Transcript Highlights:

• In managed care, their support coordinators are called care managers, and I met my care manager exactly
• one coordinators are called care managers, and I met my care manager exactly one time.
• Basically, my care manager from Children's Medical Services was like any Basically, my care manager from
• because we all care.
• They don’t care.

Summary: The committee took up a long agenda of bills, beginning with several measures that were amended and reported favorably, including a strike-all to SB 4 on child protective investigations and specific medical diagnoses, SB 1570 restoring a statewide missing-persons project for individuals with special needs, and SB 182 creating a teacher training and mentoring program for schools needing improvement. Members also advanced SB 794 on APD background screening and support coordination standards, SB 1168 on background screening for athletic coaches and related entities, and SB 214 to let rural special districts pay verified invoices directly for state- and federally funded work. Supporters emphasized improved child welfare investigations, help for families of vulnerable individuals, teacher retention, and better administrative efficiency; the APD bill drew especially strong testimony from waiver clients and providers about the importance of competent support coordinators and stable services. The committee also favorably reported SB 1376 on grants for genetic counseling education, SB 1574 requiring newborn screening for biliary atresia, SB 1510 as the DEP agency package with environmental, septic, water quality, solar, and permitting changes, and SB 598 updating funeral and cemetery licensing and consumer protections. SB 688, after a delete-all amendment, would create licensure for naturopathic doctors and a board of naturopathic medicine; it drew strong support from naturopathic advocates and sharp opposition from a critic who argued the bill would authorize diagnosis and treatment beyond appropriate limits. SB 1318 made a technical change to scholarship account reversion language, with senators clarifying that remaining funds would return to the scholarship funding organization for future use rather than to the state. Later, the committee approved SB 682 on domestic violence and protective injunctions, SB 130 on workforce training for current and former inmates, and SB 1548, the latest Live Local Act iteration expanding affordable housing options and limiting local barriers. It also reported favorably SB 536 on criminal gang membership criteria after extensive debate about constitutional issues and modern gang activity, SB 762 allowing cross-jurisdiction assignment of capital cases among regional conflict counsel offices, SB 1332 strengthening career offender registration requirements, SB 1742 creating a new offense for indecent exposure of sexual organs to a minor, and SB 1750 increasing penalties for serious sex offenses and child sexual abuse material crimes. The most contentious discussion came on SB 1226, which would overhaul Public Employee Relations Commission rules, require majority support for union certification, and impose new limits on union activities and dues-related practices; members debated constitutional concerns, differences between first responders and other public employees, and the bill’s impact on union representation and public-sector labor rights. Most bills were reported favorably by roll call, with SB 536 drawing several no votes and SB 1226 still under active debate at the end of the transcript.

Transcript Highlights:

• </c> currently have five Managed Care currently have five Managed Care organizations<00:05:12.759><c>
• </c><00:28:51.440><c> fraud</c> prosecution of the healthc Care fraud prosecution of the healthc Care
• </c> of death and in a a long-term care of death and in a a long-term care facility<00:31:18.200><c>
• </c><00:34:57.079><c> Organization</c> Managed Care Organization Managed Care Organization whereby<00
• </c> agreements with their Managed Care agreements with their Managed Care organizations<00:35:31.400

Summary: The subcommittee met to review the Department for Medicaid Services’ program integrity work. Commissioner Lisa Lee and Program Integrity Director Jennifer Dudinsky outlined Kentucky Medicaid’s structure, funding, enrollment, and spending, including FMAP rates, the size of the Medicaid and KCHIP populations, the number of providers, and 2024 expenditures. They also described the managed care and fee-for-service populations, noting that managed care serves most members while fee-for-service is concentrated in long-term care and waiver populations. Most of the discussion focused on fraud, waste, abuse prevention, and provider oversight. The department described its provider enrollment and certification checks, revalidation requirements, site reviews, fingerprinting for some high-risk providers, and termination grounds such as false application information, Medicare actions, unreported ownership changes, and abandonment of a provider number. Members asked about nonprofit ownership reporting, MCO fraud oversight, and how the department tracks unusual CPT code utilization, especially in behavioral health. The department said it uses data analytics, audits, policy review, and collaboration with behavioral health staff to monitor those trends. Dudinsky explained the division’s four branches: provider licensing and certification, audits and compliance, recovery, and third-party liability/estate recovery. She described prepayment and postpayment audits, referrals of credible fraud allegations to the Attorney General, monthly meetings with the AG’s office, and coordination with the Office of Inspector General, CMS, HHS OIG, MCOs, and other partners. She also explained payment suspensions, stand-downs during law enforcement investigations, and recovery efforts for overpayments, provider/member fraud, and third-party liability. The department said its recovery and avoidance efforts produced more than $251 million in savings so far in 2025. No votes or formal actions beyond approving the minutes were taken.

Transcript Highlights:

• Do you care to comment on that? Mr.
• They care about law enforcement.
• They care about law enforcement.
• As many of you know or don't know, more than 50% of our children in foster care are being cared for by
• One of the top three, and then, of course, taking care of those that can't take care of themselves.

Summary: The committee first heard Senate Bill 1630, which would direct AHCCCS to seek federal approval for a home- and community-based services program for adults determined to be seriously mentally ill, with quarterly implementation updates, a stakeholder work group, and a cap on enrollment. The sponsor and advocates from Arizona Mad Moms argued the bill would create a Medicaid-funded long-term care option for the most disabled SMI patients, reduce costly hospital and state-only care, and improve continuity of care. A committee amendment narrowed eligibility to individuals needing a long-term SMI level of care, changed reporting to semiannual, reduced the initial cap to 250 members with possible growth tied to savings, and required AHCCCS to keep pursuing approval if CMS denies it. The amendment was adopted, and SB 1630 as amended passed 10-0. The committee then considered Senate Bill 1131, which originally required every school district and charter school to adopt a cardiac emergency response plan and appropriated $1 million for implementation. A Warner amendment replaced the mandate with a reporting requirement on AED counts, CPR/AED-trained staff, and whether a plan exists, while shifting the appropriation toward AED grants and limiting school spending to purchasing and maintaining AEDs. The American Heart Association supported the amendment as a way to gather baseline data and target resources, while some members questioned the funding split and the rural-school priority. The amendment was adopted, and SB 1131 as amended passed 9-1. Next, the committee took up Senate Bill 1582, dealing with the school safety interoperability fund. The amendment changed the appropriation from ADE to ADOA and allocated funds to specific county sheriff’s offices to continue existing interoperable communication systems linking schools and first responders; supporters said the systems had been used in drills and some real incidents, and were important for school safety. One member raised concerns about the auditor general’s report and whether the program should continue, but sheriffs and school officials described it as a useful communication tool. The amendment was adopted, and SB 1582 as amended passed 6-4. Finally, the committee began hearing Senate Bill 1504, which would change retirement rules for Tier 2 and Tier 3 public safety personnel and reduce the waiting period for cost-of-living adjustments. The sponsor, police and fire representatives, and pension consultants argued the bill would improve recruitment and retention and align benefits more closely with what employees were promised, while cities, counties, and taxpayer groups warned it would add substantial unfunded liabilities and undermine the 2016 pension reforms. The committee spent extensive time on actuarial costs, funding status, and the effect of the amendment exempting the bill from statutory pre-funding requirements; the transcript ends during that discussion before a final vote on SB 1504 is shown.

Transcript Highlights:

• all Texas moms by extending postpartum care to 12 months.
• Is that medical care?
• . care in the state of Texas.
• But denying health care? is not pro-life. Fact!
• patients but also take care of ailing policies.

Bills: SB1 , HB500 , SB1 , HB1400 , HB 1094 , HB365 , HB 1109 , HB647 , HB500

Keywords: appropriations, budget, state funding, education, healthcare, infrastructure, state budget, mental health funding, education funding, infrastructure improvements, public safety, groundwater, water conservation, financial assistance, Texas Water Development Board, innovation fund, local conservation districts, transportation protection agreement, funeral services, insurance exemption

Transcript Highlights:

• , they can provide really excellent care.
• For health care workers, it would make it much easier for the recruitment of health care providers who
• To practice in New Mexico or provide care through telehealth.
• I'm speaking on behalf of the Health Care Authority. We support this bill.
• And I think that applies to anyone doing clinical care.

Bills: HB10 , HB12 , HB34 , SB130 , SM21

Committee: Senate Senate Health & Public Affairs

Keywords: physician assistants, interstate compact, medical services, licensure, cross-state practice, military families, regulatory authority, physical therapy, licensure compact, interstate practice, healthcare, military spouses, criminal background check, HB34, school nurse, school nurses, nurse licensure, charter school, charter schools, school district

Transcript Highlights:

• </c> and prosecutes fraud by healthc care and prosecutes fraud by healthc care providers<00:09:14.720
• </c> unjustifiable harm to a healthc care unjustifiable harm to a healthc care facility<00:15:03.920>
• ,</c><00:15:11.199><c> or</c> withholding necessary food, care, or withholding necessary food, care,
• </c><00:15:20.160><c> setting,</c> residential health care setting, residential health care setting,
• </c> facility, what's called a board to care facility, what's called a board to care facility.<00:28:

Summary: The committee chair opened by explaining that the committee has expanded from a traditional audit-follow-up role into an oversight role focused on whether audit recommendations are implemented and whether controls are in place to detect fraud. He said the committee was concerned about fraud uncovered in social service programs in other states and wanted to understand New Hampshire’s safeguards, especially around major contracts and program performance. Charles Buchanan, director of the New Hampshire Medicaid Fraud Control Unit, and investigator Tim Brackett described the unit’s structure and mission. Buchanan said the unit, housed in the Attorney General’s Criminal Justice Bureau, investigates and prosecutes fraud by health care providers serving Medicaid beneficiaries, as well as abuse, neglect, and financial exploitation of residents in health care facilities. He outlined common Medicaid fraud schemes such as billing for services not rendered, upcoding, using unqualified staff, drug substitution, kickbacks, supplemental charges, and inflated customary charges. He also described resident abuse/neglect and drug diversion in hospitals, nursing homes, and assisted living settings. Brackett said his role is financial investigator/auditor and noted the unit is grant-funded and must include a prosecutor, investigator, and auditor. The witnesses then explained how cases reach the unit and how they are handled. Most referrals come from the state Department of Health and Human Services’ program integrity unit and from managed care organizations’ special investigations units, which look for fraud, waste, and abuse and refer credible allegations. Other sources include qui tam whistleblower actions, the national Medicaid Fraud Control Units association, citizen complaints, provider referrals, adult protective services law-enforcement referrals, local law enforcement, and federal agencies. Once a referral is received, the unit can accept or deny it; accepted matters may be investigated criminally or civilly, while nonviable matters can be referred back to HHS or other agencies for administrative action, including repayment demands and reimbursement offsets. No votes or formal committee actions were taken in the portion provided.

Transcript Highlights:

• </c> of CARES. Um, and wishing to comment. of CARES. Um, and wishing to comment.
• </c> take care of it. take care of it.
• Thank you." to take care, listen to them. I'm sorry. to take care, listen to them. I'm sorry.
• </c> to protect and care for Hawaii's youth? to protect and care for Hawaii's youth?
• our care and communicate and coordinate our care and safely<00:51:53.200><c> support</c><00:51:53.599

Committee: Senate Health and Human Services

Summary: The joint HHS, Agriculture, Environment, Energy, and Intergovernmental Affairs hearing focused first on SB 2262, a pollution and illegal dumping measure. The Department of Health said it stood on its written testimony, and public testimony included support from CARES with suggested amendments to involve the counties in standardized response planning and to address pollution caused by individuals. Members questioned the bill’s fines, where they would go, and how the department would handle carcasses and illegal dumping enforcement. DOH said administrative fines go to the general fund, criminal fines are collected by the Attorney General, carcasses are generally buried by the landowner under existing rules, and DOH mainly regulates solid waste and coordinates with counties and other agencies when violations arise. After discussion, the chair recommended SB 2262 be passed with substantial amendments. The proposed amendments would add DLNR to the task force, deposit all fines into a special fund to support enforcement, allow fines below $5,000 for littering and higher fines for excessive or chronic illegal dumping, and include a January 30, 2050 effective date. The committee adopted the recommendation, with members voting aye. The hearing then moved to the HHS calendar. On SB 2087, relating to health insurance, agencies including DHS, DCCA, the Attorney General, and Labor stood on written testimony, while several advocacy and medical groups testified in support. One Medicaid recipient opposed the bill, arguing the coverage should be immediate rather than phased in over three years. Angela Melody Young supported the bill but urged amendments to prioritize people with disabilities, kupuna, and mothers. Members questioned whether the rural health transformation program could support the bill’s deductible structure; the Department of Human Services said it was unlikely CMS would allow that level of coverage, though rural funds might help in other ways. The committee then moved on to SB 2089, which would expand services eligible for Medicaid prospective payment system reimbursement, hearing support from OHA, DHS, and others, along with testimony about mental health access and training. The transcript also began SB 2106, relating to health and eating disorder prevention, with a student testifying in support and citing youth eating disorder harms, but the discussion was cut off before any action on that bill.

Transcript Highlights:

• that is where employees can receive their primary care visits.
• hospitals were seen as the center of health care.
• And then partnerships and value-based care, very familiar with the Ohio high-value care network.
• In 1994, health care in zero states was the largest employer.
• care pricing as well.

Summary: The Rural Health Transformation Committee met to receive an overview from Department of Health and Welfare Director Juliet Sharon on Idaho’s Rural Health Transformation Program, created under the federal One Big Beautiful Bill Act. Sharon explained the $50 billion federal program, Idaho’s application timeline, the state’s ranking and award amount, and the five broad initiative areas in the approved plan: technology and access, innovative care models, workforce development, chronic disease and behavioral health, and rural infrastructure/partnerships. She emphasized that the funding is tightly overseen by CMS, with required reporting, compliance checks, sustainability plans, and the risk of losing funds if Idaho does not obligate money or meet milestones on time. She also outlined the state’s plan to hire a 12-person temporary team and to use a mix of RFPs and competitive subgrants, with monthly reporting to the committee and a shared information space to track solicitations, rubrics, and awards. Committee members questioned several parts of the plan, especially scope-of-practice issues tied to the application, the use of telehealth funding, workforce retention, and the survey process used to shape the application. Representative Tanner asked whether the state could continue pursuing scope changes for dental hygienists and physician assistants and whether legislative action could affect funding outcomes; Sharon said the state would continue to evaluate those policies, but that compliance, timely spending, and performance would be the main factors affecting funding. Representative Healy raised concerns about the survey’s heavy use of “other” responses and about telehealth spending, arguing some telehealth uses may not be practical for specialty care. Representative Manwaring requested a shared drive for real-time data and asked for raw survey results and dollar-based funding caps. Sharon agreed to provide follow-up information, including survey data and additional details on funding limits. Chris Jones of Catalyst Policy Group then presented broader policy observations and examples from other states. He praised Idaho’s application, urged the committee to keep the focus on patient-centered rural access, and highlighted ideas such as community health workers, remote patient monitoring, rural training pipelines, value-based care networks, and telehealth models that reduce staffing needs and improve sustainability. He also cautioned against relying on social determinants of health funding, noted the importance of rural training and partnerships, and praised Idaho’s 3.5% tribal set-aside. The committee ended by agreeing to set up a shared information hub with LSO, to expect follow-up materials and possible solicitation drafts soon, and to tentatively plan its next meeting around CMS’s Idaho visit on May 28.

Transcript Highlights:

• So I think this bill will take care of that.
• Why are children not being adopted out of foster care?
• And the lovely sweetheart baby passed away in her care? Yes.
• That last part was very powerful because that could easily be taken care of, easily been taken care of
• So we want to make sure that we get that taken care of also.

Committee: House Children and Families

Transcript Highlights:

• Pharmacists work in many areas of health care, including hospitals, clinics, long-term care, and behavioral
• I've been providing direct patient care at Comprehensive Health Care in Yakima, Washington, for over
• LRAs are critical touch points in care.
• Really, this is just about continuity of care.
• speak to the specifics of that client's care in court settings.

Summary: The Civil Rights and Judiciary Committee heard testimony on several bills. House Bill 2445, requested by the Attorney General, would curb “probate for profit” schemes by extending the waiting period before a “suitable person” can be appointed, limiting non-intervention powers and repeat appointments, tightening venue rules, and restricting self-dealing by estate administrators. The sponsor and Attorney General’s Office described cases in which strangers used probate loopholes to control estates, sell property, and profit from heirs; the Northwest Justice Project and other witnesses strongly supported the bill. Members raised questions about whether the bill would complicate probate for laypeople and about the timeline changes, and the sponsor said she was open to amendments. No vote was taken. The committee also heard House Bill 2386, which would replace a statutory garnishment answer form with a form developed by the Washington Pattern Forms Committee or a substantially similar form. The sponsor and a district court judge said the current form causes calculation errors, especially for fluctuating wages, and that the change would make garnishments more accurate and transparent. A collectors’ association supported updating the form but asked for a longer implementation period and flexibility for employers to use their own forms; the judge said a rollout period would not be a problem. The bill was heard but not voted on. House Bill 2585 would create a Washington State False Claims Act modeled on the federal act, allowing the Attorney General and private relators to pursue fraud against state programs, with treble damages, civil penalties, and whistleblower protections. Supporters said it would recover stolen public dollars and deter fraud in areas such as wages, housing, education, and environmental programs. Contractors warned that the bill could sweep in good-faith construction change orders, and a wireless industry group asked for a tax exemption; the Attorney General’s Office said it supported the concept but would provide technical and substantive feedback. The bill was heard without action. Finally, House Bill 2590 would exempt limited equity cooperatives from the Washington Uniform Common Interest Ownership Act unless they elect coverage, while keeping the tax exemption framework for those cooperatives. The sponsor and housing advocates said WUCIOA imposes requirements that do not fit cooperative ownership and can hinder permanently affordable housing, while lenders already impose appropriate reserve and governance standards. Witnesses from cooperative development organizations and community land trusts supported the bill, and committee members asked about resale limits, reserve obligations, and who benefits from appreciation. The hearing concluded without a vote. The committee also heard House Bill 2453, which would allow board-certified psychiatric pharmacists to participate in certain involuntary treatment proceedings and provide concurring medical opinions for involuntary medication under less restrictive alternative orders. Supporters said it would improve workforce capacity and continuity of care; opponents argued it could weaken civil-liberty protections and that pharmacists lack authority for diagnosis and treatment. The hearing ended with no final action on the bill.

Transcript Highlights:

• For survivors, access to abortion care is not just health care.
• is the exact opposite of health care.
• For a long time, abortion was not presented to me as health care.
• I did not have to be brave in public just to get basic care.
• And I did not care what the cost was.

Bills: SB5826 , SB5828 , SB5909 , SB5954

Committee: Senate Higher Education & Workforce Development

Keywords: medication abortion, public education, access, healthcare rights, postsecondary institutions, college grant, scholarships, higher education, private institutions, Washington State, undergraduate programs, enrollment, program review, public institutions, veterans, tuition waiver, education, survivors, eligibility

Transcript Highlights:

• Most veterans need dental care.
• Local communities care about veterans.
• Local communities care about veterans.
• Federal program for skilled nursing care and domiciliary care, assisted living facilities, but not for
• adult day health care.

Summary: The committee first heard a presentation from Major General James Hartzell of the Florida Department of Veterans’ Affairs on the agency’s outreach, benefits assistance, and state veterans nursing homes. He highlighted Florida’s large and growing veteran population, the decline in World War II and Vietnam-era veterans, and the increase in post-9/11 veterans moving to the state. Hartzell discussed the state veterans nursing home system, including a new Collier County facility that will include skilled nursing, assisted living, adult day health care, and outpatient therapy, and he said the department is also studying future adult day health care expansion and possible additional homes in underserved areas. He also reported on the dental program funded by the Legislature, saying 245 veterans were served in the first quarter of the fiscal year, with 1,631 procedures completed and more than $525,000 in savings, and he credited the added state veterans service officer positions with helping connect more veterans to benefits. Hartzell also noted a 13% year-over-year reduction in homeless veterans, emphasized mental health outreach through SaveFLVets.org and the Overwatch program, and announced a new deputy executive director, retired Colonel D.J. Reyes. Members asked about the need for additional veterans homes in South Florida, the criteria used to site new homes, the homeless veteran reduction, and whether adult day health care could be added at existing facilities. Hartzell explained that federal criteria focus on the availability of private skilled nursing beds for veterans 65 and older, and that adult day health care is state-funded and being studied for broader deployment. He also said the department tracks where homeless veterans are concentrated and works with local partners and organizations like Tunnels to Towers to provide housing and services that reduce recidivism. The committee also discussed Florida’s national reputation for veteran support, including Veterans Month and the state’s culture of veteran awareness. The committee then received a presentation from Kevin Guthrie, Executive Director of the Florida Division of Emergency Management, on disaster response, recovery, and technology systems. Guthrie described the State Emergency Response Team, the new Florida Central Operations and Coordination Office in Auburndale, and the new State Emergency Operations Center in Tallahassee, which is expected to be fully operational by spring 2026 and will significantly expand capacity and hardening. He reviewed recovery efforts for Hurricanes Helene, Milton, Debbie, Idalia, Ian, Irma, Michael, Dorian, Sally, Nicole, and others, including sheltering, travel trailers, debris removal, and FEMA reimbursement totals. Guthrie said Florida removed more than 31.6 million cubic yards of debris from Helene and Milton in 90 days on a 24/7 basis, and he described Elevate Florida, the Florida Recovery Obligation Calculation (FROC), the DEMES platform, and WebEOC as tools to streamline recovery, mitigation, and intergovernmental coordination. Members asked about flood-response resources for cities, the state’s use of pumps and mutual aid, and lessons learned from inland flooding after Milton. Guthrie said local governments should first use county and city mutual aid, then request state assistance when needed, and he encouraged more partnerships for staging and maintaining flood equipment. He also said future flood mitigation must address outdated development patterns, watershed flow, and the need for better drainage planning, while continuing temporary fixes and homeowner assistance programs. The committee ended with no votes or formal actions beyond adjournment.

Transcript Highlights:

• Most veterans need dental care.
• That's the biggest part of access to health care, not only nursing homes but other health care benefits
• Local communities care about veterans.
• The federal program is for skilled nursing care and domiciliary care, assisted living facilities, but
• not for adult day health care.

Committee: Senate Military and Veterans Affairs, Space, and Domestic Security

Summary: The committee first heard a presentation from Major General James Hartzell of the Florida Department of Veterans’ Affairs on the agency’s mission, outreach efforts, state veterans nursing homes, and support programs. He highlighted Florida’s large and growing veteran population, the state’s existing nursing homes and the planned 10th home in Collier County, and the department’s dental assistance program, which served 245 veterans in the first quarter of the fiscal year and completed 1,631 procedures while saving more than $525,000. He also discussed veteran service officers, the benefits guide, the department newsletter, efforts to reduce veteran homelessness, and mental health outreach through the Overwatch/Firewatch program. Senators asked about future nursing home locations, adult day health care, homelessness, and the dental program; Hartzell also announced that retired Colonel D.J. Reyes will become deputy executive director on November 7. The committee then heard from Kevin Guthrie, Executive Director of the Division of Emergency Management, on disaster response, recovery, and agency modernization. He described the State Emergency Response Team, the new Florida Central Operations and Coordination Office warehouse in Auburndale, and the new state emergency operations center in Tallahassee, which is ahead of schedule and designed to hold about 220 people and withstand 200-mph winds. Guthrie reviewed recovery efforts for recent storms, including debris removal, volunteer villages, sheltering, and FEMA reimbursement totals for Hurricanes Milton, Helene, Debbie, Idalia, Ian, and earlier storms. He also discussed the Elevate Florida home-elevation program, the Florida Recovery Obligation Calculation training initiative, the DEMES platform, and WebEOC, noting that 60 counties and 22 colleges and universities are using the system. Members asked Guthrie about flood-response resources for cities, training for local officials, and lessons from inland flooding after recent storms. He explained how local governments can request pumps and other assistance through county and state channels, described upcoming elected-official training, and emphasized mutual aid and EMAC as key future disaster-response tools. The committee took no formal votes or other legislative action and adjourned at the end of the meeting.

Transcript Highlights:

• </c><00:11:54.440><c> that's</c> child um the the amount of care that's child um the the amount of care
• </c><00:16:08.360><c> of</c> $50 yeah because when you take care of $50 yeah because when you take care
• <01:40:46.040><c> of</c><01:40:46.159><c> their</c> care of their care of their families<01:40:48.440
• and prenatal care.
• </c> medical care she needs prenatal care medical care she needs prenatal care that<01:49:57.400><c>

Summary: The House Children and Family Law Committee met on January 28, 2025, and first heard House Bill 322, which would give a parent paying child support the exclusive right to claim the child as a dependent on taxes. Representative Barton, the sponsor, argued that because child support is no longer tax-deductible, the paying parent should at least receive the child tax credit. Committee members and later testimony from New Hampshire Legal Assistance raised concerns that the bill would override court discretion, could disadvantage low-income custodial parents, and would not account for cases where child support payments are small or where parents share support unevenly. Several members noted that judges already allocate dependency claims in divorce orders and can modify those orders when circumstances change. After testimony, the committee moved to ITL (inexpedient to legislate) HB 322. The motion was seconded, discussion continued, and the roll call was unanimous in favor of ITL. The committee then placed the bill on consent and ended the executive session on HB 322. The committee next took up House Bill 325, which would eliminate term and reimbursement alimony in no-fault divorces. Representative Barton testified that alimony in those cases was akin to involuntary servitude and should not survive dissolution of the marriage contract. The hearing then moved into questions about whether alimony is meant to compensate a spouse for sacrifices made during the marriage, such as supporting a partner through school or staying home with children, and the sponsor maintained that post-divorce support should not continue as a marital obligation. The transcript cuts off before any vote or further action on HB 325 is shown.

Transcript Highlights:

• </c> simple thing we can do to help make care simple thing we can do to help make care coordination<00
• So, we want to take care of that.
• </c> this care. this care.
• House File 2004 understands that direct care is direct care.
• > direct</c><01:26:04.480><c> care.

Committee: House Human Services Finance and Policy

Transcript Highlights:

• Florida has always been a health care leader in solutions to maximizing access to care and preparing
• And number two is reducing the cost of veterinary care.
• And we're talking about animals that need veterinary care.
• Access to veterinary care is an essential need here in Florida.
• ..care, more veterinary care, lower cost to communities through the state, which is lacking in the state

Bills: S0302 , S0394 , S0480 , S0546 , S0636 , S0774 , S0796 , S1028 , S1050 , S1066 , S1120 , S1230 , S1288 , S1682

Committee: Senate Appropriations Committee on Agriculture, Environment, and General Government

Transcript Highlights:

• The law applies to health care providers who are hired, and to unlicensed health care workers.
• So we don't care from our side what vendors they use or how they do it.
• In the health care field.
• In the health care field.
• I'm thinking about health care workers were let go.

Committees: Senate Health & Welfare , Senate Health and Welfare

Summary: The Senate Committee on Health and Welfare met on May 13 with a quorum present and approved the prior meeting minutes. The committee first heard HB 971, which would equalize Medicaid reimbursement rates between independent clinics and hospital-owned rural health clinics; supporters said independent clinics are disadvantaged by a large payment disparity, and the bill was reported favorable without objection. The committee also recognized visiting Alpha Phi Alpha members and other guests during personal privilege remarks. Members then considered HB 414, which would bar hiring certain health care workers and direct support professionals with serious disqualifying convictions from other states and address background-check issues for therapeutic group homes. After adopting three amendment sets, the bill was reported as amended. HB 740, creating an independent review process for Medicaid behavioral health claim disputes in the coordinated system of care, was amended to clarify applicability and CSOC definitions and then reported as amended. HB 288, which would place the term “miscarriage” alongside “spontaneous abortion” in medical documentation, drew emotional testimony from affected parents and advocates; the committee reported it favorable. The committee also advanced several more bills: HB 405, updating the name of the national acupuncture certifying body, was reported favorable; HB 786, prohibiting extrapolation in certain managed-care claims recoupments, was reported favorable; HB 1095, allowing alternative backup power sources for nursing homes, was reported favorable; HB 403, raising the cottage food gross-sales cap, was amended from $50,000 to $150,000 and then reported favorable; HB 930, modernizing cosmetic-product regulation and creating a small-producer exemption, was reported favorable; HB 557, defining long-term pharmacies for policy purposes, was reported favorable; HB 779, on expedited partner therapy for sexually transmitted diseases, was reported favorable; HB 915, setting utilization-management timelines and standards, was reported favorable; HB 546, expanding criteria for peace officers to take someone into protective custody during a mental health crisis, was reported favorable; HB 796, creating a chiropractic preceptorship program, was reported favorable; and HB 933, authorizing commemorative birth certificates, was reported favorable. The final major item was HB 1041, a “no-mandate” bill barring discrimination based on medical intervention status. The sponsor and Surgeon General said it was aimed at healthy, asymptomatic individuals and not at public health quarantine powers, but Senator Boudreaux objected to exemptions for schools and hospitals and offered an amendment to restore broader coverage. That amendment failed on a roll-call vote, and the bill remained under discussion as the transcript ended, with no final committee disposition shown in the excerpt.

Transcript Highlights:

• , child care, and employment opportunities... ...health care, child care, and employment opportunities
• We have to be careful about that these days.
• When families cannot afford food, they delay health care.
• When they cannot afford child care, they struggle to stay employed.
• It has been demonstrated to provide a proof program or medical care.

Bills: S3022 , H5187

Committee: Joint Joint Committee on Community Development and Small Businesses

Keywords: ENOUGH Act, ENOUGH fund, anti-poverty, poverty reduction, community development, place-based grants, distressed neighborhoods, economic mobility, housing and livable communities, community schools, cradle-to-career, child poverty, intergenerational poverty, social services, workforce development, education equity, public health, behavioral health, mental health, affordable housing

Transcript Highlights:

• </c> health care costs and health care health care costs and health care services services services &
• Residential care carries a significantly Residential care carries a significantly less<00:33:01.840><
• </c> long-term care type facility. long-term care type facility.
• </c> and then Aloha Care in support on Zoom? and then Aloha Care in support on Zoom?
• ,</c><00:43:39.320><c> also</c> children exiting foster care, also children exiting foster care, also

Bills: SB2479 , SB2557 , SB2861 , SB3204 , SB3324 , SB3325

Committee: House Human Services & Homelessness

Summary: The committee heard testimony on several measures related to criminal procedure, homelessness, family resilience, Medicaid-funded services, and school Medicaid reimbursement. On SB 2479 SD2, the Judiciary testified in neutral opposition with concerns that the bill could require imprisonment even for probation-eligible defendants, expand sentence reconsideration in ways that could undermine finality for victims, conflict with existing sentencing statutes, and require additional judicial resources. The Office of the Public Defender supported the bill’s intent but asked for language changes so people serving sentences could raise the new evidence in Rule 40 petitions and so probation would remain available in appropriate felony cases. Written testimony also included opposition from several county prosecutors and police, and support from the Office of Hawaiian Affairs. The chair later deferred SB 2479 SD2, citing unintended consequences and problems with the bill. For SB 2557 SD1, which would require annual reporting by the State Office on Homelessness and Housing Solutions, the office said it supported the intent but noted it already produces annual and quarterly reports, that some requested data is already available, and that staffing and cost constraints could make the new reporting burdensome. The State Council on Mental Health supported the measure and suggested narrowing the reporting language to data on individuals with serious mental illness or co-occurring behavioral health conditions, to the extent practicable and in collaboration with relevant agencies. A committee member asked about the availability of point-in-time count data, and the office explained that some figures may not be available every year and may need to be generated through HMIS. Dr. Jack Lewin testified in support, saying the data would be useful for understanding health care costs. The committee passed SB 2557 SD1 with amendments, including a deferral of the effective date. The committee also heard SB 2861 SD2 and SB 3204 SD1, both family resilience pilot program measures. For SB 2861 SD2, the Office of Wellness and Resilience and DHS supported the bill but requested amendments to clarify that the office’s role is planning and advisory, that DHS is a key partner, and that federal compliance safeguards are included. The chair raised concerns about overlap with DHS’s existing Ka Ohana program and asked for language to avoid redundancy while allowing the bill to cover other at-risk children; decision-making was deferred to the next hearing. For SB 3204 SD1, which would create a peer-navigator-based family resilience pilot, the Office of Wellness and Resilience and DHS supported the measure, with the office requesting a two-year pilot period, and both agencies and several advocacy groups submitted support. The committee discussed funding, the proposed five peer navigators, and whether the pilot should be limited to one or two geographic areas; no final action was taken in the portion provided. The committee also heard and supported SB 3324 SD1 on Medicaid home and community-based services, with the Department of Health emphasizing caregiver shortages and the cost-effectiveness of community care, and SB 3325 SD1 HD1 on public school Medicaid reimbursement, where DOE and the Attorney General requested clarifying amendments to reporting language and position titles.

Transcript Highlights:

• fund that takes care of that cost.
• That means that more people have access to comprehensive care under Medi-Cal.
• in emergency rooms than through primary care and preventative care.
• You are seeing health care costs rise across the country.
• What percent are seniors that need care? What percent are people with disabilities?

Committee: House Budget