Transcript Highlights:

• contraception, and naloxone, which are currently allowed to be provided by pharmacists, but with protocols
• The proposal But with protocols that seem to cause many disruptions in care.
• And the current practice model for pharmacists, unfortunately, is very protocol-based, and we are not
• “With expertise in medication management and treatment protocols, pharmacists manage chronic diseases
• Vanessa Gonzalez with the California Hospital Association.

Summary: The joint Assembly and Senate business committees held a sunset review hearing on the California State Board of Pharmacy, with board leadership describing the board’s consumer-protection role and its priorities around access, enforcement, and updating pharmacy law. The board emphasized a proposed shift toward a standard-of-care model for pharmacists, arguing it would reduce rigid protocol requirements and improve access to services such as HIV PrEP/PEP, contraception, and naloxone. Board representatives also discussed pharmacy deserts, possible fee waivers for pharmacies in underserved areas, concerns about payer practices contributing to closures, continuing education audits, and a request to restore more flexibility in licensure decisions and probationary monitoring for applicants with certain criminal histories. A major focus of the hearing was the board’s ongoing compounding regulations, especially the treatment of sterile versus nonsterile compounding and substances such as glutathione and methylcobalamin. The board said the proposal was not a ban on those substances and described the rulemaking as grounded in federal law, USP standards, and public comment, noting the process had gone through multiple modified texts and hearings. Testimony from stakeholders was sharply divided: pharmacists, veterinarians, firefighters, naturopathic doctors, and patient advocates warned the rules were restricting access to compounded medications and harming patients and first responders, while the California Medical Association, psychiatric physicians, and PhRMA raised concerns that the board’s proposals could expand pharmacist authority beyond training, affect physician practice, or create safety risks. Other public comments addressed pharmacy technician ratios, remote processing, flavoring medications, hospital-specific regulation, budget and enforcement transparency, and whether the board should add members with community compounding or pharmacy technician expertise. Committee members also asked about the board’s oversight priorities and the rationale for its standard-of-care proposal. Board staff explained that consumer protection includes education, licensing, policy, and enforcement, with the highest-priority enforcement cases being those posing imminent public harm. After public testimony concluded, the chairs thanked participants and adjourned the sunset review hearing, announcing an immediate transition to the joint informational hearing on the Department of Cannabis Control.

Transcript Highlights:

• These hospitals are commonly referred to as disproportionate share hospitals.
• a critical access hospital.
• There's also requirements that they be nonprofit hospitals or public hospital districts.
• Half of Washington State's 340B hospitals are, in fact, rural critical access hospitals.
• critical access hospitals.

Bills: HB2145 , HB1828 , HB2155 , HB2437

Committee: House Health Care & Wellness

Keywords: 340B drug pricing, healthcare access, patient rights, discounted medications, manufacturer limitations, health professions, plasma donation, physician substitutes, medical regulation, nursing titles, healthcare, regulation, professional standards, licensure, accreditation, opioid treatment, health services, fee authority, public health, 904

Transcript Highlights:

• requires DOH to create a blood clot and pulmonary embolism registry require specified training and protocol
• of blood clots, pulmonary embolism, or DVT or deep vein thrombosis on the patient is admitted to hospital
• So when the patient goes to the hospital, the doctor reached the profile on the front page, boom right
• Madam Chair, families with sick children. >> Our need of healthcare hospitality.
• and that sleeping in vehicles or chair in the hospital lobby unable to for the costs associated with

Keywords: 999, senate, all

Transcript Highlights:

• My questions are around the safety protocols that you mentioned.
• So there actually are, There actually are safety protocols.
• She was rushed to the hospital where she later found out she'd had a miscarriage.
• She was rushed to the hospital where she later found out she'd had a miscarriage.
• Rosen, I think, goes beyond hospitality.

Summary: The Economic Infrastructure Subcommittee heard and approved three bills. HB 1165 by Rep. Owen would authorize FDOT to issue a special blanket permit for mobile cranes and accessory support vehicles meeting specified size limits, allowing them to travel on and off interstates at all hours, including at night, while still following safety requirements and local travel restrictions. The sponsor and crane industry proponents said the bill would reduce congestion and improve emergency and disaster response. The bill was reported favorably by a 17-0 vote. The committee also considered CS for HB 279 by Rep. Partington, which strengthens penalties for misuse of the 911 system. The bill adds restitution requirements for emergency response costs and creates enhanced felony penalties when a false emergency report causes great bodily harm or death. Members raised concerns about juvenile prank calls and suggested awareness efforts in schools; the sponsor said those ideas could be considered separately. A Volusia County Sheriff’s Office representative supported the bill, and it passed favorably by a unanimous vote. Finally, the committee heard HB 177 by Reps. Harris and Woodson, designating a portion of I-Drive as the Harris Rosenway in honor of philanthropist and hotelier Harris Rosen. An amendment was adopted to also designate a bridge in Duval County as the Bernard Wilkes Rebaugh River Bridge in honor of longtime coach Bernard Wilkes. Members spoke in support of both honorees and their community impact. The bill, as amended, was reported favorably by a 17-0 vote. The meeting then adjourned.

Transcript Highlights:

• Health care, our local partners, our community hospitals are saying exactly that: How do we actually
• Some of these rigorous protocols at the USDA...
• The cattle then have five days to cross into the U.S. with, according to the USDA protocol, they are
• We have the protocols. We have the safety inspection system. We have the proper reviews.
• We have the protocols. We have the safety inspection system. We have the proper reviews.

Committee: House International Trade

Keywords: 1182, all

Transcript Highlights:

• I was astounded. at a hospital. I worked in the emergency at a hospital.
• In 2025, hospitals.
• all 26 of the state's community hospitals as well as all specialty hospitals.
• I thought it was a hospital. watch band. I thought it was a hospital.
• </c> therapy protocols do have value. therapy protocols do have value.

Committee: House Commerce and Consumer Affairs

Keywords: 1189, house, all

Transcript Highlights:

• they need to survive, particularly the hospitals I look at: our safety net hospitals and our hospitals
• Fact: I connected with two hospital administrators from separate hospitals, major hospitals, who tried
• to the right hospitals.
• They chalked this up at the hospital to protocol. to see if she had been drugged.
• They chalked this up at the hospital to protocol.

Committee: Joint Joint Committee on Public Health

Keywords: 995, all

Summary: The committee heard testimony on a wide range of public health and emergency services bills, with many speakers focusing on EMS system failures, hospital service closures, trauma preparedness, epilepsy awareness, drink-spiking response, sudden cardiac arrest, and survivor financial assistance. Several legislators and advocates described the EMS system as underfunded and overstretched, citing long ambulance waits, staffing shortages, and the need for statewide oversight, a special commission, and clearer recognition of EMS as an essential service. A number of speakers also supported bills to preserve essential hospital services after closures such as Nashoba Valley Medical Center and birthing services in Leominster, arguing that current closure rules lack enforcement and leave communities without critical care. Multiple panels testified in support of bills requiring trauma kits in public buildings, public education on SUDEP and epilepsy mortality, and improved cardiac arrest response. Supporters of the trauma-kit bill said public buildings should have bleeding-control kits and trained staff, comparing them to AEDs and first aid supplies. Epilepsy advocates, clinicians, and grieving parents urged a public health campaign on SUDEP, saying families are often not warned about the risk and that awareness could improve medication adherence, reduce guilt, and save lives. On cardiac arrest, EMS professionals and the American Heart Association backed measures to improve telecommunicator CPR, create an AED registry, and strengthen dispatch and training standards. The committee also heard extensive testimony on a bill addressing illicit drink spiking. Senators, city officials, victims, physicians, and an international anti-spiking advocate described cases in which hospitals refused toxicology testing unless a sexual assault was reported, and argued for standardized testing protocols, better data collection, and coordination with law enforcement and licensed venues. Another bill drew a sharp exchange over local public health control and the SAFE 2.0 law, with one senator arguing for more local approval and voluntary participation, while committee members defended the earlier law as a response to inequities in local public health capacity. Finally, advocates from Jane Doe, Inc. supported legislation to provide flexible financial assistance to survivors of domestic and sexual violence, saying unrestricted cash helps survivors meet basic needs, escape abuse, and rebuild stability.

Transcript Highlights:

• The hospital can deny it without cause.
• So you can see if it went to an Idaho hospital or to a Utah hospital.
• I have received transfers of care from the out-of-hospital midwives in the two hospitals I work.
• As you know, birth outside the hospital is much less expensive than hospital birth.
• We added, we had define a protocol. We had added define a formulary and protocol.

Summary: The committee first heard House Bill 528, which would codify the ability for patients to use self-donated or directed donor blood under federal testing and collection guidelines. Representative Chris Bruce said the bill was intended to ensure Idaho patients have that option in state law after some hospitals or facilities had denied requests. Supporters testified that the bill protects patient autonomy, religious freedom, and medical choice, and described personal experiences where directed donation was difficult or impossible to arrange in Idaho. Opponents, including representatives from Vitalant and the Red Cross, said directed and autologous donations are already available when medically indicated, that the bill addresses a problem that does not exist, and that it could add cost, complexity, and strain to an already severe blood shortage without improving safety. After debate over terms such as “detrimental” and “gross negligence,” a substitute motion to send the bill to amending order failed 7-9, and the original motion to send HB 528 to the House floor with a do pass recommendation passed 7-6. The committee then approved a rules docket for the Idaho Commission for the Blind and Visually Impaired’s Business Enterprise Program, which updates and streamlines rules governing vending and food service facilities operated by blind entrepreneurs. The committee next took up House Bill 550, a midwifery bill updating Idaho’s existing statute to allow licensed midwives to administer additional medications within their training and scope of practice. The sponsor and several midwives, nurses, and other supporters said the changes would modernize outdated law, improve care in rural areas, reduce unnecessary hospital transfers, and better address postpartum hemorrhage and other maternal or neonatal needs. One testifier described a tragic homebirth outcome and urged stronger safety limits, while the Idaho Medical Association said it had worked with the sponsor on compromise language. At the sponsor’s request, HB 550 was held in committee and the related revised RS was moved forward. The committee then approved RS-33-250, which incorporated agreed-upon changes defining a formulary and protocol and clarifying maternal and neonatal care language, sending it to the second reading calendar with a do pass recommendation. The meeting adjourned after completing the agenda.

Transcript Highlights:

• HOWEVER MANY HOSPITALS DO NOT HAVE SPECIFIC PROTOCOLS DEALING WITH THE TREATMENT OF CHILDREN IN THEIR
• BY ACHA FOR THE TREATMENT OF CHILDREN IN AN ED AND WHAT THIS DOES IS IT SAYS THAT YOU MUST HAVE PROTOCOL
• HEALTHCARE PROVIDERS DIFFER WITH REGARD TO TREATMENTS AND PROTOCOLS DIFFER NOT JUST FROM FACILITY TO
• STAY UP TO 90 DAYS POST HOSPITALIZATION.
• THEY CAN GO TO THE HOSPITAL. THEY CAN GO BACK TO DETOX.

Keywords: 999, senate, all

Transcript Highlights:

• He has his own family practice and is affiliated with several hospitals in the area.
• In 1973, we created the Maybank Kemp Hospital District in Henderson County and some surrounding areas
• So, House Bill 467 actually permits the county judges of the Cedar Creek Hospital District to place a
• House Bill 467 relating to the procedure for the solution of the Cedar Creek Hospital District.
• House Bill 467, relating to the procedure for the solution of the Cedar Creek Hospital District.

Bills: SB111 , SB128 , SB203 , SB205 , SB261 , SB383 , SB393 , SB397 , SB466 , SB510 , SB705 , SB715 , SB731 , SB748 , SB801 , SB867 , SB876 , SB913 , SB945 , SB946 , SB1013 , SB1071 , SB1086 , SB1087 , SB1181 , SB1250 , SB1285 , SB1373 , SB1400 , SB1444 , SB1483 , SB1528 , SB1553 , SB1556 , SB1581 , SB1586 , SB1608 , SB1698 , SB1730 , SB1835 , SB1858 , SB1903 , SB1946 , SB1950 , SB1986 , SB2017 , SB2043 , SB2056 , SB2058 , SB2063 , SB2082 , SB2105 , SB2133 , SB2137 , SB2177 , SB2203 , SB2260 , SB2311 , SB2334 , SB2337 , SB2340 , SB2403 , SB2417 , SB2446 , SB2452 , SB2460 , SB2519 , SB2532 , SB2565 , SB2611 , SB2619 , SB2622 , SB2633 , SB2637 , SB2655 , SB2681 , SB2688 , SB2713 , SB2717 , SB2764 , SB2781 , SB2782 , SB2790 , SB2794 , SB2797 , SB2841 , SB2847 , SB2857 , SB2878 , SB2891 , SB2943 , SB2955 , SB2959 , SB2972 , SB2995 , SB3037 , SB3047 , SB3057 , SB3059 , HJR2 , HJR99 , HB26 , HB29 , HB136 , HB166 , HB206 , HB353 , HB451 , HB517 , HB1399 , HB1672 , HB2000 , HB2198 , HB2756 , HB3204 , HB3248 , SJR3 , SB5 , SB72 , SB509 , SB616 , SB963 , SB985 , SB1025 , SB1080 , SB1143 , SB1172 , SB1245 , SB1267 , SB1271 , SB1273 , SB1355 , SB1422 , SB1759 , SB1786 , SB2361 , SB1 , SB260 , SB1506 , SB1637 , SCR48 , SB375 , SB410 , SB672 , SB777 , SB1373 , SB1454 , SB1586 , SB1704 , SB1854 , SB1856 , SB2165 , SB2203 , SB2342 , SB2367 , SB2452 , SB2501 , SB2520 , SB2521 , SB2538 , SB2539 , SB2703 , SB2835 , SB2903 , SB2926 , SB2959 , SB2965 , SB3029 , HB22 , HB1392 , HB3093 , HB3096 , HCR6 , HCR12 , HCR29 , HCR50 , HCR55 , HCR56 , HCR58 , HCR70 , HCR71 , HCR74 , HCR78 , HCR80 , HCR107 , HCR116 , HCR117 , SJR36 , SJR50 , SJR63 , SCR12 , SCR39 , SCR48 , SB2023 , SB62 , SB666 , SB847 , SB284 , SB854 , SB1073 , SB810 , SB1505 , SB583 , SB507 , SB1434 , SB1772 , SB2016 , SB1163 , SB1122 , SB731 , SB397 , SB508 , SB1436 , SB287 , SB261 , SB1882 , SB393 , SB1791 , SB209 , SB2429 , SB511 , SB2309 , SB510 , SB1085 , SB1975 , SB2717 , SB1262 , SB636 , SB2056 , SB884 , SB1200 , SB1845 , SB2458 , SB801 , SB3014 , SB3013 , SB758 , SB2797 , SB2076 , SB2876 , SB1640 , SB2538 , SB1449 , SB1181 , SB1359 , SB410 , SB1234 , SB2926 , SB2972 , SB2841 , SB1856 , SB1528 , SB1373 , SB672 , SB2891 , SB1854 , SB317 , SB2539 , SB2532 , SB1250 , SB2082 , SB2203 , SB1285 , SB1454 , SB2520 , SB1237 , SB1586 , SB2819 , SB629 , SB2342 , SB2903 , SB3029 , SB375 , SB777 , SB2367 , SB2703 , SB2608 , SB2965 , SB2521 , SB2165 , SB2501 , SB2452 , SB2835 , SB1602 , SB1704 , SB1723 , SB1858 , SB1946 , SB2009 , SB2177 , SB2460 , SB2785 , SB867 , SB1608 , SB640 , SB1698 , SB705 , SB748 , SB2680 , SB2994 , SB2747 , SB1950 , SB913 , SB1071 , SB1086 , SB1087 , SB1483 , SB1444 , SB1553 , SB1556 , SB1703 , SB2133 , SB2297 , SB2298 , SB2622 , SB2955 , SB3059 , SB2637 , SB2334 , SB1861 , SB2043 , SB1367 , SB2857 , SB128 , SB3058 , SB2044 , SB2363 , SB2311 , SB1986 , SB2565 , SB2943 , SB1888 , SB2417 , SB3048 , SB3052 , SB3053 , SB3036 , SB3057 , SB3056 , SB3043 , SB3037 , SB3050 , SB3063 , SB3047 , SB3035 , SB2446 , SB466 , SB2611 , SB2794 , SB2105 , SB2017 , SB1790 , SB1778 , SB1730 , SB2995 , SB2847 , SB205 , SB2619 , SB1903 , SB203 , SB3061 , SB1581 , SB2600 , SB2799 , SB2790 , SB2688 , SB2515 , SB1230 , SB876 , SB2522 , SB2639 , SB2137 , SB2519 , SB2403 , SB2459 , SB3051 , SB2655 , SB2251 , SB2764 , SB2878 , SB1884 , SB111 , SB582 , SB2617 , SB1835 , SB2751 , SB2959 , SB2063 , SB1400 , SB2058 , SB2260 , SB2928 , SB1310 , HJR99 , HJR2 , HJR1 , HB1109 , HB1392 , HB22 , HB3093 , HB517 , HB1130 , HB1689 , HB2018 , HB2884 , HB1393 , HB2730 , HB1399 , HB1244 , HB467 , HB331 , HB2559 , HB26 , HB166 , HB353 , HB2000 , HB2756 , HB3248 , HB3513 , HB3204 , HB3135 , HB3012 , HB2763 , HB2523 , HB2457 , HB2415 , HB2198 , HB2143 , HB1708 , HB1672 , HB767 , HB1327 , HB2723 , HB451 , HB140 , HB109 , HB3096 , HB206 , HB1238 , HB1089 , HB2890 , HB9 , HB2081 , HB4215 , HB2970 , HCR6 , HCR12 , HCR29 , HCR50 , HCR55 , HCR56 , HCR58 , HCR70 , HCR71 , HCR74 , HCR78 , HCR80 , HCR107 , HCR116 , HCR117 , SB2566 , SB2344 , SB1897 , SB1749 , SB1361 , SB2549 , SB2553 , HB37 , HB1899 , HB3809 , HB334 , HB554 , HB1593 , HB2607 , HB3526 , HB3810 , HB5092 , HB388 , HB2809 , HB1151 , HB913

Keywords: special education, school districts, legal fees, reporting requirements, transparency, hospital reporting, child abuse, neglect, administrative penalty, medical ethics, child protection, student privacy, numerical class rank, education policy, academic programs, high school, fetal development, health curriculum, public schools, middle school health education

Transcript Highlights:

• pharmacist could do that without you having to go back to see your physician, as long as there's a protocol
• pharmacist could do that without you having to go back to see your physician, as long as there's a protocol
• There is no need to limit opportunities for modern, patient-centered care, which can lower hospitalizations
• There's no written protocol that captures the complexity of a decision-making process that we take every
• There's no written protocol that captures the complexity of a decision-making process that we take every

Committee: Senate Appropriations Committee on Health and Human Services

Summary: The Appropriations Committee on Health and Human Services took up two bills. Senator Burgess presented SB 116, the Senate Veterans Package, which would reduce the number of Veterans Hall of Fame nominations, expand FDVA health survey and coordination efforts, add mental health training to the veterans suicide prevention pilot program, fix statutory references, improve coordination between Veterans Florida and FDVA, and require FDVA to develop a plan for adult day health care facilities for veterans and their families. An amendment was adopted to appropriate $300,000 for the suicide prevention training pilot and $50,000 for the health survey. The bill was supported in debate, especially for the adult day care provision, and CS/SB 116 was reported favorably by roll call vote. The committee then heard SB 294 by Senator Harrell, which would exclude specified cardiac conditions—such as heart failure, coronary heart disease, and cardiac arrhythmias—from the list of chronic health conditions that may be managed under collaborative pharmacy practice agreements. Senator Harrell argued that these complex conditions require direct physician involvement and that pharmacists should not be making medication changes for severe cardiac patients based on protocols alone. Senator Rouson asked why heart conditions had been included previously, and Vice Chair Davis asked about fiscal impact; Harrell said there would be no state cost, though patients might face additional out-of-pocket expenses, which she said could be offset by avoiding more serious complications. Public testimony on SB 294 was divided. The Florida Pharmacy Association opposed the bill, arguing that collaborative practice agreements are voluntary, physician-controlled, and already include safeguards, and that pharmacists are highly trained to help manage chronic conditions and improve access and outcomes. A cardiologist with the Florida Chapter of the American College of Cardiology supported the bill, warning that cardiac patients are complex and that pharmacists may make dangerous decisions without the full clinical picture. Senator Burton also supported the bill, saying the original collaborative practice framework was not intended to let pharmacists diagnose or treat serious cardiac disease. SB 294 was then reported favorably by roll call vote. At the end of the meeting, Senators Rodriguez and Garcia asked to be recorded in the affirmative on SB 116, and the committee adjourned without further business.

Transcript Highlights:

• However, many hospitals do not have specific protocols dealing with the treatment of children in their
• What this does, it says that you must have a protocol in place.
• It requires specified training and protocols to screen a patient when the patient is admitted to a hospital
• We send them to the hospital, we call the physician.
• stay up to 90 days post-hospitalization.

Summary: The committee met with a quorum and took up a series of health and human services bills, beginning with CS/SB 1602, which would require hospital emergency departments to have evidence-based pediatric care protocols, staff training, child-sized equipment and medications, a pediatric care coordinator, and participation in a national pediatric readiness assessment. The bill was reported favorably after no public opposition. CS/SB 1224, aligning Florida law with federal requirements for paramedics to administer controlled substances under physician or nurse practitioner direction, also drew supportive testimony from the Florida Fire Chiefs Association and was reported favorably. CS/SB 1182, requiring coverage of continuous glucose monitors under both pharmacy and durable medical equipment benefits, was likewise reported favorably after brief support from AARP. The committee then considered CS/SB 890, the Emily Adkins Family Protection Act, which addresses venous thromboembolism by defining certain conditions as chronic diseases, creating a statewide registry, and requiring screening and training in hospitals, surgical centers, nursing homes, and assisted living facilities. Family members and blood clot advocates strongly supported the bill, but assisted living representatives objected to being included, arguing the bill would impose unrealistic medical expectations and liability on residential care facilities. Senators also raised concerns about the assisted living provisions, but the bill was reported favorably after the sponsor said more changes were likely later. CS/CS/SB 954, dealing with recovery residences and treatment centers, was amended to reduce the number of active patients from 500 to 300 and then reported favorably after extensive debate over zoning, clustering, neighborhood impacts, and access to recovery housing. CS/SB 1050, which expands the developmental disabilities pilot program and creates an adult pathways waiver option, generated the most extensive testimony. Supporters said it would help reduce the long APD waitlist and expand services, while many families and advocates warned against managed care, citing provider shortages, weak oversight, and the importance of consumer-directed care. Committee members emphasized that participation is voluntary and that people can disenroll, and the bill was reported favorably. CS/SB 614, requiring a public educational webpage about background screening and level-two screening requirements, and CS/SB 1578, expanding breast cancer screening coverage, were both reported favorably with little opposition. CS/SB 1060 created a joint legislative oversight committee for Medicaid financing and operations; after an amendment expanding the committee from three to five members, it was reported favorably. CS/CS/SB 1240, updating DCF substance abuse and mental health procedures including 988, methadone assessment, forensic evaluators, and Baker Act transfer timing, was amended and reported favorably after debate over transfer deadlines and facility responsibilities. Finally, the committee began hearing CS/SB 526, a major nursing education bill aimed at improving Florida’s low NCLEX passage rates by tightening program standards, requiring exit exams and remediation, mandating reporting and inspections, and limiting accreditation extensions. A strike-all amendment was introduced that would also require certain low-performing programs to offer a three-month graduate preceptorship. The transcript cuts off before the bill’s full debate and final action are completed.

Transcript Highlights:

• don't have updated withdrawal protocols, clinical protocols for managing xylazine withdrawal, if our
• don't have updated withdrawal protocols, clinical protocols for managing, you know, xylosine withdrawal
• Available in hospital settings.
• update their clinical protocols to reflect the evolving supply.
• And you ask them, hey, well, why don't you go to the hospital, right?

Keywords: 995, all

Summary: The Special Commission on xylazine held its first meeting, with House Chair Mindy Domb and Senate Co-Chair John Keenan outlining the commission’s charge and a proposed work plan. The commission is tasked with studying the public health and safety impacts of xylazine in the illicit drug supply, including whether it should be scheduled as a controlled substance, how to regulate its production and distribution, and how to improve outreach and treatment for people exposed to it. Members were told the report deadline had been extended to March 30, 2026, and staff proposed a series of public hearings and working groups leading to a final report. The meeting also included attendance, packet materials, and procedural planning. The first major testimony came from BSAS Director Deirdre Calvert, who described xylazine’s appearance in Massachusetts drug supply data, the state’s public health alerts, and DPH’s partnership with Brandeis, CDC, and harm reduction organizations. She emphasized four priorities: reducing stigma and discrimination in health care, expanding self-directed wound care support and coverage for supplies, expanding access to drug checking and test strips, and supporting low-barrier services such as mobile vans and drop-in centers. Commission members asked about first responder awareness, medical education, and whether harm reduction services might face federal restrictions; Calvert said misinformation remains a problem and noted ongoing training efforts, including collaboration with public safety agencies. Several other speakers reinforced the need for low-barrier care and drug checking. Dr. Raghini Jala, an infectious disease and addiction medicine physician, said xylazine has become a common component of the unregulated opioid supply and urged support for rapid-response education teams, community-based drug checking, and better hospital and detox protocols for xylazine withdrawal and wounds. Recovery coach Alan Young testified from lived experience, describing severe wounds, fear of inadequate withdrawal treatment in emergency settings, and the value of mobile care vans that can provide methadone, buprenorphine, and wound care in the community. Dr. Sarah Wakeman echoed the need for naloxone, rescue breathing, low-threshold treatment, and non-stigmatizing health care settings, while Sarah Macon of the Boston Public Health Commission described Boston’s harm reduction and drug checking work, including on-site testing, wound care, and a decline in opioid mortality. Tracy Green of the Massachusetts Drug Supply Data Stream explained that xylazine has declined in recent samples while metatomidine is rising, said drug checking is increasingly used but still not enough, and argued for more funding, staffing, and statewide access to real-time drug checking and harm reduction services.

Transcript Highlights:

• I was hospitalized with COVID and spent 52 days in the hospital, 28 of which I was completely alone.
• My husband, my fiercest advocate, was barred from entering the hospital.
• </c> wildest dreams did I think hospitals wildest dreams did I think hospitals were<00:04:52.639><c>
• </c><00:05:27.600><c> followed</c> emergency orders and hospitals followed emergency orders and hospitals
• </c><01:03:24.599><c> uh</c> world was admitted to the hospital uh world was admitted to the hospital

Committee: House State Government Finance and Policy

Keywords: 1183, house

Transcript Highlights:

• Hospital, Garfield Medical Center, Monterey Park Hospital, Adventist Health White Memorial Hospital,
• Huntington Hospital, San Gabriel Valley Hospital, Garfield Medical Center, Monterey Park Hospital, Advent
• Hospital, San Gabriel Valley Hospital, Garfield Medical Center, Monterey Park Hospital, Adventist Healthwide
• So if that's the nearest hospital and the hospital...
• Dena Hospital. It's not that possible. It's called Huntington Hospital.

Committee: Senate Health

Keywords: 987, senate, all

Transcript Highlights:

• All our children's hospitals, of course, have very specific protocols, but general hospitals are not
• All hospitals must have... ...a designated staff and be supplied.
• On a hospital that they would be unable to fulfill it.
• Most hospitals have all kinds of training protocols. This would not be an undue burden, I feel.
• I have to say, we have seen this work in hospitals like Halifax Hospital, for instance, which already

Committee: Senate Health Policy

Summary: The committee heard and approved several health care bills. Senate Bill 68, by Senator Harrell, would require all hospital emergency departments to be prepared to treat children by maintaining pediatric equipment, staff training, written policies, a pediatric care coordinator, and completion/public posting of the National Pediatric Readiness Assessment. Senator Harrell said the bill is intended to improve pediatric emergency care in general hospitals, and the bill was supported by the Florida College of Emergency Physicians and the Florida Chapter of the American Academy of Pediatrics. It passed favorably. The committee also approved Senate Bill 154, which corrects the Mobile Act for dentists and dental hygienists by requiring graduates of out-of-state dental schools seeking licensure by endorsement to have attended a CODA-accredited school. The bill drew support from dental and dental hygienist groups and passed favorably. Senate Bill 40, by Senator Sharif, would require Medicaid managed care networks to ensure at least half of primary care providers offer appointments outside regular business hours, including evenings and weekends, to improve access and reduce emergency room use; it also passed favorably. A lengthy discussion centered on Senate Bill 254, also by Senator Harrell, which would tighten oversight of nursing education programs, create a temporary provisional license and preceptorship for new graduates awaiting NCLEX results, require remediation for low-performing programs, add standardized admission and exit-exam requirements, and allow the Department of Health to inspect programs unannounced. Supporters said the bill would improve quality and help students gain experience, while opponents warned it could reduce the number of nursing programs and worsen shortages, especially among private schools. After debate and testimony from nursing and school representatives, the bill passed favorably, with Senator Davis voting no. The committee then received an OPPAGA presentation on interstate health care licensure compacts. OPPAGA reviewed how Florida uses licensure by endorsement, telehealth registration, and compacts for nurses, psychologists, and physicians, and explained the potential benefits and drawbacks of joining additional compacts, including portability, data sharing, and emergency staffing versus costs, administrative burdens, and possible conflicts with Florida scope-of-practice laws. No action was taken on the presentation, and the meeting adjourned after Senator Davis requested to be recorded in support of SB 68 and SB 154.

Transcript Highlights:

• The hospital can deny it without cause.
• So you can see if it went to an Idaho hospital or to a Utah hospital.
• I have received transfers of care from the out-of-hospital midwives in the two hospitals I work in.
• As you know, birth outside the hospital is much less expensive than hospital birth.
• We added, we had define a protocol. We had added define a formulary. We added define a protocol.

Committee: House Health and Welfare

Keywords: 989, all

Transcript Highlights:

• ADDITIONALLY FOR THE BILL REQUIREMENTS ON THIS THE AGENCY MUST SPECIFY SURVEY PROTOCOLS FOR CONDUCTING
• ADDITIONALLY FOR THE BILL REQUIREMENTS ON THIS THE AGENCY MUST SPECIFY SURVEY PROTOCOLS FOR CONDUCTING
• TO SHOW WE ARE TO COLLECT THIS DATA FOR HOSPITALS AND SURGERY CENTERS SO THIS WAS ACQUIRED IN 2020.
• WE DO THAT WITH OUR HOSPITAL AND SURGERY CENTER IMPLEMENTATION.
• LASTLY WE HAVE OUR HOSPITAL DIRECTED PAYMENT PROGRAM.

Transcript Highlights:

• After a week, Justin and I insisted that he'd be admitted to the hospital for further testing, because
• Per hospital protocol, Silas underwent multiple routine scans and was deemed healthy.
• Per hospital protocol, Silas underwent multiple routine scans and was deemed healthy.
• Only after these additional injuries did medical professionals... ...hospital.
• And so I really appreciate ...wants to challenge, that there's a clear protocol for that to happen.

Summary: The Human Services Subcommittee considered three bills and reported all of them favorably. HB 1013, relating to crisis care coordination, would create a pilot program in Polk and Volusia counties to connect people who have had Baker Act-related crises with follow-up counseling, assessments, and outpatient services through partnerships between law enforcement and community providers. The sponsor said the program has reduced repeat Baker Act commitments in Polk County, and the committee adopted a strike-all amendment moving the pilot to a different statute, formalizing partnerships, and requiring an independent DCF evaluation due in January 2029. The bill drew support from mental health and justice advocates and passed unanimously. The committee then heard PCS for HB 511, which addresses child protective investigations involving specific medical diagnoses. Sponsors and several parents, attorneys, and advocates described cases in which children were removed after injuries were initially treated as abuse but later linked to conditions such as Ehlers-Danlos syndrome, metabolic bone disease, or other medical fragility. They argued the bill would require notice of the right to a second medical opinion, better consideration of preexisting conditions and medical records, and more coordination before reports are sent to law enforcement, while still preserving protections for abused children. Members expressed sympathy for the families and emphasized the need for fairness and accurate medical review; the bill passed 17-0. Finally, HB 1439, based on recommendations from the 2025 Commission on Mental Health and Substance Use Disorder, was presented as a broader mental health and substance use disorder measure focused on crisis response, access to care, and workforce development. An amendment aligned the bill more closely with commission recommendations, including assessment tools, trauma-informed practices, school-based behavioral health access, telehealth, discharge planning, and long-acting injectable treatment access. The commission chair testified that the bill reflected a vetted set of recommendations from subject matter experts and commissioners, and the committee adopted the amendment and then reported the bill favorably by unanimous vote. The meeting then adjourned.

Transcript Highlights:

• Finally, the last proposal related to pharmacy is step therapy protocols.
• We intend to introduce step therapy protocols. step therapy protocols.
• At least we're not turning them out in the hospital after they give birth.
• I want to ask one question around the step therapy protocols.
• I want to ask one question around the step therapy protocols.

Summary: The Assembly Budget Subcommittee on Health held the first of several hearings on the Governor’s May Revision for health care, with opening remarks focused on the state’s projected $12 billion deficit, looming federal Medicaid changes, and the potential impact on Medi-Cal, public health, reproductive health, and safety-net providers. Several members criticized the proposal as balancing the budget on vulnerable Californians, while others defended the need for cost containment and questioned the administration’s assumptions. The chair set ground rules for respectful, focused questioning and outlined three topics: the Medi-Cal proposals, Proposition 35, and Proposition 56. DHCS Director Michelle Baas presented the May Revision’s Medi-Cal package, saying the department’s budget totals $200.6 billion overall, including $45.2 billion General Fund, and that the proposals are intended to address rising caseloads, pharmacy costs, and managed care spending. She described proposed changes for adults with unsatisfactory immigration status, including a freeze on new full-scope enrollment for those 19 and older, $100 monthly premiums beginning in 2027, elimination of adult dental and long-term care coverage, removal of PPS/RAP payments to FQHCs and rural health clinics for that population, and a pharmacy rebate aggregator. Other proposals included eliminating certain OTC drug classes, removing GLP-1 coverage for weight loss, prior authorization and step therapy changes, reinstating the Medi-Cal asset test, eliminating acupuncture as an optional benefit, allowing utilization management for hospice, raising the managed care minimum medical loss ratio to 90%, reducing PACE capitation rates toward the midpoint of the actuarial range, eliminating the skilled nursing facility workforce and quality incentive program, and suspending the SNF backup power requirement. The LAO said the revised Medi-Cal spending estimate is about $2.5 billion higher than the Governor’s Budget in the budget year, and that the increase appears driven more by higher per-enrollee costs than by caseload alone. The LAO said the budget solutions are concentrated in a few areas, are largely ongoing, and should be considered in light of federal uncertainty, but suggested the Legislature could explore alternatives such as more targeted income thresholds for the undocumented expansion and simpler asset-test rules. Department of Finance officials said the proposals are difficult but necessary to address a third consecutive deficit and rising Medi-Cal costs. Members then pressed the administration on the methodology and impacts of the proposals, especially the enrollment freeze, premiums, asset test, hospice controls, PACE reductions, and the elimination of benefits and provider payments. No votes or formal actions were taken at this hearing.