Transcript Highlights:

• Over 3.2 million recipients receive their services through managed care, and we absolutely should be
• Taking up tab 13, which is Senate Bill 1412 on home health care services by Senator Kaladeu.
• services, to provide under an enhanced care coordination model through the Medicaid plan.
• This real, the movement of children's medical service managed care plan is really a technical move in
• The movement of the children's medical services managed care plan is really a technical move.

Summary: The Health Policy Committee met for its final meeting of the session and handled a very full agenda, beginning with a few housekeeping items and a brief thank-you to staff. Senate Bill 596 was temporarily postponed. The committee then reconsidered and amended SB 1606 on patient access to records, clarifying portal access obligations and deleting a section that would have improperly affected nursing home facility records; the bill was reported favorably as a committee substitute. The committee also recommended confirmation of a block of appointees and separately confirmed Chavon Harris as Secretary of the Agency for Health Care Administration after testimony focused on transparency, financial oversight, Medicaid managed care accountability, and internal controls at AHCA. Harris said she would prioritize staffing, monitoring, and improved reporting, and several health care groups waived in support. The committee next heard and passed several bills, including claims bills SB 28 and SB 22 for South Broward Hospital District settlements, both reported favorably. It also approved SB 772 on undesignated glucagon in schools, SB 998 on allowing physician assistants and APRNs to complete death certificates under hospice/palliative protocols, SB 1412 on home health agency administration and staffing flexibility, SB 1800 creating a Parkinson’s disease research consortium at USF, SB 306 on Medicaid managed care network access during holidays and after hours, SB 1768 on stem cell therapies and informed consent, SB 1602 on pediatric readiness standards in emergency departments, SB 1156 on the home health aide program for medically fragile children, SB 1490 on Children’s Medical Services and Medicaid managed care administration, and SB 1182 on Medicaid coverage of continuous glucose monitors. Most of these bills were amended, generally to narrow scope, align with the House, or make technical changes, and most received support from provider associations, advocacy groups, or affected institutions. The most debated measure was SB 1270, which combined several health freedom and medical marijuana provisions. The strike-all amendment retained language prohibiting discrimination based solely on vaccination status, added protections related to mRNA vaccine documentation requirements, and included medical marijuana regulatory and background-screening language. The committee heard extensive testimony both in support and opposition, including concerns from senators about whether the bill would force providers to treat patients contrary to medical judgment, and support from witnesses arguing it protected patient autonomy and access to care. After a time-certain motion, the bill was reported favorably as a committee substitute. At the end of the meeting, senators recorded their votes on selected tabs, and the committee adjourned.

Transcript Highlights:

• The story is the same, unfortunately, that we're dealing with our direct care workforce crisis.
• care worker, and so you were able to draw down more money that was going to your direct care workforce
• We're about two to five percent over minimum wage for our direct care workforce.
• We do every DDD service except for ADHD homes, which are typically foster care homes.
• We do every DDD service except for ADHD homes, which are typically foster care homes.

Summary: The committee first took up SB 1114, which would appropriate $1 million to the Maricopa County Attorney’s Office to investigate patient brokering in behavioral health and substance abuse treatment. Sponsor Sen. Werner described patient brokering as a continuing abuse tied to the state’s Medicaid fraud crisis, especially affecting Native Americans, and said the county attorney had the capacity to handle statewide oversight. The bill was moved and received a do pass recommendation on a 9-0-1 vote. The committee then considered SB 1111, as amended by a strike-everything amendment, to create statewide rules for automated license plate readers. Supporters from law enforcement said ALPRs are important for investigations, missing persons, stolen vehicles, and violent crimes, and argued the bill adds needed guardrails and training requirements. Opponents, including the ACLU, Institute for Justice, and private citizens, warned the systems enable mass surveillance, can be inaccurate, and raise Fourth Amendment and privacy concerns; they also objected to broad terms like “legitimate” law enforcement purposes and the lack of a clear retention limit. The committee adopted the amendment and then gave SB 1111, as amended, a do pass recommendation by a 7-2-1 vote. Next, SB 1116, as amended, was heard to require behavioral health claim denials and appeals at AHCCCS to be reviewed by someone with relevant clinical experience. Sen. Werner said the bill responds to improper denials and appeals handled by staff without behavioral health expertise; AHCCCS was neutral but said the bill could create compliance and staffing issues because “relevant clinical experience” is not well defined. The committee adopted the amendment and passed the bill 10-0. SB 1122, also as amended, would bar AHCCCS from requiring prior authorization or 100% prepayment review for certain behavioral health services under the American Indian Health Plan unless a provider is on a corrective action plan; Werner said it was aimed at ensuring providers are paid and reducing patient brokering. The committee adopted the amendment and passed SB 1122 10-0. Finally, the committee heard SB 1072, which would appropriate ongoing state and Medicaid funds to DES for rate increases for home- and community-based services and room-and-board services for individuals with intellectual and developmental disabilities, with reporting on workforce outcomes. Supporters from APAD and providers said the direct care workforce is in crisis, with large numbers of vacancies, overtime costs, and unassigned authorizations, and argued the funding is needed to retain staff and maintain care. Members discussed wage disparities, whether funds would reach caregivers, and the limits of legislative control over private provider pay, but no vote on SB 1072 was reached before the transcript ended.

Transcript Highlights:

• have access to the services they need.
• Social services for Floridians.
• And so it removes the provision of the bill that directs the 7.5% of local communication services tax
• Honoring service. That is the bill.
• This ensures continued access to care without gaps.

Committee: Senate Appropriations

Summary: The Appropriations Committee met with a quorum and considered a series of bills, most of them receiving favorable reports. SB 132, as amended, would require the Department of Financial Services to contract for a study on whether Florida should recognize gold and silver as legal tender; an amendment advanced the report deadline to December 1, 2025, and the bill was reported favorably. SB 1050, also amended, expands the intellectual and developmental disabilities managed care pilot program statewide, emphasizes that enrollment is voluntary, adds transparency and reporting requirements for APD, creates a statewide family care council, and requires related studies and coordination; it was reported favorably after supportive testimony about reducing the APD wait list. SB 820 codifies the Office of Faith and Community in the Governor’s office, and the bill drew extended debate over church-state separation and concerns about political activity by the office; despite opposition from several senators, it was reported favorably. SB 1060 creates a joint legislative oversight committee for Medicaid financing and operations, with supporters citing the size of the program and the need for stronger legislative review; it passed favorably. SB 7032 presumes Medicaid eligibility for permanently disabled individuals receiving certain long-term services during redetermination, to prevent gaps in care, and was reported favorably with broad support. SB 12, a claim bill for a minor injured in a DCF-related case, was also reported favorably without opposition. The committee also approved several infrastructure and tax-related measures. SJR 318 proposes an ad valorem exemption for certain tangible personal property used in agriculture or agritourism, such as equipment and tractors, and was reported favorably with support from agricultural and business groups. SB 818, as amended, revises utility relocation funding for public road and rail projects, shifting the financing structure after constitutional concerns were raised and adding a $50 million grant program; it passed after discussion of the impact on local governments and utilities. SB 1348 modernizes DMV services through tax collectors, adds a distracted driving course option, bans appointment scalping, and extends certain disabled parking permit terms; it was reported favorably. SB 1664 requires voter reapproval of local taxes, including tourist development taxes and local option sales taxes, when they expire, with special rules for taxes tied to revenue bonds; it drew significant debate over impacts on tourism-dependent counties and was reported favorably despite opposition from some members and local government groups. SB 1050, SB 820, SB 1060, SB 7032, SB 12, SJR 318, SB 818, SB 1348, and SB 1664 all received favorable committee votes, and the meeting ended with final missed-vote requests and adjournment.

Transcript Highlights:

• I'm an emergency physician and the Vice President of Hospital and Acute Care Services at Hennepin Healthcare
• So what areas of service do you have duplicate care that you could be, you know, if you're looking at
• So what areas of service do you have duplicate care that you could be, you know, if you're looking at
• Um, and, you know, this is a direct result of the Affordable Care Act, and now, unfortunately, because
• result of the of of the this is a direct result of the of of the Affordable<01:19:02.920><c> Care</c

Committee: House Taxes

Keywords: 1183, house

Transcript Highlights:

• My name is Genevieve Valentine, and I'm San Joaquin County's Health Care Services Director.
• And so under health care services in our county, I actually oversee correctional health, behavior.
• Under health care services in our county, I actually oversee correctional health, behavioral health,
• I really wanted to lift up—well, I'm sure my colleague here from the Department of Health Care Services
• , Didi Hirsch Mental Health Services, Ashley Mills, Vice President of Crisis Care, Didi Hirsch Mental

Summary: The joint Assembly Health and Select Committee on Native American Affairs held an oversight hearing on AB 988, California’s 988 crisis line and mobile crisis response system, followed by a discussion of suicide prevention and intervention in California Indian communities. Members and witnesses repeatedly emphasized that AB 988 was intended to create a true alternative to 911 for behavioral health crises, with “someone to call, someone to come, and somewhere to go,” and that Native communities continue to face disproportionately high suicide rates and barriers to culturally responsive care. The first panel of call center and stakeholder witnesses largely argued that implementation is falling short of the law’s intent. They said 988 call centers are underfunded, text/chat answer rates remain far below call answer rates, staffing is strained, and the system still lacks meaningful statewide interoperability between 988 and 911. Several witnesses said mobile crisis teams are not being dispatched through 988 as envisioned, and that funding formulas and governance are too opaque. San Joaquin County was presented as a local success story, with integrated 988, access lines, and mobile crisis handoffs that have reduced reliance on emergency departments and involuntary holds. Witnesses also discussed the need for better tribal outreach, the role of CCBHCs, and the importance of culturally competent services. State officials from CalHHS and DHCS described the five-year 988 implementation plan, the current governance structure across multiple agencies, and efforts to support training, public awareness, and referral tools. They reported growth in 988 contacts, ongoing training with the Trevor Project, a statewide resource directory, and a tribal awareness campaign. DHCS also outlined proposed trailer bill language that would create a formal designation process for 988 centers, set statewide standards, and require existing centers to obtain designation by 2029. Officials said current funding includes SAMHSA grants, block grant dollars, and an expected $67.3 million from the 988 fund in the next budget year, with a large share earmarked for Medi-Cal mobile crisis services. No formal vote or committee action was taken in the portion of the hearing provided.

Transcript Highlights:

• is health care.
• MEDICAL CARE.
• alone, more than 350,000 people are facing skyrocketing health care costs or cuts to critical services
• They said it's about health care. Health care for illegals?
• They said it's about health care. Health care for illegals?

Keywords: U.S. House of Representatives Floor Proceedings on Wednesday, November 12, 2025, 1012, house, all

Transcript Highlights:

• Our health care services, uh, they don't stop costing money.
• Our health care services, uh, they don't stop costing money.
• </c> even pay for child care. even pay for child care.
• </c> so if people need mental health care so if people need mental health care services<01:10:35.040>
• Um, care.

Committee: Senate Ways and Means

Keywords: 1191, senate, all

Transcript Highlights:

• We work at the Department of Health Care Services.
• , but specialty services, we provide primary care services in several clinics.
• We provide primary care, specialty care, such as pediatrics, OBGYN, mental health services, and HIV services
• We provide primary care, specialty care, such as pediatrics, OBGYN, mental health services, and HIV services
• We provide primary care, specialty care, such as pediatrics, OBGYN, mental health services, and HIV services

Keywords: 987, senate, all

Transcript Highlights:

• of in-home respite and personal care service providers.
• This bill will improve access to respite care services so primary caregivers like me can continue to
• AB 617 would also require direct support professionals providing respite services to register as home
• Corey Ayala with the California Association and Health Care Services at Home in opposition.
• Corey Ayala with the California Association and Health Care Services at Home in opposition.

Summary: The committee heard a series of child care, social services, immigrant support, disability services, and language access bills, with many measures drawing strong support and no opposition. Early in the hearing, AB 450 proposed a Department of Aging task force to study and recommend policies for undocumented adults age 55 and older; AB 593 would let CDSS identify data-sharing opportunities to improve CalFresh administration and participation; and AB 904 would clarify child care subsidy eligibility so families do not lose care during pregnancy leave, family leave, caregiving, or job search periods. All three were presented as ways to reduce barriers and improve access to essential services, and AB 904 was moved out on a 1-0 call after support testimony from child care advocates and a member of the public. AB 617, which would expand and standardize respite care access for people with intellectual and developmental disabilities by requiring licensing and registry participation, drew both support and significant opposition from respite providers and disability service organizations concerned about added regulation, cost, and possible delays; the author said she would continue working with opponents, and the bill was moved out on a 2-0 call. The committee also heard AB 1220, which would require regional centers to document denials, notices of action, and appeals in individual program plans and include that data in annual reports to improve transparency and equity in developmental services. The bill drew extensive public support from parents, advocates, and disability organizations, with no opposition, and passed 5-0. AB 752 would make child care centers by right in certain residential zones when co-located with multifamily housing or institutional uses, and supporters argued it would reduce zoning barriers and help expand child care capacity; it also passed 5-0. AB 1242 would create a CalHHS language access director, require human review of machine translation, and improve language coverage determinations for state and local agencies; supporters emphasized health equity and the need for better access for limited-English communities, and the bill was moved out on a 4-0 call. Later, AB 548 would continue and expand the Asylee and Vulnerable Non-Citizen Program, which provides case management and integration services for asylees and certain visa holders; supporters said the program had been effective but had run out of funding, and the bill passed 4-0. AB 495, the Family Preparedness Plan Act, would strengthen family safety planning for immigrant families, standardize acceptance of caregiver authorization affidavits, and create a joint guardianship process for temporary separations; testimony focused on fear of family separation and the need for clear school and medical procedures, and the bill passed 4-0. AB 1357 would exclude guaranteed income payments from being counted as income for state public assistance eligibility, with supporters arguing it would prevent recipients from falling off the “benefits cliff”; it passed 4-1. Finally, AB 1201, the Reunity Act, was introduced to require individualized court assessments before denying reunification services to parents with certain violent felony convictions after a five-year period, with the author and a witness describing the bill as a trauma-informed approach to family reunification.

Transcript Highlights:

• We would just like to be competitive with will be increases for about direct care workforce.
• Do you know was that due to service utilization. Was it new services?
• Anybody who's receiving services has to keep receiving services.
• care staff.
• We believe the direct care staff does a great job.

Committee: House Appropriations and Budget

Keywords: 914, all

Transcript Highlights:

• than exiting care.
• And I love the idea of a commission that includes health care and law enforcement, child protective services
• Services include habilitative care, nursing, physician and dental services, training and daily living
• care.
• How are you all going to... ...training, get those services, that treatment, that health care that they

Summary: The committee heard a lengthy update on Washington child welfare from Casey Family Programs and DCYF. Dr. David Sanders said Washington has sharply reduced out-of-home care and increased kinship placements, but he flagged concerns about low screening-in rates, long stays in foster care for many children, and a recent rise in repeat maltreatment and child fatalities, especially among infants. He urged more focus on infants and young children, better coordination among child protection, health care, and law enforcement, and more proactive review and investigation practices. Members asked for disaggregated data on children lingering in care, fatalities, and causes such as fentanyl exposure. DCYF said it has increased relative placements and guardianships, but also reported a concerning rise in 2025 critical incidents, mostly near-fatalities involving children age three and under, many opioid-related. The department described responses including safe child consults for opioid cases, more training, hotspot analysis, and proposed investments in peer support, public health nurses, community referrals, and an updated safety framework. Members also discussed whether a broader commission on child abuse prevention would be useful, and DCYF said it was open to that idea. The committee then received a DSHS reorganization update from Secretary Angela Ramirez, who described the “Reimagined” plan to consolidate four administrations into three new ones, with the stated goals of reducing silos, improving customer experience, and making transitions between services smoother. She said the agency is seeking statutory changes and CMS approval to align the new structure, and members asked about preparing for federal HR1 impacts, especially SNAP. Ramirez said DSHS is monitoring those impacts closely and emphasized the need for accurate data and cross-agency coordination. Finally, DSHS’s Behavioral Health and Habilitation Administration updated the committee on residential habilitation centers and implementation of Substitute Senate Bill 5393, which phases out Rainier School by June 30, 2027 and limits new admissions. Officials reported current census and staffing levels at the state’s RHCs, said Rainier has had some residents transition to supported living or adult family homes, and explained that emergency and permanent rulemaking was needed to implement the law. They also said Rainier was recently cited by federal surveyors for not meeting the active treatment requirement for two residents, and that the facility has 90 days to return to compliance before possible payment penalties or further remedies. Members pressed for details on the citation, the meaning of active treatment, the assessment process for admissions, and whether Rainier could be repurposed for other services; DSHS said it is working on corrective action and will follow up in writing.

Transcript Highlights:

• to provide ambulance services if they demonstrate the ability to provide all services a certificate
• to provide ambulance services if they demonstrate the ability to provide all services a certificate
• child care needs and under. to provide financial assistance to eligible applicants for services addressing
• care services to live with a resident in an assisted living center or home if authorized by the facility
• care services to live with a resident resident in an assisted living center or home if authorized by

Keywords: 1182, all

Summary: The meeting was a caucus-style review of two packets of bills, with staff reading summaries and members briefly explaining several measures. Topics included appropriations for pregnancy resource centers, home- and community-based services for the elderly and people with disabilities, veteran specialty courts, child care grants and infrastructure, language acquisition services for deaf or hard-of-hearing infants and toddlers, ambulance service regulation, short-term rental rules, tourism improvement areas, manufactured home installer licensure, CPR/AED training in schools, veterans’ park fee exemptions, and multiple child welfare and family-court bills. Several Senate bills were also reviewed, including optometry standards, behavior analyst licensure transfer, virtual mental health hearings, and assisted-living residency rules. Members speaking for bills emphasized themes such as supporting aging in place, improving rural ambulance access and reporting, protecting children in DCS cases, preventing poverty alone from being treated as neglect, and expanding access to health screenings and services. Other sponsors described measures to help veterans, strengthen school safety, and create local funding or improvement mechanisms for tourism and child care. Some bills were described as technical or administrative changes, such as post-nuptial agreement rules, tax lien procedures, and local government contract posting requirements. No formal votes were taken in the transcript excerpt, but many bills were noted as being on the consent calendar or third-read consent calendar, while a few had been removed from consent or were not yet on a calendar. The meeting concluded after the final bill on the second packet, HB 4025, was summarized as creating a study committee on gasoline and petroleum refinery feasibility.

Transcript Highlights:

• The Agency for Health Care Administration represents the largest portion of the health and human services
• The Agency for Health Care Administration represents the largest portion of the health and human services
• who are getting services in that delivery system can get the same level of care as those in managed
• HCE provides direct support to families caring for seniors at home, assistance that may seem modest on
• CCE delivers essential everyday services, including meals, transportation, personal care, homemaking,

Summary: The Appropriations Committee on Health and Human Services heard a presentation on the governor’s proposed fiscal year 2026-27 budget for the health and human services silo, which totals $48.5 billion. Agency leaders outlined major requests for AHCA, APD, DCF, DOEA, DOH, and the Department of Veterans’ Affairs, including behavioral health redesign, Medicaid rate changes, developmental disability services, child welfare and opioid programs, senior services, cancer research, public health initiatives, and veterans’ facility and technology needs. The committee also received an overview of the overall state budget, which was described as $117.4 billion, up 1.1% from the current year. AHCA’s presentation focused on $71.6 million for a Medicaid behavioral health redesign, including funding for residential treatment, a serious mental illness waiver, and higher inpatient psychiatric rates for youth, plus $7.1 million to raise private duty nursing reimbursement in fee-for-service Medicaid, $2.5 million for the background screening clearinghouse, and $124.4 million for the Health Care Connection System (FX). APD requested funding to continue moving people off the pre-enrollment list and to support developmental disability centers, a new forensic facility, an electronic health record system, and higher operating costs. DCF highlighted $81.9 million for eligibility and system integrity, $187.5 million for opioid prevention and treatment, $35.5 million for community-based care lead agencies, and $72.7 million to expand behavioral health bed capacity, including 474 new beds at state hospitals. DOEA sought additional funding for Alzheimer’s services, home care, and community care for the elderly. DOH emphasized $278 million for cancer research and innovation, $5 million for food and product safety testing, $5 million for the Florida FIRST blood-on-ambulance initiative, and $5.7 million for a public lab feasibility study. Veterans Affairs requested funds for facility improvements, cybersecurity, and medication management equipment. Members asked detailed questions about several items, especially the proposed changes to the AIDS Drug Assistance Program (ADAP), which would reduce eligibility and the number of people served. Senators and public witnesses criticized the lack of transparency and urged the department to pause the changes and work with stakeholders; the Surgeon General said the issue was driven by funding constraints and federal changes, not a legal barrier, and that the agency was exploring alternatives. Questions also addressed the Office of Minority Health and Health Equity, the Kids Care/CHIP expansion implementation, the cancer research funding structure, and the timeline and cost of the FX system. Public testimony focused heavily on ADAP, with speakers warning that thousands could lose medication access and calling for community involvement and a review of the program’s finances. The committee adjourned after the presentations and questions, with no votes taken on the budget items during this meeting.

Transcript Highlights:

• I would have asked about her service on the board.
• Public service is in my DNA, and I care deeply about the staff at ADHS, several of whom I've known and
• That they cannot provide these services.
• , we do not license the scope of services.
• care, which is one of the allegations.

Committee: Senate Director Nominations

Keywords: 1182, all

Transcript Highlights:

• It authorizes periods of time when child care centers may combine different ages of children in care,
• Periods of time when child care centers may combine different ages of children in care, and it requires
• It directs DCYF to issue an immediate summary suspension to a child care licensee when the zero-tolerance
• centers may combine different ages of children in care, and it requires DCYF to waive the pre-service
• It directs DCYF to issue an immediate summary suspension to a child care licensee when the zero-tolerance

Summary: The committee met for its final executive session of the session and took up several House bills related to early learning and K-12 education. House Bill 1795 on restraint and isolation in schools was briefed as prohibiting mechanical, chemical, and certain physical restraints, limiting isolation, and barring new isolation rooms; a proposed amendment to the striker was defeated, and the bill then advanced. House Bill 2219 on child care licensing and drug safety was briefed as requiring licensed child care settings to be free of high-potency synthetic opioids, drug paraphernalia, and manufacturing equipment, with amendments to add drug testing and broader controlled-substance prohibitions; both amendments failed, and the striker was adopted before the bill advanced. House Bill 1295 on literacy was described as setting curriculum and educator training requirements; the committee adopted a striking amendment that removed some district implementation and continuing-education requirements, then advanced the bill. The committee also heard briefings on House Bill 1634 on behavioral health supports in schools, House Bill 2557 on timelines for special education evaluation reports and eligibility meetings, and House Bill 2636 creating a public education review steering committee and JLARC review process, all of which had no amendments at the briefing stage. In formal action, the committee voted to adopt the striker on HB 1295 and then passed HB 1795, HB 2219, HB 1295, HB 1634, and HB 2557 out of committee with due pass recommendations. HB 2636 was also advanced, but to the Ways and Means Committee rather than the Rules Committee. Several members noted concerns about costs and unfunded mandates, particularly regarding literacy implementation and child care safety provisions, while supporters emphasized student safety, child care safety, and clarity in existing law. The meeting ended with thanks to staff and adjournment.

Transcript Highlights:

• of Health for pregnancy help centers providing health care services; to provide for definitions, standards
• She explained that these centers are providing health care services, which is what the legislative auditor
• Health care services that may or may not be provided by any pregnancy center, whether they're part of
• “And through that survey, we found out that some were offering health care services.
• Health care services. Okay. I mean, I guess what, I guess where I’m.

Committee: House Health and Welfare

Summary: The committee first took up House Bill 611 by Rep. Freeman, which would require pregnancy-related service centers that provide health care services to be licensed or, as amended, to clearly disclose that they are not a licensed medical facility regulated by the Louisiana Department of Health. Rep. Freeman and supporting witnesses argued the bill was prompted by a legislative auditor report and concerns that some centers provide ultrasounds, STI testing, pregnancy tests, and related services without clear medical oversight. The Louisiana State Board of Medical Examiners’ executive director testified that interpreting ultrasounds and performing certain tests can constitute the practice of medicine, while opponents argued the centers already operate under medical directors and that the disclosure requirement was unconstitutional under the NIFLA case. The committee adopted an amendment, but after debate on the amended bill, a motion to report favorably failed on a roll call vote, and the bill was voluntarily deferred. The committee then heard House Bill 902 by Rep. Marcelle, which directs the Louisiana Department of Health to develop trauma-informed training. Supporters said the bill grew out of a task force on student behavior, mental health, and discipline, and that educators need a more consistent, evidence-based trauma-informed curriculum than what is currently available online. Some members raised concerns about cost and whether the bill would mandate new school obligations, while a witness from the Louisiana Baptist Convention opposed the measure as mission creep and argued trauma-informed care is too specialized for general teacher training. Other members supported the bill as a way to help educators identify and respond to children facing trauma. The bill was amended with technical changes and then discussed further, but the transcript ends before a final vote on HB 902 is shown.

Transcript Highlights:

• House Bill 4007, a bill to be entitled and act related to compensation for health care services for inmates
• Why did you name that specific technology, and do you expect additional health care services to be impacted
• services to those that she was giving foster care to.
• services to those that she was giving foster care to.
• H.B. 1567 addresses a critical gap in care by allowing direct support professionals and relatives to

Summary: The House convened with prayer, the Pledge of Allegiance, and a quorum present, then adopted the special order report and moved into a series of budget-related bills. The chamber first took up HB 5011/SB 2506 on environmental resource management and natural resources funding, where Democrats argued the bill would reduce recurring support for the Resilient Florida program, the Florida Wildlife Corridor, invasive species removal, and other conservation efforts. Supporters said the change would shift money from recurring to nonrecurring funding so the Legislature could reassess priorities each year and rely more on private-sector stewardship. After a strike-all amendment and conference posture change, SB 2506 passed 97-12. HB 5013, reducing state-funded property reinsurance reserves, passed 108-0, and HB 5501, redirecting documentary stamp tax distributions from housing and transportation trust funds into general revenue, passed 82-26 after extended debate over its impact on affordable housing and transportation funding. The House also passed HB 5015 on state group insurance, which requires DMS to develop a formulary management system and was described as producing significant savings; members raised concerns about prescription access and implementation, but the bill passed 109-0. HB 5201 on state financial accounting and HB 5203 on the Capitol Center both passed unanimously, as did HB 5009, which creates a Florida Accountability Office and reorganizes audit functions. The chamber then passed HB 7031, a major sales tax reduction bill lowering the state sales tax rate and several related rates; supporters framed it as permanent relief for all Floridians, while opponents said property tax relief would be more meaningful and that the sales tax cut would also benefit tourists and out-of-state visitors. HB 7031 passed 112-0. The House then began consideration of HB 501, the proposed fiscal year 2025-26 budget, totaling $112.9 billion and emphasizing reduced recurring spending and large reserves. Subcommittee chairs outlined their budget silos: K-12 education at $20.6 billion with teacher raises, school hardening, literacy, transportation stipends, and security funding for Jewish day schools; health care at $47 billion with full Medicaid and KidCare funding, opioid settlement spending, mental health beds, and senior services; transportation/economic development at $18.5 billion; agriculture and natural resources at $5.8 billion with reduced Everglades spending but continued water, resiliency, and land management funding; higher education at $8.7 billion; state administration at $2.9 billion; justice at $7.3 billion; and IT at $529 million for Florida PALM, FX, and other systems. Members then began questioning the K-12 budget, focusing on FEFP funding, proration, voucher growth, stabilization dollars, mental health and school safety funding, and whether districts would be held harmless under the proposed allocations.

Transcript Highlights:

• Does the agency have an on why the wait list for the child care services program has been so long since
• Department of Health and Human Services and the Centers others do not cover the cost of care.
• TLCCA represents licensed child care centers and homes which are small business. that provide services
• And the child care services program today, even with that wait list, is supporting workers across. over
• It pays for ID services. services for youth in foster care or youth who are experiencing homelessness

Committee: House Appropriations - S/C on Articles VI, VII, & VIII

Keywords: 1184, house, all

Transcript Highlights:

• Maria Ralhai for Aloha Care. committee. Maria Ralhai for Aloha Care.
• of Human Services.
• Mike Wen, Aloha Care. Okay, moving on. Mike Wen, Aloha Care.
• **Angela Melody, CARES:** Aloha, Angela Melody. I'm testifying on behalf of CARES.
• **Angela Melody, CARES:** Aloha, Angela Melody, I'm testifying on behalf of CARES.

Committee: Senate Health and Human Services

Keywords: 912, senate, all

Summary: The Committee on Health and Human Services opened its first hearing of the 2026 session and heard testimony on several bills, with the chair emphasizing one-minute testimony, written submissions, and live streaming. For SB 768, relating to an alternative water source income tax credit, the Department of Taxation said a drafting issue needed clarification on the $500 cap and estimated a revenue loss of $6.8 million per year beginning in fiscal year 2028. The Tax Foundation of Hawaii and the Libertarian Party opposed the bill as an unnecessary subsidy and tax-code complication, while one supporter was noted. A member questioned the size of the projected loss and suggested future analysis of net fiscal impacts and methodology. The committee then heard SB 389, which expands a general excise tax exemption to additional health-related providers and purchases. The Department of Taxation said the change would be a minimal code adjustment but would require public education; the Tax Foundation said the bill should be framed in light of the original physician-shortage rationale for the exemption. The Hawaii National Guard and Aloha Care supported the measure, along with several other organizations and individuals, while the Libertarian Party opposed it as favoritism and tax-code complexity. A member asked about administrative burden and potential tax impact, and the department said it did not yet have a calculation but was working on one. The committee also heard SB 877, which would appropriate funds to increase Medicaid in-home services if federal matching funds are maximized, and SB 1139, which would direct DHS to expand Medicaid eligibility for children from birth to age five regardless of household income. DHS stood on written testimony for both bills, and Aloha Care, the Hawaii Medical Association, disability advocates, children’s advocates, and CARES testified in support, arguing the measures would improve access and family stability. The Libertarian Party opposed both bills, warning of higher long-term costs, entitlement growth, and reduced private-sector options. Members questioned the fiscal and programmatic differences between crisis and warm-line services during discussion of SB 787, a bill to fund a Department of Health warm line; the department said the warm line would serve noncrisis callers more cheaply than crisis staffing, and that about 34.7% of 2024 Hawaii CARES contacts were mild issues that could have been routed to a warm line. Supporters cited mental health needs after the Lahaina wildfire and the affordability crisis, while opponents argued the service duplicated existing resources and expanded government involvement.

Transcript Highlights:

• Rural emergency hospitals provide rural emergency services and other care that do not require treatment
• Again, HIE is just one service and avenue that hospitals can work with to connect with the managed care
• entities to implement new health care screening or service programs, or to expand existing programs
• The telehealth maternity care program uses telehealth to assess the service needs and gaps of pregnant
• Pharmacy to ensure that patients have access to primary care services.

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.