Transcript Highlights:

• But for any future events, then I think it would... yeah, know it's not retroactive. there paying, you
• yeah<00:08:02.160> know<00:08:02.319> it's<00:08:02.560> not<00:08:02.639> retroactive

Bills: SF0087, SF0088, SF0092

Keywords: felony, law enforcement, police officer, criminal penalties, public safety, sex offender, child care facility, residency restrictions, criminal law, sex offenders, child care facilities, legislation, false claims, civil penalties, state accountability, whistleblower protection, fraud prevention, 916, all

Transcript Highlights:

• During my time at ACCA, I was responsible for overseeing the development of all coverage and reimbursement
• In October of last year, Florida became one of the states with the most expansive Medicaid coverage of
• We expanded coverage to over 850 procedure codes, enhancing cancer screening and diagnostic and treatment
• children lost their health care during this time, and many of them were still eligible and lost coverage
• We are on Tab 19, which is health care coverage. Senate Bill 697. Senate Bill 697.

Bills: S0688, S1414, S0186, S0902, S0196, S1574, S0878, S1092, S1032, S1684, S1686, S1760

Keywords: cytomegalovirus, education, maternal health, newborn care, infectious diseases, student health, epilepsy, seizure disorders, school safety, training requirements, medical marijuana, low-THC cannabis, neurofibromatosis, healthcare, state regulations, child care facilities, public safety, grant program, uterine fibroids, health database

Summary: The committee took up several health-related bills and confirmations. It first heard SB 1414 on congenital cytomegalovirus education, which would require the Department of Health to develop and distribute educational materials to expectant and new parents through maternity, prenatal, newborn, and OB-GYN settings; an amendment removed a section on required instruction for medical professionals, and the bill was reported favorably as a committee substitute. The committee then approved a block of appointees on tabs 2 through 7 and separately confirmed Chavon Harris as Secretary of the Agency for Health Care Administration after her testimony on Medicaid accountability, transparency, managed care oversight, rural health, behavioral health, and the state’s technology modernization efforts. Senators asked Harris about Hope Florida, Medicaid redeterminations, the CORE project, an anti-marijuana ad campaign at DCF, and compliance with a federal Medicaid-related court order; she said she would follow up on some issues. The confirmation was recommended favorably, with Senator Berman voting no. The committee next passed SB 186 on student health and safety, which expands epilepsy and seizure-disorder training requirements to more school personnel, including bus drivers and charter school staff, and requires seizure-first-aid posters and updated Department of Health education efforts. It also approved SB 902 on Department of Health issues after amendments narrowed the bill’s scope and added provisions on medical marijuana regulation, early childhood intervention, practitioner accountability, and autism workforce development; one speaker raised concerns about marijuana dispensary location restrictions and low-THC ratios. SB 196 creating a uterine fibroid research database was also reported favorably after an amendment protecting patient privacy; the bill drew emotional testimony from a patient describing severe symptoms and the need for more research. SB 688 on naturopathic medicine was approved after committee discussion about scope of practice, referral obligations, and whether naturopathic care should be adjunctive to conventional medicine; supporters described complementary care and access issues, while opponents worried about delayed treatment for serious disease. Later, the committee passed SB 1574, “Maddie’s Law,” to add biliary atresia screening to newborn screening using the same blood specimen already collected at birth and to launch an education campaign; parents of a child affected by the disease testified that earlier screening could have prevented severe harm. SB 878 on clinical laboratory personnel was reported favorably to address staffing shortages by allowing Florida to rely more directly on federal CLIA standards for qualified lab workers. SB 1092 on podiatric medicine was approved after an amendment narrowed it to cellular/tissue-based products and podiatrists’ use of certain therapies; the bill also addresses continuing education, informed consent, and advertising disclosures. SB 1032 on medical marijuana was amended and passed, aligning physician certification and card renewal timelines, setting 70-day and 35-day supply limits, and reducing the fee for honorably discharged veterans while preserving funding for FAMU; Senator Harrell opposed it, saying the longer timeframes were too much of an expansion. The committee also heard SB 1760 on Medicaid coverage transparency from Senator Brodeur, who said the bill focuses on accountability and fiscal responsibility, but the transcript cuts off before further discussion or action on that measure.

Transcript Highlights:

• We also were successful in convincing the FAIR plan, our residual market, to increase its... coverage
• We can't force them to offer coverage.
• Just additional information on the cost per coverage type, I think that would be fascinating for us to
• Chair, Senator Munoz, the second party are the coverage that we have for our state fleet.
• And then third party is coverage that we have that is not a state vehicle, but a third party.

Transcript Highlights:

• have their officers out of town for longer periods of time, which is going to cause them to have coverage
• have their officers out of town for longer periods of time, which is going to cause them to have coverage
• have their officers out of town for longer periods of time, which is going to cause them to have coverage
• have their officers out of town for longer periods of time, which is going to cause them to have coverage
• have their officers out of town for longer periods of time, which is going to cause them to have coverage

Keywords: 1191, senate, all

Transcript Highlights:

• That's one reason why players are actually paid and receive health coverage year-round, even though their
• That's one reason why players are actually paid and receive health coverage year-round, even though their
• That's one reason why players are actually paid and receive health coverage year-round, even though their
• That's one reason why players are actually paid and receive health coverage year-round, even though their
• That's one reason why players are actually paid and receive health coverage year-round, even though their

Keywords: Meeting Start 00:00 Roll Call 00:24 SB 3 Discussion 01:06 SB 3 Vote 04:51 SB 15 Discussion 07:14 SB 15 Vote 14:42 SB 103 Discussion 15:39 SB 103 Vote 33:53 SB 201 Discussion 35:44 SB 201 Vote 39:47, 958, all

Summary: The House Standing Committee on Economic Development and Workforce Investment met with a quorum and first considered Senate Bill 3, relating to student athletes and NIL. Senator Max Wise said the bill would modernize Kentucky’s NIL framework so universities remain competitive and student-athletes can benefit, noting the state’s earlier NIL law and the need to act before a pending national settlement. Several members supported the bill but expressed concern that NIL has changed college athletics and could eventually affect high school sports. The committee reported Senate Bill 3 favorably. The committee then took up Senate Bill 15, relating to minimum wage exceptions for minor league baseball players. Senator Amanda Bledsoe and MLB representative Josh Allen explained that the bill would align Kentucky law with the players’ collective bargaining agreement, treating the players as salaried rather than hourly workers and addressing overtime issues. Members discussed the minimum weekly salaries at Single-A and Triple-A, along with housing, meals, and health benefits under the agreement. The committee adopted a committee substitute, passed a title amendment, and reported Senate Bill 15 favorably. Finally, the committee heard Senate Bill 103, which concerns the Office of Vocational Rehabilitation and services for people with disabilities. Senator Danny Carroll and provider advocates said the bill would add regulatory oversight, require reporting to the legislature and governor, and give preference to in-state services when available, while preserving access to out-of-state services when needed. Testimony focused on Kentucky’s low employment ranking for people with disabilities, unused federal funds, provider funding concerns, and an OVR order of selection that would limit services to the most severe cases. The committee adopted a committee substitute and reported Senate Bill 103 favorably after supportive comments from members about the program’s impact on employment and quality of life.

Transcript Highlights:

• <02:52:07.160> So,<02:52:08.000> I<02:52:08.520> I'm uh what coverage people
• So, I I'm uh what coverage people have.
• It's a chasm till you get to the point of your first dollar coverage.
• So, we're $17,000 in their first dollar coverage. And they're very surprised by that.
• $17,000 in their first dollar coverage. $17,000 in their first dollar coverage.

Keywords: 918, senate, all

Summary: The Senate convened under a call, established a quorum, received a chaplain’s prayer and the pledge, and then proceeded through routine business. Members adopted the committee reports except those relating to Senate Concurrent Resolution 6, gave second reading to Senate File 203 and several House files, and referred Senate File 5200 to Rules and Administration. The chamber also adopted a motion to return Senate File 4390 from the general orders calendar to the Finance Committee. The main floor activity centered on a series of motions to send withdrawn executive appointments back to their originating committees under Senate Rule 8.2. Senator Putnam moved to return appointments from the Agriculture, Veterans, Broadband, and Rural Development Committee, including the Board of Animal Health, the Veterans Affairs commissioner, and the Rural Finance Authority. Senator Swadzinski moved a similar action for Education Policy appointments, and Senator Her did so for Environment, Climate, and Legacy appointments, including the DNR commissioner, the PCA commissioner, the Clean Water Council, and related boards. Senator Wicklund later moved to return Health and Human Services appointments, including the Children, Youth and Families commissioner, Health commissioner, VNSHUR Board, and EMS director. These motions prompted extended debate. Supporters of returning the appointments argued that the Senate has a constitutional advice-and-consent duty and that committee hearings should occur before floor consideration. Opponents, mainly Republicans, argued that sending the appointments back without floor action avoided accountability and transparency, especially in light of fraud concerns in state programs and agencies. Some authors said hearings had not yet been scheduled or that the committee process should come first; others noted at least one hearing had already occurred on a health nomination. The debate repeatedly focused on whether the Senate was fulfilling its constitutional role or delaying confirmation review. Roll-call votes were requested on the appointment motions. The Putnam, Swadzinski, Her, and Wicklund motions were each adopted by narrow 34-33 margins, returning the appointments to committee rather than leaving them on the confirmation calendar for floor action.

Transcript Highlights:

• for a conference, where the conference organizer then posted publicly, that information could retroactively

Summary: The committee began as a subcommittee due to the lack of a quorum and heard several privacy- and technology-related measures. The first item was H.R. 117, a resolution urging Congress to reform Section 230 of the Communications Decency Act. The author and supporters argued the law is outdated and shields platforms from accountability for harms such as harassment, exploitation, scams, and other online abuse. Witnesses, including a survivor parent and a gender justice advocate, described harms to children, women, and LGBTQ people and urged a two-year sunset to force federal reform. Some members supported the resolution as a call for federal action, while one member said he could not support it because the resolution was too general and lacked specificity about the reforms being sought. No vote was taken because the committee lacked a quorum. The committee then heard SB 898, which would require manufacturers of connected consumer products to disclose how long they will support the software and to notify consumers when products approach end of life. The author said consumers deserve transparency about security updates and continued functionality, and supporters from Consumer Reports and PIRG emphasized cybersecurity risks, consumer confusion, and electronic waste from unsupported devices. Opponents, including business and industry groups, raised concerns about enforcement through the unfair competition law, notice burdens, labeling issues, and compliance challenges, especially for products with long support windows or third-party dependencies. One member expressed support, noting the cybersecurity risks of end-of-life devices, but again no vote was taken because there was no quorum. The committee also heard SB 435, which would narrow the CCPA definition of publicly available information to limit how businesses classify data as public. The author and supporters said the bill would close a loophole that allows data brokers and others to monetize personal information without meaningful consent and could help prevent surveillance and misuse of data, including by government agencies. Opponents argued the bill would upset the balance between privacy and the free flow of information, create compliance uncertainty, and retroactively reclassify information that businesses reasonably believed was public. Some members said they supported the goal of stronger privacy protections, while others said the bill was too broad. The committee again could not vote due to the lack of a quorum. Later, the committee heard SB 923, which would expand Californians’ right to delete personal information to cover data obtained from third parties and require online businesses to offer a web form or similar method for deletion requests. Supporters, including the California Privacy Protection Agency and consumer advocates, said the bill would make deletion rights meaningful and better address data broker practices. Opponents sought an opt-out-of-processing alternative and raised operational and legal concerns, but supporters said deletion is not the same as retention or processing limits. Members largely spoke in favor of the bill’s privacy goals, but no action was taken. The committee also heard SB 947, the “No Robo Bosses Act,” which would require human review for certain automated employment decisions and limit predictive analysis in workplace discipline and termination. Labor groups supported the bill as a safeguard against biased or erroneous AI-driven decisions, while business, public employer, and local government groups opposed it as overbroad and burdensome. Members voiced support for human oversight in employment decisions, but the item was not voted on because the committee still lacked a quorum. Finally, the committee began hearing SB 1114, the SOGI Data Privacy Act, which would restrict disclosure of sexual orientation, gender identity, and intersex data to federal agencies absent a court order or legal requirement; the author and witness framed it as a response to federal efforts to obtain sensitive LGBTQ-related data.

Transcript Highlights:

• Because you're sort of having to retroactively backfill the funding that would have been there had you

Bills: SB1046, SB1317, SB1376, SB1416, SB1448, SB1471, SB1493, SB1498, SB1502, SB1504, SB1538, SB1544, SB1550, SB1579, SB1581, SB1584, SB1624, SB1673

Keywords: telecommunications, broadband, internet infrastructure, critical infrastructure, cybersecurity, national security, foreign adversary, China, Chinese equipment, supply chain security, network equipment, microchips, Arizona Corporation Commission, telecommunications provider, communications infrastructure, Huawei, ZTE, state-owned enterprise, sanctions, infrastructure security

Transcript Highlights:

• We're taking a very thoughtful approach, retroactively applying what we have learned with the round one

Keywords: 988, house, all

Transcript Highlights:

• coverage for them in this kind of new world that we're going to have to deal with.
• And we think that this is a unique opportunity to try and as those folks lose their Medi-Cal coverage
• coverage to be able to try and find alternative ways to be able to provide coverage for them in this
• Without disability, they remain on unstable coverage or lose it altogether, especially under H.R. 1,
• Thanks. ...coverage or lose it altogether, especially under H.R. 1, where Medicaid work requirements

Summary: The committee heard an extensive Department of Social Services presentation on child care budget issues, including the Governor’s proposed 2026-27 budget, federal CCDF changes, Prop. 64 revenue adjustments, and a one-time $11.5 million disaster-related infrastructure grant for licensed child care facilities affected by 2025 declared disasters. DSS said federal formula updates and lower Prop. 64 revenues would reduce funding and could result in about 4,176 CCTR slots being reduced, but the department said it was working to avoid impacts to currently enrolled children. The LAO supported aligning general child care funding with lower revenues and asked for more detail on the disaster grant. Members pressed DSS and Finance on why reductions were not being backfilled and why so many awarded slots remain uncontracted or unused; DSS said delays are largely due to providers building new infrastructure, licensing, staffing, and enrollment challenges, and that some unspent funds revert to the General Fund. The committee also discussed whether some contract dollars should be shifted to vouchers and whether more flexibility should be allowed for infrastructure and expansion costs. A second panel focused on the state’s commitment to expand child care and on rate reform. DSS reported that nearly 125,000 new slots have been awarded since 2021-22, but speakers from Stanislaus County Office of Education, Parent Voices California, and the California Budget and Policy Center argued that unmet need remains large and that the system still leaves many families without access. Stanislaus County described a large local shortage of infant and toddler care and said reimbursement disparities between child care programs and state preschool create disincentives for providers. Parent Voices gave testimony about the burdens and instability families face when trying to access care, especially for survivors and low-income parents, and called for a universal, publicly funded system. The Budget Center said only about 16% of eligible children were enrolled in 2024, urged expansion across the mixed delivery system rather than concentrating investment in TK, and called for faster rate reform and new revenue. LAO estimated that bringing certain CCTR adjustment factors up to CSPP levels would cost $88 million to $131 million ongoing. Members and witnesses discussed the single rate structure, automation needs, and the need for deadlines and a ramp-up plan; DSS said the goal is to eliminate disparities, but that policy decisions are still needed before automation can proceed. The committee then reviewed several trailer bill proposals. DSS outlined a 2026-27 COLA proposal that would apply a 2.41% increase through cost-of-care-plus payments, though the department said it had inadvertently excluded CalWORKs Child Care and the Emergency Child Care Bridge Program and would revise the proposal; LAO recommended making the COLA methodology uniform across programs. DSS also proposed replacing the market rate survey with the federally approved alternative methodology on a triennial schedule, limiting temporary absences in family child care homes to 20% of monthly hours, defining excessive unexplained absences as more than 30 days in a year, and aligning family fee deductions with new federal requirements so providers receive the full voucher value. Members generally supported the temporary absence change and asked about implementation timing for the family fee deduction, with DSS saying it was in contact with Riverside County. The committee also heard a brief update on the Early Childhood Policy Council reappropriation, which would extend unused funds through June 30, 2028 because prior costs came in higher than expected.

Transcript Highlights:

• talking about implementing a program like this; it's in the tens of millions of dollars to provide coverage
• talking about implementing a program like this; it's in the tens of millions of dollars to provide coverage
• c><00:54:42.280> to<00:54:42.480> to<00:54:42.680> provide<00:54:43.040> coverage
• <00:54:43.760> but<00:54:43.960> that to uh to to provide coverage but that to uh to
• to provide coverage but that being<00:54:44.319> said<00:54:44.559> we're<00:54:44.839

Keywords: 912, senate, all

Summary: The joint Health, Human Services, and Labor and Technology committee heard testimony on SB 447, a Department of Health pilot program related to recruitment, and SB 1043, a tax measure. On SB 447, the Department of Health said the pilot had streamlined hiring by delaying minimum-qualification review until later in the process, while the Department of Human Resources Development objected that parts of the bill could conflict with civil service rules, due process rights, and equal pay requirements. Several labor and employee groups testified, with some supporting the pilot as a way to address vacancies and others warning about merit-system concerns. The committee later voted to pass SB 447 as is. On SB 1043, testimony was mixed but largely focused on the bill’s tax changes, especially the proposed increase to the general excise tax and exemptions or credits for lower-income households. Supporters, including labor groups and housing/worker advocates, argued the bill would reduce burdens on working families, help with food insecurity, and keep residents in Hawaiʻi. Opponents, including the Tax Foundation of Hawaiʻi and some community witnesses, said the general excise tax is regressive and would raise costs across the state. The committee voted to advance SB 1043 with substantial amendments, deleting most of the bill except section two and setting a far-future effective date, while noting the fiscal impact had not been provided. The committee also deferred SB 633 and later deferred SB 1633 for further decision-making, scheduling continued consideration for February 12, 2025, in Room 225. The hearing included standard instructions on one-minute testimony, written testimony, and Zoom procedures, and the committee adjourned after taking the above actions.

Transcript Highlights:

• So you mentioned that some of the funding and coverage might be under threat.
• , and some of it's not that they're going to stop coverage altogether, but it's, you know, whether it
• :57.840> maintain doing a lot of lobbying to maintain doing a lot of lobbying to maintain coverage
• and some of it's not that coverage and some of it's not that they're<00:18:00.080> going<00:18
• :00.159> to<00:18:00.440> stop<00:18:00.799> coverage they're going to stop coverage

Keywords: 1189, house, all

Transcript Highlights:

• already mentioned a few of the And Chelsea's already mentioned a few of the additional Medicaid coverage
• And so every Medicaid coverage service, for individuals, for youth to receive Medicaid-covered services
• And so every Medicaid coverage service, for individuals, for youth to receive Medicaid covered services
• So again, we’re talking about the various authorities that the state has negotiated coverage of certain
• “So again, we’re talking about the various authorities that the state has negotiated coverage of certain

Keywords: 907, all

Transcript Highlights:

• directly linked to Health Care for All's mission to promote health equity and encourage and ensure coverage
• Passage of this legislation to require insurance coverage of CHW service is key to realizing the associated
• growth occurred even as purchasers are turning to high-deductible health plans in order to afford coverage
• By doing so, more of an individual's compensation goes to health insurance coverage, families have less
• By doing so, more of the individual's compensation goes to health insurance coverage, families have less

Keywords: 995, all

Summary: The committee hearing covered a wide range of public health bills, with much of the testimony focused on two major themes: expanding access to care and stabilizing health-related workforces and services. On House 2364, an act relative to medical health and fitness facilities, representatives from Dedham Health and Athletic Club argued for a pilot program recognizing supervised exercise as medicine, saying it could improve outcomes for chronic disease, fall prevention, and mental health while reducing costs. On House/Senate bills concerning community health workers (H. 359/S. 251), multiple witnesses from MACHW, Health Care for All, MHA, Cambridge Health Alliance, Mass General Brigham, Boston Children’s Hospital, Asian Women for Health, and the City of Somerville described CHWs as essential for navigation, trust-building, language access, and addressing social needs, and urged reimbursement by MassHealth, the GIC, and private insurers, along with workforce development measures. One pediatric neurologist also told the committee that losing grant-funded CHW support led to more avoidable ER visits and threatened clinic operations. The committee also heard extensive testimony on hospital closures and essential services. Witnesses including Dr. Alan Sager, MNA President Katie Murphy, nurses from Brockton Hospital and Providence Behavioral Health, and local officials and legislators from Norwood described the loss of hospitals and service lines, especially maternity, pediatric, and behavioral health care, and argued current closure processes are too weak to protect communities. They supported bills such as H. 2460/S. 1503 and H. 2534/S. 1574, which would require earlier notice, community input, stronger state oversight, possible receivership, and limits on reopening or expanding after closures. Testimony emphasized the impact of Steward’s bankruptcy, the closures of Carney and Neshoba Valley, and the need to preserve access to essential services in underserved areas. Several end-of-life and professional regulation bills were also discussed. On H. 2436, Representative Omar Gomez and funeral industry witnesses supported eliminating Office of the Chief Medical Examiner fees for the removal of a child’s body in cases involving children five and under, describing the bill as a small but important relief for grieving families. On H. 2444 and related Senate bills, cemetery and consumer advocates supported legalizing alkaline hydrolysis and natural organic reduction as environmentally friendly after-death options, while cemetery representatives opposed H. 2360, which would allow funeral establishments to operate crematories, arguing cemeteries should retain that role. The committee also heard support for H. 2382, which would exempt dentists and oral surgeons from a new office-based surgical center framework, and for H. 2461, which would create hospital efficiency standards; employers and retailers backed that bill as a way to address rising health care costs. Finally, the committee heard testimony on autism services and hospital governance. On S. 1414, behavior analysts and school representatives said Massachusetts already licenses assistant-level ABA providers but MassHealth does not reimburse them, causing long waitlists and limiting school and family access; an actuary testified that a three-tier ABA reimbursement model could reduce MassHealth costs by up to 6% per child served. Senator Lovely also testified in support of S. 1572, which would require at least one registered nurse on each acute care hospital governing board, arguing nurses’ frontline perspective would improve quality and retention. No votes were taken in the hearing excerpt, but many witnesses urged favorable reports on their respective bills.

Transcript Highlights:

• Million for a $20 million less cap on our coverage.
• Your insurance, you said it went up from $1.2 million to $1.5 million for $20 million less coverage.
• Yeah, Representative Block, so in 2024, we paid $1.2 million for $34 million worth of coverage.
• Last year, we paid $1.4 million for $14 million of coverage. And I'm still waiting for the final.
• $1.8 for $6 million worth of coverage. Thank you for asking that question.

Transcript Highlights:

• from the state's budget, whether it is care for seniors, people with disabilities, our health care coverage
• 00:03:34.080> our<00:03:34.319> healthc<00:03:34.480> care<00:03:34.720> coverage
• , disabilities, our healthc care coverage, disabilities, our healthc care coverage, our<00:03:35.280
• Uh, and it was very clear from the start that eliminating coverage for people who are not documented

Keywords: 1187, senate, all

Transcript Highlights:

• The provider would also be admissible, not the limits, but just the fact that there is coverage and that's
• We don't want the making determinations based upon whether or not there's insurance coverage to cover
• Coverage is $250,000 a year. This is a major issue in this is going to make it worse.
• This bill helps to provide affordable health coverage options for Florida farmers and ranchers who face
• In today's market, this coverage is part of the rural renaissance of Florida, smaller and less densely

Keywords: 999, senate, all

Transcript Highlights:

• For the last five years, our facility has seen a 40 percent increase in malpractice coverage, but that
• self-insurance retention or the deductible that we have to maintain on each case. ...malpractice coverage
• We can't afford the first dollar coverage.
• high-risk specialties like obstetrics in South Florida that are paying nearly $250,000 for $250,000 of coverage
• high-risk specialties like obstetrics in South Florida that are paying nearly $250,000 for $250,000 of coverage

Summary: The committee met with a quorum and considered several health-related bills. SB 398, by Senator Burgess, would create a statewide Alzheimer’s and dementia awareness campaign through the Department of Elder Affairs, focused on early detection, brain health, risk reduction, clinical trial access, and community resources. Supporters said Florida has a large and growing Alzheimer’s population and that the campaign would help families and vulnerable communities; the bill was reported favorably after a roll call vote. The committee also adopted an amendment to SB 714, by Senator Burton, which would create non-opioid advanced directives and add liability protections for providers in medical emergencies involving opioids. Supporters framed it as a patient-choice measure, while opponents argued it was vague and could interfere with appropriate pain treatment; the amended bill was then reported favorably. The committee also approved CS/SB 756, which removes the current age-eight diagnosis requirement for autism-related insurance coverage and extends coverage beyond age 18 for those diagnosed with autism. Senator Burton said the bill would help families whose children are diagnosed later or whose needs continue into adulthood. There was brief discussion about existing lifetime benefit caps, but the sponsor said the bill did not change those limits. The committee then took up SB 734, a proposal by Senator Yarbrough to repeal Florida’s wrongful death exception that bars certain parents and adult children from recovering non-economic damages in medical negligence cases. The sponsor and supporters described the current law as discriminatory and unjust, especially for families of older adults and disabled individuals, while opponents warned it would raise malpractice costs, increase premiums, and worsen provider shortages. The bill drew extensive public testimony from both grieving family members and health care/insurance representatives, and members debated whether caps or other safeguards should be added. No final action on SB 734 is reflected in the transcript excerpt.

Transcript Highlights:

• in the new contracts related to how persons with developmental disabilities receive their medical coverage
• lists of real services, because that first slide just illustrated the fact that it was comprehensive coverage
• The lesson learned about coverage and service providers is a little bit obscured, but there are some
• The benefits available through the managed care plan include medical coverage, standard long-term care
• coverage, and the 27 home and community-based services."

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:

• then uh your excess coverage kicks in. then uh your excess coverage kicks in.
• It allows our type of coverage to exist.
• So in other type of coverage to exist.
• They need coverage that they can count on.
• They need coverage that they can count on.

Keywords: 928, house, all

Summary: The subcommittee continued work on Senate Bill 297 and a new amendment dealing with pooled risk management programs and whether they should be regulated under the insurance department. Lisa Duket, executive director of SchoolCare, testified at length that the draft language could allow co-mingling of public entity risk funds, could trigger producer-licensing requirements for staff who are not actually brokers, and may not fit public entity risk pools because they are not insurance companies. She also raised concerns about the March 1 reporting deadline, the proposed uniform accounting language, aggregate excess insurance, examination costs being charged to the program, and confidentiality provisions that she argued may conflict with right-to-know principles for public entities. She urged the committee to slow down and consider a study committee or more time for review, saying the regulated entities were not adequately involved in drafting the proposal. Chairman Hunt and the department responded that the bill is intended to create a licensure-based regulatory model, similar to other licensed industries, and that the pooled risk management program would be exempt from producer licensing while anyone else selling or negotiating such coverage would need a producer license. The department said failure to comply would be handled through an administrative licensing process, with denial or nonrenewal of a license and appeal through the department process. On the reporting deadline, the department said March 1 is a standard filing date used for financial analysis and that the filing can be the most recent annual report, regardless of fiscal year end. They also explained that the confidentiality language was taken from existing RSA 5B, that aggregate excess insurance was included as a solvency measure, and that the draft was intended to preserve familiar language while adapting it for pooled risk programs. The discussion did not include a final vote or formal action on the bill in the portion provided. The committee appeared to be compiling follow-up questions for the insurance department and considering whether additional revisions or a slower process would be needed before moving the bill forward.