Mark Harris — Representative Harris thanked the auditor and continued the discussion by asking about the accountability mechanism for audit findings, including how repeat findings are handled.
Mark Harris — Likely the chair being addressed; the transcript garbles the title/name as 'Chair Co-chair... Grow.'
Mark Harris — Asked how managed care findings are remedied and how the committee can help.
Mark Harris — Addressed by the speaker while discussing how to prioritize significant findings.
Mark Harris — Referenced in connection with the committee's responsibility to follow up on issues; likely Senator Mark Harris.
Mark Harris — Likely a garbled reference to Senator Jim Guthrie or another member; the transcript says 'Senator Hart, Jim.'
Mark Harris — Representative Harris asked how misclassifying administrative versus direct costs affects funding and grant administration, and the later mention refers back to that same question in the follow-up discussion about a $1,064,000 understatement.
Mark Harris — Representative Harris is noted as being present with the group.
Mark Harris — Asked what falls under public school support in the budget comparison report.
Dave Lent — During the discussion following the presentation, Senator Keck thanks the co-chair and begins a question, while Co-Chair Lent is invited to add any additional comments.
Dustin Manwaring — Referenced in a correction while discussing the non-WAMI seat price tag.
Dustin Manwaring — Addressed by Representative Furniss in appreciation for the presentation.
Dustin Manwaring — Thanked for the presentation and asked about research or surveys on incentives to retain doctors and trainees.
Dustin Manwaring — Asked whether surveys or interviews with physicians have been done to identify additional incentives for retention.
Dustin Manwaring — Responded that physicians were brought in to discuss stressors and possible incentives, including continuing education requirements.
Dustin Manwaring — Asked to explain the $350,000 coordination cost and how it compares to buying additional seats.
Dustin Manwaring — Referenced again as the presenter being questioned about the coordination cost.
Dustin Manwaring — Representative Manwaring is referenced as having indicated the need for a dedicated resource.
Dustin Manwaring — Representative Manwaring is addressed in the comment/question.
Dustin Manwaring — Representative Manwaring is thanked for his work on the proposal.
Kevin Cook — Senator Cook was part of a continuing exchange about WAMI, including questions about increasing WAMI seats and the associated cost, as well as discussion of perceptions about WAMI and University of Utah graduates.
Kevin Cook — Senator Kevin Cook is identified after a brief misidentification, and the discussion continues with responses directed to him. The witness then returns to Senator Cook’s question, following up on his concerns about fraud detection and managed care, and clarifies that the issue is not the primary focus of the audits being discussed.
Kevin Cook — Senator Cook participates in a discussion about appropriations and the governor’s veto authority, asking whether the legislature can direct how appropriation money is spent or not spent and whether the governor would need to veto an entire appropriation bill if he disagreed with those directions. The exchange also includes a brief earlier reference to committee information requests and a misaddressed mention, but the main thread is the appropriations question and confirmation that the legislature can specify spending conditions.
Rod Furniss — Rod Furniss thanked the committee and raised concerns about the shortage of doctors, especially in the rural areas of his district. He noted that the lack of physicians has reduced insurance competition and increased costs, and asked about residency repayment plans as a tool to attract doctors to underserved areas. He also inquired whether additional funding is needed for such incentives or related efforts.
Rod Furniss — Senator Lent is referenced during the discussion and then thanked for his work on the proposal, forming a single brief exchange centered on his role in the matter.
Steve Miller — Representative Steve Miller raised the need to discuss the healthcare workforce more broadly, noting his daughter’s experience in WAMI and emphasizing that physician assistants and nurse practitioners should be included, not just doctors. The response agreed with him and reinforced the need for broader workforce coordination.
Stephanie Mickelsen — Vice Chair Miller is referenced as having acknowledged the challenges at the preceptor level.
Jack Nelsen — Senator Woodward is referenced in follow-up discussion about metrics and benchmarks, with one mention addressing him directly and another noting that a similar question had already been asked about benchmarks.
Brooke Green — Representative Brooke Green raises concerns about access to care, noting that physicians are leaving insurance-based practice for private pay and that she has seen local frustrations with access. Later speakers reference her comments while continuing the discussion of those access-to-care issues.
Brooke Green — The speaker briefly addresses Representative Brooke Green, then corrects themselves to Senator Cook and apologizes for the mistake.
Chris Bruce — Representative Chris Bruce asks about private industry pipelines and how the state can recoup its investment. In the follow-up exchange, he is answered regarding loan repayment and the incentives involved for private industry participation.
Chris Bruce — Representative Bruce asked whether any agencies besides Transportation had not yet transitioned to Luma, and the witness responded that Transportation is the only agency that has not transitioned.
Chris Bruce — Witness addressed Representative Miller while explaining the federal share calculation error.
Chris Bruce — Asked whether there is a limit on the number of divisions within the 20 departments.
Steve Berch — Representative Miller asked whether nurse practitioners were included in the physician count and requested that data. He then raised a broader concern about Idaho’s persistent doctor shortage despite relatively strong health rankings, questioning the usefulness of the numbers being discussed. The exchange continued with a response addressing his point about whether Idahoans’ general health is actually suffering.
April Renfro — April Renfro, the Legislative Audit Division Manager for Legislative Services, was introduced and then began her presentation on the audit division’s work. She explained the timing and workload involved in the statewide single audit and ACFR process, including the number of findings and the staffing constraints facing her office.
Jim Guthrie — Asked why the Department of Transportation had no findings despite being a top audited program.
Britt Raybould — Representative Price asked a follow-up about the Department of Transportation findings, specifically how many were directly attributable to Luma implementation or communication issues. The discussion centered on clarifying whether Luma was the direct cause of the findings.
Ms. Renfro — Explained that some reporting issues may be related to Luma, but agencies are also responsible for their own underlying data.
Ms. Renfro — Addressed by Representative Harris in his question.
Coach Trude Groh — Coach Groh follows up on the audit findings and urges attention to items 217 and 219.
Melissa Wintrow — The text appears to say 'Senator Hart,' but no Senator Hart is in the member list; this may be a transcription error or another senator speaking.
Melissa Wintrow — Senator Wintrow was part of a discussion focused on how the state could improve compliance and fraud prevention despite limited administrative resources. The exchange continued with concerns about whether the department has enough staffing to identify problems quickly and respond effectively.
Melissa Wintrow — Senator Warding asks whether the budget history graphs are adjusted for population growth and inflation and learns they are not. He then raises concern that the unadjusted upward trend could be misleading without context, and asks whether adjusted information can be added to the dashboards; the response is that this is being considered.
Melissa Wintrow — Senator Wintrow asked whether a general-fund appropriation, once established, can later be redirected or changed, and followed up with concerns about executive flexibility and the relationship between germane committees and JFAC. The responses explained that whether a change is allowed depends on the nature of the change and addressed the legal effect of committee origin versus enacted law.
Richard Cheatum — Representative Bruce asked for clarification about the understated $16 million and whether it was reported quarterly, and the later mention refers back to that same question about the $16 million understatement.
Doug Okuniewicz — Addressed by the witness in response to the question about Luma double payments.
Mr. Infro — The speaker is thanked for the presentation and is invited to return, especially for the DEI audit.
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.
Casey Hartwig — Introduced himself as a research analyst with the Impact Review Team of the Legislative Services Office and began presenting the base budget dashboard tool.