Transcript Highlights:

• care for particularly our most vulnerable residents here in the state.
• But also essential, success is bringing success of our health care authority.
• . ...safely and effectively medication according to the standard of care.
• So this amendment is asking that health care providers and health care entities may only distribute abortion
• We need to be very careful.

Summary: The Senate opened with roll call, colors, pledge, and a prayer by Sikh youth leader Gertit Singh Cocher, followed by recognition of guests from the Sikh Coalition and Kalsa Germath Center. The chamber approved the journal and then adopted Senate Resolution 8678 honoring the Chimicum High School Marching Band for being selected as Washington’s representative in the 2026 National Independence Day Parade in Washington, D.C.; senators praised the band’s dedication and rural-school achievement, and the band was recognized in the gallery. The Senate then confirmed two gubernatorial appointments by 49-0 votes: Ryan Moran as Director of the Health Care Authority and Dennis Worsham as Secretary of the Department of Health. Supporters highlighted Moran’s Medicaid and health system background and Worsham’s long public health career, including local health leadership and work on HIV/AIDS and community health. The chamber also advanced and passed Senate Bill 6011, expanding court bailiff authority to conduct threat assessments for the Court of Appeals, and Senate Bill 5831, creating safe harbors related to mortgage modification recording requirements. Several bills were debated and passed after amendment votes. Senate Bill 6188, concerning Labor and Industries’ asbestos training and certification rules, saw an amendment to align with federal standards rejected and then passed 38-19. Substitute Senate Bill 5917, dealing with access to abortion medications through the Department of Corrections pharmacy, had multiple proposed amendments rejected before passing 32-17 after extensive debate over access, labeling, distribution limits, and emergency status. The Senate also adopted an amendment to Senate Bill 6024 on developmental disability services confidentiality, then passed the bill 48-0-1 excused; passed Substitute Senate Bill 6091 on residential property marketing and fair housing by 49-0; and passed Substitute Senate Bill 5840 adjusting campaign finance expenditure reporting deadlines by 46-3. The body then recessed for caucus and lunch.

Transcript Highlights:

• Speaker for their deep commitment to... care and our child care providers.
• Take care of the people that take care of our kiddos. I respectfully ask for your aye vote.
• I was there on Sunday actually, providing health care.
• So a lot of people want to talk about health care, saving health care.
• Everybody has an opinion on how to save health care.

Transcript Highlights:

• Okay, so what you're telling me today is that the claims for intensive outpatient care are being paid
• We have multiple ways to ensure that we have network adequacy throughout the managed care network.
• The difference between that and the managed care organizations is very much a network.
• Managed care organization for clarity or for further review or any potential compliance actions.
• Those managed care organizations have multiple staff.

Committees: Senate Health and Human Services , Senate Senate Health and Human Services COR

Transcript Highlights:

• Assembly, Hawaii Primary Care Assembly, Hawaii Primary Care Association, Association, Association, and
• health care.
• with the high deductible, they delay their care.
• health care.
• with the high deductible, they delay their care.

Bills: SB2141 , SB2593 , SB2824 , SB2135 , SB2115

Committee: House Labor

Keywords: retirement, law enforcement, pension, public safety, employee contributions, Law Enforcement Standards Board, LESB, civil service exemption, collective bargaining exemption, law enforcement certification, police standards, law enforcement training, officer certification, training and curriculum coordinator, lead investigative agent, administrative manager, administrator, Hawaii HRS 76-16, Hawaii HRS 139-3, personnel exemption

Transcript Highlights:

• I had just been missing the information I needed to take care of it.
• We care for patients.
• Patients do not stop seeking care when regulations force compliant licensed providers to change how care
• With the expertise of my primary care doctor, Dr.
• If it's positive, however, then that can initiate further steps in care.

Committee: Joint Joint Committee on Public Health

Summary: The Joint Committee on Public Health heard testimony on four bills: H. 5013 and S. 2928, which would establish a three-year celiac disease screening pilot program for children during routine cholesterol/lipid screening at ages 8 to 12; H. 5087, regulating medical spas; and H. 5115, establishing statewide food truck regulations, though the transcript focused almost entirely on the celiac and medical spa bills. For the celiac proposal, Rep. Badger and Sen. Lovely described long diagnostic delays, the lack of a cure, and the potential for a simple blood test to identify children earlier and reduce long-term harm. Multiple patients, clinicians, and researchers supported the pilot, saying celiac is frequently missed because symptoms vary widely or are absent, and that early detection could prevent malnutrition, growth problems, osteoporosis, and other complications. Testifiers also emphasized that the bill would study feasibility, accuracy, cost, and acceptability, and would include family education and support resources if diagnoses are made through the program. Several experts and advocates backed the celiac screening pilot, including a pediatric gastroenterologist from Italy who described successful national screening efforts there, a Celiac Disease Foundation representative, pediatric gastroenterologists from Massachusetts and Colorado, a pediatric dietitian, and a parent whose child was diagnosed after severe malnutrition. They argued that routine screening alongside existing pediatric bloodwork could identify many undiagnosed children and improve health equity, since celiac disease is often overlooked in people of color and lower-income patients. Committee members asked about how the screening would work, and witnesses explained it could begin with a blood test, followed by confirmatory endoscopy if needed. No vote was taken in the hearing. On H. 5087, witnesses from the medical aesthetics industry largely opposed the bill as written, saying it was outdated, redundant with existing Massachusetts licensing and board oversight, and too restrictive for nurse practitioners, physician assistants, and other licensed providers. Testifiers, including a retired lobbyist, a nurse practitioner, a PA, a plastic surgeon, and a clinic owner, said the bill could reduce access, raise costs, and push care into less regulated settings, while not addressing the real issues of training, compliance, and patient safety. Committee members pressed for more specific feedback on what provisions were unnecessary or duplicative, and witnesses said they had submitted position papers and written testimony identifying conflicts with current law. The hearing ended with the chair noting that all oral and written testimony would be reviewed before any decisions are made.

Transcript Highlights:

• , ...inpatient psychiatric care for suicidal thoughts.
• She was placed in foster care for five and a half months.
• J.R. requires 24-hour nursing care and supervision.
• And as a result, I still have the same child care needs every day.
• And as a result, I still have the same child care needs every day.

Summary: The committee first took up CS for Senate Bill 304, which would address child protective investigations involving children with certain genetic or medical conditions that can mimic signs of abuse. Senator Sharif and several family members and advocates described cases in which children were removed after injuries were initially misread as abuse, and argued the bill would give parents more opportunity to obtain qualified medical opinions. The committee adopted a substitute amendment that removed language imposing analysis duties on certain medical professionals, then passed the bill favorably after testimony in support from the Florida chapter of the American Academy of Pediatrics and several affected families. The committee then considered SB 1430 on post-judgment execution proceedings for terrorism victims, SB 96 on relief for Jacob Rogers, SB 382 on affordable housing rent agreements, SB 4 and SB 6 on claims bills for Patricia Armini and Jose Correa, SB 1142 on release of conservation easements, SB 658 on waiver or release of liens, SB 28 and SB 30 on claims involving South Broward Hospital District and the Broward County Sheriff’s Office, SB 24 on relief for Mandy Penny Lemon, SB 72 on campaign funds for child care expenses, and SB 1622 on recreational customary use of beaches. Most of these bills were explained by their sponsors as narrow relief or technical measures, and the committee heard a mix of support and opposition from claimants, local governments, industry groups, and advocacy organizations. Several bills drew substantive debate. On SB 382, members discussed rent stability and whether the bill should better address lease language and future rent increases; the amendment and bill were both reported favorably. On SB 1142, members raised concerns about environmental and drainage impacts and whether releases of conservation easements should be mandatory or discretionary, but the bill still passed favorably. On SB 72, members questioned the scope of allowable campaign child care expenses and the need for stronger guardrails against abuse; the bill nevertheless passed favorably. On SB 1622, testimony sharply divided between supporters of restoring public beach access and opponents defending private property rights; debate continued when the transcript ended, so no final vote on that bill is reflected here.

Transcript Highlights:

• We can add an adult day care to it.
• I take care of him then. Thank you. All right.
• And what I'm proud of is that we have compassionate care, quality care. We pass our inspections.
• That's why we have quality, compassionate care.
• quality care.

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

Summary: The committee took up SB 116 by Senator Burgess, a veterans bill aimed at several FDVA-related changes. The bill would reduce annual nominations to the Florida Veterans Hall of Fame from 20 to 5, expand FDVA’s survey work to assess veterans’ awareness of available programs and their health literacy, add mental health training to the veterans suicide prevention pilot, strengthen coordination and reporting between Veterans Florida and FDVA, direct FDVA to develop a plan for adult day health care facilities statewide, and allow the Florida Veterans Foundation to use a portion of Gadsden flag plate proceeds for administrative costs. Senator Burgess said the measure builds on prior “Forward March” efforts and helps close service gaps for aging veterans and others who may not know about available benefits. Testimony on SB 116 was uniformly supportive. FDVA leadership said adult day health care could be added at existing facilities such as Port St. Lucie and Lake City, and that the state would need authority and funding to move forward. A veterans legal collaborative, AARP Florida, and Endeavors all voiced support, with speakers emphasizing the importance of better outreach, mental health awareness, and care options that allow veterans to remain at home. The committee then voted favorably on SB 116. The remainder of the meeting was devoted to agency and stakeholder presentations. Florida National Guard officials described a high operational tempo, deployments at home and abroad, hurricane response efforts, and the need to grow the force and infrastructure. FDVA’s adjutant general reported Florida now has the nation’s second-largest veteran population, rising in-migration of younger veterans, a large and aging Vietnam-era population, strong claims and outreach activity, declining veteran homelessness, and improved suicide prevention outcomes. The Florida Veterans Foundation outlined its emergency relief, dental, transportation, and license-plate-funded programs, while Veterans Florida and CareerSource Florida detailed workforce, apprenticeship, SkillBridge, entrepreneurship, and job-fair programs for veterans and spouses, along with efforts to expand recurring funding and better protect customer information.

Transcript Highlights:

• </c> because they're running child care. because they're running child care.
• nursing home care. nursing home care. &gt;&gt; Very<00:32:01.519><c> good.
• </c> care center. care center.
• We're here today to talk about child care and the supply of child care.
• care long-term care fund, radiation long care long-term care fund, which<03:09:19.600><c> Sebrook</c

Committee: House Ways and Means

Transcript Highlights:

• And if we're going to recruit and retain great nurses, which are critical to the care of the men and
• I know you take as good care of your staff as you do those who are in your care.
• Basically, I tend to whatever care and supervision needs they have.
• We're all charged to care for these children and to interact with these families.
• Christian and Marion mentioned some of the incidents that happened with children in care.

Committee: Joint Joint Committee on Public Service

Summary: The committee heard testimony on several retirement and workforce-related bills. House Bill 2980 would place county correctional nurses and certain medical staff into Group 4 retirement. Representative Trino, Middlesex Sheriff Peter Koutoujian, and nurse manager Leanne Cameron argued that correctional nurses work in dangerous, high-stress settings with frequent contact with incarcerated people, high rates of mental illness and substance use in the jail population, and significant workplace violence, and that the change would help recruitment and retention with limited statewide fiscal impact. The committee also heard Senate Bill 210, which would create a commission to study additional regular compensation and annual expenses for members of the General Court. Senator John Keenan said Massachusetts has high leadership stipends compared with other states and argued the current structure can affect independence and public trust. Representative O'Day testified on House Bill 2928 to extend Group 2 retirement to additional Department of Children and Families social workers, and SEIU 509 witnesses described frequent transport of children, crisis response, threats, assaults, and other high-risk duties that they said match Group 2 work. Additional testimony supported House Bill 2943 for DDS service coordinators and supervisors, with witnesses describing home visits in unsafe conditions, transport of vulnerable individuals, direct care during staffing crises, and exposure to violence. House Bill 2899 drew support from the Association of Social Work Boards for social work field placement grants, incentives for supervisors, and expanded retirement benefits for DCF social workers. The committee also heard Senate Bill 2613, a local retirement bill for Salem police officer Kathleen Roachville, who described a severe line-of-duty injury during an arrest involving a combative person in a mental health crisis. Finally, Susan Smith Campbell testified for reclassifying certain DYS administrative officers into Group 2 because of their direct involvement in restraints, assaults, and crisis management. After testimony concluded, the committee adjourned without taking any votes.

Transcript Highlights:

• Is that health care... No request was made.
• This bill requires schools, health care providers, and child care staff to report any child's request
• or medical care from providers, is life-saving care.
• But the parent who has custody or the legal guardian would care a lot.
• and the other parent does care.

Committee: House Judiciary, Rules and Administration

Transcript Highlights:

• We need health care.
• We need health care.
• They need to have a job where the health care is provided.
• Now, this just health care drives me nuts, let's face it. We need health care.
• I'm from the Health Care Authority.

Summary: The House Appropriations Committee heard staff briefings and testimony on four bills. House Bill 2124, a Department of Retirement Systems request, would raise the minimum monthly pension benefit that can be paid as a lump sum from $50 to $250, with future inflation adjustments by the director; staff said it would cost about $11,000 in administrative changes and have no actuarial impact on the pension funds. House Bill 2125 would remove a biennial restriction on using pension fund interest earnings for certain administrative and compliance expenses that protect the funds; DRS said it would have no fiscal impact and would continue existing practice. Seth Miller of DRS supported both bills as efforts to reduce complexity and improve consistency across retirement systems. House Bill 2179 would create a retroactive exemption from PERS membership for certain port district employees who are instead covered by federal railroad retirement or union-sponsored defined benefit plans. Staff said audits found a small number of affected employees, with a one-time administrative cost of about $18,000, and noted possible legal concerns because retroactive changes can implicate vested retirement rights. Testimony from the Washington Public Ports Association and the Port of Ponderay supported the bill as a narrow clarification needed to avoid dual coverage and large retroactive liabilities; the Port of Vancouver also supported it as a fix for building trades workers covered by union plans. House Bill 2160 would change SEBB eligibility rules for school employees, creating a presumption of coverage on day one for returning employees who previously worked 630 hours in prior years, effectively shortening the lookback period and extending it across SEBB employers. Supporters, including substitute teachers, WEA, SEIU, and other school workers, said the bill would reduce disruptive gaps in coverage, help workers and families maintain continuous insurance, and improve recruitment and retention. Opponents, including school administrators, business officials, and school directors, argued it would be an unfunded mandate that could significantly increase district costs and administrative complexity, especially because districts would have to track hours and rebut presumptive eligibility. The Health Care Authority explained that eligibility is determined by local benefits administrators using worksheets and appeals, that the current two-year presumption was built from earlier benefit rules, and that the bill could increase costs and create issues for retirees who currently manage hours to stay below the 630-hour threshold. The committee took no votes and adjourned after public hearing.

Transcript Highlights:

• It's a privilege to speak to you about care, space, and truth.
• It provides better care.
• care.
• It only applies to the PDPM buckets that are dedicated to patient care.
• Address care in rural areas.

Bills: HB135 , HCR64 , SCR3 , SCR30 , SB500 , SB739 , SB816 , SB898 , SB1283 , SB1351 , SB1423 , SB1531 , SB1540 , SB1666 , SB1721 , SB1886 , SB1931 , SB2001 , SB2075 , SB2154 , SB2173 , SB2217 , SB2284 , SB2375 , SB2383 , SB2386 , SB2398 , SB2448 , SB2476 , SB2540 , SB2580 , SB2589 , SB2693 , SB2707 , SB2776 , SB2786 , SB2801 , SB2864 , SB2927 , SJR84 , SCR30 , SB243 , SB324 , SB393 , SB457 , SB511 , SB529 , SB547 , SB636 , SB646 , SB659 , SB715 , SB731 , SB735 , SB800 , SB801 , SB904 , SB1065 , SB1141 , SB1181 , SB1224 , SB1241 , SB1242 , SB1250 , SB1266 , SB1285 , SB1359 , SB1434 , SB1442 , SB1467 , SB1502 , SB1524 , SB1528 , SB1551 , SB1585 , SB1640 , SB1754 , SB1757 , SB1777 , SB1844 , SB1863 , SB1972 , SB2007 , SB2035 , SB2046 , SB2055 , SB2069 , SB2082 , SB2119 , SB2139 , SB2154 , SB2200 , SB2201 , SB2269 , SB2310 , SB2330 , SB2357 , SB2366 , SB2401 , SB2422 , SB2514 , SB2530 , SB2533 , SB2543 , SB2544 , SB2550 , SB2568 , SB2589 , SB2660 , SB2693 , SB2695 , SB2707 , SB2717 , SB2721 , SB2742 , SB2753 , SB2807 , SB2846 , SB2891 , SB2925 , SB2938 , SJR3 , SJR18 , SB5 , SB326 , SB767 , SB769 , SB783 , SB914 , SB963 , SB1035 , SB1197 , SB1271 , SB1415 , SB1437 , SB1619 , SB1637 , SB1786 , SB1806 , SB494 , SB530 , SB2312 , SB1 , SB260 , HB135 , HB 1109 , HB1392 , HB22 , HCR64 , SJR36 , SJR50 , SJR63 , SJR84 , SJR59 , SCR12 , SCR39 , SCR48 , SCR19 , SCR30 , SCR3 , SB2023 , SB62 , SB666 , SB847 , SB284 , SB854 , SB1073 , SB810 , SB1505 , SB583 , SB1502 , SB507 , SB1434 , SB1376 , SB1585 , SB1772 , SB2016 , SB1163 , SB1122 , SB731 , SB397 , SB508 , SB1436 , SB287 , SB261 , SB1882 , SB393 , SB1791 , SB209 , SB2429 , SB1999 , SB511 , SB2309 , SB510 , SB1085 , SB1975 , SB2717 , SB1262 , SB1524 , SB636 , SB2056 , SB884 , SB517 , SB1200 , SB1845 , SB1863 , SB2681 , SB2200 , SB2199 , SB1757 , SB2458 , SB2201 , SB801 , SB2533 , SB3014 , SB3013 , SB758 , SB1721 , SB1013 , SB2797 , SB2383 , SB2119 , SB2448 , SB1777 , SB1283 , SB2076 , SB2786 , SB2876 , SB2284 , SB1540 , SB2929 , SB2540 , SB2595 , SB2217 , SB715 , SB500 , SB1640 , SB2001 , SB2514 , SB2753 , SB2398 , SB1241 , SB2927 , SB2173 , SB2538 , SB898 , SB1449 , SB2529 , SB2846 , SB2476 , SB986 , SB1181 , SB2075 , SB2154 , SB2864 , SB1359 , SB2386 , SB2550 , SB1351 , SB1423 , SB1931 , SB2245 , SB2589 , SB2707 , SB410 , SB2776 , SB2580 , SB1886 , SB1234 , SB739 , SB456 , SB1666 , SB2801 , SB2055 , SB1012 , SB2926 , SB2138 , SB1242 , SB2615 , SB2310 , SB1224 , SB2972 , SB2841 , SB3016 , SB2139 , SB1856 , SB2035 , SB1528 , SB1141 , SB2401 , SB2530 , SB2375 , SB547 , SB1266 , SB1373 , SB1467 , SB2069 , SB2269 , SB2480 , SB672 , SB904 , SB2695 , SB2891 , SB2422 , SB2543 , SB1854 , SB317 , SB2539 , SB2532 , SB2925 , SB1250 , SB2082 , SB2203 , SB457 , SB2357 , SB2721 , SB243 , SB1285 , SB2568 , SB1959 , SB1442 , SB1454 , SB2520 , SB2541 , SB1708 , SB1237 , SB1844 , SB1586 , SB1551 , SB3039 , SB2819 , SB66 , SB629 , SB1015 , SB2342 , SB2903 , SB2933 , SB1965 , SB2477 , SB3029 , SB2605 , SB2419 , SB1957 , SB375 , SB250 , SB777 , SB628 , SB2523 , SB2367 , SB2703 , SB2608 , SB2778 , SB3044 , SB2965 , SB2521 , SB865 , HB2525 , HB3093 , SB1032 , SB2165 , SB2501 , SB2675 , SB2452 , SB2835

Transcript Highlights:

• health care where it's needed.
• health care where it's needed.
• health care where it's needed.
• health care where it's needed.
• </c> health care and deliver health care health care and deliver health care where<00:27:28.960><c> it's

Committee: Joint Public Health and Welfare

Transcript Highlights:

• The health care providers subcommittee is focused on identifying strategies for health care providers
• The next recommendation focuses on enhancing health care services provided by state agencies through
• Educating health care providers and increasing awareness of rare diseases.
• Some of the other clinical care data is less available. Thank you, Madam Chair.
• Then I think the other part of that is really going to be health care provider awareness.

Summary: The Health Professions and Program Subcommittee met with a quorum present and received a briefing from Melissa Jordan, Assistant Deputy Secretary for Health and chair of the Florida Rare Disease Advisory Council (ARDAC). Jordan explained that rare diseases affect fewer than 200,000 people each individually, but together impact an estimated 2.3 million Floridians. She reviewed ARDAC’s structure, its three subcommittees, and its 2025 legislative report recommendations, which focused on expanding Florida-specific data, disaster preparedness, state agency coordination, insurance oversight, provider education, faster diagnostic tools, research collaboration, and establishing centers of excellence. She also highlighted ARDAC’s work with other states and its effort to build an online repository of resources for families and providers. Jordan discussed the Andrew John Anderson Pediatric Rare Disease Grant Program, funded at $500,000 annually, which supported research awards at Florida State University and the University of Miami in 2024 and another University of Miami project in 2025. She also described House Bill 907 and the Sunshine Genetics Act pilot program, which created the Florida Institute for Pediatric Rare Diseases at FSU and a newborn whole-genome sequencing pilot to screen volunteer infants for hundreds of conditions beyond traditional newborn screening. The institute will include research, training, clinical care, a diagnostic lab, genome editing capacity, and a sequencing pilot overseen by a board, consortium, and steering committee. Members asked about interstate collaboration, the scope of data collection beyond Medicaid, how the council reduces family financial burdens, how families and providers can learn about available resources, and how ARDAC measures effectiveness. Jordan said Florida has learned from other states’ survey-based approaches and instead is using administrative data sources such as Medicaid, hospitalizations, emergency department visits, birth and death certificates, with more clinical data to be added over time. She said success is tracked through annual reports, ongoing work plans, and quarterly research reports that measure progress, patient enrollment, treatment outcomes, and potential follow-on funding. The meeting concluded after the presentation and questions, and the subcommittee adjourned without further business.

Transcript Highlights:

• </c> always cover co the total cost of care. always cover co the total cost of care.
• Sometimes CMS total cost of care.
• ><c> 378</c> Kentucky currently cares for 378 Kentucky currently cares for 378 veterans<00:43:24.240>
• </c> prioritize payment sources over care prioritize payment sources over care needs.<00:45:01.359><c
• </c> to be psychiatric or acute care to be psychiatric or acute care facilities<00:48:14.960><c> and<

Summary: The committee first approved the minutes from the November 13, 2025 meeting and then heard testimony from Quarter Hill, the tolling subcontractor for RiverLink on the Indiana-Kentucky bridge system. Quarter Hill described its role in back-office support and call center operations for the Lincoln, Kennedy, and Lewis and Clark bridges, and said the contract began in 2021 with go-live in September 2023. The company reported that revenue has increased since it took over, customer service response times have improved, and it has been operating at a loss because the contract was based on outdated transaction estimates and did not account for higher-than-expected volume and added support costs. Members questioned Quarter Hill about the role of consultants, the low reported collection rate, and why the company was leaving the contract. Quarter Hill said a single large consulting engineering firm had been hired to help shape the RFP and contract, but argued that consultants and overly detailed requirements can create disputes and hinder efficient service. On collection rates, the company said the reported 85% rate reflects the absence of registration holds and other enforcement tools, and that the remaining unpaid tolls are the hardest to collect. The company also said it had lost significant money on the contract and had reached a change order and termination agreement, while emphasizing that the system itself was functioning well. The committee then received a staff report on Kentucky veterans centers. Staff said quality of care is generally high and staffing has improved, but reported occupancy figures are misleading because they are based on certified beds rather than functional capacity after conversions to single-occupancy rooms and capital projects. The report said actual occupancy is closer to 85% than the commonly reported 56%, and that increasing occupancy would not necessarily increase revenue because the state’s cost of care exceeds reimbursement and private-pay revenue. Recommendations included adopting functional occupancy reporting, continuing the move to single-occupancy rooms, reviewing modernization needs at Thompson Hood, including Eastern Kentucky in planning, and referring the Radcliffe HVAC procurement and installation to the Auditor of Public Accounts and Attorney General for review.

Transcript Highlights:

• , or go without care altogether.
• This bill is a modest step in efforts to expand access to care.
• This bill is a modest step in efforts to expand access to care.
• that patients skip or delay getting the care that they need.
• Now, why should we all care about this?

Summary: The Assembly convened, established a quorum after a roll call, offered a prayer, observed a moment of silence for John Burton, and then proceeded through a long floor session with numerous procedural motions, committee referrals, and bill actions. Members also suspended rules to allow certain speeches and committee notices, and later recessed for caucuses before resuming business. Several items were moved to the inactive file or held on the file, and one rule-suspension motion to allow chaptering-out amendments on SB 271 and SB 67 passed 54-12. The chamber then took up many Senate bills on third reading, with most measures passing on strong bipartisan votes. Topics included civil rights and enforcement (SB 477), reparations-related administration (SB 518), autism provider licensing parity (SB 402), protections for undocumented students (SB 307), juvenile records access (SB 413), cancer registry funding (SB 717), protections for unhoused service providers (SB 634), EV charging payments (SB 533), tribal gaming compacts (SB 864), locomotive emissions (SB 30), battery storage safety (SB 283), Jack London Square land use (SB 304), campus enrollment planning (SB 486), vehicle-related cleanup (SB 586), public official roster updates (SB 482), threats against sensitive locations (SB 19), pregnancy as a qualifying event for insurance (SB 257), port emissions planning (SB 298), rural telehealth for farmworkers (SB 338), habitat conservation funding (SB 427), public defender removal standards (SB 485), privacy protections for legally protected health care (SB 497), Medi-Cal access standards (SB 530), chosen-family paid leave (SB 590), charter school loan fund reserves (SB 631), wildfire property tax relief (SB 663), maternity care access in rural areas (SB 669), direct CSU admission (SB 640), indoor heat safety in housing (SB 655), health data exchange governance (SB 660), demographic reporting on appointees (SB 702), solar property tax exclusions (SB 710), tax conformity (SB 711), menstrual product contaminant disclosure (SB 754), counterfeit lighter safety (SB 793), and price gouging after disasters (SB 36). Vote totals were generally high, with a few measures drawing notable opposition, including SB 580, SB 660, SB 610, SB 485, SB 41, and AB 1340. The Assembly also concurred in Senate amendments to AB 671, a restaurant permitting bill, and then took up AB 1340, a major gig-worker labor bill. Supporters described it as a historic expansion of collective bargaining rights for rideshare drivers, while opponents argued it would raise consumer costs and mainly benefit unions and political interests. The transcript ends during debate on AB 1340, before the final vote is recorded.

Transcript Highlights:

• The next bill is AB 190, the early care and education trailer bill.
• And we appreciate utilizing age care for this important purpose.
• lose access to free mental health care, free transportation to hospitals, specialty care, and life-saving
• On the topic of child care, grateful for the funding for family child care license-exempt providers who
• On the topic of child care, we are grateful for the funding for family child care network license providers

Transcript Highlights:

• </c> regulations over long-term care regulations over long-term care providers<00:13:24.720><c> to</c
• of seniors in our that took care of seniors in our long-term<00:17:31.200><c> care</c><00:17:31.440>
• Likewise, uh care and assisted living.
• ,</c> registered nurses in administering care, registered nurses in administering care, med<00:19:09.840
• Uh and and it is important that care.

Transcript Highlights:

• </c> Care Association. Care Association.
• The goal is to transform health care. It is not to sustain health care.
• The goal is to transform health care. It is not to sustain health care.
• The goal is to transform health care. It is not to sustain health care.
• The goal is to transform health care. It is not to sustain health care.

Summary: The Medicaid Oversight Advisory Board met for its third meeting and approved the July 30 minutes. The chair outlined a full agenda covering the state-based marketplace versus the federally facilitated marketplace, connectors and navigators, presumptive eligibility, eligibility/enrollment/redetermination, and a rural health transformation update. Commissioner Lisa Lee and Assistant Director David Barry presented first on Kentucky’s state-based exchange, Connect, explaining that it is an integrated eligibility and enrollment system for Medicaid, CHIP, SNAP, TANF, child care, and qualified health plans. They reviewed Kentucky’s move from a state-based exchange to healthcare.gov in 2017 and back to a state-based marketplace in 2021, and said the system helps route applicants to the correct program and allows families to move more easily between Medicaid and exchange coverage as circumstances change. The presenters said the exchange is funded by carrier assessments on qualified health plans rather than general fund dollars, with costs allocated across programs based on use. They said Kentucky’s exchange fees are lower than the federal platform’s and that the state-based system provides local assistance through DCBS offices, connectors, and licensed agents in every county. Members asked about startup and operating costs, fee-setting, and whether any general fund dollars are used; the department said it would follow up with the CFO on fee details and said it was not aware of general fund support for exchange operations. Members also raised concerns about Medicaid eligibility verification and improper enrollment, while the department emphasized that the state system uses different questions than healthcare.gov and is designed to identify the correct coverage based on monthly Medicaid income and annual tax-credit income. The board also discussed enrollment trends, including a COVID-era spike during the public health emergency when disenrollments were largely paused, and current qualified health plan enrollment of more than 97,000 people on Connect. Commissioner Lee explained presumptive eligibility as temporary Medicaid coverage, noting it applies to pregnant women and hospital-based cases, with hospitals able to grant it and certain providers able to grant it to pregnant women. She said full eligibility is still determined within 30 days and that presumptive eligibility ends when full Medicaid eligibility is determined or at the end of the following month. The meeting then shifted to connectors, with representatives from Community Action Kentucky and the Kentucky Primary Care Association describing their statewide outreach network, local offices, and role helping residents apply for Medicaid, renew coverage, report changes, and navigate benefits; they said connectors do not determine eligibility but assist with applications, recertifications, and outreach events across the Commonwealth.

Transcript Highlights:

• since the announcement about a month ago of changes that will throw about 16,000 people out of medical care
• with these cuts coming, and they've already been implementing things and shattering local systems of care
• reducing their eligibility criteria, which is going to limit the pool of clients who could access care
• It creates greater barriers to care for someone. Now, there are some 340B-type programs.
• And finally, it requires AHCA to adopt rules for minimum standards for pediatric care...

Summary: The Appropriations Committee on Health and Human Services heard public comment on several health and human services funding concerns before moving through a series of bills. Testimony at the start focused on the AIDS Drug Assistance Program, with a client warning that proposed changes to eligibility and drug access could disrupt care for thousands of people living with HIV/AIDS, and urging the Legislature to intervene. Another speaker asked for support for the iBudget waiver, saying provider costs have risen and requesting about a 7% increase for direct support professionals to help stabilize the developmental disabilities workforce. The committee then unanimously reported favorably several bills. SB 428 expanded Florida’s swim lesson voucher program from children ages 0-4 to ages 1-7, based on drowning-prevention recommendations. SB 68 required hospitals with emergency departments to adopt pediatric emergency care policies, training, equipment standards, and readiness assessments; an amendment aligned reporting dates with the House version. SB 1718 changed the definition of when an adult visitor in an out-of-home placement becomes a non-visitor, reducing repeated background checks, made the Step Into Success pilot permanent, adjusted foster youth stipends, and created a best-practices program within the Florida Institute for Child Welfare. The committee also approved SB 606, which adds drowning-prevention and safe-bathing education to postpartum materials provided to new parents and requires hospitals and birthing centers to document compliance; members highlighted bathtub drownings as a key concern. SB 96 expanded eligibility for the Veterans Dental Care Grant Program to veterans up to 400% of the federal poverty level, while an amendment removed the bill’s specific appropriation so funding can be handled in the budget process. SB 340 required nursing students to complete a two-hour human trafficking course before taking the NCLEX. SB 1480 created a grandfathering process for certain health care providers in federally designated areas of critical need if an area is de-designated, to avoid disrupting patient-provider relationships. All bills were reported favorably, and the committee adjourned at the end of the agenda.