Playing at the speed of blur, the 10th-ranked North Carolina basketball team ran away to an 87-69 victory over Hawaii in Friday’s nationally televised game in SimpliFi Arena at Stan Sheriff Center.

A crowd of 8,377 saw the Tar Heels’ starting guards combine for 48 points and lead the charge into the lane.

The Tar Heels (3-1) colored the paint Carolina Blue, outscoring the ’Bows 26-6 at the rim in the second half. The Tar Heels also constructed a 19-1 advantage in fast-break points.

“One of the things we talked about was attacking the basket,” UNC coach Hubert Davis said. “Penetration. We felt like our guards could get to the rim any time they wanted to. We put a lot of pressure on the rim.”

The ’Bows (4-1) went with three-guard lineups and even used a sliding 2-3 zone to slow lane entries.

“Kind of the theme was easy to say, hard to do,” UH coach Eran Ganot said of creating the “wall” to defend the paint from UNC’s driving guards.

All-America guard R.J. Davis led the Tar Heels with 18 points. Elliot Cadeau, who was limited to six first-half minutes because of early foul trouble, finished with 17 points on 7-for-8 shooting. Sean Trimble contributed 13 points.

“We have good guards, good guards that compete on both sides of the floor,” Hubert Davis said.

Ganot noted the Tar Heels were able to parlay turnovers and UH misses into extremely fast turnarounds the other way.

“You saw the power of what they do when they get a miss or a turnover,” Ganot said. “They dominated us at the rim versus what we were doing at the rim.”

The ’Bows controlled the boards, building a 40-27 advantage, including 15-5 off the offensive glass.

Half of center Tanner Christensen’s 10 rebounds were grabbed off missed UH shots. Gytis Nemeiksa came off the bench to grab 10 rebounds and score a team-high 16 points. Nemeiksa and reserve wing Akira Jacobs each buried three 3s.

“You beat a team 13 on the boards — (against) a really good rebounding program — you put yourself in position,” Ganot said.

The Tar Heels used a 10-0 run to take a 13-2 lead with 13:41 left in the first half.

Spurred by a crowd of white shirts — some emblazoned with “Save Craig” in honor of recently fired athletic director Craig Angelos — the ’Bows cut a once 11-point deficit to 35-32 when Ryan Rapp pump-faked then scored on a floater with 1:16 left in the first half.

But R.J. Davis shuffled at the top of the key, then buried a 3 to extend the Tar Heels’ lead to 38-32.

UH guard Tom Beattie answered with a layup with 38.5 seconds to play. But then Ian Jackson got the ball on the right wing and swished a 3 for a 41-34 lead to complete the first-half scoring.

Christensen’s pivot-pivot-pivot dunk opened the scoring for UH in the second half. But the Tar Heels reeled off 11 unanswered points to make it 52-36 with 17:15 to play. The ’Bows would not get under double digits the rest of the way.

“Start of the game, start of the second half, really brutal,” Ganot said. “Maybe that’s what our team needs to go through. I do believe that. And as we have some of these new faces, we had a lot of lapses in possessions, disorganization. They took advantage of us.”

The Tar Heels’ drives also created free-throw opportunities. The Tar Heels hit 12 of 14 from the line in the first half, 26 of 34 overall. The ’Bows were 17-for-24 on free throws.

“Give them credit,” Ganot said. “Some bright spots we can build off of. But obviously, when we were good, we’re good, and when we were bad, we’re really bad. Good teams take advantage of that.”

Ganot also indicated the ’Bows would not settle for fighting the good fight.

“We’re not going to be OK with this,” Ganot said. “We’re not going to be OK with some of the bright spots. It’s not what we do.”

Officials with the Idaho State Controller’s Office told a legislative committee Friday that it may take two or three years for the new Luma business and IT system to be fully optimized.

On Friday, officials with the Idaho Office of Performance Evaluation presented their new evaluation report on the Luma business, finance, HR and IT system to the Idaho Legislature’s Joint Legislative Oversight Committee. 

“The key takeaway is clear; transitioning to Luma was the right decision,” Idaho State Controller Brandon Woolf told the committee. “In visiting with other states, projects of this magnitude require two to three years to fully optimize, and we are firmly on the right path to success.”

Luma, which is based on software purchased from Infor, is designed to improve security and efficiency for state agencies by replacing legacy systems from the 1990s that had outlived their useful life and were vulnerable to security threats. But the $117 million Luma system, launched in July 2023, experienced a rocky rollout that included duplicated payments, payroll challenges, late payments, reporting and reconciliation challenges and the inability to independently verify cash balances, according to the evaluation and a series of previous audits of Luma.

In the latest Luma challenge, state budget officials said Tuesday that the state was not able to identify $14.5 million in state revenues by the deadline to use that money to reduce Idaho property taxes this year. 

After Friday’s presentation, Woolf issued a response and fielded questions from legislators. Luma is housed in the Idaho State Controller’s Office, which was also involved in purchasing Luma. 

Woolf told legislators his office takes accountability for the challenges with Luma, and believes sticking with Luma and optimizing it to see its full potential is the best option for the state moving forward.

Woolf said the Idaho State Controller’s Office is developing a “people-first” strategy working to repair relationships with state employees and rebuild trust. As part of that effort, the office is developing a sustainable training strategy and focusing on communication.

“As we move forward, we are guided by a clear vision – to restore trust, improve transparency and ensure that Luma delivers the value it was designed to provide,” Woolf said. “This is a collective effort, one that depends on ongoing collaboration and respect with all involved.”

Idaho Office of Performance Evaluation Director Ryan Langrill told legislators the best path forward for the state is improving Luma.

“We believe that moving forward with Luma, rather than migrating back to the legacy system or doing a whole new procurement for a new system, is the most realistic option,” Langrill said.

In the Idaho Office of Performance Evaluation report on Luma, evaluators suggest legislators consider changes to Idaho’s purchasing process and consider changes to the governance and accountability of Luma. In the report, Langrill’s team suggested the purchasing process the state used to get Luma may have limited choices available to the state.

Moving forward, Woolf said his top priority is improving the reporting processes in Luma. But Woolf stressed he believes in Luma and that it will bring security benefits to the state and standardize data entry across different agencies and divisions. 

“The narrative that Luma does not work is counterproductive and not accurate,” Woolf said. “Luma is functional but it’s not perfect – it processes transactions, handles payments and ensures everyone gets paid.”

Conservative groups are working to undermine support for Montana’s Medicaid expansion in hopes the state will abandon the program. The rollback would be the first in the decade since the Affordable Care Act began allowing states to cover more people with low incomes.

Montana’s expansion, which insures roughly 78,800 people, is set to expire next year unless the legislature and governor opt to renew it. Opponents see a rare opportunity to eliminate Medicaid expansion in one of the 40 states that have approved it.

The Foundation for Government Accountability and Paragon Health Institute, think tanks funded by conservative groups, told Montana lawmakers in September that the program’s enrollment and costs are bloated and that the overloaded system harms access to care for the most vulnerable.

Manatt, a consulting firm that has studied Montana’s Medicaid program for years, then presented legislators with the opposite take, stating that more people have access to critical treatment because of Medicaid expansion. Those who support the program say the conservative groups’ arguments are flawed.

State Rep. Bob Keenan, a Republican who chairs the Health and Human Services Interim Budget Committee, which heard the dueling arguments, said the decision to kill or continue Medicaid expansion “comes down to who believes what.”

The expansion program extends Medicaid coverage to adults with incomes up to 138% of the federal poverty level, or nearly $21,000 a year for a single person. Before, the program was largely reserved for children, people with disabilities, and pregnant women. The federal government covers 90% of the expansion cost while states pick up the rest.

National Medicaid researchers have said Montana is the only state considering shelving its expansion in 2025. Others could follow.

New Hampshire legislators in 2023 extended the state’s expansion for seven years and this year blocked legislation to make it permanent. Utah has provisions to scale back or end its Medicaid expansion program if federal contributions drop.

FGA and Paragon have long argued against Medicaid expansion. Tax records show their funders include some large organizations pushing conservative agendas. That includes the 85 Fund, which is backed by Leonard Leo, a conservative activist best known for his efforts to fill the courts with conservative judges.

The president of Paragon Health Institute is Brian Blase, who served as a special assistant to former President Donald Trump and is a visiting fellow at FGA, which quotes him as praising the organization for its “conservative policy wins” across states. He was also announced in 2019 as a visiting fellow at the Heritage Foundation, which was behind the Project 2025 presidential blueprint, which proposes restricting Medicaid eligibility and benefits.

Paragon spokesperson Anthony Wojtkowiak said its work isn’t directed by any political party or donor. He said Paragon is a nonpartisan nonprofit and responds to policymakers interested in learning more about its analyses.

“In the instance of Montana, Paragon does not have a role in the debate around Medicaid expansion, other than the testimony,” he said.

FGA declined an interview request. As early as last year, the organization began calling on Montana lawmakers to reject reauthorizing the program. It also released a video this year of Montana Republican Rep. Jane Gillette saying the state should allow its expansion to expire.

Gillette requested the FGA and Paragon presentations to state lawmakers, according to Keenan. He said Democratic lawmakers responded by requesting the Manatt presentation.

Manatt’s research was contracted by the Montana Healthcare Foundation, whose mission is to improve the health of Montanans. Its latest report also received support from the state’s hospital association.

The Montana Healthcare Foundation is a funder of KFF Health News, an independent national newsroom that is part of the health information nonprofit KFF.

Bryce Ward, a Montana health economist who studies Medicaid expansion, said some of the antiexpansion arguments don’t add up.

For example, Hayden Dublois, FGA’s data and analytics director, told Montana lawmakers that in 2022 72% of able-bodied adults on Montana’s Medicaid program weren’t working. If that data refers to adults without disabilities, that would come to 97,000 jobless Medicaid enrollees, Ward said. He said that’s just shy of the state’s total population who reported no income at the time, most of whom didn’t qualify for Medicaid.

“It’s simply not plausible,” Ward said.

A Manatt report, citing federal survey data, showed 66% of Montana adults on Medicaid have jobs and an additional 11% attend school.

FGA didn’t respond to a request for its data, which Dublois said in the committee hearing came through a state records request.

Jon Ebelt, a spokesperson for the Montana Department of Public Health and Human Services, also declined to comment. As of late October, a KFF Health News records request for the data the state provided FGA was pending.

In his presentation before Montana lawmakers, Blase said the most vulnerable people on Medicaid are worse off due to expansion as resources pool toward new enrollees.

“Some people got more medical care; some people got less medical care,” Blase said.

Reports released by the state show its standard monthly reimbursement per Medicaid enrollee remained relatively flat for seniors and adults who are blind or have disabilities.

Drew Gonshorowski, a researcher with Paragon, cited data from a federal Medicaid commission that shows that, overall, states spend more on adults who qualified through the expansion programs than they do on others on Medicaid. That data also shows states spend more on seniors and people with disabilities than on the broader adult population insured by Medicaid, which is also true in Montana.

Nationally, states with expansions spend more money on people enrolled in Medicaid across eligibility groups compared with nonexpansion states, according to a KFF report.

Zoe Barnard, a senior adviser for Manatt who worked for Montana’s health department for nearly 10 years, said not only has the state’s uninsured rate dropped by 30% since it expanded Medicaid, but also some specialty services have grown as more people access care.

FGA has long lobbied nonexpansion states, including Texas, Kansas, and Mississippi, to leave Medicaid expansion alone. In February, an FGA representative testified in support of an Idaho bill that included an expansion repeal trigger if the state couldn’t meet a set of rules, including instituting work requirements and capping enrollment. The bill failed.

Paragon produced an analysis titled “Resisting the Wave of Medicaid Expansion,” and Blase testified to Texas lawmakers this year on the value of continuing to keep expansion out of the Lone Star State.

On the federal level, Paragon recently proposed a Medicaid overhaul plan to phase out the federal 90% matching rate for expansion enrollees, among other changes to cut spending. The left-leaning Center on Budget and Policy Priorities has countered that such ideas would leave more people without care.

In Montana, Republicans are defending a supermajority they didn’t have when a bipartisan group passed the expansion in 2015 and renewed it in 2019. Also unlike before, there’s now a Republican in the governor’s office. Gov. Greg Gianforte is up for reelection and has said the safety net is important but shouldn’t get too big.

Keenan, the Republican lawmaker, predicted the expansion debate won’t be clear-cut when legislators convene in January.

“Medicaid expansion is not a yes or no. It’s going to be a negotiated decision,” he said.

KFF Health News is a national newsroom that produces in-depth journalism about health issues and is one of the core operating programs at KFF—an independent source of health policy research, polling, and journalism.