Video & Transcript Research : 'binding determination'
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WY
Wyoming 2026 Regular Session
Senate Labor, Health & Social Services Committee, February 18, 2026
Labor, Health & Social Services
Transcript Highlights:
- care to where we are just trying to have some equity with the other boards on that, where they can determine
- care to where we are just trying to have some equity with the other boards on that, where they can determine
- care to where we are just trying to have some equity with the other boards on that, where they can determine
- care to where we are just trying to have some equity with the other boards on that, where they can determine
- Other boards on that where they can determine what their practice is. >> Thank you.
NM
New Mexico 2026 Regular Session
Senate Chamber Jan 23rd, 2026 at 10:43 am
New Mexico Senate Floor Meeting
Transcript Highlights:
- We want the highway engineers to determine what needs to be done.
- And how would that be determined? So Senator Miles, do you yield to Senator Steinport?
- And it kind of hinges on whether or not they're determined to be decisional capable.
- But I'm just saying where, how will they determine whether someone is decisional capable?
- someone is decisional capable, ultimately a judge will have to make that determination.
MD
Transcript Highlights:
- You led the passage of the Blueprint for Maryland's Future to ensure that a child's zip did not determine
- the quality of their education determine the quality of their education or<00:45:23.280>
the < - Together, we will outsmart our toughest challenges with grit and sheer determination.
- So from my heart to yours, may we start this journey from a place of love, connection, and determination
- , and determination to bring our<01:10:21.040>
best <01:10:21.840>self <01:10:22.560>
Summary:
The House convened for the first day of session and first elected Delegate Luke Clippinger as Speaker Pro Tem. Members nominated and seconded him with remarks praising his leadership, work on Judiciary Committee issues, and ability to mentor colleagues. Nominations were then closed, the House voted by voice, and Clippinger was sworn in.
The chamber then opened nominations for Speaker of the House. Multiple members spoke in support of Delegate Joseline Peña-Melnyk, highlighting her personal story, legal background, public service, and committee leadership. Speakers emphasized her work on major policy areas including education, police reform, racial and economic justice, reproductive freedom, and support for historically Black colleges and universities. One member from the minority party also seconded the nomination, saying she had been inclusive and respectful in committee work and legislative process.
After nominations were closed, the House voted by voice and elected Peña-Melnyk Speaker of the House of Delegates. She was sworn in and thanked members for their support, reflecting on the diversity in the chamber and the significance of the moment. In her remarks, she also praised outgoing Speaker Adrienne Jones and recognized family members, dignitaries, and colleagues in attendance.
LA
Louisiana 2026 Regular Session
Labor and Industrial Relations May 13th, 2026
Labor & Industrial Relations
Transcript Highlights:
- Misstatement, that an intentional misstatement that did not affect the doctor's determination, then that
- stricken from the bill, and they kept the other portion, which was what we call the preliminary determination
- Because I'm sorry. we call the preliminary determination process.
- considered by the workers’ compensation judge by a rule to show cause prior to any preliminary determination
- do not have the wherewithal to put together an opposition or a motion to strike, a preliminary determination
Summary:
The committee first took up Senate Bill 408 by Senator Myers, a workers’ compensation overhaul creating an all-claims medical database, requiring electronic reporting and billing, and setting up confidentiality, rulemaking, and penalties. Senator Myers said the bill was meant to modernize a paper-based system, speed injured workers back to care and work, reduce disputes through a more predictable fee schedule, address outliers and abuse, and generate reliable data for future fee-schedule decisions. Representative Melarine then offered a large amendment package combining portions of House Bills 780 and 1101 into SB 408, adding preliminary-determination procedures, changes to benefit durations, fraud language, and a deadline for the department to establish a fee schedule if no agreement is reached. Supporters said the package would create a more complete reform; opponents argued the additions were rushed, not germane, and would harm injured workers, especially those without lawyers, by adding technical filing burdens and stricter fraud consequences. After debate, the committee adopted the amendment package, then adopted a follow-up amendment removing the word “potential” from a fines provision and deleting the fraud section, and finally reported SB 408 with amendments on a divided vote.
Testimony on SB 408 was sharply split. Proponents, including Alton Ashy and Trey Mustian, argued the bill’s transparency and data-collection provisions were the most important part, that the system needs a modern fee schedule, and that the added reforms would help control costs and speed payment. Opponents, including Shannon Lindsay and another injured-worker advocate, said the original bill was a good compromise but the added provisions changed its character and would disadvantage pro se claimants, remove materiality from fraud law, and reduce benefits for seriously injured workers. Committee members also questioned the timeline for the database and fee schedule, the effect of historical data gaps, and whether the reforms would help employers and injured workers alike. The committee ultimately agreed the bill still contained its core goals of faster care, predictable fees, anti-abuse measures, and modernization.
The committee then moved to House Bill 585 by Representative Chasson, a workplace-violence/safety measure for small-box discount retailers. Chasson explained that the bill had been narrowed to require retailers to submit an existing written workforce safety plan, or develop one if they do not already have one, with no penalties attached. The committee adopted a substitute bill incorporating prior amendments. Representative Glorioso noted continuing concerns about civil-liability implications and the duty to protect against third-party criminal acts, but the bill was advanced from committee after the substitute was adopted.
AZ
Arizona 2026 Regular Session
02/18/2026 - Senate Health and Human Services
Health and Human Services
Transcript Highlights:
- When a major study determines that the evidence is insufficient and recommends restraint, that should
- . convene a stakeholders meeting with prescribed membership by July 1st, 2032 to determine the quality
- We'll be actively soliciting feedback via public comment, and we will review the feedback to determine
- Additionally, the bill establishes a multi-phase structure that includes an eligibility determination
- The bill limits appeals of performance determinations to verifying whether AHCCCS applied the rubric
Bills:
SB1014, SB1094, SB1146, SB1177, SB1192, SB1194, SB1214, SB1372, SB1390, SB1398, SB1399, SB1494, SB1557, SB1561, SB1564, SB1602, SB1603, SB1621, SB1628, SB1629, SB1713, SB1752, SB1776, SB1813, SB1814, SB1821
Keywords:
gender transition, gender detransition, health insurance, medical procedures, insurance claims, official documents, Arizona law, gender reassignment, civil liability, minors, medical consent, detransition, dependent children, foster care, periodic review, court hearings, child welfare, public funds, prohibition, Arizona legislation
NM
New Mexico 2026 Regular Session
Senate - Health and Public Affairs Feb 11th, 2026 at 05:14 pm
Senate Health & Public Affairs
Transcript Highlights:
- But I don't know what that determination is.
- And I don't know how to determine that.
- I know that was determined, right? He didn't do that in the right way, speaking very plainly.
- What was the determination?
- And I'm pretty sure that for each tribe, nation, or Pueblo, it is unique in how they determine how they
Keywords:
massage therapy, licensure, health and safety standards, continuing education, establishment licensing, civil rights, sovereign immunity, damages, public body, lawsuit limitations, legal notice, child welfare, computing infrastructure, data management, Department of Health, appropriation, foster care, Indian children, cultural competency, training services
KY
Kentucky 2025 Regular Session
Public Pension Oversight Board (10-21-25)
Transcript Highlights:
- Um, meaning every year they look at that valuation, they determine is there a gain or a loss?
- is there a valuation, they determine is there a gain<00:30:34.559>
or <00:30:34.720>a < - And now those best three years were determined.
- And now those best three years<00:31:30.480>
were <00:31:30.720>determined. - But those perhaps years were determined.
Keywords:
Meeting Start: 00:00
Attendance Roll Call: 01:02
Approval of Minutes: 02:03
Annual Investment Review: 04:10
Adjournment: 37:34, 958, all
Summary:
The committee met with a quorum, approved the prior meeting minutes, welcomed new staff member Sean Parks, and announced that it would not meet in November. The next meeting was scheduled for December 8 at 10:00 a.m., with the chair noting that pension bills would be heard then and emphasizing that all pension bills must go through the full process and include actuarial analysis.
Brad Gross of the Public Pension Oversight Board presented a detailed review of Kentucky retirement systems’ investments and funding. He said fiscal year 2025 ended with about $50.5 billion in pension assets and $12.52 billion in retiree health assets, both up from the prior year. He reported strong investment performance across the systems, with all Kentucky public pension funds exceeding their policy benchmarks and the median peer return of 10.4%. He also discussed long-term return trends, asset allocation differences among the systems, fee levels, and cash flow, noting that cash flow remains a key monitoring issue and that supplemental appropriations have improved the cash position of some funds, especially the Kentucky State Police and TRS systems.
Gross also explained that assumed rates of return have generally fallen over time, which increases unfunded liabilities and required contributions, and said the systems’ current assumptions range from 5.25% to 7.1%. He noted that the committee’s materials included peer comparisons and historical charts, and that all asset classes were within target ranges. In response to a question from Senator Funky From, Gross was asked about pension spiking and whether supplemental general fund contributions could create a false sense of security in cash flow analysis; the question was raised but not resolved in the portion of the transcript provided.
CA
California 2025-2026 Regular Session
Assembly Budget Subcommittee No. 5 on State Administration May 21st, 2025
Transcript Highlights:
- administration to better evaluate whether this new process works, but also for the legislature to determine
- We don't really have a way of determining or predicting that because we don't know how many people will
- Agencies will go through their own independent processes to determine these operational needs, including
- More generally, if I don't have all the information in which to make a determination from the analysis
- We would argue that a determination has been made when it is outlined in the May revise.
TX
Texas 89th 2nd C.S.
Licensing & Administrative Procedures Apr 8th, 2025
Licensing & Administrative Procedures
Transcript Highlights:
- And so I believe even the TABC officer, um, would, would attest to the fact that it's difficult to determine
- cases where the identity and address of the registered owner and lienholder cannot be reasonably determined
- So the tow is determined by municipality, so it could, it can change.
- The ingredient that makes the chemical element of alcohol should not be the determining factor of where
- As you know, under the rules, a, an amendment is determined by its major purpose.
TX
Transcript Highlights:
- provide the person at the EOC to track the assets if anything does happen other than making the determination
- of what gives what gets sent and stuff like that, that's not a determination of this agency.
- So, how do y'all determine the allocation of resources to those different regional... groups?
- So, that list, you know, how many and how often they come by your county is going to be determined by
- to be found Meaning that there was an issue that the inmate was complaining about that we determined
AR
Arkansas 2026 1st Special Session
PUBLIC HEALTH, WELFARE AND LABOR COMMITTEE - SENATE AND HOUSE May 21st, 2026
Transcript Highlights:
- One of the challenges of the current system has been that COCs have promoted solutions determined by
- There's not good data to determine whether or not things are improving, whether things are not improving
- And they give you an idea of what's happening year over year to determine if things are improving or
- But I think that we determined that we didn't have to and we were able to do it by rules.
- Additional legislation, but I think that we determined that we didn't have to, and we were able to do
Summary:
The committee first approved a motion, then heard a lengthy presentation on homelessness policy and behavioral health. Testimony focused on the view that Arkansas should shift toward more data-driven, outcomes-based responses to homelessness, including stronger treatment options for serious mental illness and substance use disorder, better data collection, provider accountability, and possible statewide use of the Certified Community Behavioral Health Clinic (CCBHC) model. Speakers from Fort Smith, Restore Hope, Our House, and Western Arkansas Counseling described local work, the need for better coordination across providers, and the role of crisis services, ACT teams, and employment support. Members asked about sex offender tracking, the difference between sheltered and unsheltered homelessness, how to scale successful programs statewide, and whether Arkansas could apply for a statewide Continuum of Care or CCBHC planning grant. The discussion also touched on camping bans, civil commitment, and federal funding changes, with several speakers urging the state to pursue the CCBHC planning grant and more transparent reporting systems.
After the homelessness discussion, the committee moved through a series of Department of Energy and Board of Nursing rule reviews. DEQ proposed updating the post-closure cleanup threshold for solid waste matters from $50,000 to $2 million to match Act 791 of 2025, and members asked about financial assurance and oversight; the rule was reviewed without objection. The Board of Nursing then presented multiple rule changes tied to recent acts, including adding fees for dialysis patient care technician registration, expanding contact-information requirements, implementing APRN delegation authority to unlicensed workers, clarifying APRN authority for death certificates and durable medical equipment prescriptions, updating certified medication assistant training and insulin-injection authority, and conforming independent-practice rules for clinical nurse specialists. Each rule was reviewed without objection.
Near the end of the meeting, Senator Irvin announced that UAMS had completed its NCI designation submission for the Winthrop Rockefeller Cancer Institute, calling it an important milestone for the state. The committee then adjourned.
MO
Transcript Highlights:
- The other side of it is revenues are really dictated and determined through negotiations at the city
- Revenues are really dictated and determined through negotiations at the city level.
- That is really the vetting process to determine whether that project is essentially ready for prime time
- And those are projects that have gone through the engineering reviews, and we've determined what potential
- consumer benefit and it prohibits QIP from being given unless there is a consumer benefit that's determined
CA
California 2025-2026 Regular Session
Senate Budget and Fiscal Review Committee May 5th, 2026
Budget and Fiscal Review
Transcript Highlights:
- closures, and how many hospitals currently meet the criteria that you've laid out, and how did you determine
- that waiting until a hospital has fewer than 10 days of operating cash is the main criterion for determining
- And more broadly, is there a rubric or formula that hospitals can use to determine how close they are
- facing some fiscal distress right now who do believe that they, in a few months— to kind of really determine
- So this would be a separate submission to the department to determine eligibility for this grant program
AR
Arkansas 2026 Regular Session
ALC-HOSPITAL, MEDICAID, & DEVELOPMENTAL DISABILITIES STUDY SUBCOMMITTEE Mar 16th, 2026
ALC-HOSPITAL, MEDICAID, & DEVELOPMENTAL DISABILITIES STUDY SUBCOMMITTEE
Transcript Highlights:
- Medicaid and then what could have been paid through Medicare, that delta or that difference, is determined
- Secretary Mann, as amazing as she is, she doesn't get to make the determination about whether a hospital
- Secretary Mann, as amazing as she is, she doesn't get to make the determination about whether a hospital
- She doesn't even get to make the determination of whether the hospital is a state hospital.
- Those determinations are made by other entities, and then she's got to play by the funding rules that
Summary:
The subcommittee met to review Arkansas DHS hospital spending and reimbursement methods, with Secretary Janet Mann and Deputy Secretary Misty Eubanks explaining Medicaid hospital payments. They described fee-for-service per diem payments, cost settlements, and the upper payment limit (UPL) program, noting that SFY 2025 hospital payments included $688 million in inpatient/outpatient claims, $473 million in UPL payments, $248 million in cost settlements, and about $47 million in other payments such as graduate medical education and disproportionate share hospital funds. Members asked about why per diem rates vary, how cost settlements work, why UPL applies mainly to private hospitals, and how assessment fees are structured and funded. DHS said the hospital assessment fee is broad-based and uniform, used as the state share to draw federal funds, and that supplemental hospital payments after federal match totaled $548 million with no general revenue used.
The Arkansas Hospital Association’s Jody Ann Tritt then gave a broader overview of the hospital landscape, explaining the different hospital types in the state, including critical access hospitals, rural emergency hospitals, PPS hospitals, and specialty hospitals. She said Arkansas hospitals face financial strain, citing a negative 5.18% patient service margin statewide and lower reimbursement than surrounding states. She argued that Arkansas hospitals are paid less than hospitals in neighboring states for similar services, that commercial payer rates and administrative burdens are a major problem, and that Medicaid and Medicare rates remain below cost even with UPL support. She also said hospitals are the backbone of community care, provide emergency and public health functions, and are looking for ways to invest in technology and telehealth but often lack the revenue to do so.
Members pressed for clearer data on hospital finances, reimbursement adequacy, and the impact of commercial insurers. Tritt said the association had just authorized a statewide survey to gather updated financial information from hospitals, which she said would take about a year to complete. She also explained that Medicaid pays weekly, Medicare and commercial plans can involve delays and denials, and that hospitals often spend significant resources on revenue cycle work. The discussion ended with a brief update on assisted living reimbursement: DHS said one facility, The Pillars of the Community in Crossett, had announced closure, nine Living Choices waiver clients were being transitioned, and the updated rate study would be available after cost reports are collected, likely before the end of the fiscal year. The meeting then adjourned.
AZ
Arizona 2026 Regular Session
03/11/2026 - House Federalism, Military Affairs & Elections
Federalism, Military Affairs & Elections
Transcript Highlights:
- But I will confirm that, and if there's not a requirement that the judge who makes this determination
- Senate Bill 1281 conforms procedures and statute relating to ASLD making determinations as to whether
- the Senate President to commence an action to constrain the size of the designation's parcel if determined
- catalog of federal public lands, include the natural, scenic, historical, and cultural values, and determine
- Chairman, members, I wouldn't feel comfortable making a determination one way or the other.
Keywords:
elections, voting systems, vote tabulation, election security, internet connectivity, offline voting, chain of custody, polling place equipment, counting center, central counting center, election management system, EMS gateway, tabulation equipment, secretary of state, certification, decertification, HAVA, Help America Vote Act, ballot images, audit logs
MN
Minnesota 2025-2026 Regular Session
Consumer Protection Restitution Account update 2/18/26
Minnesota House Floor Meeting
Transcript Highlights:
- We then determine if defendants have funds to pay victims.
- We then determine if defendants have funds to pay victims. Defendants have funds to pay victims.
- Um, and like I said, once we determine that we will definitely be under five million for Woodbury Dental
- Um, and like I said, once<00:17:33.200>
we <00:17:33.360>determine <00:17:33.679>that - <00:17:33.919>
we <00:17:34.080>will once we determine that we will once we determine
Summary:
The committee heard an update on the Consumer Protection Restitution Account, also called SPRA, from the Minnesota Attorney General’s office and AARP Minnesota. AARP described the fund as a first-of-its-kind consumer fraud restitution program that should encourage scam reporting, give the AG’s office more incentive to pursue cases, and provide financial recovery to victims, especially older adults. The AG’s office explained that the fund is financed by 50% of consumer enforcement recoveries up to $5 million per year, plus unclaimed or undistributable restitution, and said about $4.6 million had been deposited since July 1, 2025, largely from a Johnson & Johnson settlement.
Jessica Whitney outlined how claims are processed: consumers file complaints, the office obtains a court order, then determines whether defendants have collectible assets before distributing funds in chronological order based on the date of the court order. She said the first major case is Woodbury Dental Arts, a defunct dental clinic whose patients filed more than 300 claims; the office estimates about 75% are likely valid, is reviewing them, and hopes to issue checks within a month. She also described upcoming cases involving High Road Builders and another home remodeling contractor, along with more than 100 individual fraud complaints, including nine claims totaling more than $5.2 million.
Committee members raised concerns about delays, communication with constituents, and whether victims know if their cases are being processed. Whitney said the office is trying to improve outreach through press releases, community visits, senior centers, AARP, and Commerce senior outreach. She also flagged two possible legislative issues: restitution that cannot be distributed may not be subject to the $5 million cap, and the statute’s prohibition on pro rata payments may need reconsideration because available funds appear insufficient to pay all claims in full. The office said it would provide a fuller report in October and continue processing claims this fiscal year.
AL
Alabama 2026 Regular Session
Alabama House Boards, Agencies and Commissions Committee Feb 11th, 2026
Boards, Agencies and Commissions
Transcript Highlights:
- Their own commissioner is now going to be in charge of making those determinations.
- Their own commissioner is now going to be in charge of making those determinations.
- making<00:19:16.240>
those be in charge of making those be in charge of making those determinations - . determinations. determinations.
- 27.440>
check <00:23:28.480>uh <00:23:28.559>to Reviewing a background check to determine
Keywords:
inhalants, butyl nitrite, nitrous oxide, amyl nitrite, possession, sale, misdemeanor, felony, criminal penalties, public health, public works, sealed bids, bid advertisement, procurement, government contracting, construction bids, municipal bidding, county bidding, state bidding, Department of Transportation
KY
Kentucky 2026 Regular Session
House Budget review Sub. on Postsecondary Education. (1-29-26)
Transcript Highlights:
- And right now we're trying to determine how do we go forth in utilizing this building with the age of
- Now we're trying to determine how do we go forth in utilizing this building with the age of it.
- At the time, after evaluating it, we determined that it was just maybe not within our business model
- evaluating<00:16:18.000>
it, <00:16:18.320>we <00:16:18.560>we <00:16:19.040>determined - after evaluating it, we we determined after evaluating it, we we determined that<00:16:19.759>
Summary:
The House Budget Review Subcommittee on Postsecondary Education met to hear from Morehead State University President Jay Morgan, who outlined the university’s budget and capital priorities. He described Morehead as a Kentucky-serving, largely low-income student institution with an aging campus, and said the university’s long-term plan is to renovate existing facilities, decommission older buildings, and replace outdated space with more efficient construction. He thanked the General Assembly for prior support, especially asset preservation funding, fire and tornado insurance premium support, and a prior university inflationary adjustment.
On the operating side, Morgan asked that insurance premium support continue, that the earlier inflationary adjustment roll forward, and that the Kentucky Council on Postsecondary Education’s request for a minimum distribution in the performance funding formula be supported. He noted Morehead has received little or no performance funding in recent years and said that if no additional formula funds are added, the university would prefer a line-item appropriation. On the capital side, he requested continued asset preservation funding and outlined several construction priorities: a new applied science building, a new agriculture science building, a new space science technology building, and a cost-share replacement for the aging Maze Hall residence hall, with the state covering $10 million of a $20 million project and Morehead matching the rest.
Morgan also discussed the Craft Academy, saying the current appropriation supports 200 students and that the university would like to increase the line item to expand enrollment by about 20 students. In response to questions from Chairman Tipton, he said Morehead had previously explored but ultimately rejected a public-private partnership model for housing, preferring to own and control its residence halls to keep housing costs manageable for students. He also explained that the land surveying courses in the applied science proposal are a popular part of related programs and that Morehead’s space science program is a major research-and-contracts-driven operation with about 250 students, federal and private research ties, and graduates working both in Kentucky and elsewhere. The committee then approved the prior meeting minutes and discussed that upcoming postsecondary budget meetings would continue over the next several weeks to gather input on the new budget process.
FL
Transcript Highlights:
- state law enforcement agencies have abandoned residency restrictions because proximity bans were determined
- There must be enhanced penalties for injunction violations, risk-based bond determinations, and increased
- There must be enhanced penalties for injunction violation, risk-based bond determinations, and increased
- The courts must follow in hearings to determine enhanced sentencing classifications, and this applies
- But regardless, we've determined under Florida statutes, or we've determined here in the legislature,
Keywords:
sexual offender, sexual predator, sex offender registry, child protection, residency restriction, loitering, proximity restriction, public swimming pool, school safety, child care facility, day care center, park, playground, conditional release, probation, community control, warrantless arrest, background check, registry screening, minor victims
Summary:
The committee took up a series of criminal justice and public safety bills. SB 1084, which exempts certain identifying and location information for non-legal support staff in state attorneys’ offices from public records requests, was supported by prosecuting attorneys and reported favorably. SB 212, as amended, created new restrictions related to sexual offenders and predators, including a 200-foot restricted presence provision near certain locations and updated notification/supervision requirements; it drew strong opposition from researchers, advocates, and affected families who argued it lacked evidence and would increase homelessness, but it was reported favorably. SB 682, addressing domestic violence, coercive control, strangulation, animal abuse, injunctions, and related training and enforcement issues, received emotional survivor testimony and support from animal welfare and law enforcement groups and was reported favorably. SB 656, creating and renaming FDLE Internet Crimes Against Children funding and grant programs, was amended and reported favorably and unanimously.
The committee also considered SB 810 on sealing criminal history records, which would expand eligibility for some non-conviction records and one low-level misdemeanor conviction after waiting periods and judicial review; supporters said Florida is unusually restrictive, while one senator raised concerns about the scope, and the bill was reported favorably. SB 890, creating a standalone battery by strangulation offense applicable outside domestic relationships, was reported favorably after the sponsor said it would close a gap in current law. SB 892, revising habitual offender and violent career criminal sentencing procedures and notice requirements, was reported favorably, with defense lawyers supporting the clearer pretrial notice. SB 928, “Missy’s Law,” requiring immediate remand to custody after conviction of certain dangerous crimes, was amended to include computer pornography/child exploitation offenses and reported favorably after a family member of the namesake victim testified in support.
Later, SB 1284 modernized arrest and search warrant statutes, expanding judicial summons options for some misdemeanors and broadening warrant/arrest authority in certain DUI, injunction, domestic violence, and misdemeanor force cases; defense lawyers supported the judicial-discretion portions but raised concerns about DUI/BUI arrests, and the bill was reported favorably. Finally, SB 812, a technical companion to SB 810 updating public records treatment for sealed criminal history records, was amended to clarify prosecutorial access for later cases and reported favorably. Several bills were supported by law enforcement, prosecutors, and advocacy groups, while others drew opposition from civil liberties, treatment, homelessness, and criminal defense advocates. The meeting adjourned after members recorded additional votes on selected tabs.
FL
Florida 2026 5th Special Session
Appropriations Committee on Health and Human Services Jan 14th, 2026
Transcript Highlights:
- the technology system that the public utilizes to apply for benefits and that our team utilizes to determine
- It's also the system that our team works within to determine benefit eligibility.
- But, you know, going from one way of doing things where it's statutorily determined to putting it in
- But, you know, going from one way of doing things where it's statutorily determined to putting it in
- think would better serve Floridians would include some themes that weren't part of the initial determination
Summary:
The Appropriations Committee on Health and Human Services heard a presentation on the governor’s proposed fiscal year 2026-27 budget for the health and human services silo, which totals $48.5 billion. Agency leaders outlined major requests for AHCA, APD, DCF, DOEA, DOH, and the Department of Veterans’ Affairs, including behavioral health redesign, Medicaid rate changes, developmental disability services, child welfare and opioid programs, senior services, cancer research, public health initiatives, and veterans’ facility and technology needs. The committee also received an overview of the overall state budget, which was described as $117.4 billion, up 1.1% from the current year.
AHCA’s presentation focused on $71.6 million for a Medicaid behavioral health redesign, including funding for residential treatment, a serious mental illness waiver, and higher inpatient psychiatric rates for youth, plus $7.1 million to raise private duty nursing reimbursement in fee-for-service Medicaid, $2.5 million for the background screening clearinghouse, and $124.4 million for the Health Care Connection System (FX). APD requested funding to continue moving people off the pre-enrollment list and to support developmental disability centers, a new forensic facility, an electronic health record system, and higher operating costs. DCF highlighted $81.9 million for eligibility and system integrity, $187.5 million for opioid prevention and treatment, $35.5 million for community-based care lead agencies, and $72.7 million to expand behavioral health bed capacity, including 474 new beds at state hospitals. DOEA sought additional funding for Alzheimer’s services, home care, and community care for the elderly. DOH emphasized $278 million for cancer research and innovation, $5 million for food and product safety testing, $5 million for the Florida FIRST blood-on-ambulance initiative, and $5.7 million for a public lab feasibility study. Veterans Affairs requested funds for facility improvements, cybersecurity, and medication management equipment.
Members asked detailed questions about several items, especially the proposed changes to the AIDS Drug Assistance Program (ADAP), which would reduce eligibility and the number of people served. Senators and public witnesses criticized the lack of transparency and urged the department to pause the changes and work with stakeholders; the Surgeon General said the issue was driven by funding constraints and federal changes, not a legal barrier, and that the agency was exploring alternatives. Questions also addressed the Office of Minority Health and Health Equity, the Kids Care/CHIP expansion implementation, the cancer research funding structure, and the timeline and cost of the FX system. Public testimony focused heavily on ADAP, with speakers warning that thousands could lose medication access and calling for community involvement and a review of the program’s finances. The committee adjourned after the presentations and questions, with no votes taken on the budget items during this meeting.