Transcript Highlights:

• legislative appropriation rather than at the direction of its Board of Directors, and requires the ACA
• Yeah, members, this revolves around the Arizona Competes Fund, which is currently under the ACA.
• Yeah, members, this revolves around the Arizona Competes Fund, which is currently under the ACA.

Keywords: 1182, all

Summary: The caucus reviewed a long calendar of House bills across education, health, water, land, housing, labor, public safety, and taxation. Several measures dealt with artificial intelligence, including bills on AI disclosures for minors, AI-assisted divorce arbitration, an Arizona AI education program, AI privilege protections, and a required AI course in schools. Other topics included ESA administration funding, a prohibition on public money for certain foreign-controlled genetic sequencing devices, towing regulations, DUI and ignition interlock changes, health facility and nursing facility complaint timelines, internationally trained physicians, nurse anesthetist reimbursement, pharmacy penalties, childhood cancer research, cybersecurity encryption, school mental health instruction repeal, superintendent performance pay, adoption disclosures in student health settings, anti-Semitism in schools, and a range of water, land, and housing bills. Members frequently raised concerns about local control, unfunded mandates, constitutional issues, and the scope of state intervention. Several bills drew criticism for affecting school curriculum, public education, reproductive rights, protest activity, or tribal communities. Others were supported as technical fixes, consumer protections, or funding measures. The caucus also discussed a series of bills related to the Mexican gray wolf, state land management, solar and wind siting, groundwater transport, and rural development, with some members objecting that the proposals would undermine federal protections or tribal interests. A number of bills were pulled from consent for further discussion, including HB 2020, HB 2957, HCR 2044, HB 2352, HB 2667, HB 2906, HB 2093, HB 2386, HB 2481, HB 2830, HB 2076, HB 2411, HB 2136, HB 2665, and HB 2904. The meeting ended with an announcement of the Latino Caucus guest presentation and an emotional tribute to Reverend Jesse Jackson, followed by presentation of an Affordability Award to Representatives Lorena Austin and Stephanie Simacek for work on economic justice and working families. The caucus then adjourned.

Transcript Highlights:

• I grew up at ACA, and I'm a proud alumni.
• Sunshine Health is a Medicaid, ACA, and Medicare health care company here in Florida, and we cover about
• Lastly, ACA has a complaint process that they push down to us, and we also sometimes unfortunately have

Summary: The committee held a panel discussion focused on how Florida health care organizations are working to improve access, quality, and affordability. Panelists from Florida Community Care/Independent Living Systems, Sunshine Health, AdventHealth, UF Health, and Nemours described their approaches, including Medicaid managed care, value-based contracting, community partnerships, mobile screening units, smart-room technology, telehealth, and specialized programs for maternal health, children, and complex chronic conditions. Several speakers emphasized that managed care and coordinated care can improve outcomes while reducing unnecessary utilization and costs. Members asked about the impact of Medicare’s V28 changes, mobile cancer screening, urgent care versus emergency room billing, pediatric specialty access, complaint resolution, Black maternal mortality, provider shortages, network adequacy, and the use of AI in prior authorization. Witnesses said V28 has affected providers and revenue, UF Health’s mobile screening program is expanding beyond a few cancer types, and its urgent care model bills patients at the appropriate level rather than both urgent care and ER rates. Nemours said it reduced specialty wait times through scheduling changes, telemedicine, and registry tools, while AdventHealth described postpartum coordination and maternal heart programs to reduce maternal complications and mortality. On complaints and access problems, panelists said their organizations use patient/member advocates, care managers, call centers, and escalation processes to resolve issues, and Sunshine Health specifically discussed a transportation complaint that was addressed with its vendor and the family. Sunshine Health also said it is not using AI for prior authorization, though it is exploring responsible uses elsewhere, and Florida Community Care said it is not using AI in utilization management. In closing, panelists identified workforce shortages, provider burnout, and high-cost drugs as the biggest ongoing challenges. The meeting ended with thanks to the panel and adjournment after Representative Brackett moved to rise, without objection.

Transcript Highlights:

• Meyer with ACA. Mr. Meyer is the Deputy Secretary for Medicaid. He's going to step up.
• I'm going to assume, and I believe that ACA, somewhere along the line, has done tracking maternal mortality
• In ACA we meet on a regular basis.

Summary: The Senate Health Policy Committee met to discuss maternal and infant health, beginning with a presentation from New Jersey’s Maternal and Infant Health Innovation Authority (MiHA). Pamela Taylor described New Jersey’s statewide effort to reduce maternal mortality and racial disparities through the Nurture New Jersey campaign, a strategic plan with more than 80 recommendations, universal home visiting, Medicaid-covered doula care, hospital report cards, limits on non-medically indicated early elective C-sections, and a new maternal and infant health innovation center. Senators asked about doula certification, funding, home visiting, and how New Jersey coordinates across agencies; Taylor said the authority uses quarterly stakeholder meetings, annual summits, and a tracker for recommendations, and that community input helped shape its programs. Florida Agency for Health Care Administration Deputy Secretary Brian Meyer then outlined Florida Medicaid’s maternal coverage and managed care structure. He reviewed eligibility and services for pregnant women, labor and delivery, postpartum coverage, newborn coverage, and family planning, noting 12 months of postpartum coverage, expanded benefits in managed care plans, and new contracts launching February 1 with more maternal-health-focused benefits, quality measures, and a new quality withhold incentive structure. Senators questioned doula certification and duplication with Healthy Start, provider access and network adequacy, kick payments, quality reporting, and whether Florida should consider broader eligibility standards; Meyer said many details are still plan-driven, that quality metrics are public, and that the agency is working on maternal-health work groups and incentives. Department of Health Division Director Shea Holloway followed with an overview of Florida’s maternal and child health programs and data. She cited Florida CHARTS data showing pregnancy-related deaths, severe maternal morbidity, and infant mortality trends, and described the Title V block grant, the Maternal Mortality Review Committee, the Florida Perinatal Quality Collaborative, the electronic prenatal risk screen, Healthy Babies, BH Impact for perinatal mental health, Healthy Start, WIC, family planning, telehealth maternity care, and the Pregnancy Care Network. Senators asked about delays in mortality review reporting, preterm birth, substance use disorder in pregnancy, WIC participation, cesarean rates, and the impact of the abortion ban; Holloway said the department is continuing to monitor outcomes, expand screening and telehealth, and use data and hospital partnerships to improve care. The committee then adjourned without further business.

Transcript Highlights:

• And the ACA subsidies will leave thousands of New Mexicans without coverage or facing unaffordable premiums
• Supreme Court repeals or invalidates the ACA or eliminates or reduces health coverage through Medicaid

Transcript Highlights:

• Next, the amendment includes contents of HB 1227, which directs ACA to seek a Medicaid waiver so that
• The licensure of those facilities is done by ACA, so the individual would complain to ACA.
• Again, it'll be up to ACA to determine what that penalty is. Senator Polsky.
• It clarifies the roles of **APD** and **ACA**, and emphasizes that ACA manages the program, increases
• Are you doing anything where you're trying to deal with the algorithms through, I think, ACA when it

Bills: HCR35, SJR59, SJR84, SCR30, SB127, SB317, SB324, SB457, SB506, SB511, SB529, SB547, SB584, SB619, SB636, SB646, SB659, SB715, SB732, SB735, SB771, SB784, SB800, SB801, SB904, SB1026, SB1049, SB1065, SB1181, SB1224, SB1250, SB1383, SB1467, SB1524, SB1528, SB1531, SB1568, SB1585, SB1640, SB1681, SB1754, SB1757, SB1777, SB1972, SB1980, SB2007, SB2041, SB2046, SB2050, SB2055, SB2069, SB2080, SB2119, SB2138, SB2139, SB2154, SB2201, SB2225, SB2268, SB2306, SB2308, SB2310, SB2330, SB2366, SB2375, SB2392, SB2401, SB2422, SB2480, SB2514, SB2530, SB2533, SB2543, SB2544, SB2589, SB2610, SB2615, SB2623, SB2660, SB2662, SB2693, SB2695, SB2707, SB2722, SB2742, SB2753, SB2807, SB2843, SB2844, SB2858, SB2880, SB2885, SB2891, SB2925, SB2938, SB2986, SJR3, SJR18, SB5, SB914, SB963, SB1197, SB1415, SB1437, SB1786, SB326, SB767, SB769, SB783, SB1035, SB1271, SB1619, SB1637, SB1806, SB1, SB260, HB135, HB 1109, HCR35, HCR64, SJR36, SJR50, SJR63, SJR84, SJR59, SCR12, SCR39, SCR48, SCR19, SCR30, SCR3, SB2023, SB619, SB2742, SB646, SB1026, SB2880, SB62, SB666, SB847, SB284, SB854, SB1073, SB810, SB1505, SB583, SB1502, SB507, SB1434, SB1376, SB1585, SB1772, SB2016, SB1163, SB1122, SB731, SB397, SB508, SB1436, SB287, SB261, SB1882, SB393, SB1791, SB529, SB209, SB2429, SB1999, SB511, SB2309, SB510, SB584, SB1085, SB2046, SB1975, SB2717, SB1262, SB1524, SB636, SB2056, SB884, SB517, SB1200, SB1845, SB1863, SB2681, SB2200, SB2199, SB1757, SB2050, SB2458, SB2201, SB2660, SB2662, SB1065, SB801, SB2533, SB3014, SB3013, SB758, SB1721, SB2366, SB1013, SB2797, SB2383, SB1754, SB2119, SB2448, SB1777, SB1283, SB2392, SB2076, SB2786, SB2876, SB2284, SB2225, SB1540, SB2929, SB1972, SB2540, SB2595, SB2217, SB715, SB2330, SB1383, SB500, SB1640, SB2001, SB2080, SB506, SB2514, SB2753, SB2398, SB1241, SB2927, SB2173, SB2538, SB898, SB1449, SB2529, SB1531, SB2846, SB2476, SB986, SB1181, SB2075, SB2154, SB2864, SB1359, SB2386, SB771, SB2844, SB2550, SB1351, SB1423, SB1931, SB2245, SB2589, SB2707, SB2807, SB410, SB659, SB2776, SB2693, SB2580, SB1980, SB1886, SB1234, SB739, SB456, SB127, SB1666, SB2843, SB2801, SB800, SB2055, SB784, SB2986, SB735, SB1012, SB324, SB2926, SB2938, SB2007, SB2138, SB1242, SB2615, SB1049, SB2310, SB1224, SB2972, SB1568, SB2841, SB2885, SB3016, SB2858, SB2610, SB2139, SB1856, SB2035, SB2308, SB2306, SB2041, SB1528, SB1681, SB1141, SB2401, SB2530, SB2375, SB547, SB1266, SB1373, SB1467, SB2069, SB2269, SB2480, SB2544, SB672, SB904, SB2695, SB2891, SB2422, SB2543, SB1854, SB317, SB2539, SB2532, SB2925, SB1250, SB2082, SB2203, SB457, SB2357, SB2721, SB243, SB1285, SB2568, SB1959, SB1442, SB1454, SB2520, SB2541, SB1708, SB1237, SB1844, SB1586, HB1392, HB22, SB1551, SB3039, SB2819, SB66, SB629, SB1015, SB2342, SB2903, SB2933, SB1965, SB2477, SB3029, SB2605, SB2419, SB1957, SB375, SB250, SB777, SB628, SB2523, SB2367, SB2703, SB2608, SB2778, SB3044, SB2965, SB2521, SB865, SB127, SB506, SB529, SB584, SB659, SB735, SB771, SB784, SB800, SB1049, SB1383, SB1531, SB1568, SB1681, SB1972, SB1980, SB2007, SB2041, SB2046, SB2050, SB2080, SB2225, SB2306, SB2308, SB2366, SB2392, SB2544, SB2610, SB2660, SB2662, SB2807, SB2843, SB2844, SB2885, SB2938, SB2986, SB324, SB1065, SB1754, SB2330, SB2693, SB2858, SR448, SR463, HCR35, SB324, SB619, SB646, SB1026, SB1065, SB1754, SB2330, SB2693, SB2742, SB2858, SB2880, SB3063, HJR5, HJR98, HB 109, HB 114, HB388, HB421, HB431, HB879, HB 1244, HB1399, HB1445, HB1672, HB1695, HB1734, HB1875, HB1893, HB1950, HB2152, HB2217, HB2558, HB2559, HB2775, HB2789, HB2809, HB2856, HB3012, HB3126, HB3135, HB3163, HB3229, HB3306, HB3513, HB3770, HB4134, HCR56, HCR102, SB3063, HJR5, HJR98, HB 109, HB 114, HB388, HB421, HB431, HB879, HB 1244, HB1399, HB1445, HB1672, HB1695, HB1734, HB1875, HB1893, HB1950, HB2152, HB2217, HB2558, HB2559, HB2775, HB2789, HB2809, HB2856, HB3012, HB3126, HB3135, HB3163, HB3229, HB3306, HB3513, HB3770, HB4134, HCR56, HCR102

Keywords: spaceports, tax-exempt bonds, aerospace investment, Texas space economy, Federal legislation, education funding, Texas State Technical College System, capital projects, infrastructure, higher education, tax exemption, property tax, homestead, fire damage, constitutional amendment, Birding Capital, Matagorda County, wildlife, conservation, Texas Legislature

Transcript Highlights:

• Another option would be, as Miss Miggy mentioned earlier, that there is the ACA expansion group, adults
• 46:50.000> the Miggy mentioned earlier that there the Miggy mentioned earlier that there the ACA
• expansion group, adults without ACA expansion group, adults without children,<00:46:52.640> we
• <00:50:43.119> expansion the enhanced FMAP for the ACA expansion the enhanced FMAP for the
• ACA expansion group<00:50:43.839> could<00:50:44.160> result<00:50:44.319> in<00

Keywords: 1183, house

Transcript Highlights:

• . >> This is for the people enrolled on the ACA who might not be able to pay their premiums. Right.
• /c> >> This is for the people enrolled on the >> This is for the people enrolled on the ACA
• :35:55.000> able<00:35:55.160> to<00:35:55.240> pay<00:35:55.359> their ACA
• who might not be able to pay their ACA who might not be able to pay their premiums.<00:35:56.600>

Bills: HB1730, HB1985, HB1749, HB1921

Keywords: cesspool, wastewater systems, public health, environmental protection, affordable upgrades, coral reefs, water quality, Hawaii legislation, cesspools, wastewater, environment, pollution, Hawaii, sustainable development, sewerage system, real estate, disclosure, environmental impact, wastewater management, housing

Summary: The committee heard testimony on several cesspool-related measures. HB 1730 HD2 would create a cesspool conversion implementation working group to help the Department of Health review rules and practices and develop changes to make conversions more affordable. DOH and DLNR stood on written testimony, while environmental and wastewater advocates strongly supported the bill, emphasizing the need for dedicated staffing, technical expertise, and smaller, more focused advisory groups. Members discussed the high cost of upgrades and the need for new technologies that reduce excavation and leach field costs. The bill was passed with amendments, including clarifying the DOH director’s discretion over the size of the working group, and the committee noted DOH’s appropriation request for consideration. HB 1985 HD1 would extend certain cesspool conversion deadlines and authorize funding for consultants, while also advancing outreach and education. Testimony split sharply: advocates supported the education component but opposed deadline extensions as premature, arguing the state still has many years before the 2050 mandate and should not weaken the conversion timeline. The committee agreed to amend the bill to delete the deadline-extension portion, keep technical changes, and note DOH’s position request. HB 1749 HD2 would require sellers to disclose cesspools to buyers before a real estate purchase contract is executed and direct DOH and the Real Estate Commission to create a standardized form. Realtors supported the intent but asked to avoid duplicative statutory form requirements, and advocates stressed that disclosure should be prominent and not buried in paperwork. The committee adopted amendments removing the standardized-form mandate and passed the bill. HB 1921 HD2 would allow certain existing cesspools in priority level three areas to continue serving dwellings with additional bedrooms under conditions. DOH brought the measure, and supporters from the real estate and environmental sectors discussed innovative wastewater technologies, retrofits, and composting toilets as ways to reduce costs while improving treatment. The committee amended the bill to require DOH director-approved wastewater technology using solid waste separation for bedroom-count increases and to clarify priority-level determinations using block-level data from the Hawaii cesspool prioritization tool, then passed it. The committee also heard HB 2310, an emergency appropriation for the Department of Human Services to restore funding used to keep SNAP benefits flowing during the federal shutdown; DHS, public health, children’s advocates, and others supported it, and members questioned why it was not handled through the budget. The discussion clarified that the bill sought new money to move quickly for ACA-related premium support. No final vote on HB 2310 was shown in the excerpt.

Transcript Highlights:

• Senators, in 2019, the Legislature included proviso in the 2019 Appropriations Act, which authorized ACA
• developmentally disabled as they seek inclusion, dignity, self-confidence, and self-esteem. ...which authorized ACA

Bills: S0006, S0036, S0560, S0778, S0844, S0864, S1002, S1016, S1022, S1030, S1630

Keywords: child welfare, negligence, settlement, injury compensation, Department of Children and Families, nursing title, advanced practice registered nurse, advertising, professional standards, disciplinary action, psychotropic medication, community-based care, liability insurance, forensic services, defendants, mental health, judicial system, defense, legal definitions, sickle cell disease

Summary: The Appropriations Committee on Health and Human Services heard and advanced a series of health, child welfare, aging, disability, and public records bills. CS/SB 1002, on child welfare and parental substance abuse, was described as clarifying that acute or chronic parental drug abuse can constitute harm or neglect when it creates an ongoing risk to a child; it passed after limited questions and supportive testimony from Florida Smart Justice Alliance. CS/SB 1630, a broad aging and long-term care modernization bill, would streamline eligibility screenings, allow temporary DOEA services during emergencies or lead agency failures, tighten oversight of area agencies on aging, permanently establish the Florida Alzheimer’s Care Center of Excellence, and expand guardianship training and enforcement tools; it drew support from AARP, area agencies, and the Alzheimer’s Association and was reported favorably. The committee also approved SB 1022 to add Bay County and Pompano to the Florida Children’s Initiatives, and CS/SB 1030, via strike-all amendment, to streamline regulation of substance abuse and behavioral health providers and clarify background screening and privacy rules. Several bills focused on health care practice and patient access. CS/SB 36, with an amendment, allows nurses with doctoral degrees to use appropriate titles while requiring clear identification as nurses and making misuse grounds for discipline; nursing organizations supported it and it passed. CS/SB 844 requires physicians and nurses to complete a one-time, board-approved continuing education course on sickle cell disease care management, with multiple patients and advocates testifying about delayed care, bias, and the need for better provider education; the bill was reported favorably after an amendment aligning it with the House version. CS/SB 560 streamlines procedures for psychotropic medication for children in DCF custody by reducing duplicative reports, clarifying evaluator qualifications, limiting repeated background checks, and simplifying consent documentation; an amendment removed postsecondary education language, and the bill passed. The committee also approved a public records exemption bill for a uterine fibroids research database (CS/SB 864). The committee also advanced measures affecting disability services and forensic care. SB 6, a claims bill, would pay $3.8 million to a trust for a child who suffered severe abuse-related injuries after DCF involvement; it passed without opposition. SB 778 updates the definition of forensic clients so certain individuals with intellectual disabilities or autism found incompetent to proceed can be housed in the same secure forensic setting, reducing duplicative staffing and space needs; it was reported favorably. CS/SB 1016 codifies the Working People with Disabilities Program, allowing eligible developmentally disabled adults to work while retaining Medicaid waiver benefits and requiring notice to enrollees; advocates described the bill as essential to employment and independence, and it passed. Throughout the meeting, most bills received supportive public testimony, few questions, and unanimous or near-unanimous favorable votes.

Transcript Highlights:

• NICA's program oversight to ensure plan policies are followed, and memorializing NICA's agreement with ACA
• . ...program oversight to ensure plan policies are followed and memorializing NICA's agreement with ACA

Bills: S0198, S0570, S0772, S0808, S1038, S1040, S1286, S1440, S1504, S1668

Keywords: virtual currency, kiosks, money services business, regulation, financial services, consumer protection, cryptocurrency, registration, payment scams, task force, fraud prevention, property insurance, roofing requirements, inspector, insurance policies, homeowners insurance, roof age, residential structures, insurance renewal, investment

Summary: The Committee on Banking and Insurance met with a quorum present and took up a series of bills, beginning with SB 1286 by Senator Wright. That bill expands the law enforcement recruitment bonus program to include firefighters, creates a DFS grant review panel for fire-related grants, and establishes an institute for PTSD and first-responder behavioral health. Testimony from fire chiefs and others supported the measure, and the committee reported it favorably. The committee then considered several insurance and financial regulation bills. CS/SB 198 by Senator Rousan, as amended, regulates virtual currency kiosks with transaction limits, notice and receipt requirements, and OFR enforcement authority; witnesses described it as a needed anti-fraud measure, especially for seniors, and it was reported favorably. CS/SB 772 by Senator Burgess, as amended, allows limited licenses for portable electronics and eyewear insurance, and CS/SB 1504 by Senator Claudio, as amended, creates a pathway for high school students to qualify for insurance customer representative licensure; both were reported favorably. The committee also approved two cryptocurrency reserve bills by Senator Gruters: CS/SB 1038 creates the Florida Strategic Cryptocurrency Reserve framework, and CS/SB 1040 creates the related trust fund; both received technical amendments and favorable reports. CS/SB 1440 by Senator Martin, as amended, creates public records exemptions and cybersecurity reporting provisions for financial institutions and related entities, and it was reported favorably. Finally, SB 1668 by Senator Burton, which updates the NICA program’s funding and benefit structure, and CS/SB 570 by Senator Polsky, which creates a task force on payment scams, were both heard with supportive testimony and reported favorably. Senators later recorded additional affirmative votes on selected bills before the committee adjourned.

Transcript Highlights:

• But... ...essentially putting an allowance rather than a requirement on the ACA to use available resources
• Probably chief among those agreed-upon amendments is extending the repeal date for the ACA fuel and gas
• is something that should meet approval all the way through now. ...extending the repeal date for the ACA

Summary: The Senate met in floor session, began with prayer and the Pledge, approved the journal, received communications, and handled a return of Senate Bill 1456 from the House for reconsideration. Members then moved through several Committee of the Whole calendars, considering and amending bills on court fees, information technology, environmental quality, agricultural property inspections, property tax notices, veterans services, zoning and electric generation siting, fuel and gas resilience, and disturbing religious services. Several amendments were adopted, including changes to HB 2265 on criminal court fees, HB 2311 on conversational AI disclosures and privacy limits, HB 2986 on environmental quality/fuel resilience, HB 2104 and HB 2105 on agricultural property inspection rules, HB 2406 on veterans services, HB 2494 on electric generation siting and environmental compatibility, HB 2696 on fuel and gas prices, and HB 4117 on interference with religious services. Most of these bills were reported out of committee with do pass recommendations, though members raised concerns on HB 2311 and HB 4117 about privacy, free speech, and prosecutorial discretion. The chamber then took up a long series of third readings and final votes. Bills passed included HB 2015 on single-audit compliance, HB 2041 on child neglect and poverty factors, HB 2048 on AHCCCS prescription drug coverage, HB 2417 on excessive speed, HB 2611 on child welfare, HB 2793 on annexation, HB 2950 on special districts, HB 2995 on family law, HB 4018 on county officers, HB 2404 on mental health services, HB 2279 on limitations of actions, HB 2502 on the state retirement system, HB 2733 and HB 2953 on pharmacy regulation, HB 2979 on credit unions, HB 4042 on parent-child relationship determinations, HB 4010 on health professional regulatory boards, HB 4043 on public schools, HB 4049 on the Attorney General, HB 2265 on court fees, HB 2311 on information technology, and HB 2986 on environmental quality. HB 2601 on state highways and routes failed. Several members explained votes on bills involving fiscal impacts, child welfare, road safety, annexation, and criminal justice concerns. The Senate also adopted a group concurrence motion on several conference committee reports, including HB 2003, HB 2010, HB 2133, and HB 2874, and then voted on those measures. HB 2003 on driver’s license instruction permits, HB 2010 on advertising, HB 2133 on disclosure of sexual material and synthetic depictions, and HB 2874 on campaign committees and termination statements were all advanced after conference committee action, with debate on HB 2133 focusing on First Amendment and content-moderation concerns. The session ended with introduction of a large package of transportation-related appropriations bills and a motion to suspend certain committee notice rules for Appropriations to hear legislation and strike-everything amendments on short notice.

Transcript Highlights:

• And as a result, we see we had sent to ACA for enrollment as of today—I'm sorry, as of yesterday—370
• again, the actual assessment, if that's something that is mandated essentially as part of the pilot by ACA
• I would start by saying that we are operating under our contract with ACA that has very specific standards

Summary: The Health and Human Services Committee received an overview of Florida’s intellectual and developmental disabilities (IDD) managed care pilot, created by legislation in 2023 to test whether a managed care model could integrate Medicaid medical services with iBudget waiver home- and community-based services for adults in pre-enrollment categories. AHCA explained the existing system, the pilot’s scope in Regions D and I, and the rollout timeline, including federal approval, contract execution with Florida Community Care, and the October 2024 go-live. Officials reported that, as of early February, 370 individuals had been sent for onboarding and 168 more were in queue, with about $35.8 million of the appropriation remaining. APD also clarified the difference between the pre-enrollment categories and the waiver waitlist, and noted that crisis cases can be enrolled more quickly depending on eligibility and funding. Florida Community Care described the pilot as a comprehensive managed care model offering medical, long-term care, and iBudget services, plus enhanced benefits such as bed-hold days, caregiver transportation, and help with legal guardianship costs. The plan said it uses one care coordinator, a 1:18 coordinator ratio, a face-to-face assessment within five days of enrollment, and 180 days of continuity of care for existing providers. The company emphasized that it is recruiting providers by offering higher rates than some iBudget rates, lower administrative burden, and network adequacy incentives, while APD said it continues to monitor provider supply and demand and recruit across service types and regions. Members repeatedly questioned whether the pilot’s costs, provider rates, and service levels were truly comparable to the iBudget system, and AHCA and APD said it was too early to draw firm conclusions because claims data are still lagging. Committee members also raised concerns about communication, enrollment delays, provider shortages, and whether the pilot could scale statewide. APD said it has used letters, phone calls, texts, emails, and community meetings to reach eligible individuals, and that some delays stem from required assessments, Medicaid eligibility checks, and level-of-care determinations. Several members asked for more detailed comparisons of costs and provider reimbursement between the pilot and iBudget, and APD said it would provide additional data. Public testimony at the end was strongly critical of managed care, with a participant and his mother describing poor service, transportation failures, and loss of control under prior managed care arrangements, and urging the committee not to expand such a model without safeguards. No votes or formal committee action were taken before adjournment.

Transcript Highlights:

• for ACA to administer the pilot program? Representative Kimberly C. Johnson. Thank you, Mr.
• We are confirming that ACA is in charge of the pilot program.
• APD is responsible for updating ACA weekly on the people that are on the waitlist so ACA can get to those

Bills: HB 1520, HB 1545, HJR 110, HJR 203, HB 245, HB 1465, HB 1482, HB 294, HB 793, HB 809, HB 3928, HB 334, HB 2037, HB 1973, HB 285, HB 4341, HB 4264, HB 1043, HB 837, HB 1234, HB 1193, HB 1194, HB 1646, HB 1729, HB 2498, HB 1314, HB 2295, HB 1353, HB 1531, HB 1988, HB 5398, HB 3960, HB 3923, HB 1407, HB 1764, HB 2221, HB 2214, HB 2517, HB 2518, HB 2213, HB 5008, HB 5092, HB 3421, HB 3663, HB 3748, HB 3800, HB 3756, HB 2613, HB 3782, HB 5246, HB 4344, HB 4044, HB 4066, HB 2702, HB 2807, HB 2869, HB 2898, HB 3181, HB 3250, HB 4153, HB 2091, HB 2115, HB 2542, HB 2768, HB 3349, HB 3352, HB 4406, HB 1593, HB 1899, HB 3133, HB 4432, HB 4960, HB 3214, HB 3915, HB 3508, HB 2145, SB 304, SB 608, SB 2312, SB 494, SB 530, HB 45, HB 2520, HB 35, HB 47, HB 318, HB 349, HB 554, HB 1359, HB 1373, HB 2254, HB 2259, HB 2853, HB 3073, HB 3088, HB 353, HB 355, HB 786, HB 762, HB 705, HB 932, HB 849, HB 1119, HB 3041, HB 713, HB 3104, HB 3970, HB 4042, HB 4490, HB 1731, HB 2607, HB 3689, HB 1788, HB 1612, HB 138, HB 15, HB 1971, HB 1338, HB 2989, HB 267, HB 1201, HB 2954, HB 5265, HB 1804, HB 5061, HB 1520, HB 1545, HJR 110, HJR 203, HB 1887, HB 1914, HB 2402, HB 2306, HB 1809, HB 2350, HB 3000, HB 3237, HB 3326, HB 3211, HB 1056, HB 2081, HB 2187, HB 3092, HB 3308, HB 3526, HB 3750, HB 3527, HB 4219, HB 4230, HB 4290, HB 5238, HB 4804, HB 4749, HB 245, HB 1465, HB 1482, HB 294, HB 793, HB 809, HB 3928, HB 334, HB 2037, HB 1973, HB 285, HB 4341, HB 4264, HB 1043, HB 837, HB 1234, HB 1193, HB 1194, HB 1646, HB 1729, HB 2498, HB 1314, HB 2295, HB 1353, HB 1531, HB 1988, HB 5398, HB 3960, HB 3923, HB 1407, HB 1764, HB 2221, HB 2214, HB 2517, HB 2518, HB 2213, HB 5008, HB 5092, HB 3421, HB 3663, HB 3748, HB 3800, HB 3756, HB 2613, HB 3782, HB 5246, HB 4344, HB 4044, HB 4066, HB 2702, HB 2807, HB 2869, HB 2898, HB 3181, HB 3250, HB 4153, HB 2091, HB 2115, HB 2542, HB 2768, HB 3349, HB 3352, HB 4406, HB 1593, HB 1899, HB 3133, HB 4432, HB 4960, HB 3214, HB 3915, HB 3508, HB 2145, HCR 6, HCR 12, HCR 34, HCR 50, HCR 55, HCR 58, HCR 70, HCR 71, HCR 72, HCR 74, HCR 75, HCR 78, HCR 80, HCR 93, HCR 100, HCR 107, HCR 116, HCR 117, HCR 90

Keywords: Angelina and Neches River Authority, river authority, Sunset Advisory Commission, Texas Sunset Act, Special District Local Laws Code, local government, natural resources, board of directors, director training, board governance, public testimony, open meetings, public information, conflict of interest, ethics, complaint system, general manager, board president, staggered terms, removal of director

Summary: The Florida House considered multiple bills on Day 59 of the legislative session. Key legislation included CS for HB 1103 on developmental disabilities services, which expanded a pilot program statewide while maintaining current contracts. CS for SB 1730 addressed affordable housing with amendments protecting historic districts. CS for HB 443 on charter schools allowed stricter codes of conduct and virtual student athletic participation. CS for HB 209 prohibited golf courses and hotels in state parks. Lucy's Law (CS for HB 289) increased boating safety penalties and education requirements. CS for HB 1205 significantly restricted citizen ballot initiatives by requiring petition circulator registration, limiting volunteer collections to 25 signatures, adding financial impact statements, and imposing new penalties. The House also passed bills on animal cruelty databases, waste incineration restrictions, and spectrum alerts for individuals with developmental disabilities.

Transcript Highlights:

• The bill sets it up as separate, but it has a crossover because members of ACAS have to be— one member
• Um, there may be some good argument for having this be a subcommittee of ACAS.
• take in all of these ideas and again they may make sense at some point to actually bring this under ACAS
• in order to absorb that under their jurisdiction, but I like the idea of moving it over to ACAS.
• the ACAS bill um<01:45:08.200> to<01:45:08.520> include<01:45:09.040> this<01:45

Keywords: 1187, senate, all

Transcript Highlights:

• Um, but there's also the ACA overlay. Yes, so there's opportunities for them.
• Um, but there's also the ACA overlay. Yes, so there's opportunities for them.
• c><01:07:35.720> there's<01:07:35.920> also<01:07:36.160> the<01:07:36.279> ACA
• agreements um but there's also the ACA agreements um but there's also the ACA overlay<01:07:37.720

Keywords: 912, senate, all

Summary: The committees considered a large number of Senate bills, with many measures advanced either unamended or with technical or substantive amendments. Early action included SB 88 and SB 11 SD1, both passed unamended, and SB 562 SD1 and SB 642 SD1, which were passed with amendments reflecting agency testimony. SB 1133 SD1 was amended to remove duplicative county requirements and clarify tax credit carry-forward eligibility, while SB 1569 SD1 on sports wagering was deferred. Later, SB 933 on nonprofit/federal funding support drew strong testimony from nonprofit and health advocates emphasizing the risk of federal funding freezes and the importance of protecting services such as early learning, domestic violence support, housing, and workforce supports; the committee recommended amendments to define eligible organizations, require reporting, and include the Judiciary. SB 934 and SB 935 were also amended, with SB 934 tying mass transit funding to Honolulu project milestones and SB 935 revising retirement-system language to change “fewer than five years” to “five or more years.” The committees then took up additional measures with targeted amendments. SB 1033 was amended to clarify that the bill applies to legal entities, not individuals, though members noted concerns about closely held family corporations and asked that the issue be reflected in the committee report. SB 1166, SB 1249, and SB 1256 were advanced with amendments or committee-report notes reflecting concerns from the Attorney General, Hawaii Cattlemen’s Council, and Hawaii Farmers Union United, respectively. SB 1432 and SB 137, both relating to electric utilities, were amended to require retention of covered employees after mergers or acquisitions and to direct the PUC to consider whether proposed transactions further state policy goals. SB 157 on antitrust was narrowed to focus on coordinator conduct in rental housing markets, SB 252 on invasive species received a defective effective date, and SB 336 on defense of state employers and employees passed unamended. SB 536 on the Hawaii Community Development Authority was deferred to a later hearing, and SB 1064 on medical cannabis was heavily amended to authorize cultivator licenses with limits on canopy size, license counts, physician fees, and a special-fund appropriation for enforcement. In the Ways and Means portion, the committee passed several bills unamended, including SB 19, SB 124, SB 264, SB 345, SB 422, and SB 741 and SB 747 later in the agenda. SB 361 was amended to remove references to the attorney general and delete an appropriation section, SB 438 was amended to redefine buffer zones and landfill-unit language, and SB 441 and SB 494 were amended to blank appropriations and, in SB 494, assign charter-school audit responsibility to the state auditor. SB 659 was substantially amended to promote local procurement, including county-level geographic preferences and higher thresholds for locally sourced purchases, and SB 732 was amended to adjust film tax credit provisions, including the streaming-platform definition and sunset-related language. SB 819 was amended to replace references to “educators” with “teachers.” Throughout, most measures were adopted without recorded opposition, though several members noted reservations on particular bills.

Transcript Highlights:

• plans, part of it is that the plans do not have to cover the 10 or 11 essential health benefits that ACA
• Chair, members, I would have to get back to you on that, but the ACA requires all plans, small or large

Bills: HB2089, HB2090, HB2092, HB2120, HB2138, HB2173, HB2273, HB2693, HB2786

Keywords: retirement benefits, health insurance, premium payment, Arizona State Retirement System, contingent annuitant, long-term disability, benefits limitations, disability compensation, social security, retirement system, elected officials, ASRS, eligibility waiver, age 65, property tax exemption, disability, veterans, widows, income limits, Arizona Revised Statutes

Summary: The Senate Finance Committee met to consider several bills and two Arizona State Retirement System nominees. It first passed House Bill 2173, which allows taxpayers and tax officers to communicate electronically about proposed property tax corrections or claims, with an acknowledgement required when responses are sent electronically. The committee then recommended confirmation of Thomas J. Connolly and Charles Essex to the ASRS Board, both receiving unanimous or near-unanimous support after brief introductions and no substantive opposition. The committee next approved several ASRS-related bills: House Bill 2089 clarifies that the ASRS health insurance premium subsidy applies only when coverage is not already subsidized; House Bill 2090 changes the disability definition tied to long-term disability benefits by removing the requirement that the 24 months occur within a five-year period; and House Bill 2092 shifts the 30-day waiver window for certain members age 65 or older from the date of hire to the date they become eligible to participate. All three passed on largely party-line or near-unanimous votes. The committee also passed House Bill 2120, with a technical amendment, allowing Social Security Administration disability determination letters to be used to certify eligibility for the property tax exemption for persons with disabilities. House Bill 2693 drew the most debate. It revises Arizona’s bona fide association health plan and multiple employer welfare arrangement provisions to align with ERISA rather than the rescinded 2018 federal AHP rule, and an amendment added a feasibility study by the Arizona Department of Administration on state employee and school district health plans. Supporters argued the bill would expand affordable, voluntary coverage options for small businesses and increase buying power; opponents raised concerns about consumer protections, preexisting conditions, and the history of association health plans. The committee ultimately passed the bill as amended on a 5-1 vote. Later, the committee passed House Bill 2138, which clarifies that workers’ compensation coverage for firefighters traveling directly to or from work applies to state, municipal, fire district, and fire authority firefighters. It also passed House Bill 2273, a one-time $300 income tax rebate for certain Pinal County residents funded from remaining escrowed transportation-related monies; members discussed whether the remaining funds should instead be directed to roads, but the bill advanced on a 3-2 vote. Finally, House Bill 2786 passed unanimously, exempting rental income from required college textbooks from transaction privilege tax under the personal property rental classification.

Transcript Highlights:

• Actually, the preventive task force says that under the ACA, it should be free in and of itself.
• They, they're not supposed to be, according to the US Preventive Task Force or the ACA, but, um, and

Transcript Highlights:

• A simple amendment to the amendment that specifies that ACA will submit a report by June 1, 2026.
• and is Aca Be absorbed by them, and is ACA or the ALF implementing and creating the training?
• With regard to the fiscal, or let me go to the last actual question: you said ACA would not be going
• But ACA does not have a role to play in actually effectuating that training.
• National Pediatric Readiness Assessment created by the National Pediatric Readiness Project and requires ACA

Summary: The committee took up a series of criminal justice, health, and public safety bills, with several measures reported favorably after brief sponsor presentations and mostly no opposition. CS for SB 1782 on dangerous excessive speeding, CS for SB 306 on Medicaid provider network access, CS for SB 716 on mandatory minimums for certain sexual offenses by registered offenders, CS for SB 1084 on intimate image dissemination and digitally forged images, and CS for CS for SB 1604 on corrections-related litigation and sentencing changes all passed the committee. Members also approved CS for SB 1838, which increases protections for court officials from tampering, harassment, and retaliation, and CS for SB 1252, which directs FDLE to study a statewide pawn data database. CS for SB 468 on fleeing or eluding, CS for SB 490 on off-duty concealed carry for certain officers, and CS for SB 890 on blood clot screening and treatment also received favorable votes, with SB 890 drawing supportive testimony from the bill sponsor, medical and patient advocates, and family members affected by blood clots. The most extensive debate centered on CS for CS for SB 1804, which would create a capital offense for adults trafficking children under 12 or mentally incapacitated persons for sexual exploitation. Senator Martin defended the bill as a response to especially heinous crimes and argued it fit within constitutional punishment principles, while several members raised concerns about the Eighth Amendment, the risk of lengthy and costly litigation, and the possibility of retraumatizing victims. The Florida Conference of Catholic Bishops and the Florida Association of Criminal Defense Lawyers testified in opposition, citing moral objections, due process concerns, and constitutional precedent; the bill nevertheless was reported favorably. The committee also approved CS for CS for SB 572, the “Pam Rock Act,” which tightens dangerous-dog rules, adds enclosure, microchip, insurance, and penalty requirements, and allows stronger enforcement actions after serious attacks. The Rock family and animal control supporters testified in favor, describing the bill as a response to fatal dog attacks and urging stronger accountability for owners. For SB 572, members discussed insurance requirements, the role of local authorities in classifying dangerous dogs, and whether the bill would affect ordinary pet insurance or only liability coverage after a serious attack. The sponsor said the measure is not breed-specific and is aimed at dogs that have already caused significant harm. The committee also heard testimony from family members of Pam Rock and other victims, along with supporters from animal control and sheriff’s offices. All of the bills taken up in the meeting that were voted on were reported favorably, and no roll-call votes failed.

Transcript Highlights:

• So it just doesn't make sense in kind of the post-ACA environment to limit it to six months.
• So it just doesn't make sense in kind of the post-ACA environment to limit it to six months.
• >> The premium can, just like an ACA plan, the premium can change based on, you know, what factors are
• >> The premium can, just like an ACA plan, the premium can change based on, you know, what factors are
• >> The premium can, just like an ACA plan, the premium can change based on, you know, what factors are

Keywords: 928, house, all

Summary: The subcommittee focused primarily on a bill concerning long-term care insurance rate increases and consumer notice. Members and staff discussed replacing or supplementing a proposed public hearing requirement with annual reporting, website updates, and consumer-facing disclosures about approved rate increases, carriers writing the products, and how the products work. Several participants emphasized that long-term care policies are long-term products, that rate increases can be spread over many years for actuarial reasons, and that consumers need better information about trends and the impact of increases. A major point of disagreement was whether the bill should try to cap premium increases. One member argued the real problem is unexpected increases of 15% to 20% and urged a statutory cap to protect consumers. Insurance department representatives and others responded that hard caps had been struck down in prior case law, that the department’s core responsibility is solvency, and that carriers need sufficient premium to pay future claims. They also said the market is struggling because many carriers stopped selling the product, leaving in-force policies to bear the cost, and that overly restrictive caps could cause insurers to withdraw from the state. The discussion then shifted toward a compromise requiring carriers to notify policyholders before a rate increase is approved and allowing a 60-day comment period. Participants debated whether the notice should come from the carrier, how confidentiality rules would apply before approval, and what the department should do with public comments. The department said it already reviews filings carefully and that submitted rates are often adjusted before approval; lawmakers noted that prior commissioners had pushed back on increases in some cases, including a seven-year moratorium. No final vote was taken in the excerpt, and the chair repeatedly tried to move the subcommittee along to other bills.

Transcript Highlights:

• And this is in addition to the ACA broad categories of comprehensive benefits that are also mandated.
• And this is in addition to the ACA broad categories of comprehensive benefits. in addition to the ACA

Keywords: 995, all

Summary: The Joint Committee on Health Care Financing held a public hearing on a broad set of health care bills focused on cost, market oversight, pharmaceutical access, transparency, hospital closures, and pharmacy access. Chairs John Lawn and Cindy Friedman opened by emphasizing recent health care reforms and the need for further action on the drug supply chain, PBMs, private equity, and affordability. The committee heard testimony on several measures, including a Betsy Lehman Center bill to make technical changes and create a permanent trust account for federal and private funding, and bills on hospital profits and fairness, hospital closures and health planning, pharmacy deserts, and health care market oversight and pharmaceutical access. No votes were taken during the hearing. On the hospital profits bill, physicians and labor advocates strongly supported capping hospital CEO compensation at 50 times the lowest-paid worker, requiring greater financial transparency, and directing penalties from high-margin public hospitals into a Medicaid reimbursement fund. Testifiers argued that executive pay is excessive while frontline staff and safety-net services are under strain. Committee members raised concerns about unintended consequences, including whether hospitals might shift workers to contract status or lose executive talent, and whether the bill would actually direct money to the safety net. Supporters responded that the measure is one piece of a larger effort and that the bill’s Medicaid reimbursement provisions would help underserved hospitals. Testimony on market oversight and pharmaceutical access centered on rising health care and drug costs, PBM practices, and the proposal to give the Health Policy Commission authority to set upper payment limits for certain drugs. Consumer advocates, disability advocates, an independent pharmacist, the Attorney General’s office, and others supported stronger oversight, citing premium increases, affordability problems, and the impact of high drug prices on patients and community pharmacies. Pharma and some industry witnesses opposed parts of the bill, warning that upper payment limits could disrupt access, create legal issues, and fail to address the broader supply chain. The committee also heard support for stronger hospital closure notice and public hearing requirements, and for a pharmacy deserts bill aimed at identifying and addressing closures like the one in Roxbury that affected thousands of patients.

Transcript Highlights:

• Fatinos and Trinity: when the ACA passed, we had about three and a half years to implement it, three
• Fatinos is in Trinity, is that I, when the ACA passed, we had about three and a half years to implement
• We also call that our classic Medicaid population, with those of our MAGI population, our ACA group.

Summary: The committee first received an update on the effects of HR1 and related federal Medicaid and marketplace changes from Governor’s Office and Health Care Authority staff. Presenters said the most immediate coverage losses are expected in the individual market beginning in January, with premium increases and an estimated 80,000 people potentially unable to afford coverage. They warned that larger Medicaid impacts will follow over the next year and beyond, including tighter eligibility checks, work requirements, reduced retroactive coverage, limits on state-directed payments and provider taxes, new cost-sharing, and changes affecting certain non-citizen adults. They also said the state plans to seek a waiver or extension for work requirements and will continue to analyze impacts, including on rural providers and Planned Parenthood-related services. Members asked about the effect on nursing homes, rural hospitals, and how the state can help providers and enrollees navigate the new requirements; staff said timelines and a state-specific implementation chart are being developed. The committee then heard a report on the International Medical Graduate Work Group and Washington’s efforts to create pathways for internationally trained physicians. Testimony described the clinical experience license, the clinical evaluation assessment tool, grant funding for IMG support organizations, and a new hardship waiver process enacted this year. National presenters said many states have adopted similar pathways because of physician shortages, but Washington and Tennessee are among the few states that have actually issued licenses so far. They recommended clear guardrails, an employment offer before application, ECFMG certification, supervised practice, and data collection to avoid exploitation and protect patients. Members asked about state-to-state variation, retention of IMGs, and whether Washington should pursue dedicated residency or preceptorship options; presenters said the key next step is moving successful participants from supervised experience to a durable long-term license. The final topic was implementation of Washington’s Apple Health doula benefit and the statewide doula hub and referral system. Senator T’wina Nobles highlighted the state’s $3,500 per-birth Medicaid reimbursement rate for doulas and the importance of the hub for referrals, training, and billing. Health Care Authority staff said the benefit launched January 1, 2025, and covers prenatal intake, labor and delivery, postpartum visits, and telehealth-supported services. They reported 336 state-certified doulas, 134 enrolled in Apple Health, 287 unique clients served, and 641 claims paid so far. Testimony emphasized doulas’ role in improving birth outcomes, reducing unnecessary interventions, and addressing racial disparities in maternal health, while noting that implementation is still early and ongoing.