Summary: The meeting began with quorum, approval of the prior minutes, and an announcement that the June meeting had been canceled and replaced by this combined May/June meeting; the next official PPOB meeting was announced for July 21 at 2:30. Staff then gave an overview of the Public Pension Oversight Board’s required actuarial audit process, explaining that House Bill 238 requires a review every five years of the retirement systems’ actuarial assumptions and methods, funded by the systems themselves. The presentation distinguished this audit from a financial or forensic audit, described the three possible audit levels (full replication, limited/spot review, or basic review), and noted that the last audit in 2021 was a level one performed by Milleman Consulting at a cost of about $190,000. Members discussed timing for the next audit cycle, with a request to LRC likely needed in July or August to target the June 30, 2026 valuation, and several members expressed interest in another level one review. Questions also addressed whether prior audits found major issues; staff said the 2021 review was generally clean but recommended more consistency in reporting and assumptions across systems. The committee then welcomed new staff and interns, including Odet Guanzi of KPPPA and Team Kentucky intern Amamira Bowman. Bo Barnes of the Teachers Retirement System presented an overview of the statutory framework for reemployment after retirement under KRS 161.605. He explained that the law is intended to let retirees return to help with staffing needs, do so in an actuarially sound way through required contributions, and keep TRS compliant with federal tax rules for a qualified plan under section 401(a). Barnes described the required breaks in service and earnings limits for retirees returning part-time or full-time, including the three-month or 12-month break depending on the employer, the 6,900-day limit, and the daily wage threshold based on years of service. He also noted a lightly used critical shortage program that allows school districts to hire retirees without a wage cap, while still observing the break-in-service rules. Members asked questions about who decides the scope and level of the actuarial audit, how the audit would treat leave balances and other benefit-related items, and whether the prior level one audit identified substantial problems. Staff said the committee would request the audit, but LRC would handle contracting, and that the audit scope could include items like sick leave and annual leave costs if requested. On the reemployment topic, Barnes emphasized that the rules are designed to avoid pre-arranged retire-and-return arrangements that could jeopardize TRS’s tax-qualified status. No formal votes were taken beyond approving the minutes, and the meeting concluded with the presentations and discussion of these pension oversight issues.
KY
Transcript Highlights:
  • This since this is anformational review.
  • </c><01:22:03.280><c> those</c> statement that DOC shall review those statement that DOC shall review
  • </c><01:25:44.080><c> in</c> the psychologist would be reviewing in the psychologist would be reviewing
  • </c> they would not be reviewing. they would not be reviewing.
  • </c> will not they will conduct the review will not they will conduct the review for<01:43:33.840><c>
Keywords: 958, all
Summary: The committee first approved the minutes and then recognized a staff member’s birthday and a guest shadowing Senator Adams. It then moved into informational review of Education and Labor Cabinet, Department of Education regulation 702 KAR 3:30, which sets insurance coverage requirements for school district buildings and structures. Department of Education officials explained that districts are expected to carry coverage at replacement cost and said they understand some districts participate in self-insurance pools with backup policies, but they deferred detailed insurance questions to the Department of Insurance. Senators raised concerns that pooled coverage could leave districts exposed if claims exceed pool limits, and the chair asked KDE to follow up with DOI to confirm districts are adequately covered, especially for bondholders. No vote was taken on the informational review. The committee then reviewed emergency ABC regulations 804 KAR 130:01 through 130:04 implementing Senate Bill 100’s new licensing requirements for tobacco, nicotine, and vapor product businesses. ABC and Public Protection Cabinet representatives outlined the emergency rules governing enforcement, license applications, denial criteria, and transitional licenses. Retail industry witnesses Shannon Stiglet and Brian Clark said they support licensure in principle but argued the rules add duplicative requirements borrowed from alcohol licensing, create confusion about transitional licenses, and may be too burdensome for the roughly 7,000 affected businesses to meet by the January 1 deadline. They also said guidance has been inconsistent and requested the agency revise the regulations, remove requirements not grounded in law, and provide clearer, separate processes for new and existing businesses. Committee members asked whether the industry had worked directly with ABC and noted the public comment period was still open. Witnesses said they had communicated with ABC and the Public Protection Cabinet, but responses had been uneven and they wanted written guidance. Members expressed concern about the short timeline and the need to avoid disruption so businesses can operate legally on January 1. Representative Marzian asked for clarification that the discussion concerned emergency regulations already in effect while ordinary regulations remain in process. No formal action was taken beyond receiving the informational testimony and discussion.
AZ

Arizona 2026 Regular Session

05/06/2026 - Joint Committee on Capital Review

Joint Committee on Capital Review

Transcript Highlights:
  • This is the Joint Committee on Capital Review, JCCR. Today is May 6th. Thank you, Mr. Chairman.
  • Members, next item is item 10, the Arizona State Fair Board review. Mr.
  • Vice Chair, can you please make the motion of a favorable review of agenda item 10? Go ahead.
  • Vice Chair, then why don't you go ahead and make a motion to favorable review agenda item 10. Mr.
  • i moved the committee give a favorable review of agenda item 10 for the arizona exposition and state
Keywords: 1182, all
WA

Washington 2025-2026 Regular Session

House Health Care & Wellness Feb 18th, 2026

Transcript Highlights:
  • program is administered by the Health Care Authority in collaboration with a clinical committee to review
  • life-threatening or rare disease, the clinical committee must evaluate all clinical trials in peer-reviewed
  • Authority must post on its website the receipt of requests for new technology assessments or for re-reviews
  • within 30 days of receipt, and the clinical committee must decide on the review or re-review within
  • A local registrar must review filed reports to ensure the records are complete.
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.
HI

Hawaii 2025 Regular Session

EEP Public Hearing - Thu Feb 13, 2025 @ 10:15 AM HST

Energy & Environmental Protection

Transcript Highlights:
  • And we have additional written testimony that was submitted that we did review.
  • We have additional written testimony we have reviewed. Is there anyone else here to testify?
  • We have additional written testimony that we have reviewed.
  • And we do have additional written testimony we did review.
  • We do have additional written testimony we did review.
Keywords: 910, house, all
Summary: The Energy and Environmental Protection Committee met on February 13, 2025, after a brief recess for a concurrent hearing. The committee heard testimony on several measures, including HB 332 on recycling and lithium-ion batteries, HB 256 on environmental protection and federal air standards, HB 348 on single-use plastics in lodging establishments, HB 810 on noise pollution and helicopter-related civil actions, HB 505 on Red Hill coordination, HB 975 on carbon sequestration incentives, and HB 974 on utility financing and step-in agreements. Testimony was generally supportive on HB 256, HB 348, HB 505, HB 975, and HB 974, while HB 332 drew both support and opposition, including concerns from the Consumer Technology Association about battery recycling policy. On HB 975, OPSD supported the program but urged language to prevent use for carbon offsets, and the committee discussed how the program would be monitored and reimbursed. On HB 974, the chair summarized extensive amendments addressing reserve fees, revenue definitions, trust funds, default procedures, and customer credits, while noting the Consumer Advocate’s changed view that a reserve fee may not be constitutionally required. In decision making, the committee adopted amendments and recommended passage for HB 332, converting it into a working group to study recycling of small- and medium-format lithium-ion batteries, with members from state agencies and industry and a note that an appropriation may be needed. HB 256 was passed with amendments to clarify compliance with federal law unless standards become more stringent. HB 348, HB 810, and HB 505 were each passed as is. HB 975 was passed with amendments, including language to prevent use of the program for carbon offsets and a note that dollar amounts would be blanked out and addressed in the committee report. HB 974 was also passed with amendments after the committee reviewed the proposed changes and discussed the reserve fee issue. The committee additionally noted that HB 1476 had previously been deferred and would remain deferred, and the meeting concluded with adjournment.
ID

Idaho 2026 Regular Session

Agenda Mar 19th, 2026

Business

Transcript Highlights:
  • House Bill 841 will make sure that in reviews of appeals of prior authorization we have appropriately
  • qualified clinicians or specialists doing that review.
  • He reviewed it. He has no concerns or issues with this update.
  • SHPO consistently provides timely and effective review.
  • SHPO consistently provides timely and effective reviews, well within their 30-day window for review.
Committee: House Business
Summary: The committee first approved the minutes from February 19 and March 11. It then heard Senate Bill 1285, which would make high school diplomas from non-public schools, including homeschool, equivalent to public school diplomas or GEDs for Idaho occupational and professional licensing. The sponsor and supporters said the bill removes a barrier for homeschool and private-school graduates without changing other licensing requirements. After brief questions and supportive testimony from Homeschool Idaho, the committee voted to send the bill to the House floor with a due pass recommendation. The committee next considered House Bill 841 on prior authorization in health insurance. The sponsor said the bill would add transparency, predictable timelines, qualified clinical review, stability once authorization is granted, and reporting requirements, while preserving fraud protections and not dictating prices or coverage design. Testimony from the Idaho Medical Association, a migraine patient, and the Idaho State Dental Association supported the bill as a way to reduce delays and administrative burden. Representative Harris raised concerns about complaints and fiscal impact, but after debate the motion to send the bill to the floor failed on a 9-5 roll call, with four absent. Senate Bill 1262 followed, a narrow insurance code change that removes a confusing “lesser of” investment limit and leaves a 10% asset cap for certain insurer investments. The sponsor and a domestic insurer said the change would simplify the code and improve portfolio flexibility, and the committee approved it for the floor with a due pass recommendation. The committee then took up House Bill 898, which moves the State Historic Preservation Office from the Idaho State Historical Society to the new Office of Species, Minerals, and Energy Coordination. Supporters argued the move would streamline permitting and keep federal historic-preservation duties intact, while opponents warned of conflicts of interest, loss of independence, and possible funding and efficiency problems. After extensive testimony from preservation professionals, water users, and others, the sponsor closed by saying the budget and staff would follow the office and that the change would improve permitting efficiency; the transcript cuts off before the final disposition of the bill.
CA
Transcript Highlights:
  • I'm the director of the In Custody Death Review Division at the BSCC.
  • , getting ready to complete those reviews and release those reports.
  • Completing our reviews, getting ready to complete those reviews, release those reports, and putting our
  • So our recommendations will be based on a full review of that information.
  • It’s something we’re interested in reviewing as we begin to review agency policies and procedures to
Summary: The subcommittee heard an overview from the Board of State and Community Corrections on its budget change proposal for 11 additional permanent positions, which BSCC said are needed to manage a rapidly expanded grant workload, increase technical assistance, and strengthen oversight and audits. BSCC also updated members on its new In Custody Death Review Division, created under SB 519, reporting that it has begun collecting and reviewing local jail death investigations, has hired about one-third of its staff, and has received access to medical records and related documents. Members raised concerns about family notification practices, local jail deaths, and whether BSCC’s increased administrative use would reduce grant dollars; BSCC said the change is intended to be permanent but should not substantially affect local assistance. The LAO supported the position authority request but flagged a methodological issue in the administration’s Proposition 47 savings estimate, and Finance said it would update the estimate by May Revision. The committee then reviewed CDCR’s overall budget, population, and facility issues. The Secretary said the incarcerated population is holding around 90,000, parole around 33,000, and described major cost pressures from retirements, workers’ compensation, medical transport, violence, and aging infrastructure lacking air conditioning and ADA features. He defended prison closures as creating overcrowding and reducing programming capacity, while also highlighting successes such as declining recidivism, expanded college and reentry programming, and the completion of the San Quentin Rehabilitation Center. Members pressed CDCR on fiscal discipline, the effect of closures on savings, community impacts from prison shutdowns, vacancy and staffing issues, and climate-related facility needs. CDCR said it clusters medically vulnerable and ADA-needing populations at more suitable facilities, uses heat plans and temperature monitoring, and is developing a 20-year infrastructure plan. A separate item addressed CDCR’s request for $91 million ongoing for lump-sum leave payouts for correctional officers and nurses. CDCR said these costs have historically been covered by vacancy savings, but declining vacancies and facility closures have reduced that source. The LAO said the funding is reasonable in the near term but recommended limited-term approval with reporting, and urged the Legislature to scrutinize unallocated savings assumptions and the ongoing Boston Consulting Group efficiency contract. Finance argued the lump-sum request should be ongoing because the costs are recurring and vacancy savings are less reliable. Members questioned whether CDCR is doing enough to reduce leave liability and whether the department will actually achieve the budgeted savings from the consultant work. Finally, CDCR presented updated population projections through June 2030, estimating a 6.5 percent decline in the institution population and a 10.4 percent decline in parole, while revising its Proposition 36 methodology based on actual admissions data. CDCR said Prop. 36 admissions are increasing but at a lower level than previously projected, and that the law’s long-term effects remain uncertain. On the California Rehabilitation Center closure, CDCR projected about $99.6 million in net General Fund savings next year and roughly $150 million ongoing, with 522 positions eliminated. The LAO said the state could close another prison within a few years and identified the Correctional Training Facility in Soledad as a strong candidate, recommending against approving new capital projects there unless another closure is identified. Finance said the administration has not proposed any additional closure at this time.
WA

Washington 2025-2026 Regular Session

House Health Care & Wellness Dec 5th, 2025

Transcript Highlights:
  • DOH should review this event and plan as it deems necessary.
  • We found that DOH does not review adverse health correction plans.
  • That's something we didn't review. We didn't review that during our report.
  • That's something we didn't review. What was the performance of that?
  • That's something we didn't review during our report.
Summary: The committee heard a JLARC presentation on the Department of Health’s oversight of hospital inspections, complaints, and reporting. JLARC said DOH was late on 72% of acute care hospital inspections as of December 2024, had not verified that third-party accrediting standards were substantially equivalent to state standards, did not consistently require proof of those inspections, did not review adverse health event corrective plans, and could make hospital data more accessible. JLARC also raised a possible language-access barrier in the complaint system. Members asked about complaint filing by staff, the meaning of adverse health events, inspection outcomes, and whether the audit compared DOH to other agencies. JLARC said it had not reviewed inspection results or cross-agency comparisons, but noted inspectors were dedicated and working long hours. DOH later said it concurred with the recommendations and outlined a strategic plan with target dates for improving timeliness, verifying accreditation standards, expanding language access, reviewing adverse event laws, and improving public data access, with annual reporting to the Legislature expected. The committee then heard a Department of Health presentation on certificate of need modernization. DOH described the current certificate of need process, which reviews need, financial feasibility, quality, and cost containment for certain facility changes and new services, and said the program has not been modernized since the 1980s. DOH proposed 10 statutory modernization recommendations, including clarifying the program’s purpose, creating a planning entity, adding flexibility, reducing legal costs, updating access-to-care standards, expanding oversight to freestanding emergency departments and urgent care, addressing equity, improving cost control coordination, strengthening long-term funding, and using better data systems. Members asked about oversight of freestanding urgent care and EDs, funding sources, and whether the process could be streamlined or made more responsive to complaints or other triggers. A third panel discussed artificial intelligence in health care. Lucy O’Rourke of the Coalition for Health AI described CHAI’s work on responsible AI principles, technical standards, model cards or “nutrition labels,” testing and governance tools, and educational resources for providers. She said the group is focused on trust, transparency, fairness, safety, security, and privacy, and noted Washington’s AI-related policy work as among the more progressive in the country. No questions were asked. The final portion focused on the financial impact of federal and state health care policy changes. The Washington State Hospital Association said hospitals are facing low or negative operating margins, service reductions, layoffs, and closures, and that state cuts and taxes enacted in 2025, combined with federal HR1 changes, will significantly worsen finances. Providence Swedish leaders described staffing reductions, service cuts, delayed capital investments, and pressure from denials, tariffs, and reimbursement changes, while emphasizing that frontline staffing cuts are tied to service reductions rather than nurse-to-patient ratio changes. The Washington Health Benefit Exchange then began a presentation on expiring federal ACA premium tax credits, state Cascade Care Savings assistance, and eligibility changes affecting lawfully present non-citizens, with examples showing large premium increases for customers if federal subsidies expire.
NM

New Mexico 2025 Regular Session

IC - Legislative Health and Human Services Oct 7th, 2025

Legislative Health & Human Services Committee

Transcript Highlights:
  • There is the pre-litigation review and opinion by the New Mexico Medical Review Commission.
  • And if you look at the positions with peer review actions.
  • action. 17 of them, 8.8%, did have a peer review action by a New Mexico hospital primarily.
  • The peer review actions that were taken, though, were fairly serious.
  • The reporting issues primarily relate to hospital peer review actions.
ND

North Dakota 2026 1st Special Session

Legislative Audit and Fiscal Review Committee Jun 17th, 2026

Legislative Audit and Fiscal Review Committee

Transcript Highlights:
  • We reviewed project scoring and approvals.
  • review, and it only occurs every 10 years.
  • review.
  • So when they get this done, will you review it again? We will review everything, Mr. Chairman.
  • My job is to go out and evaluate, review, assess, verify.
Summary: The committee convened, approved the prior meeting minutes, and received a memo summarizing major audit items. The State Auditor’s office and outside auditors then presented a series of audits, many of which were clean with unmodified opinions and no findings, including the Bank of North Dakota, the Guaranteed Student Loan Program, the Office of the Governor, the State Treasurer, the Office of Management and Budget, the Department of Transportation, the Department of Environmental Quality, Lake Region State College, and the Office of the Governor. The North Dakota Stockmen’s Association audit was also clean overall, but it repeated findings about limited segregation of duties and auditor assistance in preparing financial statements, which the auditor said were expected to continue because of the organization’s small size. Committee members asked about out-of-state board addresses, and the association explained those members were North Dakota residents using South Dakota mailing addresses. Several audits did include findings. The Council on the Arts audit identified two issues: payroll charged to federal awards without supporting time records, and $12,825 in Cultural Endowment Fund spending that was not allowable under state law, including staff training, retreats, and executive director candidate travel. The Department of Public Instruction audit found unsupported scholarship applications in the paraprofessional-to-teacher program, but additional testing confirmed the funds were credited properly and students completed required school district work, so no improper payments were identified. The University of North Dakota audit found a lack of documentation and transparency in School of Law admissions decisions; the auditor said the law school used a holistic process but did not keep notes or evaluation tools to show why applicants were admitted, waitlisted, or denied. UND leadership said the school is in good standing with the American Bar Association and agreed better documentation is needed, and the auditor said the issue was the missing documentation, not ABA accreditation itself. The most extensive discussion centered on the North Dakota Racing Commission audit, which found four findings: overspending the promotion fund’s 25% operating cap, grant conditions not being met, improper breeder fund awards, and improper procurement. The auditor said promotion fund spending exceeded the cap by $327,447 and the fund balance dropped sharply over the audit period. Racing Commission director Bruce Johnson said the agency had become complacent, that grant requests were treated as routine, and that controls and documentation need to be tightened. He also explained that the breeder fund overpayments involved two horses whose ownership transfers were not properly documented before racing, and that the procurement issue stemmed from an advertising contract that proceeded without proper written procurement procedures after a misunderstanding with the State Procurement Office. The auditor said the Racing Commission will now be audited every two years because of the findings. The committee also received updates on Dakota College at Bottineau’s bank reconciliations, which Minot State University said had been brought current after an 18-month backlog, with only one account still needing cleanup; members asked for a written report on the corrective actions. The North Dakota Fair Foundation was reported to have dissolved, with remaining funds transferred to another nonprofit account for continued support of the state fair. Finally, the Department of Public Instruction provided an update on school meal debt, revising the earlier estimate to about $1.1 million based on incomplete district survey responses, and said the Anti-Lunch Shaming law likely increased meal debt because schools must feed students regardless of account balance. Members discussed the need for a more accurate year-end debt figure and possible future reporting at a later committee meeting.
ND
Transcript Highlights:
  • We reviewed project scoring and approvals.
  • review, and it only occurs every 10 years.
  • review, and it only occurs every 10 years.
  • So when they get this done, will you review it again? We will review everything, Mr. Chairman.
  • My job is to go out and evaluate, review, assess, verify.
Summary: The committee was called to order, the Pledge of Allegiance and prayer were offered, and the minutes from the previous meeting were approved. Members then received a memo summarizing major audit items and began hearing audit presentations from the State Auditor’s Office and private auditors on a range of state agencies and organizations. Several audits were reported as clean, including the Bank of North Dakota, the North Dakota Guaranteed Student Loan Program, the Office of the Governor, the Office of the State Treasurer, the Office of Management and Budget, the Department of Transportation’s flexible transportation fund, Lake Region State College, and the Department of Environmental Quality. The North Dakota Stockmen’s Association also received an unmodified opinion, though repeat findings were noted for limited segregation of duties and financial statement preparation due to its small staff. The Council on the Arts audit found two findings: payroll charged to federal awards without adequate timekeeping records, and unallowable expenditures from a restricted cultural endowment fund. The Department of Public Instruction audit identified unsupported scholarship applications in the paraprofessional-to-teacher program, though additional testing showed the funds were used for their intended purpose. The most extensive discussion centered on the North Dakota Racing Commission audit, which identified four findings: overspending the promotion fund’s 25% operating limit, grant conditions not being met, improper Breeders Fund awards, and improper procurement for advertising services. Racing Commission director Bruce Johnson acknowledged complacency and weak controls, said the agency would tighten procedures, and explained that the commission had since worked with procurement and would follow the rules more closely. Auditors also explained that the commission would now be audited every two years because of the findings. Another major discussion involved the University of North Dakota School of Law, where auditors found a lack of documentation supporting admissions decisions for post-baccalaureate programs. UND officials said they remain in good standing with the American Bar Association but agreed better documentation and tools are needed; the committee pressed for more transparency and follow-up on admissions criteria. The committee also received an update on Dakota College at Bottineau, where Minot State University reported that bank reconciliations had been brought current after a significant backlog and would now be maintained through shared services. Members requested a written follow-up report on the issues and corrective actions. Finally, the North Dakota Fair Association explained that its foundation has been dissolved and remaining funds were transferred to another nonprofit for continued support of the state fair, and the Department of Public Instruction provided an update on school meal debt, saying the reported amount was about $1.1 million from a partial district survey and that debt remains a local issue, though it could be revisited if school meal funding changes.
ID

Idaho 2026 Regular Session

Agenda Jan 29th, 2026

Business

Transcript Highlights:
  • Today, RS 3303 deals with permits, building permits, and plan review.
  • Representative Crane, is there a definition of what an initial plan review is as opposed to a plan review
  • In the industry, initial plan review is just the first time that they take a look at those plans.
  • And then it would go back for another review.
  • But that's just the initial review to get it out into the bid process. Representative Monks.
Committee: House Business
Summary: The House Business Committee met with a quorum and introduced a new vice chair, Representative Josh Wheeler. The committee then considered three RS measures. RS 33072, by Representative Sauter, would extend notice periods for property and commercial insurance non-renewals from 30 to 60 days, giving policyholders more time to find coverage or work with insurers; members noted the issue is especially acute in some counties with rising cancellations and premium increases. The committee voted to introduce the RS. RS 33048, by Representative Ehlers, would lower barriers to CPA licensure by allowing alternative pathways to the current 150-credit-hour requirement, including a bachelor’s degree with sufficient accounting concentration, and would also ease reciprocity for out-of-state CPAs. Members asked about possible additional competency pathways, and one member expressed concern about reducing standards solely to expand the labor pool, but the RS was still introduced. RS 3303, by Representative Crane, would require initial plan review for school district building permits within 30 calendar days to speed up construction bidding and reduce cost delays. Members asked about the definition of initial plan review, whether exceptions or penalties were included, and how the measure would affect bidding timelines. The committee voted to introduce this RS as well, then adjourned with floor session scheduled for the next day.
KY
Transcript Highlights:
  • Budget Review Subcommittee on General Government.
  • We did 29 state audits and reviews. That is OSAT and ACER and SWAC.
  • We did 29 state audits and reviews. That is OSAT and ACER and SWAC.
  • </c> Juvenile Justice per performance review Juvenile Justice per performance review and<00:03:02.560
  • </c> specific performance audits to review specific performance audits to review efficiency<00:08:39.320
Summary: The Budget Review Subcommittee on General Government met for its first meeting and heard budget-related presentations from the Auditor of Public Accounts and the Secretary of State, with the Treasurer beginning a presentation at the end of the transcript. Auditor Allison Ball reviewed her office’s 2024 and early 2025 work, including hundreds of county and state audits, several special examinations, and ongoing reviews such as the kinship care funding issue, the Kentucky Department of Education audit, and the Jefferson County Public Schools audit. She said her office is focused on waste, fraud, abuse, and legal compliance, and asked the committee to consider future budget changes, including aligning her appropriation with restricted funding and restoring a stronger performance-audit function. She also highlighted audits that exposed serious problems, including the Department of Juvenile Justice review, and said those reports are intended to serve as models for other entities to avoid similar failures. Secretary of State Michael Adams said his office is self-sustaining through fees and does not need tax dollars, but asked for greater access to its own revenues and more flexibility in using them. He highlighted the Safe at Home address confidentiality program, saying recent changes expanded protections for survivors of domestic violence, sexual assault, and human trafficking, and that the program has grown rapidly while remaining funded by offender fines. Adams also urged lawmakers to again adjust county election funding for inflation, noting the current per-voter and per-precinct amounts were set decades ago. In questioning, Representative Hart asked whether the Safe at Home program was self-funding; Adams replied that it covers only about 10% of its operating cost and said the best solution would be to let the office use more of the revenue it already collects rather than rely on tax dollars. Treasurer Martin Medcafe, introduced with staff member Russell Weber, praised the General Assembly’s fiscal discipline and described the Treasury’s work in managing state funds. He reported strong results from the Unclaimed Property Fund, saying the office returned $35.5 million to Kentuckians in its first year and $3.8 million in the first month of the current year, and said the State Investments Commission generated $682 million in returns last year. He also highlighted financial literacy efforts through the Kentucky Financial Empowerment Commission and said the Treasury is helping manage opioid settlement funds, which are now earning up to $200,000 per month through investment. No votes or formal actions were taken in the portion of the meeting provided.