Transcript Highlights:

• This is not a pilot program, or it's a very long pilot program since the 1950s, right?
• But do, is there data to show that this program is, you said, proven?
• to avail themselves of this program, I hope it will serve them well.
• And I do believe, for this program to be successful, I think...
• draft regulations around this program as well.

Summary: The Assembly Elections Committee met on March 25, 2026, with nine measures on the agenda and three bills taken on consent. The committee approved the consent calendar for AB 1736, AB 1853, and AB 2153. The committee also heard several election-related bills, including AB 1993 on ballot-envelope privacy, AB 1788 on nonprofit disclosure of travel payments for elected officials, AB 1560 on barring people convicted of public corruption from lobbying, AB 1539 on presidential and vice-presidential ballot eligibility certifications, AB 1919 on Santa Cruz Metro local tax initiative procedures, and AB 1562 on county selection of poll workers. The chair also noted membership changes and welcomed new and returning members and staff. AB 1993 drew the most debate. The author argued it was a common-sense safeguard to prevent voters’ choices from being visible through ballot-envelope holes, citing a Sacramento County incident and public concern about ballot privacy. County election officials, the Secretary of State’s office, and Disability Rights California opposed the bill, saying the holes also serve accessibility and processing functions, that existing voter instructions already address privacy, and that the measure would create implementation problems and an unfunded mandate. After extended discussion, the committee voted the bill out on a 2-6 roll call and it failed. AB 1788 was supported by the FPPC and the League of Women Voters and passed as amended to Appropriations, with members emphasizing transparency while seeking to avoid unintended coverage of organizations like NCSL and CSG. AB 1560 passed 6-0 despite the Secretary of State’s implementation concerns about how the office would learn of relevant convictions. AB 1539, which would require party representatives to certify presidential and vice-presidential nominees’ constitutional eligibility, passed 7-0 as amended. AB 1919, which would clarify procedures for a Santa Cruz Metro voter initiative to place a transit tax on the ballot, passed 6-2, and AB 1562, which would allow counties to randomly select poll workers, passed 7-1 after discussion about civic engagement, guardrails, and election administration. The committee then completed roll-call adjustments for absent members and adjourned.

Transcript Highlights:

• bill and uh it opens up integrity bill and uh it opens up transparency,<00:12:52.560> availability
• <00:15:23.920> We<00:15:24.160> do for uh our own programs.
• We do for uh our own programs.
• <00:21:28.400> So can stand to a higher integrity. So can stand to a higher integrity.
• <00:21:30.799> or rather than lessening the integrity or rather than lessening the integrity

Keywords: Consideration of HB 139 -- 00:03:15 Consideration of HB 356 -- 00:08:48, 958, all

Summary: The committee first adopted a committee substitute for House Bill 139, which would allow a political party to replace a candidate who dies or withdraws after the filing deadline but before ballot certification. Representative Decker explained the substitute as a narrow election-related fix, and the bill was then passed by the committee on an 11-yes, 1-pass vote and sent to the full House. The committee then heard House Bill 356, which would move the Property Valuation Administrator (PVA) qualification test from a once-every-four-years, Frankfort-based format to administration through the Kentucky Community and Technical College System at multiple locations and times. Representative Bridges said the Department of Revenue would still write and control the exam, KCTCS would only administer it, the fiscal note was zero, and the change would improve access and convenience without weakening standards. KCTCS said it was prepared to help if directed. Members generally agreed PVAs should be tested, but some raised concerns about test integrity, whether a broader testing network could create uneven conditions, and whether the change should instead use a smaller number of regional test sites. Others supported the bill as a common-sense way to expand access and avoid forcing candidates to wait years after missing a single test date. The committee also discussed the lack of a study guide for the exam and whether that should be addressed separately. No final vote on House Bill 356 is reflected in the transcript excerpt.

Transcript Highlights:

• or the programs.
• There's no one silver bullet or one program that's going to solve it all.
• But I think part of the program also ought to be that with the AI group...
• Out of that $14 million, $1.5 million was spent on training and programs.
• services programs—of all of those programs, how efficient are they?

Summary: The committee met to review an audit and recommendations from the Alliance for Opportunity on reforming Arkansas workforce and social service delivery. Members discussed creating a more integrated, regional, “one-door” system that would combine eligibility screening, job training, and service referrals across DHS, workforce, health, and related programs, with an emphasis on reducing administrative overhead and redirecting more funds to direct services and training. Several members raised the need to include groups such as people in generational poverty, rural residents, reentry populations, and people involved in the court system, while also ensuring access for those without digital skills or technology. Artificial intelligence was a major topic. Members suggested using AI and a centralized database or virtual hub to pre-populate forms, identify program eligibility, notify workforce agencies, and improve efficiency, while still maintaining case managers and in-person support for those who need it. There was also discussion of benefit cliffs, DHS processes that may hinder employment, and the need for industry input and working groups to study AI and other issues. Members repeatedly asked for measurable outcomes, including return-on-investment estimates, cost savings, and performance metrics tied to the number of people moved into self-sufficiency and employment. The committee then reviewed a draft consultant services agreement with Work Ed Consulting LLC, represented by Mason Bishop, to assist with the study under Act 145 of 2025. The contract would run from March 20, 2025 through June 30, 2027, with a maximum amount of $158,000 plus possible additional services up to 10% if approved. Bishop said his work would include ongoing ROI updates and that his experience included helping create Utah’s workforce department and assisting Louisiana with similar reforms. After questions about oversight and deliverables, Representative Beck moved to advance the contract, Senator Sullivan seconded, and the committee approved it by voice vote before adjourning.

Transcript Highlights:

• Next up is the Division of Program Quality and Integrity.
• Quality, and Bureau of Program Integrity.
• quality and Bureau of Bureau of program quality and Bureau of program<01:40:35.080> integrity
• Three are in the Bureau of Program Integrity and three are in the Bureau of Program Quality.
• Medicaid Program Integrity I I think Medicaid Program Integrity I I think other<01:48:48.000>

Keywords: 1189, house, all

Summary: House Finance Division III convened a work session on the DHHS budget, with the chair noting there would be no votes and that the committee would spend the day hearing from the commissioner’s office. Nathan White, DHHS Chief Financial Officer, opened with the Division of Finance/Office of Business Operations, explaining that the unit supports the department through daily financial management, AP/AR, audit work, expense projections, transfers, and procurement functions such as contracts, amendments, RFPs/RFAs, and grants management. He also described the division’s revenue and reporting work, including federal draws, CMS-64 reporting, and the public assistance cost allocation plan, and said the department had centralized rate-setting work and a small team handling Medicaid rate analysis and nursing facility rebase work. Members asked about vacancies, turnover, and budget changes. White said the division had 18 positions unfunded in the governor’s budget, reducing personal services from about $10.8 million to $9.9 million, and estimated the division’s vacancy rate at about 11 percent, below the department average. He said turnover was relatively low, with one retirement at the manager level and higher turnover mainly at lower AP-level positions. He also explained that some budget lines reflected reallocations rather than new spending, including fringe benefits centralized elsewhere and an EBT card contract moved into this unit because the staff member overseeing it works in Finance. When asked about a rent/lease increase, he said it was due to higher copier leasing costs under a statewide DAS contract. White highlighted several management and technology improvements. He said a business intelligence tool procured in 2022, using Salesforce and Excel-based data, helped DHHS better track federal revenue and maintenance-of-effort spending, reducing FY24 General Fund lapse by about 70 percent and federal/other revenue lapse by 88 percent compared with FY23; he warned that the tool is not funded in the current budget. He also described Lean Six Sigma efforts in the contracts team, training for vendors and nonprofits on procurement and indirect cost rules, and a Finance Academy to standardize policies and procedures. On the contracts side, he said the department uses Smartsheet for project management and DocuSign for electronic signatures, which cut contract execution time dramatically, but noted DocuSign is also not funded in the governor’s budget. The session ended as the committee prepared to move on to the Employee Assistance Program presentation.

Transcript Highlights:

• The treatment programs are the same.
• But these are expensive programs.
• DHCS has started to issue additional guidance, including about program integrity measures that will be
• or a TK program, or where there is a preschool program on campus, we are supporting those programs as
• And these are not just programs. They are not social media programs.

Summary: The hearing focused first on behavioral health, especially serious mental illness and anosognosia, a condition described by witnesses as a neurological symptom that prevents people from recognizing they are ill. The chair framed the issue around families cycling through emergency rooms, jails, conservatorships, and short-term stabilization without lasting treatment, and warned that federal changes under H.R. 1 could reduce Medi-Cal funding and worsen access. Dawn Marie Anderson gave a personal account of her son’s long history of psychosis, homelessness, arrests, repeated jail and state hospital stays, and eventual stability when he received sustained medication and coordinated support. She argued that the system often treats the problem as criminal rather than medical and that voluntary programs and short-term services are not enough for people who lack insight into their illness. Other panelists, including representatives from the California Behavioral Health Association, Santa Barbara County Behavioral Health, and the County Behavioral Health Directors Association, agreed that anosognosia is not denial or noncompliance and said the system needs long-term, coordinated care, including assertive community treatment, mobile crisis, supportive housing, medication support, and stronger handoffs between county and managed care systems. They said CalAIM and other reforms have improved some coordination, but significant gaps remain, especially for people with serious mental illness, for those in jail or locked settings, and for people with private insurance, which witnesses said often offers little meaningful coverage for early psychosis or intensive behavioral health services. Several witnesses urged the Legislature to protect Medi-Cal, shore up county safety-net services, and invest in training and family engagement. The committee then turned to the Children and Youth Behavioral Health Initiative, with a focus on the virtual services platforms BrightLife Kids and Soluna and the CYBHI fee schedule. DHCS reported strong growth in app registrations, coaching sessions, referrals, and positive user outcomes, saying the platforms provide free, culturally responsive, early-intervention support statewide and help connect users to higher levels of care when needed. On the fee schedule, DHCS said more than 500 LEAs, colleges, universities, and school-linked providers are participating, 181 LEAs have submitted claims, and $9.6 million has been reimbursed to date, with 41,556 students represented in claims. The chair and several members criticized the pace of implementation and the amount of money spent relative to reimbursement levels, saying the Legislature had requested data earlier and that the return on investment still appeared low. DHCS responded that many claims are still being submitted, that 70% of denials are correctable, that $400 million in capacity grants has been distributed locally, and that reimbursement is increasing rapidly as more districts come online. Public comment included a rural county behavioral health director who said private insurance denials leave counties with significant uncompensated work, especially for unlicensed staff providing case management and mobile crisis services.

Transcript Highlights:

• <00:57:22.480> It doesn't just threaten programs. It doesn't just threaten programs.
• safeguard these programs for the future. safeguard these programs for the future.
• It implements critical program integrity and cost containment provisions in Medicaid to strengthen it
• It implements critical program integrity<03:03:14.640> and<03:03:14.800> cost<03:03:15.120
• <05:26:21.440> It's of what is election integrity. It's of what is election integrity.

Keywords: U.S. House of Representatives Floor Proceedings on Tuesday, June 10, 2025, 1012, house, all

Transcript Highlights:

• Other states programs have shown them to be effective.
• It created risks of compromised structural integrity.
• Because my SSI program is taxes.
• In this day and age of fentanyl, these programs save lives.
• I understand the importance of investing in youth programs.

Keywords: 988, house, all

Transcript Highlights:

• THIS IS A 460 OUR CAREER CERTIFICATE PROGRAM COMPRISED OF FOUR COURSES.
• THESE PROGRAMS ARE DESIGNED TO HELP REMOVE THOSE COMMON BARRIERS.
• AND TRANSITION PROGRAMS THESE PROGRAMS EMPHASIZE STILL THE TRAINING AND WORKFORCE OPPORTUNITIES TO REDUCE
• OUR ESA IS A PROGRAM DIRECTLY RELATED TO THE REEMPLOYMENT ASSISTANCE PROGRAM TO HELP PREVENT PEOPLE FROM
• SO A SHIFT AWAY FROM LONG-TERM EDUCATION AND TRAINING PROGRAMS.

Transcript Highlights:

• Integrity work that about the program Integrity work that DHS<00:43:41.280> is<00:43:41.599><
• <00:48:21.640> Integrity staffed as follows our program Integrity staffed as follows our program
• Uh, the growth in total MA spending outpaces the growth in DHS staff, including for program integrity
• Some of the gaps then in our program integrity, in our various services, the authority to share data
• <01:34:15.760> reenroll program Integrity a person can reenroll program Integrity a person

Keywords: 1187, senate, all

Summary: The Human Services Committee met on January 22, 2025, to focus early in session on waste, fraud, abuse, and program integrity in Minnesota human services programs. The chair said taxpayers expect funds to reach people in need and asked the Office of the Legislative Auditor (OLA) to present on resources, progress, and possible solutions. Members also asked the auditors to note where the legislature or agencies had already taken action to address prior findings. OLA staff summarized recent reports on grants management and oversight. They said noncompliance with grants policies has been pervasive across agencies, including problems at DHS in conflict-of-interest documentation and pre-award financial reviews. In one DHS review, 30 of 41 grant reviewers had missing or incomplete conflict forms, and 20 of 57 grants lacked required financial review documents; the issues affected about $11.5 million in grant funding. OLA said DHS spent more than $400 million in grants to nonprofit organizations from 2018 to 2022, and they identified broader factors affecting compliance such as inconsistent funding for grants administration, ad hoc training, inconsistent data systems, and limited enforcement authority. They noted 2023 legislative changes that allowed agencies to retain some grant funding for administration and directed an assessment of a statewide grants management system, and they said OGM training and staffing have increased, though training is still not required for all staff. The Financial Audit Division then discussed the senior nutrition program at DHS, which delivered about 3.1 million meals to more than 40,000 participants in 2022 through the Minnesota Board on Aging, area agencies, service providers, and subcontractors. The audit found nine findings across documentation, monitoring, contract oversight, participant recertification, and data quality. Examples included service providers failing to recertify participants or recording inaccurate data, the Board on Aging not performing monitoring visits since 2017 or financial reconciliations in 2022, and area agencies failing to complete required site visits. Survey results also suggested participant database inaccuracies. OLA recommended stronger monitoring, clearer procedures, and more reliable data to ensure services reach intended recipients. No formal votes or committee actions were taken in the portion of the meeting provided.

Transcript Highlights:

• But the integrity, which is a component of integrity, is again where 98% of the people live in the United
• But the integrity they could vote.
• > to<00:09:03.839> our this brings more integrity to our this brings more integrity to
• Um, overlooking voter integrity is a huge thing and the cost.
• Um, overlooking voter integrity is a huge thing and the cost.

Keywords: 1183, house

Transcript Highlights:

• Program managers at DOH provided a few reasons for the worsening delay.
• So we've heard a couple of audits here about the testing program. I'm...
• testing into training programs.
• programs.
• Once testing is fully integrated into training programs, this will greatly benefit caregivers.

Summary: The Joint Legislative Audit and Review Committee held a public hearing on the State Auditor’s Office performance audit of Washington’s Restoring Quality Home Care Initiative (I-1163). Auditors said the initiative’s background checks and 75-hour training requirement are widely viewed as safety measures, but the state lacks pre-2011 data to directly measure safety outcomes. They also found Washington’s long-term care workforce is still short, though the state ranks better than many others in workers per disabled person, and that some groups and regions have larger gaps between authorized and actually used Medicaid care hours, suggesting access problems for certain clients. The audit focused heavily on the certification process for home care aides. Auditors reported that many applicants never finish certification, that the process often exceeds the 200-day legal deadline, and that delays can cause lost income, job loss, and in some cases repeated employer changes that allow aides to keep working without becoming certified. They recommended that the Department of Health accept applications only after training and testing are completed, move testing into training programs more broadly, and eliminate redundant DOH verification of FBI background checks. Committee members asked about testing contract incentives, language access, and the role of immigration in workforce shortages; auditors said they found no financial performance standards in the Prometric contract, did not specifically study immigration status, and did not focus on language barriers in this audit. Department of Health and Department of Social and Health Services officials largely agreed with the audit’s findings and recommendations. They said they have already made improvements, including expanded in-program testing, more staffing, and rule changes, and that testing has been integrated into more than 110 training programs. DSHS noted testing is offered in 13 languages. Both agencies said they support further streamlining and expect continued collaboration, including possible budget or legislative requests. No public testimony was offered, and the committee adjourned without taking any vote or formal action on the audit.

Transcript Highlights:

• the Trump administration to identify, round up, and deport criminal illegal aliens through the 287G program
• Number 3, requiring the local law enforcement to participate in the 287G program.
• Essentially that means requiring our county sheriffs to participate in the 287G program.
• But so far in the Texas House we haven't passed a single election integrity bill.
• Even more conservative election integrity legislation is stuck in the House Elections Committee.

Transcript Highlights:

• I'm the director of program integrity for the state of Minnesota. >> Welcome.
• prevention program integrity and fraud prevention program integrity and fraud prevention which<00
• vulnerabilities in program integrity. vulnerabilities in program integrity.
• > primary program integrity process the primary program integrity process the primary cause?
• taxpayer dollars and program integrity. taxpayer dollars and program integrity.

Keywords: 1183, house

Summary: Judge Tim O’Malley, Minnesota’s director of program integrity, presented a roadmap to program integrity and fraud prevention built around nine areas for improvement, including leadership and culture, stronger program controls, better coordination among agencies and prosecutors, training, technology modernization, independent oversight, stakeholder engagement, and expanded resources. He said long-standing vulnerabilities in state programs have been exploited by organized criminals, and argued the state must shift from reactive enforcement to front-end prevention, faster detection, and recovery of improper payments. He emphasized that modern data sharing and analytics are especially urgent, and said oversight and accountability are essential for lasting change. Fay Bernstein, a long-time DHS employee, testified that she experienced retaliation after raising contract compliance concerns years ago. She said she was removed from the building, barred from DHS property, investigated for months, and accused of racism and threatening leadership, which she denied. Bernstein argued DHS leadership lacks a fraud-prevention mindset and said the department’s culture punishes employees who speak up, while serious program failures have harmed vulnerable Minnesotans. She called for major leadership changes and firings at DHS. Members questioned O’Malley about whether fraud was driven more by sophisticated criminals or by weaknesses in state systems. He said the vulnerabilities have existed for a long time and organized criminal groups are taking advantage of them, especially where data sharing is weak. Members also pressed him on whistleblower protections and retaliation; O’Malley said he should have included the legislature among places employees can report concerns, and said complaints should be thoroughly investigated with accurate information and appropriate consequences for supervisors who fail to act, ranging from coaching to termination depending on the case. No votes or formal actions were taken in this portion of the meeting.

Transcript Highlights:

• Of that in making them integrated.
• And so the integrations are.
• Our general fund is mostly funding our EPMO program.
• For the computer software programs that are needed for all of the public programs that we have.
• It does not mandate new programs.

Bills: SB132, SM16, SM17

Keywords: SB132, DOIT, Department of Information Technology, software replacement, equipment replacement, technology funding, revolving fund, capital equipment, enterprise services, state IT budgeting, software budgeting, amortization, depreciation, State Treasurer, Department of Finance and Administration, New Mexico, information technology, IT infrastructure, fund accounting, legislative appropriation

Transcript Highlights:

• programs.
• classes for substance use, but we designed our program specifically to integrate that.
• So in that kind of grain with this integrated piece, our intention is to have the program mostly as face-to-face
• classes for substance use, but we designed our programs specifically to integrate that.
• So in that kind of grain with this integrated piece, our intention is to have the program mostly as face

Keywords: 908, all

Transcript Highlights:

• Kentucky program integrity flaws, the Kentucky program integrity flaws, the Kentucky reform<00:11
• The Kentucky Medicaid Reform Act's remaining sections would help improve the program and its integrity
• The Kentucky Medicaid Reform Act's remaining sections would help improve the program and its integrity
• > by improve the program and its integrity by improve the program and its integrity by several<00
• > integrity This approach protects program integrity This approach protects program integrity

Keywords: 958, all

Summary: The House convened with an invocation and Pledge of Allegiance, established a quorum, excused absent members, suspended rules to allow co-sponsorships and vote modifications, and approved the journal from February 26, 2026. The clerk then reported several bills on second reading, including measures on state personnel, domestic violence, fish and wildlife resources, open records, workforce investment, data centers, guardians ad litem and domestic relations, along with Senate Concurrent Resolution 9 on a Medicaid pilot feasibility study and Senate Joint Resolution 23 declaring Kentucky a “food is medicine” state. The main floor business was House Bill 2, the Medicaid reform and appropriation bill. The sponsor described it as a response to rising Medicaid costs and federal changes, saying it would improve transparency, oversight, fraud prevention, and program operations. He said the bill would apply mainly to the Medicaid expansion population and include community engagement, cost-sharing, eligibility safeguards, stronger managed care oversight, transportation and dental delivery changes, waiver program prioritization, greater legislative access to CHFS data, a transparency dashboard, periodic auditor review, and limits on certain weight-management drug coverage. A House committee substitute was adopted, and a floor amendment on phasing in a marginal medical loss ratio requirement over four years was offered as a friendly amendment and adopted. The House then debated House Floor Amendment 1, which would have removed state-mandated co-payments and limited cost sharing to the federal minimum, while also prohibiting reporting medical debt to credit agencies. Supporters argued the amendment would protect low-income Kentuckians from barriers to care and prevent medical debt from worsening poverty. Opponents said the bill’s co-pays were intended to encourage appropriate use of care, especially to reduce non-emergency emergency room visits, and noted that providers and MCOs could waive or work around some charges. After a roll call vote, the amendment failed 20-39. After the amendment vote, the House continued discussion of the bill, with the sponsor defending the co-payment structure as a way to promote personal responsibility and sustainability while preserving access to primary care. The transcript ends during further debate on House Bill 2, and no final passage vote is shown in the provided excerpt.

Transcript Highlights:

• We're also focused on continuity for the medical program.
• Leaf Line has been part of Minnesota's medical cannabis program since 2015.
• Right now, Minnesota's medical cannabis program is at risk.
• license has 5 dispensaries that are also not vertically integrated.
• I am all about the medical program.

Bills: HF1545, HF2426, HF1615, HF2403

Keywords: medical cannabis, cultivation, cannabinoid products, plant canopy, Minnesota statutes, cannabis, hemp, lower-potency, edibles, regulations, licensing, local control, consumer safety, age restrictions, commerce policy, financial institutions, insurance regulation, limited long-term care insurance, Medicare supplement, health insurance

Transcript Highlights:

• Half of that is software integrator service costs.
• Half of that is software integrator service costs.
• Thank you. half of that is software integrator half of that is software integrator service<00:12:56.000
• ,<00:20:13.600> the those out and then your integrator, the those out and then your integrator
• Uh we also have integrated um we that.

Keywords: 00:14 Call to Order and Roll Call 01:10 Information Items and Introduction of Personnel Cabinet 02:44 Discussion of KHRIS HR system and need for replacement 05:52 Discussion of Challenges in managing HR for employees and records 09:16 Discussion of Employee Health Plan Record Management 12:56 Software and Hardware Discussion 16:15 Security Concerns 17:00 Costs, Staffing, and Implementation 24:09 Discussion of Data Integration and Hosting 32:20 Payment Methodology 35:20 Adjournment, 958, all

Summary: The House Budget Review Subcommittee on Personnel, Public Retirement, and Finance held its first meeting and heard a presentation from personnel cabinet officials on a major request to replace the Kentucky Human Resources Information System, known as CHRIS, which currently handles HR, payroll, tax compliance, and health plan administration for state government and several local offices. Officials said the system supports payroll for about 48,000 employees, covers all three branches of government and 24 sheriff and county clerk offices, and stores records for nearly 475,000 current and former users. They explained that SAP has said the system will reach end of life and lose support by 2030, creating risks around security, maintenance, and tax compliance if it is not replaced. Commissioners and staff emphasized that the replacement is needed not just as an upgrade but as a full system replacement, especially because the current platform no longer receives meaningful HR enhancements and will eventually lose security updates and tax tables. They also described the Kentucky Employees Health Plan as a major driver of the project, noting it serves nearly 300,000 covered lives, many school boards, pre-65 retirees, and more than 700 entities, with significant complexity in billing, premium collection, and regulatory compliance. Officials said the new system would help address current manual workarounds, support changing insurance rules, and better protect personally identifiable and health information. Members asked detailed questions about the $151 million request, including why the estimate had risen by more than $50 million, what would happen if the project missed the 2030 deadline, how progress would be tracked, how vendor costs were estimated, and what the largest cost components would cover. Officials said the increase was mainly due to inflation and changing requirements, and that there was no real backup plan if the replacement was not completed before support ends. They said the project would be managed through an RFP process expected in July 2026, with kickoff in January 2027 and go-live by July 2030, and that oversight would include an enterprise steering committee, monthly updates, and existing quarterly COT reporting to LRC. They also explained that the largest share of the request is for implementation and integrator services, with additional amounts for software licensing and hosting, independent verification and validation, dependent verification, FSA administration, and limited contract support, and that payments would be tied to deliverables and acceptance testing.

Transcript Highlights:

• Part of her task was to review program integrity, particularly in the SNAP program, and she is proud
• program integrity."
• integrity of the program.
• the ensuring program Integrity of of the ensuring program Integrity of of the program<00:35:16.839
• program integrity and everything there a program integrity and everything else<00:38:04.680> uh

Bills: HF1, HF98

Keywords: Office of Inspector General, inspector general, legislative audit, fraud prevention, waste and abuse, public funds, grant oversight, state grants, grant management, whistleblower protection, retaliation, subpoena power, data practices, government transparency, accountability, law enforcement referrals, sanctions, debarment, payment withholding, public assistance fraud

Transcript Highlights:

• You know, the Vaccine Integrity Project will do that, the associations will do that.
• It’s across Medicaid and other programs, as well as SNAP.
• Also, thank you for Cascade Care Savings, our state premium assistance program.
• This highlights a couple of the other programs again on that focus on affordability.
• We also have recently responded to an HR1 program opportunity.

Summary: The committee first welcomed new DSHS Secretary Angela Ramirez, who introduced herself and described her background in public service, federal and state legislative work, and health and human services leadership. Members emphasized the importance of building strong relationships with her and noted her focus on protecting services, using strategic approaches in a tight budget environment, and improving partnerships with the Legislature. Ramirez said she wanted to keep communication open and that her priorities would be shaped by what she learns from lawmakers and agency partners. The next work session focused on the West Coast Health Alliance and the broader Governor’s Public Health Alliance. Department of Health and governor’s office staff said the West Coast alliance, involving Washington, Oregon, California, and Hawaii, was formed to coordinate science-based public health guidance, especially around vaccines, return-to-work guidance, and responses to federal changes. They said the alliance is intended to reduce confusion, counter misinformation, and preserve access to evidence-based recommendations, with early actions including vaccine guidance for COVID-19, flu, and RSV, a statement rejecting any vaccine-autism link, and preparation for possible ACIP changes. Members asked about workload and coordination with other regional alliances, and staff said there is informal coordination but no formal regular meetings. The committee then heard from the Washington State Health Benefit Exchange about open enrollment and the effects of federal policy changes. Exchange leaders said the expiration of enhanced premium tax credits, HR1 provisions, and immigration-related eligibility changes are affecting affordability and enrollment, with some customers facing large premium increases and some counties becoming harder to serve. They reported early open-enrollment traffic increases, nearly 10,000 new sign-ups, and nearly 12,000 active coverage drops so far, while noting that many more people may disenroll later if subsidies are not extended. They also described mitigation efforts such as silver loading, Cascade Care Savings, outreach through navigators and community partners, and planning for future HR1 requirements like ending auto-renewal and adding verification steps. In the final work session, staff from the Health Care Authority and Insurance Commissioner’s office reviewed Washington’s health reform history and the state’s current affordability and access efforts. They highlighted past ACA-related coverage gains, continued work on prescription drug affordability, PBM oversight, primary care and behavioral health access, and a pending legislative proposal to preserve access to preventive services. They also discussed federal changes affecting Medicaid and the exchange, including work requirements, six-month redeterminations, and the need to coordinate across agencies to implement new rules. Members raised concerns about network adequacy, provider access, and the complexity of the health care system, while staff said they are trying to mitigate harm, simplify administration, and keep coverage and access as stable as possible.