Transcript Highlights:

• Today, we'll begin a series of hearings to examine the 2025-26 Governor's health care budget.
• reproductive care, and ensuring that Californians have access to comprehensive gender-affirming care
• , where we spend most of our health dollars caring for illness.
• And are provided directly to the California Immunization Registry or CARE.
• Members of the public can correct their CARE records.

Keywords: 988, house, all

Transcript Highlights:

• Danger lurks in either<00:37:18.000><c> direction.</c> either direction. either direction.
• And so, as you said, the money could be used for direct care for children.
• </c><01:15:05.360><c> So</c><01:15:06.080><c> in</c><01:15:06.159><c> other</c> direct care for children
• So in other direct care for children.
• </c> constituents ability to access care. constituents ability to access care.

Keywords: 1191, senate, all

Transcript Highlights:

• IN ADDITION TO THAT PROVIDING EXAMPLES OF TREATMENT AND CARE IS BEST PROVIDED IN THE PRIMARY CARE SETTING
• , MAYBE YOU WANT TO GO TO YOUR PRIMARY CARE PHYSICIAN FOR OR SEEK AN URGENT CARE CENTER.
• AND THE NONEMERGENT CARE ACCESS PLAN.
• I KNOW YOU SAID YOU'RE WORKING WITH MEDICAID MANAGED CARE ON MAKING SURE THAT NONEMERGENT CARE NEEDS
• IT INCREASED COORDINATION OF CARE AND ALLOWED FOR BETTER ACCESS FOR CARE FOR PATIENTS AT THE EMERGENCY

Keywords: 999, senate, all

Transcript Highlights:

• Really not the direction I want to be.
• Really not the direction I want to be.
• Really not the direction I want to be.
• HTS, California Correctional Health Care Services, which is kind of the, you know, health care side of
• , particularly the cost of our health care as it relates to people who are our elders in our health care

Summary: The Assembly Budget Subcommittee on Accountability and Oversight held a hearing on the California Department of Corrections and Rehabilitation (CDCR) budget, with a focus on prison population trends, spending, facility closures, and efforts to find savings. The Legislative Analyst’s Office (LAO) presented data showing the prison and parole populations have fallen sharply over the past 20 years while CDCR spending has remained high, driven largely by security, health care, litigation-related requirements, and aging infrastructure. The LAO also said the state is likely to have several thousand empty beds by 2030 and recommended closing another prison, identifying the Correctional Training Facility in Soledad as the strongest candidate, while also urging more transparency around facility deactivations and the Boston Consulting Group (BCG) efficiency contract. CDCR Secretary Jeff McCumber said the department faces structural budget pressures from retirement payouts, workers’ compensation, overtime, medical transport, aging facilities, and violence in prisons, but emphasized declining recidivism, expanding reentry beds, and the need for more single-celling and rehabilitation. Department of Finance representative Anthony Franzoa said the administration is not proposing another prison closure at this time, opposed new reporting requirements on deactivations, and said the BCG contract is intended to produce long-term savings even if near-term estimates are being revised downward. Amber Rose Howard of California United for Responsible Budget argued the state should close more prisons, redirect funds to community services, and stop spending on excess prison capacity. Members questioned why CDCR still relies on vacancy savings, why rehabilitation is only a small share of the budget, and whether the department should be more transparent about capacity reductions and legal liabilities. Several members criticized the $20 million BCG contract and the lack of competitive bidding, while others pressed CDCR on staffing levels, single-celling, suicide prevention, and health care costs for older incarcerated people. The hearing did not take a formal vote, but it ended with clear committee concern about CDCR’s budget transparency, the pace of prison closures, and the need to align spending more closely with the declining prison population and the department’s stated rehabilitation mission.

Transcript Highlights:

• You can't contradict his direct testimony, his direct evidence ... ...You're not allowed to do that.
• You can't contradict his direct testimony, his direct evidence, with Ms.
• I was in foster care, and I was in foster care and was in jail, in juvenile detention, jail, prison.
• And I'm directing everyone.
• And so my point of this was trying to, Care for each other.

Keywords: 904, all

Summary: The hearing resumed on day two of the Legislative Ethics Board fact-finding matter involving Representative Tara Simmons. After opening remarks and confirmation that board members had not engaged in outside research or ex parte communications, Simmons’s counsel moved to dismiss two allegations at the close of the board staff’s case: that Simmons pressured the Administrative Office of the Courts to alter a contract in favor of her employer, and that she improperly combined a legislative proviso for AEJG with a personal donation to the organization. Board staff opposed the motion, arguing the evidence showed Simmons’s legislative and private conduct were intertwined and that the board had enough evidence to require a defense. After deliberation, the board denied the motion to dismiss and proceeded to hear defense testimony. The first defense witness, Sharon Navas, testified that she met Simmons through advocacy work, later hired her at the Equity and Education Coalition (EEC), and maintained written employment policies intended to separate Simmons’s legislative role from her work for EEC. Navas said Simmons was never compensated for lobbying or legislative acts, that EEC paid her from unrestricted funds, and that Simmons did not work on the AEJG dashboard project or participate in the contract dispute with Anthony Powers and Chris Stanley. Navas described the proviso request and later contract issues as separate from Simmons’s legislative duties, and said she continued to pay invoices while the project was being completed. Simmons then testified about her background, legislative career, disability accommodations, and extensive efforts to seek ethics advice before taking outside employment or pursuing provisos. She said she repeatedly consulted House ethics counsel and reviewed prior board decisions to ensure her outside work and legislative actions were separated. Simmons described her relationship with Anthony Powers, the dashboard project, the proviso process, and her understanding that the work was distinct from her legislative role. The hearing paused for lunch after part of Simmons’s direct examination, with testimony set to continue after the break.

Transcript Highlights:

• That is the President's direction to you.
• We provide supplies, food, care, shelter, medical support at this time.
• I'm waiting for the direction.
• Well, you have a presidential directive.
• Have you not started planning for to fulfill that directive?

Keywords: national security, China, Russia, cybersecurity, border security, military deployment, transnational crime, defense modernization, military strategy

Summary: In this meeting, key topics included national security concerns with an emphasis on threats from China, Russia, and transnational criminal organizations. Senior military officials provided testimony on the evolving risks posed by these adversaries, particularly focusing on cybersecurity and advancements in weaponry. The discussion highlighted the importance of a cohesive strategy among government departments to effectively respond to the challenges presented by these threats, emphasizing the need for modernization in defense capabilities. Committee members grilled the witnesses on border security and the implications of deploying military resources in domestic operations.

Transcript Highlights:

• care.
• But we also need to start directing the PUC.
• AB 1138 is the product of careful negotiations.
• We could direct them again.
• Even our CARE customers who...

Summary: The Assembly met after a quorum call and first dealt with a procedural dispute over four amendments to AB 1240. The Speaker ruled the amendments out of order as not germane, and the Assembly sustained that ruling on a 49-16 vote. Members then added co-authors to several consent-calendar resolutions, including measures on the National Conference of State Legislators, Suicide Prevention Awareness Month, ALS Awareness Month, and Men’s Mental Health Month, before adopting the consent calendar. The chamber also heard guest introductions, including a welcome for Oakland Mayor Barbara Lee, and took up a motion to bring AB 41 up out of file, which failed 19-48. The bulk of the meeting was floor action on a long series of bills and resolutions, many of which passed with broad bipartisan support. Measures approved included ACR 40 supporting immigrant students and FAFSA privacy; AB 917 on permanent status for certain school employees; AB 985 on anesthesia access; AB 7 and AB 42 on higher education and student services; AB 245 providing property tax relief for wildfire victims; AB 255 allowing funding for drug-free recovery housing; AB 279 updating K-12 library standards; AB 289 creating a pilot for automated speed enforcement in highway construction zones; AB 291 on an educator apprentice program; AB 327 addressing swatting; AB 340 on confidential union communications; AB 341 creating an oral health technical assistance center for people with disabilities; AB 356 on San Diego health care infrastructure; AB 410 on bot disclosure; AB 476 on copper theft enforcement; AB 477 on educator pay targets; AB 485 on stolen wages and business licensing; AB 487, the insurance committee’s technical omnibus bill; AB 573 on tobacco retail license fees; AB 598 on school mapping technology; AB 635 on mobile home law enforcement referrals; AB 651 on remote participation for incarcerated parents in dependency hearings; AB 654 on homelessness hotline assistance in Los Angeles County; AB 662 creating a South County higher education task force; AB 667 on language access in professional licensing; AB 669 limiting early denial of addiction treatment; AB 670 on naturally occurring affordable housing; AB 695 on online continuation of community college for deported students; AB 723 on disclosure for digitally altered real estate images; AB 727 placing Trevor Project information on student IDs; and AB 736, a $10 billion affordable housing bond for the June 2026 ballot, which passed on a 61-11 urgency vote after extensive debate. Debate on AB 736 was the most extensive of the day, with supporters arguing the bond would help address California’s housing crisis and give voters a chance to weigh in, while opponents criticized the state’s bond debt and past spending results. The Assembly then recessed for caucus meetings and later returned to continue the daily file, where additional measures were taken up, including AB 798 adding diapers and wipes to the emergency food bank reserve program, which passed 56-0, and AB 821 on career technical education, which was presented as bipartisan-supported as the transcript continued.

Transcript Highlights:

• And they can go to private care. They could go to Christian care.
• And they can go to private care. They could go to Christian care.
• care.
• And that particular day care, we'll call it Acme Day Care, that particular day care will be— Acme Day
• Care will be directed on how much they can hire that employee for.

Keywords: 996, all

Transcript Highlights:

• </c> to continuity of care protections. to continuity of care protections.
• Uh, line 42 is a request from the Department of Administration related to certain duties at direct care
• c> that</c> duties at direct care and treatment that duties at direct care and treatment that the<00:
• </c> page on the direction of the bill. page on the direction of the bill.
• </c> to get some direction here. to get some direction here.

Keywords: 1187, senate, all

Transcript Highlights:

• for families to obtain care in a setting that best fits their needs, and state-contracted direct services
• child care home in Alameda County, infant care is already above the cost of care.
• For infant care? For a large family child care home.
• access to child care and providing 44,000 new child care slots.
• I have been a child care provider for 28-plus years, providing 24-hour child care.

Keywords: 987, senate, all

Transcript Highlights:

• It's a wide range of industries that provide direct care in the human services sector.
• It's a wide range of industries that provide direct care in the human services sector.
• care workers.
• care workers.
• Senator Kavanagh, when you were speaking, you were talking about primarily direct care workers, and this

Keywords: 993, senate, all

Summary: The Housing, Construction and Community Development Committee met in Albany and considered a series of housing and homeownership bills. Early actions included reporting S.852 (Homebuyer Renovation Property Tax Exemption Act) to Finance, S.955 on smart access systems to Internet and Technology, and S.7933A on registrations of residential mortgages in default. The committee also advanced S.8675, the CAREforce First-Time Homebuyers Act, after a lengthy discussion about whether the bill inappropriately targets a specific workforce; supporters said it addresses a documented shortage of human services workers and includes existing SONYMA income eligibility, while opponents raised concerns about favoring one occupation over others. The bill was reported with some members in the negative and others voting to advance without recommendation. Members then reported S.9650, which would prohibit landlords from including incorrect rent decontrol information in certain leases and standardize notices for Affordable New York Housing Program units, and S.9679, which would codify the Block-by-Block Home Ownership Program in state law. Both had prior Senate history and drew some negative or AWR votes. The committee also discussed and advanced S.9742, which would allow residential units in multiple dwellings to omit openable windows if they meet ASHRAE ventilation standards; supporters said the change is needed to facilitate office-to-residential conversions, while members raised questions about maintenance, egress, and the bill’s limited application to localities under the multiple dwelling law. Finally, the committee reported S.989, establishing the vacant rental improvement program, after noting it had previously passed the Senate and was being reintroduced. Throughout the meeting, several bills were described as reintroductions or prior Senate measures, and multiple motions were made to report bills either to Finance, the floor, or another committee, with several members voting in the negative or to advance without recommendation on selected measures.

Transcript Highlights:

• Member Campbell Care.
• In addressing that, that access to that care. That is a bill.
• The bill will require AHCA to establish standards to direct managed care plans to ensure that their dental
• The last fee increase for dental care was in 2011. It is 2026.
• directed by AHCA to provide comprehensive dental care to children.

Transcript Highlights:

• First of all, we absolutely want to employ only state employees in our nursing and direct care facilities
• Over the years, we run in the mid-30s to mid-40% state employees in direct care.
• Obviously, we make up the difference with contract agency direct care personnel.
• care personnel.
• We run in the high 30s to low 40% state employee rate direct care in our two facilities.

Summary: The ALC-Review Subcommittee reviewed seven methods of finance, including university projects at ASU Jonesboro and Mountain Home, Black River Technical College deferred maintenance, UA Batesville’s Farm Project Gateway Center, UAMS PET cyclotron equipment, a new allied health building at UAPB funded by a federal grant, and UCA’s multi-purpose arena design work. The committee also approved an alternative delivery construction project for UAPB’s Allied Health and Sciences Building, with East Harding Construction selected and AMR Architects as designer. Members then approved discretionary grants from the Department of Health and DHS, including support for a heart attack center designation, community health worker training, homeless services funding corrections, behavioral health transition support, and an enabling technology pilot. In the contracts section, the committee reviewed RFQs, construction-related contracts, intergovernmental contracts, and a large slate of out-of-state and in-state contracts covering topics such as seatbelt survey data collection, Medicaid and DHS systems, state hospital staffing and services, veterans’ services, education assessments, and state IT and procurement projects. Several contracts drew extended questioning. Senators and representatives pressed DHS and the Department of Veterans Affairs about heavy reliance on contract nursing and staffing costs, and officials said they were using pay incentives and recruitment efforts to increase state employee staffing. Members also questioned AEDC’s lithium supply chain study and the Department of Education’s security contract, with concerns about projected costs and repeated amendments. The committee held three in-state contracts—Department of Education security services and two DHS staffing contracts—until Friday, then adopted the remaining contracts and received informational reports on contract amendments, executed contracts, and emergency procurements before adjourning.

Transcript Highlights:

• You've heard about the urgency, the data crisis, direct services.
• Health care was inadequate and often demeaning. Those inadequate...
• Health care was inadequate and often demeaning.
• In need of mental health care to a prison.
• We should be sending them to the agency that's tasked with providing that care and taking care of folks

Keywords: 995, all

Summary: The committee heard testimony on several bills related to open meeting law, municipal meetings, town meetings, and remote participation. Senator Rausch supported S. 2205 and S. 2206, and House companion H. 3382, saying they would make remote participation in public bodies permanent and streamline open meeting law and public records complaint processes to reduce burdens on local officials. Committee members and the senator discussed concerns about complaints being weaponized, the role of the Attorney General, and whether public testimony should be presumed allowed unless a chair limits it with justification. The senator said the bills do not change public records fees and are meant to improve process and transparency. A large portion of the hearing focused on H. 3342 and S. 2197, which would modernize municipal meetings, town meetings, and local elections by allowing permanent remote or hybrid participation. Supporters included Wayland officials, the Massachusetts Municipal Association, Newton Mayor Ruthanne Fuller, MAPC, MACC, and others, who argued that hybrid and remote options increase participation, help parents, caregivers, people with disabilities, and residents with travel or work constraints, and have worked well during the pandemic-era extensions. Municipal officials emphasized that a mandate would be costly and difficult for smaller communities because of staffing, technology, room design, cybersecurity, and uneven internet access, especially in western Massachusetts. Committee members asked about equal access, funding, and whether local discretion should remain; the chair said the committee wants a permanent solution beyond emergency rules but must balance access with local capacity. The committee also heard testimony on H. 3328, which would allow remote participation to count toward quorum for statewide appointed bodies such as commissions on women and LGBTQ issues. Supporters argued this would improve regional equity and make it easier for people outside Greater Boston to serve, while committee members noted it is a separate issue from municipal meetings and may be easier to address than broader local-government changes. Another bill, H. 4351, was supported by Rep. Brandy Fluker Reed, who described it as creating an Office of Freedmen Affairs to address longstanding racial wealth disparities affecting descendants of enslaved Americans. The hearing also included testimony on H. 3299 from Common Cause and MASSPIRG in favor of guaranteed hybrid access for public meetings with public participation components, with advocates saying it would improve transparency, accessibility, and civic engagement.

Transcript Highlights:

• :09:14.320><c> administrative</c> to send a directive administrative to send a directive administrative
• </c> not licensed in a health care not licensed in a health care professional<00:40:26.400><c> way,</
• needs, children that are outside the managed care program.
• </c> have the personnel and then directing have the personnel and then directing that<01:33:12.400><c
• Take care.

Keywords: 1189, house, all

Summary: The subcommittee met to begin work on HB 742, which would require catastrophic special education aid to be drawn from the education trust fund, and more broadly to study special education aid/differentiated aid and related costing issues. The chair said the group was starting early because the issue has been debated for years without resolution, local districts are being forced to absorb prorated costs, and the committee wants to send the Department of Education and HHS Medicaid a clear request for data and recommendations before retained bills return in the fall. A committee clerk was also selected, with Representative Reverend volunteering to take notes for the meeting. Members reviewed background materials on special education enrollment, high-cost students, and possible funding formulas, including data on students in high-cost brackets and prior ideas such as category-based funding and caseload-based approaches. The chair also referenced research on other states, including Arkansas, which uses a different special education funding structure and audits IEPs. The committee emphasized that it was focused on the funding mechanics and costs, not on questioning whether services should be provided. Henry Lipman of HHS explained how Medicaid-to-schools currently works in New Hampshire. He said 172 school districts participate, but utilization dropped during the pandemic and remains below historical levels, in part because districts need the capacity to bill Medicaid. Under the current system, schools receive reimbursement based on half of the Medicaid fee schedule, with the school district effectively providing the state share. He said the federal government is requiring a shift by July 1, 2026, to a true certified public expenditure model based on actual costs, which should allow schools to recover 50% of their true costs and some administrative overhead. The department has received a roughly $2.5 million grant to hire a vendor and support districts through the transition, and an RFP and stakeholder meetings are underway. Committee members asked about how costs would be determined, whether the new system would use actual district-specific costs rather than averages, and how the department would support districts that do not currently participate. Lipman said the cost model would be based on each district’s own reasonable costs, subject to audit standards, and that the department expects to provide templates and technical assistance through the vendor because its staff is limited. He also said about one in four New Hampshire children are enrolled in Medicaid, that child enrollment has been relatively stable, and that continuous coverage rules should reduce churn. No votes or formal actions on HB 742 were taken during the meeting beyond organizing the subcommittee and beginning testimony and discussion.

Transcript Highlights:

• patient care.
• then</c> involved in direct patient care and then involved in direct patient care and then in<00:19:
• ><c> our</c> highquality Health Care Services is our highquality Health Care Services is our mission<
• Currently, fertility preservation is bracketed in Hawaii state health care brackets.
• </c> and approval process under the direction and approval process under the direction and<00:58:28.559

Keywords: 910, house, all

Summary: The committee heard testimony on several measures, beginning with HB 205 HD1 and HB 480 HD1 on workers’ compensation. Testifiers from the Department of Labor and Industrial Relations and the Department of Human Resources Development supported the bills, with DLIR saying HB 205 would codify and regulate nonprescription over-the-counter drugs at a reasonable rate, and DHRD saying HB 480 would encourage timely and accurate assessments of injured workers’ physical abilities. No opposition was raised on those measures, and the committee moved on without votes or amendments noted. On HB 331 HD1 relating to permits, the University of Hawaiʻi, the Department of Education, and the Hawaii School Facilities Authority supported the bill, while the Board of Water Supply and Greg Mikan opposed it. Supporters did not elaborate much beyond standing on written testimony, but the School Facilities Authority asked that renovations be added to the definition of repeatable projects. Opponents argued the Department of Planning and Permitting is understaffed and that bypassing or speeding the permitting review process could create problems, especially for projects requiring proper engineering review. No action was taken beyond hearing testimony. The committee also heard HB 72 HD1 on pharmacy technician regulation, with the Board of Pharmacy offering comments and the Hawaii Pharmacist Association, Walgreens, and Mōʻiliʻili Drugs supporting the measure. Supporters said pharmacy technicians already perform essential duties such as vaccinations, compounding, inventory, and dispensing, and argued Hawaiʻi is the only state without an active managed list of practicing pharmacy technicians. On HB 139 HD1 regarding insurance, the Department of Commerce and Consumer Affairs offered comments, and the Hawaii Society for Clinical Oncologists supported the bill, arguing fertility preservation coverage should not conflict with federal law or the prepaid health care system. On HB 32 HD1 relating to cannabis, the Attorney General and Department of Health raised concerns about allowing purchase before certification is approved, while the Hawaii Cannabis Industry Association supported the bill and suggested lowering the purchase limit from 2 ounces to 1 ounce; the Department of Health said its average turnaround is two to three business days, with about 20% of applications returned for incompleteness and an internal expedited process for certain cases. Later, the committee heard HB 470 HD1 on noise, with the Department of Health supporting the goal of reducing noise pollution but cautioning that regulating intermittent noise like string trimmers is complicated, while the Retail Merchants of Hawaiʻi opposed the bill as a hardship for small businesses and questioned the practicality of battery-powered equipment. Ted Bolan supported the measure, saying it would not ban gas leaf blowers but would require quieter models over time. The committee then heard HB 534 HD1 on labeling requirements, where DLNR and the Department of Agriculture offered comments and several fishing and consumer groups supported the bill. Testimony focused on seafood origin labeling, especially raw tuna used in poke and sushi, with DLNR explaining the bill was being narrowed to avoid federal preemption and to avoid unintentionally covering canned tuna or other processed products. Finally, the committee heard H47 HD1 on aquaculture, with the Department of Agriculture, the Hawaii Invasive Species Council, and the Agribusiness Development Corporation supporting the measure; no votes were taken on any bill during the hearing.

Transcript Highlights:

• That raises a question of where that concern may be directed.
• and preventive care.
• And at the same time, it made me... ...made them feel seen and cared for.
• It gave me direction and something to work toward.
• I think we have to be careful about that still and not forget about that history.

Keywords: 988, house, all

Transcript Highlights:

• I was Director of Soldier Care.
• Again, I take care of women. You can go to my website.
• We do a lot of fertility care now.
• For this undertaking, our approach was direct.
• And so we know we're headed in the right direction.

Summary: The committee first considered the confirmation of Dr. John Lattell to the Board of Medicine. In questioning, senators focused heavily on his views about abortion, vaccines, ivermectin, and the role of CDC/FDA guidance in board discipline cases. Dr. Lattell said the board applies Florida statutes and works through probable cause panels and legal counsel, but he also expressed strong pro-life views, skepticism of federal health guidance, and criticism of vaccines and some medical practices. Supporters praised his long medical career, military service, and family medicine background, while opponents argued his views could prevent him from being objective in disciplinary matters. The committee voted to recommend him for confirmation to the full Senate, with Senators Polsky and Ruson voting no. The committee then took up the confirmation of Taylor Hatch as Secretary of the Department of Children and Families. Hatch described her background in state human services and outlined priorities centered on accountability, data, lived experience, and improving service delivery. Senators asked about SNAP error rates, Hope Florida, legislative analyses, staffing, and the department’s handling of child welfare and medically complex cases. Hatch said the department was reducing SNAP error rates, that Hope Florida uses navigators to connect people with community resources and self-sufficiency supports, and that DCF is working with the Department of Health and other partners to improve investigations and accountability in child welfare. She also said the agency is reviewing medically complex cases and strengthening oversight of community-based care providers through contracts, audits, and proposed funding-model changes. A substantial portion of the Hatch discussion centered on whether the department had been responsive to legislative requests and whether it had provided timely bill analyses. Senators also pressed her on Hope Florida staffing, the number of participants served, and the Hope Florida Foundation’s compliance and legal oversight. Hatch said the foundation is undergoing a financial audit and that the department is relying on required reports and ongoing investigations. The transcript ends amid continued questioning about a community-based care contractor’s finances, related-party transactions, and whether further forensic audits or repayments are needed.

Transcript Highlights:

• First, child care.
• care system.
• So let me just ask, do you agree that cutting child care by laying off civilian child care workers makes
• Let's talk about health care real quick.
• They want to do the medical care. So the more we.

Keywords: NDAA, military recruitment, personnel readiness, testimony, military leaders

Summary: The committee meeting focused on pressing issues related to the U.S. military's recruitment and personnel strategies, especially in light of the upcoming NDAA for fiscal year 2026. Chairperson expressed appreciation for the service of witnesses including senior military leaders from different branches, emphasizing the importance of personnel as the backbone of national defense. Discussions revealed concerns regarding the recent lowering of recruitment standards across military branches, which could potentially affect the quality of service members and long-term military readiness. Witnesses were asked to address the implications of these changes on military health and efficiency.

Transcript Highlights:

• for Health Care Administration to seek federal approval and update managed care-for-service contracts
• Adapting that test to add a direct bilirubin does.
• curricula that align with the stringent requirements of the health care industry and that our care and
• care and specialty care doctors.
• care system in our state.

Bills: S0162, S0254, S0688, S0794, S1110, S1574

Keywords: surgical smoke, health standards, hospital safety, patient protection, medical regulations, nursing education, licensure, remedial courses, temporary license, graduate nursing preceptorship, Agency for Persons with Disabilities, background screening, support coordination services, developmental disabilities, Tatton-Brown-Rahman syndrome, public hearings, orthotics, prosthetics, healthcare, Medicaid

Summary: The Appropriations Committee on Health and Human Services met with a quorum present and took up several health-related bills. CS/SB 1110 on Medicaid and insurance coverage for orthotics and prosthetics was heard first. The bill would require coverage for medically necessary orthotics and prosthetics without lifetime or continuous-use caps, direct AHCA to seek federal approval and update contracts, and require annual reporting. Testimony from a child using prosthetic “gymnastics blades,” his mother, and another young person with a prosthetic leg emphasized the high cost of activity-specific devices and the impact on children’s mobility, sports participation, and quality of life. Senators voiced strong support, and the bill was reported favorably. The committee then approved SB 1574, “Maddie’s Law,” which adds newborn screening for biliary atresia using the existing blood specimen collected at birth. The sponsor and the child’s father described the condition as time-sensitive and potentially fatal without early detection, and argued the screening could prevent transplants and save money. The bill was reported favorably. The committee also considered CS/SB 794 on background screening for employees of residential facilities and day training programs for people with developmental disabilities, plus a review of waiver support coordination quality, training, and access issues. Parents and a support coordinator testified that strong support coordination is essential for families and that the bill would help standardize expectations and improve services. An amendment aligning the bill with the House companion was adopted, and the bill was reported favorably. Members next heard SB 162, which requires hospitals and ambulatory surgical centers to adopt policies using smoke evacuation systems during procedures that generate surgical smoke. Supporters, including nurses and the Florida Nurses Association, described surgical smoke as a workplace hazard with toxic chemicals and potential cancer risks; hospital representatives said they support the intent but argued existing federal and state standards already regulate the issue and the bill is too prescriptive. A late-filed amendment clarifying the smoke must be “effectively captured and filtered” was adopted, and the bill passed favorably. The committee also approved CS/SB 254, a major nursing education bill that tightens oversight of low-performing nursing programs, creates a temporary provisional license and preceptorship pathway for graduates awaiting NCLEX results, requires remediation for delayed testing, and increases transparency by posting passage rates. Nursing groups supported stronger standards, while private nursing schools warned the bill could reduce capacity and discourage program directors; the amended bill was reported favorably. Finally, the committee heard SB 688, which would reestablish licensure and regulation of naturopathic doctors in Florida, create a board of naturopathic medicine, set licensure and renewal requirements, and define the scope of practice while excluding most prescription authority. Supporters said it would expand health care choices and allow naturopathic doctors to practice openly, while opponents from the medical community warned the bill could authorize diagnosis and treatment without sufficient training and rely on unproven therapies. The bill was reported favorably. The committee then adjourned after members thanked staff for their work.