Transcript Highlights:

• Guidance from the US Access Board explains that parking facilities are to be treated separately when
• and van-accessible parking accessible and van-accessible parking spaces<01:34:47.800> in<01:34
• accessible parking. accessible parking.
• to add additional educational facilities to add additional accessible<01:37:51.080> spaces<01
• out of every three accessible parking spaces shall be van accessible.

Keywords: 910, house, all

Summary: The committee heard testimony on several bills, with most measures drawing either support or comments rather than opposition. HB 2395, relating to taking marine deposits for research, education, management, or propagation, received support from the University of Hawaii and DLNR. HB 2585, relating to agricultural tourism, drew broad support for its intent to keep agritourism secondary to farming, but agencies and farm groups raised concerns about enforcement, county authority, and the rebuttable presumption language. Testifiers included OPSD, the Agribusiness Development Corporation, Hawaii Farm Bureau, a small farm operator, and others, with some urging clearer definitions, simpler registration, and protections for bona fide farms and hosted farm stays. HB 1728, on rainwater catchment systems, was supported in principle by DLNR, which cited drought conditions and said it deferred to counties and the Department of Health on safety and regulation. HB 1881, which would prohibit passenger ropeways on mountain lands, drew strong support from community testifiers who said it would help prevent development disguised as agritourism and protect forests and country lands. HB 1990, establishing penalties and possible foreclosure for unresolved zoning violations, received comments from the Attorney General recommending removal of AG references and more county-centered enforcement, while the Hawaii Association of Realtors warned the 30-day timeline could create problems for absent or unaware homeowners. The committee also heard HB 1712, which would expand and make permanent certain seats on the State Building Code Council. The Plumbers and Fitters union supported the bill, but BIA Hawaii requested amendments to add “licensed contractor” language, and architects and other professionals opposed the measure, arguing that increasing the council from 12 to 15 voting members would make it less efficient and harder to reach quorum. Finally, HB 2151, relating to hempcrete, was supported by a Kauai workforce development advocate and the Hawaii Farm Bureau, who said hempcrete could support agriculture, manufacturing, and affordable housing while reducing carbon and reliance on imported materials. No votes or final committee actions were taken in the portion of the meeting provided.

Transcript Highlights:

• That facility will house...
• So access to the fly and funding, obviously, with the building of this new... facility, there'll somewhat
• be some access to the fly.
• facility?
• The COPEG facility there in Panama to look at that facility, yes, sir.

Keywords: 997, house, all

Transcript Highlights:

• <00:04:43.479> to University from increasing access to University from increasing access to
• <00:34:35.919> and grants and the actual facilities and grants and the actual facilities and
• academic um uh major um major facility academic um uh major um major facility um<00:56:34.079>
• <01:23:57.600> by objective one was to expand access by objective one was to expand access
• address the the human aspect of access address the the human aspect of access and<01:39:24.040><

Keywords: 1187, senate, all

Transcript Highlights:

• A PORTION OF 7016 ABOUT NON EMERGENT CARE ACCESS PLANS.
• WE DO HAVE 24 AND 12 ARE CRITICAL ACCESS HOSPITALS.
• AND THE NONEMERGENT CARE ACCESS PLAN.
• BUT THEY WERE CLOSE TO 100 MORE FACILITIES ACROSS THE STATE.
• TO SUPPORTING AND MAINTAINING ACCESS TO THESE AREAS.

Keywords: 999, senate, all

Transcript Highlights:

• If you think about a facility in the middle of the Everglades, their access to teachers may be very different
• And we can't have 25 different variations of what the resources and access look like inside our facilities
• If you think about a facility in the middle of the Everglades, they're access to teachers maybe very
• And we can't have 25 different variations of what the resources and access looks like inside our facilities
• Five different variations of what the resources and access look like inside our facilities.

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:

• Or get a commitment to have access to these services?
• are having access to.
• They might just walk away from the facilities, because once again, it's not a locked facility.
• And they need us to make things more accessible for them.
• government services to Access to buildings and other accessible features is crucial.

Transcript Highlights:

• This facility is Cedar Crest.
• <00:05:22.479> This<00:05:22.720> facility very specialized facility.
• This facility very specialized facility.
• So, mental health facilities, alcohol and drug treatment facilities, correct?
• can access just for basic statistics. can access just for basic statistics.

Keywords: 1189, house, all

Transcript Highlights:

• Madam Chair, Senate File 1503 would eliminate facility fees and facility fees allow systems to add on
• care, are merely evaluated but not treated, or access telehealth and never even enter a facility.
• even enter a facility the and never even enter a facility the facility<00:08:15.720> fees<00:
• accessible by patients.
• accessible by patients.

Keywords: 1187, senate, all

Transcript Highlights:

• We traditionally, when we speak about facilities, we're talking about an entire school facility that
• point of the actual facilities access, this bill is contemplating how to provide more access to more
• So school access is a big part of school safety.
• What are we doing with those facilities?
• Certainly we could have a better usage of those facilities.

Summary: The Appropriations Committee on Pre-K-12 Education met with a quorum and took up several education bills. SB 1150, by Senator Calatayud, was presented as a measure to help school districts retain school social workers by removing an exam requirement unrelated to the profession. With no questions or debate, the committee voted the bill favorably. The committee then moved to SB 1514, by Senator Smith, on anaphylaxis response in public schools. After adopting a delete-all amendment and a late-filed amendment clarifying FDA-approved epinephrine devices and weight-based dosing, the committee heard support from Orange County Public Schools and reported the bill favorably. The most extensive discussion centered on SB 1708, also by Senator Calatayud, which would expand Schools of Hope by broadening the definition of low-performing schools from those in the bottom 10% in both math and reading to those in the bottom 10% in either subject, and would authorize co-location of Schools of Hope in underused public school facilities. Senators questioned how co-location would work, who could enroll, how liability and contracts would be handled, and whether the bill would help the specific students most in need. Many public speakers opposed the bill, arguing it would strain already underfunded public schools, reduce space and resources, and unfairly favor charter operators. The sponsor said the bill would not reduce classroom space in use, would require contracts to address safety and liability, and would provide a net positive to districts through a $600-per-student facility payment plus associated funding. After debate from both supporters and skeptics, the committee reported the bill favorably. The committee also considered CS for SB 822, by Senator Rodriguez, which would give charter schools more autonomy over governance and operations, including deadlines, enrollment caps, student conduct policies, and data sharing. The Florida Charter School Alliance supported the bill, arguing it would create parity and reduce burdens on charter schools, while committee members pressed the witness on claims of district “harassment” and the basis for those concerns. The bill was reported favorably after a roll call vote. At the end of the meeting, members recorded votes on prior tabs, thanked staff, and adjourned.

Transcript Highlights:

• We have fire alarm upgrades underway at our DSH Metro facility.
• or... 546 either brand-new behavioral health facilities or current facilities that are like expanding
• a wing or some type of access.
• We do have six facilities in the state.
• We do have six facilities in the state right now, and that is six among more than a thousand SUD facilities

Summary: The subcommittee heard presentations from the Department of State Hospitals (DSH), the Commission for Behavioral Health, and the Department of Health Care Services (DHCS) on budget proposals and implementation updates. DSH outlined its proposed 2026-27 budget, including funding for patient operating expenses, IST solutions savings, conditional release program costs, LPS bed allocation changes, electrical infrastructure projects at Napa and Patton, SB 380 transitional housing feasibility work, and expanded dental services at Metropolitan and Patton. DSH also reported that it has met court-ordered IST treatment benchmarks in the Stiavedi v. Clinton case, with average time to initiate treatment down to about five days and pending placements reduced to roughly 250, while noting that Proposition 36 could increase referrals and SB 1323 may divert some individuals earlier into community-based treatment. Members asked about rising outside hospitalization costs, Medicare enrollment, the timing and structure of capital projects, and whether IST solution funds are being fully used; DSH said the savings reflect slower-than-expected ramp-up of community programs and that the Central California FACT replacement program is still on track for January 2027 activation. The Commission for Behavioral Health described its role under the Behavioral Health Services Act (BHSA), including data, evaluation, grantmaking, technical assistance, and transparency work. It highlighted the new statewide Innovation Partnership Fund, a five-year, $20 million-per-year program with small and large grant categories; the first RFA drew strong interest, with more than 400 questions and over 1,000 bidders’ conference participants. The Commission also discussed a proposed extension to spend down about $4.1 million remaining for the Alcove Youth Drop-in Center grants so sites can finish implementation and Stanford can complete the final evaluation. Members asked about grant duration, whether projects can be renewed, what qualifies as innovation, and whether the fund could support service delivery rather than awareness campaigns or training; the Commission said awards are expected to be three-year contracts and that proposals must be new or meaningfully expanded approaches that support BHSA priority populations. DHCS reviewed major behavioral health changes under CalAIM and BH Connect, including peer support, mobile crisis, contingency management, traditional health care practices for tribal members, updated specialty mental health access criteria, and new substance use treatment standards based on ASAM’s fourth edition. DHCS reported strong contingency management results, with more than 13,000 members served and 95% testing negative for stimulant use during treatment, and said 21 Indian health care providers have been approved to offer traditional health care practices. It also described BH Connect initiatives such as the $1.9 billion access reform and outcomes incentive program, workforce investments, evidence-based practice expansion, IMD participation by four counties, and transitional rent services. On BHSA implementation, DHCS said it is not tracking individual county contract cuts but is monitoring county plans and statewide outcomes, while stakeholders raised concerns about local prevention and service gaps. DHCS also outlined its H.R. 1 implementation strategy, including outreach, streamlined renewals, exemptions for disabled, substance use, and medically frail individuals, and proposed clinic navigator and outreach funding; it said it has not yet produced a focused estimate of H.R. 1 impacts on behavioral health populations. The discussion ended with DHCS noting that B-CHIP bond funding has supported 437 infrastructure projects, creating 546 new or expanded facilities and more than 9,500 residential beds across the state.

Transcript Highlights:

• We have fire alarm upgrades underway at our DSH Metro facility.
• or... 546 either brand-new behavioral health facilities or current facilities that are expanding a wing
• or some type of access.
• We do have six facilities in the state.
• We do have six facilities in the state right now, and that is six among more than a thousand SUD facilities

Keywords: 987, senate, all

Summary: The subcommittee heard updates from the Department of State Hospitals on its proposed 2026-27 budget, including a $3.2 billion total budget, patient-driven operating cost increases, savings in the IST solutions program, and progress in meeting the Stiavedi court-ordered 28-day treatment standard. DSH reported it has met court benchmarks, reduced the IST pending placement list from a pandemic high of 1,953 to about 250, and is now averaging about five days to initiate treatment. Members asked about the effects of Proposition 36 and SB 1323 on referrals, outside hospitalization costs, Medicare coverage, and whether IST solution funds were being overbudgeted; DSH said referrals are slightly down overall, outside medical costs are rising due to inflation and an aging population, and the IST savings reflect slower-than-expected activation of community programs rather than a service gap. The department also outlined proposed funding for electrical infrastructure upgrades at Napa and Patton, a feasibility study under SB 380 for transitional housing for the CONREP SVP program, and a dental services expansion at Metropolitan and Patton. The committee held those DSH items open after discussion. The Commission for Behavioral Health presented its role in overseeing the transition from MHSA to BHSA, including data, evaluation, transparency, grantmaking, and technical assistance. It described the new Innovation Partnership Fund, a statewide innovation grant program funded at up to $20 million annually for five years, with small and large grants, and said it had received strong interest ahead of the May 8 application deadline. Members asked about what qualifies as innovation, whether grants could be renewed, and how the state would ensure the program supports service delivery rather than general outreach or training. The commission also sought a liquidation deadline extension for up to $4.062 million in remaining Alcove Youth Drop-in Center funds so sites can finish implementation and Stanford can complete the final evaluation; that item was also held open. DHCS provided an overview of behavioral health policy changes under CalAIM and BH Connect, including peer support, mobile crisis, contingency management, traditional health care practices for tribal members, the access reform and outcomes incentive program, workforce investments, evidence-based practice expansion, IMD participation, transitional rent, and upcoming youth-focused guidance such as high-fidelity wraparound and activity funds. On BHSA implementation, DHCS said it is not tracking specific local program cuts, but is monitoring county plans and outcomes while noting that counties must still preserve Medi-Cal specialty mental health and DMC-ODS services. The department also discussed its H.R. 1 implementation strategy, including outreach, streamlined renewals, ex parte exemptions, and proposed clinic navigator and outreach funding to reduce Medi-Cal coverage loss, especially for people with behavioral health needs. In response to questions, DHCS said it has not produced a specific H.R. 1 impact estimate for county behavioral health populations, and later explained that counties can still use BHSA and other funding streams for prevention and early intervention while the state tracks impacts through integrated plans and new performance measures. The department also reported on BH-CHIP bond spending, saying it has awarded $5.8 billion for 437 infrastructure projects creating 546 new or expanded facilities and more than 9,553 residential beds, with tribal set-asides exceeding the original allotment.

Transcript Highlights:

• On line 558, facility payment rates.
• Line 701 is a nursing facility facility facility searchcharge.<00:14:28.959> Line<00:14:29.399
• And section 15 in aging facilities.
• We need to Treatment Facility.
• nursing facilities, including jeopard jeopardizing<01:00:06.319> access<01:00:06.559> to

Bills: HF2434

Keywords: healthcare, personal care assistance, worker retention, disability services, state funding, 1183, house

Transcript Highlights:

• , non-practitioners facilities, medical facilities.
• less accessible.
• In that facility, in that case, if somebody comes into an ambulatory facility and the facility said,
• facility.
• A facility is a licensed facility that is owned by...

Summary: The Senate opened with prayer, the Pledge of Allegiance, and several recognitions, including interns, Denim Day awareness, and a resolution honoring Vietnam veterans exposed to Agent Orange. Senators also paid tribute to former Senator Karen Johnson Gendron with a moment of silence. The chamber then moved to special-order bills after routine announcements that no committee reports, governor’s messages, or House messages were on the desk. The first major bill, SB 138/HB 687 on transportation offenses involving death, increased penalties for repeat DUI/BUI manslaughter and vehicular homicide offenses and added warnings and misdemeanor penalties for refusing lawful breath or urine tests. After a brief amendment and questions about attorney rights and prior impairing-substance language, the bill passed 37-0. SB 306 on Medicaid providers followed, requiring broader provider access, including after-hours availability and more primary care access for Medicaid enrollees; it also passed 37-0. The chamber then took up the major condominium reform bill, SB 1742/HB 913, addressing post-Surfside safety, reserve funding, milestone inspections, budgeting, reserve flexibility, manager regulation, conflicts of interest, and condo sale rescission periods. Senators from both parties praised the sponsors for extensive stakeholder work and the bill passed 37-0 after multiple amendments. The final major item was SB 7016/HB 1205 on constitutional amendments and petition-gathering rules, with sponsors arguing the bill was needed to combat fraud in the 2024 petition process and opponents warning it would burden citizen initiatives. The Senate adopted the House bill and then considered numerous amendments on petition circulator rules, submission deadlines, invalid-signature thresholds, voter notification, and related enforcement provisions; several amendments were adopted, and the substitute was later withdrawn, leaving the chamber to continue on the underlying bill and remaining amendments.

Transcript Highlights:

• Inter-facility transfer quality measures.
• And I think, you know, that's fair because that's supported by data, open access, open appropriate access
• But the other thing, too, is just with how busy the medical facilities are and not having access to those
• to an existing medical facility?
• They are working every day at the facility.

Summary: The committee first approved the minutes and then heard a detailed annual presentation from Dr. Thomas Arnold, chair of the Maternal Mortality Review Committee, on maternal mortality trends and review findings. He explained the committee’s structure, the de-identified review process, and the distinction between pregnancy-associated and pregnancy-related deaths. He said national maternal mortality has declined from its 2021 peak, but mental health conditions, substance use, overdose, suicide, cardiovascular disease, hemorrhage, infection, and embolism remain major causes. He emphasized that many deaths are preventable, with especially high rates among non-Hispanic Black women and in the American Indian/Alaska Native population, and noted that a large share of deaths occur after 42 days postpartum. Committee members asked about suicide, domestic abuse, pregnancy testing in unexplained deaths, and the role of home births and midwife training. Dr. Arnold said the committee is adding a caseworker, exploring post-mortem pregnancy testing in suspicious cases, and working with coroners and forensic officials; he also said home births and untrained midwifery pose safety concerns and that better public education and facility-based care are important. The committee then heard from State Fire Marshal Dr. Matt Clark on cigarette ignition propensity standards and fire prevention. He recommended updating North Dakota’s cigarette ignition legislation to the current national standard and also considering legislation requiring fast-breakaway oxygen tubing, citing fatal fires involving smoking around home oxygen. He explained that his office verifies manufacturer testing and maintains certification for cigarettes sold in the state, but does not itself conduct the testing. Members asked about implementation, cost, and whether the standards apply in tribal communities; Clark said he would follow up with cost information and additional details, and that he had not seen evidence of a major issue on tribal lands but would look further. Christine Greff of the Department of Health and Human Services presented the North Dakota Stroke System of Care report. She described the statewide network of two comprehensive stroke centers, four primary stroke centers, and 30 acute stroke-ready hospitals, along with the stroke registry and quality-improvement efforts. She reported that most strokes are ischemic, that the median stroke patient age is 71.5, and that common risk factors include hypertension, dyslipidemia, obesity, and diabetes. She highlighted improvements in door-to-CT, thrombolytic treatment times, dysphagia screening, EMS pre-notification, and interfacility transfer performance, and said new priorities include hemorrhagic stroke quality measures and standardized EMS stroke screening tools. Members asked about the VA hospital’s participation, and Greff said she would pursue outreach. After a break, the committee heard testimony from Taha Khan of Vertex Pharmaceuticals as part of the prior authorization study, focused on non-opioid pain treatment. He argued that prior authorization can delay access to acute pain treatment and may push patients toward opioids, especially in the critical 24- to 72-hour post-discharge window. He cited data showing that even short opioid exposure can increase the risk of long-term use and said prior authorization is often a barrier for physicians and patients. Khan recommended open access with a quantity limit rather than prior authorization, suggesting a 14-day limit supported by the product’s data and an episode-of-care approach. Members asked about dental use, payer discussions, and cost; he said the product’s wholesale acquisition cost is about $16.10 per tablet, with patient assistance available, and that he would follow up on payer and comparison-cost questions.

Transcript Highlights:

• We traditionally, when we speak about facilities, we're talking about an entire school facility that
• point of the actual facilities access, this bill is contemplating how to provide more access to more
• So school access is a big part of school safety.
• What are we doing with those facilities?
• Certainly we could have a better usage of those facilities.

Summary: The Appropriations Committee on Pre-K-12 Education met with a quorum present and took up several education bills. SB 1150, which would remove an unrelated exam barrier for school social workers to help districts retain them, was briefly explained and reported favorably. The committee then heard SB 1514 on anaphylaxis in public schools, which would require emergency action plans and training for school personnel; amendments narrowed and clarified the bill, including applicability to K-8 schools and FDA-approved epinephrine devices. Orange County Public Schools waived in support, and CS/CS/SB 1514 was reported favorably. The committee spent the most time on SB 1708, which expands Schools of Hope and creates a co-location framework allowing high-performing charter operators to share space in underused public school facilities, with the sponsor explaining that agreements would address safety, supervision, grade levels, emergency protocols, and liability. Members raised concerns about who would be served, lottery access, accountability, and whether the bill would worsen inequities or strain public schools; many public speakers opposed the bill on similar grounds, arguing it would divert resources from already underfunded schools. The sponsor clarified that Schools of Hope recruitment is exempt from lottery, that the bill would not use classrooms already in use, and that districts would receive $600 per student plus associated funding for vacant space. Despite mixed debate, CS for SB 1708 was reported favorably. Finally, the committee considered CS/SB 822, which updates charter school governance by limiting sponsor-imposed deadlines, preventing enrollment caps below facility capacity, improving data sharing, and allowing high-performing charter schools to assume existing charters. A charter school advocate supported the bill as a fairness and efficiency measure, while senators pressed him on claims of district “harassment” and the basis for the bill’s deadline changes. After brief debate, CS/SB 822 was reported favorably. The meeting ended with members recording votes on prior tabs and adjournment.

Transcript Highlights:

• assessment on all of our facilities.
• The projects are prioritized within each facility, and then those facilities are all blended together
• This is for three facilities again: the Hampton Harbor parking lot, the Ry Harbor facility parking lot
• Do you have utility access?
• wear of those facilities.

Keywords: 928, house, all

Transcript Highlights:

• <00:08:42.320> they the modern high-tech facilities they the modern high-tech facilities they
• accessibility on campus. accessibility on campus.
• Minnesotans will be able to access Minnesotans will be able to access uh<00:23:49.520> these<
• Based on the fact that cat facility.
• <00:48:15.880> and 2/3 lacked vehicles vehicle access and 2/3 lacked vehicles vehicle access

Keywords: 1187, senate, all

Transcript Highlights:

• Affordable Medigap access also gives dialysis patients access to a life-saving kidney transplant.
• Affordable Medigap access also gives dialysis patients access to a life-saving kidney transplant.
• Currently, Mesa, Phoenix, and Tucson Police conduct over 3,000 of these facility-to-facility transports
• This specifically is just facility to facility.
• Damian Carpenter, Chief Legislative Liaison for Access, testified that Access is neutral on the bill

Keywords: 1182, all

Summary: The committee heard House Bill 2433, which would require insurers offering Medicare supplement policies to people 65 and older to also offer them to Medicare beneficiaries under 65 with ALS or end-stage renal disease, with enrollment periods and premium protections tied to 65-year-old rates. Supporters, including dialysis and ALS advocates, said the bill would help a small population facing high out-of-pocket costs and could improve access to transplants and care; opponents argued it would shift costs onto older seniors and raise Medigap premiums. The committee recommended the bill do pass on a 12-0 vote. The committee also heard House Bill 2593, appropriating $1.5 million to the University of Arizona for the Arizona Perinatal Psychiatry Access Line. The sponsor and physicians testified that the line helps obstetric and pediatric providers quickly consult on perinatal depression, postpartum psychosis, suicidality, and other mental health crises, improving outcomes for mothers, children, and families and reducing costly emergency and crisis care. The bill received a do pass recommendation on a 10-1 vote. House Concurrent Resolution 2013, proclaiming June 2026 as Celebrate Life Month, drew emotional testimony from a young woman with spina bifida and another speaker supporting the sanctity of life. Some members objected that the state should focus on practical supports such as paid leave, child care, and health care access, while others supported the resolution as a statement of human dignity. The resolution passed the committee 7-5. The committee then approved House Bill 4010, creating a Board of Genetic Counselors and licensure standards, after testimony from genetic counselors and a patient advocate about the need for qualified counseling and better access; it passed 11-1. Later, the committee approved House Bill 2196, which would require pharmacy benefit managers to reimburse non-affiliated pharmacies at least their acquisition cost and pay a dispensing fee, and establish an appeals process. Independent pharmacists and their coalition said PBM practices are driving closures and unfairly favor affiliated pharmacies, while PBM and employer representatives warned of major cost increases and said the bill would interfere with private contracts; the bill passed 11-1. The committee also adopted a strike-everything amendment to House Bill 2182 requiring insurers and health plans to report claims denial and prior authorization data to DIFI, and then gave the amended bill a 12-0 do pass recommendation. Finally, the committee approved House Bill 2189, directing the Board of Nursing to update rules for licensed health aides and collect annual data, with the sponsor and board staff saying it would help implement routine ventilator care in the home; it passed 12-0. The committee then began hearing House Bill 2404, a strike-everything amendment on inter-facility transports for behavioral health patients, but the transcript cuts off before action on that bill.

Transcript Highlights:

• It's about access.
• , and similar facilities.
• not accessible, they should be accessible, and I'm happy to address that.
• In that facility, in that case, if somebody comes into an ambulatory facility and the facility said,
• A facility is a licensed facility that is owned by... This is a question I just answered.

Summary: The Senate began with opening prayer, the Pledge of Allegiance, and several recognitions, including interns, Denim Day awareness, and a resolution honoring Vietnam veterans exposed to Agent Orange on the 50th anniversary of the fall of Saigon. The chamber also observed a moment of silence for former Senator Karen Johnson Gendron. After routine business, the Senate took up several special-order bills. The first major bill, transportation offenses involving death, increased penalties for repeat DUI/BUI manslaughter and vehicular homicide offenses. An amendment added penalties for refusal to submit to breath or urine testing and required law enforcement to notify suspects of those penalties. The bill passed 37-0. The Senate then passed SB 306 on Medicaid providers, requiring broader after-hours and holiday access to care and setting network standards for Medicaid managed care plans, also by a 37-0 vote. The chamber next considered a major condominium and cooperative associations bill responding to post-Surfside safety and financial concerns. Senators described the measure as balancing building safety with financial relief, extending reserve-study deadlines, allowing temporary reserve relief after inspections, tightening oversight of managers and inspectors, and adjusting voting, resale, and reserve rules. After extensive debate and praise from members for the bill’s sponsors and staff, the bill passed 37-0. The longest discussion centered on a constitutional amendments/petition process bill aimed at curbing fraud in citizen initiative petitions. Sponsors argued that the 2024 petition process was plagued by fraud and identity theft and proposed tighter rules for circulators, faster submission deadlines, voter notification, penalties, and limits on petition handling. Senators offered and adopted multiple amendments, including changes to petition-circulator definitions, invalid-signature thresholds, and voter notification procedures. After a substitute amendment was withdrawn, the Senate continued debating the underlying amended bill, with members split between concerns about election integrity and worries that the bill would burden volunteers and make it harder for citizen initiatives to qualify.

Transcript Highlights:

• Usually of particular access fund.
• for the facility improvements. for the facility improvements.
• to psychiatric residential expand access to psychiatric residential treatment<01:01:26.319> facility
• some of these costs is the facility fee. some of these costs is the facility fee.
• We also support the efforts to expand access to psychiatric residential treatment facilities through

Keywords: 1187, senate, all