Transcript Highlights:

• FIU purchasing cards were not always timely canceled.
• FIU purchasing cards were not always timely canceled.
• Really, your time is well invested.
• I appreciate your time. Thank you. Thank you. All right.
• So it paid for itself, you know, many times over.

Summary: The Joint Legislative Auditing Committee received a presentation from Auditor General staff on recurring findings from audits of district school boards, colleges, and universities. For school districts, the main issues discussed included missing or outdated safe-school officer training documentation, weak purchasing-card controls, vendor banking-change fraud risks, incomplete background screenings and disqualification-list procedures, missing website budget disclosures, excessive or untimely IT access, late deactivation of former employees’ access, missed emergency drill deadlines, inaccurate capital outlay and resiliency education records, weak tangible property inventories, adult education reporting errors, untimely bank reconciliations, and improper use of workforce development funds. The auditors said many of these issues are repeated from prior years and are summarized in their annual report on significant findings and financial trends. For universities and colleges, the auditors highlighted similar control weaknesses, including vendor information change controls, IT access issues, cash and investment reconciliation problems, purchasing and procurement deficiencies, personnel and compensation issues, and student fee compliance concerns. Specific examples included a UF consulting contract totaling about $6 million, FAU underreporting carry-forward balances by about $77 million, UCF’s payment loss of about $107,000 from an email scam tied to vendor changes, and a North Florida College unauthorized transfer involving a few hundred thousand dollars. The committee asked questions about the UF consulting work, the FAU carry-forward issue, and whether the listed findings meant every named entity had every issue; auditors clarified that the lists reflected entities with findings in those categories, not necessarily each specific problem. The committee then turned to enforcement for entities with long-standing uncorrected audit findings. Staff reported 144 entities with 197 findings repeated in three or more successive audit reports and recommended sending letters requesting updated corrective-action status, including for late-filed 2022-2023 reports where appropriate. The committee approved the staff recommendation and directed letters to be sent. The meeting ended with members emphasizing the importance of audit oversight and taxpayer accountability.

Transcript Highlights:

• At the same time, also just...
• proceeds over time.
• SB 1309 helps ensure that patients can complete the entire screening process and receive timely care
• At the same time, screening rates for other cancers are much higher.
• Standard time because of the unquestioned health benefits of standard time.

Summary: The Assembly Health Committee heard several bills focused on mental health access, preventive care, health care costs, detention oversight, and daylight saving time. SB 989 would streamline Care Court referrals by allowing first responders to ask county behavioral health agencies to review and file petitions; supporters, especially firefighters and families, said the current process is too burdensome, while Disability Rights California and other opponents argued Care Court is coercive and unproven. SB 1089, as amended, would direct CalRx/HHS to help distribute GLP-1 medications more broadly and more affordably; the author described her own experience with the drugs, and the bill drew support from medical and life sciences groups with no opposition. SB 1309 would eliminate out-of-pocket costs for medically appropriate lung cancer screening follow-up care; cancer advocates and survivors strongly supported it, while health plans and insurers opposed it as costly and said the bigger problem is low initial screening rates. The committee also heard SB 1284, which would require DHCS to report large employers whose workers are enrolled in Medi-Cal and estimate taxpayer costs, framed by supporters as a transparency measure about corporate reliance on public coverage. SCR 7, urging permanent standard time for health reasons, passed with support from medical groups and no opposition. SB 995, the Masuma Khan Justice Act, would create statewide inspection and enforcement standards for large involuntary residential facilities, including private immigration detention centers and certain youth facilities; supporters cited unsafe and inhumane conditions, while county probation officials objected to duplicative oversight for secure youth treatment facilities. The committee took votes on each measure, and the bills and resolution advanced, with SB 1309 and SB 1284 moving on amended and the others also reported out; the consent calendar was approved as well.

Transcript Highlights:

• Appreciate your time. >> Thank y'all. Appreciate your time.
• Since that time, we have been able to do increased—well, as you can see here, we did 55 lung cancer screens
• identify people to screen? identify people to screen?
• Thank you for your time here.
• Thank you for your time here. I y'all. Thank you for your time here.

Keywords: Meeting Start 00:00:00 Attendance Roll Call 00:00:09 Approval of Minutes 00:00:48 KOAP Report 00:01:09 Update from CHFS 00:20:27, 958, all

Summary: The meeting opened with a quorum, approval of the September 18, 2025 minutes, and a staff update on recent tobacco settlement-funded agriculture activities. The agriculture side highlighted Commissioner Shell’s outreach, including school visits, farm visits, and speaking engagements in Kentucky and a trip to Tennessee to discuss program models. A representative also described a national conference in Iowa, where Kentucky’s agriculture finance program was praised as a $180 million loan program built with tobacco settlement funds. The board noted September approvals totaling $950,000 for the agriculture development board and $3.3 million for the finance corporation, along with staff activity such as site visits, program closures, and project reports. The board also announced that the KKMP report covering 2015-2022 would be distributed and that the annual report, marking the program’s 25th anniversary, was being prepared. The board then reviewed two featured projects. The Organic Association of Kentucky requested $425,000 for organic producer support, but the board approved only one year of funding at $29,000, with members noting concern about recurring applicants and the need to evaluate long-term funding. The second project, by Joseph Dale Bentley in Lewis County, sought $51,300 to expand a small ruminant facility for goat production and export. Members were particularly interested because the project was already operating and creating market opportunities for Kentucky goat producers; the board approved half the project cost to help expand infrastructure and potentially allow quarantining on site. The cabinet then presented its annual update on tobacco settlement fund use in public health. Julie Brooks, Sarah Johnson, and Andrea Day reported on the HANS home visitation program, tobacco prevention and cessation efforts, lung cancer screening, and early childhood oral health. HANS served more families in FY25, rising from 6,293 to 6,715, and increased services from 139,943 to over 143,000. Tobacco prevention and cessation programs continued to support Quit Now Kentucky and My Life, My Quit, though officials noted federal uncertainty and the loss of federal tobacco control infrastructure. They also reported a slight decline in student outreach and cessation requests, but continued demand from schools and communities for vaping and nicotine prevention support. Lung cancer screening expanded to 55 screens, with Kentucky cited as a model for other states due to improved incidence, survival, and early detection rates. Early oral health efforts continued through local health departments, with more trainings for public health nurses, continued varnish kits, and expanded support for dental graduates and hygiene teams.

Transcript Highlights:

• proceeds over time.
• But for the first time in my life, when our coach said, run from But for the first time in my life, when
• SB 1309 helps ensure that patients can complete the entire screening process and receive timely care
• At the same time, screening rates for other cancers are much higher.
• Standard time because of the unquestioned health benefits of standard time.

Keywords: 988, house, all

Summary: The Assembly Health Committee heard several bills focused on access to care, public health, and oversight. SB 989 would streamline Care Court referrals by allowing first responders to ask county behavioral health agencies to review and file petitions; supporters, including firefighters and mental health advocates, said it would reduce barriers, while opponents argued Care Court is coercive, costly, and not yet proven effective. SB 1089, as amended, would direct CalRx/HHS to help distribute GLP-1 medications more affordably; the author described personal experience with the drugs and supporters emphasized prevention and chronic disease management, while members asked about distribution, liability, and age limits. SB 1309 would eliminate cost sharing for medically necessary lung cancer follow-up care after abnormal screenings; cancer survivors and clinicians strongly supported it, while health plans and insurers opposed it, saying the bill could raise premiums and did not address low initial screening rates. The committee also heard SB 1284, which would require DHCS to publish an annual report identifying large employers with workers enrolled in Medi-Cal and estimating taxpayer costs; supporters framed it as transparency and corporate accountability, while the chair and others linked it to broader budget and fairness concerns. SCR 7, urging permanent standard time, was presented as a public health measure to reduce sleep disruption and related harms, and it passed with support from the California Medical Association. The committee also took up SB 995, which would create a statewide inspection and enforcement framework for large involuntary residential facilities, including private immigration detention centers and some youth facilities; supporters cited unsafe and inhumane conditions, while probation officials objected to overlap with existing oversight for secure youth treatment facilities. The committee approved the measures it heard, with roll calls showing SB 989, SB 1089, SB 1309, SB 1284, SCR 7, and SB 995 all advancing out of committee, along with consent items and add-on votes.

Transcript Highlights:

• in<01:07:28.559> if either be screened out or screened in if either be screened out or screened
• look into the case, to contact the family, or they screen it out, at which time they do not contact
• look into the case, to contact the family, or they screen it out, at which time they do not contact
• At that time, if what they are screening in also could be a potential crime against a child in any
• time or grandparenting time, the parent time or grandparenting time, they<03:52:20.399> can<03

Keywords: 1191, senate, all

Transcript Highlights:

• And subject of screen time in schools.
• :32:35.679> time districts mandate weekly screen time districts mandate weekly screen time minutes
• time and educational screen time and entertainment<01:36:50.719> screen<01:36:50.960> time
• So uh in June our board screen time.
• <01:56:15.119> time, limitations on digital and screen time, limitations on digital and screen

Keywords: 958, all

Transcript Highlights:

• And and so it could close at any time. And and so it could close at any time.
• I mean, how are you screening?
• of time.
• We're actually screening screen first.
• week times 6 to 8 weeks. week times 6 to 8 weeks.

Keywords: 912, senate, all

Transcript Highlights:

• . time. time.
• . timing. timing.
• >> Newborn >> Newborn >> Newborn screening screening screening >> annual<01:41
• The program ensures that screening infants for heritable conditions is done timely, and their results
• with an abnormal screening result receives timely evaluation, referral, and ongoing support.

Keywords: 928, house, all

Summary: The committee first approved the draft minutes from September 26. Senator Gray then raised the idea of creating a continuing subcommittee or recurring agenda item on palliative care and hospice, noting that the issues are evolving and suggesting the committee revisit the idea in coming months. The bulk of the meeting focused on Department of Health and Human Services updates. Officials described contingency planning for SNAP amid the federal shutdown, including a USDA notice that November benefits may not be fully funded, letters to participants warning of possible delays, and coordination with the New Hampshire Food Bank and local pantries. They said New Hampshire serves about 42,000 SNAP households, with average benefits around $300 a month, and that the department is also preparing to transfer funds for a special fiscal committee meeting. WIC was discussed separately: officials said WIC benefits had been extended through November 7 using additional USDA funds, but that some community agency-based WIC services may need to pause while money is redirected to food benefits. Officials also outlined New Hampshire’s rural health transformation grant application under the federal One Big Beautiful Bill, describing a potential five-year, up-to-$1 billion opportunity focused on critical access hospitals, small rural hospitals, federally qualified health centers, community mental health centers, and EMS. Members asked about transportation, workforce, and nursing retention; officials said transportation is included in the proposal, housing is not, and workforce supports may include lower tuition or awards but not loan repayment or traditional scholarships. They also said the final application would be submitted in early November and that priorities would be adjusted depending on the eventual federal award. Finally, Medicaid director Henry Lipman gave a quarterly postpartum coverage update. He said postpartum coverage is now nearly universal nationwide, and in New Hampshire 2,351 women had used the benefit through May 2025. He reported that mental health services were the most frequently used postpartum service, followed by preventive care, substance use disorder treatment, and cardiovascular-related care, and noted that Medicaid women have experienced a disproportionate share of maternal deaths. Committee members asked about rural distribution and the share of women receiving mental health services, and Lipman said the department would follow up with additional data. The meeting then moved into the annual update on New Hampshire’s 10-year mental health plan, with staff describing progress toward a more integrated continuum of care and improved data infrastructure.

Transcript Highlights:

• One-time grants by time, systems by results.
• to put together and keep is maintained over the course of time with a one-time allocation.
• That takes some time.
• this at this time.
• this at this time.

Summary: The committee heard a series of budget proposals focused on education finance, with repeated questions about whether the state’s investments are coordinated, targeted to the highest-need students, and likely to produce measurable results. On the first item, the administration proposed $1 million for a study of California’s curriculum framework, standards, and instructional materials process, plus $250,000 for supplemental ELA/ELD guidance. CDE and Finance said the study would examine how other states organize standards, frameworks, and adoptions, while the chair and members questioned why California has gone so long without updating some standards, what the study would actually accomplish, and whether the proposal was too vague to justify the cost. The issue was held open. The committee then took up a proposed $25 million statewide literacy network within the system of support. CCEE and CDE said the network would coordinate multiple existing literacy leads, create a clearinghouse of evidence-based resources, and improve coherence across the state’s many literacy initiatives. Members pressed on how a one-time, five-year allocation could support a long-term system, how the work would reach distressed and rural districts, and whether the proposal would translate into classroom change rather than just another layer of coordination. The issue was also held open. Next, the committee reviewed a $500 million proposal to expand literacy coaches and reading specialists and to create a math coaches program. CDE described the existing literacy coach cohorts as producing positive reports from participating LEAs, while the LAO recommended modifications, especially for the math coach portion, including limiting eligibility to elementary schools, setting minimum grant amounts, directing funds to eligible school sites, and making eligibility automatic rather than application-based. Members focused on whether coaches were actually being placed at the schools with the greatest need and whether the state has a coherent long-term strategy for literacy and math investments. The committee also heard a $40 million proposal for training and implementation of K-2 reading difficulty screeners, which the LAO said was reasonable but could be reduced because $25 million had already been provided for training; CDE said the new funds were needed for full implementation, procurement, and sustainability. Finally, the committee heard a $10 million proposal for a developmentally appropriate TK multilingual learner screener, with CDE explaining why the preschool language-identification process is different from K-12 EL assessment and the chair asking staff to explore whether a single, more consistent approach could be developed. The meeting concluded with a presentation on universal school meals and kitchen infrastructure, including a $31.5 million backfill, an $84.1 million increase for projected meal growth, a COLA adjustment, and $150 million for kitchen upgrades and training to support freshly prepared meals.

Transcript Highlights:

• In closing, one-time grants buy time, systems produce results.
• to put together and keep is maintained over the course of time with a one-time allocation.
• It just takes time.
• screenings to people with disabilities.
• Schools may begin using the screening instrument to screen students in the 2026-2027 school year, with

Keywords: 988, house, all

Transcript Highlights:

• So do you feel that we need to defer this regulation for more work at this time?
• So do you feel that we need to defer this regulation for more work at this time?
• doesn't meet until the first part of February, so we've got some time.
• the emergency room have been screened.
• from the hospital if a patient screens from the hospital if a patient screens positive<00:32:26.159

Keywords: 00:00 Call to Order/Roll Call 00:16 Consideration of Referred Administrative Regulations 25:49 Discussion of Hospital Rate Improvement Plan 58:50 Adjournment, 958, all

Summary: The committee began by reviewing a large slate of administrative regulations and explaining that it does not approve regulations but can find them deficient and send them back for further work. Members then asked questions on several items, including EMS reciprocity, dental hygienist licensure, and interpreter licensure. The EMS board explained that reciprocity would extend to applicants from any state, not just contiguous states, because the underlying statute had been amended. On the dental regulation, staff said the changes mainly clarified licensure requirements, reinstatement fees, and that dental hygienists administering local anesthetic must do so under direct dentist supervision. The most extended discussion involved the Board of Interpreters for the Deaf and Hard of Hearing. The board chair said the main concern was that the EIPA is an educational specialty assessment, not a nationally recognized certification, yet the regulation would allow it to support full licensure. Members discussed whether that could let educational interpreters work outside their intended scope and whether a separate educational license or statutory change would be more appropriate. The board said it did not think the regulation could be fixed further at this point and suggested a statute could create a narrower educational interpreter license. After discussion, the committee voted to defer both related interpreter regulations, 201 KAR 39:030 and the companion regulation, for further work. The committee then took up two community mental health regulations, 907 KAR 1:044 and 907 KAR 5:005, which had been found deficient in Administrative Regulations. Department for Medicaid Services staff said the rules would expand and rename the mental health associate role as a behavioral health associate, making the role available in many more facilities, but would also require additional coursework or progress toward licensure. Some members and providers raised access-to-care concerns, especially for rural areas and unlicensed staff already working in the field. Staff said the proposal had been revised through work with CMHCs and licensing boards, but the committee ultimately voted to defer both regulations as well. After finishing the regulation review, the committee heard a presentation from the Kentucky Hospital Association on the ATRIP hospital rate improvement program. Hospital representatives said ATRIP is a Medicaid state-directed payment program funded through a provider tax and federal matching dollars, allowing hospitals to receive payments tied to quality measures. They reported improvements including lower Medicaid readmissions, high sepsis screening rates, reduced infections and opioid prescribing, expanded postpartum depression and suicide screening, and training for more than 1,000 people. They said the program has helped hospitals invest in staffing and quality improvement and warned that without it, many hospitals would face severe financial strain.

Transcript Highlights:

• Thank you for the time this morning.
• , and maintain access to blood glucose screening.
• heart screenings. critical congenital heart screenings, with referral to a pediatric cardiologist and
• screening.
• Thank you for your time. Thank you. Uh, we will, because of the amendment...

Bills: SB87, HB491, SB43, SB101

Keywords: midwifery, licensed midwives, State Board of Midwifery, licensure fees, professional liability insurance, complaints investigation, emergency care plan, out-of-hospital care, HB491, public schools, K-12, school nutrition, school lunch, cafeteria, artificial dyes, food additives, food coloring, synthetic dyes, Red Dye No. 3, Red Dye No. 40

Transcript Highlights:

• Say that one more time. Sorry, Carrie.
• Now, this is before my time.
• Now, this is before my time.
• I prefer this time versus the early evening time.
• Maybe one time annually is a good time to kind of break bread and celebrate the progress that we've made

Keywords: 995, all

Summary: The Ellen Story Commission for Postpartum Depression held its spring meeting with a large turnout, beginning with roll call and a review of the agenda. Co-chairs Representative Brandy Fluker-Reid and Senator Liz Miranda highlighted progress from the recently enacted maternal health omnibus law and the Moms Matter Act, including creation of a midwifery board, expansion of out-of-hospital birth options, doula services, lactation support, MassHealth coverage changes, and a trust fund for community-based behavioral health and substance use grants. Members also discussed implementation of the new law, the commission’s annual report, and the need to continue supporting birth centers and perinatal mental health services. A substantial portion of the meeting focused on commission membership and vacancies. Commissioners discussed whether to remain on the body, the need to fill several open seats, and whether the commission’s statutory composition should be updated to better reflect current practice and expertise. Members suggested adding more clinicians working directly with perinatal families, infant mental health experts, and a representative from PSI of Massachusetts, while also noting the value of having regulators and professional society representatives at the table. Several participants said any changes to membership would likely require legislation, and the co-chairs said they would explore options and possibly circulate a flyer or other invitation process for nominations. The commission also discussed meeting structure and future planning. Members generally supported moving to quarterly virtual meetings, with a preference for a 4 p.m. start time, and some suggested one annual in-person gathering. The group agreed to postpone the usual May Advocacy Day because the Great Hall was unavailable and instead aim for a fall event, with volunteers stepping forward to help plan it. Commissioners raised top-of-mind issues including postpartum depression screening reimbursement, care for people after miscarriage or abortion, access for undocumented pregnant people, and the impact of federal cuts. The meeting ended with agreement to crowdsource legislative priorities for the next quarter, consider future presentations from outside organizations, and send updates between meetings, followed by a motion to adjourn that passed unanimously.

Transcript Highlights:

• There are things that there's just not time to vet in the limited amount of time that we have during
• Madam Chair, Representative Vore, I would say, so through my time at PERS, which has been a long time
• Madam Chair, Representative Vore, I would say, so through my time at PERS, which has been a long time
• We've had times when the cost-benefit analysis couldn't be done in time to meet that deadline, as has
• That can be a barrier at times.

Keywords: 908, all

Summary: The committee met to review the history and current treatment of North Dakota health insurance mandates, with presentations from Blue Cross Blue Shield of North Dakota, Sanford Health Plan, the Public Employees Retirement System (PERS), and the Insurance Department. The discussion focused on how mandates apply differently to fully insured, self-funded, ACA, Medicaid, and PERS plans; how the state’s benchmark plan and federal essential health benefits affect coverage; and how the existing process requires cost-benefit analysis and, for certain measures, a PERS pilot period before broader application. Presenters also reviewed the long list of existing state mandates, including provider, beneficiary, and coverage requirements, and noted that many were enacted decades ago and have not been revisited despite changes in medical evidence and treatment options. Witnesses from the carriers argued that mandates should be reviewed periodically because some are outdated, can create unintended costs, and may not align with current medical guidance. Examples cited included PSA screening, off-label drug coverage, prior authorization rules, step therapy, and cost-sharing provisions for mental health and substance use treatment. They emphasized that carriers often cover services without a mandate when supported by clinical evidence, and that mandates can shift costs to employers and employees, especially in the fully insured small-group market. They also suggested possible policy improvements such as clearer mandate definitions, better transparency around cost-benefit analyses, a regular 10-year review of mandates, and more timely submission of proposals through the interim process. PERS and the Insurance Department highlighted a recurring tension over what counts as a mandate and when a measure triggers the state’s defrayal obligation under federal law. PERS described its interim committee process, the April 1 deadline for fiscal-impact proposals, and the limited pilot program used for certain measures, noting that only a few bills have gone through the full pilot process. The Insurance Department explained that it views new benefit mandates through the lens of the ACA benchmark plan and essential health benefits, distinguishing true new benefits, such as infertility coverage, from changes to existing benefits, such as telehealth or insulin cost-sharing caps. No votes were taken on policy changes; the meeting was informational, with members asking questions about costs, applicability, transparency, and whether a periodic mandate review should be established.

Transcript Highlights:

• think as was mentioned several times think as was mentioned several times here<00:21:18.360>
• Mr chair and members um for your time Mr chair and members um for your time and<00:51:09.520>
• me will have the resources and timely me will have the resources and timely care<01:20:48.840>
• Chair, yes: two screenings and then additional screenings as medically necessary.
• Maternal mental health screening to be conducted during pregnancy, at least one additional screen to

Keywords: 1187, senate, all

Transcript Highlights:

• I thank you for your time today.
• cover cancer screenings.
• cover cancer screenings.
• I thank you for your time.
• I thank you for your time.

Keywords: 995, all

Summary: The Joint Committee on Public Service held its fifth hearing of the 194th General Court on disability, line-of-duty, and health presumption bills. Committee members noted the hearing was livestreamed and accepted written testimony through June 16, 2025. The first panel, including the Massachusetts Coalition of Police, strongly supported H.2845, which would require restoration of sick, vacation, or personal time used while an injured officer or firefighter awaits a Chapter 41, Section 11F determination if the injury is later found work-related. Testimony said the current process often forces injured personnel to litigate to recover accrued time, and members described the bill as a fairness measure with no fiscal cost. Committee members asked about prior consideration and municipal positions, and one member shared a personal experience with a similar loss of accrued time. A second major panel from the Professional Firefighters of Massachusetts and sponsoring legislators supported several firefighter-related bills: H.2918/S.1792 on mandatory insurance coverage for firefighter cancer screenings; H.2962/S.1818 on Commonwealth fire department parity for military-base and Massport firefighters, including injury coverage and presumptions; and H.2860/S.1851 on maintaining physical examination records. Testimony emphasized the high cancer risk in the fire service, the importance of early detection, and the need to extend municipal-level protections to state and Massport firefighters. Committee members expressed strong support, discussed PFAS-related gear replacement and funding, and noted that similar bills have been before the committee for multiple sessions. The committee also heard H.4147, a retirement-related bill for a MassDOT employee seeking to transfer approximately five years of MBTA retirement contributions into the state system as a service buyback. The bill was described as having been filed in 2017 and reported favorably last session, but it stalled in Senate Ways and Means. Finally, Howard Levine testified remotely in support of a correctional officer disability pension bill, describing severe injuries from a 1990 inmate assault, multiple surgeries, early retirement, and a request to increase his pension to reflect a current lieutenant’s salary. No votes were taken during the hearing, and the meeting adjourned after testimony concluded.

Transcript Highlights:

• My entire time in the legislature will continue to be a priority of mine.
• Knowing what I know now, we lost so much time searching for that diagnosis.
• And that's time we'll never get back. Because time is muscle. For us, time is muscle.
• So honestly, time is muscle.
• This is in part due to the fact that our state newborn screening program screens for just 60 conditions

Summary: The Health Care Budget Subcommittee met and took up four bills. First, CS/HB 633 by Rep. Koster on managing entity reporting and transparency for behavioral health services was amended to clarify reporting requirements and timing, and to address the bill’s fiscal implementation through conferencing. Members and one public speaker supported the measure, emphasizing accountability and better use of state funds. The bill was reported favorably. Next, CS/HB 531 by Rep. Hunschofsky on background screenings was amended with a strike-all that would require ACCA to create a public webpage with screening education, level-two screening standards, and a searchable catalog of positions requiring screening. Because the amendment changed the bill’s relating-to clause, the chair noted it would be temporarily postponed under House Rule 7.11D and returned to the committee later. The committee then heard HB 1089 by Rep. Booth, which adds Duchenne muscular dystrophy to the recommended newborn screening panel, subject to appropriation. A parent testified in strong support, describing the benefits of earlier diagnosis and treatment, and several members spoke in favor. The bill was reported favorably. Finally, CS/HB 907 by Rep. Anderson created the Sunshine Genetics Program, an opt-in newborn whole-genome sequencing program, and established the Florida Institute for Pediatric Rare Diseases at FSU and a Sunshine Genetics Consortium. An amendment made funding contingent on appropriations and added Nicholas Children’s Hospital and Florida International University to the consortium board. After supportive testimony and debate, the bill was also reported favorably. The meeting then adjourned.

Transcript Highlights:

• So we know that time equals brain.
• We do pretty well from the time somebody needs our care to the time they show up in our facility.
• You mentioned the mobile screening, cancer screening. Motu?
• You mentioned the mobile screening, cancer screening, and you specifically talked about colon, breast
• through more global screening for depression, and then treatment, which many times can be handled by

Summary: The committee held a panel discussion focused on how Florida health care organizations are working to improve access, quality, and affordability. Panelists from Florida Community Care/Independent Living Systems, Sunshine Health, AdventHealth, UF Health, and Nemours described their approaches, including Medicaid managed care, value-based contracting, community partnerships, mobile screening units, smart-room technology, telehealth, and specialized programs for maternal health, children, and complex chronic conditions. Several speakers emphasized that managed care and coordinated care can improve outcomes while reducing unnecessary utilization and costs. Members asked about the impact of Medicare’s V28 changes, mobile cancer screening, urgent care versus emergency room billing, pediatric specialty access, complaint resolution, Black maternal mortality, provider shortages, network adequacy, and the use of AI in prior authorization. Witnesses said V28 has affected providers and revenue, UF Health’s mobile screening program is expanding beyond a few cancer types, and its urgent care model bills patients at the appropriate level rather than both urgent care and ER rates. Nemours said it reduced specialty wait times through scheduling changes, telemedicine, and registry tools, while AdventHealth described postpartum coordination and maternal heart programs to reduce maternal complications and mortality. On complaints and access problems, panelists said their organizations use patient/member advocates, care managers, call centers, and escalation processes to resolve issues, and Sunshine Health specifically discussed a transportation complaint that was addressed with its vendor and the family. Sunshine Health also said it is not using AI for prior authorization, though it is exploring responsible uses elsewhere, and Florida Community Care said it is not using AI in utilization management. In closing, panelists identified workforce shortages, provider burnout, and high-cost drugs as the biggest ongoing challenges. The meeting ended with thanks to the panel and adjournment after Representative Brackett moved to rise, without objection.

Transcript Highlights:

• This is why lung cancer screening matters.
• Time and time again, I'm struck by how few people have heard of screening, even if they may be eligible
• Compared with other recommended cancer screenings, lung cancer screening rates remain far lower.
• That is because many people who qualify for screening do not know that screening exists, do not realize
• We will go back one more time through.

Summary: The Assembly Health Committee heard a series of bills focused on behavioral health, cancer screening, provider reimbursement, research funding, workforce licensing, and tobacco regulation. SB 16 would require counties to maintain procedures for designating and training professionals authorized to perform 5150 evaluations and initiate involuntary holds; supporters said it would expand the pool of qualified clinicians and reduce reliance on law enforcement, while opponents raised concerns about local control and implementation. SB 1124 would require CDPH to create and post lung cancer screening eligibility signage at tobacco point-of-sale locations; supporters emphasized low screening awareness and early detection, and the bill was advanced with amendments. SB 28, a CARE Court cleanup bill, proposed an ombudsperson, reporting, electronic petitions, remote participation, and other changes to improve accountability and access; it drew both strong support and significant opposition over concerns about coercion, scope, and whether the program is working as intended, but it passed the committee as amended to Judiciary. The committee also heard SB 874, which would strengthen oversight of Medi-Cal behavioral health treatment services, including background checks for providers and a stakeholder workgroup to develop standards; it passed to Public Safety. SB 1049 would let providers resubmit corrected claims within 90 days after a plan’s denial or recoupment action when the original claim had a correctable technical defect; supporters described delayed and withheld payments harming practices, while insurers argued the bill could duplicate existing dispute processes. The bill passed to Appropriations on call. SB 1224 would create a state framework to compete for federal ARPA-H funding for emerging therapies research, with testimony from a UC Davis psychiatrist and veterans’ advocates supporting expanded research into treatments for PTSD, depression, and other conditions; it passed to Military and Veterans Affairs. Later, SB 1057 would change how the Department of Public Health evaluates conviction history for certified nurse assistants and home health aides, shifting from automatic denial toward individualized assessment based on the offense, time elapsed, and rehabilitation; it passed to Appropriations with some no votes. Finally, SB 1314, a tobacco-related bill, sought to create a 600-foot buffer around schools and day care centers for certain tobacco retailers and address related issues such as cigar lounge definitions and nitrous oxide sales; several local government and public safety groups supported it, while health organizations and business groups opposed it unless amended. The chair announced that committee amendments were being set aside for now and the bill would move forward to Business and Professions with a commitment to continue working on the language; it passed out of committee.

Transcript Highlights:

• I would like to lay this amendment over at this time.
• Ask for advancement at the appropriate time.
• That is not in this bill at this time. No.
• for an octogenarian in a nursing home whose time had come, and they didn't screen for an ambulism, thromboembolism
• Would you like to take that up at this time?

Bills: HB2894, HB3418, HB3415, HB3413, HB3414, HB3416, HB3417, HB3419, HB3420, HB1739, HB1752, HB1979, HB2941, HB2992, HB3075, HB3086, HB3177, HB3269, HB3278, HB3279, HB3497, HB3644, HB4432, HB3720, HB3849, HB3882, HB3919, HB3941, HB4118, HB4141, HB4268, HB4342, HB4428, HB4429, HB4434

Keywords: HB2894, Oklahoma Rural Jobs Act, rural jobs, rural investment, tax credit, capital investment tax credit, state tax credits, economic development, rural fund, rural investor, qualified investment, eligible business, Department of Commerce, rural business, investment certification, tax liability, credit cap, workforce development, small business finance, rural development