Transcript Highlights:

• Highlight a few: supporting the building of a children's mental health initiative, developing a rural
• <00:24:18.799> mental<00:24:19.120> health<00:24:19.360> initiative, children's
• mental health initiative, children's mental health initiative, developing<00:24:20.799> a<00:24
• through this and get people the health care they need, no matter where you live, whatever your zip code
• <02:08:20.719> is,<02:08:21.840> healthcare, whatever your zip code is, healthcare,

Keywords: 918, senate, all

Summary: The Select Subcommittee first took up adoption of three previously prepared nonpartisan committee summary reports dated October 15, November 13, and November 21. Senator Rasmusson objected to the lack of advance notice about the day’s testifiers and criticized the practice of having nonpartisan staff summarize what he described as a partisan agenda. The chair responded that the committee’s purpose is to gather information, not hear bills, and that the summaries were intended as neutral resources for the Senate. Senator Coopek moved adoption, the motion was opposed by Rasmusson and another member, and the motion passed. The committee then turned to the day’s hearing on federal impacts on Minnesota, with the chair focusing on federal funding threats and the effect of congressional budget actions on health care, especially in greater Minnesota. The first presentation came from the Minnesota Department of Health on the state’s rural health transformation work. Assistant Commissioner Carol Broom introduced the team and described the rural hospital transformation program as a major opportunity to invest in rural health, while acknowledging longstanding challenges such as demographics, transportation barriers, and the financing of care. Nitha Moibi outlined the state’s rural health chart book and data showing an aging population, workforce shortages, and many health professional shortage areas, and described proposed strategies including workforce pipelines, bridge payments for low-volume birth hospitals, telehealth access points, mental health urgent care, and chronic disease prevention. Acting Assistant Commissioner Anna Ashby of the Minnesota Management and Budget office explained the state’s application to CMS for the Rural Health Transformation Program, which was created in federal law and awarded Minnesota just over $193 million for federal fiscal year 2026. She said the application was shaped by public comments, stakeholder meetings, and legislative outreach, and included initiatives on preventive care, workforce, care access, behavioral health, and provider financial stability. She also reviewed implementation constraints, including a January 30 revised budget deadline, limits on administrative spending, restrictions on using funds to offset Medicaid losses, and the need to show measurable progress to remain eligible for future funding. The presentation noted that most year-one funding would go to rural hospitals, with additional support for federally qualified health centers, community mental health centers, tribal partners, and technical assistance.

Transcript Highlights:

• School bookkeeping is totally different than, uh, and function codes and all that stuff.
• than uh bookkeeping is totally different than uh and<00:30:42.240> function<00:30:42.640> codes
• and function codes and all that stuff. and function codes and all that stuff.
• who are line to the decision makers who are shaping<01:08:08.880> their<01:08:09.119> children's
• shaping their children's futures. shaping their children's futures.

Keywords: 928, house, all

Summary: The meeting focused on school governance and a proposed shift in responsibilities related to SAU consolidation, with committee members first discussing how school board members and other local officials would be selected for future testimony. The main presentation came from the New Hampshire Association of School Principals, whose executive director Brady Belair and several principals argued that mandatory statewide administrative consolidation should be approached cautiously and that any consolidation should be voluntary and locally driven. They said anticipated savings may not materialize, citing possible higher personnel, transportation, and technology costs, and warned that forcing changes could create disruption without improving student outcomes. Principals testified that their jobs are already broad and demanding, centered on instructional leadership, student safety, staff supervision, family communication, and day-to-day crisis response. Kathleen Murphy of Amherst described working 60 to 70 hours a week and said principals spend substantial time coaching teachers, handling student issues, and supporting school climate; she said adding more administrative duties would compromise student learning and teacher growth. Adam Osborne of Bow Memorial School similarly described principals as daily problem-solvers who set school-level direction and create conditions for schools to thrive. The witnesses also emphasized that principals, superintendents, school boards, and business administrators have different training and responsibilities, and that specialized tasks such as special education compliance, FERPA/HIPAA issues, and labor matters require appropriate expertise. Committee members questioned the witnesses about overlap between superintendent and principal duties, the completeness of statutory responsibility lists, and whether some functions such as curriculum, discipline, hiring, and evaluation are shared. The principals acknowledged some overlap and collaboration, but said superintendents typically handle broader system-level, legal, and central-office responsibilities while principals focus on building-level leadership and teacher support. One member raised the earlier expectation that districts might move to a principal-plus-business-manager model, but the witnesses said that model did not develop as expected and that district structures vary widely. No votes or formal actions were taken in the portion of the meeting provided.

Transcript Highlights:

• And then members being appointed to the ITRB, the military Interstate Children's Compact, and then flip
• And then members being appointed to the ITRB, the military Interstate Children's Compact, and then flip
• And then members being appointed to the ITRB, the military Interstate Children's Compact, and then flip

Keywords: 1187, senate, all

Transcript Highlights:

• wider response to build the Children's wider response to build the Children's Mental<02:11:51.079
• Children's Advocacy Centers offer a coordinated response to child abuse allegations, prioritizing the
• Please note that in the packet there's a map of the Minnesota Children's Alliance centers across the
• state of Minnesota. against children Children's Advocacy against children Children's Advocacy centers
• I'm the executive director of the Minnesota Children's Alliance.

Keywords: 1187, senate, all

Transcript Highlights:

• We are the leading voice of children's health and well-being in our state.
• Our patients, our children's our state.
• Our patients, our children's our children<00:10:01.680> deserve<00:10:02.000> to<00:10:
• Thank you. >> I'm a pediatric emergency medicine physician at Children's. Dr. J.
• Um, so I had a work overnight at Children's, and I had a patient show up at 4:30 in the morning.

Keywords: 918, senate, all

Summary: At this meeting, Senator Matt Klein and a group of Minnesota physicians and medical organizations described what they said was escalating ICE activity in and around hospitals and clinics, and argued it is deterring patients from seeking care and interfering with medical work. Speakers from emergency medicine, pediatrics, the Minnesota Medical Association, obstetrics/gynecology, and family medicine said patients are avoiding appointments, missing follow-up care, and in some cases suffering serious harm because of fear of detention or family separation. They emphasized that emergency departments and other health care settings should remain safe spaces where care is based on medical need, not immigration status. Several speakers gave examples they said showed actual patient harm, including missed prenatal and pediatric visits, delayed treatment leading to sepsis, perforated colon, burst appendix, and a patient with cancer who was detained and moved without medications. Pediatric and OB/GYN speakers focused on trauma to children and families, including fear of bringing children to appointments, requests for home births, and patients refusing transfer for higher-level care. Family medicine and emergency physicians also said staff morale is low, some workers are afraid to come in, and the situation is affecting diverse health care teams across the state. The discussion also touched on legal and policy questions. Speakers said they have tried calling police, hospital administration, and security to remove ICE agents from private patient areas, but reported that agents refused to leave. They said ICE may be allowed in public spaces but should not be in patient rooms or during private exams, and suggested there may be a role for legislation to codify best practices for law enforcement interactions in health care settings. No votes were taken; the meeting consisted of testimony, questions from reporters, and calls for collaboration and for ICE to stop enforcement activity in health care settings.

Transcript Highlights:

• We're amending Section 26.009 of the Education Code. In the House, they're amending section 18.
• As such, a zip-code requirement is unnecessary for workers' compensation policies.
• by the House that would have extended a separate tax program located in a separate section of the code
• In a separate section of the code, I move adoption.
• All it does is codify what is already an administrative code.

Summary: The Senate opened with an invocation and then took up several conference committee matters and resolutions. It granted the House request for a conference committee on House Bill 46 and adopted a conference report on Senate Bill 37, which was described as higher education governance reform, including stronger board authority, changes to faculty senates, general education requirements, and a new ombudsman office. Senators also adopted a large package of resolutions and HCRs by voice vote. A major focus was Senate Bill 12, the “Parental Bill of Rights,” whose conference report was adopted after extended questioning. The bill was described as giving parents more access to school materials and grievance procedures, requiring parental consent for student clubs, and restricting school district employees from assisting with social transitioning or related gender-identity instruction. Senators raised concerns about effects on students already socially transitioned and on parental rights in medical or psychological decisions; the author said the House language was retained in key areas and that districts would need policies and parent notification. The report passed 20-11. The Senate then adopted a resolution allowing the conference committee on Senate Bill 1, the state budget for fiscal years 2026-2027, to go outside the bounds, and later adopted the budget conference report. Senators highlighted major funding for public education, property tax relief, public safety, health and human services, child care, water and transportation infrastructure, and the Texas Energy Fund. The budget discussion also covered higher education, mental health facilities, community attendant wages, rural hospitals, DFPS case management, child care assistance, and a study rider on TRS. The report passed unanimously, 30-0. Finally, the Senate suspended rules to take up Senate Bill 8 and adopted its conference report. The bill requires counties with jails or jail contracts to participate in the federal 287(g) immigration enforcement program, with sheriffs choosing among available models and counties receiving tiered grants to help cover costs. Supporters framed it as a public safety measure targeting criminal illegal aliens, while opponents questioned whether it would divert local resources and increase fear in immigrant communities. The report was adopted after debate.

Transcript Highlights:

• Um, so for example, it might tax rural hospitals or children's hospitals in a different tier than your
• hospitals in a different tier children's hospitals in a different tier than<00:31:47.840> your
• <01:30:37.440> Thank<01:30:37.600> you of the Children's Alliance.
• Thank you of the Children's Alliance.
• Um, the Children's Alliance >> Thank you.

Keywords: 00:00:22 - Call to Order and Roll Call 00:03:00 – Approval of June 25, 2025 Minutes 00:03:22 - Update on Federal Changes to the Medicaid Program 01:03:44 - State Directed Payments, Provider Taxes, and the Rural Health Transformation Fund: How Medicaid Changes Could Impact Kentucky Hospitals 01:29:42 – Public Comments 01:45:25 – Announcements 01:46:19 - Adjournment, 958, all

Summary: The Medicaid Oversight and Advisory Board met on July 30, 2025, approved the June 25 minutes, and received a presentation from Katherine Castanza of the National Conference of State Legislatures on Medicaid provisions in H.R. 1. The presentation outlined more than 20 Medicaid-related provisions, emphasizing that the largest federal savings come from work/community engagement requirements, changes to provider taxes, limits on state-directed payments, more frequent eligibility redeterminations for expansion populations, and related eligibility/enrollment changes. She said the fiscal effects are backloaded, with most reductions occurring in the later years of the 10-year window, and noted potential significant impacts on hospital payments and state financing. She also described new funding opportunities, including a $50 billion rural health transformation fund and a new home and community-based services waiver with associated grants. A substantial portion of the discussion focused on Kentucky’s pending community engagement 1115 waiver and how it would interact with the new federal requirements. Board members asked whether the waiver had been approved, what the cabinet’s contingency plan would be if CMS does not approve it, and what the timeline is for compliance. Cabinet representatives said the waiver has not yet been approved by CMS, remains under public comment, and that the state will wait for CMS guidance before moving forward; if needed, the state would amend the waiver or submit a new one. They said the work requirement must be in place by January 1, 2027, with a possible extension to 2028. Castanza also explained that expansion adults with incomes between 100% and 138% of the federal poverty level would face new cost-sharing requirements beginning October 1, 2028, and that eligibility redeterminations would move from annual to every six months starting January 1, 2027. She then walked through provider tax changes, including a moratorium on new provider taxes beginning October 1, 2026, and a phased reduction in the hold-harmless threshold for existing taxes beginning January 1, 2028, with exemptions for nursing facilities and ICF/IID providers. Board members questioned the timing and likely impact on Kentucky, and Castanza responded that the effect would depend on each tax’s current rate and would phase in over time.

Transcript Highlights:

• here today to present the item, which is specifically trailer bill language that amends Government Code
• we have lost beloved community institutions like Aurora Theatre, Cutting Ball Theatre, Bay Area Children's

Summary: The Assembly Budget Subcommittee No. 5 on State Administration heard a series of budget change proposals and trailer bill items, beginning with Housing and Community Development (HCD) requests. HCD sought permanent authority for seven existing temporary positions to support the HCD Connect IT system, and a separate proposal to fund implementation of eight 2025 housing-related laws with $4.2 million General Fund and 16 positions, plus $470,000 one-time General Fund. Members asked about how HCD Connect would interact with programs moving to the new Housing Development Finance Committee, and HCD also explained that the estimated cost to implement AB 1053 had been revised downward from about $6 million to $1.9 million because of shared implementation with CalHFA and the new committee structure. The committee also heard a Cal ICH proposal for $339,000 one-time General Fund to implement AB 678 on LGBTQ+ inclusive and culturally competent homelessness services, with testimony emphasizing data gaps and the need for a contract-based approach because HMIS cannot be changed unilaterally. The Department of Financial Protection and Innovation presented three continuation proposals: $15.34 million and 53 positions for the California Consumer Financial Protection Law program, $13.5 million and 51 positions for the Debt Collector Licensing Act program, and $49,000 ongoing for two positions in the broker-dealer/investment adviser education program. Members and the public raised concerns about the size and fairness of debt collector assessments and licensing fees, while DFPI explained the pro rata fee structure, the current license count, and how larger assessments fall on larger firms. Public testimony also supported retaining funding for the Student Loan Empowerment Network and requested funding for a franchise broker registration program. The committee also considered a mandate item involving suspension of a disclosure requirement related to property taxation, and trailer bill language from the Government Operations Agency to amend AB 91 on MENA demographic data collection, with the administration emphasizing data nondisclosure, protection of federal funding, and delayed implementation. The Secretary of State’s office then presented Help America Vote Act funding requests: $10.3 million for VoteCal maintenance and operations and $4.492 million for HAVA spending plans supporting voter education, training, accessibility, auditing, and county assistance. The office also requested $660,000 General Fund to implement AB 1392, which would make voter registration information for elected officials and candidates confidential, and explained the need to modify VoteCal and county election systems. The committee also heard requests to continue the Cal-Access Replacement System with $11.8 million General Fund and to continue the Notary Automation Program Replacement Project with $9.75 million from the Business Fees Fund. Members asked about total project costs, testing, data migration, and the expected November 2026 go-live date for Cal-Access replacement. Votes were taken on the vote-only items once quorum was established, and the committee approved the items considered. The final informational item was an overview from the California Arts Council, which highlighted the agency’s 50th anniversary, its statewide grantmaking, and the economic impact of arts funding. Council staff described Creative Corps, cultural districts, and the role of arts funding in local economies, while members and public witnesses urged increased support, including a request to raise local assistance grant funding to $50 million and to provide additional funding for cultural districts. Testimony emphasized the arts as economic infrastructure, community infrastructure, and a source of civic and cultural vitality across California.

Transcript Highlights:

• Code, Section 300A-1 through 300A. That would be the National Childhood Vaccine Injury Act of 1986.
• So within my lifetime, your lifetime, and my children's lifetime, that is looking to advance civil rights

Keywords: 1182, all

Transcript Highlights:

• Code, Section 300A-1 through 300A. That would be the National Child Vaccine Injury Act of 1986.
• So within my lifetime, your lifetime, and my children's lifetime, that is looking to advance civil rights

Summary: The Senate convened with prayer, the Pledge of Allegiance, and a recorded roll call showing 28 present, 0 absent, and 2 excused. The chamber approved the journal and then took up several motions to reconsider or return bills, including requests to return HB 2035 and HB 2249 to the House and to reconsider HB 2192. The Senate then moved into Committee of the Whole for calendar items. In Committee of the Whole, members considered HB 2248, a public health mandates bill; HB 2313, concerning school employee/teacher strike and remote instruction issues; HB 2379, relating to school district governing board training; HB 2380, relating to school district board meetings and expenditures; and HB 2720, relating to prostitution assessments and the anti-human trafficking fund. HB 2248 drew the most debate over whether it would prohibit schools, employers, and medical facilities from requiring medical interventions such as vaccines; an amendment narrowing the definition of medical intervention was adopted, and the bill advanced. HB 2379 and HB 2380 both received committee and floor amendments focused on school board training and livestreaming/meeting transparency requirements, and HB 2313 and HB 2720 also advanced. The Committee of the Whole reported all four bills as do pass, with HB 2248, HB 2379, and HB 2380 as amended. The Senate then adopted the Committee of the Whole report after defeating an amendment that would have changed the HB 2248 recommendation to fail. The chamber next considered HCM 2001 and HCM 2002, memorials urging federal terrorist designations for the Muslim Brotherhood and CAIR, and HCR 2047, recognizing Judea and Samaria; all three passed despite strong opposition speeches criticizing them as targeting Muslim communities or advancing religious/political messaging. The Senate also passed HB 2118 on mobile food vendors, HCM 2009 on mineral access and federal land withdrawals, HCR 2015 on school physical activity and dietary guidelines, HCR 2020 on housing outside designated provider service areas with assured water supply, and HCR 2057 supporting next-generation geothermal energy. Finally, the Senate passed HB 2248, HB 2379, and HB 2380 on third reading, approved the House’s request to adjourn, and adjourned until April 21, 2026.

Transcript Highlights:

• Number of physicians that want to practice in rural Texas, or if the Texas Education Code (TEC) has anything
• Greater Houston Partnership and emeritus board member of the Baylor College of Medicine and Texas Children's

Keywords: 1185, senate, all

Transcript Highlights:

• relentless belief that every child deserves a seat at the table, regardless of race, background, or zip code
• Institutions that represent long term investments in our children's future.

Keywords: 988, house, all

Transcript Highlights:

• The National Center for Missing and Exploited Children's Cyber Tip Line reported an increase for from
• None of us are going to pretend to know what it's like to understand the vehicle code.

Keywords: 988, house, all

Transcript Highlights:

• This bill updates and modernizes Florida's probate code by clarifying when a curator may be appointed
• Miles, now deceased, seek compensation from the South Broward Hospital District via Joe DiMaggio Children's

Summary: The Judiciary Committee considered a long agenda of claims bills, housing and business measures, and court-administration legislation. It reported favorably several claims bills, including SB 20 for J.N., a minor, SB 14 for the estate of Pennial Janvier, SB 10 for Sidney Holmes, SB 8 for Marcus Button, SB 22 for Eric and Jennifer Miles, and SB 26 for Kristen and Leah McIntosh. Members also approved SB 520 on curators of estates, SB 386 on self-storage lien-sale notices, SB 362 on reusable tenant screening reports, SB 316 creating series LLCs in Florida, and SB 1650 and SB 1652 on vexatious litigants and related public-records issues. SB 248, expanding eligibility for private school and homeschool students to participate in FHSAA sports at public schools, also passed after amendment. Most of the claims bills were described as settled cases with amounts above sovereign-immunity limits, and several senators spoke in support of compensating victims of catastrophic injury or wrongful conviction. SB 10 drew comments about the 34 years Sidney Holmes spent incarcerated after a wrongful conviction, and SB 8 prompted discussion about the long delay in resolving Marcus Button’s injuries from a 2006 school-bus crash. SB 26 was presented as an uncontested claim arising from a DACS employee’s fatal crash that severely injured two teenage girls, and the committee adopted an amendment placing funds for the minor claimant into trust. The policy bills drew more substantive debate. SB 386 would let self-storage operators use websites instead of newspaper ads for lien-sale notices, with newspaper representatives opposing the change and storage-industry witnesses supporting modernization and lower costs. SB 362 would let renters reuse tenant screening reports for 30 days, with the sponsor saying it would reduce repeated application fees. SB 316 would authorize series LLCs while adding record-keeping protections, and SB 1650/1652 would broaden Florida’s vexatious-litigant rules and create a public-records exemption for certain stricken filings. SB 248 passed over concerns from private-school and public-education witnesses about instructional time, funding, and fairness in athletic participation. All measures were reported favorably, with recorded votes ranging from 7-2 on SB 248 to unanimous or near-unanimous support on the other bills.

Transcript Highlights:

• Good morning, Chairman Heen and members of the Families and Children's Committee.
• members of the families and children's members of the families and children's committee<00:30:19.399
• You know, it's at the end of the day we're here to make families and children's lives better.
• Um, if it makes extra paperwork for us as adults, so be it, but what's going to make children's lives
• lives better um families and children's lives better um if<01:04:29.400> it<01:04:29.799>

Keywords: 00:00:00 Call to Order/Roll Call 00:01:20 Discussion of 25RS HB 479 00:03:22 Roll Call Vote on 25RS HB 479 00:04:51 Discussion of 25RS HB 574 00:21:49 Roll Call Vote on 25RS HB 475 00:23:41 Discussion of 25RS HB 291 01:04:38 Roll Call Vote on 25RS HB 291 01:05:42 Adjournment, 958, all

Summary: The House Standing Committee on Families and Children met and first took up House Bill 479, which would require one hour of dementia training for DCBS workers. Representative Derrick Lewis and the Alzheimer’s Association said the bill was a straightforward, bipartisan effort to address dementia awareness and improve worker training, with no fiscal impact. Members spoke in support, including remarks about personal family experiences with dementia and the importance of recognizing symptoms early. The committee voted 11-0 to pass the bill with favorable expression. The committee then heard House Bill 574, the “Baby Maya” child protection bill, sponsored by Representatives Dossett and Lewis. The bill would require reporting when a child is born to a parent who previously had children removed for neglect or abuse, create a rebuttable presumption allowing the Cabinet for Health and Family Services to make an initial safety determination, authorize emergency custody procedures, and name the measure the Baby Maya Law. Sponsors said it was intended to add guardrails after the Baby Maya case and stressed that it would not automatically remove children or add new mandatory-reporter penalties. Members asked about hospital involvement, HIPAA, and information-sharing; the Cabinet commissioner said the agency would be open to better data-sharing with hospitals, but currently has no such system. The bill passed 12-1 with favorable expression. Finally, the committee considered House Bill 291, the Family Preservation and Accountability Act, with a committee substitute. The bill would expand sentencing alternatives for primary caregivers convicted of nonviolent offenses, allowing judges to consider family status and use options such as counseling, parenting classes, and related services. Supporters argued it would keep families together, reduce harm from parental incarceration, and save money; one witness cited a report estimating $4 million in direct incarceration savings and broader economic benefits. Another witness, Amanda Hall, gave emotional testimony about the long-term harm of parental incarceration and said access to help would have been better for her family than prison. The committee adopted the committee substitute and passed the bill 12-1 with favorable expression.

Transcript Highlights:

• Josh Peas, representing the Children's Law Section of the State Bar of Michigan, and written testimony
• The Bible says a good man leaves an inheritance to his children's children's children's children.
• it is an opportunity to continue to make sure that the future is brighter for our kids and our children's

Summary: The Senate Committee on Civil Rights, Judiciary, and Public Safety met with a quorum and adopted the June 4, 2026 minutes. The committee first took up Senate Bill 712, adopting the S-2 substitute, which expands residency requirements to include adjoining districts and removes a provision allowing a district to appoint someone employed by the district. The committee then reported SB 712 to the floor. It also considered House Bills 4025 and 4026, described as safe storage tax exemption bills; the committee heard one supportive written card and reported both bills to the floor, each on a 5-1 vote. The committee next heard testimony on Senate Bill 885, which would create a statewide Parent and Child Legal Representation Commission and Office within LARA to address child protective legal representation. Senator Singh and Alicia Moon of the Michigan Supreme Court described the current county-by-county system as uneven, with attorney shortages, inconsistent pay, and limited specialized training. They said the bill would set standards for training, caseloads, client contact, and compensation, while requiring public comment and future appropriations before implementation. Testimony and written cards from a broad range of organizations and judges supported the measure, and the committee reported SB 885 to the floor on a 6-0 vote. The committee then heard extensive testimony on Senate Bills 1015 and 1016, which would create an Office of Community Violence Intervention and Prevention within MDHHS and establish a grant program to support community violence intervention efforts statewide. Sponsors and witnesses from Force Detroit, D-Live, Seize the Smoke, Advance Peace, public health, law enforcement, and advocacy groups described CVI as a public health and public safety strategy that reduces shootings, supports survivors, and saves public costs. Several witnesses cited local data showing reductions in shootings and homicides in Detroit and Lansing, while one witness from the Michigan Sheriff's Association opposed the bills as written. The committee voted to report both SB 1015 and SB 1016 to the floor, each on a 5-0 vote with one pass, and then adjourned after additional testimony and reading of support cards.

Transcript Highlights:

• and approval by the collaborative, the first four awardees of the incubator are Johns Hopkins All Children's
• Hospital, Wolfson's Children's Hospital, Nemours Children's Hospital, and Nicklaus Children's Hospital
• Johns Hopkins is launching Florida's only Children's Oncology Group early-phase clinical trials site.

Summary: The committee first received an update from the Department of Health on the Cancer Connect Collaborative, the Cancer Innovation Fund, and the new Cancer Connect Collaborative Research Incubator, created and expanded by recent legislation. The department reported that the Cancer Innovation Fund has awarded $80 million to 95 researchers to date, with $60 million available in the current cycle and 65 projects funded across 28 institutions in 16 cancer areas last year. The new pediatric cancer incubator received $30 million and awarded four Florida children’s hospitals $7.5 million each. Senators asked about outreach to oncologists statewide, peer review and accountability, funding for National Cancer Institute-affiliated institutions, and whether underserved and rural areas are being prioritized; the department said it uses website notices, listservs, collaborative outreach, and eligibility criteria favoring rural and high-cancer-care providers, and that it monitors projects through reports, expenditures, and contract provisions. The committee then heard Senate Bill 312 on patient-directed medical orders, which would create a voluntary, portable, physician-authorized electronic registry for patients to document end-of-life and serious-illness treatment preferences. Supporters, including nurses, hospice and emergency care advocates, and medical professionals, said the bill would help ensure patient wishes are accessible in emergencies, reduce unwanted interventions, and improve continuity of care. Opponents, including Florida Right to Life, argued the bill could broaden end-of-life decisions too far, raise privacy and coercion concerns, and allow withdrawal of care inappropriately. The sponsor said the measure is intended to support patient autonomy and is not anti-life, and noted she was open to amendments. After public testimony, the committee voted on SB 312 and reported it favorably. The roll call showed support from Senators Berman and Harrell, with the bill passing on the committee vote. The meeting then adjourned.

Transcript Highlights:

• Um, as you know, Hawaii Children's Action Network Speaks has been working to put together a paid family
• Um, as you know, Hawaii Children's Action Network Speaks has been working to put together a paid family
• 00:16:04.160> you<00:16:04.320> know,<00:16:04.480> Hawaii<00:16:04.800> Children's
• Um as you know, Hawaii Children's Kong.
• Um as you know, Hawaii Children's Action<00:16:05.440> Network<00:16:05.839> Speaks<00:

Keywords: 910, house, all

Transcript Highlights:

• While children's hospitals are designed, staffed, and supplied to take care of critically ill and...
• While children's hospitals are designed, staffed, and supplied to take care of critically ill and injured
• Based on the data produced by the recent Baby Manatee project conducted at Nicholas Children's Hospital
• It creates the National Sunshine Genetics Consortium, uniting our top universities, children's hospitals
• Amanda Stewart with Nicholas Children's Hospital, waving in support.

Summary: The Health and Human Services Committee heard a lengthy agenda of health care and public health bills. The first major item was HB 649, which would remove the paper supervision protocol for certified registered nurse anesthetists (CRNAs) and allow autonomous practice. The sponsor and supporters argued it would improve access, especially in rural areas, address workforce shortages, and reduce costs, while opponents from the medical community raised patient safety concerns and argued it would weaken physician oversight. After extensive testimony and debate, the committee reported the bill favorably by a vote of 18-7. The committee then unanimously advanced several other measures. HB 259, creating a special observance for fentanyl awareness and education, passed 23-0. HB 791, which codifies infant safety devices as an option for surrendering newborns and amends safe-haven law, passed as amended 25-0. HB 355, allowing schools to use FDA-approved emergency opioid antagonists rather than only naloxone, passed 26-0. HB 1119, requiring hospitals with emergency departments to adopt pediatric readiness policies, training, coordination, and assessment requirements, also passed 26-0 after two amendments. HB 431, changing the date for level-two background screening of athletic coaches to July 1, 2026, passed 26-0. Later, the committee approved CS for HB 907, the Florida Institute for Pediatric Rare Diseases or “Sunshine Genetics Act,” which would establish an opt-in newborn genome sequencing program at FSU and a statewide consortium for rare disease research; supporters emphasized earlier diagnosis and cost savings, and the bill passed 25-0. CS for HB 519, aligning state law with federal law on controlled substances for paramedics, passed 25-0. Finally, CS for HB 723, requiring the Department of Health to provide early-detection materials for type 1 diabetes to families of young schoolchildren, passed as amended 26-0. The meeting adjourned after all bills were reported favorably.

Transcript Highlights:

• Um, he was born premature and drug exposed, and I brought him home from the NICU at UK Children's Hospital
• Um, he was born premature and drug exposed, and I brought him home from the NICU at UK Children's Hospital
• Um, he was born premature and drug exposed, and I brought him home from the NICU at UK Children's Hospital
• We still got to have our adoption here when we went to our judge. children's hospital and at nine weeks
• children's hospital and at nine weeks out<00:04:09.079> he<00:04:09.239> had<00:04:09.599

Keywords: 00:00 Call to Order/Roll Call 01:32 Discussion on 25RS HB 164 10:07 Roll Call Vote on 25RS HB 164 11:30 Discussion on 25RS HB 242 13:09 Roll Call Vote on 25RS HB 242 15:08 Consideration of Referred Administrative Regulations 17:37 Adjournment, 958, all

Summary: The House Standing Committee on Families and Children held its first meeting of 2025, with the chair welcoming new members and Vice Chair Wilson. After roll call, the committee took up House Bill 164, sponsored by Representative Wesley, which concerns an honorary adoption situation. The committee adopted a House committee substitute clarifying that any survivor benefits or inheritance would not go to honorary adoptive parents, and heard emotional testimony from Caitlyn Rollins about fostering and adopting a child who later died before a scheduled adoption date. Members discussed the bill’s purpose as providing closure and ensuring legal parentage is recognized in life and death, while also noting a possible drafting issue about whether all listed conditions must be met. The committee agreed to address that concern through a possible House floor amendment, and HB 164 passed favorably 16-0. The committee then heard House Bill 242, sponsored by Representative Sam, and testimony from child welfare researcher Matthew Walden. The bill is intended to increase transparency in Kentucky’s child welfare system by making program data available to researchers while protecting privacy. With no questions from members, the bill passed the committee favorably by a 16-0 vote. Finally, the committee reviewed referred administrative regulations and considered agency amendment 490 related to adoption assistance and Title IV-E adoption assistance. CHFS representatives explained that the amendment removes a civil determination requirement from certain sections because the cabinet cannot make such determinations and already relies on substantiations and other safety checks. The committee approved the agency amendment by voice vote, then concluded its review of the remaining regulations without further action. The next meeting was announced for February 20, 2025, and the committee adjourned.