This bill addresses oversight of the Office of Inspector General of Medicaid Services.
This bill:
- establishes the Office of Inspector General of Medicaid Services (office) as an office within the Department of Government Operations (department);
- removes the office as an independent entity subject to Title 63H, Independent State Entities;
- amends the office's audit and other responsibilities;
- requires the office to submit a budget for the office to the department;
- requires the executive director of the department (executive director) to:
establish performance metrics for the office;establish a process for employees and members of the public to report concerns to the executive director;report the concerns to an advisory board; andreport to the advisory board on the office's performance based on performance metrics;
- requires the inspector general of Medicaid services (inspector general) to:submit an annual report to the Social Services Appropriations Subcommittee; collaborate with the Office of the Legislative Auditor General; andpresent certain information at meetings of the Social Services Appropriations Subcommittee and the Health and Human Services Interim Committee;
- requires the executive director to create an advisory board to:promote coordination of Medicaid program integrity activities; make recommendations regarding audit prioritization to the office and the department;review employee concerns reported to the executive director; make recommendations regarding improving the office's performance to the inspector general, the executive director, and the Legislature;review the office's annual risk assessment and the office's annual audit plan;review limitations that impede the office's ability to appropriately conduct audits; andreview agencies' implementation of the office's audit recommendations;
- provides a sunset date for the advisory board and related provisions;
- defines terms; and
- makes technical and conforming changes.
Recommended by: Rules Review and General Oversight CommitteeStatutes affected:
Introduced: 63A-13-102, 63A-13-201, 63A-13-202, 63A-13-204, 63A-13-205, 63A-13-301, 63A-13-303, 63A-13-502, 63H-9-101
Substitute #1: 63A-1-109, 63A-1-111, 63A-13-102, 63A-13-201, 63A-13-202, 63A-13-204, 63A-13-205, 63A-13-301, 63A-13-303, 63A-13-502, 63H-9-101
Substitute #2: 63A-1-109, 63A-1-111, 63A-13-102, 63A-13-201, 63A-13-202, 63A-13-204, 63A-13-205, 63A-13-301, 63A-13-303, 63A-13-502, 63A-13-602, 63H-9-101, 63I-1-263
Enrolled: 63A-1-109, 63A-1-111, 63A-13-102, 63A-13-201, 63A-13-202, 63A-13-204, 63A-13-205, 63A-13-301, 63A-13-303, 63A-13-502, 63A-13-602, 63H-9-101, 63I-1-263
Amended 3/6/2026 11:03:209: 63A-1-109, 63A-1-111, 63A-13-102, 63A-13-201, 63A-13-202, 63A-13-204, 63A-13-205, 63A-13-301, 63A-13-303, 63A-13-502, 63A-13-602, 63H-9-101, 63I-1-263
Substitute #3: 63A-1-109, 63A-1-111, 63A-13-102, 63A-13-201, 63A-13-202, 63A-13-204, 63A-13-205, 63A-13-301, 63A-13-303, 63A-13-502, 63A-13-602, 63H-9-101, 63I-1-263