Transcript Highlights:

• your Committee on Finance, having had under consideration House Bill 2398 relating to watercraft insurance
• your Committee on Finance, having had under consideration House Bill 2398 relating to watercraft insurance
• Overall, I think this is a great bill, a good idea to require insurance, but I'm curious about why you
• If you use whatever apps there are out there, the insurance requirements will apply.
• And to make them go through the motions of going out and getting insurance and all that for these one-off

Summary: The Senate opened with prayer, the Pledge of Allegiance, and a roll call, then approved the journal and spent much of the early session on personal privilege remarks, guest introductions, and proclamations. Recognitions included Arcadia High School’s 2026 state championship boys basketball team, the International Year of Rangelands and Pastoralists, Diné College and Navajo sovereignty/Indigenous higher education, Motorcycle Safety and Awareness Month, and Route 66’s centennial. The chamber also honored Senator Lela Alston for her long legislative career and retirement, with remarks from colleagues and a musical tribute after recess. The Senate then moved into Committee of the Whole and considered three House bills. HB 2048, dealing with orders of protection and process service, was amended and recommended do pass. HB 2398, concerning watercraft insurance requirements and penalties, was amended after debate over a floor amendment exempting some infrequent boat rentals; the amendment was adopted over opposition from Senator Epstein, and the bill was recommended do pass as amended. HB 2611, relating to child welfare and group home safety, was amended with changes requiring DCS reporting and standards for group foster homes, and was also recommended do pass as amended. On third reading, the Senate passed HB 2198, HB 2434, HB 2764, HB 2772, HB 2837, HB 2868, HB 2906, and HB 2996, with HB 2772 drawing a 17-9 vote after Senator Gonzales objected that it could affect emergency responders seeking driver’s licenses from patients. HB 2868 passed 25-1, HB 1668 passed 25-1, and the rest passed unanimously or near-unanimously. The Senate also concurred in House amendments to SB 1168, SB 1254, and SB 1668, then passed SB 1168 and SB 1254 on final reading and sent them to the Governor; SB 1668 also passed final reading and was sent to the Governor. The chamber then recessed.

Transcript Highlights:

• Calendar 640, Senate Print 6494, Senator Cleare, an act to amend the Insurance Law.
• CLEARE, AN ACT TO AMEND THE INSURANCE LAW. >> READ THE LAST SECTION.
• Whether a mother chooses to give birth at a hospital or at home with a doula, insurance companies must
• WHETHER A MOTHER CHOOSES TO GIVE BIRTH AT A HOSPITAL OR AT HOME WITH A DOULA, INSURANCE COMPANIES MUST
• policy issues that we're all pretty much aware of, with the CLCPA, with tax increases, with auto insurance

Keywords: 993, senate, all

Summary: The Senate convened, approved the prior journal, and discharged several identical Assembly/Senate bills from committee so they could be substituted on the calendar. The chamber then took up and previously adopted two commemorative resolutions: one designating April 2026 as Sikh Heritage Month and another honoring Korean War veterans. Senators from both parties spoke in support of the Sikh resolution, emphasizing the community’s contributions, service, and the need for recognition and inclusion; the resolution was opened for co-sponsorship and the Sikh guests in the gallery were recognized. The Korean War resolution drew remarks from members recalling family service and the sacrifices of veterans, with repeated calls to preserve their stories and honor their legacy. The Senate then moved through the calendar, passing a series of bills. Among them were measures related to charter bus safety and seat belt awareness, coverage for doula services under insurance, social services/EBT-related changes, education, navigation, highway, public service, and hospital-closure reporting. Several bills passed unanimously or with only one dissenting vote; the social services bill drew the most opposition, with Senator Murray objecting that New York should first address EBT chip technology and skimming before adding new vendor requirements. One bill on the calendar was laid aside for the day. The chamber also adopted a supplemental bill authorizing the South Country Central School District to finance certain deficits, described by Senator Murray as a necessary rescue to keep the district operating and pay staff. Senators discussed the state budget impasse during debate on an extender bill, with the sponsor explaining it was a “clean extender” to keep government running through May 4 and cover payroll, health, education, and other essential payments. Senator Helming raised concerns about the lack of rural health transformation funding and the consequences of the delayed budget for schools, local governments, and hospitals. The extender passed, and the Senate adjourned until Monday, May 4, 2026.

Transcript Highlights:

• Does adding that word change the ability of getting these services paid by an insurance company?
• I think if they're allowed to go into the office and get this treatment under an insurance policy, it
• To my knowledge, it would have no effect on insurance payments.
• company, that's fraud, because the insurance company says you're not allowed to do that and you're not
• They risked losing malpractice, and they couldn't bill the insurance companies because this statute wasn't

Committee: House Business

Summary: The committee first approved the minutes from March 25 and March 27, then took up Senate Bill 1359 as amended, which would regulate virtual currency kiosks/crypto ATMs. The sponsor and supporters from AARP, law enforcement, and the Attorney General’s office said the bill was aimed at reducing scams that target older adults by requiring operator registration, money transmitter licensing, fee and exchange-rate disclosures, fraud warnings, transaction records, and cooperation with the Department of Finance. The bill passed the committee on a due-pass recommendation, though one member noted possible Fourth Amendment concerns about blockchain analytics and data retention. The committee then heard Senate Bill 1353 as amended, a housing bill allowing twin homes and duplexes in single-family residential zones in cities over 10,000 people, with limits on local bans, lot-size restrictions, fees, and parking requirements. Supporters argued it would expand affordable “missing middle” housing, help families and older adults stay in their communities, and restore property rights; opponents, including an Eagle city council member, argued it would override local control and worsen density and traffic concerns. After testimony from residents, housing advocates, and local officials, the motion for a due-pass recommendation failed on a 7-7 tie, so the bill was held in committee. Next, the committee considered Senate Bill 1254, which would clarify that certain chiropractors with clinical nutrition training may prescribe the limited vitamins, minerals, fluids, epinephrine, needles, and related products they are already authorized to obtain and administer. The sponsor said the change would fix a technical problem that prevents chiropractors from buying these items from pharmacies, while some members raised concerns about scope of practice and noted opposition from the Idaho Association of Chiropractic Physicians. The committee passed the bill to the floor with a due-pass recommendation. Finally, Senate Bill 1313 was heard, expanding Idaho’s dual-licensure naturopathic doctor provisions to include pharmacists who also meet the existing naturopathic licensing requirements. The sponsor said the bill would let pharmacists with the proper additional training practice under dual licensure without violating scope-of-practice or insurance rules, and the committee approved it for the floor with a due-pass recommendation before adjournment.

Transcript Highlights:

• which is a problem all across this country, and they've got increasing costs, increasing costs of insurance
• , health insurance.
• their school districts lately, but they're looking at double-digit increases in the cost of health insurance
• However, they made income through unemployment insurance and the SURA, the unemployment insurance bonus
• Massachusetts who were trying to deal with that global pandemic, who were relying on unemployment insurance

Keywords: 1212, all

Transcript Highlights:

• All right, we are on House Bill 38, wheelchair insurance coverage.
• this body was able to pass what we call the prosthesis bill. ...the prosthesis bill, which asks insurance
• It is because it's insurance, but it's really just adding activity chairs or wheelchairs to the devices
• I'm the Life and Health Division Director at the Office of Superintendent of Insurance, and I've had
• As you know, every insurance company has a different process, and so we want to make sure that language

Bills: HB99 , HB38 , HB165 , HB127 , HB72 , HB151 , SB40 , SB104 , SB136 , SB164

Committee: House House Judiciary

Keywords: medical malpractice, malpractice reform, patient's compensation fund, PCF, health care liability, tort reform, damage caps, punitive damages, hospital liability, physician liability, nurse practitioner, certified nurse-midwife, outpatient facility, ambulatory surgical center, urgent care, free-standing emergency room, insurance surcharge, superintendent of insurance, New Mexico hospitals, medical review process

Transcript Highlights:

• When people fail to register their motor vehicle, they fail to get insurance.
• When they fail to get insurance, now they're having their license stripped because they don't have insurance
• When people fail to register their motor vehicle, they fail to get insurance.
• When they fail to get insurance, now they're having their license strip because they don't have insurance
• We're not. have insurance and it just goes on and on from there.

Committee: House Ways and Means

Summary: The committee first took up House Joint Resolution 169, which would cap spending growth and was described by supporters as a taxpayer protection measure. Representative Taylor opposed it, arguing the legislature was already considering too many tax-related measures at once and lacked a broader strategy. The sponsor said the resolution was about limiting spending, not taxes, and offered a committee substitute that added fees and surcharges into the baseline and addressed tax credits. After discussion, the substitute was adopted and the committee voted the House Committee Substitute for HJR 169 do pass, with Taylor and Strickler voting no. The committee then heard House Bill 2819, which would allow rounding of cash transactions now that pennies are no longer being produced. The sponsor explained a committee substitute added safe-harbor language to protect merchants from lawsuits over rounding errors. Members asked about the rounding rules and confirmed the bill remained permissive rather than mandatory. The committee adopted the substitute and then voted the House Committee Substitute for HB 2819 do pass unanimously. House Bill 2746, sponsored by Representative Williams, would create a property tax map feature on the Department of Revenue website showing current levies and assessed values to improve transparency. Supporters said it would help homeowners compare assessments and understand property tax differences, while opponents and agency witnesses raised concerns about the large startup cost, estimated at about $7 million, the need to gather data from many counties, and the fact that some counties already provide similar information. The Department of Revenue and State Tax Commission witnesses said the data would be difficult to compile statewide and that local participation and data standards vary widely. The bill was heard, but no vote was taken in the transcript. Finally, the committee heard House Bill 2329, which would gradually reduce the assessment ratio for personal property from about 33 1/3% to 18% over three years. The sponsor argued the tax is burdensome, especially for working families and businesses, and said it would encourage a broader shift away from personal property taxation. Supporters echoed that it is a highly visible and unpopular tax. Opponents, including a county assessor, warned the bill would sharply reduce local tax bases, especially in rural counties, and likely force levy increases on real property or cuts to schools and other districts. The hearing ended without a committee vote on HB 2329.

Transcript Highlights:

• What has failed is a privatized, insurance-driven system increasingly dominated by private equity firms
• What has failed is a privatized insurance-driven<00:10:03.839><c> system</c><00:10:05.200><c> increasingly
• </c> insurance-driven system increasingly insurance-driven system increasingly dominated<00:10:06.399
• participants who are subject to the participants who are subject to the Health<00:20:28.080><c> Insurance
• </c><00:20:28.640><c> Portability</c><00:20:29.280><c> and</c> Health Insurance Portability and Health

Keywords: 926, house, all

Transcript Highlights:

• auto insurance, affordability and telematics, followed by a bill hearing.
• First, the health insurance policy First, the health insurance policy developments<00:14:43.120><c> and
• :46.240><c> auto</c> plans and then private passenger auto plans and then private passenger auto insurance
• ,<00:14:46.959><c> affordability</c><00:14:47.600><c> and</c><00:14:47.760><c> telematics,</c> insurance
• , affordability and telematics, insurance, affordability and telematics, followed<00:14:49.040><c> by

Keywords: Senate streaming session for Thursday, January 22, 2026, 960, senate, all

Transcript Highlights:

• And other issues like the use of shell companies to reduce liability and Jeff Smith: insurance is not
• companies for insurance companies to pay.
• If this is about coding, that is insurance fraud. This is against the law.
• It is costing insurance companies hundreds of thousands of dollars for them to transition.
• And the insurance companies are paying it because the codes are being manipulated.

Transcript Highlights:

• One of the medications alone, my insurance...
• One of the medications alone, my insurance, ...program to pay for my medications.
• But they are telling people that your insurance is canceled.
• The health department has no authority to cancel someone's health insurance.
• I got... ...their insurance premiums, the co-pays, and deductibles. I was one of the blessed ones.

Committee: Senate Appropriations

Keywords: 999, senate, all

Summary: The committee first took up SB 7010, which would authorize post-tax Roth contributions in state and local deferred compensation plans, instead of limiting them to pre-tax contributions. After a brief presentation and one waived appearance in support, the bill was rolled and reported favorably. Later, members also recorded affirmative votes on SB 7010 before adjournment. The bulk of the meeting was devoted to the Governor’s proposed “Floridians First” budget, presented by Lita Kelly of the Office of Policy and Budget. She outlined a $117.4 billion spending plan with $53.2 billion in general revenue, emphasizing reserves, debt reduction, trust fund sweeps, and targeted reductions in agency positions. Major priorities included K-12 and higher education funding, teacher salary support, school hardening, Everglades and water-quality projects, cancer and behavioral health initiatives, emergency preparedness, law enforcement, corrections staffing and facilities, cybersecurity, transportation, affordable housing, and economic development. Members asked extensive questions about teacher pay, corrections staffing, emergency response reserves, the proposed federal reimbursement for the Everglades detention facility, the Second Amendment sales tax holiday, the animal abuse hotline, and the absence of a specific Hope Florida line item. A major portion of the discussion focused on the Department of Health’s planned changes to the ADAP HIV/AIDS drug assistance program, with public testimony warning that the changes could cut off access to medications for thousands of Floridians and alleging misuse of federal funds. Kelly said she would follow up on several details, including litigation costs, teacher pay comparisons, and ADAP funding questions.

Transcript Highlights:

• This will force patients to find other ways to pay for insurance or be uninsured.
• And I'll add that it's the insurance program that enables the rebates to come.
• So the more people whose insurance premiums are paid, the more rebates the program gets.
• The more people whose insurance premiums are paid, the more rebates the program gets.
• Overall, the insurance premiums only increased by about $150 per client.

Committee: Senate Appropriations Committee on Health and Human Services

Keywords: 999, senate, all

Summary: The Appropriations Committee on Health and Human Services heard presentations on the governor’s proposed FY 26-27 budget for the health and human services silo, which totals $48.5 billion within a $117.4 billion state budget. Agency leaders outlined major spending priorities, including AHCA’s behavioral health redesign, APD waiver enrollment and facility needs, DCF’s integrity and self-sufficiency systems, opioid response, community-based care and mental health bed expansion, DOEA’s Alzheimer’s, home care, and community care programs, DOH’s cancer research, public health, EMS blood-transfusion initiative, and lab feasibility study, and the Department of Veterans’ Affairs’ facility, cybersecurity, and medication-management investments. Members generally praised several proposals, especially increased reimbursement for private duty nursing, behavioral health funding, Alzheimer’s support, and the EMS blood program. Senator Sharief raised concerns about the AIDS Drug Assistance Program (ADAP), warning that changes could leave many Floridians without coverage for HIV medications and asking whether manufacturers could provide rebates directly to patients. Surgeon General Ladapo said the issue was driven largely by funding and federal changes, not a legal barrier, and said the department had explored alternatives but could not fill the gap with current resources. Senator Rouson asked about the Office of Minority Health and Health Equity, and DCF said its budget includes about $7 million for the substance abuse and mental health data dashboard required by prior legislation. Public testimony focused heavily on ADAP. Former program leaders and advocates said the proposed changes would reduce enrollment and remove key drugs and insurance-premium support, calling the situation a crisis and criticizing the department for lack of transparency and stakeholder engagement. They urged a pause and collaborative review of the program’s finances. The committee also discussed KidsCare implementation, with AHCA saying federal conditions and litigation have delayed the expansion. The meeting ended after the chair noted the budget would still need to be adjusted for updated Medicaid caseload estimates, and the committee adjourned without taking any formal votes or other action on the budget items.

Transcript Highlights:

• then when I got done playing a boy's game, I had to enter the real world, and my father owned an insurance
• opportunity to sell to a company named Foundation Risk Partners, and we operate under a Century Insurance
• then when I got done playing a boy's game, I had to enter the real world, and my father owned an insurance
• Our customers are the largest airlines, largest banks, largest insurance companies. They depend.
• Every market, our customers are the largest airlines, largest banks, largest insurance companies.

Committee: Senate Appropriations Committee on Higher Education

Summary: The Appropriations Committee on Higher Education met to hear confirmations for 19 appointees and reappointees to university and state college boards, with most of the agenda focused on the University of Florida, Florida A&M University, Florida Atlantic University, University of Central Florida, Florida State University, Florida Polytechnic University, Florida Gulf Coast University, Pensacola State College, State College of Florida Manatee-Sarasota, North Florida College, South Florida State College, and the Florida Prepaid College Board. Testimony from the nominees generally emphasized their educational backgrounds, professional experience, and priorities such as student success, workforce development, financial sustainability, research growth, housing, and maintaining or improving institutional rankings. Several UF trustees highlighted the university’s “One UF” vision, institutional neutrality, and goals of reaching top-three or top-one national status. Other nominees stressed the role of state colleges in workforce pipelines, and Florida Poly witnesses focused on STEM growth, housing, and strong graduate outcomes. One in-person public testimony came from Elijah Hooks, who spoke in opposition to the current FAMU administration and described his expulsion, arrest, and trespass from campus after protesting the appointment of President Marva Johnson. For FAMU, Jocelyn Dobson Rodriguez testified in support of her appointment, emphasizing her legal background, alumni ties, and goals of strengthening leadership, alumni engagement, and the connection between the main campus and the College of Law in Orlando. For Florida Atlantic University, Tina Vidal-Duart was questioned closely about her prior service on the Hope Florida Foundation board and about CDR Health’s involvement in state contracts; she said she was not aware of the foundation’s governance problems at the time and that CDR’s state contract was a flat daily rate. The committee then voted to report all appointees favorably except for Tina Vidal-Duart, whose confirmation was held for a separate vote at the request of Senator Bracy Davis. After discussion, the committee voted 5-1 to report her confirmation favorably as well. The meeting concluded with no further business and adjournment.

Transcript Highlights:

• TWDB also administers the Community Assistance Program, or CAP, and houses the state National Flood Insurance
• This data is meant to complement the current effective flood insurance rate maps, or FIRMs, but not replace
• agency has; some folks who can give guidance on that related to FEMA requirements and some of the insurance
• the flood mapping and modeling, Bryan, you said they're not going to replace the FIRMs, the flood insurance
• ...that they're not going to replace the FIRMs, the flood insurance rate maps. Why not?

Committee: House Natural Resources

Summary: The House Committee on Natural Resources met to focus on flooding issues across Texas, with particular attention to South Texas and the recent catastrophic flooding in Central Texas. Chair Harris and Vice Chair Martinez emphasized that flooding is a statewide problem requiring continued legislative attention. The committee heard invited testimony from Hidalgo County Commissioner David Fuentes and Hidalgo County Drainage District No. 1 General Manager Raul Sassine, who described the March flood event in Hidalgo County, including more than 20 inches of rain, six deaths, over $100 million in local damage, widespread road flooding, and repeated shutdowns of Interstate 2 and its frontage roads. They argued that existing drainage systems are under capacity, that TxDOT projects must account for downstream drainage impacts, and that local governments have already invested heavily in mitigation through bonds and partnerships. Fuentes and Sassine also described the county’s long-term flood mitigation and water-reuse efforts, including the Delta region water management project, which would capture stormwater, runoff, and treated effluent, reduce flooding, and create potable water supply. They said the drainage district manages about 780 miles of channels and 1,100 acres of detention facilities, has used prior Flood Infrastructure Fund and GLO grants, and has ongoing applications for additional state and federal assistance. Members discussed the need for TxDOT coordination, emergency access on frontage roads, local “skin in the game,” and the possibility of combining flood control with aquifer recharge and water supply projects. Texas Water Development Board Executive Administrator Brian McMath then presented an overview of the state’s flood planning and funding framework, including the post-Harvey legislative changes that created the Flood Infrastructure Fund, the Texas Infrastructure Resiliency Fund, and the regional/state flood planning process. He summarized the first state flood plan adopted in 2024, noting that about one in six Texans live or work in known flood hazard areas and that regional plans identified 4,609 flood risk reduction solutions with an estimated cost of $54.5 billion. He also reviewed TWDB programs for flood grants, community assistance, flood insurance compliance, stream gauges, TexMesonet, flood mapping, and the TexasFlood.org viewer. Members asked about drainage fees, technical assistance, gauge placement, the relationship between flood maps and FEMA FIRMs, and whether flood mitigation funds could support aquifer storage and recovery or recharge projects; TWDB staff said such projects can be eligible if they include flood mitigation components, but direct technical assistance cannot be paid from Flood Infrastructure Fund dollars. The committee concluded by expressing interest in further study of combining flood mitigation with aquifer recharge, and then adjourned.

Transcript Highlights:

• The security guard companies are required to maintain liability insurance coverage for their guards,
• The security guards may not be covered by liability insurance, may have criminal histories, and no training
• By that they are oftentimes not insured because some insurance companies provide the liability insurance
• Well, I mean, most of your security companies have an insurance policy.
• Most of them that have employees have insurance and have a workman's comp policy or or what.

Bills: SB 36

Committee: House Homeland Security, Public Safety & Veterans' Affairs

Keywords: transportation, regional authorities, mobility, infrastructure, sales tax

Transcript Highlights:

• Members, this bill concerns the Texas Department of Insurance and its executive level composition.
• In a regulatory market overseeing a $290 billion insurance market, a single commissioner structure presents
• Someone who is staying at a short-term rental cannot even buy flood insurance, right?
• The notice requires a clause informing the tenant that most renter's insurance policies do not cover
• damages or losses incurred in a flood and that, if appropriate, the tenant should seek additional insurance

Bills: SB 438 , SB 512 , SB 647 , SB 648 , SB 1495 , SB 2121 , SB 2145 , SB 2154 , SB 2167 , SB 2184 , SB 2211 , SB 2268 , SB 2349 , SB 2443 , SB 2629 , SB 2702 , SB 2902

Committee: Senate Business & Commerce

Keywords: SB 438, Texas, State Office of Administrative Hearings, SOAH, administrative law judge, ALJ, public information act, open records, confidentiality, privacy, home address, home telephone number, emergency contact information, social security number, family members, Government Code 552.117, Government Code 552.1175, Tax Code 25.025, public records, government transparency

Summary: The meeting of the committee commenced with the establishment of a quorum, where members discussed and voted on five significant bills related to energy efficiency, insurance regulation, and public utility governance. Notably, Senate Bill 2717 was presented, incorporating feedback to foster collaboration among various state agencies for improved energy efficiency performance. This was followed by a detailed discussion on Senate Bill 1642, which proposed changes to the Texas Department of Insurance's executive structure to optimize management and consumer focus. Each bill saw active participation from senators who moved to adopt committee substitutes for clarity and responsiveness to stakeholder concerns, indicating a proactive approach to legislative issues.

Transcript Highlights:

• And we all know that that can take many months, as filing insurance claims can be a long process.
• are referring to, the next step, if you will, the next place they're going, is in that patient's insurance
• They can contact directly the patient's insurer, and this allows them to go to an online directory as
• point of contact, if you will, to make that determination by going on the online website of the insurance
• If insurance doesn't cover it, you can pay cash.

Summary: The committee met to consider a large agenda of health and human services bills, moving quickly because of a two-hour time limit. Early measures reported favorably included SB 976 on challenges to court-appointed psychologists in family law cases, SB 306 on Medicaid provider network access and after-hours availability, and SB 584 on housing supports for college students and youth in extended foster care. SB 1412 on home health regulation modernization also passed, with one support appearance from the Home Care Association. Members then approved several bills focused on research and care delivery, including SB 1800 creating a Parkinson’s disease research consortium at USF with an adopted amendment adding academic medical centers, SB 524 adding Duchenne muscular dystrophy to newborn screening, SB 1156 revising a Medicaid home health aide program for medically fragile children, and SB 1490 transferring and redesigning the managed care program for critically ill children. SB 1174 on foster home licensure transfers, SB 1620 implementing mental health and substance use commission recommendations, SB 1568 revising e-prescribing exemptions, and SB 788 on veterans nursing home beds were also reported favorably. The committee had more extensive debate on SB 1270, the Department of Health agency package, which included provisions on vaccination status, medical marijuana background screening, licensing and compact issues, and sovereign immunity for volunteer dental workers; it passed after an amendment and several members voiced concerns about patient treatment and “voting power” language. SB 1606 on patient access to records drew strong opposition from providers and health information professionals over privacy, HIPAA, and administrative burdens; it was initially reported unfavorably, then reconsidered and ultimately passed after a motion to reconsider. Other bills reported favorably included SB 1736 on insulin administration by direct support professionals and relatives, SB 1808 on patient refunds from providers, SB 1842 on referral disclosure of network status, SB 1354 on behavioral health managing entity oversight, SB 1768 on stem cell therapies with informed consent requirements, and SPB 7032 on presumptive Medicaid eligibility for permanently disabled individuals, which was submitted and reported as a committee bill. The meeting ended after all agenda items were handled and the committee adjourned.

Transcript Highlights:

• And we all know that that can take many months, as filing insurance claims can be a long process.
• provider they are referring to, the next step, the next place they're going, is in that patient's insurance
• They can contact directly the patient's insurer, and this allows them to go to an online directory as
• them an additional point of contact, if you will, to make that determination by just going on the insurance
• If insurance doesn’t cover it, you can pay cash.

Committee: Senate Appropriations Committee on Health and Human Services

Summary: The Appropriations Committee on Health and Human Services met to consider a full agenda of bills, moving quickly through 20 measures and several amendments. Early bills reported favorably included SB 976 on procedures for challenging court-appointed psychologists in family law cases, SB 306 on Medicaid managed care provider access outside regular business hours, and SB 584 on housing supports for foster youth and college students, which drew supportive testimony from former foster youth and was backed by members as a way to improve stability and educational opportunity. The committee also approved SB 1412 to modernize home health regulations and SB 1800 to create a Parkinson’s research consortium at USF, with members citing the need for more research and future funding opportunities. The committee adopted amendments on several bills, including technical and conforming changes to the Parkinson’s bill and other measures. The committee then advanced a series of health care and child welfare bills. SB 524 added Duchenne muscular dystrophy to newborn screening; SB 1156 revised the Home Health Aide Program for medically fragile children, including training, reimbursement, and work-hour flexibility; and SB 1490 reorganized services for medically fragile children by shifting program administration to AHCA and requiring a redesign plan for the Medicaid waiver. SB 1174 allowed foster home and child-caring agency licenses to be amended when a foster parent relocates, and SB 1620 implemented selected recommendations from the Commission on Mental Health and Substance Use Disorders, including a new research center at USF and school-based behavioral health review requirements. SB 1568 revised e-prescribing exemptions, and SB 78 authorized certain veterans’ nursing home beds and related certificate-of-need transfers. All of these measures were reported favorably after brief debate or supportive testimony. Several bills prompted more extensive discussion and some opposition. CS for CS SB 1270, the Department of Health agency package, included provisions on vaccination-related patient rights, medical marijuana reporting, background screening, temporary licensure, compact participation, and sovereign immunity for volunteer dentists; it passed despite concerns from Senators Berman, Brodeur, and Harrell about vaccination language and board/voting-power provisions. CS for SB 1606 on patient access to records drew strong opposition from physicians and health information professionals over privacy, security, fines, and portal access; it was initially reported unfavorably, then reconsidered and ultimately reported favorably as a committee bill. CS for SB 1736, allowing insulin administration by direct support professionals and relatives for individuals with developmental disabilities, and SB 1808, requiring timely refunds to patients, both passed. CS for SB 1842, requiring referring providers to help patients determine whether referred providers are in-network, also passed over concerns about burden on small practices. The committee also advanced SB 1354, a behavioral health oversight bill requiring audits, performance reporting, and system transparency measures for managing entities, and SB 1768, which authorizes physicians to perform certain stem cell therapies using specified products and requires informed consent; both drew supportive comments but also concerns about patient understanding and oversight. Finally, the committee approved SPB 7032 as a committee bill to create presumptive Medicaid eligibility for permanently disabled individuals during redetermination, and after reconsideration it reported SB 1606 favorably as a committee bill. The meeting ended with members noting their recorded votes on select tabs and adjourning after completing the agenda.

Transcript Highlights:

• So what does this do to insurance rates?
• I'm sorry, I would like to have in the next committee, I would like a better answer concerning insurance
• know, obviously, we've been watching California burn, and prior to that disaster in California, insurance
• If that happens over and over with batteries, I can see homes not being insurable.
• I see people. then pulling out the systems so that they can have insurance.

Committee: House House Energy, Environment & Natural Resources

Transcript Highlights:

• adjustments for administered funds such as pay increases, changes to retirement rates, and health insurance
• They don't have hundreds of thousands of members as our health insurance companies do.
• They don't have hundreds of thousands of members as our health insurance companies.
• Can you give us an insurance that that will happen or how we'll, dental program.
• Can you give us an insurance that that will happen or how will that happen? You recognize?

Committee: Senate Appropriations Committee on Health and Human Services

Summary: The Appropriations Committee on Health and Human Services heard a base budget overview for the 2025-26 fiscal year, which was presented as a $46.8 billion starting point for the silo. Staff explained that HHS accounts for about half of the state base budget and roughly 36% of general revenue, with AHCA and Medicaid making up the largest share. The committee then reviewed the PACE program for the elderly, including its eligibility, service model, growth in applications, slot funding and reversions, and the agency’s plan to move from the federal three-way agreement to a more detailed two-party contract to improve accountability, transparency, and reporting. Members raised concerns about unfilled slots, reversions, rural access, and the need for clearer return-on-investment data; the agency said it would follow up on some of those questions. The committee also heard from the Agency for Persons with Disabilities on its statewide dental program. APD described its history of appropriations, the failed January 2024 solicitation, and a new up-to-$11.5 million solicitation focused on preventive care, community partnerships, teledentistry, and coordination with other services. Members questioned overlap with Medicaid dental coverage, the effect of Medicaid unwinding on APD clients, and whether state dollars were duplicating federally supported services; APD said it tries to act as payer of last resort and that services would continue during procurement. Public testimony from an APD stakeholder and the Florida Dental Association emphasized Medicaid eligibility problems for waiver recipients, low reimbursement rates, limited access to anesthesia and hospital-based dental care, and concerns that proposed Medicaid changes could reduce access for special-needs patients. The Department of Veterans’ Affairs then presented on state veterans service officers and benefits assistance. FDVA highlighted its role in helping veterans access federal benefits, reporting about $27.9 billion in federal dollars flowing into Florida and a high return on state investment. The department said it has increased outreach, claims processing, and services, and has trained staff to identify mental health concerns through its Overwatch program. In response to questions, FDVA discussed plans to expand adult day health care at a new veterans nursing home and possibly at existing locations with additional state funding. At the end of the meeting, the committee completed its presentations and adjourned without objection.

Transcript Highlights:

• the best option that I have seen, or been proposed, to stop the double-digit increase in health insurance
• That helps reduce the cost for health insurance, especially in the poor rural areas.
• This section makes changes to the private health insurance statutes.
• adjusts the dates assuming that the it adjusts the dates assuming that the free<00:23:12.720><c> insurance
• program will operate in free insurance program will operate in plan<00:23:14.799><c> year</c><00:23:

Keywords: 1187, senate, all

Summary: The committee reviewed a side-by-side comparison and fiscal analysis of Senate File 3472, a reinsurance-related bill affecting the premium security plan account, MinnesotaCare, and related health care funding. Staff explained the Senate and House versions of the bill, including how the Senate proposal extends reinsurance for five years and uses a projected $1.087 billion general fund transfer to fully fund claims and administrative costs through fiscal year 2028, while the House version conditions continuation of the program on federal approval of the state innovation waiver. The fiscal presentation also covered appropriations for MNsure, a mental health parity and substance abuse office, and House provisions for delivery reform and a public option study, along with a House transfer of $110.674 million to the health care access fund. Members debated the budget horizon and whether costs should be forecast beyond fiscal year 2025. Representative Schultz argued that the spreadsheet understated the broader fiscal impact of reinsurance and warned about future funding cliffs for MinnesotaCare and other health programs, while other members and staff noted that the state’s standard forecast ends in fiscal year 2025 and that the fiscal note only estimated reinsurance costs through the five-year extension. Supporters said reinsurance was the best available option to reduce premium increases, especially in rural areas, and some pointed to a public option as a longer-term alternative. Opponents argued reinsurance does not address underlying health care costs or deductibles and urged consideration of other reforms. House Research then walked through the policy differences. House-only provisions would change Minnesota Comprehensive Health Association board membership, require platinum plans in certain markets, expand postnatal coverage, require a prescription drug benefit in some plans, set a minimum actuarial value for MinnesotaCare, create an Office of Mental Health Parity and Substance Abuse Accountability, and direct reports on delivery reform and a public option. The shared provisions would extend the premium security program to 2027 and delay the transfer of remaining premium security plan funds to the health care access fund until 2029, with the House language again contingent on federal waiver approval. No formal vote was taken in the excerpt; the chair closed discussion after hearing no further questions and indicated members would be contacted about next steps.