Video & Transcript Research : 'internal rules'
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AZ
Arizona 2026 Regular Session
01/26/2026 - House Public Safety & Law Enforcement
Public Safety & Law Enforcement
Transcript Highlights:
- Let's go over some rules here real quick before we do introductions.
- I'm an intern for the Democratic Caucus, and this is my first session.
- The International Agency for Research on Cancer classified this type of firefighting foam as definitively
- Another six weeks of what we call advanced basic that we basically teach them the rules at DPS, those
- through the chamber of origin and gets through the committee in the opposing chamber then gets held in rules
Keywords:
braille, disability access, education funding, state corrections, inclusion, HB 2225, Yavapai County, northern Arizona regional training academy, training academy, public safety training, law enforcement training, police academy, first responder training, capital appropriation, state general fund, state treasurer, lapsing appropriation, section 35-190, capital costs, regional training facility
NM
New Mexico 2026 Regular Session
House - Appropriations and Finance Jan 15th, 2026 at 01:36 pm
House Appropriations & Finance
Transcript Highlights:
- And there's what's on the statutes, which is sometimes somewhat contradictory, then how courts have ruled
- The commission is responsible for promulgating the rule, which is an ongoing Effort, and they expect
- to have the final rule at the point in time that there would be a potential for an appropriation.
- And we will even have to look at breaking some general accounting rules and having some audit findings
- Another one was our internal controls because we're trying to rewrite our policies that back in 2017
TX
Transcript Highlights:
- I don't know enough about it to know at this point in time, but that's just an internal control that
- And my point is that this is an unprecedented level of lack of internal controls on that. Yep.
- right away, is that somewhere along the line, you know, in a room where no one knew, they changed the rules
- In the General Code of Operating Rules, which are the railroad's operating rules, it states that the
- equipment flagger is a person at a crossing who is outfitted in a vest, shirt, Rules.
Keywords:
commercial motor vehicle, truck liability, motor carrier, trucking, civil liability, respondeat superior, negligent entrustment, negligent maintenance, negligent loading, negligent repair, bifurcated trial, exemplary damages, punitive damages, personal injury, collision, employer liability, vicarious liability, Civil Practice and Remedies Code, Texas tort reform, commercial truck accident
Summary:
The Senate Transportation Committee reconvened on SB 2722, as substituted by Senator Bettencourt, which would redirect a portion of Harris County Toll Road Authority surplus revenues to the City of Houston and impose audit and tax-rate penalty provisions. Houston Police Chief Noe Diaz and Fire Chief Thomas Munoz testified in support, arguing that Houston bears a large share of toll-road public safety burdens, citing thousands of police and fire responses on toll-road property and the need for compensation for emergency services. Bill King, testifying neutrally, said the toll authority generates large excess revenues and urged stronger oversight and clearer controls on how the money is spent. Opponents, including Harris County officials, business and neighborhood representatives, and toll-road critics, argued the bill would divert transportation dollars, create a precedent for taking toll revenues for general municipal use, and could worsen project delivery and incentives; several also questioned the accuracy and interpretation of the revenue figures and the lack of comparable audit requirements for the city. The committee took extensive testimony but left SB 2722 pending without a vote.
The committee then heard SB 2129, which would increase fines for motorists who disregard railroad crossing gates or flaggers, and SB 2323, which would redact railroad crew members’ personal information from public accident reports. Both bills were presented as safety measures, with railroad labor testimony in support, and both were left pending after brief public testimony. The committee also heard SB 2141, a Zaffirini bill concerning specialty license plates for judges, with the substitute aimed at reducing security risks by changing how judges are identified on plates; it too was left pending.
Finally, the committee heard SB 2439, another Zaffirini bill, described as a TDLR cleanup measure related to ATV and off-highway vehicle safety certification. The bill would abolish the current training and certification program, which supporters said was burdensome and underused given the small number of approved instructors statewide. With no significant opposition on the record, the committee closed testimony and left SB 2439 pending as well.
NM
Transcript Highlights:
- I just want to remind everyone that we, that the posted rules are 10 minutes for opponents.
- I just wanted to make clear what the rules are. Thank you.
- The number of structures that would be covered will be determined by rule, so your change and some other
- It is one of the nationwide and worldwide chapters of Dark Sky International, which is based in Arizona
- Our rules are 10 minutes for each side.
MN
Transcript Highlights:
- Koochiching County, far up north, International Falls is their biggest city right along the Canadian
- Cuchaching County far up north<00:05:02.639>
international <00:05:03.040>falls <00:05:03.360 - >
is <00:05:03.520>their north international falls is their north international falls is - <01:23:44.400>
on ever since the uh Supreme Court ruled on ever since the uh Supreme Court - ruled on uh<01:23:45.520>
the <01:23:46.480>uh <01:23:46.960>case <01:23:48.000>
MN
Minnesota 2025-2026 Regular Session
Judiciary Committee Meeting - 2026-04-16
Judiciary Finance and Civil Law
Transcript Highlights:
- would send the bill to rules house rules would send the bill to rules before<01:06:09.599>
it - It goes to Rules, and then the Rules Committee has to act on it in some way.
- go through rules. go through rules.
- the rule.
- It goes to the rules the rule. It goes to the rules committee. committee. committee.
HI
Hawaii 2025 Regular Session
WAM, WAM-JDC Informational Briefings 01-14-2025
Hawaii Senate Floor Meeting
Transcript Highlights:
- So I mean, as a general rule, not just these four, but as a general rule, isn't it better to wrap things
- <00:32:56.320>
isn't these four but as a general rule isn't these four but as a general rule - um when there's any kind of uh internal action<00:33:18.240>
for <00:33:18.679>whatever - We absolutely anticipate that he will issue executive orders that I believe will violate the rule of
- <00:47:21.040>
of um I believe will violate the rule of um I believe will violate the rule
CA
California 2025-2026 Regular Session
Assembly Business and Professions Committee Apr 1st, 2025
Business and Professions
Transcript Highlights:
- We apply these rules consistently to all people who participate in our proceedings.
- rule, if we don't get any authors, we will not be able to continue.
- in a second for the committee rules we got a motion We've got a second.
- Madam Secretary, please call the vote on the committee rules.
- On the adoption of the committee rules, Elhori.
MS
Mississippi 2026 Regular Session
MS House Floor - 10 February, 2026; 10:00 AM
Mississippi House Floor Meeting
Transcript Highlights:
- Moves the rules be suspended.
- to be a notary with the new rules. to be a notary with the new rules.
- Rules be suspended.
- Most the rules be suspended.
- Moves the rules be suspended. bill up. Moves the rules be suspended.
Summary:
The House convened with prayer and the Pledge of Allegiance, then established a quorum and dispensed with the reading of the journal. Members also introduced a number of guests and visitors, including University of Southern Mississippi programs, 4-H participants from across the state, and several local constituents. A Mississippi 4-H president, Morgan White, addressed the chamber and spoke about the value of 4-H in building leadership, confidence, and agricultural skills, and noted the state’s first-in-the-nation 4-H slingshot curriculum and competition.
The chamber then moved to the calendar and took up several bills. House Bill 943 was called up and passed after a committee substitute was adopted; the bill was explained as removing a repealer related to joint reports of examination by the Commissioner of Banking and Finance and the Federal Reserve Bank. House Bill 1265 also passed after being explained as extending a repealer for the debt service management act. House Bill 1477 was taken up next and generated extended discussion; it would create a process for abandoned safety deposit box contents, requiring notice to owners, allowing a period to cure delinquency, and then transferring contents to the Treasury Department for eventual disposition.
Members asked several questions about House Bill 1477, especially about how long property would be held, how heirs would be notified, how cash and tangible items would be treated, and whether documents such as wills should be scanned or preserved before destruction. The bill’s sponsor said cash would remain unclaimed property, tangible items would generally be sold at public auction, and the Treasury Department would hold property for a minimum period before sale, with heirs still able to claim it for a time. The sponsor also said the bill had support from banking and credit union groups. No final vote on House Bill 1477 is shown in the transcript excerpt.
CA
California 2025-2026 Regular Session
Assembly Budget Subcommittee No. 2 on Human Services May 21st, 2025
Transcript Highlights:
- It would make Job Club an optional program component and simplify its rules and exceptions.
- They're not always clear on the rules.
- We've already done internal to the department that kind of assessment.
- And that would be a big stakeholder engagement to comply with this rule. On 55, I just meant.
- Going back to 54 federal access this rule. Yeah.
HI
Hawaii 2025 Regular Session
TCA-EIG, TCA, TCA DEFER Public Hearings 02-11-2025
Transcript Highlights:
- <00:55:07.799>
of <00:55:07.920>the <00:55:08.040>county <00:55:08.280>rules - <00:55:08.559>
are counties um most of the county rules are counties um most of the county - rules are the<00:55:08.760>
ones <00:55:08.920>that <00:55:09.000>are <00:55:09.079 - best practices, and other structures of management such as corporations at other national and international
- As corporations at other national and international airports, amend the airports advisory council to
Summary:
The joint committees heard testimony on several measures, beginning with SB 1480 on transportation and road usage charging. Supporters included the Department of Transportation, the Hawaii State Energy Office, county representatives, and the Tax Foundation, while an automotive industry witness opposed the bill, arguing it would be unfair to rural drivers and those with longer commutes. Committee discussion focused on equity, rural impacts, and whether the measure should be tied to future rail funding. The committees ultimately recommended SB 1480 pass with amendments, including broadening allowable uses of funds, clarifying language on infrastructure and safety, addressing motor scooters, and striking a proposed new subaccount; the recommendation was adopted by both committees, with one no vote in TCA.
For SB 970 on taxation, the Tax Foundation said the employer transit tax credit would be more efficient as a direct subsidy program, and the Department of Taxation recommended several changes, including a sunset date of December 31, 2030, anti-double-benefit language, deletion of certain reporting requirements, and an effective date of December 31, 2025. The department estimated the bill would reduce revenues by about $11.6 million over the four-year period it would be in effect. The committees moved SB 970 forward with amendments to include bike share in the credit and add a defective date, leaving the department’s suggested changes for later consideration; the recommendation was adopted.
The committees also advanced SB 1008 on parking and SB 1088 on electric vehicle charging infrastructure without amendments. DCAB strongly supported SB 1008, saying it would help counties enforce accessible parking design requirements, and noted a related bill without the EV portion. SB 1088 drew broad support from the Public Utilities Commission, State Energy Office, county and advocacy groups, and individuals; one question raised whether the bill should sunset, but the response was that Hawaii still lacks sufficient EV charging infrastructure and the measure expands eligibility for affordable housing. Both bills were recommended to pass unamended and the recommendations were adopted.
The Transportation and Culture and Arts committee then heard SB 1011 on the Hawaii Leadership Awards Program, with testimony in strong support from individuals and the State Archivist, who suggested preserving award recipients’ archives, photos, oral histories, and clippings. The committee also heard SB 441 on the Hawaii Symphony Orchestra, with support from the Democratic Party of Hawaiʻi, the Hawaii Theatre Center, musicians, and others emphasizing cultural value, workforce stability, and statewide access to the arts. The transcript then moved to SB 1581 on the Hawaii Japan Pacific Peace Monument and SB 1577 relating to the State Foundation on the Arts; on SB 1577, the Attorney General warned that using the Works of Special Art Fund for operating purposes could jeopardize the tax-exempt status of related bonds and recommended deleting section five, while also pointing to the Performing Arts Special Fund as an alternative.
MN
Minnesota 2025 1st Special Session
House Workforce, Labor, and Economic Development Finance and Policy Committee 3/27/25
Workforce, Labor, and Economic Development Finance and Policy
Transcript Highlights:
- Was it an oversight internally? Was there somebody who didn't report the numbers?
- Was it an oversight internally? Was there somebody who didn't report the numbers?
- Was it an oversight internally? Was there somebody who didn't report the numbers?
- Was it an oversight internally? Was there somebody who didn't report the numbers?
- was there somebody who didn't internally was there somebody who didn't report<00:32:17.840>
the
Keywords:
teacher apprenticeship, registered apprenticeship, teacher licensure, teacher shortage, workforce development, education finance, K-12 education, higher education, Professional Educator Licensing and Standards Board, PELSB, Tier 3 license, teacher preparation, mentor teacher, school district, cooperative unit, teacher pipeline, alternative licensure, apprenticeship program, labor and industry, union representation
MN
Transcript Highlights:
- They do so through the rule others.
- <01:05:17.359>
They set rules, people make choices. They set rules, people make choices. - hour and change all the rules. hour and change all the rules.
- After reading the rules and talking through the rules, the point of order is well taken. >> Mr.
- the rules and talking through the rules. the rules and talking through the rules.
MA
Massachusetts 2025-2026 Regular Session
Joint Committee on Housing Jun 21st, 2026 at 01:00 pm
Joint Committee on Housing
Transcript Highlights:
- But anything under the home rule amendment, the state can decide where that line is drawn.
- The majority of the 19 communities I represent have all passed home rule petitions.
- And the difficulty is we have this deep ingrained home rule mentality that we absolutely adopted and
- So our big land use issue is how do we balance this home rule with the idea of more development, and
- and the difficulty is we have this deep ingrained home rule mentality that we absolutely we adopted
Summary:
The Joint Committee on Housing opened its second hearing of the session with remarks from Chairs Haggerty and Cyr emphasizing that the hearing was a broad look at Massachusetts’ housing crisis rather than a single bill. They highlighted topics including zoning, permitting, rental assistance, public housing, homelessness prevention, and housing production. The first witness, Housing and Livable Communities Secretary Augustus, reviewed implementation of the Affordable Homes Act and the state’s new housing plan, citing a 1.6% vacancy rate, a projected need for 222,000 new homes over 10 years, and ongoing efforts such as ADUs by right, fair housing enforcement, eviction record sealing, seasonal communities planning, and new funding for affordable housing, public housing, and the Momentum Fund. He also discussed infrastructure support for municipalities, technical assistance for ADUs, and concerns about possible federal funding cuts.
Committee members questioned the secretary about ADU financing and technical assistance, the likely unit yield from the Affordable Homes Act, infrastructure barriers in suburban and rural communities, public housing waitlist management, supportive housing, and federal budget risks. MassNAHRO then testified that public housing authorities are facing rising operating and capital costs, a statewide waitlist nearing 300,000, and uncertainty over federal Section 8 and HUD funding. Witnesses described recent state support for operating subsidies, capital improvements, vacancy turnover teams, and resident service coordinators, while warning that proposed federal cuts could sharply affect voucher issuance and agency operations.
CDAC’s executive director Roger Herzog described the agency’s role as a quasi-public source of early-stage financing and technical assistance for nonprofit housing developers, noting its loan capital, supportive housing bond programs, home modification loans, and preservation work under Chapter 40T. He said CDAC has helped produce or preserve more than 55,000 units and stressed the importance of patient capital and preservation tools. CHAPA CEO Rachel Heller urged the committee to focus on production, preservation, planning, and political will, supporting goals for affordability, supportive housing, and homeownership, and endorsing policy changes such as YIGBY, clearer site plan review rules, stronger fair housing funding, and more support for vouchers and public housing. MassHousing then outlined its financing role, including mortgage lending, down payment assistance, the Community Climate Bank, and the Momentum Fund, while noting that permitting delays, capital gaps, and possible federal changes could affect production. Members also asked about transparency, prevailing wage compliance, and a recent internal restructuring related to diversity and business engagement.
MA
Transcript Highlights:
- Maypole, pediatrician at Boston Medical Center; Kimberly Daly, a member of the Service Employees International
- Those rules require that individuals who are admitted to a hospital, which is what Pappas is designated
- Department of Public Health while I've had oversight of the Pappas Hospital we have adhered to the rules
- I came to the United States from the Philippines as an international student at the University of Rhode
- I just want to be clear: we should look at the admissions policy internally.
Summary:
The special legislative commission on the future of Pappas Rehabilitation Hospital for Children held a hybrid public hearing focused on the hospital’s future, admissions, staffing, infrastructure, and whether the facility should be preserved, expanded, or reimagined. Opening remarks from legislators, commissioners, parents, and union representatives emphasized that Pappas provides a unique combination of medical, rehabilitative, educational, and residential services for children with complex needs, and several speakers argued that the hospital is effectively being depopulated through reduced admissions and ongoing discharges despite public assurances that it remains open. Multiple speakers urged the commission to extend its authorization and continue its work before any closure or major change can occur.
Testimony from labor leaders, including AFSCME, SEIU Local 509, and the Massachusetts Nurses Association, described a “silent closure” in practice, with staff reporting confusion about the hospital’s status, declining census numbers, blocked admissions, and uncertainty about the workforce’s future. They called for immediate action to stop admission denials and unnecessary discharges, and some proposed short-term solutions such as temporary modular structures to address infrastructure barriers and allow admissions to resume. Parents and former patients testified that Pappas provided life-changing independence, specialized therapy, and campus-based supports that they said could not be replicated elsewhere, and they criticized alternative placements as inadequate.
Commissioner Robert Goldstein of the Department of Public Health said the administration supports keeping Pappas open and funded while the commission works, but he argued that admissions must comply with hospital-level-of-care rules and that the campus’s deteriorating infrastructure limits the kinds of children who can safely be served there. He said the department is continuing admissions for appropriate patients, working to expand outreach and services, and exploring long-term options, including broader statewide models of care. Commissioners pressed him on whether discharge status or lack of a clear discharge plan had been used as a barrier to admission, and requested de-identified data on patients recommended for admission but denied. No formal votes were taken during the hearing.
NH
New Hampshire 2026 Regular Session
Joint Legislative Performance Audit Oversight Committee (02/06/2026)
Transcript Highlights:
- <00:15:05.440>
I'm <00:15:05.519>the <00:15:05.680>internal <00:15:06.000> - I'm the internal auditor Teresa Narrow.
- I'm the internal auditor for<00:15:06.560>
Health <00:15:06.800>and <00:15:06.959>Human - questions of developing rules questions of developing rules implementing<00:49:33.119>
the - utilizing what rules they're following and<00:51:32.000>
and <00:51:32.400>that <00:51:
Summary:
The Legislative Performance Audit and Oversight Committee approved the November 7 minutes with three abstentions and then received status updates on several ongoing audits. Audit staff reported that the special education oversight audit was in report-writing, with 34 of 71 observations completed and a draft expected in the second quarter and a final report in the summer. The education freedom accounts audit had 22 of 41 observations completed, with a draft also expected in the second quarter and a final report in the summer. The Doorway program audit had 5 of 13 observations completed, with a draft expected by the end of February and a final report by April or May.
The committee then discussed possible new oversight topics, prompted by concerns about fraud in other states and the need to ensure New Hampshire programs are not vulnerable. Members suggested hearing from DHS officials, contract administrators, and possibly the Department of Justice Medicaid fraud unit about SNAP and other programs, as well as reviewing staffing levels in HHS contract management. There was also discussion of whether to revisit the Bureau of Elderly and Adult Services, though members noted that prior work on that area had been suspended because of litigation.
A representative from HHS, Teresa Narrow, briefed the committee on the Bureau of Developmental Services. She said the state had been in compliance with CMS since July 1, 2023 after resolving issues tied to a system redesign and billing changes, and that provider-side billing problems had also been fixed. She also described three existing bodies involved in developmental disability housing oversight, including the Council on Housing Stability, the ABLE Housing Task Force, and a legislative study committee created by HB 168 in 2024. Committee members asked for her notes to be shared.
The committee spent substantial time debating whether to pursue a new special education audit at the school-district level. Members discussed the need to examine why some districts have much higher special education rates and costs than others, and whether a statistically selected sample of schools could be used. Audit staff said no new audits could begin until about May or June and that only a couple of auditors would then be available. Members also noted that a legislative study committee is already working on special education and may issue a report later this year, and the committee appeared to leave the school-level audit idea as a potential future item rather than taking immediate action.
CA
California 2025-2026 Regular Session
Joint Hearing Assembly Business and Professions and Senate Business, Professions and Economic Development Mar 24th, 2025
Transcript Highlights:
- We've performed an internal evaluation of the enforcement processes through the Department of Consumer
- We also, one of the best ways, is to make sure that our licensing processing timeframes internally are
- So we're very familiar with what was on the books before, which were rules and regulations that really
- They have even ignored a judge's ruling multiple times, and they are not even following their own rules
- They were making up rules as they went along.
Summary:
The joint sunset oversight hearing reviewed five regulatory entities: the Board of Behavioral Sciences, the Board of Psychology, the Physician Assistant Board, the Podiatric Medical Board, and the California Massage Therapy Council. Across the hearing, each entity described recent accomplishments, licensing and enforcement workload, workforce shortages, and efforts to modernize processes. Common themes included streamlining licensure, expanding access to care, addressing telehealth or emerging technology, and balancing consumer protection with workforce needs.
For the Board of Behavioral Sciences, members discussed workforce shortages in mental health, supervision barriers, telehealth confidentiality, AI in therapy, interstate compacts, school-based services, and military spouse licensure. The board said it has expanded outreach, improved licensing processes, and created temporary practice authority tracking, while also expressing concern about counseling compacts and emphasizing California-specific law, ethics, and cultural competency. Public commenters supported the board’s work and the possible move to a national MFT exam, while also urging more resources.
The Board of Psychology highlighted fee adjustments, streamlined licensure pathways, enforcement process improvements, new CPD requirements, and proposed changes including a psychotherapist-client privilege exception for investigations. Committee members and public witnesses focused heavily on that privilege proposal, with some members opposing it as too broad and privacy-invasive, while the board argued it is needed to obtain records in bias and sexual misconduct cases. The board also discussed workforce shortages, processing improvements, and the use of inactive status for psychological associates.
The Physician Assistant Board reported growth in the PA workforce and education programs, SB 697 implementation, and financial pressure from rising enforcement costs. The main policy debate centered on physician-to-PA ratios and practice agreements, with board representatives and many public commenters arguing that current restrictions limit access to care, especially in rural areas, while the California Medical Association defended the need for explicit ratios and agreements. The board also discussed AI, fee increases, and tracking temporary practice authority. The Podiatric Medical Board described licensing and renewal reforms, residency expansion, enforcement support, and budget constraints, while public testimony raised concerns about a proposed fee increase and about reimbursement parity and practice recognition for podiatrists. Finally, the California Massage Therapy Council defended the certification model over licensure, citing lower costs, local government collaboration, anti-trafficking work, and its role in vetting applications and disciplining bad actors; no formal votes or final actions were taken during this portion of the hearing.
WA
Washington 2025-2026 Regular Session
Joint Select Committee on Health Care and Behavioral Health Oversight Nov 5th, 2025
Joint Select Committee on Health Care and Behavioral Health Oversight
Transcript Highlights:
- And out and about, when I say that, I mean both internally into the agency, very deep into the agency
- Internally into the agency, very deep into the agency, but also externally listening and forming and
- So we are driving that harder internally to the agency.
- So we are driving that harder internally to the agency. Great. Thank you.
- The rule, however, is not expected until June of 2026.
Summary:
The committee met to hear introductory briefings from the Department of Health and the Health Care Authority on agency priorities, federal changes, and implementation challenges. Secretary of Health Dennis Worsham said his department’s listening tour is focused on strengthening governmental public health, improving health care quality and access, and responding to federal funding disruptions and the shutdown’s effects on programs such as WIC. HCA Director Ryan Moran said the agency is prioritizing coverage preservation, oversight of major contracts, affordability, behavioral health integration, rural health transformation, and internal agency operations. Members asked about licensure delays; Worsham said the backlog had been reduced from about four months to six weeks and should be caught up by January 1, with possible further process changes if needed.
A major portion of the meeting focused on H.R. 1 and its Medicaid-related implementation. Governor’s health policy advisor Caitlin Stafford, HCA staff, and interim Medicaid Director Trinity Wilson said the state is working with DSHS, the Health Benefit Exchange, tribes, and other partners to prepare for eligibility changes, work requirements, and six-month redeterminations. They said the state expects up to 30,000 Apple Health enrollees could lose coverage under the law’s non-citizen eligibility changes, and that the work requirement/redetermination provisions could affect about 620,000 adults, with roughly 80,000 also enrolled in SNAP. HCA said it hopes to automate most verification, but about 15% to 20% of cases may require manual review, with technology costs estimated at up to $30 million. Staff also said they are trying to keep H.R. 1 implementation mostly in budget language rather than statute, and that communication and navigator support will be important to minimize confusion and coverage loss.
The committee also received an update on the Rural Health Transformation Program created in H.R. 1. HCA said Washington submitted its application to CMS on November 5 after extensive stakeholder engagement, including more than 310 written comments, webinars, and tribal consultation. The application centers on six initiatives: rural hospital innovation, community care and prevention, tribal investments, technology and data, workforce development, and rural behavioral health. HCA said the state is likely to receive less than the full $200 million annual amount assumed in the federal program, and that an advisory committee may be created to help guide spending over the five-year program. Members asked about palliative care, small business impacts, and communication with enrollees; HCA said it expects to share outreach toolkits and that no 2026 statutory changes are currently anticipated, though that could change.
The final panels covered organ donation and transplant services. Department of Health staff explained the 2023 “Lights and Sirens” law for organ transport vehicles, including licensing, driver qualifications, insurance requirements, and use of emergency lanes and traffic preemption; the department said one company is currently licensed and there have been no complaints. LifeCenter Northwest described the organ procurement process, the legal framework under the Uniform Anatomical Gift Act, and the rarity and complexity of deceased donation, noting Washington has seen strong growth in donation and transplants over the past decade. University of Washington Medical Center staff then outlined its transplant programs for kidney, liver, heart, lung, pancreas, and multi-organ transplants, describing the multidisciplinary evaluation and waitlist process and the coordination required with donor organizations and hospitals.
FL
Florida 2025 Regular Session
March 19, 2025 - 01:00 PM
Transcript Highlights:
- Then we go through a process that's identified in statute and rule to determine a final budget amount
- This is an internal agency-developed report. It's called the Achieved Savings Rebate Report.
- This is an internal agency developed report. It's called the Achieve Savings Rebate Report.
- We have internal staff that perform quarterly and annual reviews of various schedules.
- We're provided schedules that they have developed internally of related party transactions that summarize
Summary:
The Health Care Budget Subcommittee took up two bills and then continued oversight discussions with APD and AHCA. CS/HB 27, the Social Work Licensure Interstate Compact, was presented as a way to let Florida social workers practice in other compact states and vice versa; AARP, the Florida Chamber, and NASW Florida supported it, and the bill passed favorably. HB 1127, a child welfare bill, would create a treatment foster care pilot for children with high behavioral needs, improve DCF data collection on commercially sexually exploited children, and expand recruitment for protective investigators and case managers; the bill also passed favorably after brief supportive testimony.
The committee then questioned APD at length about the iBudget waiver waitlist, enrollment pace, spending projections, and provider capacity. APD said it had sent more than 1,100 interest letters in categories 3, 4, and 5, enrolled 1,124 people so far this year, and expects to spend about 96.4% of its waiver appropriation, leaving roughly $82 million unspent. Members pressed APD on why prior discussions suggested more reserve was needed, how long the SANS process takes, whether category 6 could be expanded, and whether the agency has enough waiver support coordinators and direct support providers. APD said it has about 1,061 waiver support coordinators statewide, adequate capacity for current enrollees, but would need further analysis if the legislature directed a much larger enrollment increase. Members also asked about outreach, annual maintenance of the waitlist, portability for military families, and whether communication efforts should be privatized.
Finally, AHCA walked the committee through the 2023 Achieved Savings Rebate (ASR) report for Aetna and explained how the report is used for financial monitoring, rebate calculations, and transparency. AHCA said the ASR is separate from the medical loss ratio (MLR) calculation, though both are reviewed, and that Florida uses the ASR mechanism rather than an MLR remittance requirement to recover funds from plans. Members asked about related-party disclosures, CVS/Caremark relationships, expanded benefits, encounter data, network adequacy penalties, denials and appeals reporting, interest earned on capitation payments, and whether rate increases were reaching providers. AHCA and the outside auditors said they review the plans’ reported data, reconcile it to underlying records, and can assess liquidated damages for network adequacy violations; several members requested follow-up data on rebates, interest, provider capacity, and related-party reporting.
FL
Florida 2025 Regular Session
March 11, 2025 - 08:00 AM
Transcript Highlights:
- As with every rule, there are good reasons for exceptions.
- I'm going to need a little bit of clarification on whether you want the internal agency IT systems looked
- I'm going to need a little bit of clarification on whether you want the internal agency IT systems looked
- And so we are minimizing the amount of internal revisions to that system right now so that we’re not
- It's something that we actually met about again Friday afternoon internally, and we're continuing to
Summary:
The subcommittee met to review agency travel, budget reduction exercises, and member reports from agency meetings. Early discussion focused on the Department of Management Services (DMS), where members questioned the cost of travel for four out-of-state data/cyber staff and the secretary’s absence. DMS defended the hires as highly specialized enterprise cybersecurity and data personnel, said the positions were lawfully paid and posted, and explained that the staff work on statewide data cataloging and cyber risk reduction rather than agency-by-agency systems. Members also raised concerns about fleet inventory discrepancies and requested follow-up information on hiring, travel, and data inventory timelines. The chair said she would consider travel guardrails and possible reductions, and noted that DMS, the Lottery, and the Florida Commission on Human Relations did not meet the requested reduction target, while the Public Employee Relations Commission did not submit reductions.
The committee then heard from the Florida Lottery about the secretary’s trip to Paris for the World Lottery Convention. Lottery staff said the trip was reimbursed through the multi-state lottery organization and was intended to share best practices and improve operations, though members questioned the value of the travel and requested reimbursement records and the trip agenda. The subcommittee also reviewed agency reduction exercises from several agencies. The Department of Revenue exceeded its target and was praised for frugality; DFS, the Florida Gaming Control Commission, the Office of Financial Regulation, the Office of Insurance Regulation, the Public Service Commission, the Division of Administrative Hearings, and the Department of Business and Professional Regulation each described how they met or approached their reduction goals, often through vacancies, reversions, or expense cuts. OIR warned that further reductions could hurt insurance regulation capacity, while OFR and PSC said their reductions were based on historical reversions and lower post-COVID travel or vacancy levels.
Members then reported back on agency meetings. DMS members raised fleet tracking, real property audits, salary studies, and health plan savings ideas, and asked for follow-up on the Florida PALM project, cybersecurity grants, and state IT modernization. DFS members said the agency was efficient and that its Palm-related work and insurance consumer programs were important. Lottery members emphasized the agency’s revenue generation for education and its low administrative overhead. Gaming Control members highlighted storage costs for seized gaming equipment and suggested technology-based alternatives. PERC members said a union-related law had doubled their workload and asked for more staffing and possible AI assistance. OIR members stressed the need for a Tampa satellite office and more resources to recruit and retain specialized staff. The chair closed by saying the committee would continue reviewing travel, staffing, and reductions with an eye toward taxpayer value and transparency.