Transcript Highlights:

• It's not an IEP determination process, because there's no such process as I understand it.
• It's not an IEP determination process, because there's no such process as I understand it.
• But this process is a process where the first name person that I identify on that subcommittee is the
• But this process is a process where the first name person that I identify on that subcommittee is the
• we look to the interim study process we look to the interim study process which<00:53:56.079>

Keywords: 928, house, all

Summary: The Education Funding Committee met to consider eight bills, beginning with HB 443 on the terms of appointment for members of the Higher Education Commission. Department of Education Director Steve Applebee explained that the commission supported a language change to address a holdover issue, but members raised concerns that the bill did not solve the problem of inactive members and might not address the broader question of whether the commission should continue to exist. The committee agreed to retain HB 443 for further work and voted 18-0 to do so. The committee then voted on HB 137, which would allocate excess statewide education property tax funds for local school and municipal purposes. Supporters of ITL argued that using the statewide property tax to reduce the state’s school funding obligation could create a slippery slope and shift more burden to property taxpayers. The committee voted 15-3 to ITL the bill, with a minority report to be written. HB 237, which would prohibit the use of special education and differentiated aid funds on students not receiving special education services, was also ITL’d after members said federal law already governs how IDEA-related funds may be used and that the bill was unnecessary. That motion passed 16-0, with some members not voting because they were out for medical reasons. The committee next advanced HB 354, creating alternative certification pathways for career and technical education instructors. Members said the bill could help recruit qualified tradespeople and retirees to teach in CTE programs, and it was approved 18-0 and placed on the consent calendar. HB 491, establishing a committee to study alternative public education funding methods and reduce reliance on local property taxes, was retained for further study after members said the committee or a subcommittee could continue the work over the year; it passed 18-0. HB 656, concerning local school districts’ authority to accept federal grants, was also retained after discussion focused on transparency, grant conditions, and the need to avoid delays in services; it passed 18-0. The committee then moved on to HB 729, an appropriation for an attorney to recodify education laws, but the transcript cuts off before that bill was acted on.

Transcript Highlights:

• So there is a several-step process.
• But currently, that is the legal process we have in this state, and that is a process that we must all
• ... ...process we have in this state, and that is a process that we must all abide by, that that's the
• But currently, that is the legal process we have in this state, and that is a process that we must all
• It's called due process. And this bill attempts to bypass that process.

Bills: HR192, HR193, HR194, HCR80, HCR81, HCR82, HCR83, HCR84, HCR85, HR188, HR189, HR190, HR191, SB134, SB140, SB281, SB331, SB384, SB389, SB415, SB451, SB458, SB479, SB504, SB523, HR38, HR96, HR160, HCR31, HCR61, SCR19, HB316, HB549, HB578, HB646, HB748, HB798, HB824, HB988, HB989, HB1001, HB1032, HB1081, HB1108, HB1129, HB1140, HB1157, HB1186, HB1192, HB1195, HB1198, HB1222, HB1244, SB73, SB89, SB128, SB149, SB191, SB196, SB238, SB318, SB340, HB225, HR1, HR17, HCR5, HCR4, HCR47, HCR32, HB362, HB893, HB990, HB1007, HB1153, HB1243, HB12, HB42, HB205, HB222, HB267, HB324, HB325, HB350, HB478, HB610, HB617, HB745, HB749, HB752, HB797, HB807, HB821, HB896, HB979, HB992, HB1000, HB1024, HB1050, HB1166, HB1172, HB1173, HB1207, HB1218, HB1223, SB162, SB349, SB350, SB382, SB383, SB127, SB244, SB256, HB911, HB306, HB366, HB1161, HB1230, HB59, HB481, HB772, HB897, HB1003, HB1008, HB1112, HB1180, HB1189, HB181, HB1118, HB901, HR20, HR74, HB284, HB393, HB458, HB459, HB525, HB577, HB582, HB605, HB614, HB682, HB733, HB773, HB864, HB996, HB1035, HB1058, HB1082, HB1113, HB1234, HB1240

Keywords: ACOG, maternal health, healthcare professionals, patient-physician relationship, obstetrics, gynecology, condolences, military service, veteran, community, memorial, visual acuity, student health, de-identified data, longitudinal analysis, education policy, property rights, carbon dioxide sequestration, expropriation, Landowner Bill of Rights

Transcript Highlights:

• Business owners, that thought process is very similar.
• My one question, though, because a business, if I understand the process, this is a process question,
• Everything you said in the process is absolutely right.
• that's brought up in the process.
• In the eviction process, every day counts.

Summary: The committee heard testimony on several bills. AB 416 would allow emergency room physicians to initiate 5150 mental health holds, with supporters saying it would reduce emergency room bottlenecks and speed care for patients in crisis. County and behavioral health representatives opposed the bill, and some members raised broader concerns about the 5150 system and juvenile placements. The bill was ultimately approved on a do-pass as amended vote. AB 446, the Surveillance Pricing Act, drew extensive testimony. The author and supporters argued it would prohibit businesses from using personal data to charge different prices for the same product or service, describing the practice as discriminatory and exploitative. Business and industry groups opposed the bill, warning that its language was too broad, could affect discounts and loyalty programs, and would create litigation risk through a private right of action. After discussion about enforcement and possible amendments, the bill passed on a do-pass motion. AB 632 would give local governments a faster way to collect penalties for serious code violations, including unsafe housing, fire hazards, and illegal cannabis activity, by allowing certain fines to become money judgments and clarifying lien authority. It had support from county and city groups and no opposition was voiced in the hearing; the bill passed as amended. ACA 7, a constitutional amendment intended to clarify and limit misuse of Section 31A, also moved forward after brief support testimony. The committee then took up AB 649, which would extend protections for businesses that proactively obtain certified access specialist inspections and fix accessibility violations; the author, a small business owner, and others testified in support, while disability rights groups moved to neutral after amendments. Members discussed the balance between access enforcement and reducing predatory litigation, and the bill was still under consideration as the transcript ended.

Transcript Highlights:

• that if you were willing to help out, it took minimal processing time.
• Privileges processing.
• The court said that the hospital should process. No, no, not exactly.
• I'm trying to process these applications. I did submit an application.
• The referral process is a gateway into this all too often sad world.

Bills: SB331, SB883, SB926, SB1137, SB1138, SB1144, SB1151, SB1236, SB1270, SB1522, SB1869, SB2207, SB2422

Keywords: healthcare, cost disclosure, transparency, administrative penalties, health facility compliance, COVID-19, off-label use, prescription drugs, patient access, medical standards, insurance, physician ranking, incentives, fiduciary duty, health plan issuers, SB 1137, group home, assisted living, residential care, board and care

Summary: The committee heard testimony on Senate Bill 883, which would protect physicians’ ability to prescribe off-label medications and treatments, framed by the author as a “Right to Treat” measure tied to COVID-19 care. Supporters, including physicians and patient-choice advocates, said the bill would safeguard the doctor-patient relationship and prevent interference by boards, pharmacies, or hospitals. Several witnesses described using hydroxychloroquine, ivermectin, budesonide, antibiotics, steroids, and monoclonal antibodies during the pandemic, and said they faced complaints, board scrutiny, or pharmacy refusals for those prescriptions. The bill was left pending after public testimony closed. The committee then took up Senate Bill 331, which would extend hospital price-transparency requirements to additional health care facilities such as freestanding ERs, urgent care and retail clinics, ambulatory surgical centers, outpatient clinics, and birthing centers. Proponents argued that broader disclosure of prices for shoppable services would help consumers compare costs and reduce surprise billing, while opponents from ambulatory surgery centers said the bill would impose costly compliance burdens on small providers and that insurers or the state already have much of the needed data. The bill was also left pending. Senate Bill 2422 would expunge Texas Medical Board records and impose reparations for disciplinary actions tied to COVID-era treatment decisions, including references to ivermectin, hydroxychloroquine, budesonide, and masks. The author and supporters argued that doctors were unfairly targeted for trying to save patients and should be made whole; the Texas Medical Board representative said most pandemic complaints were dismissed, that actions generally involved broader issues such as privileges, documentation, or informed consent, and that no physician was disciplined solely for prescribing off-label COVID medications. The bill was left pending. Finally, the committee heard Senate Bill 2207, which would loosen Texas Medical Board rules on physicians advertising themselves as board certified, especially by reducing barriers tied to maintenance of certification requirements. Supporters said the current rule is overly restrictive, inconsistent, and costly, and that it drives physicians out of practice; they also said Texas is one of only a few states with such a rule. Witnesses described hospitals using the rule against physicians and said the change would improve transparency and competition. The bill remained pending after testimony.

Transcript Highlights:

• This is an ongoing process by not only the judicial branch, but the legislative branch and the executive
• Could you describe for the committee what it is that you received, the process to pay the attorney?
• She's going to explain more of what we do on a weekly basis and the payment process.
• Each week, we receive approximately 881 forms to be processed.
• payments so that's the payment process payments so that's the payment process and<00:47:25.040><

Keywords: 958, all

Summary: The subcommittee met to discuss the guardian ad litem system, including appointment qualifications, training, payment, and whether any changes are needed. Roll was called, the February 25, 2025 minutes were approved, and the chair emphasized that the meeting was informational only and no vote would be taken. Representatives from the Court of Justice, including Chief Justice Deborah Henry Lambert and several family and district judges, testified about how the system has evolved since concerns raised in 2019 about overappointment and fees. Court witnesses said the judiciary responded to earlier concerns by requiring open appointment lists of trained and qualified attorneys, improving training, and increasing oversight of fee orders. They reported that statewide GAL fees have fallen from a little over $14 million in 2019 to about $12 million, even as caseloads have grown, and said the average payment works out to about $650 per case, with the statutory cap for trial-level GAL fees still set at $500 since 1986. They argued that the current local appointment model works well, especially in rural areas, and warned that moving to a DPA-style regional model would create serious scheduling and conflict problems because of overlapping dockets and related criminal cases. Judges from rural districts described shortages of available attorneys, high burnout, travel burdens, and the difficulty of finding enough counsel in smaller counties. They also said the Court of Justice cannot seek certain federal Title IV-E reimbursements, but urged the legislature to encourage the Finance and Administration Cabinet and the Cabinet for Health and Family Services to pursue that funding through an MOU. One judge noted that some appointed attorneys are effectively underpaid relative to private rates and that better compensation would help attract and retain lawyers. The discussion also covered training standards adopted after the 2019 audit. Witnesses said Rule 37 now requires initial training and four hours of multidisciplinary continuing training every two years, with topics including child development, trauma-informed care, substance use, child welfare, forensics, ethics, and communication with clients. They said the Court of Justice has offered in-person regional trainings and remote options, and that the goal is to keep qualified attorneys on the appointment lists while improving representation for children and parents in dependency, neglect, abuse, and termination-of-parental-rights cases.

Transcript Highlights:

• <00:33:14.159> as during uh the check-in process as during uh the check-in process as opposed
• years ago so we have a seating process years ago so we have a seating process where<01:49:53.280
• <01:53:50.040> further process further process further questions<01:53:51.920> seeing<01
• process that do participate misuse the process frequently<03:44:04.960> just<03:44:05.080>
• more readily familiar with the process more readily familiar with the process and<05:02:33.320><

Keywords: 1189, house, all

Transcript Highlights:

• We also process branches of government.
• <00:20:02.400> that have to map out business process that have to map out business process
• So that normal process will continue.
• So that normal process will continue.
• So that normal process will continue.

Keywords: 00:14 Call to Order and Roll Call 01:10 Information Items and Introduction of Personnel Cabinet 02:44 Discussion of KHRIS HR system and need for replacement 05:52 Discussion of Challenges in managing HR for employees and records 09:16 Discussion of Employee Health Plan Record Management 12:56 Software and Hardware Discussion 16:15 Security Concerns 17:00 Costs, Staffing, and Implementation 24:09 Discussion of Data Integration and Hosting 32:20 Payment Methodology 35:20 Adjournment, 958, all

Summary: The House Budget Review Subcommittee on Personnel, Public Retirement, and Finance held its first meeting and heard a presentation from personnel cabinet officials on a major request to replace the Kentucky Human Resources Information System, known as CHRIS, which currently handles HR, payroll, tax compliance, and health plan administration for state government and several local offices. Officials said the system supports payroll for about 48,000 employees, covers all three branches of government and 24 sheriff and county clerk offices, and stores records for nearly 475,000 current and former users. They explained that SAP has said the system will reach end of life and lose support by 2030, creating risks around security, maintenance, and tax compliance if it is not replaced. Commissioners and staff emphasized that the replacement is needed not just as an upgrade but as a full system replacement, especially because the current platform no longer receives meaningful HR enhancements and will eventually lose security updates and tax tables. They also described the Kentucky Employees Health Plan as a major driver of the project, noting it serves nearly 300,000 covered lives, many school boards, pre-65 retirees, and more than 700 entities, with significant complexity in billing, premium collection, and regulatory compliance. Officials said the new system would help address current manual workarounds, support changing insurance rules, and better protect personally identifiable and health information. Members asked detailed questions about the $151 million request, including why the estimate had risen by more than $50 million, what would happen if the project missed the 2030 deadline, how progress would be tracked, how vendor costs were estimated, and what the largest cost components would cover. Officials said the increase was mainly due to inflation and changing requirements, and that there was no real backup plan if the replacement was not completed before support ends. They said the project would be managed through an RFP process expected in July 2026, with kickoff in January 2027 and go-live by July 2030, and that oversight would include an enterprise steering committee, monthly updates, and existing quarterly COT reporting to LRC. They also explained that the largest share of the request is for implementation and integrator services, with additional amounts for software licensing and hosting, independent verification and validation, dependent verification, FSA administration, and limited contract support, and that payments would be tied to deliverables and acceptance testing.

Transcript Highlights:

• The justice process deserves protection.
• Let's be transparent, but not at the cost of dignity and due process. Thank you.
• That process must be preserved.
• So it is a very difficult process. Yes, judges can exercise discretion.
• Isn't that the process that we have in place? I'm sorry, this is the process that we have in place.

Bills: SB693, SB781, SB836, SB860, SB906, SB993, SB1101, SB1321, SB1370, SB1537, SB1563, SB1610, SB1637

Keywords: notary public, notaries, acknowledgment, jurat, personal appearance, remote notarization, online notarization, e-notary, electronic notarization, fraud prevention, identity verification, real estate fraud, property transfer, state jail felony, Class A misdemeanor, secretary of state, continuing education, record retention, notarial act, Texas Government Code

Summary: The Senate Committee on Criminal Justice heard a series of bills focused on criminal procedure, public safety, victim protections, and law enforcement administration. SB 1537 would require criminal-proceeding interpreters to meet the same appointment standards used in the Government Code, and SB 993 would let the Comptroller’s Criminal Investigative Division seek mobile-tracking warrants directly in motor fuel theft and related tax-fraud investigations. SB 693, as substituted, would create a criminal offense for notaries who notarize documents without the signer personally appearing, with a higher penalty when real property is involved, and would add continuing education for notaries. SB 1610 would tighten rules for civilly committed sexually violent predators at the Texas Civil Commitment Office, including penalties for new crimes and assaults on staff, sex-offender registration requirements, and removal of certain provisions from the filed version; the substitute reduced some of the harsher penalties and preserved parole/community-supervision eligibility. SB 836 would expand privacy protections for sexual assault survivors by limiting livestreaming of certain trials, allowing pseudonyms earlier in the process, and protecting forensic exam evidence and invasive recordings under protective orders. SB 1563 would require county jailers to receive training on interacting with veterans, with testimony emphasizing suicide risk, PTSD, and the need for better identification and support in jails. SB 906 would give the Ysleta del Sur Pueblo authority similar to other Texas tribes to commission peace officers under state law to enforce Texas laws on tribal land. SB 781 would standardize confidentiality rules for peace officers’ personal information and create a confidential departmental file system modeled on Chapter 143 civil-service practices, though members raised concerns about whether the bill could affect disciplinary records and existing disclosure rules. Testimony was largely supportive for the bills, especially from prosecutors, law enforcement representatives, victim advocates, and agency officials. Supporters of SB 693 described widespread deed fraud tied to improper notarizations; supporters of SB 836 stressed survivor privacy and the harms of livestreamed sexual-assault proceedings; supporters of SB 1563 said jailer training could help prevent veteran suicides and improve treatment; and supporters of SB 906 said state commissioning would improve public safety and coordination on tribal lands. SB 781 drew support from police and TCOLE witnesses who said the bill would extend confidentiality protections already used in civil-service departments, while some members questioned whether the bill duplicated existing law or could be read to shield misconduct information. Public testimony included opposition to SB 1610 from a civil-rights advocate who urged waiting for Sunset review, and opposition to SB 781 from a family member of a person killed by police, who objected to expanding confidentiality for officers. Several bills were left pending after testimony because the committee lacked a quorum or chose to hold them for later action.

Transcript Highlights:

• solely due to failure of the county or other local government to engage in the process.
• SB 28 protects his due process.
• to address any deficiencies that may exist prior to creating a new process.
• And I trust that the process will play out. So thank you.
• And I trust that the process will play out. So thank you.

Keywords: 988, house, all

Transcript Highlights:

• Our current essential health service closure process is broken.
• These two processes modernize and expedite old methods of body disposition.
• Two processes modernize and expedite old methods of body disposition.
• It's a hollow process.
• It will bring oversight, transparency, and accountability to this process.

Keywords: 995, all

Summary: The committee hearing covered a wide range of public health bills, with much of the testimony focused on two major themes: expanding access to care and stabilizing health-related workforces and services. On House 2364, an act relative to medical health and fitness facilities, representatives from Dedham Health and Athletic Club argued for a pilot program recognizing supervised exercise as medicine, saying it could improve outcomes for chronic disease, fall prevention, and mental health while reducing costs. On House/Senate bills concerning community health workers (H. 359/S. 251), multiple witnesses from MACHW, Health Care for All, MHA, Cambridge Health Alliance, Mass General Brigham, Boston Children’s Hospital, Asian Women for Health, and the City of Somerville described CHWs as essential for navigation, trust-building, language access, and addressing social needs, and urged reimbursement by MassHealth, the GIC, and private insurers, along with workforce development measures. One pediatric neurologist also told the committee that losing grant-funded CHW support led to more avoidable ER visits and threatened clinic operations. The committee also heard extensive testimony on hospital closures and essential services. Witnesses including Dr. Alan Sager, MNA President Katie Murphy, nurses from Brockton Hospital and Providence Behavioral Health, and local officials and legislators from Norwood described the loss of hospitals and service lines, especially maternity, pediatric, and behavioral health care, and argued current closure processes are too weak to protect communities. They supported bills such as H. 2460/S. 1503 and H. 2534/S. 1574, which would require earlier notice, community input, stronger state oversight, possible receivership, and limits on reopening or expanding after closures. Testimony emphasized the impact of Steward’s bankruptcy, the closures of Carney and Neshoba Valley, and the need to preserve access to essential services in underserved areas. Several end-of-life and professional regulation bills were also discussed. On H. 2436, Representative Omar Gomez and funeral industry witnesses supported eliminating Office of the Chief Medical Examiner fees for the removal of a child’s body in cases involving children five and under, describing the bill as a small but important relief for grieving families. On H. 2444 and related Senate bills, cemetery and consumer advocates supported legalizing alkaline hydrolysis and natural organic reduction as environmentally friendly after-death options, while cemetery representatives opposed H. 2360, which would allow funeral establishments to operate crematories, arguing cemeteries should retain that role. The committee also heard support for H. 2382, which would exempt dentists and oral surgeons from a new office-based surgical center framework, and for H. 2461, which would create hospital efficiency standards; employers and retailers backed that bill as a way to address rising health care costs. Finally, the committee heard testimony on autism services and hospital governance. On S. 1414, behavior analysts and school representatives said Massachusetts already licenses assistant-level ABA providers but MassHealth does not reimburse them, causing long waitlists and limiting school and family access; an actuary testified that a three-tier ABA reimbursement model could reduce MassHealth costs by up to 6% per child served. Senator Lovely also testified in support of S. 1572, which would require at least one registered nurse on each acute care hospital governing board, arguing nurses’ frontline perspective would improve quality and retention. No votes were taken in the hearing excerpt, but many witnesses urged favorable reports on their respective bills.

Transcript Highlights:

• So we're in the process of getting that in place.
• The PERS board does follow a standard process in our rulemaking process, which includes staff preparation
• We present making process, which includes staff preparation of the draft rules.
• This is the process that we followed for the rules before you today.
• The department uses normal rulemaking process. We did public notice, public hearings.

Keywords: 908, all

Transcript Highlights:

• The body of a child begins the dying process.
• , and we're trying to make the process better.
• Everybody has a stake in the process, and we want to make sure that process is better.
• , because I know that is the case under the WIFA appointment process.
• We have a certain process that we're going through.

Bills: SB1082, SB1200, SB1335, SB1336, SB1559, SB1761, SB1762, SB1785, SCM1007

Keywords: petting zoos, animal encounters, public health, handwashing, supervision, sanitization, safety regulations, civil penalties, water supply, groundwater, Phoenix, certificates, long-term storage credits, water conservation, municipal provider, replenishment obligation, water banking, annual report, Arizona Water Banking Authority, water supply management

Transcript Highlights:

• , and some data points on our approval and objection process.
• How does that process work? Okay, so you're referencing the database, the ARTS database?
• The objection process does not stop program approval.
• We've approached this challenge through three key areas: people, process, and systems.
• Additionally, we have kicked off that final bullet under process: a regulatory review process as part

Summary: The committee heard a report on the Underground Economy Task Force in Washington’s construction industry. Labor and Industries said the task force, created by a 2024 budget proviso, met 11 times and developed consensus recommendations to improve enforcement against worker misclassification, unregistered contractors, and unpaid taxes and premiums. Consensus items included defining and regulating construction labor providers, improving interagency data sharing, increasing penalties for repeat offenders, expanding L&I authority over successor accountability, reviewing agency penalty rules, and exploring tracking of cash payments. Majority-but-not-consensus ideas included posting subcontractor notices at job sites, setting an independent-contractor threshold that would trigger L&I review, holding direct contractors liable for unpaid wages owed by subcontractors, and reviewing reporting requirements. Testifiers from labor, business, and the Attorney General’s Office generally supported stronger enforcement and transparency, while business representatives cautioned against overregulation and said any new rules should avoid burdening legitimate contractors or restricting lawful cash payments and independent contracting. L&I said the final report would be distributed by December 31 and the task force work group would be reconvened. The committee then reviewed the wage recovery work group report. L&I explained current wage complaint procedures and said the work group, made up of labor and business representatives, reached five consensus recommendations: allow L&I to prioritize wage complaints strategically, permit aggregation of related complaints, raise the minimum penalty under the Wage Payment Act from $1,000 to $1,500 and create a penalty matrix, improve employer awareness with materials for new hires, and establish a wage recovery fund. The fund would be seeded by penalties, would not require new employer assessments, and would allow limited early payments to eligible workers facing hardship, with a proposed cap of $2,500 and a later review of the program. Business and labor representatives both supported the overall framework, though business raised concerns about fraud safeguards and recovery of funds if a claim is later found invalid. Members also received an overview of Washington’s apprenticeship system. L&I described the state’s apprenticeship agency structure, the Washington State Apprenticeship and Training Council, and the difference between Washington’s state apprenticeship standards and the federal Office of Apprenticeship system. The presentation highlighted current participation levels, program approval and objection processes, and strong post-completion outcomes, including median annual earnings above $100,000 and an estimated $7.80 return for every public dollar invested. Committee members asked about how apprentices apply, how sponsors work with L&I, and whether recurring objections could be addressed earlier in the process. Finally, the committee heard updates on wildland firefighter respiratory protection, federal cuts to NIOSH, and economic and federal policy impacts on unemployment insurance and workforce services. L&I said wildland firefighters face significant smoke exposure and cancer risk, but current rules do not require respiratory protection for that work because of technical and operational challenges; the agency is watching efforts in other jurisdictions and at the federal level. On NIOSH, L&I warned that federal staffing and grant cuts could weaken occupational safety research, training pipelines, and programs affecting Washington workers, including firefighter cancer tracking and Hanford exposure assessments. ESD reported rising UI claims, a stable unemployment rate, and pressure on the trust fund, while also describing technology and process changes that have improved claims handling. ESD also said HR1 will significantly increase demand on WorkSource services through new work-search requirements for SNAP and Medicaid recipients, creating an unfunded mandate that the agency is preparing to implement with partner agencies.

Transcript Highlights:

• So there were a few issues in that process.
• Those included an assessment process called a QSI.
• And those included an assessment process called a QSI.
• And so I think that this is a process that we will continue to evolve.
• I know that is something that APD does as part of their process.

Summary: The Health and Human Services Committee received an overview of Florida’s intellectual and developmental disabilities (IDD) managed care pilot, created by legislation in 2023 to test whether a managed care model could integrate Medicaid medical services with iBudget waiver home- and community-based services for adults in pre-enrollment categories. AHCA explained the existing system, the pilot’s scope in Regions D and I, and the rollout timeline, including federal approval, contract execution with Florida Community Care, and the October 2024 go-live. Officials reported that, as of early February, 370 individuals had been sent for onboarding and 168 more were in queue, with about $35.8 million of the appropriation remaining. APD also clarified the difference between the pre-enrollment categories and the waiver waitlist, and noted that crisis cases can be enrolled more quickly depending on eligibility and funding. Florida Community Care described the pilot as a comprehensive managed care model offering medical, long-term care, and iBudget services, plus enhanced benefits such as bed-hold days, caregiver transportation, and help with legal guardianship costs. The plan said it uses one care coordinator, a 1:18 coordinator ratio, a face-to-face assessment within five days of enrollment, and 180 days of continuity of care for existing providers. The company emphasized that it is recruiting providers by offering higher rates than some iBudget rates, lower administrative burden, and network adequacy incentives, while APD said it continues to monitor provider supply and demand and recruit across service types and regions. Members repeatedly questioned whether the pilot’s costs, provider rates, and service levels were truly comparable to the iBudget system, and AHCA and APD said it was too early to draw firm conclusions because claims data are still lagging. Committee members also raised concerns about communication, enrollment delays, provider shortages, and whether the pilot could scale statewide. APD said it has used letters, phone calls, texts, emails, and community meetings to reach eligible individuals, and that some delays stem from required assessments, Medicaid eligibility checks, and level-of-care determinations. Several members asked for more detailed comparisons of costs and provider reimbursement between the pilot and iBudget, and APD said it would provide additional data. Public testimony at the end was strongly critical of managed care, with a participant and his mother describing poor service, transportation failures, and loss of control under prior managed care arrangements, and urging the committee not to expand such a model without safeguards. No votes or formal committee action were taken before adjournment.

Transcript Highlights:

• That is, and the district process.
• But if it's about process, if it's about the fact that a defendant should have due process, I will not
• the court and the adjudication process. the court and the adjudication process.
• This bill did not go through that process. It went through a business process.
• A right to due process. And right? A right to due process.

Keywords: 981, all

Transcript Highlights:

• So, they've the court process. Okay.
• <00:34:04.360> has court process.
• So, the due process has court process.
• I want you to have... made um it in that process as it does made um it in that process as it does with
• just to ensure that there's a process just to ensure that there's a process that<02:42:45.600>

Keywords: 1191, senate, all

Transcript Highlights:

• Uh as far complete the process timely.
• <00:07:03.680> to develop a straightforward process to develop a straightforward process to
• So, you know, simplicity this process.
• <00:52:59.040> system the brains or the processing system the brains or the processing system
• of hiring. we are you know in the process of we are you know in the process of delivering.<00:55:12.000

Keywords: 1187, senate, all

Transcript Highlights:

• Those are in process.
• , procurement process, to become the one HIE for Mississippi?
• What qualifications does MEMA have with respect to this process?
• When you ask what do you mean by a part of this process?
• And so we're trying to make the application process as easy as we can.

Keywords: Public Health and Welfare - Room 216, 4 June, 2026; 2:30 PM, 925, all

Transcript Highlights:

• Thank you, Rep Hunschofsky. >> The thought process was obviously too not make the dissolution process
• What would be the process for that? >> You're recognized. Thank you, Madam Chair.
• Estoppel certificate process can hear this years ago.
• Keep working the process. Thank you for your work, your wealth.
• One of the few of those really stood by me in this process. So thank you for that.

Transcript Highlights:

• So, the process improvement from last year and recognizing that many of the state-funded projects.
• We contracted with a vendor to conduct a process improvement study of three major components.
• That's been very good this year, and we continue to refine those processes.
• The process, without me having a paper packet in front of me, that way I could see it.
• Is there a customer satisfaction aspect to this whole process? How does it affect the school?