Transcript Highlights:

• Always been legislator.
• It's bad legislation because it's based on a deeply flawed study commissioned by the New Hampshire Insurance
• We did not do the study.
• So if we've got this study that's making this particular recommendation in this particular piece of legislation
• If we've got this study that's making this particular recommendation in this particular piece of legislation

Keywords: 1191, senate, all

Transcript Highlights:

• Of managing, which problem could you? The problem of wet manure management.
• over dry manure management.
• over dry manure management.
• **Member discussion on manure management and LCFS incentives** “Management.
• We manage manure on dairy farms, much like we manage manure in our homes. We flush it.

Summary: The hearing was a select committee discussion on the transportation costs and impacts of California’s Low Carbon Fuel Standard (LCFS), with opening remarks from the co-chairs and members emphasizing affordability, climate goals, and the need to explain the program’s benefits to the public. The first panel from CARB and the California Energy Commission described how LCFS works as a market-based, declining carbon-intensity program that rewards lower-carbon fuels, supports zero-emission vehicle infrastructure, and is intended to reduce greenhouse gases and local air pollution. They argued the program has driven billions in private investment, increased alternative fuel use, and that LCFS credit prices are not the main driver of retail gasoline prices, which they said are dominated by crude oil, refining, and distribution costs. Members questioned the panel on the gap between the regulatory target and actual carbon-intensity performance, the role of credit banking, which fuels are generating the most credits, how the 2025 amendments affected the program, and whether LCFS credits are truly additional. CARB explained that banking helps cost-effectiveness and investment certainty, that ethanol, renewable diesel, and biodiesel currently provide the largest volumes while electricity is expected to grow, and that the updated targets were informed by the state’s 2045 carbon-neutrality goals and the 2030 scoping plan. The Energy Commission said its data show environmental programs add some cost to gasoline but do not drive price volatility, which is mainly tied to crude oil and refinery margins. The second panel, featuring academic and research experts, focused on program design, out-of-state credit generation, and broader economic effects. Speakers said LCFS is successful because it ties incentives to emissions benefit, uses life-cycle analysis, and allows flexible compliance that lowers costs compared with more direct regulation. They also said the program’s benefits generally outweigh costs, that it can reduce air pollution disparities and support equity, but that some issues—especially indirect land use change, additionality, and older program assumptions—need more research and may warrant future rulemaking. One researcher noted that while LCFS likely raises gasoline prices somewhat, the effect is uncertain by design and usually smaller than normal market fluctuations, and another warned that limiting credit generation too narrowly could create legal and efficiency problems.

Transcript Highlights:

• uh the first line in the legislation uh the first line in the legislation that<00:15:48.800>
• manager here in Cheyenne. manager here in Cheyenne.
• And then, importantly, we have reserves management and token management.
• And then, importantly, we have reserves management and token management.
• Here are some case studies.

Keywords: 1189, house, all

Summary: The Stable Token Study Commission held its first regular meeting, welcomed all remaining appointed members, and completed brief introductions from legislators and agency designees. The chair outlined the commission’s plan to use the first part of the enabling legislation as a “level-setting” discussion, focusing this meeting on the basics of blockchain, the current landscape for stablecoins and tokenized real-world assets, and leaving blockchain-based trust for a later meeting. No votes were taken. The main presentation came from Deanna Bario Zales of the Global Blockchain Business Council, who described stablecoins as increasingly converging toward fiat-backed or asset-backed models, with algorithmic designs viewed more cautiously. She said stablecoins are being used for payments, remittances, DeFi activity, cross-border transfers, retail use in high-inflation markets, and treasury functions, while noting risks such as peg instability, reserve transparency, counterparty and network risk, and possible capital flight from weaker banking systems. She cited growth in supply, wallet activity, and transfer volume, and said U.S.-pegged stablecoins dominate the market, with USDT and USDC leading. Zales also discussed tokenized real-world assets, describing them as digital representations of physical assets that can enable fractional ownership, liquidity, and faster settlement. She said the market is growing quickly, with institutional participation from firms such as BlackRock and Franklin Templeton, and projected continued expansion. She closed with an overview of regulatory developments, emphasizing the new U.S. stablecoin framework under the Genius Act, the proposed Clarity Act, OCC guidance, and similar regimes in the EU, UK, UAE, Singapore, Japan, and elsewhere, all of which she said are shaping compliance requirements and market development.

Transcript Highlights:

• It's for CastleArk Management. It's an amended contract.
• Like, for legislators to talk to their schools specifically about what we're... ...idea, like for legislators
• The contract will still be managed by DHS.
• Meridian just operates as a bond manager for us. Okay.
• Legislative branch and the executive branch.

Summary: The PEER Review Subcommittee met to consider a large agenda of budget, appropriation, transfer, and contract items. Members approved temporary appropriation requests for several agencies, including the Auditor of State, Department of Education, and Labor and Licensing; ARPA return requests from Workforce Services; Infrastructure Investment and Jobs Act requests for State Police and Agriculture; restricted reserve transfers for teacher scholarships, school facilities, and economic stimulus; a Commerce reallocation of positions and spending authority; cash fund, budget classification, overtime, and pay plan requests; and 17 methods of finance items for universities and other agencies. Most items were approved without objection after brief explanations from staff and agencies. Several items drew questions and were held or discussed further. A Department of Human Services discretionary grant package for the RSVP program was held over after Senator Irvin raised concerns about whether the grants were an effective use of state general revenue and asked for more information on administration costs and program operations. In the contracts section, Representative Richardson questioned a DHS sole-source contract with EMS Link for document management software and a DHS contract with Presidio; the EMS Link item was held for additional answers, while the Presidio item was clarified as not sole-source and was allowed to proceed. Members also asked for more information on a Department of Education mental health referral contract with Care Solace, which officials said is a statewide concierge/referral service connecting students to Arkansas providers and telehealth options. The committee also reviewed monthly reports, including the Medicaid Trust Fund. DHS and DFA officials said the fund was currently sufficient to finish the fiscal year, though it was being drawn down and would likely require a $100 million transfer from restricted reserves in FY27, with another $100 million set aside in the governor’s budget as a backstop. Members discussed the need to define a minimum reserve level and to better account for ongoing Medicaid costs in the budget. The meeting ended with no further business and adjournment.

Transcript Highlights:

• And last session, she was the legislative coordinator for the Texas Legislative Black Caucus.
• And last session, she was the legislative coordinator for the Texas Legislative Black Caucus.
• Program scholars for this legislative session.
• They're here to study. They're here to go to class.
• They're here to study. They're here to go to class.

Summary: The Senate met with a quorum, heard an invocation, dispensed with the previous journal, and received a House message. Members also recognized Dr. Namita Bardwaj as doctor of the day. The chamber then adopted Senate Resolution 554 honoring Christopher “Chris” Jake Stone of Santa Fe for his heroism during the 2018 Santa Fe High School shooting, with several senators and the lieutenant governor offering remarks about his sacrifice and the ongoing impact on his family and community. The Senate also signed a number of bills and resolutions and adopted Senate Resolution 533 recognizing the Texas Legislative Internship Program class, with multiple senators highlighting individual interns and the program’s role in developing future public servants. The floor then took up and passed several bills, often by suspending the regular order and the three-day rule. These included HB 1639 on a study of cancer incidence among female firefighters; HB 102 granting early registration for students in military-related programs; HB 4325 increasing civil penalties for barratry; HB 5342 creating a 988 Suicide and Crisis Lifeline trust fund and related funding study; HB 3370 allowing late timberland appraisal applications after an owner’s death; HB 3376 requiring certain guardians to complete dementia/Alzheimer’s training; HB 132 extending confidentiality protections to information about hostile acts by foreign adversaries; and HB 1978, which sought to restrict ERCOT interconnections, but its motion to pass to engrossment failed on a 20-11 vote. Additional measures passed included HB 511 on unsolicited voter registration mailings, HB 2187 on nurse staffing, retaliation, and overtime protections, HB 2510 creating offenses for unlicensed assisted living operations, HB 694 on DFPS notification timelines, HB 1893 making license plates in law-enforcement video nonconfidential for public information requests, HB 2733 updating barratry and solicitation laws for digital communications, HB 4506 allowing opt-in electronic zoning notices, HB 3751 transferring a TxDOT property to DPS, HB 3033 creating a grant program for nonprofits supporting injured or killed DPS employees, HB 4273 on Medicaid fraud prevention and eligibility verification, HB 3211 on vision care benefits, HB 4529 exempting certain DoD-certified child care facilities from state licensure, HB 2522 easing fingerprinting requirements for certain vehicle dealers, HB 4219 tightening public information request response requirements, and HB 4783 requiring a report on opioid antagonist programs. The Senate also received a House message noting passage of SB 9, and a nominations committee report was announced for future consideration.

Transcript Highlights:

• Thank you to our legislative partners who adopted that legislation, and that is key to both of legislative
• Thank you to our legislative partners who adopted that legislation and that is key to Partners who adopted
• How do you manage somebody who can't get up to that upper bunk?
• Sheriffs have participated in master plan studies over the years.
• Sheriffs have participated in master plan studies over the years.

Keywords: 995, all

Summary: The Special Commission on Correctional Consolidation and Collaboration met on October 17 with members attending in person and virtually. The commission approved the September 15 minutes and then heard a detailed presentation from DCAM Commissioner Adam Bakey on the correctional facilities portfolio, including the age and condition of DOC and sheriff facilities, deferred maintenance, ADA compliance, decarbonization mandates, and how capital funding is allocated. Bakey said the correctional portfolio includes 36 facilities, with average ages over 50 years, and described how older, rapidly built facilities from the tough-on-crime era now face significant maintenance and replacement needs. He also explained the distinction between catch-up deferred maintenance and ongoing keep-up needs, and noted that construction costs and code thresholds have made projects more expensive. Commissioners and sheriffs asked about ADA requirements, aging and overcrowded facilities, hazardous materials, parts availability for obsolete systems, plumbing and health risks, and whether a newer, more modern correctional facility should be considered. Bakey said many projects trigger broader code upgrades, that some dormant facilities remain in the portfolio, and that health-care and correctional construction are among the most expensive building types. He outlined current funding, including annual deferred maintenance allocations for DOC and formula-based five-year commitments for sheriffs, plus a new competitive capital program for larger sheriff projects. He also explained the Designer Selection Board and “house doctor” process used to procure architects and engineers. The commission then shifted to planning its next steps, focusing on public input. Members agreed the next meeting should likely be a public hearing or include public testimony, with possible input from people with lived experience and consideration of facility tours, especially of women’s facilities such as Framingham. Members emphasized the need to define the commission’s scope clearly so testimony stays focused on structural and consolidation issues rather than all correctional policy topics. The meeting ended with plans for the co-chairs to coordinate the public process and a motion to adjourn, which passed without opposition.

Transcript Highlights:

• They did have a piece of legislation go through in Utah this legislative session that made it through
• There was one study came out of Stanford that It was sort of the one study that really meets kind of
• And so that is something we do try to manage. It is a very We do try to manage.
• And so studying those pieces,...
• , my SIS manager.

Keywords: 916, all

Transcript Highlights:

• It's managed by the agencies.
• That study should be done by mid-2027.
• I find that kind of deceiving for us as legislators to try to legislate and answer the questions to the
• We are experts at doing things like grant management, proposal development, managing large interdisciplinary
• The Construction Projects Manager is a position I added recently, along with the Contracts Manager and

Transcript Highlights:

• JERRY NEWMAN FLORIDA HEALTH INFORMATION MANAGEMENT ASSOCIATION.
• WE HAVE ALREADY GOT A LOT OF RULES THAT MANAGE THE PROCESS OF WHAT WE'VE GOT HERE RULES THAT MANAGE THE
• WE HAVE THE ABILITY AS LEGISLATORS TO NARROWLY TAILOR LEGISLATION IF IT SERVES A COMPELLING GOVERNMENT
• I'M HAPPY TO SHARE THOSE STUDIES WITH YOU. I DO HAVE A QUESTION.
• WHAT IS A STRUCTURED WORK-STUDY?

Keywords: 999, senate, all

Transcript Highlights:

• . legislation. legislation.
• on this legislation. on this legislation.
• This bipartisan legislation ensures that the Mikasuki tribe has the legal authority to manage, protect
• This bipartisan legislation ensures that the Mikasuki tribe has the legal authority to manage, protect
• This bipartisan legislation ensures that the Mikasuki tribe has the legal authority to manage, protect

Keywords: U.S. House of Representatives Floor Proceedings on Monday, July 14, 2025, 1012, house, all

Transcript Highlights:

• They've had several studies where they go back and have an accounting firm or whatever study how it's
• And they’re either nurse case managers, and nurse case managers can be doing that as well.
• , an assistant manager.
• I can't manage and control ethics. I can't manage and control morals.
• We can legislate that all day.

Keywords: 965, house, all

Summary: The committee first disposed of several measures without debate, including deferrals of House Bill 460, House Bill 561, Senate Bill 322, and another deferred Senate measure, before taking up House Bill 819 by Chairman Cruz. HB 819 would replace Louisiana’s current workers’ compensation medical treatment schedule with ODG by MCG, a private evidence-based guideline system used in other states. Cruz and Troy Prevo argued ODG is more comprehensive, updated more frequently, and could reduce claim duration, medical costs, and premium rates; Dr. Jason Picard said Louisiana already uses ODG as a secondary reference for gaps in the state schedule and that the bill would not change appeals or variance procedures. Opponents, including injured-worker advocates Joseph Jola St. and Robin Crumholt, argued Louisiana’s current guidelines are working, that ODG is more cost-cutting and insurer-driven, and that the bill could increase denials and delay care. Members discussed amendments to add a two-year sunset, allow tacit approval when treatment follows the schedule, require payment within 30 days, and raise the carrier’s burden to challenge care; the committee adopted the amendments and then reported HB 819 favorably by a 7-6 vote. The committee then began Senate Bill 409 by Senator Myers, the Louisiana Living Donor Leave Protection Act. The bill would provide paid leave protections for living organ donors, set eligibility and verification procedures, and prohibit forfeiture of leave in certain circumstances for private employers. Myers said the measure is intended to remove job and paycheck barriers for people willing to donate organs and to support better transplant outcomes. Technical amendments were adopted at the start of the presentation, and the bill was introduced for further discussion.

Transcript Highlights:

• I want to start off by citing a CDC study done in 2024, which identified that roughly two... ...CDC study
• These pilot programs can serve as study sites for IRB-approved studies nationwide.
• Co-leader of the Massachusetts Coalition for PANDAS/PANS legislation.
• Massachusetts, and this is the first time this legislation...
• I worry about how he'll manage this while starting the Police Academy.

Keywords: 995, all

Summary: The Joint Committee on Mental Health, Substance Use and Recovery opened its first public hearing of the 2025–26 session with remarks from the Senate and House chairs outlining the committee’s priorities. They noted recent work on addiction and recovery legislation, the ongoing youth behavioral health crisis, and that members might need to leave periodically for floor votes. The chairs explained hearing procedures, including three-minute testimony limits, written testimony deadlines, and reporting deadlines for Senate and House bills. The hearing then focused on several bills related to youth mental health, overdose prevention, and psychedelic treatment research. A major portion of the hearing centered on bills to improve youth crisis response and overdose prevention. Testimony strongly supported bills to print the 988 Suicide and Crisis Lifeline on student ID cards, with speakers from mental health organizations, crisis centers, and individuals sharing personal stories of depression, suicide attempts, and the importance of making 988 as familiar as 911. Another set of bills would require schools to stock naloxone and provide overdose prevention education. Physicians, harm reduction advocates, students, and grieving family members testified that school-based Narcan access and education could save lives, reduce stigma, and help students recognize overdoses and understand Good Samaritan protections. Senator O’Connor and Tamika Perry also testified for a bill to strengthen substance use prevention education and reduce overdose abandonment, emphasizing the need to teach students about overdose risks and the legal protections for calling 911. The committee also heard testimony on a bill to authorize a pilot program for psychedelic treatment in licensed facilities. Senator Friedman and several medical and behavioral health professionals argued the proposal was a narrow, research-based approach distinct from the broader ballot question rejected in 2024. They said the bill would allow only a small number of supervised clinics to use psychedelics for conditions such as depression, PTSD, anxiety, and substance use disorders, with data reporting and Department of Public Health oversight. Supporters described it as a cautious way to study promising treatments while avoiding unsupervised or commercialized use. Finally, the committee heard support for a bill to create a special commission and five-year strategic plan for children’s behavioral health services, with testimony that the current system is fragmented, difficult for families to navigate, and strained by workforce and funding challenges. No votes or final actions were taken during the hearing; the committee primarily received testimony and questions on the bills.

Transcript Highlights:

• the same way we do for FDA studies of drug efficacy.
• record Judy Randall legislative auditor. record Judy Randall legislative auditor.
• , try to catch us catch us as legislators, try to catch us catch us as legislators, please<00:48:
• '<01:16:12.440> throats uh property managers' throats uh property managers' throats um<01:
• <01:20:06.240> and not possible without the management and not possible without the management

Keywords: 1187, senate, all

Transcript Highlights:

• legislative requirements fulfill legislative requirements established<00:30:05.039> in<00:30:
• > also The legis the legislation also The legis the legislation also required<00:30:23.679>
• um with the social studies standards. um with the social studies standards.
• the social studies. the social studies.
• Those grants were provided in the legislation for ethnic studies. Okay. Representative Lawrence.

Bills: HF3489, HF3550

Keywords: grooming, child protection, student safety, sexual exploitation, educator licensing, teacher discipline, mandatory reporting, mandated reporter training, school misconduct, predatory offender, child abuse, sexual abuse, sex trafficking, child sexual abuse material, child pornography, position of authority, school employee, school administrator, license revocation, license suspension

Transcript Highlights:

• <00:06:20.880> that Last year, we passed legislation that Last year, we passed legislation
• The district has management standards.
• <00:34:41.440> SAU there was a a committee to study SAU there was a a committee to study SAU
• . management. management.
• I will move interim study. >> Is there a second for interim study?

Keywords: 1191, senate, all

Transcript Highlights:

• In June, the Special Legislative Commission to Study Poverty recommended passing legislation to establish
• The time for studying is long past.
• With computing, telecommunications, and credit management, they have managed to squeeze the costs out
• State legislation can change that.
• This legislation, along with, for example, match savings account legislation, which we also support,

Keywords: 995, all

Summary: The Joint Committee on Financial Services heard testimony on several bills focused on financial security, banking regulation, and payment-card fees. Treasurer Deborah Goldberg supported the Massachusetts baby bonds proposal (H. 48) and also endorsed bills on matched savings (H. 1158/S. 737) and retirement planning/Secure Choice (H. 1143/S. 722), arguing these measures would help address wealth inequality, build assets, and improve retirement readiness. Supporters of baby bonds included policy experts and health advocates from Children’s Health Watch and Boston Medical Center, who said early-life asset building could improve long-term economic and health outcomes for children in low-income families. AARP also urged passage of the retirement planning bill, citing the large share of private-sector workers without access to an employer retirement plan. Representative Donato testified for H. 1143, describing it as a voluntary retirement-savings opportunity for workers at small employers. The committee also heard testimony on H. 3933, concerning the Massachusetts Credit Union Share Insurance Corporation, from former Bank Commissioner Mike Hanson, who defended the state’s full deposit insurance system for credit unions and savings institutions as a longstanding consumer-protection model. The Massachusetts Bankers Association raised concerns about the bill’s technical provisions and broader credit union/bank competitive issues, while the Cooperative Credit Union Association supported related legislation allowing modest compensation for credit union directors (S. 821/H. 1338) and flexibility for state financial institutions to grow through partnerships (S. 723). Bankers opposed those credit union bills, arguing they would upset a level playing field and blur long-standing distinctions between banks and credit unions. A major portion of the hearing focused on H. 1259/S. 688, which would prohibit card interchange fees on the tax and gratuity portions of restaurant transactions. Restaurant owners and the Massachusetts Restaurant Association testified in favor, saying the fees are a significant and growing expense, especially as most customers now pay by card; they argued the bills would save restaurants money without affecting state revenue. Credit union, banking, and payments-industry representatives opposed the bills, saying interchange helps fund fraud protection and payment infrastructure, that the proposal would create compliance burdens and likely litigation, and that it would mainly affect Massachusetts-chartered institutions while national banks could be preempted. Committee members noted that a commission on payment-card fees is being established and said the issue would be studied further. The hearing also included support for a separate bill on virtual credit cards for dental providers, with dentists saying automatic virtual-card payments impose hidden processing fees and fraud risks.

Transcript Highlights:

• And so we're establishing this project management collaborative.
• We will manage implementation using four cross-sector networks that are overseen by the project management
• So in the end, it's not just another study. It's a proof of concept.
• So in the end, it's not just another study.
• It's managed by a property management company here in town. And then our Mill Creek Apartments...

Summary: The Senate Housing Committee work session focused first on Civic Commons’ “starter home production plan,” a statewide strategy intended to increase production of homes affordable to households roughly between 60% and 120% of area median income. Presenters said the Covenant Home Ownership program will not succeed without more starter homes, and outlined recommendations including a temporary cross-sector crisis task force, a developer network, new financing tools, public seed funding, and a multi-site demonstration program to test off-site construction and standardized designs. Committee members asked about silos in the current system, the role of off-site and modular construction, target income ranges, and where the plan would be most useful. Civic Commons said the plan is meant to be statewide, community-informed, and respectful of local context, with pre-approved plans and standardized approaches for both single-family and multi-unit housing. The Department of Labor and Industries then gave an update on factory-built housing oversight. Officials said residential factory-built structures are a small but important part of their work and described progress in prioritizing residential plan reviews, which they said has reduced review time from months to about two days. They also reported creating a plans examiner supervisor position, moving forward with rules for third-party plan review and inspection, and beginning analysis of national standards from the Modular Building Institute to see whether they align with state code. Committee members and L&I discussed the value of standardized plans, real-time tracking for applicants, and the role of state inspection in reducing local jurisdictional variation. The Washington State Building and Construction Trades Council testified that it supports efforts to reduce permitting delays and increase housing production, but warned against weakening safety standards or labor protections. The labor representatives said prefabrication and modular construction can help if the workforce is protected, wages and apprenticeship opportunities are preserved, and projects use tools such as community workforce agreements. They also raised concerns about wage theft, misclassification, and unlicensed contractors in residential construction, and suggested stronger front-end contractor education or licensing. Committee members responded that the goal is to expand production without sacrificing safety or good jobs. The committee also heard city perspectives on local housing reforms. Olympia described its affordable housing emergency ordinance, which gives qualifying projects priority in the permitting queue, and said success depends on communication among housing staff, planners, engineers, and developers. Walla Walla, an early adopter of middle housing, reported increased ADUs, duplexes, and smaller-lot development after eliminating single-family zoning and expanding tools such as MFTE and ADU flexibility. Des Moines described adopting middle housing and ADU ordinances in June 2025 after a lengthy public process, while Poulsbo described proactive code changes including duplexes on corner lots, unit lot subdivisions, manufactured home protections, expanded ADU allowances, and pre-approved ADU plans shared with neighboring jurisdictions. No votes were taken during the work session.

Transcript Highlights:

• You know, you start monkeying or cutting back management in the management of forest wildfires.
• This was debated extensively during the original RPS legislation in 2006, as a study bill in 2007, is
• Ultimately, the legislation set in motion a study by the Public Utilities Commission of adding thermal
• <00:42:48.800> in original RPS legislation in original RPS legislation in 2006<00:42:50.920
• c> Public<00:43:00.400> Utilities motion a study by the Public Utilities motion a study by

Keywords: 1189, house, all

Transcript Highlights:

• care plans—SMMC, which stands for our statewide Medicaid managed care plans.
• It's an acronym that's what we refer to as the managed care program in Florida.
• Members are required to enroll in the Medicaid managed care program.
• The intent, I believe, of the legislation was really to help.
• that were studied, the cost savings was $2.8 million.

Summary: The subcommittee held its first meeting of the 2025-2026 term, took attendance, confirmed a quorum, and heard introductory remarks from members and staff. Chair Anderson outlined the subcommittee’s jurisdiction over access and affordability issues, including health facility regulation, insurance, Medicaid, CHIP, and state employee health coverage. The main agenda item was an update on implementation of HB 391, which created a family home health aide program for medically fragile children. Representative Tramont, the bill sponsor, explained that the law was intended to let trained family caregivers be paid through Medicaid to care for their children, reduce reliance on private duty nursing, and relieve families. He and several members expressed frustration that implementation had taken nearly two years and that families still faced barriers. Deputy Secretary Brian Meyer of AHCA and Bridget Royce of DCF said the program was implemented October 1, 2024, with billing available, but no home health agencies had yet launched the required 80-hour training program and no claims had been paid. They described the program’s requirements, including agency employment, background screening, training, a $25-per-hour Medicaid rate paid to the agency, and an annual assessment report. A major issue discussed was that income earned by family caregivers counts toward Medicaid eligibility and could cause families to lose coverage. AHCA and DCF outlined two possible fixes that would require CMS approval: disregarding the income for eligibility purposes or treating the child as a family of one. Members and public witnesses strongly urged changes to avoid forcing families to choose between income and coverage. Several providers said they had begun preparing training programs, but asked for clearer approval processes and more patient-specific training requirements. The committee then heard extensive public testimony from parents and caregivers of medically fragile children, who described the financial, emotional, and logistical strain of caring for children with severe disabilities and argued that the bill should be expanded to include Florida KidCare families and others in the coverage gap. They also raised concerns about the eight-hour-per-day limit, low pay, and the need for simpler rules and direct support. Home health providers and associations supported the concept but asked for modifications, including more targeted training and clearer implementation guidance. The meeting then shifted to a second agenda item on the Andrew John Anderson Rapid Whole Genome Sequencing Program, which was funded in the 2023 budget. Deputy Secretary Meyer said the program has been implemented since January 1, 2024, but utilization has been lower than expected, with only about 60 claims paid and many denials occurring through managed care. Public testimony from a lab, a hospital, and a pediatric rare disease expert said the program is clinically valuable and cost-saving, but managed care billing barriers, prior authorization issues, and DRG-related denials are limiting access; they urged direct billing to Medicaid and possible expansion to all newborns.

Transcript Highlights:

• I was overwhelmed by the copious information regarding legislation and the legislation. process I was
• I'm a major in African and African diaspora studies with a minor in Mexican-American Latino studies.
• I think they exhibit. immense passion about this legislation and why this legislation is so vital. important
• They don't have any outcome studies.
• study through an era so like if they're studying They study the history of Egypt. came from Egypt, it

Keywords: 1184, house, all