Video & Transcript Research : 'prescriptive authority'
Page 86 of 500
US
US Federal 2025-2026 Regular Session
Hearings to examine opportunities to strengthen water infrastructure programs, focusing on the IIJA's successes. Apr 30th, 2025 at 09:00 am
Environment and Public Works Committee
Transcript Highlights:
- The bipartisan infrastructure law will require the Water Authority to invest over $50 billion in our
- Authority.
- I know they lessen the burden of regulatory authorities. by providing technical and financial assistance
- As I said, the Ohio EPA and the Ohio Water Development Authority. run our Clean Water SRF and they have
- I was able to get a program to address water affordability authorized in the IJA.
Keywords:
Infrastructure Investment and Jobs Act, water infrastructure, lead service lines, federal reauthorization, sustainability, cybersecurity
Summary:
The meeting primarily focused on discussions surrounding the Infrastructure Investment and Jobs Act (IIJA) and its implications for local water systems. Various witnesses highlighted the transformative impact of the bipartisan infrastructure law, which has provided an unprecedented amount of funding to help address long-standing issues in drinking water infrastructure, particularly concerning lead service line replacements and sustainability in water management. The discussions emphasized the urgent need for federal reauthorization to continue supporting these initiatives, as many rural and disadvantaged communities still face substantial barriers in upgrading their water systems. Additionally, cybersecurity risks were noted, raising concerns over the vulnerability of water systems across the nation.
LA
Transcript Highlights:
- to carry a concealed handgun to provide that armed security officers are authorized persons.
- It provides relative authority to the Joint Legislative Committee on the Budget.
- So this was giving authority to OMV to waive some of the flags and penalties.
- Madam Secretary, please open the machine for co-authors.
- Madam Secretary, please open the machine for co-authors. Please close the machine. 12 co-authors.
Bills:
SR130, SR131, SR132, SR133, SCR74, SCR12, HB582, HB221, HCR74, HCR58, HB71, HB79, HB158, HB160, HB169, HB227, HB251, HB289, HB330, HB394, HB410, HB429, HB769, HB1017, HB1234, HB712, SCR3, SB54, SB72, SB129, SB164, SB232, SB287, SB322, SB374, SB375, SB386, SB409, SB447, SB458, SB78, SB112, SB124, SB125, SB174, SB190, SB201, SB208, SB236, SB273, SB307, SB347, SB357, SB385, SB387, SB393, SB401, SB415, SB426, SB435, SB487, SB488, SB523, SB222, SCR9, SCR58, SB480, SB514, SB35, SB65, SB215, SB246, SB249, SB269, SB282, SB296, SB323, SB363, SB369, SB474, SB490, SB492, SB500, HCR31, HCR47, HB362, HB363, HB368, HB377, HB380, HB382, HB386, HB392, HB406, HB431, HB441, HB466, HB503, HB533, HB559, HB575, HB590, HB593, HB618, HB655, HB664, HB685, HB692, HB707, HB715, HB732, HB738, HB741, HB748, HB776, HB807, HB822, HB856, HB860, HB868, HB887, HB888, HB905, HB908, HB961, HB980, HB990, HB992, HB999, HB1000, HB1010, HB1146, HB1157, HB1233, HB1243, HB54, HB137, HB180, HB192, HB310, HB321, HB396, HB512, HB552, HB578, HB638, HB663, HB708, HB717, HB718, HB1009, HB1082, HB1104, HB1107, HB1198, HB1246, HB27, HB143, HB205, HB259, HB267, HB288, HB308, HB403, HB405, HB414, HB417, HB478, HB546, HB548, HB555, HB557, HB609, HB670, HB672, HB740, HB779, HB786, HB796, HB812, HB848, HB915, HB917, HB921, HB930, HB933, HB1095, HB1096, HB1103, HB1129, HB1154, HB1166, HB1187, HB1195, HB1230, HB316, HB511, HB514, HB799, HB1039, HB17, HB36, HB41, HB47, HB73, HB126, HB133, HB140, HB159, HB166, HB211, HB226, HB271, HB324, HB337, HB351, HB399, HB571, HB723, HB726, HB750, HB759, HB844, HB966, HB1006, HB1018, HB1036, SB29, SB42, SB43, SB217, SB274, SB300, SB379, SB382, SB441, SB449, HB134, HB258, HB359, HB782, SB149
Keywords:
E. Joseph Savoie, Dr. Savoie, University of Louisiana at Lafayette, UL Lafayette, higher education, Louisiana Board of Regents, commissioner of higher education, president emeritus, Carnegie R1, research university, student financial aid, needs-based aid, community and technical college system, teacher education, hurricane Katrina, hurricane Rita, retirement resolution, commendation, senate resolution, public service
Summary:
The Senate convened with 29 members present, opened with prayer by Oren Connor, the Pledge of Allegiance, and a musical performance by the Chuck Wagon Gang. The chamber also recognized several guests and observances, including birthdays for Senators Seabaugh, Fesi, and Price, White Coat Wednesday participants, Tourism Day, the Louisiana Oil Marketers Association, Chenault International Airport’s 40th anniversary, and visiting fair queens from Washington and Tangipahoa parishes. The Senate dispensed with reading the journal and received numerous House and Senate messages, committee reports, and resolutions.
Several Senate resolutions were taken up and adopted, including commendations for Isaac Herzenberg, condolences for Kathleen Sessomson and former Senator Louis Lambert Jr., recognition of White Coat Wednesday and Tourism Day, and a study resolution on transfer-on-death and payable-on-death accounts. The Senate also adopted a conference committee report on House Bill 782, which concerned vapor and alternative nicotine products and was described as giving the state more tools to combat illegal vapes. A number of Senate bills returned from the House with amendments were either concurred in or rejected, including SB 54, SB 72, SB 129, SB 164, SB 232, SB 287, SB 374, SB 375, SB 386, SB 409, SB 112, SB 124, SB 125, SB 174, SB 190, SB 207, SB 236, SB 307, SB 357, SB 385, SB 387, SB 458, SB 477, SB 590, SB 593, SB 618, SB 655, SB 692, SB 707, SB 732, SB 738, SB 748, SB 776, SB 807, SB 860, SB 868, SB 887, SB 888, SB 905, and SB 961, with votes generally passing by wide margins.
The chamber also considered several House bills on final passage. Among those approved were measures on local security districts, budget review authority, school activity access for virtual students, electronic bid forms, brake equipment and trailer safety, construction management at risk contracts, temporary registration plates, the Louisiana Maritime Academy name change, OMV fee and ID issues, ferry operations, group purchasing for local governments, the Green Envelope Program for drivers with disabilities, OMV field office fees, LED fee updates, port development priorities, workforce instructor capacity, and a campus disciplinary process bill tied to hazing prevention. Some House bills were passed after amendments, while others were passed over or rejected for later conference, including bills on virtual school participation, historic preservation, civil service, suicide prevention, local government training, and economic development districts. The Senate also rejected House amendments on SB 78 and SB 208, and rejected amendments on SB 387, sending those matters toward further negotiation.
CO
Colorado 2026 Regular Session
Colorado Senate 2026 Legislative Day 097 Apr 21st, 2026
Colorado Senate Floor Meeting
Transcript Highlights:
- The House has granted authorization to go beyond the scope of differences.
- I think we have to keep in mind where we still are. 35 of 100 prescriptions written are opioid class
- I think we have to keep in mind where we still are. 35 of 100 prescriptions written are opioid class
- I think we have to keep in mind where we still are. 35 of 100 prescriptions written are opioid class
- > have<00:28:21.480>
to <00:28:21.600>keep <00:28:21.760>in 35 of 100 prescriptions
Summary:
The Senate convened with a quorum, approved the prior journal, and received messages from the House on several bills and conference committee matters. The House concurred in Senate amendments to House Bills 1305, 1373, and 1406, repassing them as amended, and requested conference committees on a number of other bills. The Senate also noted several bills and resolutions as correctly engrossed or revised.
On the consent calendar, the Senate passed House Bill 1110 on protecting vulnerable adults from financial exploitation, Senate Bill 78 on higher education administration and data-sharing changes, and Senate Bill 151 on PERA modifications. Senators Carson, Seymour Wilson, Baisley, Rich, and Liston asked to be recorded as no votes on SB 151, which passed 29-5. The chamber then took up Senate Bill 6 on parity for non-opioid pain management drugs; Senator Mallicoat opposed it as costly and too restrictive, while Senator Weisman and Senator Baisley supported it as a response to the opioid crisis. SB 6 passed 29-5. Senate Bill 15 on commercial sexual activity with a child and Senate Bill 101 on landfill methane emission compliance both passed unanimously.
The Senate also passed Senate Bill 159 on early parole procedures for youthful offenders by a 22-12 vote, and Senate Bill 158 on youthful offender parole procedures by a 23-11 vote. The chamber then moved into Committee of the Whole for second reading of bills, beginning with House Bill 1071 on local governments placing automated vehicle identification systems on interstate highways. Amendments addressing privacy and local safety concerns were adopted, and the bill was approved. The committee then considered Senate Bill 150, a major RTD governance reform bill. Supporters said it would reduce the board size, add expertise, preserve elected representation, and respond to long-standing RTD performance problems; opponents raised concerns about appointed members, labor-seat conflicts, and whether voters should approve the changes. Multiple amendments were adopted, including changes to board term limits, public finance expertise, conflict-of-interest recusal, a future review after 15 years, and districting/petition provisions. One amendment requiring a ballot referral before the board changes was debated, with the sponsor urging a no vote and another senator arguing for asking the voters first.
MN
Minnesota 2025 1st Special Session
House State Government Finance and Policy Committee 2/11/25
State Government Finance and Policy
Transcript Highlights:
- No, we have no enforcement authority.
- no enforcement Authority okay Le clor no enforcement Authority okay Le clor and<00:46:55.760>
um - <00:47:06.839>
to Capacity as auditor any authority to Capacity as auditor any authority to - It is not prescriptive.
- I'm glad you're concerned about other fraud. prescriptive if you become chair and I'm prescriptive if
Summary:
The committee met on February 11 and began with introductions from members and staff, who shared brief personal and district facts. Chair Jim Nash then outlined the committee’s goals for the session, emphasizing bipartisan cooperation, the need to address a looming structural deficit, and the committee’s role in moving legislation forward. The committee also reviewed its rules for the year.
The main item was House File 3, authored by Chair Nash and referred to Ways and Means. The bill would require the Office of the Legislative Auditor to produce an annual report tracking whether agencies have implemented prior audit and evaluation recommendations, with the goal of improving internal controls, transparency, and accountability and helping legislators make funding decisions. Nash described the bill as a preventative measure to reduce waste, fraud, and abuse, and said it was modeled in part on practices used in Colorado. Legislative Auditor Judy Randall testified that the office already produces similar update reports but lacks resources to independently verify many agency responses; she said the bill would provide a framework for more regular reporting and discussion, not a “shame tool.”
Ranna Lee of Americans for Prosperity testified in support, saying the bill would increase accountability and transparency for how public agencies manage taxpayer resources. A letter from the Minnesota Council on Nonprofits was also noted in support. Representative Clardy offered the A7 amendment to add an appropriation matching the fiscal note; Nash accepted it, saying savings could be found later in the process. The committee approved the A7 amendment by voice vote. During discussion, Representative Quam supported the bill’s focus on accountability, and Representative Freiberg questioned the Legislative Auditor about the office’s expertise on a specific ambulance-services recommendation in the report. Randall responded that the office’s staff are policy research generalists who use standards, best practices, interviews, surveys, and site visits to develop recommendations, and that the goal is to prompt further discussion rather than require blind acceptance. The transcript ends during that exchange, with no final committee vote on House File 3 shown.
KY
Kentucky 2026 Regular Session
Senate Legislative Session Day 44 (3-11-26)
Kentucky Senate Floor Meeting
Transcript Highlights:
- The Senate is authorized and prepared to do business.
- This prescription controlled substances.
- We have the authority to take that power away.
- We have the authority to take that power away.
- <00:52:14.160>
for <00:52:14.240>final has been authorized for final has been authorized
CA
Transcript Highlights:
- Next author, Senator Limon. Next author, Senator Limon.
- The motion is due pass as amended per author to add co-authors.
- The motion is due pass as amended per author to add co-authors.
- The motion is due pass as amended per author to add co-authors.
- The motion is due pass as amended per author to add co-authors.
Summary:
The Senate Appropriations Committee met for a suspense-file hearing, which the chair noted was vote-only with no public testimony. The committee moved quickly through a large number of bills, mostly Senate bills with a few Assembly measures at the end, and repeatedly announced amendments that narrowed scope, made bills contingent on appropriation, removed certain provisions, or otherwise reduced fiscal impact. Topics covered included wildfire resilience and recovery, housing and homelessness, energy and utilities, health care and Medi-Cal, education, criminal justice, elections, labor and workforce issues, transportation, environmental regulation, insurance, privacy and technology, and several public safety measures.
Most bills were approved, many on unanimous 7-0 votes or 5-0/6-0 votes, while a substantial number passed on 5-2 or 5-1 votes with Republicans generally voting no. A few measures drew more specific discussion: Senator Richardson said he would vote for SB 1203 on security services but expressed concern that it would impose different and doubled training requirements compared with last year’s law; SB 904 on wildfire recovery passed 6-1; SB 1135 on the California Wildfire Coexistence Act passed 6-1; and SB 1241 on skilled and trained workforce requirements passed 6-1 after amendments. The committee also took a reconsideration vote on one previously favorable action, which passed 5-0.
No testimony was taken and no bills were held for further discussion during the hearing; the chair repeatedly noted that items not called were held under submission. At the end of the meeting, the committee announced that results would be posted online and that addendum analyses would follow for amended bills, then adjourned.
NY
New York 2025-2026 Regular Session
New York State Senate Session - 02/24/2026
New York Senate Floor Meeting
Transcript Highlights:
- S-2128 requires that more than 85% of the prescription drug rebates be given directly to patients at
- Colleagues, when a senior on a fixed income approaches the counter, when a parent fills their prescription
- S-2128 requires that more than 85% of the prescription drug rebates be given directly to patients at
- Colleagues, when a senior on a fixed income approaches the counter, when a parent fills their prescription
- We know very well that prescription drugs are just too high, and for many New Yorkers, they are just
Summary:
The Senate convened, approved the prior Journal, and began with ceremonial recognitions before moving to legislative business. Members honored the Schenectady Belmont Pop Warner football team for winning the Eastern Regional Championship and being a top-ranked national team, with Senators Parker and Tedisco praising the players, coaches, and volunteers. The chamber then adopted Senate Resolution 1636, mourning the death of Reverend Jesse Louis Jackson and recognizing his lifetime of civil rights, labor, voting rights, and social justice advocacy. Multiple senators spoke in support, reflecting on his influence on politics, the Rainbow/PUSH Coalition, and the message that “I am somebody.”
After the resolution, the Senate took up the calendar and passed a series of bills, largely focused on health care, insurance, and public health. These included measures on municipal law, mental hygiene, correction law, executive law, and several insurance and public health bills addressing prescription drug pricing, pharmacy benefit managers, rebates, and anti-competitive drug practices. Senators Myrie, Borrello, Jackson, Fernandez, and others explained votes in support of transparency, patient access, and lowering drug costs; some members noted concerns about pharmacy deserts and corporate consolidation. Most bills passed with broad margins, though a few drew more opposition, including Calendar 304 on anti-competitive drug agreements.
On Calendar 289, an amendment concerning domestic violence was ruled non-germane by the chair. Senator Canzoneri-Fitzpatrick appealed, arguing the amendment would create a public registry for persistent domestic violence offenders to help protect potential victims. The Senate voted on the appeal, the ruling of the chair stood, and the bill was then restored to the non-controversial calendar and passed. The Senate then completed the calendar, had no further business, and adjourned until Wednesday, February 25 at 3:00 p.m.
US
US Federal 2025-2026 Regular Session
US House Floor Proceedings (Thursday, July 3, 2025)
US Federal House Floor Meeting
Transcript Highlights:
- authored authored by<02:29:47.760>
Thomas <02:29:48.160>Jefferson, by Thomas Jefferson - One of the<05:04:00.000>
first <05:04:00.480>authors. - on their prescription drug costs. on their prescription drug costs. no<05:29:43.360>
matter - prescriptions are. prescriptions are.
- :57.280>
you No matter how many prescriptions you No matter how many prescriptions you have,<05
NH
Transcript Highlights:
- c> being<00:24:58.000>
so question why are we being so question why are we being so prescriptive - in this bill and saying on prescriptive in this bill and saying on weekdays<00:25:00.760>
it's - Just want to see if there was any real reason why we're being so prescriptive.
- would just say that a license may operate Kino during their hours of operation rather than be prescriptive
- of what weekends and prescriptive of what weekends and weekdays<00:27:32.000>
look <00:27:32.159
AR
Arkansas 2026 1st Special Session
ALZHEIMER'S DISEASE AND DEMENTIA ADVISORY COUNCIL Jul 9th, 2026
ALZHEIMER'S DISEASE AND DEMENTIA ADVISORY COUNCIL
Transcript Highlights:
- Consideration of a motion to authorize the co-chairs to approve special expenses incurred by the Alzheimer's
- the deadline to, I wanted to do first is just to remind you that we are up against the deadline to authorize
- What the association is doing next is translating POINTER into really a nationwide prescription for brain
- What the association is doing next is translating pointer into really a nationwide prescription for brain
- Also, having what we've noticed as we've gotten statutory authority for this council, more legislative
Summary:
The Arkansas Alzheimer’s Disease and Dementia Advisory Council met to introduce members, adopt its rules and procedures, approve prior minutes, and authorize the co-chairs to approve special expenses. The main discussion focused on updating the Arkansas State Plan for Alzheimer’s disease and dementia, with David Cook of the Alzheimer’s Association outlining major changes in prevalence, caregiving burden, diagnostics, and treatment since the prior plan. He noted rising disease and caregiver numbers in Arkansas, the expansion of amyloid PET access, the growing use of blood-based biomarkers, and the availability of FDA-approved treatments such as Leqembi and Kisunla, while emphasizing that access, insurance coverage, and provider education remain major barriers.
Members and presenters also discussed the need to better reach rural primary care providers, who may not be aware of new diagnostics and therapies, and the bottlenecks caused by limited specialists and infusion capacity. There was concern about overreliance on blood tests without confirmatory evaluation, and several members stressed the importance of collaboration, public education, and promoting brain health through exercise and diet. The council also heard about existing programs such as the dementia services coordinator, the BOLD grant, caregiver respite grants, workforce training, and a pilot dementia resource center with UAMS Centers on Aging.
The council approved a new four-part outline for the next state plan: advancing risk reduction and brain health/early detection, strengthening family caregiver support, improving access to diagnostics and treatment, and supporting access and quality of care, including workforce and crisis response. Members also agreed to consider future agenda items on new treatments, brain health and lifestyle prevention, workforce training, and possible legislative changes to the enabling statute. The meeting ended with discussion of scheduling the next meeting, tentatively set for August 12 in Hot Springs, and adjournment.
AR
Arkansas 2026 Regular Session
ALZHEIMER'S DISEASE AND DEMENTIA ADVISORY COUNCIL Jul 9th, 2026
ALZHEIMER'S DISEASE AND DEMENTIA ADVISORY COUNCIL
Transcript Highlights:
- Consideration of a motion to authorize the co-chairs to approve special expenses incurred by the Alzheimer's
- the deadline to, I wanted to do first is just to remind you that we are up against the deadline to authorize
- What the association is doing next is translating POINTER into really a nationwide prescription for brain
- What the association is doing next is translating pointer into really a nationwide prescription for brain
- Also, having, what we've noticed as we've gotten statutory authority for this council, more legislative
Summary:
The Arkansas Alzheimer’s Disease and Dementia Advisory Council met with legislative members and agency, advocacy, and provider representatives present. The council adopted its rules and procedures, approved the prior meeting minutes, and authorized the co-chairs to approve special expenses. Members then heard an extensive update on the state Alzheimer’s plan and current developments in diagnosis, treatment, research, caregiving, and workforce issues.
David Cook of the Alzheimer’s Association described major changes since the first state plan, including the growth of blood-based biomarkers, broader access to amyloid PET scans, and the availability of disease-slowing treatments such as Leqembi and Kisunla. He emphasized that Arkansas still faces major barriers in rural areas, including limited provider awareness, insurance coverage concerns, shortages of specialists, and long wait times for memory care and infusion services. He also highlighted caregiver burden, the need for better education and care navigation, and new efforts such as a dementia resource center pilot with UAMS, respite grants, and workforce training. Members discussed the importance of public education on brain health, diet, exercise, and risk reduction, as well as the need to collaborate with chronic disease partners and improve outreach to primary care providers.
The council approved four proposed focus areas for the next state plan: advancing risk reduction, brain health, early detection and diagnosis; strengthening family caregiver support; improving access to diagnostics and treatment; and supporting access and quality of care, including workforce training and crisis response. Members also discussed possible legislative or statutory changes to keep the council active and engaged, and they agreed to pursue a future meeting in August, tentatively August 12 in Hot Springs, with additional meetings under consideration for later in the month. The meeting adjourned after no further business.
FL
Florida 2026 4th Special Session
February 18, 2026 - 08:00 AM
Transcript Highlights:
- It deals with long-term access and ADRC authority, establishing a single statewide pre-enrollment wait
- Department of Elderly Affairs oversight of AAAs, including corrective action, monitoring enforcement authority
- It also removes the requirement to list all supervising physician names on PA prescriptions and modernizes
- So what you're saying is that PAs already have the authority to prescribe psychotropics? Correct.
- There's just a need for a longer prescription period. You're recognized. Thank you.
MN
Minnesota 2025-2026 Regular Session
State of the State preview with House DFL Floor Leader Jamie Long (DFL-Minneapolis) Apr 27th, 2026
Minnesota House Floor Meeting
Transcript Highlights:
- health care space, we're trying to hold pharmaceutical companies accountable and reduce the cost of prescription
- reduce<00:02:16.360>
the <00:02:16.600>cost <00:02:16.920>of <00:02:17.000>prescription - reduce the cost of prescription drugs. reduce the cost of prescription drugs.
Summary:
The discussion focused on the upcoming State of the State address and the DFL’s priorities for the remainder of the session. Jamie Long described the speech as a special event in the House chamber and said Minnesota is in good shape overall, crediting Governor Walz with steady leadership through recent challenges, including Operation Metro Surge, economic pressures, and calls for action on gun violence after the Annunciation shooting.
Long said the caucus’s main focus is the cost of living, especially rising gas, food, housing, child care, and health care costs. He said the DFL is pursuing proposals to lower prescription drug prices, limit corporate homebuying, and reduce child care costs, and he emphasized that these issues have broad public support even if they face resistance in the Legislature. He said the caucus hopes to win bipartisan support for these measures.
On the governor’s legacy, Long praised Walz as a strong partner to the Legislature and pointed to the 2023 and 2024 sessions as among the most impactful in state history. He cited accomplishments including investments in public schools, paid family and medical leave, 100% clean energy, and gun violence prevention, and said Walz can be proud of his eight years leading Minnesota.
AL
Transcript Highlights:
- officers accountable because what we're doing, we're allowing and we're giving them the full weight and authority
- You know, that's remember you been talking about that discretionary authority.
- I don't have the authority. I know you got two more minutes with me.
- I don't have the authority to do that. I know. I wasn't requesting that up.
- I don't have that authority. So, just continue. You got a minute and 32 seconds left.
Bills:
HJR 73, HB 31, HB 279, HB 370, HB 4768, HB 513, HB 875, HB 982, HB 1085, HB 2677, HB 2874, HB 5478, HB 4880, HB 4798, HB 4514, HB 4958, HB 4508, HB 3758, HB 3830, HB 3744, HB 3622, HB 741, HB 2204, HB 2860, HB 4659, HB 4578, HB 813, HB 712, HB 1551, HB 2790, HB 2698, HB 3365, HB 3504, HB 3118, HB 2959, HB 1862, HB 1026, HB 4401, HB 4164, HB 3920, HB 4737, HB 4966, HB 4967, HB 1958, HB 4979, HB 5459, HB 3862, HB 1823, HB 4415, HB 4893, HB 2343, HB 1228, HB 4337, HCR 141, SB 250, SB 1883, SB 617, SB 2411, SB 2306, SB 2929, SB 552, SCR 27, HJR 218, HB 168, HB 2545, HB 5436, HB 4926, HB 5165, HB 4811, HB 4755, HB 3179, HB 4310, HB 4611, HB 3637, HB 3153, HB 2786, HB 2966, HB 2159, HB 5081, HB 638, HB 640, HB 876, HB 4809, HB 5308, HB 4687, HB 5623, HB 4412, HB 3284, HB 3420, HB 3449, HB 4098, HB 4281, HB 4120, HB 4504, HB 4370, HB 4421, HB 1106, HB 4070, HB 2370, HB 2407, HB 2253, HB 2273, HB 2040, HB 1586, HB 3788, HB 3993, HB 4690, HB 4696, HB 2308, HB 1142, HB 1533, HB 1621, HB 2242, HB 2012, HB 2193, HB 2464, HB 2348, HB 2313, HB 2289, HB 1942, HB 2011, HB 1629, HB 2993, HB 3592, HB 4076, HB 4623, HB 4535, HB 4327, HB 4520, HB 3824, HB 4921, HB 2494, HB 3066, HJR 112, HB 2695, HB 3138, HB 2442, HB 3863, HJR 73, HB 4773, HB 1091, HB 5115, HB 5515, HB 3372, HB 5659, HB 127, HB 386, HB 115, HB 2868, HB 1249, HB 4766, HB 3720, HB 4656, HB 4879, HB 105, HB 5383, HB 4621, HB 5431, HB 5678, HB 5534, HB 4174, HB 4212, HB 3954, HB 3966, HB 3636, HB 3918, HB 1422, HB 4765, HB 4732, HB 4742, HB 5122, HB 4518, HB 5084, HB 3986, HB 4045, HB 4144, HB 3911, HB 3976, HB 4473, HB 3425, HB 3641, HB 3642, HB 3475, HB 3509, HB 3424, HB 3383, HB 4744, HB 4531, HB 4539, HB 3159, HB 5228, HB 5370, HB 4359, HB 4398, HB 4443, HB 4466, HB 3861, HB 3849, HB 4240, HB 4706, HB 4685, HB 5354, HB 5141, HB 5686, HB 3629, HB 3554, HB 3567, HB 2015, HB 3575, HB 5381, HB 1431, HB 3514, HB 4614, HB 4546, HB 4683, HB 5681, HB 5673, HB 5663, HB 4271, HB 4350, HB 4035, HB 3807, HB 3812, HB 3552, HB 3540, HB 3715, HB 3710, HB 3664, HB 4196, HB 4233, HB 4173, HB 1998, HB 3333, HB 3510, HB 4222, HB 2070, HB 2854, HB 2347, HB 113, HB 983, HB 4847, HB 1449, HB 3833, HB 5151, HB 265, HB 1845, HB 782, HB 108, HB 1960, HB 158, HB 1954, HB 1955, HB 2512, HB 605, HB 2581, HB 2803, HB 627, HB 2667, HB 1738, HB 636, HB 3679, HB 2638, HB 2655, HB 871, HB 2438, HB 1107, HB 1765, HB 1822, HB 2153, HB 4099, HB 3732, HB 3171, HB 3178, HB 3182, HB 3749, HB 2814, HB 3977, HB 4204, HB 4207, HB 4449, HB 1820, HB 1876, HB 1939, HB 1347, HB 2593, HB 2136, HB 2132, HB 2658, HB 2413, HB 2757, HB 2080, HB 3154, HB 3063, HB 3009, HB 3448, HB 3006, HB 2844, HB 3241, HB 3680, HB 3169, HB 2078, HB 2507, HB 4559, HB 3946, HB 3460, HB 3405, HB 475, HB 3463, HB 3441, HB 3520, HB 2060, HB 4731, HB 4991, HB 1991, HB 5596, HB 2014, HB 2142, HB 2673, HB 2731, HB 2417, HB 2399, HB 2301, HB 3335, HB 3234, HB 3320, HB 5573, HB 4848, HB 4748, HB 4769, HB 4795, HB 2086, HB 2234, HB 2203, HB 4916, HB 5624, HB 4505, HB 139, HB 5093, HB 5302, HB 5402, HB 5606, HB 2333, HB 4630, HB 4701, HB 2583, HB 2983, HB 4924, HB 3339, HB 3793, HB 3631, HB 4882, HB 5509, HB 5499, HB 5430, HB 5561, HB 5611, HB 5043, HB 5064, HB 3733, HB 3781, HB 3219, HB 32, HB 4515, HB 5348, HB 3902, HB 4420, HB 3269, HB 469, HB 336, HB 316, HB 5396, HB 993, HB 1342, HB 5216, HB 2046, HB 2188, HB 2450, HB 2813, HB 2857, HB 4075, HB 2911, HB 4682, HB 3117, HB 3253, HB 3442, HB 4820, HB 4336, HB 5356, HB 3669, HB 3428, HB 5465, HB 3662, HB 2590, HB 2288, HB 1886, HB 3458, HB 5603, HB 5620, HB 1489, HB 4101, HB 4990, HB 5685, HB 4950, HB 4980, HB 5684, HB 3507, HB 3566, HB 4487, HB 4462, HB 4876, HB 4915, HB 4663, HB 5570, HB 2929, HB 5261, HB 2920, HB 4642, HB 4746, HB 1609, HB 5403, HB 5453, HB 3844, HB 2336, HB 1572, HB 1226, HB 2806, HB 2617, HB 2827, HB 3948, HB 3945, HB 4266, HB 4542, HB 3319, HB 1772, HB 2496, HB 1970, HB 3434, HB 5545, HB 5577, HB 31, HB 279, HB 370, HB 4768, HB 513, HB 875, HB 982, HB 1085, HB 2677, HB 2874, HB 5478, HB 4880, HB 4798, HB 4514, HB 4958, HB 4508, HB 3758, HB 3830, HB 3744, HB 3622, HB 741, HB 2204, HB 2860, HB 4659, HB 4578, HB 813, HB 712, HB 1551, HB 2790, HB 2698, HB 3365, HB 3504, HB 3118, HB 2959, HB 1862, HB 1026, HB 4401, HB 4164, HB 3920, HB 4737, HB 4966, HB 4967, HB 1958, HB 4979, HB 5459, HB 3862, HB 1823, HB 4415, HB 4893, HB 2343, HB 1228, HB 4337, HCR 76, HCR 127, HCR 9, HCR 40, HCR 118, HR 559, HCR 59, HCR 135, HCR 141
Keywords:
ad valorem tax, property tax, tax limitation, elderly, disabled, low-income, homestead exemption, constitutional amendment, juvenile justice, community supervision, felony offenses, treatment of children, juvenile facilities, chemical dispensing device, solitary confinement, rehabilitation, criminal proceedings, HB 279, uranium mining, uranium permit
AL
Transcript Highlights:
- Nothing in this section authorizes the Chilton County section authorizes the Chilton County section authorizes
- Oh, County Public Water Authority. Oh, County Public Water Authority.
- They talking about water about water about water authorities. authorities. authorities.
- All powers of the authorities shall be exercised by the authorities shall be exercised by the authorities
- And authority. And authority.
Bills:
HJR 1, HB 9, HB 21, HB 26, HB 30, HB 37, HB 116, HB 630, HB 879, HB 913, HB 1151, HB 1318, HB 1593, HB 1899, HB 2703, HB 2809, HB 2890, HB 2970, HB 3307, HB 3526, HB 5092, SB 128, SB 203, SB 317, SB 393, SB 397, SB 644, SB 731, SB 801, SB 913, SB 1071, SB 1073, SB 1086, SB 1087, SB 1232, SB 1250, SB 1262, SB 1285, SB 1310, SB 1359, SB 1444, SB 1483, SB 1705, SB 1782, SB 1861, SB 1897, SB 1944, SB 2023, SB 2043, SB 2082, SB 2133, SB 2215, SB 2297, SB 2298, SB 2309, SB 2532, SB 2549, SB 2566, SB 2617, SB 2619, SB 2639, SB 2688, SB 2696, SB 2717, SB 2790, SB 2841, SB 2847, SB 2850, SB 2857, SB 2891, SB 2919, SB 2928, SB 2972, SB 3052, SB 3053, SB 1, SB 260, SB 1506, SB 1637, HB 37, HB 109, HB 334, HB 1130, HB 1238, HB 1327, HB 1610, HB 1615, HB 1620, HB 1689, HB 2081, HB 2809, HB 2884, HB 2890, HB 4215, HB 5092, HCR 7, HCR 75, HCR 86, HCR 92, HCR 93, HCR 126, SB 644, SB 1086, SB 1230, SB 1310, SB 1361, SB 1553, SB 1778, SB 1790, SB 2344, SB 2460, SB 2515, SB 2600, SB 2747, SB 2751, SB 2785, SB 2790, SB 3047, SB 3048, SB 3050, SB 3051, SB 3052, SB 3053, SB 3056, SB 3058, SB 3061, HJR 1, HB 1130, HB 1689, HB 2884, HB 1393, HB 2559, HB 26, HB 3012, HB 1327, HB 109, HB 1238, HB 2890, HB 9, HB 4215, HB 2970, HB 37, HB 1899, HB 1593, HB 2607, HB 3526, HB 3810, HB 5092, HB 388, HB 2809, HB 1151, HB 913, HB 3307, HB 879, HB 116, HB 12, HB 2703, HB 1610, HB 1615, HB 1620, HB 30, HB 21, HB 2712, HB 2692, HB 1633, HB 1318, HB 685, HB 630, HB 4753, HB 2742, HB 303, HB 198, HB 1535, HB 762, HB 148, HB 1520, HB 5061, HB 2286, HB 1606, HB 1041, HB 132, HB 11, HCR 7, HCR 75, HCR 86, HCR 92, HCR 93, HCR 126, SJR 36, SJR 50, SJR 63, SCR 12, SCR 39, SB 2023, SB 1310, SB 2972, SB 1073, SB 2847, SB 2532, SB 2619, SB 62, SB 666, SB 847, SB 284, SB 854, SB 810, SB 1505, SB 583, SB 507, SB 1434, SB 1772, SB 2016, SB 1122, SB 731, SB 397, SB 508, SB 1436, SB 287, SB 1882, SB 393, SB 1791, SB 209, SB 2429, SB 511, SB 2309, SB 1085, SB 1975, SB 2717, SB 1262, SB 636, SB 2056, SB 884, SB 1200, SB 1845, SB 2458, SB 801, SB 3014, SB 3013, SB 758, SB 2797, SB 2076, SB 2876, SB 1640, SB 1449, SB 1181, SB 1359, SB 1234, SB 2926, SB 2841, SB 1528, SB 2891, SB 1854, SB 317, SB 1250, SB 2082, SB 1285, SB 1237, SB 2819, SB 629, SB 2608, SB 1602, SB 2009, SB 2460, SB 867, SB 640, SB 1698, SB 2680, SB 2994, SB 2747, SB 913, SB 1071, SB 1086, SB 1087, SB 1483, SB 1444, SB 1553, SB 1556, SB 1703, SB 2133, SB 2297, SB 2298, SB 2622, SB 2955, SB 2334, SB 1861, SB 2043, SB 1367, SB 2857, SB 128, SB 3058, SB 2044, SB 2363, SB 2565, SB 1888, SB 3048, SB 3052, SB 3053, SB 3036, SB 3057, SB 3056, SB 3043, SB 3050, SB 3063, SB 3035, SB 1790, SB 1778, SB 203, SB 3061, SB 2799, SB 2790, SB 2688, SB 2515, SB 1230, SB 2522, SB 2639, SB 2459, SB 3051, SB 2655, SB 2251, SB 1884, SB 2617, SB 2751, SB 2928, SB 2566, SB 1897, SB 1749, SB 1361, SB 2549, SB 2553, SB 2919, SB 1782, SB 1705, SB 2696, SB 1944, SB 2215, SB 644, SB 1232, SB 2850, HB 45, HB 48, HB 1261, HB 1465, HB 1778, HB 2596, HB 5238, HB 33, HB 1188, HB 210, HB 1022, HB 1458, HB 5560, HB 1240, HB 1950, HB 2027, HB 2768, HB 2788, HB 2791, HB 3146, HB 3698, HB 3699, HB 1893, HB 3700, HB 4850, HB 4187, HB 1397, HB 4885, HB 4804, HB 3751, HB 3611, HB 2775, HB 2061, HB 2003, HB 1729, HB 1242, HB 791, HB 2029, HB 647, HB 2522, HB 4738, HB 3033, HB 3594, HB 3474, HB 2563, HB 2802, HCR 90, SJR 87, SB 2969, SB 3073, SB 2497, SB 1798, SB 2603, SB 2607, SB 781, SJR 34, SB 17, SB 314, SB 455, SB 509, SB 529, SB 541, SB 693, SB 761, SB 963, SB 1023, SB 1968, SB 2122, SB 2308, SB 2371, SB 2420, SB 2544, SJR 87, SB 1285, SB 1359, SB 2857, SB 3073, HJR 1, HB 9, HB 21, HB 116, HB 913, HB 1151, HB 1899, HB 2970, HB 3307, SB 1073, SB 1310, SB 2532, SB 2619, SB 2847, SB 2972, SB 128, SB 2043, SR 393, SR 511, SR 518, SR 520, SB 314, SB 455, SB 761, SB 1023, SB 2122, SB 2371, SB 2420, SB 17, SB 509, SB 644, SB 1230, SB 1361, SB 1778, SB 1790, SB 2460, SB 2515, SB 2747, SB 2751, SB 2790, SB 3048, SB 3050, SB 3051, SB 3052, SB 3053, SB 3056, SB 3058, SB 3061, HB 37, HB 109, HB 1130, HB 1238, HB 1327, HB 1610, HB 1615, HB 1620, HB 1689, HB 2809, HB 2884, HB 2890, HB 4215, HB 5092, HCR 7, HCR 75, HCR 86, HCR 92, HCR 93, HCR 126, SB 1086, SB 1553, HJR 182, HB 4, HB 24, HB 46, HB 101, HB 146, HB 170, HB 214, HB 305, HB 426, HB 549, HB 551, HB 594, HB 722, HB 824, HB 1119, HB 1579, HB 2215, HB 2458, HB 2530, HB 2674, HB 2713, HB 2974, HB 3015, HB 3151, HB 3180, HB 3221, HB 3359, HB 3556, HB 4088, HB 4211, HB 4396, HB 4413, HB 4580, HB 4609, HB 4864, HB 5088, HB 5154, HB 5263, HB 2294, HJR 182, HB 4, HB 24, HB 46, HB 101, HB 146, HB 170, HB 214, HB 305, HB 426, HB 549, HB 551, HB 594, HB 722, HB 824, HB 1119, HB 1579, HB 2215, HB 2458, HB 2530, HB 2674, HB 2713, HB 2974, HB 3015, HB 3151, HB 3180, HB 3221, HB 3359, HB 3556, HB 4088, HB 4211, HB 4396, HB 4413, HB 4580, HB 4609, HB 4864, HB 5088, HB 5154, HB 5263, HB 2294
Keywords:
constitutional amendment, property tax, ad valorem tax, tax exemption, tangible personal property, income-producing property, business personal property, equipment exemption, machinery, local government finance, school district revenue, county taxes, Texas Constitution, Article VIII, tax relief, commercial property, appraisal district, chief appraiser, rendition statement, property tax relief
TX
Transcript Highlights:
- HB 4755 by Lopez of Cameron, relating to the authority of certain municipalities to authorize and finance
- The amendment is acceptable to the author.
- The amendment is acceptable to the authors.
- The amendment is acceptable to the author.
- If we've delegated rule-making authority and the rule-making authority is in accordance with the jurisdiction
Bills:
HJR73, HB31, HB279, HB370, HB4768, HB513, HB875, HB982, HB 1085, HB2677, HB2874, HB5478, HB4880, HB4798, HB4514, HB4958, HB4508, HB3758, HB3830, HB3744, HB3622, HB741, HB2204, HB2860, HB4659, HB4578, HB813, HB712, HB1551, HB2790, HB2698, HB3365, HB3504, HB3118, HB2959, HB1862, HB 1026, HB4401, HB4164, HB3920, HB4737, HB4966, HB4967, HB1958, HB4979, HB5459, HB3862, HB1823, HB4415, HB4893, HB2343, HB 1228, HB4337, HCR141, SB250, SB1883, SB617, SB2411, SB2306, SB2929, SB552, SCR27, HJR218, HB168, HB2545, HB5436, HB4926, HB5165, HB4811, HB4755, HB3179, HB4310, HB4611, HB3637, HB3153, HB2786, HB2966, HB2159, HB5081, HB638, HB640, HB876, HB4809, HB5308, HB4687, HB5623, HB4412, HB3284, HB3420, HB3449, HB4098, HB4281, HB4120, HB4504, HB4370, HB4421, HB 1106, HB4070, HB2370, HB2407, HB2253, HB2273, HB2040, HB1586, HB3788, HB3993, HB4690, HB4696, HB2308, HB 1142, HB1533, HB1621, HB2242, HB2012, HB2193, HB2464, HB2348, HB2313, HB2289, HB1942, HB2011, HB1629, HB2993, HB3592, HB4076, HB4623, HB4535, HB4327, HB4520, HB3824, HB4921, HB2494, HB3066, HJR112, HB2695, HB3138, HB2442, HB3863, HJR73, HB4773, HB 1091, HB5115, HB5515, HB3372, HB5659, HB 127, HB386, HB 115, HB2868, HB 1249, HB4766, HB3720, HB4656, HB4879, HB 105, HB5383, HB4621, HB5431, HB5678, HB5534, HB4174, HB4212, HB3954, HB3966, HB3636, HB3918, HB1422, HB4765, HB4732, HB4742, HB5122, HB4518, HB5084, HB3986, HB4045, HB4144, HB3911, HB3976, HB4473, HB3425, HB3641, HB3642, HB3475, HB3509, HB3424, HB3383, HB4744, HB4531, HB4539, HB3159, HB5228, HB5370, HB4359, HB4398, HB4443, HB4466, HB3861, HB3849, HB4240, HB4706, HB4685, HB5354, HB5141, HB5686, HB3629, HB3554, HB3567, HB2015, HB3575, HB5381, HB1431, HB3514, HB4614, HB4546, HB4683, HB5681, HB5673, HB5663, HB4271, HB4350, HB4035, HB3807, HB3812, HB3552, HB3540, HB3715, HB3710, HB3664, HB4196, HB4233, HB4173, HB1998, HB3333, HB3510, HB4222, HB2070, HB2854, HB2347, HB 113, HB983, HB4847, HB1449, HB3833, HB5151, HB265, HB1845, HB782, HB 108, HB1960, HB158, HB1954, HB1955, HB2512, HB605, HB2581, HB2803, HB627, HB2667, HB1738, HB636, HB3679, HB2638, HB2655, HB871, HB2438, HB 1107, HB1765, HB1822, HB2153, HB4099, HB3732, HB3171, HB3178, HB3182, HB3749, HB2814, HB3977, HB4204, HB4207, HB4449, HB1820, HB1876, HB1939, HB1347, HB2593, HB2136, HB2132, HB2658, HB2413, HB2757, HB2080, HB3154, HB3063, HB3009, HB3448, HB3006, HB2844, HB3241, HB3680, HB3169, HB2078, HB2507, HB4559, HB3946, HB3460, HB3405, HB475, HB3463, HB3441, HB3520, HB2060, HB4731, HB4991, HB1991, HB5596, HB2014, HB2142, HB2673, HB2731, HB2417, HB2399, HB2301, HB3335, HB3234, HB3320, HB5573, HB4848, HB4748, HB4769, HB4795, HB2086, HB2234, HB2203, HB4916, HB5624, HB4505, HB139, HB5093, HB5302, HB5402, HB5606, HB2333, HB4630, HB4701, HB2583, HB2983, HB4924, HB3339, HB3793, HB3631, HB4882, HB5509, HB5499, HB5430, HB5561, HB5611, HB5043, HB5064, HB3733, HB3781, HB3219, HB32, HB4515, HB5348, HB3902, HB4420, HB3269, HB469, HB336, HB316, HB5396, HB993, HB1342, HB5216, HB2046, HB2188, HB2450, HB2813, HB2857, HB4075, HB2911, HB4682, HB3117, HB3253, HB3442, HB4820, HB4336, HB5356, HB3669, HB3428, HB5465, HB3662, HB2590, HB2288, HB1886, HB3458, HB5603, HB5620, HB1489, HB4101, HB4990, HB5685, HB4950, HB4980, HB5684, HB3507, HB3566, HB4487, HB4462, HB4876, HB4915, HB4663, HB5570, HB2929, HB5261, HB2920, HB4642, HB4746, HB1609, HB5403, HB5453, HB3844, HB2336, HB1572, HB 1226, HB2806, HB2617, HB2827, HB3948, HB3945, HB4266, HB4542, HB3319, HB1772, HB2496, HB1970, HB3434, HB5545, HB5577, HB31, HB279, HB370, HB4768, HB513, HB875, HB982, HB 1085, HB2677, HB2874, HB5478, HB4880, HB4798, HB4514, HB4958, HB4508, HB3758, HB3830, HB3744, HB3622, HB741, HB2204, HB2860, HB4659, HB4578, HB813, HB712, HB1551, HB2790, HB2698, HB3365, HB3504, HB3118, HB2959, HB1862, HB 1026, HB4401, HB4164, HB3920, HB4737, HB4966, HB4967, HB1958, HB4979, HB5459, HB3862, HB1823, HB4415, HB4893, HB2343, HB 1228, HB4337, HCR76, HCR127, HCR9, HCR40, HCR118, HR559, HCR59, HCR135, HCR141
Keywords:
ad valorem tax, property tax, tax limitation, elderly, disabled, low-income, homestead exemption, constitutional amendment, juvenile justice, community supervision, felony offenses, treatment of children, juvenile facilities, chemical dispensing device, solitary confinement, rehabilitation, criminal proceedings, HB 279, uranium mining, uranium permit
AL
Alabama 2025 Regular Session
Alabama Joint Reentry Committee Mar 20th, 2025
Transcript Highlights:
- Their statewide guidelines are not necessarily prescriptive; not every council looks the same. ...prescriptive
- just a, you know, "let's just do this nice..." not a, you know, "let's just do this nice thing and authorize
- facility, and conducting targeted outreach to different types of housing providers and housing authorities
FL
Florida 2025 Regular Session
November 18, 2025 - 10:30 AM
Transcript Highlights:
- It's important to note that state agencies have delegated authority to purchase their own commodities
- But each agency's delegated the authority to purchase quite a lot within their own agency and for Mr.
- You're being too prescriptive here.
- I think another challenge we face on the procurement side as being too prescriptive on process and tools
- It's collaborative effort on not necessarily procedural prescriptive effort for follow-up resident bought
KY
Kentucky 2026 Regular Session
Senate Legislative Session Day 14 (1-27-26)
Kentucky Senate Floor Meeting
Transcript Highlights:
- The Senate is authorized and prepared to do business.
- communications from those in positions communications from those in positions of<00:18:16.559>
authority - in a school district to of authority in a school district to communicate<00:18:19.840>
with <00 - Senator Hickden. >> Senate Bill 128, an act relating to prescription drugs.
- prescription drugs. Senator Meredith. prescription drugs. Senator Meredith.
Summary:
The Kentucky Senate convened with an invocation marking International Holocaust Remembrance Day, followed by the pledge, roll call, and a quorum declaration. The chamber approved the prior journal, received new bill and resolution introductions, and heard a House message that House Bill 312 had passed the House and was sent over for concurrence. The Senate also recessed briefly for committee meetings, then received committee reports referring several bills and resolutions to standing committees and placing Senate Joint Resolution 23 on the regular orders for January 28, 2026.
The main floor action was on Senate Bill 17, relating to the Kentucky Court-appointed Special Advocate Network. The Senate adopted a committee substitute that updated CASA statutes, including reducing the minimum board size from 15 to 12, narrowing a volunteer/employment restriction to Department of Community Based Services employees, removing outdated references to the National CASA Association while retaining compliance with national standards through the Kentucky CASA Network, and updating the state association’s name. The bill passed 33-0, and a title amendment was adopted without objection.
The Senate also considered Senate Bill 181, an emergency bill relating to schools and traceable communications. The chamber adopted a committee substitute and two floor amendments: one requiring parent notification after investigations involving alleged unauthorized electronic communication by a student, and another adding limited exemptions for communications involving school resource officers and directors of pupil personnel when certain school officials are included. Supporters said the changes were intended to refine implementation while preserving the bill’s original student-protection purpose. The bill then passed unanimously, 33-0.
In addition, the Senate adopted Senate Resolution 36 recognizing January 25-31, 2026 as Physician Anesthesiologist Week, with remarks highlighting the specialty’s contributions to anesthesia, airway management, patient safety, ICU care, pain management, and major surgeries. The Senate also heard announcements thanking road crews, first responders, and utility workers for winter storm response, and members made several co-sponsorship requests and announcements, including notice of Kentucky Audiologist Association advocacy day and a committee cancellation.
KY
Kentucky 2025 Regular Session
Medicaid Oversight and Advisory Board (12-10-25) - Part 2
Transcript Highlights:
- So if you're getting a meaningless counseling and then you're filling your Suboxone prescription, that's
- We also have a number of controlled substances violation cases where prescriptions are being billed to
- We also have a number of controlled substances violation cases where prescriptions are being billed to
- As you see, the recommendation is to authorize the LRC Office of Health Data Analytics to assess the
- clawback authority and monetary penalties<01:37:11.840>
for <01:37:12.080>non-compliance
Summary:
The Medicaid Oversight and Advisory Board reconvened and heard a presentation from the Attorney General’s Office Medicaid Fraud and Abuse Control unit. AG staff described the unit’s structure and work: it investigates and prosecutes Medicaid provider fraud, and also handles abuse, neglect, and exploitation cases involving vulnerable adults in facility settings when asked to assist. They said the office has prosecutors, detectives, auditors, and support staff, works with federal partners, Commonwealth’s attorneys, CHFS, DMS, OIG, and MCOs, and uses a hotline and referral line for complaints. They also explained the MCO referral process, including monthly meetings, stand-down lists, and review of referrals for a “credible allegation of fraud” before the AG office decides whether to open a criminal or civil investigation.
The presentation focused heavily on current fraud trends. Staff said behavioral health is a major concern, along with participant-directed waiver services, medically assisted treatment, cash billing for services, controlled-substance billing, and vision and dental fraud. They gave examples such as duplicate time sheets for family caregivers, questionable Suboxone counseling and urine drug screening practices, and a prior optometry case involving false claims for children’s glasses. They also discussed CMS’s estimate that about 5% of Medicaid payments are improper, noted that most improper payments are at the fee-for-service level, and said there is no reliable overall fraud-rate estimate. They highlighted a sharp shift in behavioral health billing after the cabinet’s November 1, 2024 policy changes, saying individual psychotherapy spending dropped while group billing increased, suggesting providers may have moved billing to different codes.
Members asked about the scale and timing of cases, how MCO referrals are screened, and whether the data reflected more people being served or just higher spending. The AG office said investigations can take years, with some federal cases still awaiting sentencing from 2018 and 2019 matters, and that they currently had nine individuals awaiting sentencing in federal court. They also reported 58 hotline reports during the referenced period, six cases opened from MCO referrals, and four additional MCO referrals not accepted for active cases. Several members raised concerns about home-based services and the risk of abuse or fraud when family members are reimbursed, and asked whether the process could be streamlined; the AG office said it had no immediate recommendations but would be willing to return with suggestions after further review.