Transcript Highlights:

• concerns about allowing flexibility for conveying disciplinary action of students to teachers via electronic
• concerns about allowing flexibility for conveying disciplinary action of students to teachers via electronic

Keywords: 1182, all

Transcript Highlights:

• concerns about allowing flexibility in conveying disciplinary action of students to teachers via electronic
• concerns about allowing flexibility in conveying disciplinary action of students to teachers via electronic

Summary: The House convened with prayer, the Pledge of Allegiance, approval of the journal, guest introductions, and routine communications from the governor and Senate. Members then moved into multiple Committee of the Whole sessions to consider a large number of Senate bills and later House bills on final reading. Several measures were retained on the calendar, while many others advanced with or without amendments. The House also adopted a group concurrence motion on numerous Senate amendments to House bills and later took up third-reading votes on a series of House bills. Among the main committee actions, SB 1049, SB 1315, SB 1401, SB 1418, and SB 1540 were amended and recommended do pass; SB 1332 and SB 1538 also advanced, while SB 1016, SB 1519, SB 1624, SB 1627, SB 1723, and SB 1725 were retained. Debate centered on school safety and interoperability equipment in SB 1315, housing and zoning issues in SB 1118, and school discipline/bullying transparency in SB 1684. Members also discussed SB 1074 on student discipline notifications, SB 1275 on diversion program wording, and SB 1684 on bullying reporting and school liability, with supporters emphasizing safety, accountability, and clarity and opponents warning about unfunded mandates, litigation, and impacts on public schools. On final reading, the House passed a long list of bills, including HB 2032, HB 2035, HB 2109, HB 2120, HB 2176, HB 2189, HB 2195, HB 2203, HB 2342, HB 2383, HB 2423, HB 2428, HB 2439, HB 2440, HB 2573, HB 2594, HB 2621, HB 2641, HB 2673, HB 2693, HB 2752, HB 2756, HB 2875, HB 2895, HB 2916, HB 2923, HB 2946, and HB 2999, with recorded votes ranging from narrow to unanimous. HB 1118, dealing with municipal zoning and historic properties, failed on the floor after debate over housing policy and charter/public school issues, though a motion to reconsider was later made. The session ended with personal announcements, including recognition of Child Help, a memorial reading for Major General W. Bill Van Dyke, caucus meeting notices, a retirement reception reminder, an anniversary acknowledgment, and a Pride Month statement.

Transcript Highlights:

• So immunization information after a person is vaccinated is entered into an electronic health record,
• someone gets a vaccine in a pharmacy, that goes through CARE, and then it can go back out to the electronic

Summary: The Assembly Subcommittee on Health heard an overview of the California Department of Public Health budget, including a $5.1 billion department budget and 19 non-IT budget change proposals spanning environmental health, healthcare quality, infectious disease, healthy communities, health statistics, preparedness, and laboratory sciences. CDPH also presented estimates for WIC and the Genetic Disease Screening Program, both of which were described as relatively stable, with WIC food costs rising mainly due to inflation and participation holding near 1 million monthly participants. Members and public commenters raised support for several proposals, including funding for the California Reducing Disparities Project, AB 1264 implementation on school food standards, childhood lead poisoning prevention, the hospital bed capacity registry, sickle cell care networks, and WIC protections amid federal policy changes and shutdown-related uncertainty. Dr. Erica Pond then presented the 2026 State of Public Health report, highlighting major gains such as record-low mortality rates, all-time high life expectancy, and the first decline in overdose deaths in 14 years, while warning about persistent disparities in maternal and infant outcomes, rising severe maternal morbidity, and worsening mental and behavioral health trends, especially among younger adults. She emphasized racial and geographic inequities, the role of social drivers like poverty and education, and the importance of prevention investments through the Behavioral Health Services Act. Members discussed the need for upstream public health spending, environmental health preparedness, and how to translate data into action, while public comment largely focused on sustaining community-based prevention and equity programs. In a separate update on federal actions and public health partnerships, Dr. Pond and CDPH staff described California’s response to federal funding threats, vaccine policy changes, and measles outbreaks. They outlined new collaborations such as the West Coast Health Alliance, the Governor’s Public Health Alliance, the WHO outbreak network, and the FACT Coalition, along with CDPH’s process for reviewing and updating immunization and preventive service recommendations under AB 144. Members questioned the rise in measles and declining vaccination coverage, and CDPH said it is using trusted messengers and tailored outreach while continuing to evaluate federal recommendations. The committee then heard an ADAP estimate showing lower projected budget authority needs due to reduced caseload and one-time funding expiring, followed by public support for using ADAP rebate funds to expand HIV prevention, PrEP, testing, and disease intervention staffing. The final issue focused on public health information technology systems, including Sapphire, CalReady, CalConnect, CARE, MyTurn, MyCAVAC, and the digital vaccine record. CDPH explained how these systems support disease reporting, contact tracing, immunization tracking, vaccine ordering, and outbreak response, while the Department of Finance said only Sapphire and CalReady are funded in the Governor’s budget and the rest are under review because of the state’s budget deficit and declining utilization. Local health department representatives strongly opposed losing the systems, arguing that lower usage reflects post-pandemic conditions and that the tools save staff time, improve outbreak response, and prevent a return to manual spreadsheets and phone calls. Members echoed concern that cutting the systems would undermine public health capacity and waste prior state investment, and urged the administration to present a funding plan that matches its stated commitment to public health.

Transcript Highlights:

• Participants were prohibited from using their own electronic devices or even having electronic devices

Keywords: 970, all

Transcript Highlights:

• community engagement where we are able to accept attestation, you know, versus documentation and electronic
• So our goal is to have 100% of the complaints contained within an electronic system, keeping that clear

Keywords: House Room C, General Assembly Building, 976, house, all

Transcript Highlights:

• Please silence all electronic devices.
• Please silence all electronic devices.

Bills: S0598, S0934, S1260, S1300, S1452, S1510, S1566, S1580, S1668, S7034

Keywords: funeral homes, cemetery law, cremation, embalmer, funeral director, preneed contract, preneed funeral, human remains, unclaimed cremated remains, disposition of remains, hospice, palliative care, end-of-life care, direct disposal, mortuary science, funeral service arts, licensure by endorsement, cemetery license, contiguous acres, consumer services

Summary: The committee first took up appointments, recommending confirmation of James Patrick Grambling and Brian J. Aungst on a single favorable vote. It then heard and approved several committee bills, including CS/CS/SB 1260 on building code inspections, which directs the Department of Management Services to contract with private providers for plan review and inspections; CS/SB 1668 on NICA, which updates benefits, oversight, funding, and immunity language; SB 1300 on a workforce/CDL training program for selected nonviolent inmates; CS/CS/SB 598 on funeral and cemetery services; CS/SB 1580 on illegal gaming enforcement; CS/SB 934 on Florida Keys affordable housing tax exemptions; and CS/CS/SB 1452, an agency bill updating DFS programs and licensing rules. Each of those bills was reported favorably after committee debate and, in several cases, amendments were adopted. The committee spent substantial time on CS/CS/SB 1510, the DEP package, which reorganizes environmental rulemaking and land acquisition authority, expands septic-to-sewer and nutrient-reduction requirements in sensitive areas, updates stormwater and resilience provisions, and revises related permitting and grant programs. Two amendments were adopted, including one adding solar-energy and stormwater-related provisions and another removing septic disclosure reporting language. Testimony included support from DEP and concerns from environmental advocates about septic timelines and implementation. The bill was ultimately reported favorably. The committee also considered CS/CS/SB 1566 on local government budget transparency, requiring counties and municipalities to post budgets and related materials online for extended periods in a standardized format. The League of Cities opposed the bill as an unfunded mandate, while the sponsor argued it would improve taxpayer access and accountability; the bill was reported favorably. Finally, the committee heard SB 7034, a rule ratification for minimum flows and levels for the lower Santa Fe and Ichetucknee rivers and priority springs, with testimony focused on the proposed Water First restoration strategy, conservation measures, and concerns about water quality, funding, and local opposition. The transcript ends during closing remarks on that ratification bill, before a final vote is shown.

Transcript Highlights:

• We're using more and more electronics. We're using more. Do we need that?
• Power just as smooth as silk because of all the electronics we're using? Again, I apologize.

Keywords: 996, all

Transcript Highlights:

• If you have electronic devices, please silence them.
• The score sheet is already electronic, it is already reviewed by counsel, and it is already provided

Bills: S0460, S0748, S1180, S1334

Keywords: special elections, vacancy, Governor authority, election timeframe, judicial determination, voting rights, felony, sentencing, civil rights, criminal justice, rehabilitation, elections, voter registration, citizenship, provisional ballots, election fraud

Summary: The Committee on Ethics and Elections met with a quorum and took up several election-related bills. CS/SB 1180 by Senator Arrington, which creates a recall framework for elected community development district board members and also addresses synthetic turf regulation and CDD eligibility, was presented briefly and then approved unanimously. SB 460 by Senator Polsky, requiring the governor to call special elections within set deadlines after vacancies and allowing judicial relief if deadlines are not met, also passed unanimously after members discussed flexibility for emergencies and the cost of delayed elections. The committee then heard SB 748 by Senator Bracy Davis, which would add constitutional voting-rights restoration language to the sentencing score sheet given to felony defendants. Supporters said it would improve clarity and notice without changing eligibility, and the bill was favorably reported unanimously. The committee also confirmed several appointees, including Jim Milliken and Alicia McShea to the Juvenile Welfare Board of Pinellas County, Robert P. Estalas as Director of the Agency for Persons with Disabilities, and additional gubernatorial appointees listed on the agenda, all by favorable votes. The longest discussion centered on Senator Grall’s strike-all amendment for SB 1334, an elections bill dealing with citizenship verification, Real ID and SAVE database use, paper-ballot voting, candidate qualification rules, and related election administration changes. Supporters argued it would streamline verification and ensure only citizens vote, while opponents warned it would create burdens, disenfranchise eligible voters, and impose costs and administrative confusion. After extensive public testimony both for and against, the committee adopted an amendment to allow supervisors of elections to observe holidays when not otherwise required to be open, then approved the strike-all as amended by a 6-2 vote, with Senators Polsky and Bernard voting no. The meeting then adjourned after members recorded their votes on earlier items.

Transcript Highlights:

• And I believe after the hearing, the general counsel has some updates on the electronic system that we're
• The general counsel has some updates on the electronic system that we're going to be introducing.

Keywords: 959, house, all

Transcript Highlights:

• We do get more electronic than paper copies, but we still do get a fair amount of paper copies.
• And Emily or John, do we already have it in an electronic format so that they wouldn't need to do the

Keywords: 908, all

Summary: The committee first discussed security and member contact procedures, with several members emphasizing the need for formal security training at the start of each session and clearer procedures for knowing where legislators are staying during session for welfare checks and emergency contact. Members also raised concerns about the disclosure of home addresses in other public records and forms, and Legislative Council was asked to prepare a background memo on possible training, best practices, and related legislative or rule changes. The committee then took up a bill draft to reduce the number of paper copies of state publications sent to the State Library from eight to two. Legislative Council explained the cost savings and the move toward digital distribution, but the State Librarian testified that the library still needs paper copies for circulation, archives, and depository libraries, and requested a minimum of three copies. After discussion, the committee amended the draft to require three copies instead of two and passed the motion. The committee also approved a related House and Senate Rules amendment reducing the number of bound journals distributed, and a separate rule change removing the requirement that legislators’ home addresses be printed in the rule book and allowing a lower print run based on request and need. The committee next reviewed data on bill pre-filing and legislative workload. After hearing testimony that agency bills tend to arrive in a late-year rush and that staff workload is especially heavy around organizational session and the holidays, the committee voted to move the agency pre-filing deadline to the Wednesday before Thanksgiving. It also amended the deadline for constitutional amendments and study resolutions, moving them earlier so they would occur before crossover, and adjusted the reporting deadline accordingly. Members discussed whether these changes should be handled in special session or organizational session, and staff explained that the agency deadline change could be made effective for the next regular session through a permanent rules change. Finally, the committee reviewed proposed special session rules. Staff explained that the special session would use joint appropriations and joint policy committees, with expedited bill processing, limited bill introduction routes, and remote participation allowed for members and public testimony with approval. The committee also resolved a House appropriations membership issue by keeping the House side at 23 members and giving the House majority leader authority to appoint a replacement for the vacant seat, while increasing the Senate dollar threshold to match the House. Members then discussed the upcoming rural health special session process, including how the interim rural health group would differ from the actual special session committees, the timing of committee work and the governor’s address, and whether remote participation would be permitted in the special session.

Transcript Highlights:

• signed the One Big Beautiful Bill Act, which among other things ended the credits for new and used electronic
• Other things ended the credits for new and used electronic vehicles, which had a pretty sizable net impact

Keywords: 996, all

Transcript Highlights:

• If everyone will please silence their electronic devices. Okay.
• If everyone will please silence their electronic devices, anyone wishing to speak before the committee

Summary: The Committee on Environment and Natural Resources heard a series of presentations focused on coral reef restoration, artificial reefs, biosolids management, and a proposed biosolids processing facility. Mote Marine Laboratory described the severe decline of Florida’s coral reefs, its restoration methods using microfragmentation, genetic banking, selective breeding, nurseries, and outplanting, and asked for a long-term state commitment to help restore reef areas. The Keys Marine Laboratory and Florida Institute of Oceanography highlighted their role as a hub for coral rescue, holding, propagation, and research, including emergency response during the 2023 bleaching event. The Fish and Wildlife Conservation Commission discussed the scale of reef loss, the state’s coral rescue and propagation efforts, and the economic and habitat value of artificial reefs, while noting permitting delays and material-selection concerns for reef projects. The committee then received a DEP update on the Osborne Reef tire cleanup. DEP explained that the original tire reef was a failure, that nearly 500,000 tires had been removed by 2024, and that the current effort is funded at $5 million for the fiscal year, with cleanup now shifting from large tire clusters to more difficult individual tires and coral relocation. Members asked about the future of the site after cleanup; DEP said that phase two decisions, such as whether to restore or monitor the area, have not yet been made. DEP also presented on biosolids rules, explaining that the 2021 rule tightened nutrient management, groundwater, and surface water protections, reduced the number of active land-application sites, and contributed to a shift away from Class B land application toward Class AA, landfill, or out-of-state disposal. Senators raised concerns about PFAS, nutrient loading, and the loss of disposal options, and a public speaker warned of a statewide septage disposal crisis. Finally, Sedron Technologies presented its VARCOR system and a planned Indiantown facility that would process dewatered biosolids into clean water, ammonia, and a dry Class AA product or fuel, with the company saying the process can destroy PFAS and help relieve regional disposal pressure. Senators expressed support for the technology as a potential solution to Florida’s biosolids challenges. No formal votes were taken on the presentations themselves, and the only action at the end of the meeting was adjournment after Senator Polsky moved to do so.

Transcript Highlights:

• There's a link in the version in your electronic folders that has a more detailed map.
• history of technology development in this industry, for years, people thought, if we could just store electrons

Summary: The committee held a work session covering PFAS regulation and impacts, no-cost allowance allocation for emissions-intensive trade-exposed industries (EITEs), and regional resource adequacy and data center load growth. Senator Victoria Hunt was welcomed as a new member. The Department of Ecology reviewed Washington’s Safer Products for Washington PFAS work, including completed restrictions on PFAS in outdoor furniture, carpets, rugs, stain/water-resistant treatments, and newer rules adopted in November restricting PFAS in most apparel, cleaning products, and automotive washes, with reporting requirements for some other products such as cookware and firefighting gear. Ecology also described Cycle 2 PFAS reviews now underway, including artificial turf and paints, and answered questions about compliance, online sales, sell-through periods, and how Washington’s approach differs from broader bans in states like Maine and Minnesota. The Department of Ecology also presented on PFAS in biosolids, describing a 2024 sampling study, limitations in testing methods, and a 2025 statutory amendment requiring additional sampling between 2027 and 2028 and a report to the legislature in 2029. The Department of Health then updated the committee on PFAS in drinking water, reporting that most Group A public water systems have completed sampling, that 317 sources and 188 systems are expected to exceed new contaminant levels, and that treatment costs for public systems are estimated at about $970 million, leaving a large funding gap; members also asked about private wells, health effects, bathing exposure, and home filters. The Board of Health’s new state action levels are being aligned with federal MCLs, and the department said it expects to continue monitoring and notification under state rules. Ecology also briefed the committee on no-cost allowance allocations to EITEs under the Climate Commitment Act, explaining the leakage-mitigation rationale, the current allocation schedule through 2034, and a forthcoming report on policy options for 2035-2050; members asked about industry barriers, competitiveness, and whether facilities might leave the state. Finally, E3 presented a regional resource adequacy study showing rising load, retirements outpacing additions, limited winter reliability value from wind, solar, and batteries, and a projected shortfall beginning in 2026 that could grow to about 9,000 MW by 2030 if planned projects are not built. The presentation emphasized winter cold-weather events, hydro variability, the importance of permitting and transmission, and longer-term options including nuclear, geothermal, hydrogen, carbon capture, and long-duration storage. EPRI then introduced its DC Flex initiative, which is studying how data centers can provide flexible load through workload shifting, cooling optimization, and on-site backup or bridging resources to reduce grid stress and protect ratepayers.

Transcript Highlights:

• If everyone would silence their electronic devices at this time, I would appreciate it.
• to that, a lot of the agencies are implementing it into their report management system, which is electronic

Summary: The committee held a panel discussion on Florida’s domestic violence system, focusing on the roles of the state, the federally designated coalition, direct-service providers, and law enforcement. Members reviewed the history of the system after the dissolution of the former coalition in 2020, the creation of the Florida Partnership to End Domestic Violence, DCF’s Office of Domestic Violence, and the current contract structure involving Women in Distress and its subcontractors for hotline and legal services. Panelists also discussed the 2024 lethality assessment law, the workgroup’s conclusion that the evidence-based Maryland tool could not be used because of copyright and cost issues, and the state’s current use of statutory questions instead. DCF and FDLE described the statewide certification and funding framework, including more than $60 million in domestic violence funding for fiscal year 2025-26 and the requirement that law enforcement complete lethality-assessment training by October 1, 2026. Testimony highlighted both collaboration and conflict. Florida Partnership to End Domestic Violence and Women in Distress described overlapping training and technical-assistance roles, but disagreed sharply about the quality of their relationship with DCF and whether the current structure is duplicative. DCF said it maintains communication with both the coalition and the centers and emphasized that the coalition is federally required, while the coalition argued that the department has obstructed its work. Women in Distress and Hope Villages stressed direct services, prevention, and the need for more housing, staffing, and funding, especially in rural areas. They also described programs in schools, hospitals, and child welfare settings, and noted that children exposed to domestic violence often need specialized services. Members asked about funding flows, certification, rural coverage, the number of centers, and the lethality assessment rollout. DCF said the 41 certified centers serve all 67 counties and that no new applications have been received in about 15 years. FDLE reported that 46 of roughly 400 law enforcement agencies had completed the lethality-assessment training and attestation, with the statutory deadline still ahead. Panelists said domestic violence appears to be increasing, citing higher hotline demand, shelter occupancy, and local case numbers, while also noting that statewide crime data remains outdated. The discussion ended with calls for better coordination, clearer implementation of statutes, more funding, and possible legislative fixes to improve data collection, training, and service delivery.

Transcript Highlights:

• If everyone would silence their electronic devices at this time, I would appreciate it.
• to that, a lot of the agencies are implementing it into their report management system, which is electronic

Summary: The committee held a panel discussion on Florida’s domestic violence system, focusing on how state and federally funded services are coordinated, the role of the Florida Partnership to End Domestic Violence (FPEDV), the Florida Domestic Violence Collaborative, DCF, and certified domestic violence centers. Members reviewed the post-2020 restructuring after the dissolution of FCADV, the current hotline, legal services, training, and technical assistance contracts, and the Legislature’s recent work on lethality assessments under SB 1224. Panelists also described prevention, shelter, counseling, child advocacy, and legal support services, along with the statewide network of 41 certified centers serving all 67 counties. Testimony highlighted both collaboration and tension. FPEDV and Women in Distress described overlapping training and technical assistance roles, but FPEDV said its relationship with DCF has been difficult and at times obstructive, while DCF said communication and coordination are ongoing. Women in Distress and other providers emphasized the importance of direct services, the statewide hotline, injunction assistance, child welfare co-located advocates, and prevention programs. Several members asked about funding flows, certification, and whether the current structure is sufficient for rural counties; witnesses said federal FVPSA funds are formula-based, DCF contracts directly with centers, and rural programs face staffing and fundraising challenges that limit beds and services. A major portion of the discussion centered on the lethality assessment work group and implementation of the new statewide tool. FDLE explained that the work group concluded the Maryland model was copyrighted and costly to replicate exactly, so Florida adopted a statutory assessment that is not evidence-based in the same way, with training available online and 46 of about 400 law enforcement agencies having completed it so far. Senators raised concerns about multiple assessments, redacted police reports, and whether the tool will be useful without better coordination and data collection. Witnesses also discussed rising domestic violence, teen dating violence, and strangulation cases, with providers reporting increased demand, full shelters, and greater use of hotels and mobile crisis responses. No formal votes or actions were taken.

Transcript Highlights:

• Let's make sure all of our electronic devices are turned off.
• As you know, there is a statutory requirement for hospitals with certified electronic health record technology

Summary: The committee met to receive implementation updates on recently enacted health care laws from AHCA and the Department of Health. AHCA reported on rural emergency hospitals, explaining the new Class 4 hospital designation, rule changes completed June 1, 2025, and that no Florida hospitals have yet converted, though one North Walton/DeFuniak Springs-area hospital has expressed interest. AHCA also reviewed the non-emergent care access plan requirement for hospitals with emergency departments, saying 83 plans had been received since July 1 and 63 approved, with plans emphasizing patient education, referrals to primary care or urgent care, and coordination for Medicaid managed care enrollees through the Florida HIE/ENS system. Members asked about HIE capacity, data collection, and whether the plans would identify shortages or trigger accountability measures; AHCA said it had moved to a new HIE vendor and would continue gathering data. AHCA also updated the committee on the TEACH workforce program, reporting $6.8 million in FY 2024-25 spending across 59 parent organizations and 229 facilities, with more than 1,800 students and nearly 380,000 clinical hours reimbursed, and said a federal 1115 workforce waiver was unlikely to move forward under CMS. On KidCare, AHCA said House Bill 121’s expansion to 300% of the federal poverty level remains blocked by federal litigation and CMS action tied to premium nonpayment rules, and members and public witnesses urged prompt implementation and asked for enrollment/disenrollment data and the rural health transformation funding outlook. Public testimony largely supported the NCAP and TEACH programs and pressed for action on KidCare. Representatives from health centers said NCAP has strengthened hospital-health center relationships and improved care coordination, including reduced recidivism in some hospitals. A Bond Community Health Center physician said TEACH is helping offset the burden of training students and could help address workforce shortages, especially in rural and underserved areas. Advocacy groups urged the committee to push for implementation of the KidCare expansion, citing children in the coverage gap and rising uninsured rates. The Department of Health then presented on several programs from the 2024-25 session. It reported on the Florida Reimbursement Assistance for Medical Education (FRAME) program, including 78 dentists and 15 dental hygienists funded under the dental track and nearly 1,300 medical professionals funded overall, with 123 dental applications and 71 funded dentists in the most recent cycle. DOH also updated the Screening and Services Grant Program, the Health Care Innovation Revolving Loan Program, the statewide telehealth maternity care program, and the swimming lesson voucher program, noting strong participation and outcomes such as reduced ER visits and improved postpartum follow-up in the maternity program. Finally, DOH said implementation of the HIV prevention drug/pharmacist dispensing law is underway, with three certification courses approved and five certifications issued. Members asked about barriers to wider use of HIV prevention drugs, more detailed maternal outcome data, and the dental workforce program report; DOH said more detailed reports would follow.

Transcript Highlights:

• Let's make sure all of our electronic devices are turned off.
• As you know, there is a statutory requirement for hospitals with certified electronic health record technology

Summary: The committee opened with roll call, welcomed members back for the first committee weeks, and heard brief personal updates from several senators before moving into agency implementation updates on recently enacted health care laws. The Agency for Health Care Administration reported on Senate Bill 64 creating rural emergency hospitals, explaining that AHCA adopted the required rules effective June 1, 2025, but that no hospitals have yet been designated. Members asked about possible hospital conversions, accreditation and survey responsibilities, and whether Florida would apply for federal rural health transformation funding; AHCA said it intends to apply and has already been working on the issue with federal officials. AHCA also reviewed the non-emergent care access plan requirement under Senate Bill 7016. The agency said hospitals with emergency departments must submit plans that help redirect non-emergent patients to appropriate care settings while complying with EMTALA, and that 83 plans had been received and 63 approved as of September 30. Members asked about data collection, managed care coordination, and the state’s health information exchange; AHCA said it has moved to a new HIE vendor and will continue monitoring implementation and possible care gaps. AHCA then updated the committee on the TEACH program, saying $6.8 million was spent in 2024-25 across 59 parent organizations and 229 facilities, with more than 1,800 students and nearly 380,000 clinical hours reimbursed. The agency said rulemaking is nearly complete, a new nursing student category and expanded facility eligibility were added, and a federal 1115 workforce waiver remains stalled after CMS signaled it will not approve new workforce demonstrations. AHCA also reviewed House Bill 121 on KidCare eligibility, explaining that implementation of the 300% poverty-level expansion remains blocked by federal litigation and waiver issues tied to premium nonpayment rules; members and public speakers urged action to close the coverage gap. Public testimony on AHCA’s presentation came from representatives of health centers and advocacy groups, who said the non-emergent care access plan has improved hospital-health center coordination and reduced repeat emergency use, and who urged implementation of KidCare expansion for children in the coverage gap. The Department of Health then presented updates on FRAM, the Sanadi screening grant program, the Health Care Innovation Revolving Loan Program, telehealth maternity care, swimming lesson vouchers, and House Bill 159 on pharmacist dispensing of HIV post-exposure prophylaxis. DOH reported strong participation in FRAM and the telehealth maternity program, 24 Sanadi grant awards in 42 counties, 4,945 swimming lesson vouchers issued last year and 2,371 so far this year, and three approved certification courses with five pharmacist certifications issued under HB 159. Committee members asked about recruitment of dentists and other providers, telehealth maternity outcomes, and why participation in the maternity program remains below expected levels; DOH said outreach and regional referral networks are expanding and more detailed outcome data will be included in the upcoming legislative report.

Transcript Highlights:

• And we also noted that, according to DSH, Liberty's electronic document repository system was not functioning
• Liberty, in the court hearing, said we're going to do monitoring by electronic device.

Summary: The Joint Legislative Audit Committee held an oversight hearing on the state auditor’s October 2024 report on California’s Forensic Conditional Release Program (CONREP) for sexually violent predators. Members and witnesses discussed public safety, the long delays in finding community housing, the role of local housing committees, and the Department of State Hospitals’ oversight of Liberty Healthcare, which operates much of the program. Several legislators from rural and high-desert districts said their communities have been disproportionately affected by placements and questioned why many placements end up in remote areas. State Auditor Grant Parks said the audit found that CONREP participants were convicted of new offenses less often than sexually violent predators who were unconditionally released, but that 18 of 56 participants had been revoked and returned to state hospitals for noncompliance. He said it took an average of 17 months to place current participants in the community, with 20 additional people awaiting placement for an average of 20 months, and that the program incurred significant pre-placement costs. Parks also said local officials were often unclear about their role, DSH had not given clear guidance at the time of the audit, and California lacks a transitional housing option used in some other states. He reported that DSH had implemented four of the five audit recommendations, while declining the recommendation to explore state-owned transitional housing. DSH Director Stephanie Clendendon and Liberty representative Ken Carabello defended the program as a court-ordered, highly supervised treatment model intended to reduce reoffending and support reintegration. They said DSH is actively involved in placement review, that Liberty searches countywide under statutory restrictions, and that community feedback and court approval are part of the process. DSH said it has now implemented guidance for housing committee designees, formal program reviews, an outcome tracker, and an analysis of whether to separate some Liberty services into different contracts. DSH continued to oppose transitional housing, arguing it would not solve the core siting and statutory problems and would add cost. Several members remained critical, arguing the program is broken, costly, and unfairly concentrated in certain communities, and some called for major statutory changes or suspension of the program.

Transcript Highlights:

• There is growing pressure for good or bad to erode the existing rights of residents to not be electronically
• There is growing pressure for good or bad to erode the existing rights of residents to not be electronically

Summary: The committee met for what was described as its final meeting, with members and staff reflecting on the work of the Joint Legislative Executive Committee on Aging and Long-Term Care and noting that future work would likely shift to standing health and wellness committees. The meeting began with introductions and then moved into updates on major initiatives that originated from the committee, including Washington Cares, the Dementia Action Collaborative, and Medicaid long-term care programs. Presenters emphasized that these efforts were developed through long-term legislative-executive collaboration and were intended to help Washington prepare for the state’s aging population. On Washington Cares, DSHS described the program’s development from a 2014 research effort to its 2019 enactment, premium collection beginning in 2023, portability improvements in 2024, and 2025 changes including a grandfathered opt-out fix and a framework for supplemental private long-term care insurance. The agency said benefits are expected to go fully live next summer, with a pilot of up to 400 applicants planned for next January. On dementia policy, the Dementia Action Collaborative reported on the state dementia plan, Project ECHO training for providers, and pilot dementia-capable community programs at area agencies on aging, citing preliminary results that about 85% of family caregivers said services helped people remain at home. DSHS also reviewed Medicaid Transformation Project initiatives, including Medicaid Alternative Care, Tailored Supports for Older Adults, presumptive eligibility, and health-related social needs benefits such as rental assistance, nutrition support, and home modifications. The committee then heard an emerging issues panel from ombuds and disability advocates. Patricia Hunter of the long-term care ombuds program raised concerns about staffing shortages, resident rights, surveillance technology, private equity ownership of facilities, and illegal discharges or evictions. Betty Sweeterman of the Developmental Disabilities Ombuds discussed people stuck in hospitals without medical need, gaps in behavioral health services for people with developmental disabilities, and the need for better workforce training. Todd Carlyle of Disability Rights Washington urged expansion and bundling of community supports such as PACT, GOSH, and peer bridgers to reduce repeated institutionalization and support discharge from inpatient psychiatric settings. Provider and labor panels followed, with nursing home, assisted living, supported living, and union representatives all emphasizing workforce shortages, low wages, Medicaid rate inadequacy, case management bottlenecks, behavioral health complexity, and the need for more flexible care models and stronger accountability for rate increases. No formal votes were taken; the meeting ended with public comment on manufactured housing and closing remarks thanking staff and participants for the committee’s work.

Transcript Highlights:

• I'm sure this seems very old hat by now, but please do remember to silence all of your electronic devices
• Anyone who'd like to receive electronic notifications of scheduled bills and access to the committee's

Keywords: 909, all