Transcript Highlights:

• Moving on to AB 120, this is the Early Learning and Child Care Omnibus.
• care programs, but extends and increases the monthly cost of care plus payments for all subsidized child
• child care providers have been asking for, and this is important.
• Care Bridge Program and not harming it further.
• , the Emergency Child Care Bridge program, bringing families home, and for restoring $10 million. to

Keywords: 988, house, all

Transcript Highlights:

• You know, we all know we have a problem here with child care.
• So let's, can we restrict it to child care services?
• That decision to keep their child care in Fargo versus Moorhead.
• care in Moorhead because they could not get child care in North Dakota.
• So they might still have child care in Moorhead because they couldn't get child care in North Dakota,

Keywords: 908, all

Summary: The conference committee discussed a child care tax credit bill and focused mainly on narrowing the eligibility language. Members agreed to remove a proposed 10-mile limitation tied to the state line at first, then revisited the issue after concerns from the Tax Department and Legislative Council about remote workers, border communities, and out-of-state daycare use. Testimony from the Greater North Dakota Chamber supported the credit as a more flexible version of a prior grant program, while committee members debated whether the credit should apply only to North Dakota residents, employees working in North Dakota, or child care providers located in North Dakota or border cities. After extended discussion, the committee settled on keeping the 10-mile language and striking the resident requirement from the definition of “qualified employee,” with the intent of better capturing border-area workers while avoiding broader unintended coverage. Members noted the bill is aimed at workforce and child care access, especially in Fargo, Grand Forks, and other border areas, and acknowledged that the language may still need adjustment in the future. The Tax Department and Legislative Council indicated the revised language would be workable. Representative Foss moved the final amendment to the conference committee report, Senator Powers seconded, and the motion passed on a roll call vote with all members voting yes: Chairman Rummel, Senator Marseille, Senator Powers, Representative Doctor, Representative Foss, and Representative Anderson. The committee then adjourned, with House and Senate members designated to carry the report forward.

Transcript Highlights:

• House Bill 47 is a bill about child care.
• House Bill 47 is a bill about child care.
• House Bill 47 is a bill about child care.
• care that are... ...as regular pre-Ks or child care that have licensure?
• because they have a child care facility.

Summary: The Health and Human Services Committee heard and passed several bills. HB 293 would codify the Office of Faith and Community in the Executive Office of the Governor, create a liaison and advisory council, and was supported by faith-based and nonprofit groups; some members questioned possible duplication with existing services and the source of any future funding, but the bill passed 24-0. CS/HB 547 would create an exception to the 30-day notice requirement before hospitals and ambulatory surgical centers sell medical debt when the debt buyer agrees not to use interest, fees, or extraordinary collection actions and must return charity-care-eligible debt; it passed unanimously after brief support testimony. CS/HB 1553 would require reporting of uterine fibroid data to the Department of Health to create a de-identified public database and reauthorize funding for implementation; it also passed 24-0, with members noting the earlier database mandate had not been carried out. The committee then took up CS/HB 1195, “Gage’s Law,” which would require hospitals and hospital-based emergency departments to test for fentanyl in urine drug screens for suspected overdose or poisoning cases. The bill was presented as a response to overdose deaths and the need to better detect fentanyl, and emotional testimony from a parent described a son’s death after a hospital did not test for fentanyl. Members from both parties spoke in strong support, emphasizing stigma, the need for better treatment and data, and the potential to save lives; the bill passed 24-0. CS/HB 47 on child care and early learning providers would streamline inspections, speed background screening, offer free online training/testing, update definitions, protect certain family child care homes from insurance issues, and create a license-exempt category for employer-provided child care; after questions about parent notice, database listing, background checks, and insurance, an amendment was adopted and the bill passed 24-0 as amended. Finally, CS/HB 647 would allow advanced practice registered nurses to sign death certificates in hospice settings, addressing delays that can leave families waiting to complete burial arrangements. Support testimony came from advocacy and hospice groups, and members cited the bill’s importance for families and religious burial timelines. The bill passed 23-0. The committee then adjourned.

Transcript Highlights:

• On slide 18, at the top of page 18, item 12, there's a continued look at universal child care assistance
• And then on universal child care, I haven't seen the form that people sign up on, but getting data up
• and utilization in the Medicaid managed care program.
• It's really just focused on the Medicaid managed care program, which constitutes about 82% of Medicaid
• On the next page, on page 12, under this is in the child care systems program. You'll see the red.

Transcript Highlights:

• I was Director of Soldier Care.
• We do a lot of fertility care now.
• Program.
• Yeah, not to get into the pluses or minuses of the program, simply the administration of the program.
• or problems with the program or anything like that?

Summary: The committee first considered the confirmation of Dr. John Lattell to the Board of Medicine. In questioning, senators focused heavily on his views about abortion, vaccines, ivermectin, and the role of CDC/FDA guidance in board discipline cases. Dr. Lattell said the board applies Florida statutes and works through probable cause panels and legal counsel, but he also expressed strong pro-life views, skepticism of federal health guidance, and criticism of vaccines and some medical practices. Supporters praised his long medical career, military service, and family medicine background, while opponents argued his views could prevent him from being objective in disciplinary matters. The committee voted to recommend him for confirmation to the full Senate, with Senators Polsky and Ruson voting no. The committee then took up the confirmation of Taylor Hatch as Secretary of the Department of Children and Families. Hatch described her background in state human services and outlined priorities centered on accountability, data, lived experience, and improving service delivery. Senators asked about SNAP error rates, Hope Florida, legislative analyses, staffing, and the department’s handling of child welfare and medically complex cases. Hatch said the department was reducing SNAP error rates, that Hope Florida uses navigators to connect people with community resources and self-sufficiency supports, and that DCF is working with the Department of Health and other partners to improve investigations and accountability in child welfare. She also said the agency is reviewing medically complex cases and strengthening oversight of community-based care providers through contracts, audits, and proposed funding-model changes. A substantial portion of the Hatch discussion centered on whether the department had been responsive to legislative requests and whether it had provided timely bill analyses. Senators also pressed her on Hope Florida staffing, the number of participants served, and the Hope Florida Foundation’s compliance and legal oversight. Hatch said the foundation is undergoing a financial audit and that the department is relying on required reports and ongoing investigations. The transcript ends amid continued questioning about a community-based care contractor’s finances, related-party transactions, and whether further forensic audits or repayments are needed.

Transcript Highlights:

• This is kind of like your child going out to urgent care and getting medical services, and you're not
• <06:00:43.160> maybe that child to service that child maybe that child to service that child
• was a small child.
• was a small child.
• was a small child.

Keywords: 928, house, all

Summary: The committee opened with House Bill 184, which would create a committee to study changing school start times. Members discussed Amendment 0394, which made the study committee’s duties more investigative and adjusted reporting recipients, including the Governor. Several members raised questions about whether the committee should review evidence-based studies, local district decisions, and existing district reports; supporters said the amendment would better allow the committee to gather information and recognize local control. The amendment passed 17-0, and the bill as amended also passed 17-0. Representative Litchfield noted that no one had testified in opposition and encouraged the future study committee to review an Oyster River School District report on school start times. The committee then took up House Bill 394, concerning cooperative school district budget committees and board member representatives. Amendment 0476 was adopted 17-0 after discussion that it clarified the bill’s language and reflected work with the School Boards Association. The committee then voted OTPA on the bill, which also passed 17-0. House Bill 738, requiring background checks for employees and volunteers at certain non-public schools or education service providers receiving public funds, was moved inexpedient to legislate. Supporters said the bill would create practical and legal problems for private citizens and homeschooling families, and the motion passed 15-2 with no minority report, placing the bill on consent. The committee next considered House Bill 235, which would amend the educator code of ethics and conduct to add responsibilities to parents. Supporters argued parents should be explicitly included in the code, while opponents said parents were already covered in existing ethics language and statute. The bill passed narrowly, 9-8. The committee then returned to House Bill 532 on alternate dispute resolution and individualized education plan team meeting facilitation. Amendment 0480H clarified that different rules would apply separately to neutral conference, mediation, and IEP facilitation; it passed 17-0, and the bill as amended also passed 17-0. Finally, the committee moved to House Bill 564, concerning adoption of school administrative unit budgets, and voted to retain the bill for further review because members said there was still confusion about how it would apply to single-district and multi-district SAUs.

Transcript Highlights:

• Does that... sit with their child um as example first sit with their child um as example first grader
• they're not able to sit with their child they're not able to sit with their child because<00:23:
• inhaler and um the recipient the child inhaler and um the recipient the child and<00:42:42.480><
• <00:44:03.680> has notify the schools that the child has notify the schools that the child
• It refers to it, defines a school as any daycare center, child care facility, Head Start program, preschool

Keywords: 912, senate, all

Transcript Highlights:

• population in the state's Medicaid long-term care program.
• Medicaid Long-Term Care Program.
• to stay enrolled in the long-term care program.
• and funding levels for the long-term care program to exist.
• and funding levels for the long-term care program to exist.

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

Transcript Highlights:

• I’m the director of the Child Advocacy and Protection Program at Dartmouth, and I am here to share with
• The child goes home and, in two days, comes back to my intensive care unit with severe abuse, head trauma
• report when you are concerned about child abuse to Child Protection Services.
• report when you are concerned about child abuse to Child Protection Services.
• report when you are concerned about child abuse to Child Protection Services.

Keywords: 928, house, all

Summary: The committee opened a public hearing on House Bill 493, a proposal to require physicians, nurse practitioners, and physician assistants to complete child abuse and neglect training as part of licensure and continuing education. The bill’s sponsor and supporters said the measure addresses a gap in provider training, especially because abuse can be difficult to recognize and voluntary training has had low participation. They described a free Dartmouth online course and argued that mandatory, repeated education would help providers identify signs of abuse, know when to involve specialists or DCYF, and improve child safety. Supporters also noted the bill was amended to clarify coverage for nurse practitioners, physician assistants, and nursing hours, and to address language concerns raised by the Office of Professional Licensure and Certification. Committee members and OPLC counsel raised implementation questions, including whether the bill would apply to all physicians regardless of specialty, whether it created a new licensure condition rather than only a continuing education requirement, how often the training would need to be repeated, and whether the accreditation language fit nursing rules. OPLC also noted that psychiatrists would be covered as physicians, while psychologists would not. A child abuse pediatrician testified that in his experience, children were sometimes seen by providers who missed early signs of abuse, leading to worse outcomes, and that mandatory education was needed because voluntary programs had poor uptake. The New Hampshire Hospital Association opposed the bill, saying health care professionals already have reporting duties and that the legislature should not single out one training mandate when similar requirements are generally left to licensing boards. The Office of the Child Advocate supported the bill, citing cases from 2023 involving non-ambulatory infants with fractures, conflicting medical testimony in court, and a low completion rate for the existing free online course. The Child Advocate said the bill should be mandatory and recurring so providers stay current on evolving science and law. No vote was taken in the portion of the hearing provided.

Transcript Highlights:

• moving the child care licensing to DHS? moving the child care licensing to DHS?
• c><00:37:48.079> services<00:37:49.200> and child care is with human services and child
• And um you know, I I love child care.<00:38:32.400> Child<00:38:32.720> care<00:38:32.880
• care. Child care is extremely important. care. Child care is extremely important.
• effort to get child care where we think effort to get child care where we think it<00:38:56.480>

Keywords: Appropriations - Room 409, 28 January, 2026; 10:30 A.M., 925, all

Summary: The meeting began with testimony from the Nursing Home Administrator Board, whose executive director explained the board’s role in licensing nursing home administrators, the AIT internship pathway, reciprocity, board composition, meeting schedule, and staffing. Members then shifted to an ice-storm-related discussion about nursing home emergency preparedness. Legislators asked whether any facilities lacked power, generators, or water, and urged clearer communication protocols so facilities would report problems directly through the Department of Health and emergency channels rather than through scattered calls to legislators. The board said facilities generally communicate with the Department of Health, that emergency contact information had been distributed before the storm, and that every facility has some form of generator, though not all can power the whole facility. The board also presented a small budget request, including modest salary increases for its two employees and a cloud-migration cost tied to House Bill 1491, with the understanding that statewide funding for that requirement might be handled separately. The discussion then moved to the Department of Health’s budget and operations. Agency leadership said the department has spent the last three years improving county health department efficiency, reducing overhead, and adjusting fees to eliminate program deficits, which has reduced spending by about $10 million and would shift roughly $8 million in general funds away from deficits. The department requested level funding overall, citing inflationary pressures and the possibility of another federal shutdown, but said it could absorb the impact for another year. Members discussed the public health trust created in a prior session, the need to rebuild county health departments, maternal and fetal care initiatives, and the importance of maintaining the $2.9 million in public health program support that has helped expand services such as obesity management, OB care, and home visitation for high-risk mothers and babies. Oversight and compliance issues were also reviewed. Legislators asked about prior problems with grants and sex education funding, and department officials said they had tightened oversight, adopted OpenGov for compliance, and corrected earlier violations so the programs are now in full compliance. They said the agency had improved accountability for both state and federal funds and that transparency remained a priority. The department also highlighted the cannabis program, saying it is now profitable, generating about $9 million in net revenue last year and about $12.5 million this year, with projections of $40 million to $50 million annually as it matures. Officials said they are asking for seed money for the public health trust from cannabis revenue so private-sector donations can be leveraged for long-term public health support. They described enforcement actions including fines, suspensions, license revocations, plant destruction, and referrals to law enforcement, the attorney general, and licensure boards for serious violations. The meeting ended with general support from legislators for the department’s work and acknowledgment of improved health outcomes, including Mississippi moving from 49th to 48th in overall health outcomes.

Transcript Highlights:

• HB 4459 by Ba Johnny Earlings of the revision of certain services under the Medicaid Managed Care Program
• Services including the services provided under the Medicaid managed Care and Child Health plan programs
• AG 4655 by Halverland, the preparation of Adult Living Program and other services for the foster care
• Foster care placement for a child to the Committee on Human Services HB 4782 by Martinez relating to
• Child Care Initiative Commission for the Committee on Trade, Workforce and Economic Development.

Transcript Highlights:

• When screening is not done and the child is not treated or referred to psychiatric care, this does not
• Every child deserves that.
• . if you're a parent, four months without your child. psychiatric care.
• This care is not cosmetic.
• It means no care.

Keywords: 995, all

Summary: The Joint Committee on Financial Services held a lengthy public hearing with more than 70 people signed up to testify, focusing mainly on health insurance and health care access bills. Early testimony centered on H.1257/S.712, which would require insurance coverage for medically necessary treatment of genetic craniofacial conditions. Supporters included legislators, dentists, and medical experts who said these conditions are not cosmetic, can severely affect eating, speech, pain, and social functioning, and often create major financial hardship because insurers deny coverage. A related dental bill, H.1262/S.676, drew technical testimony from the Life Insurance Association of Massachusetts about implementation issues with the 2022 dental loss-ratio law, while the Massachusetts Dental Society supported H.1306/S.696 on transparency in dental network leasing and opposed H.1262. Representative Gentile also testified for H.4013, which would ban for-profit acute care hospitals and for-profit health insurers in Massachusetts, arguing that profit incentives undermine patient care. A major portion of the hearing was devoted to H.1261/S.799, a bill to protect patients from surprise ambulance bills. Municipal fire chiefs, Boston EMS, nonprofit ambulance providers, and the bill’s Senate sponsor said the measure would require insurers to pay ambulance providers directly and promptly, cap patient out-of-pocket costs, and reduce confusion caused by out-of-network billing. Witnesses described ambulance services as essential public health infrastructure and said current billing practices can discourage people from calling 911 or leave municipalities and nonprofits unable to recover costs. Committee members asked about unpaid debt, municipal billing burdens, and how the bill would affect rates and reimbursement. No votes were taken during the hearing. The committee also heard extensive testimony on H.1249/S.805, which would require screening for PANS/PANDAS in medical and clinical settings. Legislators, clinicians, parents, a teen with the condition, and educators described PANS/PANDAS as an infection-triggered inflammatory illness that can present as sudden psychiatric symptoms and is often misdiagnosed as a mental health disorder. Supporters said routine screening at well visits, emergency rooms, and other clinical settings would help identify children earlier, reduce unnecessary psychiatric treatment and hospitalizations, and improve outcomes. Testifiers repeatedly urged favorable action, emphasizing the personal and financial toll on families and the potential for early treatment to prevent long-term harm. The hearing concluded with continued testimony on these bills; no committee action or votes were announced.

Transcript Highlights:

• The All Stars program recognizes preschools, child care, and Head Starts that have made a commitment
• Uh child care 68%. only a 1% increase. Uh child care 68%.
• their child care centers and in-home child care programs in their communities as it relates to offering
• some of the trainings that you were talking about so that those child care programs don't have to pay
• care a child partner with um a child care a child care<00:55:40.400> facility<00:55:40.800>

Keywords: Call to Order and Roll Call – 0:00:04 Approval of Minutes – 0:03:57 United Way of Southern Kentucky –0:04:30 Preschool Education – 0:36:46 School Safety Updates – 1:01:41 Kentucky Association of School Superintendents – 1:41:47 Educational Cooperatives – 1:55:18 Adjournment – 2:07:37, 958, all

Summary: The committee opened its sixth meeting of the 2025 Interim Joint Committee on Education, confirmed a quorum, recorded attendance votes, and approved the minutes. Chair Lewis reminded presenters to keep remarks brief because of the full agenda and limited time. The first presentation was from United Way of Southern Kentucky, with Anne Puckett, Craig Browning, and Warren County Schools Superintendent Rob Clayton introducing a regional early childhood initiative. The presenters argued that kindergarten readiness and early childhood support are critical to later academic and life outcomes. They cited research and statistics about brain development in the first five years, the effects of unprepared kindergarten entry, and links between low literacy, school discipline, dropout rates, and incarceration. They said their region’s readiness scores fell during COVID and after a tornado, and that the most effective response was in-home parent education to help families support children from birth to age five. They described the model as voluntary, community-based, and not requiring new buildings, and said similar programs have been successful in Missouri. The group said it had already raised more than $1 million in private donations and committed three years of funding for four additional staff, expanding service in Allen, Logan, and Warren counties. They requested $600,000 per year for the next two-year budget cycle to add 12 more educators, serve about 360 families and 660 additional children, and build evidence for a possible statewide model. Members generally expressed support for the concept, with Representative Tipton and Representative Jackson discussing a prior home-based preschool pilot and the importance of starting early. Representative Calloway questioned whether increased family chaos and government involvement justified the approach; presenters responded that the program uses community educators, not a government-run organization, and is aimed at helping overwhelmed families. Representative Stalker asked about eligibility and early intervention, and presenters said the program serves children from birth to age five and can help identify needs early enough to connect families with services such as First Steps.

Transcript Highlights:

• He was very careful.
• advocate, that person in terms of the kind of expertise they have with Regard to child welfare, child
• , the Navajo Nation has jurisdiction over, um, taking care of that child.
• I know the schools do programs with nursing programs in the schools.
• Child that juvenile justice and, and foster care is like tied together in one agency.

Transcript Highlights:

• This is a child care bill that I'm presenting on Children's Week. Here's what the bill does.
• It renames the Brighter Futures Program to the Florida Child Care Fund and requires a published report
• on the performance of the Child Care Fund every year.
• I have to pay for child care for all of them. So I can come up here and work with you all.
• If health care is not taking care of patients, they need to be educated.

Transcript Highlights:

• He was very careful.
• advocate, that person in terms of the kind of expertise they have with Regard to child welfare, child
• , the Navajo Nation has jurisdiction over, um, taking care of that child.
• I know the schools do programs with nursing programs in the schools.
• Child that juvenile justice and, and foster care is like tied together in one agency.

Transcript Highlights:

• our future, and child care assistance. our future, and child care assistance.
• <00:04:57.919> care, 22 sites, some autism, some child care, 22 sites, some autism, some child
• Um, and then usually child care center.
• <00:41:16.800> care 50 out of um over a thousand child care 50 out of um over a thousand child
• their place at child care centers in their place at child care centers in their areas.<00:42:00.000

Keywords: 1183, house

Transcript Highlights:

• And at that time, when we were trying to go through licensing to partner with local child care centers
• And we wanted to partner with child care centers to make this space available for birth to three age
• For example, if a Type 3 child care provider had their own building and they were paying rent and they
• So they were able to save 50% of their child care costs because they had that shared access model.
• DCFS has since released data showing no widespread child safety problem in non-public pre-K programs.

Keywords: 974, senate, all

Transcript Highlights:

• for the benefit of management programs for the benefit of child<01:31:23.679> care<01:31:24.000
• c> care<01:35:49.840> u child care facilities foster care u child care facilities foster care
• I know the struggles that child care has.
• Um, and child care access retain talent.
• So, these child care where on the other.

Keywords: 1191, senate, all

Transcript Highlights:

• Certified child care community designation program.
• Certified child care community designation program.
• Certified child care community designation program.
• Certified child care community designation program.
• <00:51:19.520> program And then child care assistance program And then child care assistance

Keywords: 958, all

Summary: The Free Conference Committee on the 2026 General Assembly budget met to reconcile differences between the House and Senate versions of House Bill 500. Leaders opened by thanking the other chamber’s work, asking members to turn microphones on and off to avoid feedback, and stressing the need to clearly note decision points so both chambers record the same actions. Staff then walked through the bill page by page, explaining that the committee was comparing only House and Senate differences, not the governor’s proposed budget. The discussion covered a wide range of appropriations and language items, including next generation non-911 services, school safety reporting tools, restored funding for brain injury, epilepsy, veteran service, homeless veterans, and rocket docket programs, debt service changes, rural infrastructure, disaster aid caps, Attorney General and Medicaid fraud funding, agriculture and county fair grants, auditor and pension-related appropriations, school facilities and SEEK funding, and numerous education programs. Members also discussed charter-related funding such as Star Academy, Dolly Parton Imagination Library, school resource officers, school-based mental health providers, AP/IB exams, Governor’s Scholars and Entrepreneurs, and several pilot or initiative programs in economic development, energy, and labor. Several items were described as technical corrections or restorations of language and funding, while others reflected differences in amounts or how funds would be distributed. There were several questions and comments from members about wording such as “implement and carry out,” the absence of the governor’s budget from the comparison document, and whether SEEK funding should be tied to teacher raises. The chair and other members emphasized that the committee’s role was to reconcile the two chambers’ budgets, not to adopt the governor’s proposal. Members also raised concerns about opioid settlement funds and the Dolly Parton Imagination Library match rate, with one senator urging restoration of the House language. No final vote or formal action was taken in the portion provided; the meeting primarily consisted of explanation, questions, and discussion of proposed budget differences.