Transcript Highlights:

• For involuntary inpatient and outpatient services, we invested in key services such as our FACT teams
• For involuntary inpatient outpatient services, we invested in key services such as our fact teams.
• and have other service, other insurance providers, to make sure that they're aware of those services
• we see that their service gaps.
• So we do have, in terms of services, we track implementation of new services.

Summary: The Human Services Subcommittee met to review implementation of House Bill 7021, the recent overhaul of Florida’s Baker Act and Marchman Act, and to hear from DCF Assistant Secretary Erica Floyd Thomas about how the department is using the $50 million appropriation tied to the bill. Representative Maney, the bill sponsor, gave a lengthy background on why he pursued the reforms and emphasized that the goal was to improve access, reduce unnecessary crisis interventions, and give agencies the resources needed to carry out their responsibilities. He and the chair both noted that the bill was the product of many years of work and broad bipartisan support. DCF reported several early outcomes and implementation steps, including a statewide reduction in Baker Act initiations over the past five years, strong diversion rates from crisis through 988, mobile response teams, care coordination, and forensic multidisciplinary teams, and the creation of new tools such as a Baker Act dashboard and the first annual Marchman Act report. The department described key statutory changes: law enforcement discretion in initiating Baker Acts, a single-petition process, remote appearances, stronger discharge planning, interim services, updated parent notification and hold-period rules, an ombudsman office for children’s behavioral health, and regional collaboratives to identify local service gaps. DCF said it has updated manuals, FAQs, trainings, and rules, and that the managing entities have begun contracting for services. Members asked about how the $50 million was allocated, why much of it went to crisis capacity rather than outpatient care, how much has been spent so far, whether administrative costs are capped, and how the department will measure success. DCF said most of the money was used to preserve and expand crisis beds, detox beds, CSU beds, short-term residential treatment, discharge planning, and outpatient supports, with $1.3 million for the ombudsman and regional collaboratives and $48.3 million to managing entities. The assistant secretary said the department tracks readmissions, utilization, provider capacity, and monthly and quarterly reports from managing entities, but it is still early to see full effects because contracts were only recently executed. Members also raised concerns about children, families, veterans, workforce shortages, transparency, and gaps for hard-to-place individuals, including those with developmental disabilities or dementia. The meeting ended with no formal action beyond adjournment after questions were completed.

Transcript Highlights:

• guess the Department of Human Services guess the Department of Human Services went<00:02:48.080>
• provided um services may be an option. provided um services may be an option.
• government to provide those services. government to provide those services.
• through them just as the Department of Human Services does in the fee-for-service model.
• services were even provided.

Bills: HF3043, HF2891

Keywords: public safety, illegal remunerations, healthcare fraud, grants, criminal penalties, state law, grants management, state employees training, certification, monitoring grants, accountability, grant fraud, 1183, house

Transcript Highlights:

• This is the market-driven unit price for a service, so kind of what is being charged for that service
• , those services specified by the Centers for Medicare and Medicaid Services.
• Those services specified by the Centers for Medicare and Medicaid Services.
• care claims for dental services.
• How are we paying for a service, and are we getting what we expect out of that service as a result of

Summary: The committee began with an extended work session on the long-term care workforce. DSHS Assistant Secretary B. Rector described the new Home and Community Living Administration and outlined major workforce pressures: Washington had about 126,000 long-term care workers in 2022, with demand expected to outpace supply as the 85-plus population and dementia prevalence rise sharply. She emphasized that direct care workers are largely women, people of color, and immigrants, and that family caregivers are also a major part of the system. She highlighted recruitment and retention efforts funded through federal Money Follows the Person dollars, including high school training partnerships, a retention toolkit, transportation support, caregiver newsletters, tribal workforce navigators, and a remote caregiving pilot. Committee members asked about career pathways, technology use, and turnover drivers; Rector said wages, benefits, unstable hours, and workplace support are key issues and promised follow-up data. Aidan Swain of the Washington Health Care Association said skilled nursing and assisted living facilities face acute RN vacancies, wage pressures, and Medicaid reimbursement that does not cover costs, and urged modernization of training, better reimbursement, and continued support for facility-based care. Maddie Fouch of SEIU 775, representing about 55,000 caregivers, said low wages, weak benefits, lack of voice, and certification delays are driving turnover and shortages, and argued for higher compensation, better worker protections, and more transparent reimbursement. Catherine Smith of Behavioral Health Solutions described growing behavioral health needs in nursing homes, the role of expanded behavioral supports programs, and credentialing delays that slow hiring. No votes were taken; the panel was informational only. The second agenda item was an overview of the palliative care benefit work group report required by 2024 legislation. Nico Jansen of the Office of the Insurance Commissioner explained that the work group, convened with the Health Care Authority, studied a potential palliative care benefit for fully insured commercial plans and also Medicaid, PEBB, and SEBB. He said palliative care is a philosophy of care focused on symptom management, coordination, and support for serious illness, and is distinct from hospice because it can be provided alongside curative treatment. The actuarial analysis concluded that creating a new benefit would likely increase costs, estimating about a 28-cent per member per month increase overall and roughly $2.6 million to $4.5 million in annual state Medicaid costs if implemented in 2027. Jansen said the consultants did not find sufficient evidence to assume savings from avoided hospitalizations or long-term care, though several work group members disagreed and submitted response letters. Senators asked about other states, Medicare, health homes, and whether more research could clarify cost savings; OIC said some states, including Hawaii, are moving ahead with Medicaid palliative care benefits, Medicare covers some related services but not in the same way, and further evidence may emerge over time. OIC did not take a position on whether the Legislature should create the benefit. The final presentation covered health care price transparency tools in Washington and federally. Evan Klein and HCA Chief Data Officer Vishal Chaudry reviewed federal hospital and health plan transparency rules, the state all-payer claims database, prescription drug price transparency, the Health Care Cost Transparency Board, the Prescription Drug Affordability Board, and other reporting systems. They explained that the APCD contains claims from fully insured commercial plans, Medicaid, and public employee programs, but not self-insured employer data except for limited voluntary submissions. They also described how machine-readable files, consumer price tools, and aggregated dashboards are used, and noted that data limitations, delays, and complexity remain significant. Senators asked about voluntary self-insured participation, the role of AI in making data more usable, and whether transparency can really help consumers given access barriers and medical debt. HCA said AI is increasingly used by private entities to mine large transparency datasets, but state agencies still face limits in data access and analytic capacity. The committee did not take action; the session was informational and ended with a discussion of how transparency data might better inform policy and purchasing decisions in the future.

Transcript Highlights:

• into services as they apply.
• Yes, they do have to be active in behavioral health services, which can include recovery support services
• But part of this is for them to be in services and the services should include, you know, motivational
• So a bed could be a service or a physical literal bed. Um, or, uh, a step down service. Got you.
• Those services are typically the living support services and the day program services for the traditional

Transcript Highlights:

• Controls for hospice services.
• We are health and human services, not American-only services.
• with providing that service.
• those services?
• Cuts to dental services.

Keywords: 988, house, all

Transcript Highlights:

• And there was also backdoor service.
• And there was also backdoor service.
• Within debt service, The last bucket I wanted to point out was debt service fund and pension fund.
• incorporated, was additional parks and recreation services, libraries, and planning services to make
• Variety, but primarily the municipal utility services tax, state-shared revenues, and communication services

Summary: The Committee on Community Affairs convened with a quorum and took up SB 308, a bill related to the Florida Museum of Black History. The bill would establish a Florida Museum of Black History Board of Directors and direct it to work with a supporting nonprofit foundation, while also requiring the St. Johns County Board of County Commissioners to provide administrative assistance and staffing until planning, design, and engineering are complete. With no appearance forms or debate, the committee voted the bill favorably. The remainder of the meeting was an informational briefing from the Florida Association of Counties and the Florida League of Cities on local government budgeting practices. Presenters explained how counties and cities develop budgets, the legal framework governing property taxes and other revenues, the distinction between restricted and unrestricted funds, and the role of constitutional officers, public safety, debt, pensions, and capital planning. They emphasized that most local revenues are restricted by law, that general funds are the main discretionary source, and that local governments must balance annual budgets while meeting mandated service levels. The presenters also discussed how property taxes, fees, local option taxes, and state-shared revenues support local services, and they highlighted the fiscal pressures created by public safety, emergency management, infrastructure, and retirement costs. Members asked questions about the share of local revenue that is unrestricted and the implications for any proposal to eliminate property taxes. The presenters responded that only a portion of county and municipal revenue is flexible, with much of it dedicated to specific purposes by law.

Transcript Highlights:

• receive required services receive required services a<00:57:57.039> law<00:57:57.319>
• <01:07:36.079> a district special education services a district special education services
• 15:54.480> service implementation of a service implementation of a service um<01:15:55.920>
• Services will be paid by services paid to individual group rate.
• Absolutely. services will be paid by Services paid services will be paid by Services paid to<01:25:01.400

Keywords: 1191, senate, all

Transcript Highlights:

• <00:03:46.680> next<00:03:46.879> slide Services next slide Services next slide please<
• already are taxing uh a lot of services already are taxing uh a lot of services uh<00:41:47.160>
• banking service fees on Title Services banking service fees on Title Services closing<00:57:26.920
• payment services uh Loan Servicing payment services uh safety<00:58:21.720> deposit safety deposit
• service charges Trust Services Bank bank service charges Trust Services safe<01:09:46.600> deposit

Keywords: 1183, house

Transcript Highlights:

• Gigabit service underscores the same pattern.
• Fortunately, the Department of Health Care Services and Social Services continue to remind their customers
• Verizon doesn't offer any wireline service in California, and they offer wireline service in a number
• basic essential service, such as food, rent, and unitities.
• Basic essential services such as food, rent, and utilities.

Summary: The Assembly Communications and Conveyance Committee held an informational hearing on the state of broadband affordability in California. Chair Tasha Berner said the committee was examining how broadband prices, access, and affordability are affecting households, especially after the end of the federal Affordable Connectivity Program and amid concerns about federal resistance to state broadband regulation. She noted the committee’s continued interest in policy options for 2026 and referenced prior legislation, including AB 353, that would have required affordable home internet as a condition of doing business in California. Industry witnesses from U.S. Telecom and CTIA argued that broadband and wireless prices have generally fallen in real terms even as inflation and other household costs have risen, citing competition, infrastructure investment, and faster speeds as the main drivers. They said California’s higher costs are tied to permitting delays, taxes, copper theft, and legacy obligations such as COLR requirements, and they urged the Legislature to preserve market incentives, reduce fees and regulatory burdens, and support infrastructure deployment. They also discussed fixed wireless access, federal BEAD funding, and Universal Service Fund reform, arguing that more entities benefiting from networks, including tech platforms, should contribute to support programs. Consumer and public-interest witnesses presented a different view, saying California still has a serious affordability and adoption problem, especially for low-income households. Sunny McPhee of the California Emerging Technology Fund said broadband adoption has improved dramatically over time, but about 500,000 households remain offline or underconnected and many low-income households still pay above the FCC affordability benchmark. Ernesto Falcon of the CPUC Public Advocates Office said California’s market is losing its competitive edge, with prices higher than in other states and meaningful price pressure coming mainly from fiber competition at the gigabit tier. He said roughly 4.8 million Californians are limited to one gigabit option and estimated that more competition could save consumers more than $1 billion annually. Both witnesses emphasized the need for stronger transparency, targeted subsidies, and a permanent affordability solution, including extending and refining the CPUC broadband Lifeline pilot and advancing SB 716. Public commenters, including representatives from cable providers, nonprofits, and digital equity organizations, largely supported SB 716 and a permanent broadband affordability program. Several urged the committee to remove a cap on the Lifeline program, expand the CPUC pilot, and invest in digital navigators, outreach, and enrollment assistance. The hearing ended without a vote or formal action, after the chair thanked the witnesses and public commenters for their testimony.

Transcript Highlights:

• <00:10:11.000> we in order to provide these Services we in order to provide these Services
• Parents need to make sure that the services billed are the services provided.
• <00:31:12.880> the<00:31:13.039> services build are the services build are the services
• services, nutrition services, medication monitoring, and counseling.
• > Services nutrition services medication Services nutrition services medication monitoring<00:43:33.040

Keywords: 1191, senate, all

Transcript Highlights:

• It's called recovery support services, and I think it's in those situations that recovery support services
• Treatment and other recovery services, whether APO is the best provider for those services or whether
• model, increasing access to mobile services, and peer recovery support services.
• to mobile services, and peer recovery support services.
• We services.

Keywords: 959, house, all

Transcript Highlights:

• So the services that are considered... ...it away and then come back.
• , I mean from coupon service or whatever you call it to basic services at that point.
• This is for our third-party administrative services.
• We issued an RFP. ...our third-party administrative services.
• Okay, this is the Sedgwick claims management service.

Keywords: 1204, all

Transcript Highlights:

• their services.
• <00:25:20.480> an<00:25:20.799> IEP<00:25:21.440> service service an IEP service
• > but service it may be a medical service but service it may be a medical service but at<01:14
• Medicaid service cost the of the service Medicaid service cost the of the service cost<01:19:58.640
• <01:22:20.000> you're service, the OT service that you're service, the OT service that you're

Keywords: 928, house, all

Summary: The subcommittee met for its third discussion on special education aid under retained bill 742, with the chair noting that no action would be taken at the meeting. The chair reviewed prior hearings on Medicaid and local special education funding shortfalls, saying the committee was trying to understand why districts are facing proration of special education aid and how to reduce unfunded costs. He raised a series of questions for the Department of Education about the Nessus system, eligibility and ineligibility, invoices and vouchers, audit procedures, reimbursement rates, out-of-state placements, and who enters data at the district level. Rebecca Fdet, director of special education services at the Department of Education, explained that Nessus is the statewide special education information system and that every child in special education must be entered into it. She said most districts use it to develop IEPs and track services, while six districts use it only as a data reporting tool. She described which fields are required, how the system connects IEP development to the financial section, and how districts submit invoices when seeking special education aid, court-ordered placement payments, or episode-of-treatment placements. She said the department reviews invoices against the IEP, pays only for allowable services, and uses a cap that notifies districts when they reach the annual limit. Members asked about who submits the information, how districts decide when to seek aid, and how costs are calculated for individual or group services. Fdet said the district, usually an administrative assistant in the SAU office, submits the documentation electronically, and districts decide when to track students for aid based on their own circumstances. She said reimbursement is based on actual costs tied to the IEP, with group services split among students, and that the department does not generally set rates for local services. The only rate-setting she described was for approved private special education providers, which submit annual cost spreadsheets for tuition rates. She also said out-of-state providers must be approved by their own state, and the department checks licensure and certification through monitoring and investigations if concerns arise. The department also described its monitoring process, called Program Approval and General Supervision Monitoring, or PAGS. Fdet said districts are reviewed on a six-year cycle, with more intensive review for districts needing assistance or intervention and fewer file requests for districts meeting requirements. She said the department can review up to 65 data points on an IEP and that districts must submit special education aid paperwork by July 31, with superintendent verification due by August 15. The meeting ended with continued questions about procurement, audit procedures, and how the department handles out-of-district and out-of-state placements.

Transcript Highlights:

• an insurer's responsibility to review and audit a third-party administrator, to Health and Human Services
• of certain health information by physicians and other health care providers, to Health and Human Services
• by a parent, guardian, or managing conservator to a child's health records, to Health and Human Services
• to a patient of an itemized bill for health care services and supplies, to Health and Human Services
• and Human Services.

Summary: The Senate met briefly to receive first-reading referrals of a large number of bills, resolutions, and joint resolutions. The measures covered a wide range of topics, including public education, health care, criminal justice, business regulation, transportation, water and natural resources, local government, taxation, elections, and public information. Many of the filings were by Senators Hughes, Perry, Alvarado, Creighton, Hancock, Parker, Zaffirini, Blanco, and others, and included proposals on school safety, health records and billing, election procedures, water planning, housing and rent issues, energy and environmental regulation, and criminal penalties. The chamber also read several concurrent and joint resolutions, including measures designating state symbols and local honors, a proposed constitutional amendment related to gaming by the Kickapoo Traditional Tribe of Texas, a proposal concerning special-session subjects, and resolutions on fiscal restraints and retirement obligations. No debate, testimony, or substantive action on the merits of the measures occurred in this portion of the transcript; the items were simply read and referred to committees. At the close of the proceedings, the Senate adjourned pursuant to a previously adopted motion and announced it would reconvene at 11 a.m. Tuesday, March 4.

Transcript Highlights:

• Services.
• community based services that services community based services are<01:07:43.039> um<01:07:43.599
• inadequate language services, and inadequate language services. services. services.
• act as a hub for these services. act as a hub for these services.
• service.

Keywords: 1191, senate, all

Transcript Highlights:

• Before going through the Services.
• recuperative care services, which also requires, within the recuperative care services, habitability
• For disability services, we instituted a long-term service and support cost savings reform work group
• rely on weight list for the services rely on weight list for the services that<00:12:42.720>
• of service hours per day to six hours. of service hours per day to six hours.

Keywords: 1183, house

Transcript Highlights:

• Wraparound services are provided through the Department of Human Services and in partnership with the
• service planning and coordination process for children and Based team-oriented service planning and
• Wraparound services integrate formal services and informal supports across systems to develop and implement
• Rapparound services integrate formal services and informal supports across systems to develop and implement
• And then the second... ...services in coordination with the Department of Human Services.

Keywords: 994, senate, all

Summary: The committee first approved the minutes from its prior meeting and then took up House Bill 5537, a bill to repeal several obsolete or outdated code sections. Counsel explained that the bill would remove provisions related to professional development, a behavioral interventionist pilot program, county lists of facilities for child daycare, and high school graduation rates, with a proposed amendment adding another outdated education code section from 1923. The committee adopted the amendment and reported HB 5537 to the full Senate with a recommendation that it do pass as amended. The committee then considered House Bill 4656, which would shift truancy policy toward chronic absenteeism and earlier intervention. Counsel said the committee substitute would replace punitive status-offense treatment with wraparound services, student support specialists, and a new child-in-need-of-supervision process, while also ending compulsory attendance at age 18 and removing criminal penalties for 18-year-olds. Members questioned how the new thresholds would work, including the role of attendance directors, prosecutors, judges, and the Department of Human Services, and whether the bill would change current diversion funding or court authority. Witnesses from Fayette County, Greenbrier County, and Taylor County largely opposed the bill or urged caution. The Fayette County attendance director said current truancy procedures, including school-based probation and court involvement, help secure family participation and services, and warned that removing the status offense would weaken enforcement. A Greenbrier County probation officer said diversion programs are effective and that court involvement often leads to needed services. A Taylor County juvenile prosecutor said status-offense jurisdiction gives courts meaningful leverage and flexibility, and asked that counties be allowed to keep existing approaches that work locally. After testimony, the committee voted to report HB 4656 to the full Senate without recommendation and with a recommendation that it be re-referred to the Committee on Education, then adjourned.

Transcript Highlights:

• you have medical services and Mental Health<00:38:22.319> Services<00:38:23.200> allinone
• who is providing those services.
• We provide primary care, dental services, behavioral health services, and substance abuse services for
• <03:38:33.120> Services<03:38:33.720> which Emergency Medical Service Services which
• c> other and services Adult Services and other and services Adult Services and other critical<04:

Keywords: 928, house, all

Summary: The House Finance Committee opened a public hearing on House Bills 1 and 2, which concern the governor’s proposed FY 2026-2027 budget. The chair explained that the committee must fit the budget to House Ways and Means revenue, which is about $800 million below the governor’s estimate in an almost $16 billion budget. He also noted a projected current-budget overspend, the impact of recently passed legislation, possible fee updates, no new tax proposals at that time, and the importance of federal funding and Medicaid stability. Testimony was limited to three minutes, with the chair asking speakers to avoid duplication. Much of the testimony focused on Medicaid, disability services, and home- and community-based care. Speakers urged the committee to restore or protect funding for transportation, Medicaid, day programs, in-home supports, and behavioral health services. Several individuals and providers described how cuts would affect people with disabilities, medically fragile children, and families who rely on services to remain employed and avoid institutional care. A home care provider argued that a proposed 3% Medicaid cut would increase hospitalizations and costs, while a behavioral health representative asked for sustainable Medicaid rates, uncompensated care support, housing resources, and continued funding for community behavioral health clinics. Another major topic was the Group II retirement provisions in HB 2 for public safety workers. Representatives from police, fire, corrections, probation/parole, and related associations testified in support, saying prior pension changes hurt recruitment and retention, pushed experienced workers to neighboring states, and should be reversed to restore promised benefits. They argued the provisions would help keep public safety careers viable and honor commitments made to first responders. An executive counselor also warned that when the state shifts costs away from itself, local property taxpayers bear the burden, and she opposed cost shifts such as Medicaid premiums and universal vouchers. A separate speaker urged funding public schools rather than universal vouchers, arguing vouchers can leave other students behind as resources are diverted.

Transcript Highlights:

• by insurers and health care providers, to Health and Human Services.
• executive council, to Health and Human Services.
• Senate Bill 1075 by Hall, relating to excuses from grand jury service, to State Affairs.
• to a local intellectual and developmental disability authority for services, to Education K-16.
• by certain health benefit plan issuers to Health and Human Services.

Summary: The Senate met briefly and referred a large number of first-reading bills and resolutions to standing committees. The measures covered a wide range of topics, including hemp regulation, dementia research funding, parental rights and public education, municipal library funding, tax and local government issues, criminal justice, health care, education, transportation, natural resources, and election law. Several constitutional resolutions were also referred, including proposals related to the Dementia Prevention and Research Institute of Texas and a severance tax revenue fund. Most of the transcript consists of the reading of bill captions and committee referrals, with no substantive debate or testimony recorded. The listed measures included proposals on school uniforms, charter schools, Medicaid fraud remedies, insurance practices, occupational licensing for people with criminal convictions, water and sewer utility cybersecurity, agricultural protections, public meeting broadcasting, and various local and state governance matters. No votes were taken on the bills in this segment. The only formal action reflected was referral of the bills and resolutions to the appropriate committees, followed by adjournment of the Senate until the next scheduled meeting.

Transcript Highlights:

• service agreements renew. service agreements renew.
• . services. services.
• where<00:58:28.120> the Service Corps service places where the Service Corps service places
• ,<01:19:54.960> SUD<01:19:55.520> services, mental health services, SUD services, mental
• get paid for their services. get paid for their services.

Keywords: 1187, senate, all