Mark Harris — Representative Harris asked what counts as public school support in the budget comparison report and was addressed by the chair during the exchange. Shortly afterward, Hartwig noted that there were some new members present, but this was a brief contextual remark within the same discussion.
Mark Harris — Senator Hart asked where the theory comes from that a state can act even when its constitution is silent, seeking the constitutional basis for state power. The response traced that theory back to the founding of the country. Senator Hart then acknowledged the explanation and thanked the chair, noting he had always wondered what it was based on.
Mark Harris — Senator Risch is referenced as the former Senate president pro tem in a historical example where he made a ruling that some minority senators opposed, leading to a dispute that ultimately went to the Supreme Court.
Dave Lent — Invited to add any further comments.
Dave Lent — Asked what metric would be used to measure the return on the coordination dollars.
Dave Lent — Addressed in the procedural transition before Representative Bruce's question.
Dave Lent — Thanked for work on the proposal.
Dave Lent — Referenced as having asked a similar question about benchmarks.
Dave Lent — Asked why the Department of Transportation had no findings despite being a top audited program.
Kevin Cook — Senator Cook is addressed during a continuing discussion about WAMI seats and related comparisons. The exchange includes a reminder directed to Senator Cook and then continues with a response noting that comparisons about graduates versus WAMI are subjective, keeping the focus on the same WAMI-related topic.
Kevin Cook — Senator Cook asks whether, in an appropriation bill, the governor can veto only part of the bill or must veto the entire bill, and whether the legislature can specify exactly how appropriated money must be spent or not spent. The response confirms that the governor would have to veto the whole bill and that the legislature may direct how the money is to be spent.
Rod Furniss — Representative Furniss thanked the committee and raised concerns that a shortage of doctors reduces competition in insurance markets and increases costs for Idahoans. The discussion then continued with related comments about rural residency repayment incentives and whether additional funding may be needed to support physician recruitment and retention.
Dustin Manwaring — Representative Dustin Manwaring is repeatedly addressed during a discussion about physician retention and related policy incentives. He is thanked for the presentation, asks about research into incentives to keep doctors and trainees in the state, and requests clarification on the $350,000 coordination cost. Later references to Representative Manwaring continue the same thread, noting his view that a dedicated resource is needed to help facilitate the effort and thanking him for his work on the proposal and the data shown on the third slide.
Steve Miller — Steve Miller discussed workforce planning in the context of WAMI, noting that his daughter went through the program and emphasizing that physician assistants and nurse practitioners should be considered alongside doctors. He was then referenced as Vice Chair Miller in the continuing discussion about broader workforce coordination.
— Vice Chair Miller was referenced in connection with the challenges facing the preceptor pipeline, including training difficulties and competition for preceptors.
Brooke Green — Representative Green raised concerns that physicians are leaving insurance-based practice or the state altogether, which could reduce access to care for ordinary Idahoans who rely on insurance. The discussion continued with repeated references to her point about local frustrations with access and the need for publicly supported physicians to remain available to insured patients.
Chris Bruce — Representative Bruce asked whether private industry has a similar pipeline and whether the state recoups its investment; the follow-up mention indicates that his question about recouping the state's investment was answered.
Chris Bruce — Representative Bruce asked whether any agencies besides Transportation had not yet transitioned to Luma and requested a list of agencies still pending conversion. In response, it was stated that Transportation appears to be the only agency that has not yet transitioned.
Chris Bruce — Asked whether there is a limit on the number of divisions within the 20 departments.
Melissa Wintrow — Senator Melissa Wintrow asked follow-up questions about Idaho’s physician shortage and health rankings, including whether nurse practitioners are counted in physician totals, why Idaho remains short of doctors despite relatively strong health rankings, and whether the shortage truly indicates poor overall health outcomes. She also questioned whether there is research supporting the concern that Idahoans’ general health is suffering.
Melissa Wintrow — Senator Cook is identified during the exchange and then asks about whether audits or financial reviews would detect Medicaid fraud. The witness responds that fraud detection is not the primary focus of the financial statement audit or single audit. The discussion later returns to Senator Cook’s question, with a follow-up focused on fraud detection and related concerns.
Melissa Wintrow — The discussion is directed to Senator Wintrow throughout, with the chairman and others addressing her in a continuous exchange. The mentions are part of the same brief conversation and should be treated as one consolidated moment.
Melissa Wintrow — A senator asks whether the budget history graphs are adjusted for inflation or population growth, then follows up by asking if that adjusted information can be added to the dashboard graphs.
Melissa Wintrow — Senator Wintrow asked follow-up questions about the limits on redirecting a general fund appropriation without renewed legislative approval, then broadened the discussion to the relationship between legislative intent language and executive branch flexibility. She also asked how conflicts are resolved when JFAC intent language appears to clash with germane committee legislation, specifically who prevails in that situation.
Jim Guthrie — Responded that nurse practitioners are not baked into the physician count and that the current number is based on total physicians.
Jim Guthrie — Said the physician count is based on total physicians and offered to look at the nurse practitioner data.
Jim Guthrie — Was thanked along with the co-chairman and Director White for their support.
April Renfro — April Renfro, the Legislative Audit Division Manager with Legislative Services, opened her presentation to JFAC and introduced the audit topics she would cover. She then explained that the 2024 statewide single audit was significantly delayed beyond its March 31, 2025 due date, attributing the delay in part to staffing constraints in her office. She also noted that the audit resulted in 45 findings.
Glenneda Zuiderveld — Chair Grow asked about managed care oversight and how identified findings are remedied. The response addressed how significant findings are handled through oversight and corrective action, with Senator Grow included in the exchange.
Elaine Price — Representative Elaine Price participated in a brief Q&A exchange about how many findings were directly attributable to Luma implementation issues and whether the findings were related to Luma, with the discussion concluding in a response from the chair and Representative Price.
Mike Moyle — The response is directed to Chairman and Representative Miller.
C. Grow — Likely a transcription error for the member being addressed; the speaker is trying to identify who is speaking.
C. Grow — Chairman Grove opened the question period with a brief comment and was addressed repeatedly as Mr. Chairman throughout the ensuing exchange. The discussion remained centered on the same ongoing interaction, including a transition to the next agenda item and a brief remark about JFAC’s statutory duties, before the question period concluded.
David Cannon — Asks the witness to speak to a line reference after the discussion of the Quality Learning Center example.
Bruce Skaug — Representative Bruce asked for clarification about a reported $16 million understatement, including whether the amount was quarterly. The response was directed to him, and the later mention again referenced his question about the understatement, keeping the exchange focused on the same issue.
Edward Hill — Representative Harris was noted as being present with the group.
Brooke Dupree — Introduced as a budget and policy analyst with the Legislative Services Office and began a presentation on front-end reports in the legislative budget book.
Ms. Lippet — Referenced as having given a presentation yesterday about health insurance.
Casey Hartwig — Identified himself as a research analyst with the Impact Review Team of the Legislative Services Office and introduced the base budget dashboard tool.
Shawn Dygert — The chair calls Jared Tachow forward to continue the presentation.
Jared Tachow — Jared Tachow identifies himself with the Impact Review Team and begins a presentation on performance measures.
Ms. Bowen — Answered Senator Cook's question and indicated the principle is straightforward.
Mrs. Bowen — Concluded her explanation by stating that legislative-rule issues do not affect legal validity if a statute has been validly enacted.
Dr. Ramey Geidel — Recognized as being present in the room and having served on the committee.
Dr. Rex Forrest — Recognized as being present in the room and having served on the committee; identified as being from Idaho State.
Mark Harris — Representative Harris asked a question about clinical control, specifically control of clinical sites, and the response agreed with his concern, acknowledging that more needs to be done to improve that area.
Mark Harris — Referenced as having pointed out the need for adequate preceptors.
Mark Harris — Representative Harris thanked the auditors and asked about the accountability mechanism for audit findings, especially repeat findings over multiple years. The discussion framed the legislature as part of the oversight process, with members having the opportunity to press agencies on corrective actions and follow-up.
Mark Harris — Referenced as having commented that the committee is responsible for following up on issues.
Mark Harris — Asked how overstated administrative costs and understated direct costs affect funding and oversight.