Transcript Highlights:

• Informed consent is treated as resistance.
• or a physician that you trust.
• The primary physician, the primary physician, the pediatricians, they don't have a say.
• Also, in this, I would like to say that your physician or the physician, in this, I would like to say
• that your physician or the physician you choose for your child can totally be overridden by DCF physicians

Summary: The Health and Human Services Committee considered eight bills and reported all of them favorably, several as amended. HB 1347 on clinical laboratory personnel was presented as a response to staffing shortages in Florida labs; the sponsor and Quest Diagnostics supported aligning state licensure with CLIA standards to improve hiring and turnaround times. The bill passed 24-0. CS/HB 47, dealing with specific medical diagnoses in child protective investigations, drew extensive emotional testimony from parents and advocates who said children had been wrongly removed after misdiagnoses; the bill was amended to tighten timelines and record-sharing requirements, then passed 26-0. CS/HB 287 created a public records exemption for applicants, owners, operators, and references of family foster homes and passed unanimously. The committee also approved CS/HB 439, allowing chiropractors to inject vitamins and nutrients under training and safety limits, after an amendment clarified they may not prescribe prescription drugs; it passed 26-0. CS/HB 1021 would allow pharmacists to administer medications in trauma centers under physician direction, and an amendment added pediatric trauma centers; it passed 26-0. HB 867 would let occupational therapists perform dry needling after specified training and supervision, and it passed 25-0. HB 1309, which shortens deadlines for patients to access their medical records and aligns nursing home access rules with federal law, drew opposition from health information management groups over privacy and portal/data-security concerns, but supporters argued it simply speeds access to records; it passed 21-5. CS/HB 915 codifies and expands Medicaid eligibility protections for working people with disabilities so they can keep coverage while employed, with strong support from disability advocates and emotional testimony from the sponsor about her son’s benefits concerns; it passed 26-0. After these votes, the committee adjourned.

Transcript Highlights:

• This opens the doors for more physicians, specifically those newly minted out-of-state physicians who
• to treat, but a facility has different rules. ...treat the patients that that doctor chooses to treat
• May a physician with deeply held religious convictions or beliefs refuse to treat a gay patient, but
• But it will not allow a physician going forward to not treat... Sorry, go ahead.
• But it will not allow a physician going forward to not treat... Sorry, go ahead.

Summary: The Florida Senate opened with prayer, the Pledge of Allegiance, and several recognitions, including interns, Denim Day awareness for sexual assault survivors, a resolution honoring Vietnam veterans exposed to Agent Orange, and a memorial proclamation for former Senator Karen Johnson Gendron. The chamber then moved to special-order bills, with senators also briefly discussing the session’s pace and thanking staff and colleagues for their work. The first major bill, on driving and boating offenses, was amended and passed 37-0. As amended, it increases penalties for repeat DUI/BUI manslaughter and vehicular homicide/vessel homicide offenses, and adds notice requirements and misdemeanor penalties for refusing lawful breath or urine tests. Senators also passed SB 306 on Medicaid providers 37-0, requiring Medicaid managed care plans to offer more after-hours and holiday access and ensuring more primary care appointment availability outside regular business hours. The Senate then passed a major condominium and cooperative associations bill, also 37-0, after extensive debate and multiple amendments. The measure extends deadlines for structural integrity reserve studies, adds flexibility for reserve funding and budgeting, tightens rules for managers and inspectors, limits certain requirements to buildings of three or more habitable stories, and extends the rescission period for condo purchases. Senators from both parties praised the bill’s sponsors for years of work responding to post-Surfside safety and affordability concerns. The longest and most contentious item was SB 7016/HB 1205 on constitutional amendment petition procedures. Sponsors said the bill responds to fraud and abuse in the citizen initiative process by tightening circulator rules, requiring faster submission of signed petitions, adding voter notification, increasing penalties, and shifting costs to sponsors. Opponents argued it would burden volunteers and make it harder for citizens to qualify initiatives. The chamber adopted a series of amendments, including changes to the petition-circulator threshold, volunteer protections, submission timing, invalid-signature investigation thresholds, and notice/cure provisions, while debate continued over whether the overall package would protect election integrity or suppress citizen-led amendments.

Transcript Highlights:

• It does not eliminate physician independence.
• As a physician, as a surgeon, understanding...
• It needs to be treated like a disease.
• I want to spend my time as a physician diagnosing, treating, counseling, and really helping our patients
• I want to spend my time as a physician diagnosing, treating, counseling, and really helping our patients

Summary: The committee heard AB 1887, which would speed prior authorization for FDA-approved rare disease treatments prescribed by specialists and, if a plan does not act within 30 days, deem the request approved. The author and supporters, including patients and clinicians, said delays can cause irreversible harm, hospitalizations, and death, especially for children and people with progressive rare diseases. Health plans and insurers opposed the bill’s automatic-approval provision and said the measure lacked safeguards for incomplete requests and shared responsibility for timely information. The chair encouraged continued work with opponents, and the author said the bill was narrowed from an earlier version that would have waived prior authorization entirely. The committee also heard AB 1979 on artificial intelligence in health care, AB 2161 on Medi-Cal work requirements, AB 539 on extending approved prior authorizations, AB 2311 on physician employment at public hospital districts, AB 1148 on banning phthalates and bisphenols in food packaging, AB 1825 on mental health offender reentry coordination, and AB 2282 on a temporary emergency stabilization unit in Patterson. AB 1979 would preserve licensed clinicians’ professional judgment, bar AI from directing unlicensed clinical functions, and protect medical records used by consumer chatbots; after amendments, several hospital, medical, and industry groups moved from opposition to neutral. AB 2161 would limit the harm of federal Medi-Cal work-reporting rules by using existing data, improving notices, and protecting due process; it drew broad support from patient, provider, and advocacy groups. AB 539 would keep prior authorization approvals valid for up to one year or the course of treatment, with supporters citing continuity of care and opponents warning about utilization, fraud, and cost concerns. AB 2311, as amended, would let certain high-payer-mix or distressed public health care districts directly employ physicians; CMA withdrew opposition after the bill was narrowed, while some hospital interests still objected to the carve-out. AB 1148 would prohibit two chemicals commonly used in food packaging, with supporters citing cancer and endocrine-disruption risks and opponents arguing DTSC should handle the issue through its existing regulatory process. AB 1825 would improve transition planning and Medi-Cal enrollment for offenders with mental health disorders leaving state hospitals, and AB 2282 would authorize a temporary rural emergency stabilization care unit in Patterson until a permanent hospital is built. Several bills were held for later action because the committee lacked a quorum, and the chair repeatedly noted that motions would be taken once enough members returned.

Transcript Highlights:

• Now, this opens the doors for more physicians, specifically those newly-minted out-of-state physicians
• treating people that they feel uncomfortable treating based on their medical knowledge?
• May a physician with deeply held religious convictions or belief refuse to treat a gay patient, but cannot
• But it will not allow a physician going forward to not treat. Sorry, go ahead.
• to treat anybody.

Bills: HCR35 , SJR59 , SJR84 , SCR30 , SB127 , SB317 , SB324 , SB457 , SB506 , SB511 , SB529 , SB547 , SB584 , SB619 , SB636 , SB646 , SB659 , SB715 , SB732 , SB735 , SB771 , SB784 , SB800 , SB801 , SB904 , SB1026 , SB1049 , SB1065 , SB1181 , SB1224 , SB1250 , SB1383 , SB1467 , SB1524 , SB1528 , SB1531 , SB1568 , SB1585 , SB1640 , SB1681 , SB1754 , SB1757 , SB1777 , SB1972 , SB1980 , SB2007 , SB2041 , SB2046 , SB2050 , SB2055 , SB2069 , SB2080 , SB2119 , SB2138 , SB2139 , SB2154 , SB2201 , SB2225 , SB2268 , SB2306 , SB2308 , SB2310 , SB2330 , SB2366 , SB2375 , SB2392 , SB2401 , SB2422 , SB2480 , SB2514 , SB2530 , SB2533 , SB2543 , SB2544 , SB2589 , SB2610 , SB2615 , SB2623 , SB2660 , SB2662 , SB2693 , SB2695 , SB2707 , SB2722 , SB2742 , SB2753 , SB2807 , SB2843 , SB2844 , SB2858 , SB2880 , SB2885 , SB2891 , SB2925 , SB2938 , SB2986 , SJR3 , SJR18 , SB5 , SB914 , SB963 , SB1197 , SB1415 , SB1437 , SB1786 , SB326 , SB767 , SB769 , SB783 , SB1035 , SB1271 , SB1619 , SB1637 , SB1806 , SB1 , SB260 , HB135 , HB 1109 , HCR35 , HCR64 , SJR36 , SJR50 , SJR63 , SJR84 , SJR59 , SCR12 , SCR39 , SCR48 , SCR19 , SCR30 , SCR3 , SB2023 , SB619 , SB2742 , SB646 , SB1026 , SB2880 , 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 , SB529 , SB209 , SB2429 , SB1999 , SB511 , SB2309 , SB510 , SB584 , SB1085 , SB2046 , SB1975 , SB2717 , SB1262 , SB1524 , SB636 , SB2056 , SB884 , SB517 , SB1200 , SB1845 , SB1863 , SB2681 , SB2200 , SB2199 , SB1757 , SB2050 , SB2458 , SB2201 , SB2660 , SB2662 , SB1065 , SB801 , SB2533 , SB3014 , SB3013 , SB758 , SB1721 , SB2366 , SB1013 , SB2797 , SB2383 , SB1754 , SB2119 , SB2448 , SB1777 , SB1283 , SB2392 , SB2076 , SB2786 , SB2876 , SB2284 , SB2225 , SB1540 , SB2929 , SB1972 , SB2540 , SB2595 , SB2217 , SB715 , SB2330 , SB1383 , SB500 , SB1640 , SB2001 , SB2080 , SB506 , SB2514 , SB2753 , SB2398 , SB1241 , SB2927 , SB2173 , SB2538 , SB898 , SB1449 , SB2529 , SB1531 , SB2846 , SB2476 , SB986 , SB1181 , SB2075 , SB2154 , SB2864 , SB1359 , SB2386 , SB771 , SB2844 , SB2550 , SB1351 , SB1423 , SB1931 , SB2245 , SB2589 , SB2707 , SB2807 , SB410 , SB659 , SB2776 , SB2693 , SB2580 , SB1980 , SB1886 , SB1234 , SB739 , SB456 , SB127 , SB1666 , SB2843 , SB2801 , SB800 , SB2055 , SB784 , SB2986 , SB735 , SB1012 , SB324 , SB2926 , SB2938 , SB2007 , SB2138 , SB1242 , SB2615 , SB1049 , SB2310 , SB1224 , SB2972 , SB1568 , SB2841 , SB2885 , SB3016 , SB2858 , SB2610 , SB2139 , SB1856 , SB2035 , SB2308 , SB2306 , SB2041 , SB1528 , SB1681 , SB1141 , SB2401 , SB2530 , SB2375 , SB547 , SB1266 , SB1373 , SB1467 , SB2069 , SB2269 , SB2480 , SB2544 , 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 , HB1392 , HB22 , 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 , SB127 , SB506 , SB529 , SB584 , SB659 , SB735 , SB771 , SB784 , SB800 , SB1049 , SB1383 , SB1531 , SB1568 , SB1681 , SB1972 , SB1980 , SB2007 , SB2041 , SB2046 , SB2050 , SB2080 , SB2225 , SB2306 , SB2308 , SB2366 , SB2392 , SB2544 , SB2610 , SB2660 , SB2662 , SB2807 , SB2843 , SB2844 , SB2885 , SB2938 , SB2986 , SB324 , SB1065 , SB1754 , SB2330 , SB2693 , SB2858 , SR448 , SR463 , HCR35 , SB324 , SB619 , SB646 , SB1026 , SB1065 , SB1754 , SB2330 , SB2693 , SB2742 , SB2858 , SB2880 , SB3063 , HJR5 , HJR98 , HB 109 , HB 114 , HB388 , HB421 , HB431 , HB879 , HB 1244 , HB1399 , HB1445 , HB1672 , HB1695 , HB1734 , HB1875 , HB1893 , HB1950 , HB2152 , HB2217 , HB2558 , HB2559 , HB2775 , HB2789 , HB2809 , HB2856 , HB3012 , HB3126 , HB3135 , HB3163 , HB3229 , HB3306 , HB3513 , HB3770 , HB4134 , HCR56 , HCR102 , SB3063 , HJR5 , HJR98 , HB 109 , HB 114 , HB388 , HB421 , HB431 , HB879 , HB 1244 , HB1399 , HB1445 , HB1672 , HB1695 , HB1734 , HB1875 , HB1893 , HB1950 , HB2152 , HB2217 , HB2558 , HB2559 , HB2775 , HB2789 , HB2809 , HB2856 , HB3012 , HB3126 , HB3135 , HB3163 , HB3229 , HB3306 , HB3513 , HB3770 , HB4134 , HCR56 , HCR102

Transcript Highlights:

• </c> uh two years ago to train six physicians uh two years ago to train six physicians in<01:10:05.199
• </c> specifically used to prepare physicians specifically used to prepare physicians in<01:10:20.360>
• </c> addiction and feel comfortable treating addiction and feel comfortable treating it<01:21:48.719>
• I'm also an internal medicine physician.
• </c><01:43:26.159><c> who</c> of excellence for family physicians who of excellence for family physicians

Committee: House Higher Education Finance and Policy

Transcript Highlights:

• employee physicians from writing them altogether.
• employee physicians from writing them altogether.
• My physician prescribed Zepbound.
• Our physicians are committed to treating every patient with dignity, confidentiality, and compassion,
• Our physicians are committed to treating every patient with dignity, confidentiality, and compassion,

Committee: Senate Health

Transcript Highlights:

• In line 14, it talks about physicians and physician assistants.
• The difference between training for the physician and the physician assistant is significant.
• Obviously, I'm not saying that we have the same education as physicians or physician assistants.
• Why would we place athletic trainers in a chapter with physicians and physician assistants?
• And physicians, of course.

Committee: House Health and Mental Health

Summary: The committee first heard House Bills 2365, 2490, and 2249, a bipartisan version of Elijah’s Law, which would require child care facilities to receive training and guidance on recognizing and responding to food allergies and anaphylaxis. Sponsors described the bill as a response to the death of Elijah, whose daycare did not administer epinephrine quickly enough after a food exposure. Witnesses in support, including a parent and food allergy advocate, said the measure would improve preparedness and save lives. Committee members asked about whether the bill should use broader epinephrine terminology, whether the requirements could also be handled through child care licensing rules, and whether the bill was already included in a larger measure. No opposition was presented, and the hearing on those bills was closed. The committee then heard House Bill 1965, which would require insurers to reimburse athletic trainers for covered services and add athletic trainers to the practitioner definition for billing purposes. The sponsor and athletic training witnesses said the bill would recognize athletic trainers as licensed health care providers, improve access in rural and underserved areas, and allow reimbursement when trainers work in clinics, hospitals, or other non-school settings. Committee members raised repeated questions about the difference between athletic trainers and physical therapists, whether school-based services were already paid through contracts, whether the bill would increase costs or create double payment, and how diagnosis and billing would work under the current scope of practice. Opponents from Blue Cross and Blue Shield of Kansas City and the Missouri Insurance Coalition argued the bill would create a mandate, increase costs, and expand billing before clarifying the underlying scope of practice. No vote was taken in public hearing. The committee then moved into executive session and voted several bills do pass. A substitute was adopted for House Bill 1826 and the committee substitute for House Bills 1826, 2560, 2349, and 2194 passed 17-0. House Bill 1783 also passed 17-0. House Bill 2372, which incorporated multiple related provisions including changes to epinephrine terminology and other committee items, passed 17-1 after a substitute and amendment were adopted. House Bill 1827, the occupational therapy bill related to disabled placards and license plates, passed 18-0. The committee then returned to public hearing and heard House Bills 1941 and 2279, which would prohibit copay accumulator programs for fully insured plans so that third-party assistance counts toward a patient’s deductible and out-of-pocket maximum. Sponsors and a rheumatologist testified that the bills would prevent patients with serious illnesses from being forced to pay the same deductible twice and said similar laws have been enacted in many other states. Opponents from America’s Health Insurance Plans argued the measure would affect only a minority of plans, raise costs in the individual and small-group market, and could worsen affordability for remaining enrollees. The hearing ended without a vote on those bills.

Transcript Highlights:

• </c><00:15:27.440><c> He</c> Mississippi Physician Workforce. He Mississippi Physician Workforce.
• Thank you. students, residents, and physicians from students, residents, and physicians from across<00
• </c> privacy and physician judgment. privacy and physician judgment.
• >> The attending physician. >> Did you speak to how many physicians when drafting this bill?
• </c> &gt;&gt; The the tending physician. &gt;&gt; The the tending physician.

Transcript Highlights:

• Too often overdoses are treated as accidents. When in reality they are crimes.
• Center and a senior physician policy researcher at the RAND Corporation. Dr.
• treating chronic disorders in the elderly.
• As with treating an older population with substance use disorder.
• But more of those physicians and physician's assistants, nurse practitioners to treat more elderly with

Committee: Senate Aging (Special) Committee

Keywords: opioid crisis, overdose, naloxone, drug trafficking, law enforcement, treatment, prevention, older adults, Medicaid expansion

Summary: The meeting convened to address the dire opioid crisis affecting communities nationwide, with a particular focus on the alarming rise of opioid use disorder among older adults. Key testimonies highlighted the critical need for a comprehensive approach that encompasses prevention, treatment, and strict law enforcement actions against drug traffickers. Sheriff Dennis Lima from Seminole County outlined successful strategies implemented in Florida, including increased access to naloxone and legislative changes to hold drug dealers accountable for overdoses. Various members expressed a united front on tackling this multifaceted issue, advocating for the expansion of Medicaid and better access to treatment as essential steps to curbing the epidemic.

Transcript Highlights:

• </c><00:43:36.200><c> from</c> physician and a physician assistant from physician and a physician assistant
• implies they are assistance to physicians, and physicians deeply value the critical role that PAs play
• extenders incal members of The physician extenders incal members of The Physician<00:53:47.920><c> Le
• ><c> V</c> to Physicians and Physicians deeply V to Physicians and Physicians deeply V value<00:53:57.160
• to physician physician assistant to physician associate<00:56:49.240><c> to</c><00:56:49.480><c> expand

Summary: The Senate Standing Committee on Licensing and Occupations met on February 18, 2025, and first took up Senate Bill 22 by Senator Reginald Thomas, which was presented as a cleanup measure following prior cosmetology reforms and a Legislative Oversight and Investigations report. The bill would allow cosmetologists to retake exams multiple times with a one-month wait, authorize the Board of Cosmetology to immediately close facilities that intentionally use unlicensed workers while preserving due process, give the board flexibility to hire an executive director based on qualifications rather than licensure, and recognize certain out-of-state or territorial cosmetology licenses. Board officials said the changes were intended to improve fairness, equality, and administrative due process. Senators asked about retesting fees and whether partial retests could dilute standards; Thomas clarified that the exam is cumulative and must be retaken in full. The committee approved SB 22 with all favorable votes, and Senator Meredith explained his support as a workforce and fairness issue. The committee then heard Senate Bill 100 by Senator Jimmy Higdon, as substituted, concerning tobacco, nicotine, and vapor product retail licensing and enforcement. Youth advocates from the University of Kentucky testified in support, describing youth nicotine use as a public health crisis and urging stronger enforcement, annual compliance checks, retailer licensing, and tougher penalties for illegal sales to minors. Higdon said the bill would create a Division of Tobacco, Nicotine, and Vapor Products Licensing within ABC, require licenses for retailers, authorize inspections and confiscation of contraband, impose escalating criminal and civil penalties for unlicensed sales and sales to minors, publish a list of licensed retailers, and dedicate fine revenue to enforcement and youth education. He said the measure targeted bad actors rather than responsible retailers. A retailer witness also supported licensing but raised concerns about contradictory product definitions that could sweep in hemp and medical marijuana vapor products, and asked that the bill be delayed until after an expected Supreme Court decision affecting federal vapor-product rules. The transcript ends during discussion of SB 100, before any committee vote on that bill.

Transcript Highlights:

• That means fragmented access, gaps in care, and fewer real options to get treated.
• Under federal law, emergency departments must treat everyone regardless of ability to pay.
• And that cause of death is certified appropriately by a physician on the death certificate.
• Natalie Pita, on behalf of the California Academy of Family Physicians, in support.
• I mean, as a physician, Obesity and cardiovascular disease.

Committee: Senate Health

Transcript Highlights:

• Now, some folks would say, well, can't they do that ...of that physician.
• In fact, nurse practitioners, physician assistants.
• We have to improve the way SMI is treated.
• , physician assistants, and... ...that there was physicians, nurse practitioners, physician assistants
• physician assistants, nurses, and care coordinators.

Transcript Highlights:

• And 48.2% of physicians reported experiencing burnout in 2023. 20% of physicians say they are...
• And 48.2% of physicians reported experiencing burnout in 2023. 20% of physicians say they are...
• of physicians reported 48.2% of physicians reported experiencing<00:21:54.000><c> burnout</c><00:21:
• </c> just speak to the physician. Thank you. just speak to the physician. Thank you.
• ><c> treat.

Bills: HF2779 , HF1645 , HF1885 , HF1289 , HF1534 , HF2707 , HF1675 , HF3046

Committee: House Health Finance and Policy

Transcript Highlights:

• To treat menopause, we must treat everything.
• , and primary care physicians, and they are the gatekeepers.
• I'm a board-certified internal medicine physician, primary care physician at Harvard Medical School.
• These are going to go out and be primary care physicians.
• And I know that they're practicing primary care physicians.

Bills: H4796 , H4838

Committee: Joint Joint Committee on Public Health

Keywords: organ transplant, emergency vehicle, transportation, medical personnel, regulation, organs, menopause, perimenopause, healthcare access, female health, public health, medical education, workplace policies, discrimination, accommodation

Transcript Highlights:

• That means fragmented access, gaps in care, and fewer real options to get treated.
• Under federal law, emergency departments must treat everyone regardless of ability to pay.
• And that cause of death is certified appropriately by a physician on the death certificate.
• Jay, an emergency room physician and local American Heart Association volunteer. Thank you.
• I mean, as a physician, Obesity and cardiovascular disease.

Summary: The Senate Committee on Health heard several bills focused on Medi-Cal access, HIV prevention, death certificate amendments, caregiver certification, advance care planning, and sugar-sweetened beverage labeling. SB 1422 by Senator Durazo would restore Medi-Cal access for income-eligible undocumented adults beginning January 1, 2027. The author and many supporters argued the enrollment freeze shifts costs to counties and hospitals, worsens health outcomes, and undermines California’s prior coverage gains. County, labor, health, immigrant-rights, and provider groups testified in support; there was no opposition. Committee members generally expressed support but also raised concerns about funding and the need for new revenue sources. The bill was discussed while the committee lacked quorum, so no vote was taken at that time. The committee also heard SB 1023 on PrEP access, SB 1071 on death certificate amendments after homicide findings, SB 1057 on criminal-history review for CNA and home health aide certification, and SB 1088 on POLST and advance care planning updates. SB 1023 would require insurers that cover injectable PrEP under the medical benefit to also cover it through the pharmacy benefit; supporters said this would reduce administrative barriers and improve access, while health plans and insurers opposed it as an unnecessary mandate that could blur benefit design lines. SB 1071 would allow next of kin to amend a death certificate’s manner of death to homicide after a final court determination; families and law enforcement supported it as a matter of truth and closure, while coroners opposed it as blurring medical and legal findings and potentially distorting public health data. SB 1057 would replace automatic denial with individualized review for certain convictions in CNA and home health aide certification, and SB 1088 would modernize POLST/DNR rules, including electronic signatures, out-of-state recognition, and clarifying who may sign; both drew support, though clinical nurse specialists opposed SB 1088 because they were not included as authorized signers. Several of these bills were heard without quorum, so no votes were taken during the discussion. After quorum was established, the committee heard SB 869 by Senator Weber-Pierce, which would require large chain restaurants to display a clear added-sugar icon next to beverages exceeding 50% of the daily recommended limit. The author and supporters, including the American Diabetes Association and an emergency physician, said consumers need simple, visible information at the point of purchase to better understand health risks tied to sugary drinks. The bill was framed as a public health transparency measure aimed at diabetes, obesity, and other chronic disease prevention. The transcript ends during testimony on SB 869, before any final committee action or vote is shown.

Transcript Highlights:

• Senate Bill 998 on Physician Assistant and Advanced...
• as a result of a shortage of hospice and relative care physicians.
• This legislation allows physicians to utilize physician assistants and advanced practice registered nurses
• And it requires all emergency departments to designate a physician, a nurse, paramedic, or physician
• Corrine Mixon, Florida Academy of Physician Assistants, waives in support.

Summary: The Health Policy Committee met for its final meeting of the session and handled a very full agenda, beginning with a few housekeeping items and a brief thank-you to staff. Senate Bill 596 was temporarily postponed. The committee then reconsidered and amended SB 1606 on patient access to records, clarifying portal access obligations and deleting a section that would have improperly affected nursing home facility records; the bill was reported favorably as a committee substitute. The committee also recommended confirmation of a block of appointees and separately confirmed Chavon Harris as Secretary of the Agency for Health Care Administration after testimony focused on transparency, financial oversight, Medicaid managed care accountability, and internal controls at AHCA. Harris said she would prioritize staffing, monitoring, and improved reporting, and several health care groups waived in support. The committee next heard and passed several bills, including claims bills SB 28 and SB 22 for South Broward Hospital District settlements, both reported favorably. It also approved SB 772 on undesignated glucagon in schools, SB 998 on allowing physician assistants and APRNs to complete death certificates under hospice/palliative protocols, SB 1412 on home health agency administration and staffing flexibility, SB 1800 creating a Parkinson’s disease research consortium at USF, SB 306 on Medicaid managed care network access during holidays and after hours, SB 1768 on stem cell therapies and informed consent, SB 1602 on pediatric readiness standards in emergency departments, SB 1156 on the home health aide program for medically fragile children, SB 1490 on Children’s Medical Services and Medicaid managed care administration, and SB 1182 on Medicaid coverage of continuous glucose monitors. Most of these bills were amended, generally to narrow scope, align with the House, or make technical changes, and most received support from provider associations, advocacy groups, or affected institutions. The most debated measure was SB 1270, which combined several health freedom and medical marijuana provisions. The strike-all amendment retained language prohibiting discrimination based solely on vaccination status, added protections related to mRNA vaccine documentation requirements, and included medical marijuana regulatory and background-screening language. The committee heard extensive testimony both in support and opposition, including concerns from senators about whether the bill would force providers to treat patients contrary to medical judgment, and support from witnesses arguing it protected patient autonomy and access to care. After a time-certain motion, the bill was reported favorably as a committee substitute. At the end of the meeting, senators recorded their votes on selected tabs, and the committee adjourned.

Transcript Highlights:

• A primary care physician, a family medicine physician, out of the three years of specialty practice that
• That means the primary care physicians, the family medicine physicians, will have to take over the burden
• And we need the primary care physicians and other physicians to take notice.
• Primary care physicians and other physicians need to take notice.
• Madam Chair, members, House Bill 2190 adopts the physician assistant licensure compact to allow physician

Committee: House House Health & Human Services Committee of Reference

Summary: The committee began with a presentation from the Alzheimer’s Association Desert Southwest Chapter and Dr. Anna Burke of Barrow Neurological Institute on the growing impact of Alzheimer’s and dementia in Arizona, the need for earlier diagnosis, better provider education, caregiver support, and continued research funding. They described current gaps in training and access to specialists, but also highlighted new therapies, lifestyle interventions, and Arizona-based research efforts. Members expressed support and optimism, but no action was taken on the presentation. The committee then heard HB 2202, which appropriates $300,000 from the general fund over fiscal years 2027 through 2029 for a dementia care tele-mentoring grant program through the Department of Health Services. Supporters, including the Alzheimer’s Association, a dementia specialist, and a patient advocate, said the program would help primary care providers diagnose dementia earlier and improve care. The bill was passed out of committee on an 11-0 vote. Next, the committee took up HB 2251, the midwifery bill, which would authorize certain licensed midwives to dispense and administer specified medications and devices, require liability insurance disclosure and annual reporting, and create a Midwifery Advisory Committee. A committee amendment removed some medications and renamed the bill the Jordan and MacTerry Act. ACOG and the Arizona Osteopathic Medical Association opposed the bill as drafted, citing concerns about oversight, peer review, and the medication list, while licensed midwives and other supporters argued the bill would improve safety, transparency, and alignment with national standards. The bill was held for further stakeholder work, with members indicating more amendments were likely. The committee then heard HB 2252, which would allow certified nurse midwives, certified professional midwives, or licensed midwives to accompany a patient in a ground ambulance during an out-of-hospital birth if approved by medical direction. Supporters described cases where continued midwife involvement during transport helped newborns and mothers, while firefighters and EMS representatives opposed the bill as written, saying it created ambiguity about command and scene control and could raise safety concerns. The chair said the bill would be held for further stakeholder meetings and possible language changes. After a recess, the committee reconvened for presentations on federal Medicaid and rural health funding impacts, beginning with JLBC’s overview of H.R. 1’s Medicaid provisions and the rural health transformation grant program.

Transcript Highlights:

• Hawaii physicians are opposed.
• </c> physicians across the health care field. physicians across the health care field.
• </c> physician, maybe a medical component. physician, maybe a medical component.
• where one physician might retire and they're unable to recruit another physician.
• </c> unable to recruit another physician. unable to recruit another physician.

Bills: HB1626 , HB1643 , HB1668 , HB1550 , HB1974 , HB1858 , HB1871 , HB1966 , HB1972 , HB1973

Committee: House Health

Summary: The committee heard testimony on SB 847, which would create a Kauai pilot program allowing qualified psychologists limited authority to prescribe psychotropic medications. The Board of Psychology supported the bill’s intent but asked for amendments to delay the effective date or extend the pilot so rules could be written first, and to clarify the education/training language. Supporters, including the Hawaii Psychological Association, Hawaii Mental Health Coalition, and several psychologists, argued that prescribing psychologists have long safety records in other jurisdictions and that the pilot could improve access to care on Kauai, especially amid ongoing mental health needs and storm-related stress. They cited studies and examples from New Mexico, Louisiana, the Department of Defense, and other places. Opponents, including the Hawaii Medical Association, American Academy of Pediatrics, Queen’s Medical Center, and a Department of Health representative, said the bill needed substantial work, raised concerns about training, liability, and workforce impacts, and urged a team-based model with psychiatrist oversight rather than independent prescribing. Some testimony also referenced a GAO report, with witnesses disagreeing over its meaning and cost-effectiveness. No vote was taken during the discussion, and members asked questions about how the bill would address the workforce shortage and whether a psychiatrist on Kauai could already meet the need. The committee then moved to SB 2271 on hospital licensing and SB 2272 on home health care licensing. The Department of Health, the Healthcare Association of Hawaii, and the Hawaii State Council on Developmental Disabilities supported both measures, which were described as streamlining and clarifying licensing oversight by relying on accreditation or certification reports. A member asked whether the bill language on hospital accreditation reports was duplicative, and the response was that the second provision was intended to strengthen enforcement by requiring hospitals to provide the actual report to DOH. The committee did not take final action in the portion of the hearing provided, and the chair noted that all bills on the agenda would later be considered for decision-making.

Transcript Highlights:

• And that's something in the control of the physicians.
• So the vast majority of physicians didn't submit a single one.
• -something physicians don't really do much.
• -something physicians don't really do much.
• Cannabis will not treat everything on the planet. It will not treat COVID.

Summary: The Health Professions and Program Subcommittee met to receive oversight briefings on Florida’s medical marijuana program from the Department of Health’s Office of Medical Marijuana Use (OMMU) and from the University of Florida’s Consortium for Medical Marijuana Clinical Outcomes Research. OMMU Director Christopher Kimball outlined the program’s structure, including more than 900,000 active patients, nearly 7,000 caregivers, 27 MMTC licensees, 706 dispensing locations, and nine certified testing labs. He described the state’s pre-approval process for products and advertising, plain packaging requirements, seed-to-sale tracking, registry operations, and compliance efforts such as background checks, inspections, complaint investigations, and lab desk audits. He also said the Bureau of Public Health Laboratories in Jacksonville had been accredited to begin supporting testing. Members asked about telehealth, patient growth, product safety, advertising to children, inspections, and the status of MMTC licensure; Kimball said recertifications by telehealth now make up more than half of recertifications, that patient growth has slowed, and that ongoing litigation is delaying issuance of 22 new MMTC licenses. Kimball also discussed implementation of recent legislation and licensure changes, including licenses issued under HB 387 and SB 1582 to applicants from the original Pigford-related pool, with additional cure opportunities still ongoing. He said the department is monitoring diversion, inversion, and unapproved products, and that it coordinates with law enforcement when needed but does not itself have sworn authority. In response to questions, he said the department does not regulate physicians directly, but may refer concerns to the Division of Medical Quality Assurance, and that caregiver and physician participation requirements are set by statute. Members raised concerns about edibles, child access, and continued use of child-attractive branding; Kimball said the department tries to catch issues through pre-approval and enforcement, and that complaints involving children are treated as serious and investigated using available records and camera footage. Dr. Almond Winterstein then presented the consortium’s research overview. He explained that the consortium was created by statute in 2019, includes 10 universities, and is funded by annual state appropriations. He said its work includes grants, a research repository, a clinical core, outreach, and evidence synthesis, including a recent FDA-supported review of cannabis evidence. He emphasized that the current evidence base is limited and often low quality, with the strongest signals for symptom relief in PTSD-related symptoms, nausea, and some pain outcomes, but with many studies inconclusive or mixed. He also described the consortium’s use of registry data linked to Medicaid, Medicare, death, fetal death, and birth records to study safety and outcomes, including children, pregnancy, driving safety, opioid-sparing effects, and adverse events. Winterstein said adverse event reporting is sparse and likely underreported, with most reports mild but some serious events noted, and he expressed concern about use among young adults because of uncertain benefit-risk and possible effects on the developing brain. The committee discussed the need for better surveillance, more robust adverse event reporting, and the possibility of using linked data to identify harms more quickly. At the end of the meeting, the committee rose without objection.

Transcript Highlights:

• Now, some folks would say, well, can't they do that ...of that physician.
• In fact, nurse practitioners, physician assistants.
• We have to improve the way SMI is treated.
• , physician assistants, and... ...that there were physicians, nurse practitioners, physician assistants
• physician assistants, nurses, and care coordinators.

Summary: The Senate first considered several amendments to a primary care/health care bill. Amendment 1, on artificial intelligence in health care and mental health services, was withdrawn by unanimous consent. Amendment 37, which would have required a rate band for outpatient primary care reimbursement, was debated and then defeated on a roll call, 5-33. Amendment 39, on direct primary care arrangements and deductible credits, was also defeated 5-33. The chamber then took up and passed the conference report for An Act Relative to Teachers Preparation and Student Literacy (H. 5511), with senators emphasizing the need for evidence-based literacy instruction, universal screening, dyslexia screening, teacher training, and implementation funding; the bill was enacted and sent to the Governor after a 39-0 roll call. The Senate then returned to Amendment 60 on the primary care bill, which would have created a “safety valve” allowing alternative payment systems to be proposed to the Health Policy Commission. After debate over whether the bill already allowed flexibility, the amendment was defeated 5-33. Amendment 50, requiring stronger health equity reporting, was adopted. Amendment 66, a technical fix setting commercial payment rates for community health centers at the MassHealth PPS rate, was adopted. Amendment 24, excluding pharmaceutical spending from the primary care spending baseline and target, was adopted. Amendment 45, a study on expanding the role of allied health professionals, was withdrawn. Amendment 48, a group purchasing cooperative pilot, and amendments 53, 61, and 63 were also withdrawn. The Senate adopted Amendment 64, which prohibits prior authorization from delaying FDA-approved medications for serious mental illness, and rejected Amendment 68 on reporting private equity investment in primary and specialty care, as well as Amendments 71 and 72 on scope of practice and ownership disclosure. Amendment 62, a technical change modernizing the definition of primary care and clarifying the care team, was adopted. Amendment 21, the Senate Ways and Means amendment, was then adopted, the bill was ordered to a third reading, and the Senate passed An Act relative to primary care for you (S. 3116) to be engrossed on a 35-4 roll call. The Senate then adjourned to a later date, with memorial references at adjournment.