Transcript Highlights:

• Our role is pivotal in the development, implementation, and sustainability of the Children's Advocacy
• Recognizing this, the National Children's Alliance launched the Leadership and Workforce Development
• Recognizing this, the National Children's Alliance launched the Leadership and Workforce Development
• , and develop a case so we can arrest the offender and protect victims in the state of Florida.
• and develop a case so we can arrest the offender and protect victims in the state of Florida.

Summary: The Senate Committee on Children, Families, and Elder Affairs held a panel discussion on Florida’s child protection teams (CPTs), child advocacy centers (CACs), and the related roles of DCF, DOH, and law enforcement. Testimony from DCF, the Department of Health, a local CAC director, the Florida Network of Children’s Advocacy Centers, a Pinellas County CPT nurse practitioner, and a Jacksonville sheriff’s sergeant described how the system is intended to work: hotline reports are screened by DCF, mandatory referrals are sent to CPT, forensic interviews and medical exams are coordinated through CPT/CACs, and multidisciplinary teams share findings with law enforcement and prosecutors. Speakers emphasized the value of co-location, telemedicine, multidisciplinary staffings, and trauma-informed practices to reduce repeated interviews and improve child safety and case outcomes. Committee members focused heavily on communication breakdowns, staffing shortages, and delays in response times. Senators raised Jordan’s Law and asked what had been done to improve coordination among DCF, CPT, and law enforcement. Several members questioned whether the promised 24-hour response standard is being met in practice, citing reports of delayed referrals, delayed forensic interviews, and bottlenecks that can affect medical evaluations and criminal investigations. Law enforcement testimony from Jacksonville described cases where CPT interviews were scheduled one to two weeks out and reports were not received for weeks, while DCF acknowledged average CPI caseloads of about 12 investigations and turnover commonly occurring within 12 to 18 months. The panel also discussed access gaps and funding concerns. The Florida Network of CACs said Florida has 26 member centers, with some counties lacking CAC coverage and some centers having closed due to funding challenges. Speakers said CACs are voluntary but critical for integrated services, and that workforce shortages in medical and mental health providers limit expansion. DCF and DOH representatives said they would provide follow-up information on the number of CPT medical staff and other requested data. No bills were voted on; the meeting ended with committee members requesting additional information and recommendations for statutory and budgetary changes, and the committee adjourned.

Transcript Highlights:

• Studi... has played a key part in the development of dietary guidelines for Americans dating back to
• I have served at USDA for over 15 years and have supported the development of the Dietary Guidelines
• I look forward to hearing your thoughts about that as the legislation develops to see how we can improve
• So while today most women start developing osteopenia and when you reach that peak bone mass at age 28
• So we're going to have women develop osteopenia osteoporosis a decade sooner and we're going to see men

Bills: SB222

Keywords: whole milk, school lunch, school meals, National School Lunch Program, Richard B. Russell National School Lunch Act, Child Nutrition Act, USDA, nutrition standards, dairy, nonfat milk, low-fat milk, reduced-fat milk, lactose-free milk, nondairy beverages, plant-based milk, milk substitution, parental consent, legal guardian, food allergies, allergic reaction

Summary: This meeting of the committee focused primarily on the Whole Milk for Healthy Kids Act, S222, which aims to permit schools to offer a fuller range of milk options, including whole, reduced, and low-fat varieties, that have garnered bipartisan support. Chairman Bozeman opened the session by highlighting concerns over children's nutrition and the obesity epidemic, emphasizing the significance of nutritious school meals in addressing these issues. Experts from various organizations were invited to discuss the implications of this bill as well as the current challenges facing school meal programs, including budget constraints and food supply issues. The meeting included passionate testimonies about the direct impacts of current dietary guidelines and federal funding reductions affecting schools' abilities to provide healthy meal options.

Transcript Highlights:

• That's where the development was going to go. So it happens.
• Texas coastal system work and develop coastal barriers all across the state. Two things that the.
• Third, the bill requires these APOs to develop and maintain a financial plan which will be retained by
• The other one I think a lot of y'all are available or familiar with is the Colony Ridge development.
• Board for the development of certain projects in economically distressed areas.

Bills: HB 1089, HB 1163, HB 1177, HB 1238, HB1318, HB1400, HB1407, HB1532, HJR7, HJR7

Keywords: coastal protection, environmental management, Gulf Coast, storm risk management, funding, Texas General Land Office, healthcare, insurance reform, patient access, insurance regulation, affordable care, health insurance, consumer rights, coverage transparency, claims process, insurance regulations, aggregate production, environmental impact, financial responsibility, reclamation

Transcript Highlights:

• <01:16:55.080> shall tract that support the development shall tract that support the development
• There These are development is proposed.
• a highly structured services and develop a highly structured services and develop and<01:43:19.360
• :43:21.480> for and develop sufficient beds for for and develop sufficient beds for for folks.
• Those rules will be developed very soon.

Keywords: 927, senate, all

Transcript Highlights:

• You know, we need to kind of slow development and maybe encourage development in other areas of our city
• <01:23:36.719> or<01:23:36.960> planning have development or planning have development
• that might have been developed that might have been developed prezoning.<01:24:47.840> House<
• > maybe<01:25:31.199> encourage slow development and maybe encourage slow development and
• program, the housing urban development program, the housing urban development um<02:20:57.120>

Keywords: 1191, senate, all

Transcript Highlights:

• Now um in these developing further.
• <00:53:38.400> and longevity biotechnology development and longevity biotechnology development
• <01:29:10.000> um speaking within drug development um speaking within drug development um
• <01:35:29.280> um that's a later stage in development um that's a later stage in development
• <03:00:51.279> uh to accelerate biotech developments uh to accelerate biotech developments

Keywords: 1189, house, all

Transcript Highlights:

• Or $100,000 invested with certain conditions such as clean energy development or brownfield development
• The case study in data center development in Loudoun County and Northern Virginia, where we have heard
• both massive economic development, but also an increasing number of concerns from community members
• Collar Jobs Act and research and development incentives.
• We developed it in 2015 in a policy manual that was approved by the court in conjunction with case law

Summary: The committee heard several bills, but much of the meeting focused on House Bill 306, which would require disclosure when a consumer is interacting with a chatbot rather than a human. Sponsor Senator Townsend described it as a consumer protection measure and said the bill is meant to keep pace with rapidly changing AI technology. Committee members and witnesses raised concerns about the bill’s enforcement structure, especially private rights of action and penalties that could apply even without actual consumer harm. The Department of Justice said the bill would apply where the conduct has a Delaware nexus, and that the disclosure requirement is the key consumer protection. Industry witnesses and chambers of commerce opposed the bill as drafted, arguing it would create broad compliance burdens and expose businesses to excessive litigation risk without a harm requirement or clearer safe harbor language. Earlier in the meeting, the committee discussed House Bill 429, which would update Delaware’s step therapy exception process to include biosimilars and interchangeable biologics. Senator Poore and supporters from Highmark and the Department of Insurance said the bill would modernize insurance law, improve access to effective treatments, and reduce costs; they cited national savings from biosimilars and said the bill has agency support. Members asked about Delaware-specific savings, patient switching, and how the process would work, but no vote was taken during the discussion. The committee also heard House Bill 310, which would exclude large data centers from Blue Collar Jobs Act tax credits; the sponsor said the bill is intended to ensure large energy users contribute more to state and local revenues, while supporters and opponents debated competitiveness and community impacts. House Bill 406, on allowing insureds to choose their auto repair shop, and Senate Bill 347, a cleanup bill related to medical debt collection and personal property levies, were also presented without opposition in the hearing. House Bill 253, concerning who may receive letters testamentary or of administration, was described as a cleanup to align statute with existing practice. The committee approved the meeting minutes, but the transcript does not show final votes on the bills discussed.

Transcript Highlights:

• Relative to Louisiana Economic Development, to provide for the recreation of Louisiana Economic Development
• It's a recreation of Louisiana Economic Development.
• Susan Bouchoir, Secretary of Louisiana Economic Development.
• Have you developed a methodology?
• Have you developed a methodology?

Summary: The House Committee on Commerce met on May 11, 2026, with a quorum present and took up a series of Senate bills, a resolution, and one House bill. The committee reported favorably Senate Bill 79 to recreate Louisiana Economic Development, Senate Concurrent Resolution 5 to establish the Louisiana-Ireland Trade Commission, Senate Bill 375 on firefighting foam with amendments clarifying use in declared emergencies, Senate Bill 398 moving manufactured and modular housing oversight under the Contractors Licensing Board with technical and substantive amendments, Senate Bill 163 on virtual currency business licensing with an amendment providing for federal preemption if Congress enacts a national licensing regime, and Senate Bill 287 on virtual currency kiosks with consumer-protection provisions and technical amendments. The committee also reported favorably House Resolution 197, as amended, urging the Public Service Commission to study distributed energy generation and storage resources with LSU involvement, and Senate Bill 54, which would allow estheticians to blow-dry hair after certain services; that bill drew extensive testimony from supporters and opponents in the cosmetology and aesthetics industries before being reported favorably. Several bills prompted detailed discussion and testimony. On Senate Bill 398, the sponsor and Contractors Licensing Board representatives said the change would improve enforcement and consumer safety for manufactured-home installation, especially tie-downs, leveling, and foundation blocking, while not affecting HUD-regulated construction. On the virtual currency bills, OFI said it currently licenses 37 virtual currency businesses with 33 pending applications, and supporters described the kiosk bill as a response to fraud complaints by requiring clearer disclosures, refund procedures, live customer support, and reporting to OFI. For House Resolution 197, the sponsor, PSC officials, and energy stakeholders said the study would examine the value of distributed energy resources, including rooftop solar and battery storage, in light of rising demand and grid reliability concerns; PSC staff and LSU energy experts described the study as focused on market value and avoided-cost benefits. House Bill 744, which would have shifted regulation of certain New Orleans utilities from the city council to the PSC, generated discussion about constitutional history, rate impacts, and utility consolidation. PSC officials and the sponsor said the current city-council regulation is a constitutional exception dating back to 1921, and they argued that PSC regulation could reduce costs and simplify oversight, but the sponsor ultimately moved to defer the bill rather than force a floor fight, and the committee agreed. The committee then began consideration of Senate Bill 386, the Louisiana Data Privacy Act, adopting technical amendments and then a larger amendment package that revised definitions and compliance provisions; the transcript ends while that bill’s amendment process is still underway, with no final action shown in the excerpt.

Transcript Highlights:

• Relative to Louisiana Economic Development, to provide for the recreation of Louisiana Economic Development
• It's a straight-up recreation of Louisiana Economic Development.
• Susan Boudoir, Secretary of Louisiana Economic Development.
• Have you developed a methodology?
• Have you developed a methodology?

Bills: HB744, HR197, SB54, SB79, SB163, SB287, SB375, SB386, SB398, SB469, SCR5

Keywords: public utility, common carrier, regulation, Public Service Commission, New Orleans, constitutional amendment, distributed energy, energy storage, electricity demand, virtual power plants, reliability, hurricane resilience, esthetics, cosmetology, hair services, beauty industry, Louisiana regulation, Louisiana Economic Development, sunset law, legislative authority

Summary: The House Committee on Commerce met on May 11, 2026, and first advanced several Senate measures with little or no opposition. It reported favorably Senate Bill 79 recreating Louisiana Economic Development, Senate Concurrent Resolution 5 establishing the Louisiana-Ireland Trade Commission, and Senate Bill 375 on Class B firefighting foam, after adopting a technical amendment clarifying use in declared emergency firefighting operations. The committee also advanced Senate Bill 398, which moves manufactured and modular housing regulation under the Louisiana Contractors Licensing Board and expands inspection and enforcement provisions, after adopting two sets of mostly technical amendments and hearing testimony that the change would improve consumer safety and increase inspection coverage without adding net cost to locals. It then reported favorably Senate Bill 163 on virtual currency business licensing, after adopting an amendment providing that any future federal licensing law would preempt the state act, and Senate Bill 287 on virtual currency kiosks, which adds refund timelines, disclosure requirements, customer support, and reporting duties; witnesses from the banking and law enforcement community said the bill responds to common fraud complaints and improves consumer protection. The committee also reported favorably Senate Bill 54, which allows estheticians to blow-dry hair after certain services, despite strong opposition from cosmetology board representatives and industry witnesses who argued the service is outside esthetics training, could create scope-of-practice and facility issues, and should instead be addressed by lowering or revising separate blow-dry licensing requirements. The committee then considered House Resolution 197, which urges the Louisiana Public Service Commission to study the feasibility and value of distributed energy generation and storage resources. After adopting technical amendments and a second amendment changing mandatory language to requests and urging the PSC to coordinate with the LSU Energy Institute, the resolution was reported favorably. Testimony from solar and energy industry representatives, the PSC, and LSU focused on how distributed resources, batteries, rooftop solar, and virtual power plants could improve reliability, reduce costs, and help meet rising demand; members also discussed how the study would evaluate market value, avoided costs, and capacity benefits. Questions centered on methodology, grid impacts, and comparisons to Texas’s ERCOT system and Winter Storm Uri, with PSC officials emphasizing that the study would help determine whether such resources benefit ratepayers. Representative Wright presented House Bill 744, a proposed constitutional amendment to transfer regulation of certain New Orleans utilities from the city council to the Public Service Commission. He argued the change could reduce rates through consolidation and eliminate duplicative regulatory costs, while PSC officials explained the city’s authority is a constitutional exception dating back to 1921 and that Entergy New Orleans and Entergy Louisiana operate as separate companies with different regulatory environments. After discussion of rate impacts, utility structure, and whether the proposal should instead become a study, the bill was deferred. The committee then began Senate Bill 386, the Louisiana Data Privacy Act, which would give consumers rights to access, correct, delete, and opt out of certain uses of personal data; the sponsor introduced the bill and the committee started considering technical and substantive amendments, but the transcript ends before final action on that measure.

Transcript Highlights:

• But this body, one of the times that we generally can come together as a body is on economic development
• is on economic development issues. is on economic development issues.
• I'm telling you economic development.
• development in this state. state. state.
• So if we truly are about economic development, forward movement, progress for the state of Alabama, we

Bills: HB1

Keywords: HB1, Alabama, elections, primary election, special primary, runoff, congressional districts, redistricting, reapportionment, district boundaries, federal court, injunction, judgment, Governor proclamation, nominee certification, party nominee, general election 2026, election calendar, voting rights, congressional race

Transcript Highlights:

• For nearly four decades, Leadership Lafayette has been developing leaders who go on to serve on boards
• 58 by Senator Carter is a resolution urging and requesting the Department of Transportation and Development
• , to repeal the Reentry Advisory Council and Offender Rehabilitation Workforce Development Act.
• The bill keeps the current fee schedule in place until a new one is developed through rulemaking.
• The bill keeps the current fee schedule in place until a new one is developed through rulemaking and

Keywords: 974, senate, all

Transcript Highlights:

• We put $79.3 million in workforce development capitalization incentive grant funds to our public schools
• And $12 million to the Center for Autism and Neuro Development at the University of Florida's College
• The transportation, tourism, and economic development budget in this bill includes a lot of important
• SB 2518 requires the social services estimating conference to develop projections for the intellectual
• And, you know, our staff, the chairs, and Chair Hooper, it's just fantastic to watch the development

Summary: The Senate began with prayer and the Pledge of Allegiance, then moved into floor consideration of the 2026-2027 budget. Appropriations Chair Hooper presented Senate Bill 2500, describing a $115 billion budget that reduces overall spending from the prior year, maintains reserves, and includes a 3% pay raise for state employees and 5% raises for state law enforcement, firefighters, correctional officers, and park rangers. Committee chairs then outlined major spending in their areas, including K-12 education, higher education, health and human services, criminal and civil justice, transportation/tourism/economic development, and environmental and agricultural programs. Highlights included increased funding for school scholarships and safety, workforce and university programs, Medicaid and child welfare, corrections operations, affordable housing, rural communities, Everglades and water quality projects, and infrastructure. Members then asked detailed questions about several budget items. Senators sought clarification on the Emergency Management Trust Fund, arts and cultural grants, Florida Forever land acquisition versus conservation easements, teacher salaries, charter school capital outlay funding, EASE grants, New College funding, DOC inmate counts and reimbursement, lottery staffing, concealed weapons licensing positions, election security funding, iBudget waiver support, ADAP funding, Medicaid hospital rate reductions, and scholarship and enrollment supplements in K-12 education. Chairs explained that some reductions reflected technical shifts or right-sizing, that some funds were being moved below the line for better tracking, and that several items—such as ADAP and corrections operations—would likely remain conference issues with the House. After questions, the Senate substituted House bills for the budget and implementing measures and adopted amendments placing the Senate language onto the House vehicles to prepare for conference. The chamber passed the budget-related bills and several conforming measures, including bills on retirement, fuel taxes, the state agency law enforcement radio system, court trust funds, judgeships, and K-12 and higher education conforming changes. Votes on the major bills were overwhelmingly unanimous or near-unanimous, and the Senate repeatedly voted to accede to the House’s request for conference on the substituted bills.

Transcript Highlights:

• They come together in these workgroups to support and develop informed IT policy.
• It invests in economic development for Putnam and Marion counties.
• The students developed recreational concepts, ranging from manatee viewing areas to paddling tours and
• It calls for the creation of an advisory council to assist in developing outdoor recreational plans,
• It calls for the creation of an advisory council to assist in developing outdoor recreational plans,

Summary: The committee first took up SB 694, which would compensate the descendants of the Groveland Four—Charles Greenlee, Walter Irvin, Samuel Shepard, and Ernest Thomas—for the wrongful convictions, incarceration, and death tied to the 1949 case. Senator Bracey Davis described the bill as a final step after prior state apologies, pardons, and exonerations. The committee adopted a $4 million amendment that divided compensation equally among the four families and updated the recipient for Ernest Thomas’s share. Multiple family members and advocates testified in support, emphasizing the decades of trauma and the need for full justice. Senators in debate largely supported the bill, and it was reported favorably. The committee then approved SB 330, which clarifies disability provisions for firefighters, law enforcement officers, and correctional officers by refining the definition of heart disease and allowing certain officers who transfer agencies to rely on a prior physical under specified conditions. SB 474 also passed, expanding military leave protections to include public officials and employees who serve in the Coast Guard or Florida State Guard, adjusting pay eligibility for federal service, and updating related retirement and assistance provisions. SB 96, the Veterans Dental Care Grant Program bill, was amended to expand eligibility to veterans with incomes up to 400% of the federal poverty level and to move funding into the General Appropriations Act; members debated whether the broader eligibility could increase demand, but the bill was reported favorably. The committee also advanced SB 7018 on child welfare, making the Step Into Success pilot program permanent statewide, adjusting visitor/background-check rules for out-of-home placements, and creating a best-practices program through the Florida Institute for Child Welfare. CS/SB 480 on state IT governance was reported favorably after amendments that strengthened vendor performance metrics and restored state data center security provisions; it creates a new central IT governance structure under the Governor’s office and aims to improve oversight of procurement, spending, and technical debt. SB 1066, addressing partial restoration of the Ocklawaha River and Kirkpatrick Dam, passed after a late-file amendment and extensive testimony from environmental, recreation, and local economic interests. SB 1216, which gives school districts more flexibility in educator compensation, and SB 1120, which increases oversight and reporting for water management district spending, were also reported favorably. Finally, the committee considered SB 1366 on claims against the government, which raises sovereign immunity caps, ties future adjustments to CPI, shortens claim deadlines, and changes attorney-fee provisions. The bill drew support from local government and public-hospital groups as a compromise, but also significant concern from some senators about the impact on self-insured agencies and whether the fee changes would discourage attorneys from taking cases. The discussion remained ongoing, and the bill was still moving forward as the meeting continued.

Transcript Highlights:

• developer and it also is a pass-through expense to the tenant.
• So it really just provides transparency to the tenant while also allowing the developer flexibility in
• But I don't like it when the state helps private developers build senior citizen complexes.
• In addition, I have a large website developer that maintains the majority...
• Yeah, you're paying website developers more money to attend to them first. Okay. Thank you.

Keywords: 959, house, all

Transcript Highlights:

• In today’s world of college athletics, you can only thrive if you can attract talent, develop talent,
• Developing talent is essential for good leaders.
• Developing talent is essential for good leaders.
• And I’m sure all of you here today have a strong relationship with development.
• He is the CEO of the Phoenix Development Authority, Industrial Authority.

Keywords: 1182, all

Transcript Highlights:

• But I definitely wanted to share, because you've all been part of developing this, as we came with a
• But I definitely wanted to share, because you've all been part of developing this, as we came with a
• We can find a very strong band of critical stakeholders—developers and landowners, lenders, technical
• Over the last 100-plus years, new technologies, research, and regulations have developed.
• That's just how insurance rates are developed.

Summary: The committee first heard updates on the Model Toxics Control Act (MTCA) and related funding. Department of Ecology staff explained how MTCA and the hazardous substance tax support cleanup, prevention, stormwater, and local assistance programs, but said forecasted revenues have declined while appropriations and transfers have outpaced incoming funds. Ecology said the operating account will require underspending to stay balanced this biennium and that the problem is ongoing, with further reductions possible if forecasts worsen. Ecology also reviewed the state cleanup program, noting there are more than 14,500 cleanup sites in Washington and that new sites continue to be discovered faster than they are cleaned up. A question from Representative Lee raised the long-term issue of declining fossil-fuel-based revenue, and Ecology agreed that this is a future structural concern even though the current shortfall is driven more by forecasts and transfers than by fuel-use decline. The Pollution Liability Insurance Agency described its underground storage tank and heating oil programs, saying it has modernized from a reinsurance model to a financial assurance model with stronger state oversight and cleanup milestones. Russ Olson said the agency’s dedicated petroleum tax account is in strong financial condition, but emphasized the importance of preserving that funding source. He also discussed the loan and grant program for historic commercial releases and a new heating oil loan/grant program, while noting the agency is working on equity concerns where liens can be disproportionate to property values in smaller communities. Practitioners and advocates then offered differing views on MTCA’s performance: one attorney urged a collaborative review process to make cleanups faster, less expensive, and more certain, while another consultant argued the program is too conservative and process-heavy and should focus more narrowly on actual exposure and realistic cleanup standards. Environmental and community groups countered that MTCA is essential for cleanup, pollution prevention, stormwater control, and public participation, and that it is especially important for environmental justice communities such as the Duwamish Valley. Port and city representatives stressed that MTCA grants and cleanup funding are critical for large redevelopment projects, but said long timelines, permitting delays, and funding uncertainty can slow projects and jeopardize commitments. The committee then shifted to utility wildfire risk. Staff summarized recent legislation, including requirements for utility wildfire mitigation plans, creation of a wildfire mitigation standards work group, authorization for captive insurance by local governments and PUDs, securitization authority for disaster costs, and the existing wildfire response and resilience account. Chelan County PUD and Puget Sound Energy described extensive mitigation efforts such as vegetation management, grid hardening, undergrounding, AI smoke cameras, weather stations, enhanced operating settings, public safety power shutoffs, and community outreach. Both said wildfire risk is rising and insurance costs are increasing, and Chelan PUD asked the Legislature to restore funding to the wildfire response and resilience account. The Office of the Insurance Commissioner said a 2022 utility liability market study found insurance availability is tightening as perceived risk rises, and reported that a 2025 work group recommended restoring community resilience funding, requiring insurers to share wildfire risk scores and mitigation steps with property owners, and creating a grant program based on insurance industry wildfire standards. A PNNL scientist added that wildfire probability is increasing in parts of Washington and that mitigation requires long-term, landscape-scale coordination. The final speaker began describing California’s approach to wildfire risk, but the transcript cuts off before that presentation concluded.

Transcript Highlights:

• Over the next few months, this subcommittee will review. and help develop a fiscal plan that will fund
• It's going to help us develop a legislative report on the impact of social media on youth mental health
• By investing in these key areas, FOPH has allowed CDPH to more fully develop organizational capacity
• This collaborative focuses on the development and implementation of their Community Health Improvement
• We've also developed guidance that is shared with all local health jurisdictions (LHJs) regularly to

Keywords: 988, house, all

Transcript Highlights:

• They need to have experience, and they need continuous professional development in order to keep their
• The quality of your staff, of your faculty, are they receiving professional development?
• This is an opportunity for us to develop perhaps bridge programs where students could come to college
• That gives the student the two years to explore to really develop their science skills.
• We have done a lot of faculty development, and not only teaching strategies.

Summary: The subcommittee met to examine Florida’s nursing education pipeline and the state’s persistently low NCLEX passage rates. Chair Tuck opened by noting the projected nurse shortage and Florida’s ranking near the bottom nationally for first-time NCLEX pass rates. The Department of Health explained the Board of Nursing’s approval process for nursing programs, including application requirements, probation standards, and termination for programs that repeatedly fail passage-rate benchmarks. The Florida Center for Nursing then presented statewide data showing Florida has more test takers than most states, but still trails the national average; the gap has narrowed in recent years, though Florida remains below average. Members focused heavily on why the state continues to underperform, with discussion of faculty shortages, clinical placement constraints, accreditation, student preparedness, and the large share of newer private for-profit programs among those placed on probation. Committee members asked about how probation works, what happens when programs improve, and whether the board requires corrective plans. They also questioned the relationship between program type and outcomes, the effect of Operation Nightingale, and how many students fail and retest. The Florida Center for Nursing said first-attempt pass rates are the standard measure and that students who fail are expected to remediate and retest, though costs vary. The center also said Florida’s data shows accredited programs outperform approved or probationary ones, and that the state’s nursing workforce challenges are tied to broader issues such as faculty vacancies, clinical site competition, and student demographics, including many students balancing work, family, and language barriers. A panel of nursing school leaders from public, private nonprofit, and private for-profit institutions then described strategies used to improve outcomes. These included transparent recruitment, early orientation, tutoring, success coaching, stronger faculty development, curriculum mapping to NCLEX standards, higher course benchmarks, mandatory remediation, simulation labs, and commercial NCLEX prep tools such as ATI, Kaplan, and HESI. Several panelists said their programs had improved after probation or had very high passage rates, and they emphasized that student success depends on academic preparation, clinical experience, and support services. Members also asked about tuition, program length, translation into other languages, and faculty recruitment; panelists said costs vary widely, faculty hiring is difficult because hospitals pay more, and some schools are considering medical Spanish and immersion options rather than full curriculum translation.

Transcript Highlights:

• First, the ITN was developed in February of 2024. We received approval from CMS in March of 2024.
• So it is a constant, evolving effort for the team to develop our providers, but it really starts with
• We want to develop with them.
• Yes, and some of those are even still being developed.
• So we have developed innovative methods where... ...and do things like that.

Summary: The Health and Human Services Committee received an overview of Florida’s intellectual and developmental disabilities (IDD) managed care pilot, created by legislation in 2023 to test whether a managed care model could integrate Medicaid medical services with iBudget waiver home- and community-based services for adults in pre-enrollment categories. AHCA explained the existing system, the pilot’s scope in Regions D and I, and the rollout timeline, including federal approval, contract execution with Florida Community Care, and the October 2024 go-live. Officials reported that, as of early February, 370 individuals had been sent for onboarding and 168 more were in queue, with about $35.8 million of the appropriation remaining. APD also clarified the difference between the pre-enrollment categories and the waiver waitlist, and noted that crisis cases can be enrolled more quickly depending on eligibility and funding. Florida Community Care described the pilot as a comprehensive managed care model offering medical, long-term care, and iBudget services, plus enhanced benefits such as bed-hold days, caregiver transportation, and help with legal guardianship costs. The plan said it uses one care coordinator, a 1:18 coordinator ratio, a face-to-face assessment within five days of enrollment, and 180 days of continuity of care for existing providers. The company emphasized that it is recruiting providers by offering higher rates than some iBudget rates, lower administrative burden, and network adequacy incentives, while APD said it continues to monitor provider supply and demand and recruit across service types and regions. Members repeatedly questioned whether the pilot’s costs, provider rates, and service levels were truly comparable to the iBudget system, and AHCA and APD said it was too early to draw firm conclusions because claims data are still lagging. Committee members also raised concerns about communication, enrollment delays, provider shortages, and whether the pilot could scale statewide. APD said it has used letters, phone calls, texts, emails, and community meetings to reach eligible individuals, and that some delays stem from required assessments, Medicaid eligibility checks, and level-of-care determinations. Several members asked for more detailed comparisons of costs and provider reimbursement between the pilot and iBudget, and APD said it would provide additional data. Public testimony at the end was strongly critical of managed care, with a participant and his mother describing poor service, transportation failures, and loss of control under prior managed care arrangements, and urging the committee not to expand such a model without safeguards. No votes or formal committee action were taken before adjournment.

Transcript Highlights:

• Additionally, the Legislature created the Consortium for Medical Marijuana Clinical Outcomes Research to develop
• And they had four recommendations: develop a comprehensive evidence base, improve the research quality
• You mentioned also that marijuana can have a negative impact on brain development.
• When you're looking at research, are you also looking at the impact on brain development, that PTSD,
• Brain development, I said brain development are really mean cognitive defects in the brain.

Summary: The Health Professions and Program Subcommittee met to receive oversight briefings on Florida’s medical marijuana program from the Department of Health’s Office of Medical Marijuana Use (OMMU) and from the University of Florida’s Consortium for Medical Marijuana Clinical Outcomes Research. OMMU Director Christopher Kimball outlined the program’s structure, including more than 900,000 active patients, nearly 7,000 caregivers, 27 MMTC licensees, 706 dispensing locations, and nine certified testing labs. He described the state’s pre-approval process for products and advertising, plain packaging requirements, seed-to-sale tracking, registry operations, and compliance efforts such as background checks, inspections, complaint investigations, and lab desk audits. He also said the Bureau of Public Health Laboratories in Jacksonville had been accredited to begin supporting testing. Members asked about telehealth, patient growth, product safety, advertising to children, inspections, and the status of MMTC licensure; Kimball said recertifications by telehealth now make up more than half of recertifications, that patient growth has slowed, and that ongoing litigation is delaying issuance of 22 new MMTC licenses. Kimball also discussed implementation of recent legislation and licensure changes, including licenses issued under HB 387 and SB 1582 to applicants from the original Pigford-related pool, with additional cure opportunities still ongoing. He said the department is monitoring diversion, inversion, and unapproved products, and that it coordinates with law enforcement when needed but does not itself have sworn authority. In response to questions, he said the department does not regulate physicians directly, but may refer concerns to the Division of Medical Quality Assurance, and that caregiver and physician participation requirements are set by statute. Members raised concerns about edibles, child access, and continued use of child-attractive branding; Kimball said the department tries to catch issues through pre-approval and enforcement, and that complaints involving children are treated as serious and investigated using available records and camera footage. Dr. Almond Winterstein then presented the consortium’s research overview. He explained that the consortium was created by statute in 2019, includes 10 universities, and is funded by annual state appropriations. He said its work includes grants, a research repository, a clinical core, outreach, and evidence synthesis, including a recent FDA-supported review of cannabis evidence. He emphasized that the current evidence base is limited and often low quality, with the strongest signals for symptom relief in PTSD-related symptoms, nausea, and some pain outcomes, but with many studies inconclusive or mixed. He also described the consortium’s use of registry data linked to Medicaid, Medicare, death, fetal death, and birth records to study safety and outcomes, including children, pregnancy, driving safety, opioid-sparing effects, and adverse events. Winterstein said adverse event reporting is sparse and likely underreported, with most reports mild but some serious events noted, and he expressed concern about use among young adults because of uncertain benefit-risk and possible effects on the developing brain. The committee discussed the need for better surveillance, more robust adverse event reporting, and the possibility of using linked data to identify harms more quickly. At the end of the meeting, the committee rose without objection.