Transcript Highlights:

• DOE looks at their procedures and training and the RadCon program.
• So the regulatory development program...
• And that's where DOE's HALU Availability Program comes in.
• There's the Launch Pad program.
• I'm just trying to show you a program called Nuclear Integrated Energy Systems.

Summary: The meeting opened with remarks about the value of public engagement and the quality of questions from the group, followed by a series of technical presentations from Idaho National Laboratory staff. Joe Renovitz described recent nuclear regulatory changes tied to presidential executive orders, including NRC Part 53 for advanced reactors, the forthcoming Part 57 for very small reactors, and DOE updates to reactor authorization standards. He emphasized efforts to align DOE and NRC processes, use risk-informed and performance-based licensing, support reactor deployment for AI/data centers and national security, and use AI to speed communications and crosswalks between DOE and NRC requirements. In response to questions, he said there was no plan to merge agencies, but rather to improve coordination and public outreach through groups like GAIN and NEI. David Tolman then discussed the nuclear fuel cycle, including uranium mining, conversion, enrichment, fuel fabrication, spent fuel storage, transportation, disposal, and reprocessing. He explained high-assay low-enriched uranium (HALEU), why it is needed for advanced reactors, and DOE’s HALEU Availability Program and related investments in enrichment, transportation, deconversion, and supply chain development. He also covered spent fuel management, the possibility of centralized storage or a fuel-cycle campus, the Center for Used Fuel Research, and ongoing work on high-burnup cask testing and reprocessing technologies. Tolman described aqueous, pyrochemical, and fluoride-volatility reprocessing approaches, noting the advantages and waste characteristics of each, and said several companies are working with INL on these technologies. Ashley Shields presented INL’s AI and nuclear work, focusing on the Genesis initiative and the Prometheus effort to use AI to design, license, build, and operate reactors with far less human intervention. She described INL’s broad use of generative AI tools, the need to manage large volumes of legacy technical data, and applications in reactor design, materials discovery, autonomous laboratories, and digital twins. Shields said AI is being used to reduce the enormous documentation burden in nuclear licensing and to support autonomous or remotely operated reactor demonstrations, while stressing that humans remain in supervisory roles. In discussion, she addressed data security, model access, and the continued need for software engineers. The session then recessed briefly and resumed with Mitch Kerman beginning a presentation on critical minerals and materials.

Transcript Highlights:

• With me today, we have two testifiers who can talk more broadly about the program.
• Continuing the work of this grant program is vital to public library users across the state.
• That's what makes this program so key.
• That's what makes this program so key.
• That's what makes this program so key.

Keywords: 1183, house

Transcript Highlights:

• We talked to program managers over programs that support 14c or who provides supports for individuals
• It was for programs such as sheltered workshops, so they're in some kind of program within the provider
• They do have technical assistance programs for VR programs that can address some of these issues as well
• , which we want integrated classrooms too.
• job shadowing programs or student shadowing.

Keywords: 914, all

Transcript Highlights:

• It's about protecting the integrity of the programs that we have that serve Minnesotans.
• <02:09:19.720> the<02:09:19.800> programs protecting the integrity of the programs protecting
• We strengthen program integrity. We use predictive analytics. We add new internal controls.
• We strengthen program<02:46:42.240> integrity.
• We use predictive program integrity.

Keywords: 1183, house

Transcript Highlights:

• GSEP is no longer a program for just replacing gas pipes. It's a gas transition program.
• GSEP is not a safety program.
• GSEP is not a safety program.
• And that's where the integrated energy planning comes in.
• So beginning with the GSEP program.

Keywords: 995, all

Summary: The committee heard testimony on two related issues: gas utilities’ climate compliance plans filed with the Department of Public Utilities and the recent DPU orders reforming the Gas System Enhancement Program (GSEP). Chair Creem and other senators emphasized that Massachusetts must reduce gas use, shrink the gas distribution footprint, and move customers to alternatives such as heat pumps, network geothermal, and non-gas pipeline alternatives (NPAs). DPU Chair Jamie Van Nostrand said the new GSEP orders lower the annual revenue cap from 3.0% to 2.5%, phase it down toward 1.5%, eliminate carrying charges, require more rigorous risk prioritization, and push utilities to consider advanced leak technology, relining, repairs, and NPAs. He also described the climate compliance plans as the start of a longer process covering decommissioning, stranded costs, line extension allowances, integrated energy planning, and targeted electrification demonstrations. Senators pressed the DPU and utility witnesses on the lack of specificity in the climate compliance plans, especially the absence of numeric goals for gas usage reduction, customer conversions, and near-term deployment of NPAs. Utility representatives from Eversource and National Grid said their plans include NPA frameworks, integrated energy planning, targeted electrification pilots, network geothermal, and workforce transition efforts, but argued that implementation takes time, requires customer participation, and depends on coordination with electric utilities and communities. They said some NPA and electrification projects are being evaluated now, while larger-scale deployment is expected later in the decade. Senators also raised concerns about line extension allowances, with utilities explaining that new customers may be charged based on whether existing ratepayers would otherwise be harmed, while National Grid said it has begun increasing customer contributions to send stronger price signals. Attorney General Mary Gardner supported the DPU’s GSEP reforms and said the office favors eventually stepping the GSEP cap down to zero by 2030, with repair and replacement costs recovered in base rate cases instead. She argued that the utilities’ plans still rely too heavily on business-as-usual approaches, do not adequately quantify scope 3 emissions, and leave unresolved questions about the obligation to serve and the future of line extension allowances. Advocacy witnesses from the Conservation Law Foundation and Acadia Center were more critical, saying the plans lack the detailed modeling, targets, and transparency needed to show how the utilities will help meet the Commonwealth’s heating and cooling sublimits and broader climate goals. No votes were taken; the hearing consisted of testimony and questioning.

Transcript Highlights:

• Minnesota families and are an integral Minnesota families and are an integral part<00:04:04.319>
• 00:04:38.800> exert<00:04:39.199> more integrated firms also exer exert more integrated
• Vertical integration<00:05:40.080> allows<00:05:40.560> centralized integration allows
• the people who purchase them lose out. integrating the producers who supply integrating the producers
• The CSA program is a very, very important program that we offer.

Bills: HF4080, HF3693, HF1857, HF4350

Keywords: agriculture, livestock, retailers, ownership interest, exclusive contracts, meat packing companies, dominant retailers, state law, Department of Agriculture, appropriation, funding, agriculture policy, state budget, animal welfare, cat declawing, animal cruelty, therapeutic procedures, civil penalties, Minnesota Department of Agriculture, aquatic life

Transcript Highlights:

• In authorizing the program on an ongoing basis, DSH will be able to Thank you. ...four-year program.
• And in one case, not on this program but also a similar program, like I said, the CCE program, the letters
• who operates the BrightLife Kids programs, and Coots, that operates the Soluna program, have a long
• program from two hearings ago.
• I also train people in integrated behavioral health care in three residency programs with John Muir Health

Summary: The hearing opened with remarks from the chair and members about recent federal cuts to public health, mental health, family planning, and Title X funding, with strong concern about the impact on California programs and providers. The committee then turned to the Department of State Hospitals, which presented its 2025-26 budget proposal of $3.4 billion, including new positions, capital improvements, and funding tied to increased patient costs and incompetent-to-stand-trial services. DSH reported major progress in reducing the IST waitlist and wait times, said it had met the court’s 28-day treatment benchmark for those without extenuating circumstances, and described workforce recruitment and retention efforts such as residency programs, fellowships, outreach, and hiring streamlining. Members asked about future IST referral trends, SB 1323’s effect on diversion and community treatment, and workforce lessons in high-cost regions; public comment urged reconsideration of county IST growth cap methodology in light of new criminal justice initiatives. The committee next received an informational overview of Proposition 1 and its changes to behavioral health funding and governance. The Legislative Analyst’s Office explained that Prop. 1 restructured county MHSA funding buckets, expanded the Commission for Behavioral Health, shifted prevention and early intervention responsibilities, and authorized a $6.4 billion bond, including $4.4 billion for behavioral health facilities through BHCIP. DHCS said it had released guidance for county integrated plans and was receiving extensive public comment. Members focused on BHCIP application requirements, especially letters of support and tribal projects, and raised concerns about whether DHCS’s implementation matched statutory intent. DHCS said it had authority to set application requirements and that tribal entities were treated differently because of sovereignty and funding structure. DHCS then updated the committee on BHCIP, the Behavioral Health Bridge Housing Program, and related bond implementation. The department said BHCIP had awarded about $1.7 billion across five rounds, with more than 130 projects and 223 distinct facilities funded, and that it was preparing to award the new bond funds after receiving nearly $8 billion in applications. The LAO’s assessment found that more than half of awards served at least 80% Medi-Cal enrollees, but also raised concerns that the regional allocation model could reinforce inequities, that the program had not sufficiently addressed the highest-need regions such as the southern San Joaquin Valley, and that smaller counties and less launch-ready applicants faced barriers. For bridge housing, DHCS said more than $1.1 billion had been awarded, serving over 5,000 people and supporting more than 2,000 operational beds, but the Governor’s budget proposes to eliminate Round 4 funding as the administration weighs other statewide investments and Proposition 1 implementation workload. Public commenters and members urged more accountability, better regional equity, stronger labor and community involvement, and caution about funding for for-profit psychiatric facilities. Finally, the committee heard on the Children and Youth Behavioral Health Initiative. CalHHS and DHCS described CYBHI as a broad prevention- and equity-focused effort with more than 1,300 organizations funded, over $2.1 billion awarded, and multiple work streams spanning schools, community programs, workforce, and digital supports. DHCS highlighted school-based services, the fee schedule rollout, and digital platforms BrightLife Kids and Soluna, which it said are reaching users statewide and providing low-barrier access to coaching and support. Members and public commenters raised concerns about delays in school fee schedule implementation, the large share of funding going to digital tools, the need for more in-person services, and whether the initiative is sufficiently tracking outcomes and equity impacts. No formal votes were taken during the hearing.

Transcript Highlights:

• Another project that was funded by the New Mexico Healthy Soil Program. program evaluated the effects
• So the program has grown from a state program to a regional program.
• So, in this system, we have all state police's data, we have BCSO integrated, and APD is partially integrated
• As soon as we integrated our data with BCSO.
• process of setting up a program.

Transcript Highlights:

• The reach of CTE programs is vast.
• of Learners enrolled in CTE programs of Learners enrolled in CTE programs Nationwide<00:13:12.160
• must continue to invest in CTE programs must continue to invest in CTE programs these<00:13:52.639
• <00:15:50.959> their promote and expand CT programs their promote and expand CT programs their
• nutrition assistance program nutrition assistance program and<00:19:29.600> make<00:19:29.840

Keywords: U.S. House of Representatives Floor Proceedings on Thursday, February 6, 2025, 1012, house, all

Transcript Highlights:

• I'm the program manager for the alert and warning program for Cal OES, so thank you, Chair and members
• First is the Integrated Public Alert and Warning System, or IPAWS.
• We could set them up, and we have programs for onboarding them for that.
• We could send them up and we have programs for onboarding them for that.
• What is the line item in the budget that this program, from a state perspective, is funded?

Summary: The joint informational hearing focused on California’s emergency alert and warning systems, especially in light of recent Southern California wildfires and the January 9 evacuation alert that was mistakenly sent to millions of residents. Opening remarks emphasized the loss of life, the strain on first responders, the importance of timely warnings, and concerns that public trust in alerts has been undermined by delays, confusion, and over-alerting. Members repeatedly raised questions about how to improve speed, accuracy, coordination across jurisdictions, and public understanding of the difference between evacuation warnings and orders. Cal OES staff described the state’s alert and warning framework, including SEMS, the State Warning Center, IPAWS, WEA, and EAS, and said local governments retain primary responsibility for issuing alerts because they know local roads, shelters, and hazards best. They said Cal OES supports local agencies with training, technical assistance, testing, and backup alerting help when requested, and that local alerting authorities must test their systems every 30 days and complete FEMA-required training. Members pressed Cal OES on gaps in smaller or under-resourced jurisdictions, the lack of a statewide unified system, compliance monitoring, redundancy for people without reliable technology, and whether the state should take a more active role. Cal OES said it could assist smaller jurisdictions and step in during emergencies, but that a statewide system would require further analysis and funding. Sheriff Eric Taylor of San Benito County emphasized that local control is essential because counties differ widely in structure, geography, and alerting responsibilities, and he described the challenges of rural areas, limited cell coverage, and multiple platforms such as Nixle, Reverse 911, and social media. Nick Russell of Watch Duty said the nonprofit fills gaps by providing fast, geospatially detailed wildfire information from volunteers and public data, and argued that context and redundancy are critical because official alerts often arrive too late or lack enough detail. Members praised Watch Duty’s usefulness and asked about incorporating similar capabilities into state systems. Public commenters also raised the need for broader redundancy, including earthquake-warning partnerships, and wildfire survivors urged the committee to address the confusing patchwork of alerts and to honor prior compensation commitments to PG&E fire survivors. No votes were taken; the hearing was informational only and adjourned after member questions and public comment.

Transcript Highlights:

• This is not about adding more programs.
• Right now, too many programs work in silos.
• This is not just simply another program.
• ; programs and access to SNAP; workforce development programs; as well as help with folks accessing the
• When integrated student support is present and Programs at a greater rate.

Keywords: 995, all

Summary: The Joint Committee on Community Development and Small Business held its final hearing of the session on H. 5187 and S. 3022, the Enough Act, with Chair Andy Vargas and Senator Adam Gomez opening by thanking committee members and stakeholders for their work during the session. The bills were described as a grant-based, place-based anti-poverty initiative intended to support cradle-to-career services by funding local nonprofits, schools, community organizations, and backbone entities that can coordinate housing, education, health, workforce, and family supports in high-poverty neighborhoods. Testimony was overwhelmingly in support of the bills. Speakers including Strategies for Children, Chelsea Public Schools, Bunker Hill Community College, Senator Sal DiDomenico, Rep. Kate Lipper-Garabedian, Rep. Antonio Cabral, the Harlem Children’s Zone’s Kwame Owusu Kesse and Jeffrey Canada, former Education Secretary Paul Reville, AFT Massachusetts, United Way, the Boston Foundation, Give Black Alliance, Eastern Bank Foundation, and others argued that poverty is a systems issue that schools alone cannot solve. They emphasized the need for local control, community voice, coordinated services, and long-term public-private investment, often citing examples from Chelsea, New Bedford, Springfield, Lowell, Boston, and other communities, as well as the Harlem Children’s Zone and Maryland’s similar model. Committee members asked several questions about how the bill would function in practice, including what organizations would do on day one, how it would interact with existing efforts like community schools, McKinney-Vento, and the Student Opportunity Act, and how it would be sustained over time. Witnesses said the act would help create or strengthen backbone organizations, reduce duplication, align existing resources, and leverage philanthropy and future revenue sources for long-term sustainability. No vote was taken during the hearing, but multiple speakers urged the committee to report the bill favorably and quickly.

Transcript Highlights:

• We'll share and highlight how our community business partners and program advisory teams are integrated
• Program advisory committee supports the CTE programs in a Program Advisory Committee supports the CTE
• And these projects really depict the seamless integration of all of the vocational programming that these
• These projects really depict the seamless integration of all of the vocational programming that these
• And I'm really impressed with the integration of the CTE program and the general education that Quincy

Keywords: 995, all

Summary: The Joint Committee on Education held an informational hearing at Quincy Public Schools focused on career and technical education (CTE). Committee members said the visit was intended to gather input for statewide CTE legislation, including efforts to expand awareness and access, improve middle school exposure, invest in equipment and facilities, and strengthen ties to workforce boards and labor pathways. Quincy officials described their CTE system as integrated with academics and highlighted support from district, city, and state partners. School leaders outlined Quincy’s CTE offerings, including 15 Chapter 74 programs at Quincy High School and four at North Quincy High School, with about 1,360 students enrolled. Presenters emphasized curriculum aligned to DESE frameworks, work-based learning, industry-recognized credentials, safety training, business electives, dual enrollment and articulation with Quincy College, and grant funding such as Skills Capital and Perkins. They also discussed support liaisons for nontraditional careers and military pathways, advisory committees, and plans to seek Chapter 74 approval for an engineering program at North Quincy, along with new computer science and business offerings. Testimony from MassHire South Shore described workforce partnerships, YouthWorks, job fairs, resume workshops, and the Credit for Life Fair, while the assistant superintendent explained Quincy’s MyCAP planning grant and efforts to build a student-driven college and career readiness system. Three students testified about their pathways in welding, early education and care, and healthcare technology, describing hands-on learning, certifications, clinical or co-op experiences, and future plans for college and careers. Committee members praised Quincy as a model for combining CTE with general education, and the meeting ended with a motion to adjourn and unanimous adjournment.

Transcript Highlights:

• And if I may, without integrating the housing portion of the Cap-and-Invest program, the Affordable Housing
• You know, we're maintaining the climate integration of this program, all the priorities necessary to
• So we're doing a lot of good work here to try to streamline, to integrate all of that for programs that
• We are working at it, and I think that that is another goal of integrating these programs together.
• And I think that that is another goal of integrating these programs together so that we can actually

Summary: The subcommittee heard an extensive presentation on the administration’s housing reorganization proposal, which would centralize multifamily affordable housing finance under the new Housing Development and Finance Committee (HDFC) and align it with the Governor’s trailer bill language. Administration officials said the plan is intended to create a one-stop application and award process, reduce duplicative timelines and costs, and pair state subsidy with private activity bonds and federal tax credits more efficiently. They also described proposed changes to the Affordable Housing and Sustainable Communities program, including shifting a larger share of funding toward housing-related awards while preserving a portion for sustainable communities investments. The Legislative Analyst’s Office generally supported the streamlining concept but recommended changes to the proposed bond set-aside timing and urged flexibility for integrated applications and future reporting on demand. Senators, especially Senator Cabaldon, raised concerns that the proposal could weaken the original climate-and-transportation purpose of the sustainable communities program and that the reorganization would be undercut by the lack of new housing production funding in the budget. The item was held open without a vote. The committee then received a report from the California Debt Limit Allocation Committee and the California Tax Credit Allocation Committee on federal and state housing tax credits. Staff explained that the federal H.R. 1 change lowering the bond-financing threshold from 50% to 25% greatly expanded the number of projects able to use the 4% federal tax credit, allowing California to fund many more projects and units. They also described the state low-income housing tax credit as an important gap-filling tool for projects that still need additional subsidy, and noted existing set-asides for rural, homeless, at-risk, and extremely low-income projects. Members discussed rehabilitation as well as new construction, and the item was informational only. Finally, the Civil Rights Department reported on the effects of federal civil rights policy changes and on three programs facing expiration: California vs. Hate, the Community Conflict Resolution Unit, and Investigations and Conciliation Enhancement. Director Kevin Kish said federal cuts and policy shifts have reduced support for fair housing and other civil rights functions, while CRD’s caseload has grown from about 8,700 open matters a year ago to more than 12,000, with a six-month wait for interviews despite overtime triage efforts. Senators expressed strong support for continuing the programs and concern about the broader federal rollback of civil rights enforcement. The department said it is using overtime, intake triage, and outreach partnerships to manage the workload and direct Californians to appropriate state, local, and nonprofit resources.

Transcript Highlights:

• integrity actions have state program integrity actions have introduced<00:14:50.440> serious<
• , and strengthens programs' integration, and strengthens programs' integrity<00:26:51.800> by<
• <01:52:03.320> integrity<01:52:03.840> in I am worried about program integrity in I
• <02:35:28.320> integrity think about fraud or program integrity think about fraud or program
• in the name of program integrity." in the name of program integrity."

Keywords: 1187, senate, all

Transcript Highlights:

• Program integrity is questions.
• I think members know this, but program integrity is critical for the Medicaid program.
• make with regard to program integrity. make with regard to program integrity.
• <01:19:59.040> um program integrity at the department um program integrity at the department
• nutshell my program integrity update. nutshell my program integrity update.

Keywords: 1187, senate, all

Transcript Highlights:

• Moving on to page 3, on line 222 is a program integrity infrastructure item.
• Line 677 is a House position on additional program integrity and licensing fee changes.
• Section 16 requires the Commissioner to give preeminent weight to program integrity in addition to safety
• Moving to Article VI, which is the Department of Human Services Program Integrity Article.
• This is also a new proposal that will increase DHS licensing fees and add fees for program integrity

Bills: HF2434

Keywords: healthcare, personal care assistance, worker retention, disability services, state funding

Transcript Highlights:

• This creates perverse incentives that weaken program integrity and encourage welfare expansion.
• And ensuring that program integrity.
• They're integral to the Medicaid program.
• But, just to kind of close it out, Eve was implemented as a program integrity Tool to confirm that a
• Our association has a program integrity task force already.

Summary: The Senate Committee on Health and Human Services convened to discuss interim charges regarding fraud, waste, and abuse in Texas human services, particularly focusing on Medicaid and childcare programs. The meeting highlighted the importance of preventing misuse of taxpayer funds, with testimony from various stakeholders emphasizing the need for increased oversight and accountability in these programs. Key points included the alarming rise in healthcare fraud in other states, the necessity for Texas to enhance its fraud prevention measures, and the potential financial repercussions of failing to meet federal compliance standards. Several committee members expressed concerns about the impact of fraud on vulnerable populations, particularly those relying on Medicaid services. Testimonies from experts underscored the effectiveness of Texas's Office of Inspector General (OIG) in combating fraud, yet pointed out existing vulnerabilities, such as inconsistent enforcement and the need for better data sharing among agencies. The discussion also touched on the challenges faced by hospice care providers, with a significant increase in the number of hospices in Texas raising concerns about quality and oversight. The committee heard from various witnesses, including representatives from health plans and advocacy organizations, who provided insights into the complexities of managing Medicaid and the importance of maintaining program integrity. The meeting concluded with a commitment to further explore legislative solutions to enhance oversight and ensure that resources are directed to those in genuine need.

Transcript Highlights:

• program integrity gaps that about uh the program integrity gaps that that<00:09:20.080> creates.
• program integrity. program integrity.
• <01:10:14.080> integrity develop a proportional program integrity develop a proportional program
• > um program integrity, um addressing um program integrity, um addressing um strengthening<01:
• And um you know we program integrity.

Keywords: 918, senate, all

Summary: The committees resumed discussion of amendments to a bill dealing with licensing moratoria, change-of-ownership rules, and related provider oversight issues. Amendment A8 would prevent a licensing moratorium for certain intermediate care service settings from blocking a new license when the change is due to a change of ownership, including temporary licenses and transitional licenses. Department of Human Services staff said they were still reviewing the language but explained the department’s concern was maintaining program integrity and ensuring owners go through full change-of-ownership review so the agency can see who owns a provider and check compliance history. Senators supporting the amendment argued it would keep legitimate businesses from being harmed by a moratorium and could help preserve providers when ownership changes or family members take over after a death. A8 was adopted on a roll call, with both committees voting in support. Amendment A9, also on the moratorium topic, would exempt a change of ownership from the moratorium so long as it does not increase license capacity or service scope. The department said it needed more analysis to avoid unintended consequences, but the amendment was added to the working bill. Amendment A10 proposed a more detailed, data-driven framework for the moratorium and included a provision about refunds after implementation; department staff said the language would add cost and would require technical assistance, while senators emphasized the need to address licensure backlogs and avoid making provider delays worse. A10 was approved by the committees, though not unanimously. Amendment A11 would have set standards for how the commissioner designates provider types or program areas as moderate or high risk, with added transparency criteria. The department said the commissioner already has that authority and raised concerns about federal requirements and the state’s corrective action plan, and Senator Hoffman withdrew the amendment. Amendment A12, offered by Senator Fateh, would preserve remote supports by removing bill language that repealed the service and would add safeguards for remote overnight supervision, including staffing ratios to ensure emergency response times can be met. Several senators supported keeping remote services as an important, cost-effective option amid workforce shortages, while the department said it had program integrity concerns and supported the governor’s proposal to remove the service. The committee nevertheless advanced A12, with members noting the need to balance safety and integrity with access to services.

Transcript Highlights:

• AND OFTEN ACCREDITATION AN ACCREDITED RESIDENCY PROGRAM IN PSYCHIATRY IS A FELLOWSHIP PROGRAM IN CLINICAL
• AND DEVELOP THE PLAN TO CREATE A MAINTAINED INTEGRATED WORKFORCE DEVELOP A PROGRAM.
• THE ACUTE HOSPITAL AT HOME PROGRAM DIRECT THE AGENCY TO HAVE FEDERAL DIRECTION OF THIS PROGRAM WHICH
• YOU ALL SPOKE ABOUT THE FRAME PROGRAM AND YOU SPOKE ABOUT THE TEACH PROGRAM AND WHAT THOSE DOLLARS HAVE
• OBVIOUSLY TO ENSURE THE INTEGRITY OF THE PROGRAM BUT ALSO TO FEED RESEARCH.

Keywords: 999, senate, all

Transcript Highlights:

• CMS has agreed and approved this exemption because we have four other layers of program integrity in
• So we look to other ways of doing the same function, program integrity function, to ensure that we're
• We have a program integrity or payment integrity office that's external to the DMS team.
• We have a program integrity or payment integrity office that's external to the DMS team that also looks
• Seeing no further business, we stand adjourned. regard to the agenda around ensuring program integrity

Keywords: 1204, all

Summary: The committee met briefly, approved the January 7 minutes, and heard several Department of Human Services rules. DHS explained a rule allowing rehabilitative hospitals to open psychiatric units, provide acute psychiatric services, and receive Medicaid reimbursement, noting the service is needed and already being provided in Jefferson County. Members also reviewed a rule allowing DHS to participate in the CMS cell and gene therapy model for value-based payment agreements to treat sickle cell disorder with CGT therapy. A third DHS rule would exempt the state from the CMS recovery audit contractor requirement. DHS said recovery audit contractors typically work on contingency to identify fraud, waste, abuse, or overpayments, but Arkansas law prevents contingency arrangements, so the state uses other program-integrity layers instead. Those layers include internal retrospective reviews, an external payment integrity office, the Office of Medicaid Inspector General, and the Attorney General’s Medicaid Fraud Control Unit. Members asked for clarification on the contractor role, and DHS responded that the exemption has no cost and was approved by CMS. During new business, Representative Pilkington asked about a reported increase in uninsured postpartum cases in a DHS quarterly report. DHS representatives said they were not prepared to answer at the meeting and would follow up offline. Representative Johnson also asked about a handout related to program integrity and Arkansas Medicaid. With no further business, the committee adjourned.