Transcript Highlights:

• before we get out of here today and say here's the path we recommend to deal with that severity or acuity
• We have facilities to develop. acuity. If you're here, you can fit here.
• shrinkage of the number of youth that are in care we are seeing that we're serving a higher level of acuity
• we've looked at the makeup of the youth that we have that are without placement is they have very. acuity

Bills: SB1, SB 1

Keywords: appropriations, budget, state funding, education, healthcare, infrastructure, campground safety, youth camp regulations, flood safety, emergency evacuation, health and safety standards, 1185, senate, all

Transcript Highlights:

• staffing decisions based on constantly changing conditions within a hospital, such as changing patient acuity
• The nurse has to be appropriate for the unit of the hospital, the acuity of the patients, and the shifts
• The nurse has to be appropriate for the unit of the hospital, the acuity of the patients, and the shifts

Summary: The Assembly Health Committee heard several bills focused on health care access, oversight, and affordability. The first major item was SB 306 by Senator Becker, a prior authorization reform bill. Becker and supporters, including the California Medical Association and California Hospital Association, argued that prior authorization delays care, adds administrative burden, and can lead to serious patient harm. The bill was substantially amended late in the process to have DMHC and CDI identify services and drugs to exempt from prior authorization based on utilization data, with safeguards for fraud, waste, abuse, and patient safety. Health plans and insurers opposed the measure as written, saying prior authorization remains an important utilization-management tool and raising concerns about the 90% threshold, drug inclusion, and how modifications are counted. The committee also heard SB 35 by Senator Umberg, which would let cities or counties inspect unlicensed sober living homes if DHCS does not act promptly on complaints. Supporters said the bill would address weak enforcement and protect residents, while one behavioral health directors group opposed it unless amended. Members generally supported the measure, citing problems with unlicensed facilities and the need for local enforcement backup. The committee then heard SB 62, which would codify California’s updated essential health benefits benchmark if approved by the federal government. Senator Wiener said the package would add hearing aids, durable medical equipment, and infertility treatment including IVF, acknowledging that premiums could rise but arguing the benefits were worth it. Health Access California and other advocates supported the bill, while the California Family Council opposed it. The committee also took up SB 596 by Senator Menjivar, which would tighten the rules for hospitals claiming an on-call list as a defense to nurse staffing ratio penalties. Supporters, including nurses and SEIU, said hospitals have used vague or ineffective on-call practices to avoid accountability and that the bill would improve enforcement and patient safety. Hospital groups opposed it, arguing that staffing is highly dynamic, that hospitals need flexibility to manage acuity and emergencies, and that the bill could increase costs and interfere with collective bargaining arrangements. Finally, the committee heard SB 40 by Senator Wiener, the Insulin Affordability Act, which would cap insulin copays at $35 for a 30-day supply and restrict step therapy unless a plan covers at least one insulin in each drug type. Supporters, including physicians, diabetes advocates, nurses, students, and patient groups, said insulin is life-saving and too often unaffordable, forcing patients to ration or choose between medication and basic needs. There was no formal opposition testimony, though one member questioned why insulin remains so expensive. The committee also began discussion of SB 363, but the transcript cuts off before that bill’s full presentation or any action on the measures. No votes are recorded in the portion provided, and several bills were noted as consent items earlier in the hearing.

Transcript Highlights:

• And these clients tend to be lower acuity, and also younger.
• The level of care and acuity of the individuals in supported living are similar to those in state-operated

Summary: The committee met for what was described as its final meeting, with members and staff reflecting on the work of the Joint Legislative Executive Committee on Aging and Long-Term Care and noting that future work would likely shift to standing health and wellness committees. The meeting began with introductions and then moved into updates on major initiatives that originated from the committee, including Washington Cares, the Dementia Action Collaborative, and Medicaid long-term care programs. Presenters emphasized that these efforts were developed through long-term legislative-executive collaboration and were intended to help Washington prepare for the state’s aging population. On Washington Cares, DSHS described the program’s development from a 2014 research effort to its 2019 enactment, premium collection beginning in 2023, portability improvements in 2024, and 2025 changes including a grandfathered opt-out fix and a framework for supplemental private long-term care insurance. The agency said benefits are expected to go fully live next summer, with a pilot of up to 400 applicants planned for next January. On dementia policy, the Dementia Action Collaborative reported on the state dementia plan, Project ECHO training for providers, and pilot dementia-capable community programs at area agencies on aging, citing preliminary results that about 85% of family caregivers said services helped people remain at home. DSHS also reviewed Medicaid Transformation Project initiatives, including Medicaid Alternative Care, Tailored Supports for Older Adults, presumptive eligibility, and health-related social needs benefits such as rental assistance, nutrition support, and home modifications. The committee then heard an emerging issues panel from ombuds and disability advocates. Patricia Hunter of the long-term care ombuds program raised concerns about staffing shortages, resident rights, surveillance technology, private equity ownership of facilities, and illegal discharges or evictions. Betty Sweeterman of the Developmental Disabilities Ombuds discussed people stuck in hospitals without medical need, gaps in behavioral health services for people with developmental disabilities, and the need for better workforce training. Todd Carlyle of Disability Rights Washington urged expansion and bundling of community supports such as PACT, GOSH, and peer bridgers to reduce repeated institutionalization and support discharge from inpatient psychiatric settings. Provider and labor panels followed, with nursing home, assisted living, supported living, and union representatives all emphasizing workforce shortages, low wages, Medicaid rate inadequacy, case management bottlenecks, behavioral health complexity, and the need for more flexible care models and stronger accountability for rate increases. No formal votes were taken; the meeting ended with public comment on manufactured housing and closing remarks thanking staff and participants for the committee’s work.

Transcript Highlights:

• years in an emergency department, I know the unique role that we play in helping to determine the acuity
• years in an emergency department, I know the unique role that we play in helping to determine the acuity

Summary: The Assembly Health Committee heard a long series of health-related bills, with most measures focused on access to care, administrative simplification, and behavioral health. Early items included AB 583, allowing nurse practitioners to sign death certificates; AB 492, requiring DHCS to notify local governments when new alcohol or drug recovery facilities are licensed; and AB 280, which would tighten provider directory accuracy requirements, add enforcement benchmarks, and allow use of a centralized database. Testimony on AB 280 highlighted the harms of “ghost networks,” while insurers and some provider groups opposed the bill as written, arguing it placed too much responsibility on plans and did not fully address provider-side data problems. AB 280 passed on a roll call vote, and several other bills were placed on consent and approved. The committee also advanced AB 636, expanding Medi-Cal coverage for medically necessary diapers for children up to age 21 and lowering the age threshold for access; AB 1041, streamlining physician credentialing with a uniform form and 90-day review deadline; and AB 787, requiring health plans to help enrollees find in-network providers quickly when directories fail. Supporters of these bills emphasized family financial strain, delays in care, and the burden of administrative red tape, while opponents of AB 1041 and AB 280 raised concerns about provider participation, accuracy, and liability. All three measures were approved and sent to Appropriations. The committee then took up AB 4 and AB 29. AB 4 would allow income-eligible Californians to buy Covered California coverage regardless of immigration status, and AB 29 would authorize Medi-Cal reimbursement for community health workers and doulas conducting ACE screenings. Both bills drew strong support from immigrant-rights, health access, and community-based organizations, and both passed on roll call votes, with AB 4 receiving some no votes. The committee also approved AB 416, which would allow emergency physicians to place 5150 holds in certain circumstances; supporters said it would reduce delays and overcrowding in emergency departments, while Disability Rights California and others warned it could increase unnecessary involuntary hospitalization and transfers to locked facilities. Despite those concerns, the bill passed and was sent onward for further consideration.

Transcript Highlights:

• So I was having a hard time visualizing how that was gonna work.
• The agency cites a couple of reasons; increase in acuity is the main issue they are seeing at Hospital
• All of this is crucial as the increasing acuity of these populations can be seen in your handouts on
• Visualizing we would probably be closer to...
• Visualizing we would probably be Tyler. Is there one in Tyler? Yes, sir. Okay.

Bills: SB 1

Keywords: campground safety, youth camp regulations, flood safety, emergency evacuation, health and safety standards, 1185, senate, all

Transcript Highlights:

• Without clarity, ALFs offering optional activities to sharpen mental acuity, not true memory care, could

Summary: The Health Care Facilities and Systems Subcommittee met with a quorum present and considered four measures. The first was the PCS for HB 815, which would direct AHCA to study referral patterns by Medicaid managed care organizations and plans, including whether patients are being steered to providers with ownership or profit-sharing ties and how those services compare in cost. Members discussed transparency and potential cost impacts, and the PCS was reported favorably by a 17-0 vote. The committee then took up HB 1543, which narrows and clarifies an existing licensure attestation related to foreign countries of concern and controlling interests in health care entities. An amendment was adopted without objection to make clear the attestation applies to direct controlling interests. The bill was supported as a clarification for complex corporate structures, and it was reported favorably as amended by a 17-0 vote. Next, HB 899 addressed prescription drug coverage disclosures, aiming to prevent mid-year changes that could disrupt treatment or increase out-of-pocket costs for patients with chronic conditions. Supporters from Epic Pharmacies and the Florida Society of Rheumatology appeared in support, and the bill was reported favorably by a 17-0 vote. Finally, the PCS for HB 493 on memory care facilities sought to add minimum standards and oversight for facilities advertising memory care services. The Florida Senior Living Association opposed the bill as overbroad and urged more refinement, while AHCA supported the added guardrails. The sponsor said the bill was intended to protect vulnerable residents and improve transparency, and the PCS was reported favorably by a 17-0 vote. The meeting then adjourned.

Transcript Highlights:

• That is because, again, compassion and empathy and emotional acuity notwithstanding, our job here is
• That is because, again, compassion and empathy and emotional acuity notwithstanding, our job here is
• That is because, again, compassion and empathy and emotional acuity notwithstanding, our job here is
• That is because, again, compassion and empathy and emotional acuity notwithstanding, our job here is
• That is because, again, compassion and empathy and emotional acuity notwithstanding, our job here is

Bills: HF3542, HF3819

Keywords: data privacy, investigative data, welfare system, public funds, transparency, child care, licensing, inspections, compliance, program integrity, 1183, house

Summary: The committee took up House File 3542, authored by Representative Hudson, and first adopted the February 25 minutes. Hudson explained that the bill, as amended in a DE1, would require agencies to disclose to the public, legislators, or the press the existence of certain investigations only after the subject has been notified and the agency has decided to reduce, suspend, or withhold payments. He said the amendment was intended to avoid tipping off subjects before notification while still increasing transparency about investigations involving public funds. A separate A3 amendment was withdrawn after the DE1 was adopted. Several members questioned the bill’s scope and timing, asking what “existence of an investigation” meant and whether the proposal would disclose information before findings were complete. Hudson clarified that the bill was aimed at identifying who is being investigated, not revealing investigative details. The committee then heard extensive public testimony from child care providers and advocates, who opposed the bill and argued it would expose providers to harassment, threats, and stigma before any findings were made. Testifiers described recent threats, ICE-related disruptions, audits, overpayment findings, and the burden of CCAP compliance, saying the bill would punish providers for paperwork errors and worsen safety concerns, especially for Somali and other providers of color. A board member of the Minnesota Child Care Association also opposed the bill, saying providers had been chilled from speaking publicly because of death threats and harassment, and warning that disclosure of investigations could intensify that climate. In response, Hudson said the bill was not about targeting child care providers generally and was limited to confirmed ongoing investigations after notice to the subject. The committee then heard from Inspector General Keys, who explained that CCAP investigations are administrative, not criminal, and are based on evidence of repeated errors or financial misconduct rather than intentional fraud. He said the office looks for patterns beyond simple mistakes and that the bill’s notice requirement would not impede investigations. The discussion ended amid a brief procedural dispute over comments directed at Hudson, after which the chair returned to the bill and the Inspector General’s testimony.

Transcript Highlights:

• nursing facility rates that changed the way we index the cost-based rates to the person's level of acuity
• nursing facility rates that changed the way we index the cost-based rates to the person's level of acuity
• nursing facility rates that changed the way we index the cost-based rates to the person's level of acuity
• nursing facility rates that changed the way we index the cost-based rates to the person's level of acuity
• nursing facility rates that changed the way we index the cost-based rates to the person's level of acuity

Keywords: 1187, senate, all

Transcript Highlights:

• our veterans, our juveniles who may be involved in the justice system without families or have high acuity
• our veterans, our juveniles who may be involved in the justice system without families or have high acuity
• our veterans, our juveniles who may be involved in the justice system without families or have high acuity
• <01:59:16.880> needs,<01:59:17.520> our families or have high acuity needs, our families
• or have high acuity needs, our seniors<01:59:18.080> without<01:59:18.480> care<01:59:

Keywords: 1187, senate, all

Transcript Highlights:

• Resnikoff will speak about more in a minute, but it's an inpatient consult service, very high acuity,
• 01:21:04.400> service<01:21:04.760> very<01:21:04.960> high<01:21:05.239> Acuity
• <01:21:06.239> um<01:21:06.880> and consult service very high Acuity um and consult
• service very high Acuity um and you<01:21:07.159> have<01:21:07.280> patients<01:21:07.639
• 21:29.080> high but um same kind of idea of that high but um same kind of idea of that high Acuity

Keywords: 1183, house

Transcript Highlights:

• We have a wide range of acuity. We have people showing up who are fully psychotic.
• We have a wide range of acuity. We have people showing up who are fully psychotic.
• We have, you know, a wide<01:12:46.800> range<01:12:47.040> of<01:12:47.199> acuity.
• <01:12:47.760> We<01:12:47.920> have<01:12:48.080> people wide range of acuity
• We have people wide range of acuity.

Keywords: Meeting Start 00:00:00 Call to Order and Roll Call 00:00:23 Kentucky Bankers Association 00:02:32 How to Read and Understand KRS 6.948 Health Mandate and Federal Cost Defrayal Impact Statements 00:25:40 Proposed Amendments to Kentucky's Essential Health Benefit-Benchmark Plan 00:50:18 Proposed Health Insurance Legislation for the 2026 Session 01:04:22 Reimbursement for Covered Benefits Delivered Through the Psychiatric Collaborative Care Model 01:01:46 Coverage of Eating or Feeding Disorders 01:18:47 Coverage of Hearing Loss 01:25:31, 958, all

Summary: The Interim Joint Committee on Banking and Insurance met for its first interim meeting, established a quorum, approved routine opening items, and welcomed a new committee assistant and a legislative intern. The committee first heard a Kentucky Bankers Association presentation from Tim Shank and John Cooper focused on the state’s housing shortage, which they described as affecting all 120 counties and especially low- and moderate-income and workforce housing. They urged support for a proposed $20 million banker-backed revolving fund, paired with tax credits, to finance new housing construction; they said the program would be flexible, could support alternatives such as manufactured housing, and would use below-market loans with tax credits vesting over five years only after units are completed. They also asked for extension of the historical tax credit carryforward from five to seven years and for continued support of new market tax credits, arguing that supply-chain delays make the longer period necessary for historic rehabilitation projects. The bankers also raised concerns about credit unions, arguing that because credit unions do not pay the same taxes as banks, they should not be allowed to acquire healthy state-chartered banks or hold state and local deposits. They cited the recent purchase of First State Bank of Middlesborough as an example, saying the transaction would reduce state, county, and city tax revenue and weaken local tax bases. In response to committee questions, the presenters said local regulations, zoning, parking, sidewalk, and utility easement issues can significantly delay housing projects, and they emphasized that state policy and infrastructure support are needed to help address affordability and development barriers. The committee then shifted to a Department of Insurance presentation by Commissioner Sharon Clark on how to read KRS 6.948 health mandate and federal cost defrayal impact statements. Clark explained that the mandate statements were created in 1998 so legislators would have actuarial estimates of how proposed health insurance mandates would affect administrative costs, premiums, and total costs, and she noted that later legislation added federal cost-defrayal analysis. She also reviewed the background of the Affordable Care Act’s essential health benefits framework and said the department’s statements are intended to help lawmakers make informed decisions on proposed health coverage mandates. No votes or formal actions were taken during the portion of the meeting provided.

Transcript Highlights:

• Peter to address that greatest need, which does mean in some cases people who have that lower acuity
• Lower-acuity cases may end up sitting in jail long, and then if you again put yourselves in that sheriff's
• have<00:42:20.800> that people who have that people who have that lower<00:42:23.680> Acuity
• 25.920> end<00:42:26.079> up<00:42:26.200> sitting<00:42:26.400> in lower Acuity
• uh maybe end up sitting in lower Acuity uh maybe end up sitting in jail<00:42:26.800> long<00

Bills: HF2196, HF2586, HF2187, HF2037

Keywords: mental health, emotional disturbance, terminology update, statutory cleanup, conforming amendments, children's mental health, serious mental illness, severe emotional disturbance, case management, residential treatment, outpatient services, crisis services, health plan coverage, antipsychotic drugs, medical assistance, Medicaid, foster care, juvenile court, school discipline, county board

Transcript Highlights:

• Um, so utilization of services, acuity levels, the covered populations, um, but so many other factors
• otherwise um so utilization of have seen otherwise um so utilization of services<00:36:16.800> acuity
• levels<00:36:18.480> um<00:36:18.560> the<00:36:18.880> covered services acuity
• levels um the covered services acuity levels um the covered populations populations populations um um

Keywords: Medicaid - Room 216, 4 February, 2026; 2:00 PM, 925, all

Summary: The committee heard presentations on several Medicaid-related topics. First, a pharmacy representative discussed nonopioid pain medications as a way to reduce opioid dependence and overdose risk, emphasizing that options such as acetaminophen, NSAIDs, and topical diclofenac can be useful for pain management. She cautioned that nonopioids can still have risks and said any policy should avoid requiring patients to step through opioids before accessing safer alternatives, while still allowing reasonable step therapy among nonopioid options. The presenter said the goal is to keep patients from being pushed toward opioids by cost or insurance design. The committee also heard emotional testimony from parents of a child with Prader-Willi syndrome, who described the condition as a rare genetic disorder that causes severe, lifelong hyperphagia and requires rigid supervision and ongoing treatment. They argued that alternative funding programs can disrupt access to medically necessary drugs such as human growth hormone, forcing families into costly and uncertain coverage gaps. They asked lawmakers to ensure insurance coverage remains stable for rare disease patients and thanked Senator Blackwell for prior support of rare disease legislation. Next, a Livanova representative urged the committee to support higher Medicaid reimbursement for vagus nerve stimulator surgery for drug-resistant epilepsy. He said inadequate hospital reimbursement has reduced access in Mississippi, causing patients to travel long distances or go without treatment, and argued that better reimbursement would improve outcomes and save money over time. He cited studies showing seizure reductions, lower ER use, and a projected $2.8 million in five-year savings for Medicaid based on 40 patients, and asked that hospitals be reimbursed at 100% of Medicare rates for the procedure codes. Finally, a Medicaid official gave a broad overview of hospital payment structure, including fee-for-service, managed care, MHAP, DSH, UPL, provider taxes, and related funding mechanisms. She explained that hospital payments are interrelated and have shifted over time, with major changes tied to managed care, MHAP/UPL increases, and provider taxes. At the end of the discussion, the committee was running short on time and asked her to skip ahead to the provider tax component; no votes or formal actions were taken in the portion provided.

Transcript Highlights:

• Being a visual person, I have to see everything as it's written out.
• payment or methodology for the payment rate for children in group homes that consider geography and acuity
• Committee substitute for Committee substitute for Committee... and acuity of the children they serve.

Summary: The Senate opened with prayer, the Pledge of Allegiance, doctor and guest introductions, and then took up Committee Substitute for Senate Bill 168, the Tristan Murphy Act, on mental health. Senator Bradley described the bill as a major criminal justice and behavioral health reform measure that would expand pretrial mental health diversion, strengthen treatment-based probation conditions, broaden grant uses for mental health and substance abuse programs, add Hillsborough County to a forensic hospital diversion pilot, require certain DOC mental health evaluations, and create a Florida Behavioral Health Data Repository. Senators from both parties spoke in strong support, emphasizing treatment over incarceration, public safety, data collection, and the Murphy family’s role in advancing the bill. The Senate passed the bill 37-0 and then approved 37 co-sponsors. The chamber then received the Senate’s 2025-26 General Appropriations Bill, SB 2500, with Chair Hooper outlining a $117.4 billion budget that he said reduces spending, preserves reserves, and includes major investments in water quality, transportation, education infrastructure, and reporting requirements. Committee chairs summarized their portions: K-12 funding at $34.7 billion with increases for FEFP, scholarships, VPK, school hardening, and school safety; higher education at $11.5 billion with workforce, nursing, reading, autism, and student aid investments; health and human services with a $1.8 billion increase for Medicaid, mental health, opioid response, disability services, and veterans programs; criminal and civil justice at $7.6 billion for corrections, juvenile justice, law enforcement, courts, and judgeships; transportation/tourism/economic development at about $18 billion including roads, housing, Visit Florida, and cultural grants; and agriculture/environment/general government with major Everglades, water quality, citrus, food bank, and agency IT funding. Members then questioned several budget items, especially education funding formulas, the shift of scholarship dollars below the line, the impact on public school districts, AP/IB and other accelerated program funding, the APD wait list, opioid settlement spending, arts grants, and the My Safe Florida Home and condo pilot programs. Chairs generally said scholarship and accelerated-program dollars were being restructured for transparency and flexibility rather than cut, that school districts would still receive funding based on enrollment, and that APD and other human services issues would continue to be worked out in conference. The budget discussion concluded with remarks praising staff and noting a 4% across-the-board pay raise for state employees and targeted increases for law enforcement and firefighters, followed by a recognition for FAMU Day at the Capitol.

Transcript Highlights:

• determine a daily room and board rate payment for children in group homes that consider geography and the acuity
• The bill also provides that subcontractors and the acuity of the children.

Summary: The committee took up a series of bills and amendments, reporting several measures favorably. Early in the meeting, CS for CS for SB 344 modernizing the Telecommunications Access System Act was approved without opposition. The committee then adopted amendments and passed CS for SB 714 on non-opioid advanced directives, CS for SB 738 updating child care and early learning provider regulation, CS for SB 756 revising health insurance coverage for individuals with developmental disabilities, and CS for CS for SB 1356 creating a Florida Institute for Pediatric Rare Diseases at FSU and a newborn genetic testing pilot. Later, the committee also approved CS for SB 1624 on higher education, CS for SB 1626 on child welfare, SB 178 on an agronomic study for emerging crops, SB 1162 on water access facilities and boat ramp parking, CS for CS for SB 958 creating a type 1 diabetes early detection program, CS for CS for SB 1402 expanding dropout retrieval eligibility, SB 774 requiring electronic transmission of certain court orders, SB 1516 creating an international aerospace innovation fund, and SB 994 revising driver education requirements. Most of these bills were reported favorably by roll call votes after brief explanations and, in several cases, amendments. Several measures drew substantive discussion and public testimony. CS for CS for SB 1624 prompted questions about replacing “minority” with “underrepresented,” the role of the Florida Department of Education’s Commission for Independent Education in overseeing private religious postsecondary institutions, and whether the changes could affect access for students at institutions such as FAMU and FIU. CS for CS for SB 1070 on ECGs for student athletes received extensive emotional testimony from parents and advocates describing children lost to sudden cardiac arrest and urging mandatory screenings; the sponsor said the bill would be cost-neutral for districts by encouraging partnerships with screening groups. SB 994 on driver education was discussed as a vehicle to add distracted driving instruction, and the sponsor agreed to work on that issue. SB 774 was presented as a response to a fatal delay in transmitting an ex parte order, with support from clerks and sheriffs. The most extended debate centered on SB 810 on stormwater management systems. The sponsor said the bill, as amended, would narrow annual inspections to infrastructure identified as vulnerable by MS4 entities, but the Florida League of Cities, Florida Association of Counties, and Florida Stormwater Association warned the proposal could impose major costs and duplicate existing MS4 permit requirements. Committee members questioned the fiscal impact, whether the bill would apply to FDOT or other entities, and whether annual inspections were feasible for large and small jurisdictions alike. Despite those concerns, the sponsor and several members emphasized flood prevention and public safety, and the bill remained under discussion with the sponsor indicating continued willingness to work with stakeholders.

Transcript Highlights:

• address this, the bill includes a treatment foster care program designed to place children with high-acuity
• Also, looking at the acuity level of the members based upon encounter claims, this report would be one

Summary: The Health Care Budget Subcommittee took up two bills and then continued oversight discussions with APD and AHCA. CS/HB 27, the Social Work Licensure Interstate Compact, was presented as a way to let Florida social workers practice in other compact states and vice versa; AARP, the Florida Chamber, and NASW Florida supported it, and the bill passed favorably. HB 1127, a child welfare bill, would create a treatment foster care pilot for children with high behavioral needs, improve DCF data collection on commercially sexually exploited children, and expand recruitment for protective investigators and case managers; the bill also passed favorably after brief supportive testimony. The committee then questioned APD at length about the iBudget waiver waitlist, enrollment pace, spending projections, and provider capacity. APD said it had sent more than 1,100 interest letters in categories 3, 4, and 5, enrolled 1,124 people so far this year, and expects to spend about 96.4% of its waiver appropriation, leaving roughly $82 million unspent. Members pressed APD on why prior discussions suggested more reserve was needed, how long the SANS process takes, whether category 6 could be expanded, and whether the agency has enough waiver support coordinators and direct support providers. APD said it has about 1,061 waiver support coordinators statewide, adequate capacity for current enrollees, but would need further analysis if the legislature directed a much larger enrollment increase. Members also asked about outreach, annual maintenance of the waitlist, portability for military families, and whether communication efforts should be privatized. Finally, AHCA walked the committee through the 2023 Achieved Savings Rebate (ASR) report for Aetna and explained how the report is used for financial monitoring, rebate calculations, and transparency. AHCA said the ASR is separate from the medical loss ratio (MLR) calculation, though both are reviewed, and that Florida uses the ASR mechanism rather than an MLR remittance requirement to recover funds from plans. Members asked about related-party disclosures, CVS/Caremark relationships, expanded benefits, encounter data, network adequacy penalties, denials and appeals reporting, interest earned on capitation payments, and whether rate increases were reaching providers. AHCA and the outside auditors said they review the plans’ reported data, reconcile it to underlying records, and can assess liquidated damages for network adequacy violations; several members requested follow-up data on rebates, interest, provider capacity, and related-party reporting.

Transcript Highlights:

• A lot of costs are borne by children's hospitals from very difficult cases, such as high acuity beta
• Coaches are also trained to refer specific issues. ...choose for higher levels of need or acuity to school

Keywords: 988, house, all

Transcript Highlights:

• have different variations of senior care facilities: nursing homes, which have different levels of acuity
• But then you have... ...nursing homes, which have different levels of acuity and other services that
• crisis stabilization and an extended three- to seven-day crisis care for individuals with higher-acuity

Summary: The committee first heard SB 145, which would require adult residential care providers, especially assisted living centers, to have generators or other backup power arrangements and to submit preparedness plans to LDH. After technical amendments and testimony from the sponsor, LDH, and the assisted living industry clarifying the bill’s scope and cost concerns, the committee adopted the amendments and reported the bill favorably. It then took up SB 433, which would require Medicaid coverage of medically necessary FDA-approved weight loss drugs, including GLP-1 medications, subject to appropriations and fiscally sustainable coverage criteria; the bill was reported favorably after discussion of current Medicaid coverage and costs. The committee also approved SB 52, which requires better coordination between DCFS and LDH so SNAP and Medicaid benefits can follow children more quickly when they are removed from or returned to a home. Technical amendments changed reporting deadlines and required written notice, and the bill was reported favorably. SB 4 on public water fluoridation was amended to allow local governments or voters to opt out through a petition and election process, with support from the Louisiana Dental Association and others after compromise language was adopted; it was reported favorably with amendments. SB 152, which would prohibit the sale of cultured or lab-grown food products for human consumption, was also reported favorably with amendments after brief testimony in support and opposition. The committee next approved SCR 37, which asks the Surgeon General to review Louisiana’s informed consent laws and report back on any gaps, after discussion that the existing medical disclosure panel had not met since 2018. It then considered SB 194, a public assistance bill aligning Louisiana Medicaid and SNAP rules with recent federal changes on non-citizen eligibility and tightening Medicaid’s reasonable opportunity period for citizenship verification. After extensive debate over immigration, emergency care, and whether the bill could harm eligible applicants or rural hospitals, the committee adopted an amendment allowing LDH discretion for emergency health care services and reported the bill favorably by an 8-3 vote. Finally, HCR 113 created a task force to study gestational carrier agreements and assisted reproductive regulation; after debate over surrogacy, ethics, and referral to Civil Law, the committee rejected the referral motion and then reported the resolution favorably, and the meeting moved on to SB 333 on child-in-need-of-care proceedings and legal representation funding.

Transcript Highlights:

• That can fluctuate, though, based upon the acuity of the patient needs.
• So shifting within, we are at baseline across the whole system, and then based upon acuity, we need to
• So shifting within, we are at baseline across the whole system, and then based upon acuity, we need to

Keywords: 1183, house

Transcript Highlights:

• There's also a level of medical acuity, and so we have a handful of rates that are tied to the medical
• acuity.
• reimbursement, our sort of bed-day rate, is tied to a combination of factors, primarily around the medical acuity
• <00:21:00.159> level<00:21:00.400> of<00:21:00.559> medical<00:21:00.960> acuity
• /c><00:21:02.159> we Witness: We also have a handful of rates that are tied to the medical acuity

Keywords: 1189, house, all