Transcript Highlights:

• I rise in support of HR 1327, the Syria Terrorism Threat Assessment Act.
• I rise in support of H.R. 1736, the Generative AI Terrorism Risk Assessment Act.
• This legislation would enhance CBP's support K-9 program by creating a pilot program to adopt dogs from
• This legislation would enhance CBP's support K-9 program by creating a pilot program to adopt dogs from
• animal shelters to enhance the Support K-9 program.

Keywords: U.S. House of Representatives Floor Proceedings on Wednesday, November 19, 2025, 1012, house, all

Transcript Highlights:

• providers utilize when supporting providers utilize when supporting individuals<00:04:23.440>
• <00:04:31.800> with individualized home supports with individualized home supports with training
• just how healthare taxes are assessed just how healthare taxes are assessed here<00:31:13.200>
• to healthcare and Community Support to healthcare and Community Support Services<00:47:30.720>
• and so I'm going to support um not and so I'm going to support um not making<00:50:38.839> such

Keywords: 1183, house

Summary: The House Committee on Human Services Finance and Policy met to approve prior minutes and then take public testimony on the governor’s budget recommendations for human services. The chair explained the hearing format and noted that DHS declined to testify. Much of the testimony focused on proposed reductions or caps affecting disability waiver services, nursing homes, and elderly waiver programs, as well as related fee and tax changes in the budget. Representatives of ARM argued that the governor’s proposal would cap inflationary adjustments at 2%, limit rate exceptions, cap billable days, and restrict individualized home supports, which they said would worsen workforce shortages, reduce wages for direct support professionals, and destabilize disability services. They said the package would cut about $600 million over four years and could lead to group home closures, higher turnover, and families losing access to local homes and services. Committee members asked about real-world impacts and future rate adjustments, and ARM responded that providers have already planned around expected 2026 rates, so a cap would create immediate budget and staffing problems. Long-Term Care Imperative testified against nursing home-related cuts, saying the budget would cap future rate increases, limit health insurance costs in rate setting, phase out closure-related agreements and incentives, and fail to fully fund the Nursing Home Workforce Standards Board. They estimated the nursing home provisions could amount to a $218 million cut over four years, or roughly $350 million when combined with other underfunding, and said every nursing home and bed in Minnesota would be affected. They also criticized the lack of an inflation factor in Elderly Waiver, a proposed 54% increase in assisted living fees, and possible changes to provider-assessed fine and penalty funds. Members asked about staffing and bed availability, and the testifiers said reduced funding would likely force more beds out of service. A later testifier, Dan Andre of the Minnesota Council of Health Plans, raised concerns about the DHS budget’s proposed increase in the HMO surcharge and about carving pharmacy and non-emergency medical transportation benefits out of managed care. He argued the tax increase would raise premiums for fully insured and Medicare supplement enrollees and that managed care coordination helps members access care and medications. The hearing also included one unrelated, disruptive testimony about the Minnesota Sex Offender Program and other agencies, which the chair redirected back to the human services budget. No votes or formal actions were taken beyond approving the minutes and receiving testimony.

Transcript Highlights:

• , and program guidance.
• The program supports major events by ensuring cities are prepared for potential threats.
• , AND PROGRAM GUIDANCE.
• THE PROGRAM SUPPORTS MAJOR EVENTS BY ENSURING CITIES ARE PREPARED FOR POTENTIAL THREATS.
• of support for cities.

Keywords: U.S. House of Representatives Floor Proceedings on Monday, March 10, 2025, 1012, house, all

Transcript Highlights:

• This funding could be used to support career and technical education programs, secondary fine and performing
• arts programs, and the broader academic, social, and emotional supports for all secondary students that
• new MESA assessment.
• The first component actually addressed the assessment of different types of programs that are requested
• the attainment of goals, program effectiveness, and measurable outcomes, were also included. assess the

Transcript Highlights:

• The program provides ages 8 through 13. The program provides ages 8 through 13.
• program up years ago.
• So, got a lot of really program. So, got a lot of really program.
• . wastewater program. wastewater program.
• For us to help support. For us to help support.

Bills: SB 66, SB 317, SB 393, SB 397, SB 456, SB 614, SB 628, SB 629, SB 636, SB 715, SB 731, SB 801, SB 872, SB 905, SB 986, SB 1012, SB 1013, SB 1015, SB 1032, SB 1113, SB 1181, SB 1212, SB 1241, SB 1250, SB 1278, SB 1285, SB 1376, SB 1444, SB 1449, SB 1524, SB 1525, SB 1528, SB 1556, SB 1588, SB 1660, SB 1704, SB 1708, SB 1802, SB 1833, SB 1844, SB 1854, SB 1863, SB 1957, SB 1959, SB 1965, SB 1999, SB 2035, SB 2056, SB 2082, SB 2119, SB 2138, SB 2165, SB 2199, SB 2201, SB 2203, SB 2245, SB 2284, SB 2419, SB 2422, SB 2452, SB 2487, SB 2523, SB 2529, SB 2533, SB 2541, SB 2586, SB 2595, SB 2605, SB 2615, SB 2675, SB 2690, SB 2717, SB 2753, SB 2778, SB 2835, SB 2841, SB 2891, SB 2929, SB 2933, SB 3016, SB 3039, SB 3044, HB 912, HB 2525, SJR 3, SB 5, SB 29, SB 326, SB 494, SB 530, SB 769, SB 783, SB 963, SB 1238, SB 1271, SB 1786, SB 1967, SB 2312, SB 72, SB 616, SB 1143, SB 1172, SB 1267, SB 1273, SB 1506, SB 1759, SB 2361, SB 1, SB 260, SB 1637, SJR 36, SJR 50, SJR 63, SJR 59, SCR 12, SCR 39, SCR 48, SCR 19, SB 2023, SB 1524, SB 2422, SB 2119, SB 2753, SB 1863, SB 62, SB 666, SB 847, SB 284, SB 854, SB 1073, SB 810, SB 1505, SB 583, SB 507, SB 1434, SB 1376, SB 1772, SB 2016, SB 1163, SB 1122, SB 731, SB 397, SB 508, SB 1436, SB 287, SB 261, SB 1882, SB 393, SB 1791, SB 209, SB 2429, SB 1999, SB 511, SB 2309, SB 510, SB 1085, SB 1975, SB 2717, SB 1262, SB 636, SB 2056, SB 884, SB 517, SB 1200, SB 1845, SB 2681, SB 2199, SB 2458, SB 801, SB 2533, SB 3014, SB 3013, SB 758, SB 1013, SB 2797, SB 2076, SB 2876, SB 2284, SB 2929, SB 2595, SB 715, SB 1640, SB 1241, SB 2538, SB 1449, SB 2529, SB 986, SB 1181, SB 1359, SB 2245, SB 410, SB 1234, SB 456, SB 1012, SB 2926, SB 2138, SB 2615, SB 2972, SB 2841, SB 3016, SB 1856, SB 2035, SB 1528, SB 1373, SB 672, SB 2891, SB 1854, SB 317, SB 2539, SB 2532, SB 1250, SB 2082, SB 2203, SB 1285, SB 1959, SB 1454, SB 2520, SB 2541, SB 1708, SB 1237, SB 1844, SB 1586, SB 3039, SB 2819, SB 66, SB 629, SB 1015, SB 2342, SB 2903, SB 2933, SB 1965, SB 2477, SB 3029, SB 2605, SB 2419, SB 1957, SB 375, SB 250, SB 777, SB 628, SB 2523, SB 2367, SB 2703, SB 2608, SB 2778, SB 3044, SB 2965, SB 2521, SB 865, SB 1032, SB 2165, SB 2501, SB 2675, SB 2452, SB 2835, SB 872, SB 1212, SB 1278, SB 1588, SB 1602, SB 1704, SB 1723, SB 1833, SB 1858, SB 1946, SB 2009, SB 2177, SB 2460, SB 2785, SB 2373, SB 1660, SB 614, SB 867, SB 1608, SB 1525, SB 905, SB 640, SB 2487, SB 1698, SB 383, SB 705, SB 748, SB 1113, SB 1117, SB 1802, SB 2340, SB 2586, SB 2680, SB 2690, SB 2994, SB 2747, SB 1950, SB 913, SB 1071, SB 1086, SB 1087, SB 1483, SB 1444, SB 1553, SB 1556, SB 1703, SB 2133, SB 2297, SB 2298, SB 2622, SB 2955, SB 3059, SB 2782, SB 2781, SB 2637, SB 2633, SB 2337, SB 2334, SB 1861, SB 2043, SB 1367, SB 946, SB 945, SB 2857, SB 128, SB 571, SB 1263, SB 3058, SB 612, SB 2221, SB 2587, SB 2044, SB 2363, SB 2713, HB 1109, HB 1392, HB 22, HB 2525, HB 3093, HB 517, HB 912, HB 1130, HB 142, HB 1689, HB 2018, SB 2311, SB 1986, SB 2565, SB 2943, SB 1888, SB 2417, SB 3048, SB 3052, SB 3053, SB 3036, SB 3057, SB 3056, SB 3043, SB 3037, SB 3050, SB 3063, SB 3047, SB 3035, HJR 98, HJR 99, HB 136, HB 2884, HB 1393, HB 2730, HB 1399, HB 1244, HB 467, HB 331, HB 2559, SB 66, SB 456, SB 628, SB 1012, SB 1015, SB 1032, SB 1241, SB 1376, SB 1708, SB 1959, SB 1965, SB 2035, SB 2199, SB 2245, SB 2284, SB 2419, SB 2523, SB 2529, SB 2541, SB 2595, SB 2605, SB 2778, SB 2933, SB 3039, SB 3044, SB 1524, SB 1863, SB 2119, SB 2422, SB 2753, SB 1844, SB 2533, SR 417, SR 500, SR 501, SR 502, HCR 128, HB 23, HB 45, HB 104, HB 519, HB 748, HB 791, HB 1056, HB 1481, HB 3181, HB 3211, HB 4044, HB 4290, HB 23, HB 45, HB 104, HB 519, HB 748, HB 791, HB 1056, HB 1481, HB 3181, HB 3211, HB 4044, HB 4290

Keywords: disability, supported decision-making, legal assistance, confidentiality, access to justice, autonomy, civil rights, advocacy, monuments, memorials, public property, historical significance, civil penalties, local governance, SB 393, Sparks, Middleton, local government, political subdivision, public securities

Transcript Highlights:

• The program evaluation, yes, we are working on program evaluation in close collaboration with LFC and
• students who need extra support.
• Do you need some extra support?
• in summer programs, Mr.
• in that program.

Transcript Highlights:

• This is for their PET building cyclotron equipment program.
• Is this for day programs, for waiver, or just for studying those programs?
• This is to continue management of the independent assessment and support program.
• for IT assessment and support.
• Sergeant Corey Ray, with the Air Support Unit.

Keywords: 1204, all

Transcript Highlights:

• Plan, and that is a research-supported and evidence-based program that will be available across our
• treatment programs.
• We opened a program in St.
• We opened a program in St.
• programs: the Franklin Covey 7 Habits on the Inside program.

Summary: The Justice Budget Committee heard detailed presentations from the Department of Juvenile Justice and the Department of Corrections on staffing, services, and budget needs. DJJ Secretary Hall emphasized that the agency’s main public safety strategy is education, along with prevention and recidivism reduction. He described major staffing improvements after pay increases for probation, detention, residential care, and prevention workers, and outlined DJJ’s mental health, aftercare, and education continuum, including the Florida Scholars Academy and Florida Youth College. He said the new statewide education model is showing early gains in progress monitoring, high school graduation, and postsecondary enrollment, while also noting ongoing operational issues such as IT connectivity, rural staffing gaps, and the need for geographic pay adjustments for teachers. He also discussed detention center replacement plans in Hillsborough, Broward, and Palm Beach, and said DJJ would transition the Broward JAC to a security contractor after the sheriff’s office pulls sworn officers from the site. Members asked about campus performance differences, teacher pay, detention education quality, and concerns about the rollout and leadership of the Scholars Academy. Hall said some campuses face rural access and infrastructure problems, but the blended learning model provides continuity when internet or staffing issues arise. He defended the superintendent’s qualifications and said early problems with inappropriate online content were addressed. Representative Porras raised concerns about educational quality and the superintendent’s past disciplinary history, while Representative Barrera urged more mentorship and fatherhood-focused programming in juvenile facilities. DOC Secretary Dixon said the prison system is under pressure from rising inmate populations, staffing shortages, and overtime costs. He argued that the system needs funded posts for every functioning housing unit, noting that the department has added housing units without enough staff and now relies heavily on overtime, mobile officer deployments, and shift conversions to keep facilities operating safely. He highlighted that many officers are new, that outside-hospital transports have risen sharply, and that mental health units require additional staffing. DOC’s mental health chief described a large and growing treatment system with outpatient, inpatient, intensive outpatient, and court-ordered services, saying about a quarter of the prison population has a diagnosed mental illness. Community corrections staff described treatment programs, employment specialists, mobile probation and reentry units, and a new mental health first aid training initiative. Reentry staff reported expanded substance abuse, education, CTE, chaplaincy, and digital learning programs, including Edovo and a forthcoming Work Bay platform. No votes were taken.

Transcript Highlights:

• the program and support the consumers and providers.
• the program and supports the consumers and providers.
• To support the Long-Term Care Ombudsman Program.
• , including the Immediate Support Program.
• I’m here to provide support for the HomeSafe program.

Summary: The joint Assembly Budget Subcommittee hearing focused first on long-term services and supports for older adults, especially the “forgotten/overlooked middle” who earn too much for Medi-Cal but cannot afford private long-term care. Administration witnesses from DHCS, the Department of Aging, and Social Services described Medicare’s limited long-term care coverage, Medi-Cal’s role, the elimination of the Medi-Cal asset test, and ongoing state studies and listening sessions on financing options. Testimony from advocates and researchers emphasized rising homelessness among older adults, the need for better navigation and coordination across health, aging, housing, and social service systems, and short-term policy steps such as share-of-cost reform, housing stability supports, and protecting home- and community-based services. Members highlighted the need for a coordinated, no-wrong-door approach and asked for the most impactful budget investments to address affordability and homelessness risk. The second major topic was the Community-Based Adult Services (CBAS) program. CDA reported that CBAS helps participants remain in the community, that 304 centers operate statewide serving about 42,000 people, and that demand is stable but access gaps remain in some regions. DHCS explained that a 2024 rate increase authorized by SB 159 became inoperative after Proposition 35, and that a separate 10% rate change on the fee schedule was the result of a DHCS system error; the department said it would not require recoupment, though managed care plans may act under their contracts. CBAS providers and advocates warned that reimbursement rates have not kept pace with costs, that several centers have closed, and that clawbacks could trigger more closures. They requested $74.8 million ongoing General Fund to close part of the rate gap and preserve the program, while members expressed concern about closures and the cost savings of keeping people out of more expensive institutional care. The hearing then moved to In-Home Supportive Services (IHSS) and statewide collective bargaining. CDSS reviewed provider recruitment and retention efforts, including electronic timesheets, direct deposit, and the now-completed IHSS Career Pathways program, which trained more than 59,000 providers. CDSS also summarized its AB 102 workgroup report on statewide versus regional bargaining, saying the final report would be sent to the Legislature soon and that statewide bargaining appeared more viable than regional bargaining, though it would require clear statutory scope and major fiscal changes. The department estimated that each $1 per hour statewide wage increase would cost at least $1.3 billion to $1.5 billion annually. Labor advocates argued that IHSS wages, benefits, and training are too inconsistent across counties and called for statewide bargaining, consumer participation, and ongoing state funding. County representatives supported stronger wages but cautioned that counties need protection from new costs and administrative burdens, and consumer advocates warned that moving bargaining to the state could weaken local consumer control and the program’s consumer-driven structure.

Transcript Highlights:

• So I can't support your amendment, but thank you.
• Would you support that? I met with the lady this morning. Of 15%. Would you support that?
• It's an assessment every other year.
• It's an assessment every other year.
• We're currently assessed at residential.

Keywords: 959, house, all

Transcript Highlights:

• for residential programs. for residential programs.
• You know, for decades, New Hampshire hospitals have worked hard to support the state’s Medicaid program
• When that is matched, it is more than doubled to support the Medicaid program.
• When that is matched, it is more than doubled to support the Medicaid program.
• that supports our hospitals. So, Mr. that supports our hospitals. So, Mr.

Keywords: 928, house, all

Summary: The Ways and Means Committee held a public hearing on Senate Bill 291, which would update religious land-use and property tax exemption rules for church-owned parsonages, parish houses, and similar properties. Senator Tim Lang, speaking for the sponsor, said the bill was intended to address situations where former parsonages are no longer occupied by clergy and are instead used for church-related purposes such as housing staff, religious education, or congregate living tied to ministry, including addiction recovery. He emphasized that the bill was not meant to create commercial rental housing and that it also preserves reasonable zoning and environmental regulations. Committee members pressed the sponsor on how the bill would be applied, especially the meaning of “religious purposes,” the six-unit limit, the “same lot” language, and whether churches could use the exemption to rent units for revenue. The sponsor said the six-unit cap was added to prevent large-scale commercial rental use, that congregate housing would be limited and defined, and that the bill was meant to cover uses like substance abuse recovery, homes for unwed mothers, and religious education, but not apartments converted for ordinary rental. He also said churches would still file annual exemption paperwork and towns could challenge claims they believed were commercial. Questions also raised concerns about whether the bill treated religious and nonreligious housing trusts differently; the sponsor responded that the bill was aimed at church-owned property used in pursuit of a religious mission. Several witnesses testified in support. Representative Mark Pearson, an active clergyman, said the bill would not remove additional property from the tax rolls because clergy housing allowances typically lead clergy to buy taxable homes elsewhere, while the church-owned parsonage remains exempt. Nick Taylor of Housing Action New Hampshire supported the bill as a modest expansion that could help create more attainable housing by allowing better use of existing religious land and structures, though he noted his organization would support even broader use. The hearing ended without a vote or final action, and the chair closed questions after the testimony.

Transcript Highlights:

• This includes supporting the elementary teacher apprenticeship program created by Black Men Teach in
• This includes supporting the elementary teacher apprenticeship program created by Black Men Teach in
• This includes supporting the elementary teacher apprenticeship program created by Black Men Teach in
• This includes supporting the elementary teacher apprenticeship program created by Black Men Teach in
• This includes supporting the elementary teacher apprenticeship program created by Black Men Teach in

Keywords: 1187, senate, all

Transcript Highlights:

• The second one is adult day program.
• And then the third one is supported employment.
• You hope to get into an ABA program.
• They are qualified within their scope to do those assessments, those autism assessments. Thank you.
• They are qualified within their scope to do those assessments, those autism assessments. Thank you.

Summary: The Arkansas Legislative Autism Task Force approved the April 1, 2026 meeting minutes and then reviewed several vacant membership slots on the task force, including appointments from the Arkansas Psychology Board, Arkansas Blue Cross Blue Shield, UAMS, and parent or guardian positions. Members discussed trying to fill those vacancies before the next meeting, and noted that if they remain open they may be addressed in the task force’s legislative report and through possible statutory changes in the next General Assembly. Representatives from the Developmental Disabilities Provider Association (DDPA) and Civitan Services presented on DDPA’s role serving children and adults with intellectual and developmental disabilities across Arkansas. They said DDPA now represents 80 providers serving more than 13,000 individuals in 75 counties, with services including early intervention, adult day programs, supported employment, intermediate care facilities, work activities, and community/residential waiver services. They also shared survey data on older clients and said these services remain available to seniors with IDD, including people with autism. The task force then heard a proposal to amend Act 656 of 2021 to include licensed psychological practitioners as qualified providers for autism waiver-related evaluations. The presenter argued this would reduce wait times, avoid duplicate assessments, and help families access services sooner, while still maintaining quality standards. Members asked about training, licensure, and whether other professionals such as speech-language pathologists or audiologists should be included; Dr. Scott noted that current practice already relies on a two-provider model and that speech-language pathologists play a role because autism diagnosis considers communication, cognitive ability, and language. The discussion also touched on the need for proper testing standards and board oversight. No vote was taken on the amendment, and the meeting ended with plans to return to fraud-related discussion and to begin prioritizing recommendations for the 2027 session before adjourning.

Transcript Highlights:

• The assessment mechanism proposed in the bill is far from my preferred approach to program financing.
• The assessment mechanism proposed in the bill is far from my preferred approach to program financing.
• The assessment mechanism proposed in the bill is far from my preferred approach to program financing.
• So the policy question before this committee is not whether a tax should support this program.
• The question before this committee is not whether a tax should support this program.

Keywords: 1191, senate, all

Transcript Highlights:

• programs to achieve these objectives. programs to achieve these objectives.
• <00:37:16.800> referring employment assessments referring employment assessments referring
• , the class D, CC or DE program, or they're pending admission into one of our assessment centers.
• them to a jail program.
• center or classify them to a assessment center or classify them to a jail<00:44:42.960> program.

Bills: HB60

Keywords: geoengineering, weather modification, environmental safety, atmospheric pollutants, criminal pollution, Meeting Start: 00:00:02 Roll Call: 00:00:08 26 RS HB 60 - AN ACT relating to geoengineering: 00:01:35 Department of Corrections Update: 00:32:59 Kentucky Parole Board Update: 01:19:21, 958, all

Transcript Highlights:

• to be here today to support AB 710.
• Reform the industrial energy efficiency program to move more quickly and effectively to support grid
• I also support your bill.
• I support carbon capture.
• For these reasons, we support AB 2065. Thank you. We support AB 2065. Thank you.

Keywords: 987, senate, all

Transcript Highlights:

• We also support the appropriation provisions for state funds for the SAVIN program as detailed in the
• Okay, thank you, Georgette Yandel, in support. Corey Ime, in support. Tony Flori, in support.
• Q: How much do you guys expect the state to pay to support this loan program?
• this loan pay to support the this loan program<00:44:48.760> you<00:44:48.880> know<00:
• You know how you guys expect the state to pay to support this program and how much.

Keywords: 912, senate, all

Summary: The committee opened by outlining testimony procedures and then heard SB 376 on tax credits, which would create a home fire safety improvement tax credit. Testimony from the Tax Foundation of Hawaiʻi urged that the concept would be better handled as a subsidy program and raised drafting concerns about unclear definitions and eligibility. Later, the committees agreed to pass SB 376 with amendments, including making the credit nonrefundable, clarifying third-party certification, deleting recapture-related language, and making technical changes. Members then heard SB 417, which would make unlicensed contractor work during or within five years after an emergency or disaster a class B felony. The Contractors License Board was listed for comments, and the Subcontractors Association supported the measure. The committees ultimately recommended passage with technical, non-substantive amendments and an adjusted effective date, and the measure was adopted. A substantial portion of the meeting focused on SB 782, which would require free and accessible voice communication services for incarcerated people and prohibit state agencies from profiting from those services, while also directing the PUC to set standards and providing funding for the SAVIN victim notification program. Supporters, including the Public Defender, ACLU of Hawaiʻi, Worth Rises, and others, argued the bill would reduce costs for families, improve reentry, and align adult corrections with the juvenile system. Opponents, including the Department of Corrections and Rehabilitation, the Hawaiʻi Paroling Authority, and SAVIN-related witnesses, warned that changing the funding structure could weaken victim notification and safety services. The committees deferred SB 782. The committee also heard SB 999 on fireworks, which would repeal permissible consumer fireworks uses, impose civil penalties and forfeiture remedies, and create a forfeiture special fund for safety education. The Department of Law Enforcement and Honolulu Police Department supported the bill, while fireworks industry representatives and others opposed it, arguing prohibition would be ineffective and urging stronger enforcement and education instead. The committees deferred SB 999 for further consideration, and SB 1136 on insurance was also deferred after insurers and the Department of Commerce and Consumer Affairs opposed it. In the later joint session with the Committee on Economic Development and Tourism, SB 744 on condominium loans was heard with support from the Hawaii Green Infrastructure Authority and banking groups, while one testifier raised concerns that the program could function like C-PACE financing and add risky debt to condominium associations; testimony and discussion continued on that measure.

Transcript Highlights:

• to support an MHRC program within that.
• Identified population health programs support mental health and substance use prevention programs for
• programs as needed, but in general, these programs were assessed within the intentions and context of
• We support the increase in funding to expand the state premium subsidy program, which will support people
• So $2 billion to support the Medi-Cal program.

Summary: The Assembly Budget Subcommittee on Health held a May Revision hearing covering several health-related budget proposals and broader concerns about the state’s budget structure. The Chair opened by praising some May Revision changes, such as added health IT funding, county administration support tied to Medi-Cal changes, a delay in Medi-Cal cuts for some lawfully present immigrants, and additional support for Covered California subsidies, while criticizing proposed increases in Medi-Cal premiums, changes to senior eligibility, the lack of a Medi-Cal dental solution, and other reductions affecting counties, mobile crisis units, workforce incentives, and physician shortages. The Legislative Analyst’s Office said the state’s budget condition remains weak despite progress on the structural deficit, and the Department of Finance said the May Revision uses a mix of reductions, reforms, revenue proposals, and fund shifts to cut out-year deficits. The committee first heard Department of State Hospitals proposals, including adjustments to county bed billing authority, contract exemption language for online clinical/pharmacy subscriptions, reversion of unspent funds, a revised Metro Central Utility Plant replacement project, electronic health record implementation, and workforce development funded partly through Behavioral Health Services Act resources. DSH also described savings and realignments in incompetent-to-stand-trial and conditional release programs, including extending the independent placement panel program and shifting funds to support additional bed capacity and a mental health rehab center. Members asked about the use of BHSA funds for workforce programs, and the department said the proposal would replace General Fund support with BHSA reimbursements. The Emergency Medical Services Authority proposed funding for statewide behavioral health crisis response guidance and for enterprise system development, and the Department of Managed Health Care proposed modernization of its complaint system and claims-settlement data system to improve oversight and comply with AB 3275. The largest discussion centered on the administration’s BHSA spending plan under Proposition 1, including state-directed prevention, workforce, and other uses, plus General Fund offsets for existing programs. The LAO questioned whether some proposed offsets fit Proposition 1’s non-supplant and eligible-use requirements, while the administration argued the uses were consistent with the measure and that the state-directed share can be adjusted annually. The Commission for Behavioral Health’s proposals drew the most public and member concern. The administration proposed cutting the commission’s Innovation Partnership Fund from $20 million to $10 million and reducing the Community Advocacy Program by $6.7 million, while redirecting BHSA dollars to other state purposes and direct services. Commissioners, advocates, and several members argued the cuts would weaken community voice, reduce support for underserved populations, and disrupt grants already in process; they also objected to using BHSA funds to backfill General Fund commitments. Public commenters, including youth, disability, behavioral health, LGBTQ, tribal, veteran, immigrant, and community-based organization representatives, overwhelmingly opposed the cuts and urged preservation of prevention, advocacy, mobile crisis, and innovation funding. No votes or final actions were taken during the hearing.

Transcript Highlights:

• support.
• Biocschosocial<00:14:59.120> assessments Biocschosocial assessments Biocschosocial assessments
• accountability via peer support coaches. accountability via peer support coaches.
• engage in ongoing services and supports. engage in ongoing services and supports.
• , biopsychosocial assessments.

Keywords: 958, all

Summary: The Medicaid Oversight Advisory Board met with a quorum, approved the November 12 minutes by voice vote, and then heard a presentation from former Governor Ernie Fletcher and Dave Johnson on Medicaid reimbursement for substance use disorder (SUD) treatment. Fletcher argued that addiction should be treated as a chronic disease requiring a longer continuum of care, not just short residential stays, and said recovery should combine clinical treatment with social supports such as housing, transportation, employment, peer coaching, and recovery housing. He cited data on overdose trends, low treatment rates, and high costs for people with SUD, and said current reimbursement models create poor incentives and do not adequately support long-term recovery or measure outcomes well. Fletcher proposed a “carve through” model administered at the MCO level with standardized metrics, data sharing, and an independent recovery coordinator that would assess patients, coordinate care, and connect them to clinical and social recovery services. He suggested using bundled payments, shared savings, and partial risk arrangements, with recovery housing reimbursed on a PMPM or weekly basis and funded in part through existing Medicaid spending and other sources such as opioid abatement funds. He also emphasized peer support, telemedicine, criminal justice coordination, workforce and education supports, and the use of technology, including text messaging and possibly AI, to maintain long-term follow-up and identify relapse risk. Members questioned how the model would work in practice, especially the education and staffing requirements for recovery coordinators, reimbursement levels, and how many patients each coordinator or peer would serve. Fletcher said peers could be certified and would need additional training in assessments such as ASAM and recovery residence standards, but he did not give a precise salary figure, saying the market and bundled rates would determine that. He also said follow-up should continue for years, noting relapse risk over the first 18 to 24 months and that meaningful employment and ongoing peer contact help sustain recovery. No formal vote or action was taken on the substance use presentation.

Transcript Highlights:

• providers who have minimum program assessment composite scores, and allows those that have completed
• providers who have minimum program assessment composite scores, and allows those that have completed
• The program worked well, and Florida bankers were happy to work with Florida attorneys to support those
• These programs are not primarily supported by donors to FFLA.
• We have been the biggest supporter of this program for the last 44 years.

Summary: The Committee on Fiscal Policy met and considered a wide range of bills, including early learning and special needs funding (SB 1102), Israel bond investment authority (SB 1674), Parkinson’s disease research at USF (SB 1800), mental health and substance use disorder reforms (SB 1620), veterans nursing home beds (SB 788), securities regulation updates (SB 988), labor pool regulation (SB 1672), Alzheimer’s awareness (SB 398), educator preparation (SB 1590), student mental health reporting (SB 1310), specialty license plates (SB 824), financial institutions and IOTA-related issues (SB 1612), transportation facility designations (SB 1408), utility worker protections (SB 1386), DNA testing grants (SB 1072), the Council on the Social Status of Black Men and Boys (SB 364), housing support for former foster youth and homeless students (SB 584), sex offender registration changes (SB 1654), migrant vessel disposal (SB 830), commuter rail indemnification (SB 916), juvenile justice revisions (SB 1344), aggravating factors in capital cases (SB 984), and a criminal offender substance abuse pilot program (SB 1140). Most bills were explained by sponsors, often with supportive testimony from affected agencies, advocacy groups, or industry representatives, and several were amended before final action. The committee adopted amendments on many measures, including clarifications and effective-date changes for SB 1102; technical changes to SB 1620 implementing mental health commission recommendations; a delete-all amendment for SB 1620; an amendment to SB 988; a consumer-disclosure amendment on SB 1612; and multiple amendments to SB 1408, SB 364, SB 584, SB 1654, and SB 1344. SB 1672 on the Labor Pool Act drew extensive public testimony in opposition from worker advocates, who argued repeal would weaken protections for temp workers and formerly incarcerated workers, and the bill was temporarily postponed to a later meeting without a vote. Several bills received notable testimony in support, including SB 584, where former foster youth described housing instability and the importance of campus housing and federal voucher coordination; SB 1386, which was backed by utility and industry groups seeking stronger penalties for assaults on utility workers; and SB 984, which drew opposition from the Florida Conference of Catholic Bishops over expansion of death penalty aggravators. The committee also heard support and opposition on SB 1612 regarding IOTA interest rates and legal aid funding, with bankers and civil legal aid representatives disputing the proper rate structure and whether the bill conflicted with Florida Bar rules. At the end of the meeting, the committee reported all voted-on bills favorably, including SB 1102, SB 1674, SB 1800, SB 1620, SB 788, SB 988, SB 398, SB 1590, SB 1310, SB 824, SB 1612, SB 1408, SB 1386, SB 1072, SB 364, SB 584, SB 1654, SB 830, SB 916, SB 1344, SB 984, and SB 1140. Members also requested to be recorded on various bills, and the committee adjourned after noting one remaining meeting would be lengthy.