Transcript Highlights:

• , to provide for changes in legislative intent, to provide for definitions, to provide for compliance
• to provide for changes in legislative intent, to provide for definitions, to provide for compliance with
• for confidentiality, to provide for public records exception, to provide for effectiveness, and to provide
• It provides relative to children in need of care, to provide for definitions, to provide for reporting
• provider, to provide for a mental health care provider, to provide for a minimum supply of post-exposure

Committee: House Health and Welfare

Summary: The committee heard a personal privilege update on HB 1227, which Representative DeWitt said would return next week as a proposed HCR for a two-year study of the three-doctor panel after discussions with Dr. Nia Colotta. Better Louisiana also presented its new Leadership Louisiana Health Fellows Program, describing it as a data-driven leadership initiative focused on health care workforce, rural access, chronic disease, and other system issues; members discussed whether the program could also help generate policy research, including on managed care organizations. The committee then considered SB 427 on anatomical gifts. After adopting technical amendments, Senator Presley and Dr. Jeff White explained that the bill would strengthen organ donation law by creating a decision registry that records both yes and no choices, clarifying the legal effect of refusal, and codifying ethical principles such as the dead donor rule. Questions focused on organ viability, registry procedures, minors, and a Monroe case involving a disputed donor designation. Supporters included LOPA and the Louisiana Conference of Catholic Bishops, and the bill was reported favorably. HB 946, dealing with hospital price transparency and compliance with federal pricing rules, drew extensive testimony. Representative Landry and a witness from Patient Rights Advocate described it as a consumer transparency measure, but the Louisiana Hospital Association opposed the bill’s state-level enforcement and debt-collection provisions. Landry offered an amendment removing the debt-collection and affirmative-defense language, but after debate the substitute failed on a 5-6 vote and the bill was voluntarily deferred. The committee also reported favorably on SB 109, which revises membership qualifications for the Louisiana Emergency Medical Services Commission; SCR 20, urging federal flexibility on Medicaid redetermination for elderly and disabled beneficiaries; SB 216, allowing coroners to rely on licensed practical nurses for medical pronouncements of death; and SB 45, exempting certain gratuitous hospice houses from licensure, with testimony from hospice house operators and supporters. Finally, HCR 71 by Representative Chasson sought an LDH study of how Louisiana’s law and guidance on pregnancy-related emergency medications is working in hospitals, urgent care, and retail settings. Supporters said providers are hesitant to use medications such as misoprostol because of stigma and uncertainty, while opponents from Louisiana Right to Life argued the resolution was unnecessary and could create controversy. The discussion centered on whether the study should be narrowed or made more objective, but no final action on the resolution was reached in the portion provided.

Transcript Highlights:

• ><c> um</c> of a provider [snorts] provider type um of a provider [snorts] provider type um program<00
• It applies to a provider type.
• It applies to a provider type.
• It applies to a provider type.
• If there's some remote providers, maybe. But the center uh look A legacy provider.

Keywords: 918, senate, all

Summary: The committees resumed discussion of amendments to a bill dealing with licensing moratoria, change-of-ownership rules, and related provider oversight issues. Amendment A8 would prevent a licensing moratorium for certain intermediate care service settings from blocking a new license when the change is due to a change of ownership, including temporary licenses and transitional licenses. Department of Human Services staff said they were still reviewing the language but explained the department’s concern was maintaining program integrity and ensuring owners go through full change-of-ownership review so the agency can see who owns a provider and check compliance history. Senators supporting the amendment argued it would keep legitimate businesses from being harmed by a moratorium and could help preserve providers when ownership changes or family members take over after a death. A8 was adopted on a roll call, with both committees voting in support. Amendment A9, also on the moratorium topic, would exempt a change of ownership from the moratorium so long as it does not increase license capacity or service scope. The department said it needed more analysis to avoid unintended consequences, but the amendment was added to the working bill. Amendment A10 proposed a more detailed, data-driven framework for the moratorium and included a provision about refunds after implementation; department staff said the language would add cost and would require technical assistance, while senators emphasized the need to address licensure backlogs and avoid making provider delays worse. A10 was approved by the committees, though not unanimously. Amendment A11 would have set standards for how the commissioner designates provider types or program areas as moderate or high risk, with added transparency criteria. The department said the commissioner already has that authority and raised concerns about federal requirements and the state’s corrective action plan, and Senator Hoffman withdrew the amendment. Amendment A12, offered by Senator Fateh, would preserve remote supports by removing bill language that repealed the service and would add safeguards for remote overnight supervision, including staffing ratios to ensure emergency response times can be met. Several senators supported keeping remote services as an important, cost-effective option amid workforce shortages, while the department said it had program integrity concerns and supported the governor’s proposal to remove the service. The committee nevertheless advanced A12, with members noting the need to balance safety and integrity with access to services.

Transcript Highlights:

• Um, the concern is department just um provide comment on department just um provide comment on the<00
• unfortunately unscrupulous providers unfortunately unscrupulous providers when<00:04:22.479><c> they<
• So notifying the provider for 90 days."
• . provider. provider.
• . providers. providers.

Keywords: 919, house, all

Summary: House File 3542 was heard in committee and moved forward with a recommendation to be re-referred to the Children, Families, Finance, and Policy Committee. The bill would change current law so that the commissioners of Human Services and Children, Youth, and Families must disclose the existence of an investigation, rather than may disclose it, with the stated goal of increasing transparency to the public and legislature. Members and agency officials discussed concerns that mandatory disclosure could tip off subjects of investigations, especially in fraud cases, allowing them to destroy evidence, coordinate stories, or otherwise interfere. The Department of Human Services and the Inspector General said disclosure can compromise investigations and noted that providers are typically notified when payments are reduced, suspended, or withheld, though federal law can sometimes require delayed notice. Representative Pinto offered an A2 amendment to require disclosure within 30 days unless it would compromise an investigation, but it was rejected. Representative Hudson then offered an oral amendment stating that disclosure would be required if the commissioner has taken action to reduce, suspend, or withhold payments to the subject of the investigation. The chair waived the rule to allow the oral amendment, and it was adopted. Staff clarified that the bill would only require disclosure of the existence of an investigation, not underlying details, and would not address trade secret redactions. After the amendment, the committee approved the motion to re-refer the bill.

Transcript Highlights:

• Instead of providing scholarships in amounts up to $10,000, the program will provide scholarships in
• perjury that the information they've provided is accurate.
• Providers in time.
• and how providers would have to close without them.
• Provide those policies to all enrolled families.

Bills: HF2436

Committee: House Children and Families Finance and Policy

Keywords: child welfare, economic assistance, child care, grant program, video security cameras

Transcript Highlights:

• an option to states to direct payments to providers through managed care.
• Want to make sure providers are smart and they're using their funds to that.
• >> So there are other funding streams for Medicaid program has to provide to provide care to members
• provider taxes as that addresses provider taxes and freezes provider taxes as certain rates which CMS
• Any new provider taxes on a new new class of providers as crazy. Not tax something.

Transcript Highlights:

• And whereas, for providers, Louisiana's only provider-led early care and education organization is leading
• Yes, this is just clarifying that it's an internet service provider, cloud provider, cybersecurity provider
• , or any providers of information services as defined in U.S.
• This is just clarifying that it's an internet service provider, cloud provider, cybersecurity provider
• , or any providers of information services as defined in U.S.

Keywords: 974, senate, all

Transcript Highlights:

• </c> provider that is requesting the review. provider that is requesting the review.
• </c> commissioner and the provider. commissioner and the provider.
• </c><00:03:22.239><c> this</c> provider that was requesting this provider that was requesting this appeal
• Um, and so the idea here was to provide some accountability for DHS as well as for the providers.
• That provides some due process to the provider.

Committee: Senate Judiciary and Public Safety

Keywords: 1187, senate, all

Transcript Highlights:

• They provide services at all of those locations.”
• “We provide 24-7 nursing, primary care.
• I actually know an individual who provides...
• That hopefully provides some context.
• So if you could provide us more of that detail.

Keywords: 987, senate, all

Transcript Highlights:

• to provide The question is whether we have ever analyzed the impact of providing the increase to provider
• Provided CMS is consistent with the technical assistance that they've provided to us.
• providers or field-based providers.
• We put money aside, but a lot of providers are no longer providing this care.
• -based provider.

Summary: The subcommittee heard an overview of the Department of Health Care Services’ proposed budget, including a $229.1 billion total-funds budget and projected Medi-Cal enrollment decline as redeterminations continue. Members focused heavily on the fiscal and programmatic effects of prior budget solutions and federal changes, especially the elimination of General Fund-supported Prop. 56 dental supplemental payments beginning July 1, 2026, the hospice utilization-management change, and the impact of reduced caseloads alongside rising health care costs. DHCS said it is still completing required access and rate-reduction analyses for the dental cuts and has been engaging stakeholders, but could not yet quantify the real-world effect on utilization or provider participation. The committee also reviewed the November 2025 Medi-Cal local assistance estimate, which shows higher General Fund spending despite lower enrollment, driven by managed care rate growth, Medicare cost growth, state-only claiming, and federal policy changes. The hearing then turned to provider taxes and federal H.R. 1 constraints, with extensive discussion of the MCO tax, the hospital quality assurance fee, and other health care-related taxes. DHCS explained that H.R. 1 phases down allowable tax levels and tightens “generally redistributive” rules, making the current MCO tax structure and the proposed higher hospital fee levels difficult or impossible to renew as originally designed. Staff and the LAO described the tradeoff between preserving Medi-Cal funding and avoiding higher costs on private providers and consumers. Members asked about options for preserving revenue, including possible amendments to Prop. 35 or returning to voters, and were told the department is still evaluating approaches while federal guidance remains in flux. The committee also reviewed hospital payment increases already implemented through state-directed payments, with DHCS noting that H.R. 1 will force those payments down to Medicare levels over time. Several budget change proposals were discussed and left open, including requests tied to the managed care final rule, managed care operations, hospital value strategy, long-term care payment transparency, and interoperability requirements. The committee also heard about a one-year trailer bill extension for skilled nursing facility financing, including continuation of the SNF workforce standards program, the SNF quality assurance fee, and annual rate growth, while the department develops a longer-term financing redesign for 2027-28. Members expressed skepticism about repeated rate reform efforts and questioned whether a one-year extension of the eliminated workforce quality incentive program should be restored during the transition. Finally, Covered California presented its budget and enrollment update, reporting that the expiration of the federal enhanced premium tax credit is expected to reduce affordability significantly, with average premiums roughly doubling for many enrollees and as many as 400,000 Californians potentially losing marketplace coverage over time. The exchange said California’s $190 million subsidy program is helping lower-income enrollees, but not enough to offset the federal loss, and it is also implementing a new gender-affirming care benefit and awaiting federal action on benchmark plan changes.

Transcript Highlights:

• We are just as concerned as you are; we want to award providers that will provide safe services for individuals
• How is the array of services being provided?
• behavioral health providers.
• We're also working closely with community Community-based providers across the state to provide technical
• To continue providing some sort of services in school.

Keywords: 988, house, all

Transcript Highlights:

• So Planned Parenthood is one of those providers. What's another provider?
• So Planned Parenthood is one of those providers. What's another provider?
• The prohibition is on providers.
• Parenthood provides.
• We'd be in if we did not provide this preventative care that Planned Parenthood provides.

Committee: Senate Budget and Fiscal Review

Summary: The Senate Budget and Fiscal Review Committee heard AB 106, an early-action budget bill providing $90 million one-time General Fund to support reproductive health providers affected by the federal H.R. 1 prohibition on Medicaid funding. Department of Finance staff explained that the money would be administered as grants through the Department of Health Care Access and Information because affected providers can no longer bill Medi-Cal during the federal restriction, which lasts through July 4, 2026. Members also discussed why the amount increased from an earlier $60 million estimate, with Finance saying the figure was updated based on additional claims data and provider information. The committee debate focused heavily on the policy implications of the funding. Supporters argued the bill is an emergency response to a targeted federal attack on Planned Parenthood and related family planning services, emphasizing that the funding would backfill non-abortion services such as cancer screenings, contraception, STI testing, mammograms, and prenatal care. Opponents questioned the use of General Fund dollars, the grant structure versus loans for other distressed providers, the Public Records Act exemption, and the bill’s priority compared with rural hospitals, developmental services, public safety, and other budget needs. Finance clarified that the federal funds at issue do not pay for abortion services and that the grant program would be open to eligible providers meeting criteria set by the department. Public testimony was overwhelmingly in support from Planned Parenthood affiliates, Essential Access Health, Western Center on Law and Poverty, the California Medical Association, family physicians, OBGYN groups, and others, while some commenters used the opportunity to raise unrelated budget concerns such as Medi-Cal dental cuts, IHSS, and CalHome funding. After discussion, the committee approved AB 106 on a 12-4 vote and reported it out. The chair also noted that a later hearing would examine broader H.R. 1 impacts in more detail.

Transcript Highlights:

• Finally, providing services to ineligible recipients Finally, providing services to ineligible recipients
• One example would be looking closer at the provider level to determine when a provider is requesting
• The provider or the department does have a responsibility to monitor its providers, but I don't have
• If they are not, they're going to a provider that is actually providing services for eligible child care
• You did attend eight meetings and provided 14 of the requested documents, but only six of them were provided

Committee: Joint Joint Legislative Audit Committee

Keywords: 1182, all

Transcript Highlights:

• Most convenient, appropriate for them requires a provider to provide patients with records and electronic
• Any provider. We've got providers and 50 states that we service.
• So while they're still in the officer provider would reach out and contact the provided that they are
• They will ascertain whether or not the insurance provider, the new providers is miya's in or out of network
• I'm going to assume that it provider would determine the optimal provider to him.

Keywords: 999, senate, all

Transcript Highlights:

• House Bill 195 provides protections for physicians' personal assets, House Bill 195 provides protections
• The definition of independent provider is different from the definition of independent provider in the
• You said it provides personal... oh, that a provider, right?
• However, the provider information is. So it's a significant breach of security for the provider.
• I'm curious, what data is provided now? You gave a list earlier of the data that was provided.

Bills: HB195 , HB279 , SB30 , HB234 , HB292 , SB100 , SB23 , SB221 , SB261 , SB264

Committee: House House Judiciary

Keywords: medical malpractice, judgments, independent providers, insurance, personal assets, settlements, healthcare, healthcare privacy, electronic medical records, reproductive health, gender-affirming care, data protection, location tracking, confidentiality, SB30, induced abortion, abortion reporting, vital statistics, public health reporting, medical records

Transcript Highlights:

• full-service comprehensive reproductive health care, to provide access to contraception, to provide
• There's over 400 abortion providers in California, facilities that provide abortion.
• Abortion providers in California, facilities that provide abortion.
• , which requires them to be Medi-Cal providers.
• , which requires them to be Medi-Cal providers.

Summary: The Assembly Health Committee met on April 8 and heard a long series of bills, beginning with AB 54 on medication abortion access. The author and supporters, including the Attorney General’s office and reproductive justice advocates, said the bill would protect California’s medication abortion supply chain and shield providers and manufacturers from civil, criminal, and professional liability. Opponents from the California Family Council argued the bill removes safeguards and increases risks. The bill was moved forward on a committee motion. The committee then heard several reproductive and public health measures, including AB 551 to create a pilot program supporting emergency departments in providing reproductive health services, AB 260 to protect medication abortion access and telehealth, AB 309 to remove sunset dates on laws allowing pharmacy syringe sales and lawful possession of sterile syringes, AB 536 to preserve colorectal cancer screening coverage if federal guidelines are challenged, AB 804 to make housing support services a Medi-Cal benefit, AB 594 to address student health insurance billing and transparency, AB 836 to study and expand the midwifery workforce, AB 1418 to collect data on health coverage for eligible employees, and AB 1500 to maintain and expand the abortion.ca.gov information site. Supporters emphasized access, preventive care, workforce shortages, and public health benefits, while opponents raised concerns about abortion, syringe distribution, and the focus of state resources. Most measures were advanced by committee vote, with roll calls showing broad support and a few no votes from members on some bills. The final bill discussed in the transcript was AB 1037, which would update substance use disorder laws to reflect evidence-based, harm-reduction approaches and remove barriers to treatment. The author and supporters described it as a compassionate response to overdose and treatment access problems, while law enforcement opposition argued it would encourage drug use and endanger communities. The transcript cuts off during testimony on AB 1037, so no final committee action on that bill is shown in the provided text.

Transcript Highlights:

• It's about providing additional notification requirements. It's about providing transparency.
• It's about providing additional notification requirements. It's about providing transparency.
• It provides information to families. It provides broader transparency.
• It provides information to families. It provides broader transparency.
• It provides broader transparency.

Bills: HB2453 , HB2590 , HB2445 , HB2386 , HB2585

Committee: House Civil Rights & Judiciary

Keywords: psychiatric pharmacists, mental health, pharmacy regulations, healthcare, pharmacological treatments, limited equity cooperatives, common interest ownership, housing, exemption, community ownership, probate, estate administration, inheritance, heir finder, heir locator, beneficiary interest, transfer of inheritance rights, probate for profit, personal representative, executor

Transcript Highlights:

• , to provide for payment of dental insurance claims to a provider, to provide for applicability, to provide
• registered nurse anesthetist, to provide for reimbursement of services provided by a CRNA, to provide
• for violations, to provide for audits of reporting entities, to provide for an annual report, to provide
• This instrument provides relative to pharmacy benefit managers, to provide for definitions, to provide
• for audits, to provide for contract and other requirements, to provide for penalties, to provide for

Committee: House Insurance

Summary: The House Insurance Committee met on April 29 with a quorum present and took up several insurance and health care-related bills. SB 192, a dental reimbursement bill, was amended to allow dentists to opt in electronically to credit-card payment methods and to clarify applicability and effective date; it was reported as amended. SB 84 would require prostate cancer screening coverage for men over 40 under current clinical guidelines and prohibit cost-sharing; supporters from the American Cancer Society said Louisiana has a high incidence of prostate cancer and that out-of-pocket costs deter early screening. The committee adopted amendments and reported the bill as amended. SB 275, dealing with reimbursement and network participation for certified registered nurse anesthetists, drew support from nursing and hospital groups and was reported favorably. SB 169, a cleanup bill on biomarker testing, was also amended and reported. The committee spent substantial time on SB 401, which creates a temporary prescription drug affordability board to review pricing data on selected drugs and report findings to the legislature. Supporters said the board would improve transparency and help lawmakers understand drug pricing trends; opponents raised concerns about confidentiality, market effects, and the lack of a defined policy outcome beyond reporting. Amendments narrowed the scope, added confidentiality protections, and removed opposition cards, and the bill was reported as amended. SB 387, a major PBM reform bill tied to SB 401, would change PBM compensation, rebate handling, formulary practices, audits, and appeals, while excluding ERISA plans after discussion and amendment. Supporters argued it would curb spread pricing and other practices that raise costs, while opponents from the Pelican Institute and PCMA warned it would interfere with private contracts, reduce flexibility, and could raise premiums or disrupt city, school board, and small-group plans. After extensive debate and a roll call, SB 387 was reported with amendments by a 10-4 vote. The committee also considered SB 241, which requires certain insurance adjusters and public adjusters to include license numbers in written communications. After amendments limiting the requirement to individual licenses and removing one statutory reference, the bill was reported as amended. Throughout the meeting, members and witnesses repeatedly discussed the need for transparency in drug pricing and PBM practices, the role of ERISA and non-ERISA plans, and potential impacts on public employers and consumers.

Transcript Highlights:

• So I don't know, are we trying to mandate the housing providers provide it, or are we trying to allow
• to provide cooling.
• to provide cooling.
• HB 2452 provides a practical and reasonable solution.
• HB 2452 provides a common-sense change to the manner in which a housing provider serves a rent increase

Summary: The committee heard public hearing testimony on House Bill 2265, which would expand tenant protections during extreme heat. Staff explained that the bill would bar landlords from restricting portable cooling devices, require written notice of tenant rights and landlord immunity for tenant-installed devices, add a cooling duty under the Residential Landlord-Tenant Act, and prohibit sheriffs from physically evicting tenants during defined extreme heat periods. Representative Mena said the bill responds to the 2021 heat dome and is intended to address a gap in housing law, while committee members and the sponsor discussed unresolved questions about what “reasonably required” cooling means, how the eviction pause would work, and whether the bill could raise rents or create liability and operational burdens for landlords. Supporters, including climate, public health, tenant, and clean energy advocates, said extreme heat is a growing health threat and that renters need a right to cooling; opponents from multifamily housing, property management, and rental housing groups argued the bill is too vague, could effectively mandate costly cooling upgrades, create safety and insurance issues, and complicate eviction enforcement. The hearing also included testimony from landlords and housing providers who said the bill should be narrowed or amended, and from tenants and advocates who said it does not go far enough because it mostly permits tenant-installed cooling rather than requiring landlords to provide it. The committee then heard House Bill 1974, a proposed substitute authorizing land banks. Staff described the bill as allowing public corporations, housing authorities, and nonprofit corporations to acquire, hold, improve, lease, transfer, or dispose of property for affordable housing, with 30-year affordability requirements, annual reporting, tax exemptions, and priority transfer of certain tax-foreclosed properties. Vice Chair Hill said the bill was scaled back from earlier versions and is meant to create a flexible tool for turning difficult parcels into housing-ready land aligned with local housing plans. Testifiers from the Spokane Regional Land Bank, housing authorities, developers, youth shelter providers, and housing advocates supported the bill as a way to lower land costs, clear title issues, reduce displacement, and create a pipeline of permanently affordable housing. A counties representative also supported the concept but said they would like the grant program restored. One committee member raised a question about whether the tax-foreclosed property language could bypass the normal surplus distribution process, and staff said the provision is placed in the chapter governing properties that have already gone through foreclosure and auction, though the wording may need further review. Finally, the committee opened House Bill 2452, which would change how rent increase notices are served. Staff said the bill would remove the current requirement that rent increase notices be served like unlawful detainer notices and instead allow service by personal delivery, mail, or posting on the dwelling unit, with service by mail complete when deposited in the mail; the manufactured home version would follow the general notice rules under that act. Representative Connors said the bill responds to problems created when prior legislation required certified mail, which she said has led to tenants not receiving notices and housing providers facing higher costs and administrative burdens. Housing provider and industry witnesses supported the bill, saying certified mail is expensive, inefficient, and often not actually received, while tenant advocates opposed it, arguing that mail-only service weakens notice protections and can cause missed rent increases and displacement; they urged the committee to preserve stronger in-person or posting requirements. Some witnesses also suggested broader changes, including electronic notice, while others said the bill should be expanded to fix certified mail requirements for more than just rent increase notices.

Transcript Highlights:

• These providers don't have to be in the medical provider network.
• These providers don't have to be in the medical provider network.
• It doesn't include ancillary providers like physical therapists, It doesn't include ancillary providers
• . 23,000 providers bill.
• We have what we call group A providers, or gold card providers.

Summary: The committee first received an update from the Attorney General’s office on a new workers’ rights unit and two request bills. The office said the unit will focus on wage theft and civil rights enforcement, using existing resources for a small staff. It also described a bill to expand civil investigative demand authority for labor, wage theft, prevailing wage, and discrimination investigations, and an Immigrant Worker Protection Act that would require employer notice when federal immigration authorities request employee records, limit access to nonpublic work areas without a warrant, and restrict disclosure of employee data without proper legal process. Senators asked about costs, funding sources, and the scope of the proposed authority, and the office said it would follow up with more detail. The committee then heard a detailed presentation on Washington’s workers’ compensation system from Labor and Industries, including how claims are filed, how the medical provider network works, and how treatment authorizations and utilization review are handled. L&I said the network was created to improve care quality and return workers to work, and explained that most routine care is automatically authorized while certain procedures require prior approval or review. A question from Senator Conway focused on the role of the medical director and the appeals process; L&I said decisions can be protested and reconsidered, with exceptions reviewed through a complex treatment unit and medical staff. An experience panel followed with testimony from labor representatives, physicians, and an injured-worker attorney, who argued that the medical provider network and treatment guidelines can delay or deny needed care, especially in complex cases such as PTSD, brain injuries, and serious orthopedic injuries. They described long appeals, utilization review barriers, provider shortages, and the impact on injured workers and families, while L&I’s presentation emphasized the system’s structure and review safeguards. The committee then heard a report from the Underground Economy Task Force in the construction industry. L&I summarized the task force’s findings on worker misclassification, unregistered contractors, and unpaid taxes and premiums, and outlined consensus and majority recommendations, including better interagency communication, stronger penalties for repeat offenders, more authority to address successorship, possible contractor notice requirements, and further study of cash payments. The Attorney General’s office, labor, and business representatives generally supported the report’s goals but differed on some recommendations, especially those affecting independent contractors, contractor liability, and administrative burdens. The chair and Senator Conway thanked participants and said the report would inform future legislation.

Transcript Highlights:

• FCC is proud to be the only statewide provider service network and the only long-term care provider service
• Because providing care to someone in a community setting is usually much cheaper than providing care
• Some of our providers are also coming to us with need for revenue to continue to provide the high level
• That's one of the things that keeps me up at night: certainly the provider shortage, provider burnout
• That's one of the things that keeps me up at night is certainly the provider shortage, provider burnout

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.