Transcript Highlights:

• grant application.
• business days before an application is deemed abandoned, and if the applicant replies to the notice
• : determine the application is not abandoned or allow the applicant to submit a subsequent grant application
• DFS may do one of two things: determine the application is not abandoned or allow the applicant to submit
• a subsequent grant application.

Summary: The Insurance and Banking Subcommittee met with a quorum present and heard four bills. HB 1231, relating to final disposition, funeral, and cemetery services, was presented as a consumer protection and workforce modernization measure. After questions about hospice/funeral provider exclusivity, direct disposal licensing, causes of action, and funeral director/embalmer licensure, the bill was amended by strike-all to remove some provisions and add authorization and regulation of natural organic reduction. Support came from funeral industry representatives, and the bill was reported favorably with the committee substitute. HB 943 would require Citizens Property Insurance Corporation to create a commercial lines clearinghouse by January 1, 2027, to move certain commercial residential and other commercial risks into the private market while maintaining current eligibility rules. The sponsor and members discussed Citizens’ remaining commercial exposure, surplus lines participation, and carrier financial-strength guardrails. A strike-all amendment conforming to the Senate version and making technical corrections was adopted, and the bill passed favorably with the committee substitute after supportive debate from members. HB 1221, a Department of Financial Services bill, was described as streamlining DFS processes, improving licensing, updating the My Safe Florida Home Program, strengthening public adjuster protections, and modernizing unclaimed property rules. Three amendments were adopted: notice before a My Safe Florida Home application is deemed abandoned, removal of a misdemeanor disclosure requirement for certain licensure applicants, and a provision allowing public officials to appoint or promote relatives to firefighter positions through a competitive process in a collective bargaining agreement. Testimony was generally supportive, including from firefighters and unclaimed-property claimants’ representatives, and the bill was reported favorably with a committee substitute. HB 99, concerning reinsurance intermediary managers, would exempt certain underwriting managers handling limited facultative reinsurance business from the intermediary manager statute and instead require an agency license. With no public testimony or debate, the bill was reported favorably. The meeting then adjourned.

Transcript Highlights:

• I assume you're still talking about certified mail? That was actually a change.
• Postal Service, you're talking about sending it certified mail.
• I don't think it requires certified mail, Senator Luneau.
• I don't think it requires certified mail, Senator Luneau. Well, what if it comes in late?
• But that doesn't happen with the interactive applications that we're talking about.

Keywords: 974, senate, all

Transcript Highlights:

• She also said they should be more creative, noting there are currently applicants for adult foster homes
• who want to be licensed or certified, but there is a backlog and they have not gotten certified.
• for adult foster currently applicants for adult foster homes<00:14:25.480> people<00:14:25.720
• as a home and and and they're certified as a home and and and they're and<00:14:30.759> they're
• so so the just haven't gotten certified so so the state<00:14:34.880> could<00:14:35.079>

Keywords: 912, senate, all

Summary: The Health and Human Services committee heard several resolutions focused on health care access, Medicaid services, and regulatory reform. SR 6 urged the Director of Health to create a working group on health insurance reform to reduce prior authorization delays; testimony was generally supportive, with DHS, SHIPA, the Hawaii Association of Health Plans, the Hawaii Primary Care Association, the Hawaii Medical Association, and HMSA all offering comments or support. SHIPA said House Bill 250 would provide a better mechanism for the same goal, but the committee still moved forward with the resolution. SR 7 asked DHS Med-QUEST to cover behavioral health services for children in school-based settings, and SR 9 sought a program to incentivize community care foster family homes to accept people eligible under the Medicaid IDD waiver program. DHS supported the intent of both measures but raised concerns about regulatory limits. Testifiers on SR 9, including the Hawaii State Council on Developmental Disabilities and the Hawaii Disability Rights Center, argued the state should be more creative in expanding residential capacity, especially on the neighbor islands, while the chair questioned whether the barriers were state administrative rules or federal requirements. The committee also heard SC 14/SR 10 on a sunrise analysis for lactation consultant licensure. Supporters said lactation services can improve health outcomes and save costs, and that Medicaid coverage remains limited. After discussion, the committee adopted the chair’s recommendations: SR 6 and SC 14/SR 10 were passed with technical, non-substantive amendments; SR 7 was deferred; and SR 9 was deferred for further work. The meeting then adjourned.

Transcript Highlights:

• Um, fixes the applicable building codes.
• the applicable building codes. the applicable building codes.
• <00:33:44.320> or complete building permit application or complete building permit application
• to take a look at what the application. to take a look at what the application.
• bill gives HFTC the power to certify bill gives HFTC the power to certify county<01:37:13.119>

Bills: HB1719, HB1742, HB1737, HB2049, HB1725, HB1726, HB1738, HB1799, HB1700

Keywords: housing crisis, manufactured homes, factory-built housing, zoning, relocatable housing units, farm employee housing, agriculture, Hawaii Revised Statutes, agricultural districts, land use, regulation, renewable energy, community development, housing, affordable housing, real estate, state regulation, building codes, construction, permitting

Summary: The joint public hearing covered several housing-related bills and one building-code measure. HB 1719 would make manufactured homes a permitted use by right on residentially zoned lots in the urban district, HB 1742 would authorize self-contained relocatable housing units with restrictions, and HB 1737 would clarify that a farm dwelling in an agricultural district may include an accessory employee housing structure. Testimony on these bills was overwhelmingly supportive from groups including Hawaii Realtors, Grassroot Institute of Hawaii, Housing Hawaii’s Future, the Modular Building Institute, the Hawaii Farmers Union, and others, with a few agencies offering comments. No one testified in opposition on HB 1719 or HB 1742, while HB 1737 drew one opposition and one comment in addition to broad support. No votes were taken during the hearing segment provided. A major portion of the hearing focused on HB 2049, which restructures the conveyance tax into a marginal-rate system and changes how the revenue is allocated, including funding for the Department of Hawaiian Home Lands and the rental housing revolving fund, while also affecting the legacy land conservation fund. Supporters, including DHHL, Hawaii Appleseed, Aahu Youth Action Board, Hawaii YIMBY, and others, argued the bill would help Native Hawaiian housing and, for most transactions, function as a tax cut. Opponents, including NAP Hawaii, Hawaii Realtors, Hawaii Land Trust, Mhai Land Trust, and the Tax Foundation of Hawaii, objected to using conveyance tax as a revenue-generating tool and raised concerns about higher upfront costs and reduced funding for other housing uses. Committee members and staff discussed the bill’s revenue estimates, the reduced percentage but higher cap for the land conservation fund, the effect on rental housing funding, and the bill’s cost-of-living adjustment language; staff said a line-by-line comparison of the current and proposed tax structure would be provided before decision-making. The hearing also took up HB 1725, which would extend the state building code adoption cycle from two years to six years, apply the IRC to triplexes and fourplexes, allow counties to adopt more or less stringent amendments, and appropriate funds for code adoption work. Most testimony supported the bill, with advocates saying the current process is unmanageable, too resource-intensive, and creates confusion because state and county codes can diverge; supporters said a longer cycle would improve clarity and allow more focused review. The International Code Council and the American Society of Heating, Refrigerating, and Air-Conditioning Engineers opposed the measure, warning that delaying adoption could have negative consequences and urging the committee to let an existing statewide code-adoption strategy proceed first. Members asked about sequencing, county implementation, and whether the longer cycle would create catch-up problems, but no action was taken in the excerpt provided.

Transcript Highlights:

• Last year, our Division of Real Estate reduced its processing times for initial applications.
• We try very hard to expedite all construction applications within 24 to 48 hours.
• school must certify that you've completed your education.
• My company, Silver Systems, Incorporated, is a certified roofing contractor.
• I certified two companies, Lawson and Lawson Electric and Lawson Alarm.

Summary: The subcommittee heard and approved four bills focused on reducing or modernizing professional regulation. HB 6015, by Rep. Oliver, repeals the word “reusable” from the wine keg statute to allow businesses more flexibility in container materials; members joked about the possibility of a Home Depot bucket, and the bill passed 16-0. HB 339, by Rep. Abbott, creates an alternative temporary licensure pathway for surveyors and mappers based on employer recommendation and exam passage, but members raised concerns about qualifications, liability, and oversight; Abbott said he was open to amendments, and the bill passed 14-1 with Rep. Overdorf dissenting. HB 139, by Rep. Lopez, allows pawnbrokers to use digital transaction forms instead of only printed forms; a technical amendment added readability and placement requirements for digital forms, and the bill passed unanimously. HB 195, by Rep. Chambliss, lets the Department of Corrections coordinate with DBPR boards so inmates who complete licensure-related classes can receive credit toward professional licensure; supporters framed it as a second-chance and workforce bill, an amendment clarified that DBPR handles professions without boards, and the bill passed favorably 15-0. The committee then received a presentation from DBPR Secretary Melanie Griffin on the department’s role overseeing more than 1.7 million businesses and professionals across over 30 fields. She highlighted enforcement and complaint data, including more than 24,000 inspections and complaints handled in the last fiscal year, a preference for education and voluntary compliance over formal discipline, and the department’s alternative dispute resolution program, which returned $2.7 million to consumers and saved $270,000 in costs. Griffin also reviewed recent deregulatory and efficiency efforts, including endorsement/reciprocity reforms, fee waivers, reduced processing times, and shorter call wait times, and said DBPR is continuing to look for ways to cut red tape while protecting public safety. Members questioned Griffin about permitting, continuing education, complaint processing, board vacancies, fraud in cosmetology and construction, coordination with other agencies, and whether schools can block students from taking state exams over unpaid tuition. DBPR staff said complaints are generally processed within 60 days, schools cannot bar graduates from taking the exam because of tuition debt, and the department works with other agencies when issues cross jurisdictional lines. The panel discussion that followed featured industry representatives from landscape architecture, building/code administration, pools, roofing, construction, HVAC/electrical, and hospitality, who generally supported reducing local permitting burdens, standardizing requirements, improving reciprocity and training pathways, and using technology and clearer scopes of work to make licensure and inspections more efficient.

Transcript Highlights:

• It does expand who can certify them.
• everyone who will certify these will be DCJS trained by a training that currently does not exist.
• Application for Federal Student Aid or opt out.
• House Bill 1523, which relates to certified violence prevention professionals certification.
• The Senate substitute adds a definition of certified violence prevention professional. Mr.

Keywords: March 11, 2026 - Regular Session, 976, house, all

Transcript Highlights:

• We are Hawaii's largest HUD-certified housing counseling agency, serving residents statewide.
• But without funding, our agencies that provide this education, HUD-certified education, are struggling
• And our HUD-certified counseling services have data that show that we can decrease eviction, support
• largest HUD certified housing counseling agency<00:14:26.079> um<00:14:26.199> serving
• <00:15:07.959> um Arrangement um and our HUD certified um Arrangement um and our HUD certified

Keywords: 910, house, all

Summary: The House Committee on Housing held a public hearing on a series of housing bills. HB 1432 and HB 1428 drew support from HHFDC, and HB 1428 also received testimony from Hawaiian Community Assets, which said housing counseling funding is needed to meet demand for financial education tied to affordable housing, and that such counseling can help reduce evictions, prevent foreclosure, and stabilize households. HB 833 on community land trusts received broad support from HHFDC, county housing officials, community land trust representatives, and a local developer; testimony emphasized keeping housing affordable in perpetuity, but also asked for clearer access to financing, longer repayment terms, and inclusion of additional land trusts in the bill. Peter Savio argued that community land trusts are the best way to control demand and keep housing tied to local incomes. The committee also heard HB 19 on the Dwelling Unit Revolving Fund, which HHFDC said should be made permanent because the pilot has been successful, with 81 units in the program and $7.4 million of the $10 million allocation already committed. HHFDC said the fund helps stalled for-sale projects by providing state equity that revolved back when homes are sold. HB 529 and HB 432 were also heard; HB 432 would create a subaccount in the rental housing revolving fund for projects above 60% AMI, and HHFDC said this would help finance housing for households at 65% and 80% AMI. The bill drew support from several housing, business, and industry groups. Several other housing measures were discussed with mixed testimony. HB 419 had HHFDC support, Limby Hawaiʻi opposition, and support from the Grassroot Institute and others; members asked about whether councils approve these projects in one or multiple readings. HB 527 and HB 416 also drew a mix of support and opposition, with questions focused on county approval timelines and whether state-financed projects would still go through normal local review. HB 417 on the rental housing revolving fund prompted questions about how it differs from the Dwelling Unit Revolving Fund and whether it should be more flexible for mixed rental and for-sale projects. HB 418’s proposed working group was noted as potentially unnecessary because HHFDC said a public working group was already being formed. HB 1411 on housing preference raised questions about what happens if a recipient changes jobs, and HB 374 drew an Attorney General’s Office recommendation to remove a duration requirement to avoid possible constitutional travel issues. HB 373 and HB 1492 were also heard, with strong testimony from Peter Savio in favor of a broader trust-based model for affordable housing. No votes or final actions were taken during the hearing.

Transcript Highlights:

• today. not have to be post-certified today.
• Applicable here because that is just what that one court has said.
• start certifying them.
• I mean, yes, we need to start certifying them. Thank you very much. Thank you, Senator Smitherman.
• offender application... youthful offender application if the individual were charged with capital murder

Bills: HB202, HB42, HB146, HB492, HB285, HB7, HB454, HB42, HB7

Keywords: law enforcement, immunity, civil liability, use of force, recruitment, bail reform, cash deposit, judicial discretion, criminal justice, Alabama law, youthful offender, capital murder, public safety, victims' rights, juvenile offenders, delinquent acts, juvenile court, nonfelony offenses, water safety offenses, HB285

Transcript Highlights:

• This program is designed to, one, certify providers to be able to...
• The program is designed to, one, certify providers to bill for those services.
• Who has been trained and certified in their practice to do this?
• ...certified in their practice to do this.
• And then this is the fluoride varnish application here.

Keywords: 962, all

Summary: The MAPOC Women and Children’s Health Subcommittee heard a presentation from Kate Parker Riley, executive director of the Connecticut Dental Health Partnership, on the Husky Dental Program and efforts to improve oral health during pregnancy. She reviewed the structure of Connecticut’s Medicaid dental benefit, the ASO model, provider network, utilization trends, and member barriers to care. She noted that children’s dental measures remain above the national median, but adult utilization is lower and the dental provider network has been shrinking, with longer wait times in rural areas. A major focus was the state’s goal to raise the rate of oral evaluation during pregnancy from about 17.5% to 25% by 2030. Riley described planned outreach to OB/GYN practices using a draft “snapshot” report showing each practice’s pregnancy oral-health rate compared with the state average, along with education materials based on ACOG and AAP guidance. Committee members and guests discussed barriers such as lack of provider training, workflow burden, access to dentists who will see pregnant patients, and the need for stronger referral bridges. Suggestions included adding simple oral-health screening questions in OB settings, using human support to make appointments, and exploring co-located dental hygienists or other embedded models. Riley also highlighted partnerships with DSS, DCF, Head Start, WIC, Read to Grow, YMCA programs, refugee resettlement agencies, and school-based and hospital partners, as well as data-sharing and navigation efforts. She said pregnant members newly identified through HUSKY will now receive outreach and navigation support. DSS dental director Carolyn MacArthur introduced herself and said she supports the initiative, noting the literature linking untreated maternal dental disease to poor child oral-health outcomes. No votes were taken; the meeting ended with thanks and a preview of upcoming July presentations on integrated behavioral health and home visitation programs.

Transcript Highlights:

• Late candidates are certified police officers from other agencies that enter our academy.
• <00:18:48.680> numbers And since 1998, our applicant numbers And since 1998, our applicant
• <00:41:20.000> ready<00:41:20.560> for applicants ready for applicants ready for school
• You made reference to the certified officers that come to you from other agencies.
• >> Yes, if they're an officer, certified >> Yes, if they're an officer, certified officer

Keywords: 958, all

Transcript Highlights:

• or certified staff in these facilities. or certified staff in these facilities.
• That's a separate application process than a waiver application process.
• That's a separate application process than a waiver application process.
• . than a waiver application process. than a waiver application<01:21:27.199> process.
• , that application is reviewed.

Keywords: 958, all

Summary: The Health and Family Services committee heard an informational presentation on Kentucky personal care homes from representatives of the Kentucky Association of Healthcare Facilities, Management Systems of Kentucky, and Elder Care Partners. Witnesses described personal care homes as a lower-cost, 24/7 residential option for adults, often with serious mental illness, who do not meet nursing home criteria but need structured supervision, medication assistance, meals, and daily support. They said the homes are regulated by the Cabinet for Health and Family Services, are not Medicaid-funded, and are supported largely through state supplementation payments and residents’ SSI income. The presenters argued that the current reimbursement rate of about $50.70 per day is no longer sufficient to cover staffing, food, insurance, utilities, maintenance, and other costs, and said the sector has shrunk significantly over time. They cited figures showing a decline from 64 to 34 homes serving the seriously mentally ill since 2002, with 30 closures over 23 years, and said the loss of beds contributes to homelessness, hospital overcrowding, and longer psychiatric stays. They also gave examples of residents who had spent many months in hospitals before being successfully placed in personal care homes, which they said can prevent more costly institutional care. Committee members asked about staffing credentials, fraud controls, referral processes, and how reimbursement works in other states. The presenters said Kentucky does not require licensed or certified staff in these facilities, though some homes use certified medication technicians or an LPN, and they described a county case-manager-based assessment process used to set individualized rates in other states such as Minnesota. Members expressed support for the work but emphasized the need for documentation of savings and budget offsets. The presenters said they are seeking an incremental reimbursement increase over two years, roughly 25% to 50% in the first year and another 50% after that, and urged the committee to support the homes to prevent further closures.

Transcript Highlights:

• A different path, alternatively certified teacher was also alternatively certified So I hope that we
• Many of you are This is the overall certified teachers in.
• I think This number that I've shared with you today, certified.
• certified.
• teacher and turning them into a regular certified teacher.

Keywords: 914, all

Transcript Highlights:

• Do you know when they were actually certified to the state, or for what years the taxes were not paid
• During the course of our notice requirements, we received three green cards, basically certified mail
• mail receipts back I believe we determined that cards, basically certified mail receipts back.
• Is that applicable here? Is that correct? I would say so.
• Once it's certified, that would no longer be subject to the payment of taxes because it's been certified

Summary: The Joint Budget Committee’s Claims Review and Litigation Oversight Subcommittee met to consider two proposed litigation settlements from the Department of Corrections and one appealed claim from the Claims Commission. In the first settlement, Caroline Arnett v. Larry Norris, et al., members asked about the underlying sexual assault allegations, whether policies had changed, and whether PREA audits and other safeguards were in place. The department said audits were underway and that steps had been taken to prevent similar conduct. The committee approved the settlement by voice vote. In the second settlement, Latasha Ridgel v. Arkansas Department of Corrections, members raised concerns about the length of the case and the fact that it involved similar allegations. The department cited attorney turnover, COVID-related delays, and scheduling difficulties; the settlement was approved by voice vote. The committee then reviewed Sharon Greer and Deanna Hayes v. Commissioner of State Lands, an appeal of a Claims Commission dismissal involving a 2009 tax sale of family property in Crittenden County. The claimants said they did not learn of the sale or the $4,200 in excess proceeds until 2025, and argued that notice was inadequate and that the overage should not have gone to the county. The Commissioner of State Lands’ office responded that notice was sent to addresses on file, certified mail receipts were returned, and a post-sale notice explained the process for contesting the sale and claiming excess proceeds. The office also argued the claim was untimely, that the commission lacked jurisdiction, and that state law bars monetary damages against the commissioner for actions related to tax-delinquent land sales. Members discussed broader concerns about the tax-sale and excess-proceeds process, including whether excess proceeds should be held longer or routed differently, but noted those issues would require legislative changes rather than action in this case. The committee then voted to affirm the Claims Commission’s dismissal of the claim. The meeting adjourned after the motion passed.

Transcript Highlights:

• Miss Batt, representing the Attorney General's office, can you certify that we are in compliance with
• The petition includes a certified copy of mis.
• So with that, I would like to run through the facts and discuss their application.
• Well, general law can be applicable. Everybody gets the same pay raise, whoever gets the office.
• And that's what the eligibility clause requires to be applicable.

Keywords: 914, all

Transcript Highlights:

• It is, as I understand it, the APP program helped the City of Show Low get certified to analyze their
• Madam Chair yes it it as I understand it the the APP program helped the City of Sholo get certified to
• And then the employees would have to be certified, have to go through training and such.
• to begin the credit application process at the same time as the certificate application process to reduce
• And so I would like additional information and who the applicant is and all that information.

Bills: SB1137, SB1176, SB1287, SB1335, SB1336, SB1445, SB1677

Keywords: underground utilities, utility locating, dig safe, call before you dig, 811, excavation safety, damage prevention, one-call center, locate request, white lining, large project coordination, buried infrastructure, subsurface utilities, utility marking, locator wire, locator strip, interactive positive response system, landlord duties, apartment community, mobile home park

Summary: The committee first received a presentation from the Arizona Water Banking Authority by Dr. Rebecca Burnett. She explained the authority’s role in storing Colorado River water as long-term storage credits, its funding sources, and its obligations to provide backup supplies for CAP municipal and industrial subcontractors, the Hualapai River Indian community, and Nevada. Members asked about future firming for CAP users, recovery of credits, water quality issues, and whether municipalities banking water themselves affects the authority’s supply. Burnett said the authority has no current firming policy for CAP M&I subcontractors, is waiting on Colorado River guidelines, and does not have excess water to bank because no surplus is available. No action was taken on the presentation. The committee then heard and voted on several bills. SB 1445, as amended, allows small municipalities to test bacteriological samples on site with EPA-approved equipment; the sponsor and a rural mayor argued it would save money and improve responsiveness, while some members questioned whether the change was already possible under existing law. The bill passed 6-4. SB 1137, with a Taylor amendment, modernizes Arizona’s 811 call-before-you-dig system by adding large-project coordination meetings, an interactive positive response system, and related procedures; it passed unanimously 10-0. SB 1287, which expands an existing groundwater use allowance for irrigation grandfathered rights from initial AMAs to all AMAs, passed 9-1. The committee also considered SB 1335, as amended, which in its final form addressed a temporary continuation of irrigation tied to the Ag-to-Urban program and groundwater savings credits; DWR said the amendment was still a placeholder and needed cleanup, while supporters said it would help manage timing issues for farmers and developers. It passed 5-4. SB 1336 reauthorized the State Land Department through 2030 and added oversight, reporting, and planning requirements; the department was neutral but raised concerns about the proposed oversight committee and implementation details. After debate over the need for another board and the length of reauthorization, it passed 5-4. Finally, SB 1677 appropriates $3 million to the Department of Forestry and Fire Management for salt cedar mitigation along the lower Gila River corridor. Supporters from Audubon Southwest, the City of Buckeye, and local landowners said the invasive trees increase flood and wildfire risk, consume large amounts of water, and crowd out native habitat; some members raised concerns about herbicide use and wanted more detail on the mitigation plan. The bill passed 9-0. The chair then thanked staff and members, and the meeting adjourned.

Transcript Highlights:

• We always were required to have a certified translator as well to make sure that it's absolutely perfect
• so are you requiring certified translators?
• We're not requiring certified translators for this examination.
• And just one last thing, is there any data that tells us how many applicants are unable to pass their
• Out of 50,800 licensed OBGYNs in the U.S., only about 3,000 are menopause certified.

Keywords: 988, house, all

Transcript Highlights:

• First being that the house can go into operation before it's certified. That's number one.
• <00:05:07.639> that's operation before it's certified that's operation before it's certified
• <00:07:26.520> the town they would have to certify the town they would have to certify the
• certification uh by the certifying certification uh by the certifying organization<00:11:18.480>
• They have to be certified prior to applying for this? Prior to approval? I could be okay.

Keywords: 1189, house, all

Transcript Highlights:

• If it's more than the cost of the certified mail, you have to get certified mail.
• If it's more than the cost of the certified mail, you have to get certified mail.
• If it's more than the cost of the certified mail, you have to get certified mail.
• If it's more than the cost of the certified mail, you have to get certified mail.
• If it's more than the cost of the certified mail, you have to get certified mail.

Keywords: 1136, house, all

Transcript Highlights:

• We took our applicable rules.
• The loan application portal is currently open and will close for the first round of applications on November
• More than 18,000 applications were submitted.
• We received 7,000 voucher applications and have awarded so far this year 2,000. 7,000 voucher applications
• Once all of these applications are processed, the voucher application system will be reopened to allow

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

Transcript Highlights:

• We took our applicable rules and updated several hospital rules in addition to our core licensure application
• we had to update, again, incorporating these applications because we had to modify our applications
• We received 7,000 voucher applications and have awarded so far this year 2,000. applications were submitted
• We received 7,000 voucher applications and have awarded so far this year 2,000. 7,000 voucher applications
• Once all of these applications are processed, the voucher application system will be reopened to allow

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