Transcript Highlights:

• It's a rate, not a dollar. Thank you. It's a rate, not a dollar.
• What really is the daily rate on an actual cost basis for most of our county facilities, taking them,
• Rate. We don't anticipate that changing, so it's only going to be about 60 bucks.
• Lowest pay rates in the nation for our state troopers. I think we're 47th or 48th in the country.
• You know, death rates are overtaking birth rates.

Summary: The Senate Appropriations Committee took up SB 2-C, a major immigration enforcement bill sponsored by Senator Gruters and co-introduced by Senator Fine. Gruters described the measure as a broad crackdown on illegal immigration that would replace a single immigration officer with a State Board of Immigration Enforcement, create a $250 million grant program for local law enforcement, fund additional Department of Agriculture interdiction staff and facilities, expand pretrial detention for certain unauthorized immigrants, increase criminal penalties, require more cooperation with ICE, and eliminate in-state tuition eligibility for undocumented students. He and supporters framed the bill as a way to support law enforcement, deter illegal immigration, and align Florida with federal enforcement efforts. Committee questioning focused heavily on the bill’s education, detention, and enforcement provisions. Senators pressed Gruters and Fine on why the bill did not address employer sanctions or E-Verify, whether the tuition changes would affect students who had grown up in Florida, how sanctuary-policy enforcement would work, and whether the bill would create practical burdens for prosecutors, jails, and local officials. Gruters said he was open to working on E-Verify in regular session but not to amending this bill, and Fine argued the tuition repeal would apply to undocumented students who had qualified under existing law. Sheriff Bob Gualtieri testified in support, saying ICE bed capacity was still insufficient and that county jails needed more resources to honor detainers. Mark Schlachman of FSU Law offered historical context, noting prior state-federal cooperation efforts and warning of unintended consequences, while several public witnesses opposed the bill as unconstitutional, costly, and harmful to immigrant families and the economy. Opponents from the Southern Poverty Law Center, ACLU of Florida, Florida Center for Fiscal and Economic Policy, Florida Policy Institute, AFL-CIO, and immigrant advocacy groups argued the bill would invite litigation, encourage racial profiling, harm the workforce and higher education, and punish law-abiding immigrants and their families. They emphasized that immigration is a federal matter, that K-12 education must be provided regardless of status, and that removing in-state tuition would reduce access to college and hurt Florida’s economy. Some speakers urged the committee to grandfather current students if the tuition waiver is repealed. The meeting ended with continued public testimony and no final vote reflected in the transcript provided.

Transcript Highlights:

• And we have not had any employee contribution rate change for a number of years.
• And so every year, Employee contribution rate change for a number of years.
• It contains provisions relating to reducing the SNAP payment error rate.
• The Constitution requires us to increase it at a rate of inflation or 2%, whichever is less.
• The Constitution requires us to increase it at a rate of inflation or 2%, whichever is less.

Summary: House Republican caucus met on April 29 to review the FY 2027 budget package and several related “budget implementation” bills, with Chairman Livingston noting that HB 2415 was being held. Staff and members walked through HB 4138, the General Appropriations Act (“feed bill”), which appropriates about $17.96 billion from the general fund and includes one-time fund transfers, 5% lump-sum reductions for most agencies, funding for the state health insurance plan, school facilities, child care, correctional officer stipends, public safety, and other prior-year items. Members emphasized that the budget reflected House and Senate negotiations after the governor left budget talks, and Republican leaders framed it as a package that lowers taxes, shrinks government, and funds priorities such as K-12, child care, foster care, and public safety. The caucus then reviewed a series of mostly standard budget bills: HB 4139 on gaming/racing assessments; HB 4140 on federal monies, the budget stabilization fund, and ACE initiative savings reporting; HB 4141 on capital outlay, highway construction, airport funding, and rural transportation match funds; HB 4142 on commerce and lottery distributions; HB 4143 on corrections reporting; HB 4144 on environmental provisions and water-related fund uses; HB 4145 on state employee health insurance premiums and DES reforms; HB 4146 on higher education funding provisions; HB 4147 on SNAP administration and error-rate reduction; HB 4148 on K-12 inflation adjustments, school facilities, and ASDB property-sale oversight; HB 4150 on county expenditure flexibility and state office rent rates; HB 4151 on the Department of Revenue’s integrated tax system funding and related charges; HB 4152 on tax conformity, deductions, and repeal of several renewable-energy tax preferences and the Rio Nuevo diversion; and HB 4153 on transportation reporting. Discussion repeatedly centered on health plan solvency, SNAP/ACCESS eligibility and fraud controls, school funding, rural transportation, and tax conformity and relief. The caucus also took up several blue-sheet bills: HB 2035 on extended-family placement notifications in child welfare cases; HB 2170 restricting certain PRC-controlled companies from state IT contracts; HB 2249 expanding Parents’ Bill of Rights provisions; HB 2573 on DUI interlock/restricted-license rules and psychotherapy definitions; and HB 2873, which was amended to allow withdrawal of referendum petitions before ballot qualification. HB 2415 was held. The Speaker closed by praising the caucus for its budget work, saying the package delivers tax relief, protects vulnerable populations and public safety, and reflects months of Republican negotiations, and the meeting adjourned to the floor.

Transcript Highlights:

• Section four ensures public agencies are charged fair and reasonable rates for legally required notices
• Section four ensures public agencies are charged fair and reasonable rates for legally required notices
• Section four ensures public agencies are charged fair and reasonable rates for legally required notices
• Section four ensures public agencies are charged fair and reasonable rates for legally required notices
• Kentucky is short 206,000 housing units, and if we continue the current developing rate in the next 5

Keywords: Meeting Start: 00:04 Attendance Roll Call: 00:08 SB 141 Discussion 00:58 SB 141 Vote 07:03 SB 9 Discussion 09:10 SB 9 Vote 19:47 Adjournment: 21:20, 958, all

Summary: The Senate State and Local Government Committee first took up Senate Bill 141, sponsored by Senator Given, which revises Kentucky’s public notice laws. Senator Given said the bill was the product of negotiations among the Kentucky Press Association, the Kentucky League of Cities, and the Kentucky Association of Counties, aiming to balance transparency with the cost of publication. Testimony described changes to clarify which newspapers may publish legal notices, address publication errors, ensure fair and reasonable rates, update ad size requirements, and provide more practical hearing timelines. Committee members praised the compromise and the bill’s modernization, including expanded online access to public notices. SB 141 passed 10-0 with favorable expression. The committee then considered Senate Bill 9, sponsored by Senator Mills, and first adopted a substitute that addressed concerns from Farm Bureau and the Kentucky Bankers Association. Senator Mills said Kentucky faces a significant housing shortage and that the bill would give local governments two tools to encourage development without direct state cost: a residential infrastructure development district and a housing development district. He explained that the first tool would help finance infrastructure within a district through bonds repaid by special assessments, while the second would allow local governments to negotiate incentives and streamlined review for larger housing projects. Members asked about public participation, local control, infrastructure financing, and whether the bill required affordable housing set-asides; Mills said the bill leaves those decisions to local governments. SB 9 passed 9-0 with one pass and favorable expression.

Transcript Highlights:

• customers; and second, that the requesting municipality or property owner agrees to pay all applicable rates
• All applicable rates and charges authorized by law, including connection fees and impact fees.
• payer and taxpayer protections I clean energy, clean water, and rate payer and taxpayer protections.
• Miller has to do with protecting the rate payer, and so I was really curious...
• Miller has to do with protecting the rate payer.

Summary: The Economic Infrastructure Subcommittee considered a full agenda of transportation, utility, aviation, and energy bills. HB 4045, amending the Jacksonville Aviation Authority charter, passed without questions or debate. HB 1075, which would require municipal utilities to allow outside property owners to connect when capacity exists and fees are paid, drew testimony from local government and municipal advocates who warned about conflicts with existing agreements, long infrastructure payback periods, and the risk of subsidizing nonresidents; despite concerns from Rep. Smith and others about municipal boundaries and cost, the bill passed, with Smith voting no. HB 519, as amended, authorizes golf cart crossings at signalized intersections on designated golf cart roads; it passed unanimously after lighthearted debate about golf carts and pedestrian crossings. The committee then took up HB 919, which creates a state definition for major commercial service airports and preempts airport naming authority, including renaming Palm Beach International Airport to Donald J. Trump International Airport subject to FAA, county, and trademark-related conditions. Palm Beach County supported the bill and an amendment clarifying implementation and trademark language, while Rep. Eskamani and others raised concerns about preemption and the timing of honoring a sitting president; the bill passed with several no votes, including Eskamani, Skidmore, and the ranking member. HB 1093, the Advanced Air Mobility and Infrastructure Act, would support eVTOL/vertiport development through tax exemptions, infrastructure funding flexibility, and statewide siting standards while preserving local zoning; supporters framed it as an economic-development and workforce bill, while Rep. Cheney raised taxpayer concerns. An amendment narrowing liability protections for vertiports co-located with public airports was adopted, and the bill passed with Cheney voting no. Finally, HB 1461 established a regulatory framework for advanced nuclear reactors, assigning oversight roles to the PSC, DOH, and DEP. Supporters argued the bill would improve energy reliability, affordability, and Florida’s leadership in clean, advanced energy, while an opponent from Deploy US urged strong consumer protections and cautioned against overbroad deregulation. Rep. Eskamani emphasized preserving PSC prudency review for ratepayer protection, and the sponsor said the bill was refined through committee discussion. After an amendment fixing technical issues and clarifying that one section applied to all nuclear, the bill passed favorably. The meeting then adjourned.

Transcript Highlights:

• That has to do with their carrier and what their insurance rates are and what their plans state.
• We have a contracted rate. We get to say how much it is or whatnot.
• on there as well, our insurance contracted rates.
• rate for this with the insurance company is this.
• Indeed, the empirical evidence shows that there is a 6.1% reduction. and suicide rates for middle-aged

Bills: SB2024, SB227, SB268, SB1467, SB1580, HB5537, SB1313, SB1677, SB918, SB331, SB2207, SB2721

Keywords: e-cigarettes, marketing prohibition, youth protection, criminal penalties, public health, school funding, education reform, state budget, property taxes, equity in education, health care, licensing, complaint procedure, disciplinary action, law enforcement, death records, vital statistics, healthcare, trauma facility, Medicaid

Transcript Highlights:

• Consumer services contact information rate changes and ensured value.
• Comprehensive Reese, a comprehensive resource center and access to rate filing information.
• capital gains tax rate.
• So if you're wealthy, you can borrow money at very low interest rates.
• The initial purchase would be at at basically the wholesale rate of gold.

Keywords: 999, senate, all

Transcript Highlights:

• Provider payments and rates and some DSH. Thank you. Could I follow up? Thank you.
• payments and rates and some dish.<00:47:44.560> Thank<00:47:44.720> you.
• <01:43:41.600> within are seeing a high vacancy rate within are seeing a high vacancy rate
• 20% vacancy rate in that specific area. 20% vacancy rate in that specific area.
• we're not able to give the type of rate we're not able to give the type of rate increases<01:53:

Keywords: 1191, senate, all

Transcript Highlights:

• Are the rates enough to put depreciation away to fix in the future? Are your rates at a fair rate?
• My house, for example, is valued at about $27,000 and has a tax rate of almost $6,300.
• In addition to that, my water rate is about $100 per month.
• In addition to that, my water rate is about $100 per month.
• In addition to that, my water rate is about $100 per month.

Bills: HF343, HF446, HF448, HF674, HF811, HF832, HF1661, HF1528, HF1536, HF1541, HF1670, HF1438, HF1714, HF1748, HF1835, HF1904, HF1929, HF1942

Keywords: HF343, Chisago County, Shorewood Park Sanitary Sewer District, Rush Lake, sewer extension, wastewater infrastructure, sanitary sewer, treatment pond, sewage treatment, capital investment, bonding bill, state bonds, Public Facilities Authority, local infrastructure, municipal utilities, water quality, sanitation, bond proceeds fund, Minnesota bonding, HF446

Transcript Highlights:

• “Numerous reports suggest that hospitals with higher rates of unsafe working conditions and higher rates
• and higher rates of unsafe conditions and higher rates of unsafe patients<00:07:14.720> use<00
• <00:23:45.440> uh a relatively low unemployment rate. uh a relatively low unemployment rate
• Would your rate change? Would your rate change? >> Represent<01:34:25.679> Berg.
• conversation, not my pay rate. conversation, not my pay rate.

Bills: HF3889, HF2567, HF3878

Keywords: workforce development, grant program, employment, economic development, funding, employment contract, labor policy, employee rights, unconscionable provisions, public policy, legal enforcement, airport workers, wage standards, labor rights, minimum wage, economic equity, 1183, house

Transcript Highlights:

• discussion about the state's bond rating discussion about the state's bond rating and<00:47:48.960
• <00:48:07.440> and of the state's bond rating and of the state's bond rating and reputation
• agencies and were able to maintain that AAA bond rating from all three credit rating agencies this year
• I appreciate giving us some insight on the state's bond rating with regard to fraud.
• I appreciate giving us some insight on the state's bond rating with regard to fraud.

Bills: HF3676, HF3683, HF3395

Keywords: Safe at Home, address confidentiality, domestic violence, sexual assault, stalking, harassment, victim privacy, survivor protection, confidential address, protected address, secret address, identity protection, residential confidentiality, program participant, nondiscrimination, court disclosure, protective order, service of process, driver's license, state ID

Summary: The committee first approved minutes from February 19 and February 26, while skipping the February 24 minutes because of a drafting error that would be corrected later. It then took up House File 3676, a Safe at Home program bill described by Rep. Nash as arising from a constituent’s dangerous identity exposure and intended to tighten protections for participants, including allowing emancipated minors to enroll. Testimony from the Secretary of State’s office explained that the bill would clarify who may apply for a minor, require proof of guardianship, strengthen court findings before a participant’s physical address can be disclosed, increase penalties for harmful disclosure, prohibit discrimination based on participation, require state agencies to designate a Safe at Home contact person, allow use of the Safe at Home card as proof of residence for certain ID purposes, and require judge training. Members raised concerns about federal compatibility, constitutionality of court-related provisions, and the need for a fiscal note on the felony penalty. Several sections were noted as being removed or modified in a later engrossment, and the committee voted to re-refer HF 3676 to the Transportation Finance and Policy Committee. The committee then heard House File 3683, which would direct the state budget forecast to include the estimated cost of fraud. Rep. Nash argued that fraud is a significant but unquantified drain on state resources and said the bill would adapt existing forecast language used for inflation to track fraud costs. Minnesota Management and Budget Deputy Commissioner Anna Mingi testified that fraud is unacceptable and that the agency works to prevent and detect it, but said the twice-yearly forecast is not the right tool for this kind of retrospective analysis. She explained that if fraud is identified, the forecast would reflect reduced spending through program integrity actions rather than a separate fraud-cost line item. The bill was moved and referred to the general register after a roll call was requested.

Transcript Highlights:

• <00:28:52.399> payers benefits to utility P rate payers benefits to utility P rate payers
• We will receive an attractive interest rate because Minnesota has a triple-A rating.
• receive an attractive interest rate receive an attractive interest rate because<01:32:47.040>
• They tend to be lower rates than a commercial rate, certainly.
• <01:42:06.440> certainly rates than a commercial rate certainly rates than a commercial rate

Keywords: 1187, senate, all

Transcript Highlights:

• The process includes establishing standard rates adjusted based on economic factors.
• The process includes establishing standard rates adjusted based on economic factors.
• and options for traditional newspaper publication using the line rate and display rates.
• We would request to raise those rates to $50,000 per project, $100,000 annually.
• Unless you wanted a report on success rate or percentage. ...a report on success rate or percentages.

Summary: The task force reviewed survey results from state agencies on potential statutory revisions, with Levi reporting 70 proposals from 20 agencies and noting that about 33 might become agency pre-file bills. Members discussed the need to share the survey more broadly within higher education and to better coordinate issues involving IT and other cross-agency functions. The task force then heard from the Office of Management and Budget on three topics: concessions, architect/engineering pre-qualification, and legal notices. OMB said the concessions law is outdated and inconsistent with current practice, and suggested a collaborative rewrite to allow best-value evaluation, raise the threshold, and standardize solicitation templates. On architect/engineering pre-qualification, OMB proposed expanding authority beyond current state-agency limits and creating uniform templates. On legal notices, OMB proposed modernizing publication requirements, exploring online and abbreviated notices, and working with newspapers and other stakeholders on technology and accessibility improvements. Members asked about where concession revenues go, whether political subdivisions must follow the same rules, and how to move from discussion to action. The task force agreed to have OMB work with Legislative Council and affected stakeholders to develop bill drafts, and the motion passed unanimously. The University of North Dakota then presented a series of proposed revisions focused on public buildings and procurement. UND asked to rework the definition of construction so routine maintenance and one-for-one replacements over $250,000 would not automatically trigger public-improvement requirements, suggested raising the threshold to $500,000, and asked for more flexibility based on project complexity and risk. UND also proposed changes to public bid advertisements to reflect electronic bidding, revisions to construction manager-at-risk selection criteria, changes to architect/engineer procurement rules, an increase in the direct-hire design threshold, and a higher legislative-consent threshold for privately funded projects. The task force supported having UND work with counsel and OMB to develop bill drafts, and that motion also passed. The Department of Public Instruction concluded with proposed cleanup to credentialing and education statutes. DPI recommended reviewing its credential categories for relevance, possibly transferring credentialing authority to the Education Standards and Practices Board, removing outdated school safety patrol language, clarifying waiver provisions, and updating dyslexia screening reporting requirements so the statute reflects current practice. Members focused mainly on whether the dyslexia reporting requirement should remain, and DPI said the screening itself would continue even if reporting language were revised. No votes were taken on DPI’s suggestions, and the task force recessed after the presentation.

Transcript Highlights:

• Members, this is Chairman Darby's bill regarding interim rates.
• and the voter. tax rate.
• These sections relate to the calculation of the no new revenue tax rate.
• The mechanism is not through a full rate case.
• This would create yet another unnecessary piecemeal rate case and increase rates without any substantive

Bills: HB45, HB755, HB 1232, HB1555, HB2460, HB2702, HB2973, HB3120, HB3225, HB3314, HB3356, HB3371, HB3634, HB3638, HB4247, HB4283, HB4290, HB4302, HB4503, HB4511, HB4565, HB4581, HB4627, HB4632, HB4660, HB4668, HB4960, HB5042, HB45

Keywords: housing, affordable housing, rent control, landlord-tenant laws, housing rights, lobbying, public entities, expenditures, government code, transparency, Texas Ethics Commission, government regulation, lobbying restrictions, government accountability, taxpayer money, HB 1232, whistleblower, whistleblower protection, public employee, retaliation

Transcript Highlights:

• for in-person brick-and-mortar bets at the tracks or the offsite facilities and a 14 and a quarter rate
• Generally, fantasy is all online and so we settled at a 12% rate. rules.
• quarter rate for online there. quarter rate for online there.
• There are rates as high as 15 and as low as, I think, five, with maybe a couple of states that don't
• , higher than our licensed a quarter rate, higher than our licensed operators<00:25:31.200> are

Keywords: 00:00 CALL TO ORDER 00:05 ROLL CALL 01:03 HB 566 DISCUSSION 03:05 HB 566 VOTE 05:10 HB 885 DISCUSSION 08:03 HB 885 VOTE 09:55 HB 904 DISCUSSION 33:10 HB 904 VOTE 34:28 ADJOURNMENT, 958, all

Transcript Highlights:

• And there was a 48% diversion rate with those court liaisons last year.
• Um, so we have seen an increase in that. diversion rate with those court leaison diversion rate with
• <00:25:49.600> So<00:25:49.760> if national in instate answer rate.
• So if national in instate answer rate.
• What you give determines what the millage rate is.

Keywords: Appropriations - Room 210; 29 January, 2026: 8:00 AM, 925, all

Summary: The Department of Mental Health presented its FY27 budget request and described its statewide responsibilities, including more than 600 grants totaling about $140 million, 11 community mental health centers, and state-operated programs for mental health, substance use, and intellectual/developmental disabilities. The request included $291.2 million in general funds, about $33.4 million above the current year, plus spending authority tied to ID regional programs and the IDD waiver. Major components included funding to enroll 250 additional people in the IDD home- and community-based waiver, a projected waiver rate increase, and added support for state-operated 24/7 programs facing staffing and operational shortfalls. The agency also asked to continue selected ARPA-funded services before those dollars expire, including 988 call center support, peer respite sites, court liaison positions, intensive community services for children and youth, and adolescent offender programs. Other requests covered salary adjustments and longevity increases for hard-to-fill positions, electronic health record support, IT security upgrades, a Jackson County crisis stabilization unit expansion from 8 to 16 beds, capital needs such as generator and boiler/chiller replacements, inflation-related increases for community mental health center grants, and restoration of general funds under a Joint Legislative Budget Committee recommendation. Officials emphasized that community-based care now accounts for 58% of funding and that the goal is to keep people out of institutions unless they need the highest level of care. Committee members asked about ARPA balances, forensic referrals, Jackson County’s request, and county support for community mental health centers. The department said about $25 million in ARPA funds remained and should be spent by September 30, with some delays due to reimbursement revisions. On forensic services, officials reported the new 81-bed maximum-security unit at State Hospital has cut the wait list roughly in half, but admission orders are up 51%, and some referrals may be unnecessary or used to delay proceedings. Members also discussed county contributions to community mental health centers, which the department said total about $9–10 million statewide, with most counties now meeting their obligations and only a few using small in-kind contributions.

Transcript Highlights:

• New Hampshire at higher education in New Hampshire at half<00:16:00.880> the<00:16:01.040> rate
• half the rate we were 20 years ago. half the rate we were 20 years ago.
• ><00:35:27.119> error we because we have an a high error we because we have an a high error rate
• 35:30.640> up<00:35:31.040> having<00:35:31.359> to<00:35:31.760> pick rate
• , we could end up having to pick rate, we could end up having to pick up<00:35:33.839> the<00:

Keywords: 1191, senate, all

Transcript Highlights:

• This is the reimbursement rate for trainees of mental health practitioners.
• It reimburses clinical trainees for mental health services at full rates.
• This is the reimbursement<00:09:17.520> rate<00:09:17.800> for reimbursement rate for reimbursement
• rate for trainees<00:09:20.280> of<00:09:21.080> for<00:09:21.240> mental<00:09
• <00:09:41.600> Uh health services at full rates. Uh health services at full rates.

Keywords: 918, senate, all

Summary: The committee took up a series of amendments to the bill. Representative Keagle’s A21 amendment, which would have prohibited online sweepstakes games, raised the paddle wheel prize value, and added Hessian pepper as a social skill game, was discussed with support cited from a broad coalition of organizations, but it failed on a roll call vote. The A27 amendment, directing the Department of Commerce to perform a 62J evaluation of home care nursing services, was then adopted after members described it as a temporary step toward a longer-term solution for disability home care issues. Senator French’s A11 amendment, which raises the cap on deposits into the consumer protection restitution account and changes how those funds are distributed to eligible consumers, was also adopted. Representative O’Driscoll then offered the H.F. 4188 A22 amendment, described by counsel as incorporating language from House File 4333 on short-term and long-term home care insurance; members supported it as a way to expand private insurance options, and it was adopted. Finally, Representative Keagle moved Article 3, Section 11, a provision to reimburse clinical trainees providing mental health services at full rates, and that motion was adopted as well. Afterward, the committee authorized nonpartisan staff to make technical or necessary corrections to the bill, noted that the bill would not be wrapped up that day, and then adjourned.

Transcript Highlights:

• recommended reimbursement providers $295 for critical intensive outpatient service; Access set the rate
• In fact, we don't have an incentive to deny claims; it will impact our federal error rate.
• received when it put the state plan amendment to change the intensive outpatient program reimbursement rate
• codes were a really important tool to combat the fraud that we were seeing because prior to those rates
• codes were a really important tool to combat the fraud that we were seeing because prior to those rates

Keywords: 1182, all

Summary: The Committee on Health and Human Services held another oversight hearing on Access, focusing on fee-for-service behavioral health management, prior authorization and claims processing, the Targeted Investment Program (TIP), and network adequacy. The chair and other members criticized Access for repeated transparency failures, including missing records related to the Covered Behavioral Health Services Guide, lack of public comment, unanswered questions about ARPA compliance, and concerns about ghost networks and delayed payments to providers, especially in Native communities and rural areas. Interim Director Roberta Harrison said Access had improved fraud controls after the sober living scheme crisis and acknowledged the need for modernization. She reported faster prior authorization processing, fewer denial codes, real-time dashboards, additional staffing, and claims processing under 30 days. She also said the agency wants more fraud referrals and is working to strengthen internal systems and communication. On the TIP program, Access officials explained that payments are delayed because of complex data validation and allocation across many provider sites; they said year one of TIP 2.0 was paid, but years two and three had not yet been distributed. The committee requested a formal plan within 30 days for paying the estimated $122 million in delayed TIP funds and asked for CMS-related documentation. Committee members also questioned Access about a direct contract with Constellation for claims processing, noting language in the proposal suggesting higher ROI from denying more claims; Access said that language was not part of the contract scope and was verbally rejected. On network adequacy, officials described time-and-distance standards, annual MCO reports, and internal review processes, but could not immediately confirm whether a fiscal year 2025 report had been submitted to CMS or whether any corrective action plans had been imposed. The chair concluded that Access’s improvements appeared to be driven by legislative pressure, said the committee would review the information received, and announced that Access would be sent detailed monthly reporting directions before the hearing adjourned.

Transcript Highlights:

• Per your advice, Madam Chair, I looked up some statistics here on pass rates of the NCLEX, so a diploma
• Diploma versus ADN, talking about the NCLEX, the pass rate on that.
• The diploma programs had a 78.31% pass rate. The ADN programs had a 77.91% pass rate.
• know, honestly, I think, I mean, with the statistics I gave you guys earlier about the NCLEX pass rate
• It shows by having a higher pass rate on the NCLEX exam. You're recognized for follow-up?

Bills: HB4336, HB1818, HB3194, HB3538, HB3682, HB3762, HB3793, HB3930, HB3931, HB3934, HB4124, HB4200, HB4410, HB4457, HB4473, HB3884, HB1912

Keywords: interventional pain management, pain management clinic, chronic pain, acute pain, spinal injections, epidural steroid injection, peripheral nerve block, nerve ablation, spinal cord stimulator, intrathecal infusion pump, endoscopic diskectomy, fluoroscopy, physician supervision, allopathic physician, osteopathic physician, CRNA, certified registered nurse anesthetist, nurse anesthetist, freestanding pain management facility, medical licensure

Transcript Highlights:

• It provides $93.6 million in Medicaid provider rate increases, $13.3 million in additional resources
• We spoke briefly about the methodology for the room rate.
• You talked about setting the room and board rates to include input from the children and care of former
• foster youth to ensure those rates support the quality of life.
• applied throughout the state. ...there is a more consistent rate applied throughout the state.

Summary: The Appropriations Committee on Health and Human Services first heard and adopted the proposed fiscal year 2025-26 budget for the committee, which was presented as a $1.8 billion increase over the current base budget. The budget emphasized Medicaid and KidCare funding, IT modernization, workforce reductions tied to unfilled or augmented positions, provider rate increases, mental health and substance use funding, opioid treatment, elder care, veterans’ services, cancer research, and school nurse staffing. The committee approved technical adjustments and then adopted the budget proposal for submission to the full Senate Appropriations Committee. The committee then considered several bills, most of which were reported favorably. SB 152 on surgical smoke required hospitals and ambulatory surgical centers to adopt smoke evacuation policies; it drew strong support from nurses and other health care workers describing workplace and patient safety risks. CS/SB 958 on early detection of type 1 diabetes required the Department of Health to develop informational materials for schools and, by amendment, early learning coalitions. CS/CS/SB 170 on nursing homes required consumer satisfaction surveys, patient safety culture surveys, reporting to the health information exchange, financial reporting penalties, and Medicaid quality incentive reporting; an amendment exempted state-operated homes, including veterans’ facilities, and directed a study of quality incentive systems. CS/SB 738 updated and streamlined child care regulation, and CS/SB 1356 created the Florida Institute for Pediatric Rare Diseases at Florida State University and a related pediatric rare disease screening pilot. The committee also passed SB 1370, which reorganized ambulatory surgical centers into their own statutory framework, with testimony emphasizing their lower costs compared with hospitals. Finally, the committee considered CS/CS/SB 1626 on child welfare and related issues. After adopting multiple amendments that removed references to unaccompanied alien children and special immigrant visas, changed language on child abuse definitions, and required DCF to set room-and-board rates by methodology rather than fee schedule, the bill was explained as strengthening child welfare protections, codifying military-family coordination, improving domestic violence shelter certification, adjusting children’s services council appointments, clarifying missing-child procedures, and updating licensing and compliance provisions. The bill drew both support and opposition, particularly over missing-child jurisdiction and immigration-related concerns, and was ultimately reported favorably. A final motion to record a vote on SB 958 was also adopted.