Dirk Deaton — Referenced as the person who may call the committee back.
Dirk Deaton — Addressed regarding the question on Medicaid contracting.
Dirk Deaton — The response is directed through the chair.
Dirk Deaton — Directed the order of questions and moved the meeting along.
Dirk Deaton — Acknowledged the question and moved the meeting forward.
Dirk Deaton — Noted that the microphone was not on and then apologized for the interruption.
Dirk Deaton — Addressed as Mr. Chair and responding to the request for additional information.
Dirk Deaton — Addressed as Chairman Deaton.
Dirk Deaton — The chair calls on Representative Vogel to proceed, though the name is not in the expected member list and may be a transcription error.
Dirk Deaton — The chair is addressed as 'Mr. Chair.'
Dirk Deaton — Dirk Deaton is repeatedly addressed as 'Mr. Chair' during the meeting, indicating ongoing direct address to the chair across this short segment.
Dirk Deaton — Addressed as chair while the question is introduced.
Dirk Deaton — The Chair is referenced as the recipient of the speaker's notes.
Dirk Deaton — Dirk Deaton is referenced throughout the committee discussion as the chair/Budget Chair. Members address him as Mr. Chair, note his role while discussing whether to proceed with page two before moving to Book Four, and indicate that emailed questions will be distributed to the chairman and the committee.
Dirk Deaton — The speaker refers to 'this body' providing increases and additional staff over several years.
Dirk Deaton — The speaker thanks Chairman Deaton while discussing the department-wide E&E reduction.
Dirk Deaton — Addressed as Mr. Chairman.
Dirk Deaton — Dirk Deaton addresses the Chair and then recognizes Mr. Martin, inviting him to proceed with his question.
Dirk Deaton — Dirk Deaton twice thanked the Chair during the meeting.
Dirk Deaton — Referred to as 'the chair' who pointed out that nothing had been spent on the appropriation.
Dirk Deaton — Chairman Deaton is addressed by the witness at the start of the M-MAC presentation.
Dirk Deaton — Dirk Deaton is addressed as 'Mr. Chair' twice in quick succession during the same exchange, with no substantive change in topic or context.
Bishop Davidson — Referenced in the roll call as Vice Chair.
Bishop Davidson — Referenced for trying to keep discussion focused on budget.
Betsy Fogle — Referenced in the roll call; likely the intended name for 'Representative Fogel'.
Betsy Fogle — Betsy Fogle first clarified whether the committee was done for the day, then raised a series of questions about HR1, focusing on whether the department might contract with providers to handle Medicaid eligibility applications and renewals. She followed up by asking what a successful provider relationship would look like and what percentage of the work the department would expect contractors to complete.
Betsy Fogle — Referenced as having raised a question about Medicaid work requirements and compliance.
Betsy Fogle — Asks whether the state needs to change anything to comply with federal Medicaid work requirements and avoid losing federal funding.
Betsy Fogle — Referenced as the member who raised the prior question about work requirements.
Betsy Fogle — Her initial inquiry about the state constitutional provision is referenced.
Betsy Fogle — Asked whether this was the time to discuss general questions about TANF dollars in House Bill 11.
Betsy Fogle — Representative Fogle requests the same recoupment information that Rep. Collins requested, but for all programs overseen by the department. She then questions whether the reported $67 million in recouped or cost-avoided funds represents a significant share of potential Medicaid waste, fraud, and abuse, noting that this issue has been discussed repeatedly in prior budget cycles. Fogle says she does not see widespread waste, fraud, and abuse reflected in the budget book and thanks the department for recovering the funds. The witness responds that many system edits are put in place on the front end to prevent fraud, waste, and abuse before it occurs.
Betsy Fogle — Representative Betsy Fogle was called on for an inquiry and asked whether county-specific language in the FY 2027 budget should be removed so the provision could be used statewide.
John Black — Referenced in the roll call.
John Black — Representative Black is identified as the member asking a question and then asks whether a person with an old car worth $4,000 would be disqualified under the asset tests for SNAP and Medicaid.
John Black — Representative John Black asks the director to clarify eligibility error rates, following up on earlier discussion of payment error rates and comparing fee-for-service and managed care performance.
John Black — Representative Black questioned the format of the introductory budget materials and then pressed for a clearer explanation of the fiscal risk in future years if the requested changes are not made. He asked what is at risk in the out-years, how much could be affected, whether the first column continues into later fiscal years, and the discussion later referred back to his questions as the basis for subsequent responses and follow-up materials.
John Black — Representative John Black was recognized to proceed and then asked for clarification about whether the general appropriation on page 1067 was the item under discussion, including a question about the federal match difference.
John Black — Representative Black participates in a budget discussion by asking follow-up questions about transitional living funding and the Good Samaritan Boys Ranch item, including whether the funding is spent in Missouri, whether it covers the full program, and whether the line item at 1102/1103 represents a new appropriation or an NDI/core item.
Mitch Boggs — Referenced in the roll call.
Mitch Boggs — The witness addressed Representative Briggs while responding to questions about whether an algorithm exists to detect subtle fraud.
Darin Chappell — Darin Chappell is mentioned during the meeting’s opening procedural discussion: first in the roll call, and later as one of the chairmen consulted about the hearing format.
Darin Chappell — The chair turns the meeting over to Representative Darin Chappell, who is introduced as the next speaker to continue the presentation.
Darin Chappell — The chair recognizes Representative Darin Chappell to proceed, and Chappell asks about the average salary for Children's Division staff in surrounding states and the private sector.
Darin Chappell — The speaker says they will follow up with Representative Christensen's office regarding the cut and asks that the committee be kept updated as well.
Darin Chappell — Representative Chappell is recognized for an inquiry and asks whether the item is an NDI, then acknowledges that he was reading it incorrectly.
Darin Chappell — Representative Darin Chappell questioned the transfer of funds between budget lines, asking about the amounts involved and comparing the current transfers to prior years. He argued that allowing such transfers undermines the purpose of line-by-line appropriations and suggested the committee should reconsider or stop the practice legislatively. He emphasized that his concern was about the budgeting process itself, not an accusation of wrongdoing by staff, and warned that moving tens of millions of dollars this way subverts the intent of the budget.
Darin Chappell — Representative Darin Chappell was recognized to speak and then briefly responded that his question on the item had already been answered.
Darin Chappell — Representative Chappell continued the discussion by questioning why the budget request is increasing by 75% this year when FY23 through FY25 showed lapse rates of roughly 25% to 30%, suggesting the increase may be inconsistent with prior spending patterns.
Darin Chappell — Asked to address the lapse in funding on page 1157 and noted the amounts lapsing over the last three years.