Transcript Highlights:

• Committee substitute for Senate Bill 126, a bill to be entitled an act relating to prescription hearing
• Currently, Florida law prohibits the sale or distribution of prescription hearing aids through the mail
• Of prescription hearing aids through the mail.
• This bill authorizes the distribution and sale of prescription hearing aids through the mail for those
• Committee substitute for Senate Bill 126, a bill to be entitled an act relating to prescription hearing

Summary: The Senate convened with prayer, the Pledge of Allegiance, and a series of introductions recognizing FSU Day at the Capitol, Catholic lay leaders, seniors advocates, Broward County school officials, and veterans-related guests. The chamber then moved through its special order calendar, beginning with several Florida Statutes revision bills. SB 36 adopted the 2025 Florida Statutes and prior session law; SB 38 conformed statutory terminology for the Division of Criminal Investigations; SB 40 removed repealed provisions; and SB 42 cleaned up obsolete language, cross-references, and typographical errors. Each passed unanimously or nearly unanimously after brief explanations and no substantive debate. The Senate also passed CS/SB 50 on nature-based coastal resilience, as amended to strengthen the Florida Flood Hub’s role under USF and clarify research and modeling responsibilities; CS/SB 116 on veterans, which expanded veteran awareness and coordination efforts, added mental health training, and authorized adult day health care; SB 118 on presidential libraries, which preempted local regulation to give a future Florida presidential library maximum flexibility; CS/SB 126 on prescription hearing aids, allowing mail distribution for adults after appropriate professional evaluation; SB 150 on abandoning restrained dogs during natural disasters, amended to conform to the House; SB 294 limiting collaborative pharmacy practice from being expanded to certain serious cardiac conditions; and SM 314 urging Congress to increase Florida National Guard force structure. Most of these measures passed with strong bipartisan support, though SB 118 drew questions about local zoning, parking, and safety and passed 36-3, with one senator later changing to a no vote over local control concerns. Later, the Senate approved CS/CS/SB 322 creating a nonjudicial process for removing unauthorized persons from commercial property, and CS/SB 348 on ethics, which would penalize false claims of military rank or honors for material gain and require paycheck withholding for delinquent ethics fines owed by public employees. The chamber also passed CS/CS/SB 7012 on child welfare, which included a CPI/case manager recruitment program, a treatment foster care pilot in two judicial circuits, and improved data collection and capacity analysis for commercially sexually exploited children. CS/SB 108 on administrative procedures was adopted after a detailed explanation of rule review, transparency, and rulemaking deadlines, and CS/SB 160 on public accountancy passed after an amendment clarifying contracted services and discussion of CPA licensure pathways. The longest and most celebratory debate centered on CS/SB 110 for rural communities. The bill created an Office of Rural Prosperity, a Renaissance grant program, housing and road funding, school and health care investments, and related rural support measures. Amendments refined transportation priorities in the Everglades agricultural area and clarified the FARM road program. Senators from across the chamber praised the bill as a long-awaited investment in rural Florida, agriculture, broadband, health care, and quality of life. After extensive debate and emotional closing remarks from the sponsor and leadership, the bill passed overwhelmingly.

Transcript Highlights:

• addictive prescription It's an addictive prescription medication.<00:36:27.040> So<00:36:27.200
• them to be on that prescription them to be on that prescription sometimes<00:37:21.680> for
• am I do have prescriptive authority. am I do have prescriptive authority.
• >> Prescriptive. >> Prescriptive. >> Prescriptive.
• It's just in that initial 24-hour period. period. period. >> Got<01:51:51.440> it.

Keywords: 912, senate, all

Summary: The working group on restrictive housing met with a quorum present, approved the August 21, 2025 minutes, and adopted a procedure to take public testimony on each agenda item with a two-minute limit per testifier, with some flexibility for follow-up questions. The main presentation came from the Department of Corrections and Rehabilitation on restrictive housing policies and a recent outside assessment of mental health care practices at HSCF and OOTC. DCR said the assessment found strengths such as consistent medication administration and staff commitment, but also identified major problems including outdated workflows, staffing shortages, inadequate physical plant conditions, overuse of suicide/safety watch for personal safety issues, and a need for more individualized treatment plans. DCR described several corrective steps already underway: filling a long-vacant high-level mental health administrator position, adjusting evening medication passes, working with DOH on transfer and referral workflows, planning a new electronic medical records system and revised screening tools, and pursuing additional training for ACOs and mental health staff. For OOTC, DCR said the facility is overcrowded and decrepit, needs a better screening tool, and requires more mental health-specific training and staffing. For HCF, DCR said the layout limits confidential assessments and provider access, and that the proposed consolidated healthcare unit would add 43 beds, private exam rooms, and a de-escalation room. DCR also said the new unit could serve acute and chronic suicide/safety watch needs and possibly some inmates with dementia, Alzheimer’s, or significant cognitive impairment. The discussion then focused on Act 292, which DCR said is difficult to implement as written. DCR said the bill aligns with DOJ, NCCHC, and ACA guidance in defining restrictive housing, limiting duration, requiring reviews, identifying vulnerable populations, and using step-down units, but raised two major concerns: a requirement to refer vulnerable people to DOH for confinement, and a requirement for clinical assessments every 12 hours by a provider. Members responded that the law should be matched with funding and staffing, and asked what resources are needed. DCR said it submitted a request for 35 positions at a cost of about $8.6 million, and also said funding may be needed for community-based beds and contracted medical services. Members also asked about the current MOA/MOU between DOH and DCR, the working group membership, and the timeline for revisions. DCR said the group includes DCR, DOH, and governor’s office medical advisors, that a first draft is complete, and that the revised agreement should be in place by the end of the year. On staffing, DCR said ACO recruitment classes increased from five to eight, vacancy rates dropped from 34% to 24%, but OOTC still faces a projected $7.1 million shortfall and heavy overtime costs, forcing post closures and program reductions. The meeting ended with continued discussion of screening tools, including DCR’s explanation that current broad questions may over-identify people with substance-use-related symptoms as having serious mental illness, and that a more discrete tool is needed to better identify those with acute needs.

Transcript Highlights:

• First, we will take up Tab 2, SB 590, on the statute of limitations period for violations involving required
• It basically streamlines the procedures to provide or continue a psychotropic medication prescription
• Specifically, SB 560 makes it easier to continue prescription And clear standards.
• They are not allowed to provide any treatment, any procedures, prescriptions.
• They are not allowed to provide any treatment, any procedures, prescriptions.

Summary: The Committee on Children, Families, and Elder Affairs considered several bills. SB 590, by Senator Bradley, would toll the statute of limitations for failure to report suspected child abuse by mandatory reporters until the offense is known to law enforcement, with a retroactivity amendment adopted. Supporters said it would help hold mandatory reporters accountable in institutional abuse cases; it was reported favorably. SB 778, by Senator Simon, would update the definition of forensic client so certain individuals with intellectual disabilities or autism whose charges were dismissed for incompetency could be housed in the same secure setting under Chapter 916, reducing duplicative staffing and space needs at APD; it was also reported favorably. The committee then took up SB 560, by Senator Garcia, which streamlines psychotropic medication procedures for children in DCF custody, clarifies when new medical reports are needed, reduces duplicative background checks, and simplifies consent documentation. An amendment removed language expanding who could serve as a qualified evaluator and revised the Road to Independence Program changes to focus only on post-secondary education services and support, extending eligibility ages to 26 while keeping a five-year maximum. Members discussed fiscal impacts and funding sources, and the bill was reported favorably. Finally, the committee heard SB 1010, by Senator Yarbrough, which strengthens enforcement of existing prohibitions on sex-reassignment prescriptions and procedures for minors and adds civil and criminal penalties, along with Attorney General enforcement authority and related parental rights provisions. An amendment clarified that actions could be brought by individuals as well as the Attorney General and that the provisions apply only to minors. The bill drew extensive public testimony both for and against, with supporters emphasizing child protection and accountability and opponents warning about chilling effects on medical care, schools, and parental rights. Senators raised concerns about standing, scope, and impacts on teachers and clinicians, but the bill was ultimately reported favorably on a 5-1 vote, with Senator Sharif voting no.

Transcript Highlights:

• And when I made the call, I got the prescription from my doctor, and when I made the call to my health
• It still requires a doctor's prescription. And so the doctors then follow the current guidelines.
• But it's my understanding the current rules that apply for a prescription for a GLP-1 would apply, which
• , as a Current rules that apply for a prescription for a GLP-1 would apply, which, as I know it today
• Medi-Cal ensures that millions of Californians can see a doctor, fill a prescription, or get behavioral

Keywords: 988, house, all

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

Transcript Highlights:

• CID authority, to obtain directly from the employer the records of the baristas employed over the period
• generally those I don't know. called short-term disability, meaning those workers are off work for a period
• But we're very often making decisions in a much shorter period of time.
• But we're very often making decisions in a much shorter period of time.
• These are prescriptive approaches that do not allow clinicians to tailor treatment to the client.

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:

• As initially filed, it amends requirements for pharmacies involved in remote prescription processing
• comply with KRS Chapter 13A. for pharmacies involved in remote for pharmacies involved in remote prescription
• c> processing<00:01:08.880> to<00:01:09.119> revise<00:01:09.680> two prescription
• processing to revise two prescription processing to revise two definitions.<00:01:10.960> Delete<
• Is that what time period specifically.

Keywords: :54 – Board of Pharmacy 2:00 – Board of Social Work 3:44 – Board of Licensure for Occupational Therapy 4:43 – Board of Registration for Professional Geologists 7:27 – Board of Imaging and Radiation Therapy 8:33 – Board of Emergency Medical Services 10:38 – Department of Fish & Wildlife Resources 17:37 – Transportation Cabinet 18:37 – Department of Education 25:00 – Department of Workplace Standards 27:06 – Cabinet for Health & Family Services, 958, all

Summary: The Administrative Regulation Review Subcommittee met with a quorum, approved the minutes, and then reviewed a series of agency regulations, most of which had staff-suggested amendments. The Board of Pharmacy regulation on remote prescription processing was amended to make grammatical and KRS Chapter 13A compliance corrections, and the Board of Social Work regulation on continuing education, telehealth training, waivers, and related fees was deferred at the agency’s request. The Occupational Therapy Compact rule update and the Professional Geologists fee increase regulation both received staff amendments and were approved, with the geologists’ board explaining the increases were driven by rising oversight costs and declining revenue. The committee also reviewed emergency regulations from the Board of Medical Imaging and Radiation Therapy, the Board of Emergency Medical Services, the Transportation Cabinet, and the Department of Workplace Standards. The EMS package covered licensing classifications, compliance audits, ambulance service rules, and electronic forms; the Transportation Cabinet’s emergency rule established procedures for street-legal special purpose vehicles; and Workplace Standards’ emergency rules updated Kentucky requirements to align with federal standards and House Bill 398, including shortening the discrimination complaint filing deadline from 120 days to 30 days and adjusting appeal procedures. Staff amendments were approved where offered, and members asked several clarifying questions about the rationale and effect of the workplace and EMS changes. The Department of Fish and Wildlife Resources explained rules on aircraft and drone use in taking wildlife and on reciprocal hunting and fishing agreements with neighboring states. The agency said the drone restriction was intended to align with federal law and address hunter complaints, while the reciprocal agreement rule was a cleanup of older agreements that had lapsed or been overlooked; the committee deferred the wildlife regulation 301 KAR 2:031 at the agency’s request. The Department of Education also presented multiple KHSAA-related and standards updates, including academic eligibility, sports timing, health and physical education standards, and career studies/financial literacy standards; staff amendments were approved, and members questioned the athletic forms and the designation of KHSAA as the state’s athletic agent. Finally, the Cabinet for Health and Family Services presented emergency regulations to support a pediatric teaching hospital expansion and related certificate-of-need changes, which the agency said were aimed at improving pediatric and neonatal access to care; staff amendments were approved, and the committee concluded by setting its next meeting for October 13 at 1:00 p.m.

Transcript Highlights:

• My witness today is that, partially because of billboard advertisements of non-prescription marijuana
• An act relative to prohibiting billboard advertisements of non-prescription marijuana.
• They just find this illegal, period, of selling marijuana legally or cannabis legally.
• You can see that actually after a period of time, once the brain develops, it actually does not make
• You can see that actually after a period of time, once the brain develops, it actually does not make

Keywords: 995, all

Summary: The Joint Committee on Cannabis Policy held its fourth hearing, with opening remarks from Senate Chair Adam Gómez and House Chair Dan Donahue emphasizing the committee’s broad agenda, including retail modernization, labor protections, advertising rules, sustainability, and financial resources. Testimony began with public health advocates supporting H.157/S.9 to ban cannabis billboard advertising, arguing that billboards normalize use for youth and are linked to cannabis-related harms such as psychosis, addiction, and cannabinoid hyperemesis syndrome. Witnesses cited research, family stories, and court decisions in Mississippi and Virginia upholding similar restrictions, while committee members questioned the scope of the state’s authority to regulate billboards on private property and the relevance of federal highway funding and federal cannabis law. The committee also heard testimony on H.175, a proposal to allow cannabis drive-through sales. A dispensary operator argued drive-throughs would improve access, especially for disabled customers and veterans, and said security and ID checks could be handled with cameras and staff screening. Committee members pressed him on how employees would assess impairment, whether drive-throughs could increase access for minors, and whether the industry should be treated like alcohol, with the witness responding that staff already refuse service to intoxicated customers and that education, not prohibition, is the better approach. Another bill, H.3982, would apply the bottle deposit law to carbonated hemp- or THC-infused beverages; the sponsor said the measure would standardize recycling requirements for products already sold in dispensaries and other markets, and members asked about container types and recycling compatibility. A major portion of the hearing focused on labor peace agreements, with UFCW representatives, cannabis workers, and Sen. Lydia Edwards supporting S.77/H.161. They said the bill would require cannabis businesses to remain neutral when workers seek to organize, arguing that unions improve safety, wages, benefits, and job stability in an industry they described as underregulated and prone to retaliation. Witnesses cited workplace hazards, wage theft, and the death of a worker at a Holyoke facility as examples of why stronger worker protections are needed. Committee members asked how the proposal differs from existing labor law, whether tying LPAs to licensing and renewal could create legal or administrative problems, and how other states handle similar requirements. No votes or final actions were taken during the hearing.

Transcript Highlights:

• Well, so you have prescription drug costs naturally go 7% a year, them being added to the list or making
• prescription drug costs go 12%.
• And I said, you mean the one that signed the prescription? But here's the deal, Senator Hancock.
• Over the period of time, I never saw that then hospitals would do their own freestanding ERs instead
• We need our skilled, dedicated workforce, but we have a duty to protect our patients, period.

Bills: SB227, SB269, SB407, SB463, SB527, SB547, SB1283, SB1380, SB1383, SB1511, SB1640, SB1784, SB2069

Keywords: school funding, education reform, state budget, property taxes, equity in education, healthcare policy, vaccines, exemptions, religious beliefs, public health, workplace violence, healthcare facilities, definition expansion, safety regulations, health and safety code, health insurance, anesthesia, pediatric dental services, coverage, medical necessity

Summary: The Senate Committee on Health and Human Services met with several members initially absent, then later established a quorum. The committee heard multiple bills, with most testimony focusing on access to care, insurance practices, senior safety, and health care worker protections. Several bills were laid out with committee substitutes, and public testimony was limited to two minutes per witness. Most bills were left pending after testimony, with no final votes taken in the portion provided. Senate Bill 2069 would create a work group to study the feasibility of a statewide acute psychiatric bed registry; the substitute shifts appointment authority to the Health and Human Services Commissioner and extends reporting and sunset dates. Senate Bill 463 would expand workplace violence protections to additional hospice, home and community support, intermediate care, and state-supported living center settings. Senate Bill 1283 would require background checks and transparency measures for senior retirement communities after testimony about the Dallas-area serial killings of elderly residents. Senate Bill 1784 would require 60 days’ written notice before medical debt is sent to collections. Senate Bill 527 would require medical insurance coverage for general anesthesia for medically necessary pediatric dental procedures for children under 13 with qualifying conditions; pediatric dentists testified that denials delay needed care. A major portion of the meeting centered on prior authorization. Senate Bill 1380 would eliminate prior authorization for a broad list of services, including emergency, primary, mental health, substance use, chemotherapy, preventive, pediatric hospice, and certain chronic-condition care. Physicians and hospice advocates supported the bill, describing delays, administrative burden, and patient harm, while health plans opposed blanket exemptions and argued prior authorization helps prevent unnecessary care and control costs. Relatedly, Senate Bill 547 would require insurers to report gold-card prior authorization exemptions to TDI and create a centralized database and annual report; TMA supported better tracking, while health plans warned of duplicative reporting and administrative cost. Senate Bill 407 would require health care facilities to honor conscience- and religion-based vaccine exemptions for employees, with testimony from a physician and vaccine-choice advocate supporting the bill. The committee also heard Senate Bill 1383, which would regulate senior living referral agencies, allow more flexible compensation structures, and add disclosure and consumer protections; an out-of-state referral company and A Place for Mom supported it. Senate Bill 1511 would allow freestanding emergency centers to provide outpatient services in addition to emergency care, with consumer protections such as estimates, limits on facility fees, and restrictions on balance billing. The chair repeatedly announced that bills were being left pending after testimony, and no final committee action or recorded votes were taken in the transcript provided.

Transcript Highlights:

• Period. Full stop. End of story.
• Period. Full stop. End of story.
• Period. Full stop. End of story.
• Period. Full stop. End of story.
• Period. Full stop. End of story.

Keywords: 1191, senate, all

Transcript Highlights:

• That means routine care, drawing blood, filling a prescription, providing therapy, could all be treated
•   76 THAT MEANS ROUTINE CARE DRAWING  BLOOD FILLING A PRESCRIPTION  77 PROVIDING THERAPY
• builds and provides clarity to the firm line drawn in the sand in 2023 that prohibited certain prescriptions
• builds and provides clarity to the firm line drawn in the sand in 2023 that prohibited certain prescriptions
• giving somebody authority to go out and investigate somebody who is giving you your eyeglasses prescription

Summary: The committee met with a quorum present and heard a series of health care-related bills, with Chair Tuck emphasizing respectful debate and noting that all bills on the agenda would be voted on that day. The first measure, HB 743, would give the Attorney General authority to investigate and bring civil actions against health care practitioners who violate Florida’s ban on gender-affirming care for minors, and would make aiding or abetting such conduct a third-degree felony. Supporters said it closed loopholes and protected minors and parental rights, while opponents argued it was vague, overbroad, and could chill lawful care and professional judgment. The bill passed 13-4 and was reported favorably. The committee then unanimously approved PCS for HB 567, which narrows a continuing-education requirement for podiatrists so only those who prescribe controlled substances must take the related two-hour course. It also unanimously approved HB 439, allowing chiropractors, under specified training and certification requirements, to inject vitamins and nutrients while continuing to prohibit intravenous injections. The committee also passed HB 1235 to enter Florida into the respiratory care interstate compact, and HB 1237, a linked public-records/public-meetings exemption needed to implement that compact; both measures were supported as workforce and access-to-care bills and passed without opposition. Later, the committee approved PCS for HB 809, which addresses temporary physician certificates in areas of need and aims to prevent doctors from losing the ability to practice when area designations change. Members asked about licensure pathways and the effect of federal or board designation changes, and supporters framed the bill as protecting continuity of care in underserved communities. The committee also unanimously passed HB 1347 to align clinical laboratory personnel licensing with federal CLIA standards amid staffing shortages, and HB 1515, a public-records exemption tied to a uterine fibroid research database. Finally, the committee approved HB 169 updating acupuncture statutes, including terminology changes and limits on injection therapy, and HB 1021, Representative Young’s first bill, allowing qualified hospital pharmacists in Level I and II trauma centers to administer emergency medications at a physician’s direction during life-threatening situations. HB 1021 drew the most questions, mainly about scope, definitions, and who could authorize the pharmacist, but after a technical amendment it passed unanimously. All remaining bills were reported favorably, and the meeting adjourned after the final vote.

Transcript Highlights:

• It does make much more prescriptive what is required related to plans of safe care.
• It is quite prescriptive about the form of case management.
• The bill is actually pretty prescriptive about what needs to happen when. Thank you, Madam Chair.
• And during this period of time, you don't just get born with it - you have to develop it and have it
• Prescription opioid painkillers do lead to addiction and illicit fentanyl.

Transcript Highlights:

• prescriptions, and preventive care. prescriptions, and preventive care.
• also been able to do prescriptive also been able to do prescriptive medicine<00:31:49.520> boxes
• On page three, you talked about how the MCO pays for prescriptions.
• <00:46:03.040> I the uh MCO pays for prescriptions. I the uh MCO pays for prescriptions.
• They decide which prescriptions, but the They decide which prescriptions, but the dollar<00:46:30.160

Keywords: 958, all

Summary: The Medicaid Oversight and Advisory Board received a presentation from Dr. Stack and Commissioner Langfeld on Kentucky’s application for a federal Medicaid-related funding opportunity tied to House Resolution 1. They described a compressed six-week stakeholder process that produced more than 50 responses and letters of support, and said the application was organized around five broad priorities: maternal health, behavioral health and substance use disorder, oral health, EMS/trauma response, and chronic disease. They emphasized that the proposal was designed to align with CMS goals, use allowable funding categories, and focus on sustainability rather than a short-term grant. Commissioner Langfeld outlined five core initiatives: rural community hubs for chronic care innovation, beginning with obesity and diabetes; a maternal and infant health effort called POWER; a behavioral health and substance use model called IMPATH; an oral health initiative called Rooted in Health; and an integrated crisis-to-care EMS and trauma response effort. He said the chronic disease work would include prevention, food-as-medicine concepts, and technology tools, while the maternal health effort would expand team-based care around mothers and infants using community health workers and doulas. The behavioral health proposal would build on existing crisis intervention models, oral health would address workforce and access gaps through training, mobile vans, and telehealth, and the EMS proposal would better connect emergency response with home-based and community care. Several senators questioned whether the proposal would meaningfully address rural hospital closures or the broader rural health care crisis. Senator Meredith said the plan was not transformational and would not save rural hospitals, while Senator Berg asked how success would be measured. In response, the presenters said they would use both lagging and leading indicators, with an emphasis on rapid-cycle feedback and data use that is more actionable in real time. They also said the work could help existing models that already show promise, such as behavioral health units and dental workforce expansion, even if it would not solve the larger funding gap created by HR1. Senator Douglas asked how the proposals would motivate patients to participate in their own health care. The presenters responded that the chronic disease prevention work would focus on obesity, diabetes prevention, nutrition, and consumer-facing technology tools to help people engage in their own care, and that EMS-community health worker partnerships could identify unmet needs in the home and reduce preventable problems. The board then moved on to its next agenda item, Medicaid managed care delivery models, with Tom Stevens, Katherine North, and Dr. Patel scheduled to present.

Transcript Highlights:

• card they have a discharge prescription card they have a discharge prescription and<00:31:52.799
• So based on time periods, there can be short-term to midterm performance periods that we want to institute
• Shorter performance periods are typically quarterly. They could be monthly.
• performance periods are typically performance periods are typically quarterly.<01:26:41.199>
• So it could be per week a time period.

Keywords: 928, house, all

Summary: The committee first handled roll call and approved the prior meeting minutes. Members discussed attendance and substitutions, then moved to the DHS commissioner’s update, which focused on New Hampshire’s Medicaid 1115 waiver and the new community re-entry initiative for people leaving correctional facilities. The presenter explained that the waiver lets the state cover certain services not normally covered under Medicaid, including substance use disorder treatment, serious mental illness services, adult dental benefits, and the new community re-entry component. She also noted that a separate youth re-entry component is federally required, with youth defined up to age 21 and foster-care-related coverage extending to age 26. The update described how the adult re-entry program works for incarcerated individuals with behavioral health needs, providing up to 45 days of pre-release services, care coordination with managed care organizations and DOC staff, telemedicine assessments, discharge prescriptions, insurance cards, and connections to community mental health, primary care, and substance use providers. For youth, the program includes more intensive case management, 30 days of pre-release services, and 30 days of post-release care coordination, with a stronger emphasis on screening, diagnosis, and holistic assessment. The presenter said New Hampshire received the adult waiver in July 2024, has implemented the program in state correctional facilities, and is beginning work at the youth center. Members and the presenter discussed why the program is structured as a waiver rather than a standard Medicaid benefit, with the explanation that CMS is allowing this as a newer policy area and that states generally pursue waivers for certain services. The chair and others emphasized the need for real cost and outcome data, and the presenter said an independent evaluator and evaluation plan are required under the 1115 waiver. Early results cited included 30 adults enrolled so far, 10 released, five youth enrolled with one released, and anecdotal early successes such as housing, employment, and better continuity of medication and treatment. The committee did not take any additional votes or formal actions beyond approving the minutes.

Transcript Highlights:

• prepare licensed<00:08:52.560> psychologists<00:08:53.160> for<00:08:53.320> prescriptive
• licensed psychologists for prescriptive licensed psychologists for prescriptive authority<00:08:
• when they implement prescription when they implement prescription privileges<00:16:01.160> for
• <01:03:26.600> These time period from 90 to 30 days.
• These time period from 90 to 30 days.

Bills: HB1626, HB1643, HB1668, HB1550, HB1974, HB1858, HB1871, HB1966, HB1972, HB1973

Keywords: youth penalties, juvenile justice, community service, fees and fines, Native Hawaiian, Pacific Islander, reform, court costs, cultural connection, pharmacy, pharmacist, pharmacy audit, audit reform, pharmacy benefit manager, PBM, recoupment, extrapolation, claims audit, pharmacy reimbursement, dispensing fee

Summary: The committee heard testimony on SB 847, which would create a Kauai pilot program allowing qualified psychologists limited authority to prescribe psychotropic medications. The Board of Psychology supported the bill’s intent but asked for amendments to delay the effective date or extend the pilot so rules could be written first, and to clarify the education/training language. Supporters, including the Hawaii Psychological Association, Hawaii Mental Health Coalition, and several psychologists, argued that prescribing psychologists have long safety records in other jurisdictions and that the pilot could improve access to care on Kauai, especially amid ongoing mental health needs and storm-related stress. They cited studies and examples from New Mexico, Louisiana, the Department of Defense, and other places. Opponents, including the Hawaii Medical Association, American Academy of Pediatrics, Queen’s Medical Center, and a Department of Health representative, said the bill needed substantial work, raised concerns about training, liability, and workforce impacts, and urged a team-based model with psychiatrist oversight rather than independent prescribing. Some testimony also referenced a GAO report, with witnesses disagreeing over its meaning and cost-effectiveness. No vote was taken during the discussion, and members asked questions about how the bill would address the workforce shortage and whether a psychiatrist on Kauai could already meet the need. The committee then moved to SB 2271 on hospital licensing and SB 2272 on home health care licensing. The Department of Health, the Healthcare Association of Hawaii, and the Hawaii State Council on Developmental Disabilities supported both measures, which were described as streamlining and clarifying licensing oversight by relying on accreditation or certification reports. A member asked whether the bill language on hospital accreditation reports was duplicative, and the response was that the second provision was intended to strengthen enforcement by requiring hospitals to provide the actual report to DOH. The committee did not take final action in the portion of the hearing provided, and the chair noted that all bills on the agenda would later be considered for decision-making.

Transcript Highlights:

• I periodically get requests or comments from constituents who have a loved one, oftentimes a young man
• However, if we want to... ...prescriptions for erectile dysfunction.
• to make sure that we are doing everything we can to help our families, our loved ones, get the prescriptions
• If we do have a public comment period, so we may want to do public comment, and then I will come back
• That concludes our public comment period.

Keywords: Disability Commission, 976, house, all

Transcript Highlights:

• instance, when our last placement netted the children in our care of 4 different caseworkers over a period
• We also are concerned that this bill would increase prescription drug costs for millions of Texan employers
• And will it actually increase the cost of prescription drugs as paid by employers under this bill?
• This patient received a mail-order prescription from a PBM for a 90 day supply of Sennacalcet for $2,041
• They would pay about $1800 less for that very same prescription than the PBM paid themselves.

Bills: SB 502, SB 513, SB 622, SB 670, SB 731, SB 732, SB 916, SB 961, SB 1122

Keywords: SB 502, Texas peace officers, Health and Human Services Commission, HHSC Office of Inspector General, OIG investigators, law enforcement classification, Schedule C, state employee benefits, injury benefits, peace officer status, commissioned officers, state auditor classification, Government Code, Code of Criminal Procedure, human services, health and human services, law enforcement compensation, public employee benefits, Texas state law enforcement, child welfare

Transcript Highlights:

• And then three, the health insurer shall provide the branded prescription drug.
• And three, the health insurer shall provide the branded prescription drug cost-sharing amount and the
• Woodard with Prescriptions To Go are all in support and willing to provide information.
• Independent pharmacies have been dispensing prescriptions at a loss while waiting on this fix.
• Joy going to pay about $100 more per year per prescription? And he said yes. Okay.

Summary: The Senate Committee on Insurance met on May 6, 2026, and first reported HB 1241 favorably. That bill, by Chairman Furman, requires insurers to check with DCFS before paying certain insurance settlements to determine whether the recipient owes delinquent child support, and to withhold and remit arrears if found. DCFS explained that Louisiana already has intercepts and other collection tools, but no current mechanism for insurance settlements. Senators raised concerns about notice to obligors and about liability if insurers fail to withhold, but the bill was advanced without objection. The committee then heard HB 870, which would require health insurers and PBMs to cover lower-cost generic or biosimilar drugs when available and to use utilization management no more restrictively on those drugs. Supporters said the bill would improve access and lower patient costs by using wholesale acquisition cost as the comparison point. Opponents, including Louisiana Blue and the AFL-CIO, argued that WAC ignores rebates and net cost, could force plans to cover higher-cost biosimilars first, and could increase premiums and disrupt ERISA and fully insured plan design. The committee adopted a technical amendment set and then a second amendment set that added notice and reporting requirements tied to net cost calculations, and HB 870 was reported favorably as amended. Several other bills were moved with little or no opposition. HB 1176, concerning Medicare Advantage coverage for integrative cancer treatments such as cold cap therapy, cryotherapy, and acupuncture, was amended to change the effective date and then reported favorably. HB 1196, dealing with colorectal cancer screening follow-up colonoscopies, was also amended and reported favorably. HB 1162, a consumer protection bill requiring DOI to verify that a contractor named on a first-party property damage check is licensed in Louisiana, was amended and reported favorably. HB 826, which modernizes insurance referral rules to allow referrals by email or website address, was reported favorably. The committee also heard HB 1151 on insurer investment limits and solvency protections, and HB 1236 on pharmacy reimbursement and copay maximizer programs; both drew substantial testimony and concern, especially over retroactivity, PBM cost allocation, and whether copay maximizers shift costs to patients, but the transcript cuts off before final action on HB 1236.

Transcript Highlights:

• <00:42:02.400> is extended a public comment period is extended a public comment period is
• But the first comment period already passed.
• But the first comment period already passed.
• But the first comment period already passed.
• Okay, let’s move on to HB 951 HD1, relating to prescription drugs.

Keywords: 910, house, all

Summary: The committee heard testimony on several measures, beginning with HB 117 on condominiums. Testifiers were split: reserve-study professionals and the Community Associations Institute opposed tying reserve requirements to assessed value, arguing reserve studies should be based on actual components and costs and that the bill could lead to over- or under-collection. Condominium owners and advocates supported the bill, saying some associations are not completing reserve studies or are failing to provide audits and adequate funding, and urging stronger fiduciary accountability. A member later asked about compliance rates, and a witness said he was not aware of any association that had failed to do a reserve study, estimating compliance at well over 95 percent, likely close to 100 percent. The committee then took testimony on HB 544 on pet insurance, which drew support from the Attorney General’s office and the Insurance Division with comments about contract-impairment issues, as well as support from the North American Pet Health Insurance Association and the Hawaiian Humane Society. Testifiers said the bill would help consumers understand and use pet insurance as veterinary costs rise. HB 983 on certified public accountants also drew mostly support, with the Hawaii Society of CPAs and the Hawaii Association of Public Accountants offering conditional support and proposed amendments. Public accountants said the bill could help address a shortage of CPAs and expand pathways into the profession, while some speakers cautioned that the language needed clarification and that public accounting experience should be tied to CPA-firm work. An instructor from UH West Oahu said students cannot afford the extra credits currently required and would benefit from a more accessible pathway. The committee also heard HB 1050 on Title 24, with DCCA supporting the measure and no opposition or questions. The discussion then moved to HB 256 HD1 on environmental protection and incinerator emissions. The Department of Health offered comments, while Energy Justice Network and Climate Protectors Hawaii supported strengthening the bill, warning that it could weaken existing standards at H-Power unless amended to preserve stricter state rules and require modern pollution controls. A member questioned the Department of Health about H-Power’s permits and whether additional controls would be required if federal rules change; the department said permits are reviewed every five years and that the facility currently meets state and federal requirements, while EPA rules remain in a public comment process. Finally, the committee heard HB 1051 HD1 on energy efficiency portfolio standards, with support from the Consumer Advocate, State Energy Office, Climate Change Mitigation and Adaptation Commission, Public Utilities Commission, and Hawaii Energy. The committee then heard HB 350 HD1 on energy, where the State Energy Office supported the bill, Solar Ray Corporation offered conditional comments urging any new mandated water-heating technology to meet the same efficiency level as existing solar thermal systems, and the Kauai Climate Action Coalition testified in support. No votes or final committee actions were taken during the portion of the meeting provided.

Transcript Highlights:

• :14:02.400> you're another time period that you're another time period that you're interested<
• So, 36 months as far as an assessment period would require a risk pool to plan for a projection period
• rebuild over the 2 and 1/2 year period. rebuild over the 2 and 1/2 year period.
• <01:52:30.400> for is neutral on a time period for is neutral on a time period for repayment
• lot more really quickly, but had I think a three-year period in there um a period of ramp up time so

Keywords: 1191, senate, all

Transcript Highlights:

• current 30-day period. current 30-day period.
• <01:07:51.440> is here is the cost of if a prescription is here is the cost of if a prescription
• That doing this is going to increase the cost of prescriptions that the end user, if we take away this
• . prescription. prescription.
• to 11:29 per prescription.

Keywords: Public Health and Welfare - Room 216, 3 March, 2026; 3:00 PM, 925, all

Summary: The committee first took up House Bill 1622, a strike-all amendment to create a pilot program for certain small-community hospitals to receive limited certificate-of-need exemptions. The bill would allow qualifying hospitals to open a geriatric psychiatric unit without a CON, permit each hospital one additional CON exemption for a service otherwise requiring one, cap dialysis-unit exemptions at eight hospitals, continue existing moratoriums with periodic Department of Health review, allow facilities in Issaquena or Humphreys Counties under limited conditions, and add a loser-pays rule for unsuccessful CON court challenges. Technical corrections were made, the strike-all amendment was adopted, and the bill was reported do pass as amended by voice vote. The committee then moved to House Bill 942, where Senator McMahan offered an amendment to allow a Lee County chiropractor to advertise as a neurologic chiropractor and list related credentials. Members questioned whether chiropractic neurology is recognized in Mississippi and raised concerns about the practitioner’s prior discipline by the board, but the chair ruled the amendment germane. The amendment failed on voice vote, and the bill itself then passed and was reported to the floor. The committee next considered House Bill 1034, but no amendment was offered. It then took House Bill 479 off the table. That bill extends the temporary licensing period for psychology and marriage-and-family-therapy boards from 30 to 60 days to allow more time for criminal background checks. Senator Blackwell offered a clarifying amendment to make clear that temporary licenses must be revoked if required background checks or other licensure requirements are insufficient, and that the temporary license does not replace the underlying education, training, and examination requirements. The amendment was adopted and the bill was reported do pass as amended. Finally, the committee heard House Bill 1067, the Rural Health Transformation Program. Senator Hickman explained that the bill would require procurement procedures and reporting for the state’s rural health transformation funds, prioritize projects tied to the original application, and direct funds toward rural and underserved areas such as health professional shortage areas, low-income counties, and places without hospitals. Senators questioned whether the added state rules would layer on top of existing federal requirements and whether the bill could slow distribution or invite litigation, but supporters said it was meant to add transparency and guardrails rather than change the federal program. The bill was discussed at length, but the transcript ends before a final vote on HB 1067.