Transcript Highlights:

• </c> kitchens or meat processing facilities kitchens or meat processing facilities that<01:02:40.400>
• park or a non-ag park or in our agricultural enterprise program.
• park or a non-ag park or in our agricultural enterprise program.
• park or a non-ag park or in our agricultural enterprise program.
• park or a non-ag park or in our agricultural enterprise program.

Bills: SB2885, SB2174, SB2925, SB2798, SB2320, SB2800, SB1230, SB2706, SB3233, SB2405, SB2350, SB2169, SB3320

Keywords: coconut rhinoceros beetle, invasive species, biosecurity, green waste, environmental management, agriculture, quarantine, pest control, transport regulations, Hawaii Revised Statutes, coconut trees, tax credit, natural management, Hawaii, environment, agricultural enforcement, agricultural theft, farm theft, crop theft, commodity theft

Summary: The committee heard testimony on SB 2885 SD1, which would create mandatory handling and storage rules for commercial and residential coconut rhinoceros beetle host material beginning in 2027, with penalties and an effective date. Support came from the Department of Agriculture and Biosecurity, DLNR, Maui County Department of Agriculture, the Hawaii Farm Bureau, Hawaii Farmers Union, and the Office of Hawaiian Affairs. Testifiers generally said the bill would help reduce CRB spread, though some urged additional science-backed methods, better coordination, and technical or cost-share support for smaller operations. Hawaiian Earth Recycling recommended amendments to align the bill with existing Department of Health/EPA composting rules, add other materials that can harbor CRB, allow future approved treatment methods, and replace the bill’s 60-day turning requirement with existing pathogen-reduction standards. One individual supported the goal but argued the state’s CRB strategy has lacked community and cultural consultation and should include a cultural advisement role. Department witnesses said enforcement would rely on inspection and an educate-before-regulate approach, and they noted the challenge of creating enough drop-off sites, especially in rural areas. The committee then took up SB 2174 SD2, which would authorize the Department of Agriculture and Biosecurity to declare an emergency quarantine, halt operations in affected areas for 96 hours with possible extension, quarantine suspected pest areas, issue notices and compensation to affected farmers, and adopt interim transportation rules for materials that may harbor high-impact invasive species. The department and DLNR supported the measure, emphasizing the need for fast action in the first hours of an invasion. Hawaii Farmers Union supported the compensation provisions but asked for stronger communication with producers and a post-action report to the Board of Agriculture after about 90 days to evaluate effectiveness and economic impacts. In response to questions, department staff said the bill would be a short-term, department-only quarantine authority distinct from the governor-declared biosecurity emergency authority enacted previously, and that it could serve as an intermediate step. They also said outreach would need to be done through farm organizations such as Farmers Union, Farm Bureau, and Cattlemen’s groups. The final measure discussed was SB 2925 SD1, relating to coconut trees. The bill would recognize coconut trees as a source of food and water and a cultural treasure, require rules for coconut tree seed banks, require signage identifying landscape palms where applicable, set labeling standards for non-consumable landscape palms, and create an income tax credit for consumable coconut trees maintained through natural management practices. The transcript ended before testimony or action on this bill was completed, and no vote was taken on any of the measures discussed in the portion provided.

Transcript Highlights:

• I'm the economist here at the Department of Ag.
• But despite these inherent strengths of Washington ag, farmers and ranchers and ag businesses really
• And actually, over the last 20 years, we've seen a 32% increase in the age, the average age of the farm
• and the workforce in Washington ag.
• And actually, over the last 20 years, we've seen a 32% increase in the age, the average age of the farm

Summary: The Senate Agriculture and Natural Resources Committee met for a work session focused on Washington agriculture’s condition, food security, behavioral health, and animal disease surveillance. WSDA Director Derek Sandison and economist Maddie Roy presented an update on agricultural viability, describing Washington agriculture as highly diverse and valuable but increasingly strained by rising production and labor costs, aging producers, consolidation, trade barriers, land pressures, stagnant research funding, infrastructure concerns, and climate impacts. They cited declining farm numbers, falling net farm income, and negative take-home pay for farmers, while also noting strengths such as climate, soils, ports, irrigation, universities, and other infrastructure. Committee members asked about commodity-specific impacts, comparisons with other states, and the role of regulation in worsening costs. Kelly McLean followed with a discussion of opportunities to support agriculture, including trade, domestic food systems development, climate mitigation, clean energy, ag tech, workforce and education, and mental health. She highlighted investments in port and transportation infrastructure, local food processing and distribution, land access and incubator opportunities, climate resilience projects, and programs supporting farmworker and farmer mental health. Katie Raines then updated the committee on food systems and food security, explaining WSDA’s reorganization into a Farm and Food Systems Development Division and describing trends in household food insecurity, the state’s hunger safety net, and the importance of food system infrastructure. She noted that food insecurity is rising again and that even higher-income households are reporting need, while legislators asked about eligibility thresholds and the impact on lower-income residents. The committee also heard from WSU Skagit County Extension’s Don McMoran and Maddie Van der Koi on agricultural stress and suicide prevention. They described the Western Region Agricultural Stress Assistance Partnership, crisis and referral resources, peer-to-peer outreach, trainings, and free counseling vouchers for farmers and farmworkers. They emphasized that farmers face chronic stress from financial volatility, weather, labor shortages, isolation, and stigma, and cited elevated suicide rates in agricultural populations. Members asked about reluctance to seek help and whether flooding had increased demand for services. Finally, Dr. Kevin Snekovic of the Washington Animal Disease Diagnostic Laboratory described WADDL’s role in disease testing, food safety, wildlife surveillance, and rapid response to outbreaks such as avian influenza and chronic wasting disease. He said the lab supports trade and quarantine decisions, and members asked about elk hoof rot research, workforce needs, and how to connect constituents to the lab. No votes were taken; the session ended with a preview of upcoming Thursday work sessions on marine resources, Columbia River Basin supply, Ecology’s report back, and agricultural natural resources issues.

Transcript Highlights:

• Has there been research done around age restrictions? And do we have any of that data?
• However, it doesn't exclude the possibility that it would cause death in younger ages.
• And so if we do some kind of age restriction, we have to recognize that it's impacted...
• Oxidation can happen via oxygen, via heat, via age.
• I want to live and I want the opportunity to keep aging with dignity.

Summary: The committee held an informational hearing on kratom and 7-hydroxymitragynine (7-OH), focusing on public health risks, overdose deaths, and regulatory gaps in California. The chair opened by noting that FDA and CDPH consider kratom and 7-OH products unlawful for consumption, yet they remain widely sold in smoke shops, vape stores, gas stations, and convenience stores. The hearing was framed as part of ongoing legislative work, including a future review of AB 1088, and members emphasized the need to weigh potential benefits against risks and consider whether stronger safeguards are needed. Expert testimony from a toxicology professor and several public health and medical officials described kratom as a plant with multiple alkaloids, with 7-OH identified as the more potent opioid-like compound associated with tolerance, dependence, withdrawal, and respiratory depression. CDPH reported 362 kratom-related overdose deaths in California from 2019 to 2023 and 15 deaths involving 7-OH, while Los Angeles County officials described unexplained deaths in young adults that led them to expand toxicology testing and identify 7-OH as a common factor. County and state public health representatives said they have issued advisories, contacted retailers, removed products from shelves, and taken enforcement actions, but they stressed that local enforcement is patchy, under-resourced, and limited by unclear jurisdiction and lack of testing capacity. Medical witnesses said patients are presenting with 7-OH dependence and withdrawal in ways similar to fentanyl-related cases, sometimes requiring buprenorphine, methadone, or repeated naloxone. They argued that unregulated retail sales and misleading marketing make the products especially risky, and that a statewide framework would be more effective than a patchwork of local ordinances. Some officials said the safest current policy is to keep kratom and 7-OH unlawful for consumption, while others said any new regulation would need resources, packaging rules, and clearer authority for enforcement. Industry and consumer advocates urged the committee to distinguish natural kratom leaf from concentrated or synthetic 7-OH products. They argued that kratom leaf has long-standing use, that 7-OH should be targeted rather than the whole plant, and that regulation should focus on age limits, labeling, testing, serving-size caps, and restrictions on adulterated products rather than prohibition. Several speakers warned that bans could push demand to the black market and reduce access for people using the products for pain relief or harm reduction, while critics of the industry said the products are being marketed deceptively and that more comprehensive regulation is needed.

Transcript Highlights:

• </c> collisions, protect minors through age collisions, protect minors through age and<01:04:22.720><
• These people are going to need a lot of health care as they go through the course of aging.
• </c><01:33:21.440><c> So</c> they go through the course of aging.
• So they go through the course of aging.
• </c> senior housing, childc care facilities senior housing, childc care facilities and<02:03:23.119><

Keywords: 910, house, all

Summary: The committee heard testimony on House Bill 2592, which would clarify the powers of the Mauna Stewardship and Oversight Authority regarding land use on Mauna Akea and related property transfers. The Department of Land and Natural Resources supported the rural property transfer but objected to language transferring conservation district use permits, saying CDUPs normally run with the land rather than being assigned to specific telescopes or observatories. The University of Hawaiʻi and the observatories generally supported the bill but urged clearer language, especially on the transfer of real property assets, related obligations and liabilities, and the inclusion of milestones for the transition. Office of Hawaiian Affairs supported the bill’s overall intent but warned that some language could be overbroad and might improperly waive future beneficiary claims. Several testifiers opposed the measure, arguing it ignored DHHL lands and beneficiary rights, while others supported it as a way to clarify the authority’s role. Members questioned DLNR about the practical effects of transferring CDUP responsibility, and the committee emphasized that the bill was narrowly focused on specific land. The committee then took up House Bill 2593, which would authorize the Mauna Stewardship and Oversight Authority to extend existing leases and subleases for up to 10 years. The authority explained that the bill does not itself extend any lease, but instead gives the authority discretion to initiate a transparent public process if extensions are needed. The University of Hawaiʻi supported the concept but said the timing of any extension matters and noted possible legal requirements under state law. The observatories also supported the bill, describing it as a flexible tool during a broader transition process and noting that the authority has held many public planning workshops. Opponents, including Native Hawaiian and community testifiers, argued that the conservation lands should receive the highest protection, that the community had not consented, and that the observatories have had decades to plan ahead. One testifier urged the bill be deferred or killed for lack of clarity. In response to questions, the committee clarified that the bill only authorizes a process and does not itself extend leases, and that any extension would require public participation. The final measure discussed in the excerpt was House Bill 2047, relating to the AHAPU advisory committee. The discussion focused on the committee’s administrative relationship to the Department of Land and Natural Resources and whether DLNR should oversee basic legal compliance issues such as Sunshine Law and legislative reporting. DLNR explained that the committee is administratively attached to the department, which provides support on human resources, procurement, and legal questions, but that the committee itself generally handles its own operations. The department said it would route compliance questions to its attorneys and implement their advice. The hearing then moved on to House Bill 2231, which would transfer appointment authority for island burial council members from the governor and Senate to the Office of Hawaiian Affairs board of trustees. OHA said it generally supported the change for geographic moku representatives, since it already nominates candidates for those seats, but expressed concern about taking on appointment authority for the large landowner seats because that role is less directly tied to its statutory duties.

Transcript Highlights:

• Nenan, who passed away on January 30th at the age of 96.
• </c> away on January 30th at the age of 96. away on January 30th at the age of 96.
• She came here at the age of 19 State.
• It is critical that workers... 2005, 83 f federal facilities in 2005, 83 f federal facilities in Louisiana
• Unfortunately, the last few facility.

Keywords: U.S. House of Representatives Floor Proceedings on Tuesday, March 24, 2026, 1012, house, all

Transcript Highlights:

• His absence, born from a courageous life given in service as a Marine at the tender age of 20, leaves
• He, at a young age, started taking Xanax, and the Xanax led to... ...other substances.
• We've seen veterans that have come out of that facility.
• And so, we cannot help them in many cases without outpatient facilities or mental health facilities,
• This is a sober living facility where there's a house that's dedicated to veterans.

Bills: HCR7, HB1557, HB1608, HB2061, HB2201, HB2210, HB2426, HB2754, HJR165, HB2513, HCR7

Keywords: Veterans of Foreign Wars, veterans, commemoration, military service, recognition, September 29, waiver programs, toll roads, discount programs, transportation, affordable housing, land bank program, low-income households, Texas State Affordable Housing Corporation, HB 2061, Texas Transportation Code, Chapter 225, State Highway 242, Interstate Highway 69, Montgomery County

Transcript Highlights:

• It upholds Idaho's biological sex-based facility restrictions in SB 1100.
• The sex-based facility restrictions in SB 1100 are referenced.
• It extends proven biological sex protections to all public and government and private facilities for
• There are 12 budgets within this, ranging from ag research to Idaho Public Charter School.
• There are 12 budgets within this, ranging from ag research to Idaho Public Charter School.

Summary: The House convened with a quorum, approved the journal, welcomed a substitute member, and received multiple Senate messages and committee reports. Several bills were introduced and referred, including measures on medical advanced healing, insurance/state property claims, stablecoins, solid waste, public assistance definitions, and foreign ownership of single-family homes. The chamber also advanced a number of bills to second or third reading, and adopted House Concurrent Resolution 32 on energy policy, which urged a focus on baseload energy sources, transmission, ratepayer protection, property rights, and aquifer protection; it passed by voice vote. The House passed a series of bills on the floor, including House Bills 838, 721, 817, 752, 680, 860, 875, 876, 877, 795, 826, 832, 843, and 872, along with Senate Bill 1373. The measures covered topics such as requiring draft policy bills with budget recommendations, plan review timelines for public projects, a mobile cigar business permit, restroom and changing-room restrictions, recorded investigative interviews of child abuse allegations, revisions to medical parental rights and emergency care language, vacancy-based budgeting calculations, the State Board of Education budget, vocational rehabilitation rent, a response to litigation over prior law, honey commission governance, CTE teacher recruitment, homeowners exemption proration, and ballot formatting. Most passed with comfortable margins, though House Bill 875 passed narrowly 35-34 and House Bill 752 drew substantial debate before passing 54-50-1. Debate was especially intense on House Bill 752, with supporters framing it as a protection for women’s privacy and safety and opponents arguing it would criminalize bathroom use and target transgender people. House Bill 875 also drew concern that codifying budget-calculation methods could constrain future budgeting flexibility, while supporters said it would improve transparency and prevent funding vacant positions. House Bill 876, the State Board of Education maintenance budget, prompted criticism over a 6.8% base reduction and warnings about layoffs and program cuts at colleges and universities. House Bill 826, 832, 843, and 872 were all considered under suspended rules and passed, and the House also adopted HJM 18 urging action against geoengineering, with members citing concerns about sky streaks and climate intervention. The House recessed and later returned to continue business, with additional Senate bills and House bills referred for committee action.

Transcript Highlights:

• Jerry was born in Boston, and by age eight, he was out canvassing for John Kennedy's Senate re-election
• Jerry was born in Boston and, by age eight, he was out canvassing for John Kennedy's Senate re-election
• House Bill 153 relates to siting of data centers, site assessment, and high-energy-use facilities.
• House Bill 606, which relates to medical care facility data reporting, value of charity care.
• House Bill 1357 would direct the Virginia Department for Aging and Rehabilitative Services to convene

Keywords: March 12, 2026 - Regular Session, 976, house, all

Transcript Highlights:

• It would delay scheduled increases and rebates for assisted living facilities, as well as nursing homes
• costs in the operating budget, and so we hope that you can... ...facility would come with those costs
• defense to offense, I encourage the committee to confer with the Food Fighters Caucus and the House Ag
• Committee on aligning statewide food security strategy. ...the Food Fighters Caucus and the House Ag
• Most of the claims received are alleged abuse that occurred in our juvenile detention facility prior

Bills: HB2289

Keywords: appropriations, budget, fiscal matters, state spending, general fund, supplemental budget, biennial budget, substitute bill, public defense, civil legal aid, courts, judicial branch, homelessness, supportive housing, affordable housing, behavioral health, juvenile rehabilitation, youth services, child welfare, foster care

Transcript Highlights:

• So we just added it, and then meetings in a facility or... ...meetings.
• So, but we just added it, and then meetings in a facility operated by the Idaho Department of Corrections
• individuals in these meeting rooms taking photos, taking video on their own personal devices, we live in an age
• individuals in these meeting rooms taking photos, taking video on their own personal devices, we live in an age
• individuals in these meeting rooms, taking photos, taking video in their own personal devices, we live in an age

Summary: The committee first approved the minutes from March 10 and 11, then moved House Bill 872 to the top of the agenda. Representative Tanner presented HB 872, which would remove the requirement that constitutional amendments or initiatives on a general election ballot be separated onto a new page or form. He said the change would save counties time and money, citing an Ada County estimate of about $110,000 in printing costs, and noted support from the Secretary of State. Some members raised concerns about voter confusion and ballot readability, but after discussion about ballot fatigue and the Secretary of State’s review role, the committee voted to send HB 872 to the floor with a due pass recommendation. The committee then introduced RS 33-694, a resolution to honor Idaho Olympic athletes, after brief discussion about whether it should receive a full hearing or move directly ahead. RS 33-224 was also introduced; Representative Harris explained it would change the number of county commissioner appointees submitted to the governor based on county population, to help smaller counties find qualified candidates and reduce turnover. RS 33-175, the annual codifier bill making technical corrections and cleanup changes to Idaho code, was introduced and sent to second reading without substantive debate. Next, Representative McCann presented RS 33-699, which would allow public meetings to be recorded but carve out exceptions for certain sensitive settings, including Department of Corrections facilities, juvenile matters, executive sessions, and parole hearings, to protect victims, juveniles, and security concerns. Members discussed possible issues with manipulated recordings and orderly conduct at meetings, but the committee ultimately sent the RS to second reading with a due pass recommendation. Finally, RS 33-618 was held at the call of the chair, and the committee adjourned.

Transcript Highlights:

• facilities.
• </c><00:41:19.880><c> operations</c> there are University facility operations there are University facility
• </c> understand better uh the facilities understand better uh the facilities where<01:27:01.280><c> we're
• The East Bank and West Bank facilities are not owned by the university and are not state facilities.
• The East Bank and West Bank facilities are not owned by the university and are not state facilities.

Keywords: 1183, house

Transcript Highlights:

• </c><00:26:23.720><c> in</c> dozen processing facilities in dozen processing facilities in Northwestern
• Oftentimes, they don't even consider Minnesota for new facility investments.
• Oftentimes, they don't even consider Minnesota for new facility investments.
• </c><00:48:52.760><c> have</c> expand and operate their facilities have expand and operate their facilities
• It goes through all of the pieces of the facility.

Keywords: 1183, house

Transcript Highlights:

• Voting-age population that is Black is 27%. District 4, Democratic registration at 31%.
• Voting-age population that is Black is at 30% of that. District 5, Democratic registration at 34%.
• Voting-age population that is Black is at 33%.
• Voting-age population that is Black at that...
• Democratic registration is at 41%, voting-age population that is Black is at 24%.

Bills: SCR12, HB221, HB509, HCR58, HB75, HB1222, SB121, SB312, SB348, SB485, SCR9, SCR58, SB65, SB215, SB249, SB269, SB282, SB296, SB323, SB363, SB369, SB474, SB490, SB492, SB500, SB514, HCR54, HCR79, HCR87, HCR94, HCR104, HCR32, HB944, HB17, HB41, HB73, HB223, HB244, HB410, HB750, HB759, HB906, HB966, HB1006, HB1009, HB1086, HB1107, HB1112, HB1215, HB1242, SB208, SB217, SB283, SB387, SB389, SB401, SB408, SB469, HB74, HB119, HB368, HB414, HB552, HB732, HB776, HB848, HB870, HB953, HB956, HB1236, SB29, SB42, SB43, SB78, SB149, SB274, SB300, SB341, SB382, SB441, SB449, HB134, HB210, HB258, HB359, HB468, HB784, HB1117

Keywords: logging, recognition, John Keith, environment, safety, Mississippi River bridge, Trump Expressway, transportation, federal funding, Louisiana highways, injection wells, public hearing, geologic sequestration, environmental impact, public comment, Ascension Parish, state capitol, economic development, community partnership, celebration day

Transcript Highlights:

• with us in the state in covering kids and they're already on a trajectory for major cuts for school-age
• care in this bill, and we're trying to, it's going to probably apply to the older of older in these age
• And it creates the environment that we have all school-age kids in there, or we have the full age range
• youth camps, summer programs, or after-school programs for children who are at least four years of age
• youth camps, summer programs, or after-school programs for children who are at least four years of age

Bills: HB3622, HB3621, HB3151, HB3882, HB3661, HB4273, HB3644, HB3706, HB3708, HB2021, HB3986, HB3972

Keywords: HB3622, 2030 Census, Decennial Census, U.S. Decennial Census Revolving Fund, Oklahoma Department of Commerce, Commerce Department, census preparation, federal census, state treasury fund, revolving fund, continuing fund, deemed appropriated, technology upgrades, census outreach, redistricting, population count, Title 74, OMES, State Treasurer, budgeting

Summary: The committee heard and advanced several bills, beginning with HB 3622 and HB 3621, both related to census and state data functions. HB 3622, as amended, removed direct appropriation language and would let Department of Commerce staff carry out census-related duties such as updating local census addresses and upgrading technology. HB 3621 would recreate the State Data Center at the Legislative Service Bureau to coordinate census-related programs across agencies such as Commerce, Tax, and others; both bills received unanimous or near-unanimous support and were reported out due pass. A lengthy portion of the meeting focused on HB 3151, which would redefine instructional days so that only time students are actually in the classroom counts toward the instructional minimum, excluding professional development and parent-teacher conference time. The author argued the bill would close Oklahoma’s instructional-time gap and improve outcomes, while members raised concerns about funding, teacher pay, contract negotiations, and how districts would absorb the change. After debate, the bill passed 19-7. The committee also advanced HB 3706, which sets minimum elementary math instruction standards and expands math screening requirements, and HB 3708, which would allow private schools to use scholarship-granting organization funds for capital improvements to increase instructional capacity; both drew questions about funding, scheduling, and the scope of the programs but were reported out due pass. Other measures approved included HB 3661, extending a sunset on a timber equipment tax provision; HB 3882, creating a revolving fund for ODOT’s lake access and industrial access grants; HB 4273, extending a tax credit to certain aerospace engineers at an ARM 1 higher education institution; HB 3644, tied to medical training and best practices after a fatal misdiagnosis; HB 2021, creating a DHS grant program for out-of-school programming, with discussion centered on whether it would effectively favor Boys and Girls Clubs and exclude other providers; HB 3986, extending a sunset; and HB 3972, cleanup language related to the Comanche County prison purchase. Most bills passed with strong support, and the meeting adjourned after the final votes.

Transcript Highlights:

• Assembly Bill 544, as amended, provides that annual licenses issued for medical facilities and facilities
• Assembly Bill 544, as amended, provides that annual licenses issued for medical facilities and facilities
• I would like to remind this body that public charter schools receive no facility funds.
• Senator Buck continued: Public charter schools receive no facility funds.
• That means zero facility funds.

Keywords: 909, all

Transcript Highlights:

• Members of the Commission on Aging, effective September 2nd, 2025, for terms ending September 1st, 2028
• September 1st, 2028; Aaron Alt of Wellington, Colorado, to serve as a director of an area agency on aging
• , occasioned by the area agency on aging, occasioned by the resignation<00:28:45.159><c> of</c><00:28
• that provide medical and facilities that provide medical care. care. care.
• </c> information from every every uh facility information from every every uh facility and<00:57:19.320

Keywords: 981, all

Transcript Highlights:

• When I need a facility, I cannot, as a charter school, bond.
• That did not teach me how to manage facilities.
• I need to cover my facility, which is not fully covered by the capital outlay that I received for facility
• And I would also add, for my school facility, we do not have an adequate facility.
• And we desperately need More facility funding and more facility flexibility to build. Thank you.

Transcript Highlights:

• And I know, Senator Gall, I don't think your kids are college age yet, but mine are and then some.
• But my question, and the last time I saw this in committee, is: How many U.S. voting-age citizens do
• The House bill reverts the co-payments language for area agency on aging back to current law.
• The House bill reverts the co-payments language for area agency on aging back to current law.
• Senate Bill 628, a bill to be entitled an act relating to transportation facility designations.

Keywords: 999, senate, all

Transcript Highlights:

• the Department for Aging and Independent Living<00:04:56.120><c> and</c><00:04:56.360><c> the</c><00
• We compare some waivers to ICF IIDs, which is intermediate care facilities.
• We also have some that we compare to nursing facilities.
• broken up by age in each waiver. waiver. waiver.
• </c> information age. information age.

Keywords: 958, all

Summary: The Medicaid Oversight and Advisory Board met on September 24, 2025, approved the minutes from the September 9 meeting, and then continued its discussion of Medicaid waivers with Leslie Hoffman and Carmen Hancock from the Department for Medicaid Services. Members asked for updates on the 2024 waiver waitlist management assessment recommendations, including aligning waiver policies, standardizing applications and waitlist placement, and modernizing data systems. DMS said that work is being done jointly with Aging and Independent Living and Behavioral Health/Developmental and Intellectual Disabilities through task forces, that ARPA spending delayed action, and that implementation timelines extend through March 2027. The board also reviewed per-member waiver cost averages for fiscal years 2023 through 2025 for ABI, ABI long-term care, HCBS, Model II, Michelle P, and SCL. DMS emphasized these figures were benefit-only averages based on paid claims, not full waiver costs, and explained that true budget neutrality is calculated on an aggregate basis against institutional care comparisons approved by CMS. DMS said all six waivers remain in compliance with budget neutrality and that the most recent 18-month lag review for FY 2022 and FY 2023 found costs at or below institutional care. Members also asked about unused waiver slots; DMS said slots generally cannot be reallocated mid-year if they have been used, except in cases such as death or reserved capacity, because CMS treats participants as unduplicated for the waiver year. A major portion of the meeting focused on the new child waiver created under House Bill 6. Legislators questioned whether the waiver’s design, including the exclusion of participant-directed services and the emphasis on high-acuity children with behavioral health, DCBS, or juvenile justice involvement, matched the bill’s intent to keep children at home. DMS said it used the $14.7 million appropriated for FY 2026 to develop the program, that there is no priority list, and that the waiver is intended to serve the highest-acuity children while also addressing residential needs for those sleeping in offices or placed out of state. Members also raised concerns about the rapid growth of the HCBS waiting list and asked for more detail on age and timing patterns, which DMS said it would provide later. Finally, DMS gave average processing times from application to eligibility determination and from approval to service start, and said the overall average from application to services beginning was about 80 days, while members requested follow-up information on the Carewise assessment contract and related costs.

Transcript Highlights:

• If you're my age, you know, you get that. Thank you for your indulgence, everybody.
• Each facility type was also capped at the amount that they could receive each year.
• Non-accredited facilities and organizations were capped at $75,000...” “...per facility per fiscal year
• There were close to 100 more facilities across the state, and also...
• , and then of the 210 non-accredited facilities, 23 reached the cap of $75,000.

Summary: The committee met to receive implementation updates on recently enacted health care laws from AHCA and the Department of Health. AHCA reported on rural emergency hospitals, explaining the new Class 4 hospital designation, rule changes completed June 1, 2025, and that no Florida hospitals have yet converted, though one North Walton/DeFuniak Springs-area hospital has expressed interest. AHCA also reviewed the non-emergent care access plan requirement for hospitals with emergency departments, saying 83 plans had been received since July 1 and 63 approved, with plans emphasizing patient education, referrals to primary care or urgent care, and coordination for Medicaid managed care enrollees through the Florida HIE/ENS system. Members asked about HIE capacity, data collection, and whether the plans would identify shortages or trigger accountability measures; AHCA said it had moved to a new HIE vendor and would continue gathering data. AHCA also updated the committee on the TEACH workforce program, reporting $6.8 million in FY 2024-25 spending across 59 parent organizations and 229 facilities, with more than 1,800 students and nearly 380,000 clinical hours reimbursed, and said a federal 1115 workforce waiver was unlikely to move forward under CMS. On KidCare, AHCA said House Bill 121’s expansion to 300% of the federal poverty level remains blocked by federal litigation and CMS action tied to premium nonpayment rules, and members and public witnesses urged prompt implementation and asked for enrollment/disenrollment data and the rural health transformation funding outlook. Public testimony largely supported the NCAP and TEACH programs and pressed for action on KidCare. Representatives from health centers said NCAP has strengthened hospital-health center relationships and improved care coordination, including reduced recidivism in some hospitals. A Bond Community Health Center physician said TEACH is helping offset the burden of training students and could help address workforce shortages, especially in rural and underserved areas. Advocacy groups urged the committee to push for implementation of the KidCare expansion, citing children in the coverage gap and rising uninsured rates. The Department of Health then presented on several programs from the 2024-25 session. It reported on the Florida Reimbursement Assistance for Medical Education (FRAME) program, including 78 dentists and 15 dental hygienists funded under the dental track and nearly 1,300 medical professionals funded overall, with 123 dental applications and 71 funded dentists in the most recent cycle. DOH also updated the Screening and Services Grant Program, the Health Care Innovation Revolving Loan Program, the statewide telehealth maternity care program, and the swimming lesson voucher program, noting strong participation and outcomes such as reduced ER visits and improved postpartum follow-up in the maternity program. Finally, DOH said implementation of the HIV prevention drug/pharmacist dispensing law is underway, with three certification courses approved and five certifications issued. Members asked about barriers to wider use of HIV prevention drugs, more detailed maternal outcome data, and the dental workforce program report; DOH said more detailed reports would follow.