Transcript Highlights:

• two-tier permit um creates a final action which would basically allow the applicant to seek judicial review
• getting</c><00:04:45.680><c> more</c><00:04:45.840><c> eyes</c><00:04:46.120><c> on</c> judicial review
• HF 8 makes a number of updates to build on our high standards and improve our review process.
• HF 8 makes a number of updates to build on our high standards and improve our review process.
• </c> Farms entered the environmental review Farms entered the environmental review process<00:27:17.039

Transcript Highlights:

• The most relevant here is NEPA review, the National Environmental Policy Act.
• NEPA review has to be completed prior to construction.
• How are we going to accelerate EHP review?
• That's the environmental and historic preservation review.
• That means that we're able to move a lot faster on NEPA reviews.

Summary: The committee first heard an update from the Department of Commerce’s new state broadband director on Washington’s BEAD broadband program and permitting process. Jordan Arnold said Washington’s final BEAD proposal has been submitted to NTIA but remains unapproved after months of back-and-forth over federal rule changes, technology choices, cost, and tribal sovereignty. He said the program is expected to bring about $1 billion in broadband investment, connecting roughly 166,000 homes and small businesses, with a mix of fiber, fixed wireless, and low-earth-orbit satellite. He also outlined permitting challenges, including rights-of-way and environmental/historic reviews, and said the office is working on permitting roundtables, federal coordination, and NEPA expertise to speed reviews. Members asked about the interaction of NEPA and SEPA, the reduction in deployable federal BEAD dollars, the long-term value of fiber versus other technologies, and possible coordination with other infrastructure permitting efforts. The committee then took executive action on House Bill 2684, which would add Middle Eastern and North African groups to the Office of Minority and Women’s Business Enterprises’ socially disadvantaged certification framework. Four proposed amendments were considered and all failed: an amendment narrowing the rebuttable presumption to groups with specific current discrimination, an amendment requiring disaggregated subgroup data and limiting use of aggregated data, an amendment tying the rules to the state constitution, and two amendments requiring consistency with federal law and Attorney General review. After debate over whether the bill was too broad or needed more specificity, the committee voted 7-4 to report HB 2684 out with a do pass recommendation. Finally, the committee unanimously approved House Joint Memorial 4012, which urges Congress to address the 20-year rule affecting certain combat-injured veterans and seeks parity in recognition and benefits. The memorial was reported out with a do pass recommendation by an 11-0 vote, with two members excused.

Transcript Highlights:

• Today, there are 103 education audit reports for the committee's review.
• You had mentioned some of that oversight reviewing statements monthly now.
• I'd just like to say that we have reviewed the finding.
• We have reviewed it very carefully.
• Staff recommends that these be filed en masse as reviewed.

Committee: All LEGISLATIVE JOINT AUDITING-EDUCATIONAL INSTITUTIONS

Summary: The committee met to review education audit reports and adopted the minutes. Legislative Audit reported 103 education audits total, with 89 having no findings and 14 containing findings. The committee first heard from Camden Fairview School District, which had findings for spending operating funds on an end-of-year employee banquet and for unauthorized credit card charges. District officials said they had implemented stronger internal controls, stopped using the affected card, and would limit future events to comply with state law and constitutional requirements. Members questioned the district about prior practices, donated funds, and how teacher appreciation could continue without using operating funds; the report was filed as reviewed. The committee then reviewed Forest City School District, which had a finding for spending $33,000 in operating funds on an off-campus end-of-year celebration and entertainment event. District representatives said the money came from a long-standing Pepsi-related donation fund, but acknowledged confusion over whether it should be treated as operational funds and said they would stop using it that way and provide training to staff and the board. Members discussed whether the funds were private donations or operating funds, the lack of a formal board vote, and whether the event was intended to recognize staff and growth; the report was filed as reviewed. The committee also received notice of more serious findings that were referred to the prosecuting attorney and attorney general, including Conway School District for misuse of district funds and resources by former maintenance employees, Magnolia School District for undeposited activity funds, Westside School District for undocumented and personal credit card charges, and Boonville School District for paying a board member’s son in excess of the statutory limit without an approved exemption. The remaining eight reports with findings were filed en masse as reviewed, and the 89 reports with no findings were also filed en masse. The committee adjourned after noting that most districts reviewed had no findings.

Transcript Highlights:

• I'd just like to say that we have reviewed the finding.
• We have reviewed it very carefully.
• I'd just like to say that we have reviewed the finding.
• We have reviewed it very carefully.
• Staff recommends that these be filed en masse as reviewed.

Committee: All LEGISLATIVE JOINT AUDITING-EDUCATIONAL INSTITUTIONS

Summary: The committee met to review education audit reports and heard responses from several school districts with findings. Camden Fairview School District was cited for using operating funds for an end-of-year employee awards banquet and for unauthorized credit card charges that caused a small loss; district officials said the current administration had strengthened controls, stopped the banquet practice, and improved monthly credit card reconciliation. Members questioned whether the prior officials were still employed, whether the credit card issue was an outside hack, and how teacher appreciation could continue without using district funds. Forest City School District was cited for spending about $33,000 on an off-campus staff celebration and entertainment event; district representatives said the money came from long-standing Pepsi-related donation funds, that the event was intended to recognize staff and growth, and that they would change practices and receive training going forward. Members discussed whether those funds were private donations or operational funds, and staff said the district’s accounting treatment made them subject to the constitutional restriction at issue. The committee also reviewed several other findings. Conway School District was referred for an ongoing investigative report involving misuse of district funds and resources by former maintenance employees. Magnolia School District had undeposited activity funds totaling more than $21,000, tied to a resigned high school secretary and sponsor receipts not deposited. Westside School District had about $30,000 in credit card charges lacking documentation or business purpose, including charges by the superintendent, personal purchases, and items shipped to personal addresses; the matter was referred to the prosecuting attorney. Boonville School District was cited for paying a board member’s son more than the statutory limit for seasonal groundskeeping without the required exemption, and DESE later denied the exemption request. After discussing those cases, the committee filed the remaining eight findings en masse and then filed the 89 reports with no findings. Members noted that most school districts audited had clean reports and encouraged districts to continue good practices while learning from the findings discussed.

Transcript Highlights:

• Without objection, this rule stands as reviewed.
• All right, we'll take that as reviewed. Okay, go into the... We'll take that as reviewed.
• All right, this contract stands as reviewed.
• We reviewed the expenses.
• And Senator Irwin, she mentioned we might need to review this.

Committee: All ALC-STATE INSURANCE PROGRAMS OVERSIGHT SUBCOMMITTEE

Summary: The committee reviewed several State Board of Finance actions related to employee and retiree health benefits, insurance contracts, and reserve funding. Members first considered a rule implementing Act 956 of 2025 requiring vendors working with the Employee Benefits Division to have their data validated by a third-party actuary; it was reviewed without objection. The committee then approved multiple pharmacy and medical formulary recommendations for June, July, and August, including shifting to lower-cost generics, excluding new-to-market drugs pending more evidence or better pricing, re-tiering specialty and limited-distribution drugs, and adjusting prior authorization, step therapy, and age restrictions. Members asked about how Navitus and EBRX develop recommendations, how rebates and coupons are tracked, and whether rebate incentives could influence coverage decisions. The committee also reviewed and approved a one-year Colonial Life accidental death and disability contract extension with level rates for 2026-2027, a one-year UnitedHealthcare Medicare Advantage extension that decouples medical and pharmacy benefits and raises premiums for state and public school retirees, and a new three-year financial auditing contract with Crow Chesnik after an RFQ produced only one response. The UnitedHealthcare renewal was described as the full extent of the increase for the year, with officials saying future increases are likely but should become more predictable. The committee then heard a presentation from Segal Group on public school plan funding and reserve adequacy, which projected that if funding stayed flat the reserve would be drawn down over time and could be exhausted by 2029. Segal presented scenarios showing that maintaining the target reserve would require substantial increases in the minimum district contribution alone, or more moderate increases if costs were spread across district, employee, and Department of Education funding. Members questioned the assumptions behind the projections, including why prescription drug claims were projected to grow 45 percent from an earlier forecast, why actual expenses had come in 17 percent above prior projections, and how federal changes, rising drug costs, and GLP-1 utilization might affect future costs. Several members raised concerns about the loss of wellness visit incentives, the need to control duplicate or inappropriate prescribing, and whether the target reserve level should be revisited. EBD said it is working on cost containment, wellness program redesign, and additional analysis, and indicated it expects to bring a funding and policy recommendation to the committee in September or October. The meeting ended with no further business and adjournment.

Transcript Highlights:

• We're streamlining the rate filing reviews with more accountability and more transparency.
• This allows us to be more comprehensive in our regulatory review for an examination of this magnitude
• The intervenor process has not been comprehensively reviewed in over 30 years. That's until now.
• And now we are bringing that back, and we're having our legal team review.
• And we're actually doing a review.

Committee: House Insurance

Summary: The Assembly Insurance Committee held an oversight hearing on the California Department of Insurance’s Sustainable Insurance Strategy (SIS), with Commissioner Ricardo Lara reporting on implementation progress and the state’s broader homeowners and commercial insurance crisis. He said the department has finalized major reforms, is reviewing catastrophe models, and expects insurers to begin submitting new rate filings in the coming weeks under the updated framework. Lara emphasized that the goal is to improve availability and stability in the admitted market, reduce reliance on the FAIR Plan, and better reward wildfire mitigation and home hardening. A major portion of the hearing focused on claims handling after the Los Angeles-area wildfires, including smoke-damage claims, underinsurance, and the FAIR Plan. Lara said the department has opened a formal market conduct examination of State Farm’s wildfire claims handling, is investigating FAIR Plan smoke-damage claims, and has helped more than 12,000 wildfire survivors while recovering more than $60 million on complaints. He also announced a new smoke claims and remediation task force to develop standards for smoke-damage cleanup and health protections, and said the department is working with other western states on underinsurance data and policy solutions. Members asked about implementation timelines, the impact on consumers, FAIR Plan costs, and the role of intervenors in rate cases. Lara said the department is tightening rules for intervener compensation and will no longer grant petitions unrelated to the actual rate application, while also clearing a backlog of compensation petitions. He said the FAIR Plan has begun publicly posting policy counts and financial information, and that further transparency measures may follow. Public commenters from the insurance, building, and broker industries generally supported SIS, saying it is needed to restore availability, improve rate timeliness, and stabilize the market. No votes were taken, and the hearing concluded without formal committee action.

Transcript Highlights:

• These contracts should be reviewed beforehand when they're this big.
• Now that the investigatory letter has been released, I will... ...of the review.
• Having reviewed the... The new procurement process.
• We've reviewed a number of different things. Is that correct?
• We've reviewed a number of different things. A lot of the past review has been done by others.

Committee: Senate Senate Committee on Post Audit and Oversight

Summary: The committee met to review MassDOT’s failed service plaza procurement and the Inspector General’s findings. Chair Montigny opened with a broad critique of procurement culture, conflict-of-interest risks, and the need for stronger oversight, saying the committee’s role is bipartisan and investigative and that subpoenas would be used if necessary. Inspector General Jeffrey Shapiro then summarized his investigatory letter, saying MassDOT had created procedures that could have supported a fair process but did not follow them. He identified eight major problems, including inadequate conflict-of-interest disclosures, undisclosed relationships and communications with Applegreen and Suffolk Construction, violations of contact rules, inconsistent weighting of evaluation subfactors, weak documentation of scoring, unclear information-sharing with subject matter experts, live roll-call scoring that increased perceived bias, and insufficient board/committee review before approval. He recommended clearer disclosure forms, stronger training, better documentation, sealed scoring, clearer rules for internal communications, and more public board involvement. Committee members pressed the Inspector General on whether the conduct violated law, how to define and police “appearance” of conflicts, whether employees should be held accountable, and whether prior evaluators should be excluded from the new process. Shapiro said his report did not conclude that laws were violated, but that the process was seriously flawed and that accountability should be handled within agencies. He also said he would provide additional written recommendations on broader procurement standards and noted that some oversight functions may need clearer definitions and better recordkeeping across agencies and quasi-public entities. The chair and members emphasized that the problems appeared systemic rather than limited to one administration or one contract. MassDOT Interim Secretary Phil Ting and Undersecretary Jonathan Gulliver then described the new procurement approach. They said the prior process had been a failure, but that the new effort is a complete reset with no one from the prior evaluation participating. MassDOT plans to split the plazas into three geographic packages, use a design-build/public-private partnership framework, and create a P3 Commission with appointments from the governor, legislative leaders, and treasurer, plus review by the Inspector General and Attorney General. They said the new scoring will be more objective, with financial scoring set at 60% and based on a guaranteed maximum price and other mathematical measures rather than projected revenues, and that technical and financial evaluations will be separated in a double-blind process. Members signaled cautious support for the changes but continued to question whether the new structure and oversight will be enough to prevent a repeat of the earlier procurement failures.

Transcript Highlights:

• We do a review of the transcript.
• They have to go through the same review process as any California school. We re-review them.
• Based on that, we review curriculum. We review faculty requirements.
• What is your sort of review process?
• a fee increase as a part of this sunset review.

Transcript Highlights:

• After the critical incident reviews, on follow-ups.
• And then the indeterminate sentence review board, the ISRB, reviews individuals beginning at their minimum
• So the grid really, the way it is next, for parole review.
• It changed the standard of review.
• It changed the standard of review.

Summary: The committee held a work session on tort liability and parole, with the chair explaining that the topics were linked because criminal justice reform and state liability often intersect, especially in cases involving child welfare and corrections. Staff first outlined Washington’s tort liability framework, including the state’s broad waiver of sovereign immunity, statutes governing mandatory reporting and investigation of abuse, the childhood sexual abuse statute of limitations, and the lack of caps on non-economic damages. Staff and presenters also compared Washington to other states and noted that Washington remains among the broadest states for state liability and childhood sexual abuse claims. Presenters from the Attorney General’s office, Washington State Association for Justice, DCYF, DSHS, and DOC discussed how tort exposure has grown, especially in claims involving DCYF, historical child abuse, juvenile rehabilitation, vulnerable adults, employment discrimination, medical negligence, and negligent supervision. DCYF and AG staff said claims and payouts are rising, with many claims tied to older abuse and new theories of liability, while defense counsel emphasized the human harm behind the claims and argued that tort cases have historically driven accountability and reform. Agency witnesses said they face large volumes of old claims with limited records, rising verdicts and settlements, and staffing and systems challenges, and they highlighted efforts such as early resolution programs, electronic health records, medication-assisted treatment, and improved incident review processes. The committee then shifted to parole. Sentencing experts reviewed Washington’s move from indeterminate sentencing to the current determinate sentencing system under the Sentencing Reform Act, and explained how parole could be integrated with sentencing guidelines through different models used in other states. They also summarized Criminal Sentencing Task Force recommendations related to a determinate-plus approach for three-strikes and persistent offender laws and a second-chance review process, noting there was no consensus on those ideas. Judges from the Minority and Justice Commission and the Superior Court Judges Association said a parole system could support rehabilitation and reduce disparities if it includes data collection, fairness, transparency, due process, and meaningful judicial review; they also pointed to research suggesting parole and structured reentry can reduce recidivism and costs, while warning that access and outcomes can vary by geography and other factors.

Transcript Highlights:

• James Thorpe, a board-certified OBGYN with 46 years of experience, has referenced 16... ...peer-reviewed
• What process exists for the legislature to review, determine, and give a ruling?
• We are rejecting that as safe and prudent, and we are going to review the data ourselves and make our
• Direct evidence of genomic integration has been published in the peer-reviewed literature.
• That's a tough one. 3,800 peer review studies show harm, amyloid clots, ribosomal frame shifting, and

Committee: Senate Health and Welfare

Transcript Highlights:

• We have a multi-disciplinary review team.
• But if you look at number four, the DCS executive team can request a review.
• When people see reviews like this, it actually shuts down learning.
• Director Petak talked about the document review. We support them in that.
• They have been utilizing safety science in their reviews since that time.

Committee: Joint Joint Legislative Oversight Committee on the Department of Child Safety

Transcript Highlights:

• This morning, we will begin with a Sunset Review Oversight hearing for the California State Board of
• So we are reviewing what is happening in the market.
• The second is remote processing as part of the Board’s sunset review.
• The second point has to do with two of the issues raised in the Sunset Review.
• I would like to ask the Legislature provide oversight by reviewing and revising...

Summary: The joint Assembly and Senate business committees held a sunset review hearing on the California State Board of Pharmacy, with board leadership describing the board’s consumer-protection role and its priorities around access, enforcement, and updating pharmacy law. The board emphasized a proposed shift toward a standard-of-care model for pharmacists, arguing it would reduce rigid protocol requirements and improve access to services such as HIV PrEP/PEP, contraception, and naloxone. Board representatives also discussed pharmacy deserts, possible fee waivers for pharmacies in underserved areas, concerns about payer practices contributing to closures, continuing education audits, and a request to restore more flexibility in licensure decisions and probationary monitoring for applicants with certain criminal histories. A major focus of the hearing was the board’s ongoing compounding regulations, especially the treatment of sterile versus nonsterile compounding and substances such as glutathione and methylcobalamin. The board said the proposal was not a ban on those substances and described the rulemaking as grounded in federal law, USP standards, and public comment, noting the process had gone through multiple modified texts and hearings. Testimony from stakeholders was sharply divided: pharmacists, veterinarians, firefighters, naturopathic doctors, and patient advocates warned the rules were restricting access to compounded medications and harming patients and first responders, while the California Medical Association, psychiatric physicians, and PhRMA raised concerns that the board’s proposals could expand pharmacist authority beyond training, affect physician practice, or create safety risks. Other public comments addressed pharmacy technician ratios, remote processing, flavoring medications, hospital-specific regulation, budget and enforcement transparency, and whether the board should add members with community compounding or pharmacy technician expertise. Committee members also asked about the board’s oversight priorities and the rationale for its standard-of-care proposal. Board staff explained that consumer protection includes education, licensing, policy, and enforcement, with the highest-priority enforcement cases being those posing imminent public harm. After public testimony concluded, the chairs thanked participants and adjourned the sunset review hearing, announcing an immediate transition to the joint informational hearing on the Department of Cannabis Control.

Transcript Highlights:

• If there are questions about the council review and recommendation process and the review of this project
• If there are questions about the council review and recommendation process and the review of this project
• In addition to review, projects are also reviewed by the Department of Natural Resources and the United
• In addition to review projects are also reviewed by the Department of Natural Resources and United States
• So one of this review would make room there.

Committee: House Legacy Finance

Transcript Highlights:

• This item is presented for your review and requires no action on your part.
• All right, item agenda number seven is a review and approval of Water Sector Commission.
• Review and approval of Water Sector Commission. Representatives are ready to present.
• This is only for review. All right. See no questions. This is only for review.
• This is just for review this month, so all right. Thank you. Thank you.

Summary: The Joint Legislative Committee on the Budget met on February 19, 2026, and first received an unchanged fiscal status statement and five-year baseline projection from the Office of Planning and Budget. Members approved the fiscal status statement, and the baseline budget was noted as unchanged from the prior month. The committee also approved Facility Planning and Control’s request to add five higher education deferred maintenance projects to the Act 751 eligible list, and reviewed four change orders over $50,000 for informational purposes. The committee then approved the Louisiana Lottery Corporation’s fiscal year 2026-2027 operating budget. Lottery officials reported $610 million in projected gross revenue, emphasized 29 consecutive years without legislative auditor findings or management comments, and noted the corporation’s long-running transfers to the MFP and State General Fund. Members also approved the 2026-2027 operating budgets for LASERS, TRSL, the School Employees’ Retirement System, and the State Police Retirement System en bloc. The retirement systems described modest budget increases or decreases, strong investment performance, and continued progress in reducing unfunded liabilities; members discussed COLA prospects, UAL paydown, and the impact of surplus dollars on retirement debt reduction. The committee approved prior-year deputy sheriff supplemental pay expenditures of $20,262.32 and then approved several legislative intent clarifications for prior appropriations, including items for Tangipahoa Parish, Harahan, Allen Parish, Morgan City, and DeSoto Parish. It also approved the Water Sector Commission’s recommendation for an additional $2.8 million for four ongoing water and sewer projects. Several contract items were reviewed without action, including DEQ’s extension with RTI International, Tourism’s marketing contract amendments, and the Office of Risk Management’s Sedgwick claims administration amendment. The meeting concluded with adjournment after no further business.

Transcript Highlights:

• </c> said um the maternal mortality review said um the maternal mortality review panel<00:04:24.960><
• It’s basically a committee that reviews the case review of a maternal death, makes recommendations on
• It’s basically a committee that reviews the case review of a maternal death, makes recommendations on
• It’s basically a committee that reviews the case review of a maternal death, makes recommendations on
• It’s basically a committee that reviews the case review of a maternal death, makes recommendations on

Committee: Senate Executive Departments and Administration

Transcript Highlights:

• To illustrate the subjective nature of product packaging evaluations, my audit team reviewed how DCC
• The audit team found, when reviewing cannabis products for sale in California, gaps that exist in the
• And our work also entailed reviewing cannabis products that inspectors looked at while we accompanied
• We established a specialized internal review process.
• Well, so part of that is the formation of our team that reviews labels.

Summary: The Joint Legislative Audit Committee heard an audit on the Department of Cannabis Control’s oversight of cannabis packaging and labeling, focused on products that may be attractive to children. The auditor said the department’s rules are often vague or subjective, leading to inconsistent enforcement, and that the state relies heavily on complaints rather than pre-market review. The audit found disagreements with DCC’s conclusions in 13 of 80 packaging reviews, and noted weaknesses in tracking repeat violators and escalating penalties. The auditor recommended clearer statutory standards, better internal review tools, stronger repeat-offender policies, and consideration of options such as plain packaging or pre-approval systems. Committee members and the audit requester emphasized rising cannabis poison-control calls involving children under five and cited examples of legal products with cartoon imagery, bright colors, candy-like names, and beverage packaging that resembled ordinary drinks. DCC representatives said they had already begun reforms, including a centralized review team, improved databases, enhanced technology tools, and new procedures to track compliance history and apply progressive discipline. They also stressed that illicit cannabis and intoxicating hemp remain major sources of youth exposure and argued that some issues require both regulatory refinement and more legislative clarity. Public health witnesses argued that California has not done enough to protect children and urged plain packaging, limits on flavors and child-appealing design, and a pre-market review process. Industry representatives agreed that cannabis should not be marketed to children but said the current rules are too subjective and inconsistent, and asked for objective, bright-line standards rather than broader bans. Several members said the examples shown were plainly child-appealing and called for stronger statutory guardrails, while also acknowledging the need to keep pressure on the illicit market. No formal vote or action was taken during the hearing.

Transcript Highlights:

• Review Act.
• Review Act.
• Review Act.
• Review Act.
• Review Act.

Summary: The House convened with prayer, a moment of silence for former Judge John Carlin, the Pledge of Allegiance, and a recognition of FSU Police Officer Cody Popple for his actions during the April campus shooting. The Speaker also outlined the final week of session, noting the House would focus on Senate bills and returning messages, and that the 2026-27 budget would not be completed by the end of the week. The chamber then adopted the special order calendar for the day. The House passed several technical and open-government bills, mostly on strong bipartisan votes. These included SB 100, SB 104, and SB 102 on the Florida Statutes and reviser changes; SB 7006, SB 7014, SB 7002, SB 7012, SB 7024, SB 7016, SB 7026, SB 7008, SB 7000, and SB 7004, which extended or preserved various public records or meeting exemptions involving the Public Service Commission, social media investigations, military affairs, highway safety investigations, cybersecurity, small business loan records, trade secrets, emergency shelter locations, and conviction integrity units. Members asked questions on several of these bills, especially about the scope and purpose of the exemptions, but the bills generally advanced with little opposition. The chamber also took up more substantive measures. SB 7040 recreated the emergency preparedness and response trust fund and drew extended debate over whether the fund had been misused for the Everglades detention facility; an Escamani amendment to let the fund expire failed, while a Griffiths amendment adding limits and oversight was adopted, and the bill ultimately passed 82-25. CS/CS/SB 302 on coastal resiliency passed unanimously after supporters highlighted nature-based shoreline protection and a Biscayne Bay provision. CS/CS/SB 984 on firefighter cancer benefits passed after a House amendment aligned it with the House version. CS/SB 474 on military affairs passed unanimously after an amendment allowing local governments to extend Guard leave. SB 488 on the Department of Highway Safety and Motor Vehicles was debated extensively over vehicle registration requirements, license plate frames, and I-94 documentation, with amendments including one for disabled veterans and another on dealer allocation; the transcript cuts off before final disposition of that bill.

Transcript Highlights:

• </c> network previously um maintenance review network previously um maintenance review is<00:10:35.320
• But for the prepayment reviews, we review their information.
• </c><00:26:05.760><c> prepayment</c> audit um prepayment review prepayment audit um prepayment review
• c><00:26:27.840><c> information</c> reviews we we review their information reviews we we review their
• </c><00:48:19.960><c> organization</c> external quality review organization external quality review organization

Summary: The subcommittee met to review the Department for Medicaid Services’ program integrity work. Commissioner Lisa Lee and Program Integrity Director Jennifer Dudinsky outlined Kentucky Medicaid’s structure, funding, enrollment, and spending, including FMAP rates, the size of the Medicaid and KCHIP populations, the number of providers, and 2024 expenditures. They also described the managed care and fee-for-service populations, noting that managed care serves most members while fee-for-service is concentrated in long-term care and waiver populations. Most of the discussion focused on fraud, waste, abuse prevention, and provider oversight. The department described its provider enrollment and certification checks, revalidation requirements, site reviews, fingerprinting for some high-risk providers, and termination grounds such as false application information, Medicare actions, unreported ownership changes, and abandonment of a provider number. Members asked about nonprofit ownership reporting, MCO fraud oversight, and how the department tracks unusual CPT code utilization, especially in behavioral health. The department said it uses data analytics, audits, policy review, and collaboration with behavioral health staff to monitor those trends. Dudinsky explained the division’s four branches: provider licensing and certification, audits and compliance, recovery, and third-party liability/estate recovery. She described prepayment and postpayment audits, referrals of credible fraud allegations to the Attorney General, monthly meetings with the AG’s office, and coordination with the Office of Inspector General, CMS, HHS OIG, MCOs, and other partners. She also explained payment suspensions, stand-downs during law enforcement investigations, and recovery efforts for overpayments, provider/member fraud, and third-party liability. The department said its recovery and avoidance efforts produced more than $251 million in savings so far in 2025. No votes or formal actions beyond approving the minutes were taken.

Transcript Highlights:

• </c><00:38:10.280><c> the</c> brought before an in camera review the brought before an in camera review
• in camera or, you know, after review, whether it should be disclosed or not.
• </c> review it's a motion for a camera review review it's a motion for a camera review and<01:14:13.560
• </c><01:14:29.080><c> in</c> that material should even be reviewed in that material should even be reviewed
• </c><01:14:31.679><c> whether</c> camera or you know after review whether camera or you know after review

Committee: Senate Judiciary and Public Safety

Transcript Highlights:

• So the purchaser would have 10 days to review that information, review the disclosure information that's
• So the purchaser would have 10 days to review that information, review the disclosure information that's
• So the purchaser would have 10 days to review that information, review the disclosure information that's
• ,</c> 10day review for the buyer to review, 10day review for the buyer to review, uh,<00:17:50.559><c
• </c> intelligence in um utilization review. intelligence in um utilization review.

Committee: Senate Judiciary and Public Safety