Transcript Highlights:

• This is a tool that is validated, was identified by the governor's child sex trafficking team and is
• But the FPS implementation and ensures the agency uses the tools based on validation guidelines regarding
• They are the organization that created and validated this tool.
• Both DFPS and juvenile probation departments already have access to this validated screening tool, and

Bills: HB 451, HB 645, HB 1041, HB 1151, HB 1155, HB 1536, HCR 12

Keywords: commercial sexual exploitation, child sex trafficking, human trafficking, child welfare, foster care, DFPS, Department of Family and Protective Services, juvenile probation, risk assessment, needs assessment, trauma screening, child abuse prevention, exploitation screening, validated screening tool, evidence-informed tool, conservatorship, juvenile justice, at-risk youth, trafficking prevention, Child Sex Trafficking Prevention Unit

Transcript Highlights:

• I actually wanted to affirm and validate those concerns because those were the same concerns that I had
• thank you I actually wanted to affirm thank you I actually wanted to affirm and<00:14:17.639> validate
• <00:14:18.120> those<00:14:18.360> concerns<00:14:19.040> because and validate
• those concerns because and validate those concerns because those<00:14:19.519> were<00:14:19.759

Keywords: 1183, house

Transcript Highlights:

• related to further reductions in the test length because, again, you don't want to compromise the validity
• know it would be a goal to try to make these tests has short as possible without compromising the validity
• I recognize the validity of what you said.
• But that's a very valid question. I know what they have.

Keywords: 999, senate, all

Transcript Highlights:

• prevents Delaware officers from assisting federal criminal immigration activities carried out under valid
• prevents Delaware officers from assisting federal criminal immigration activities carried out under valid
• violent felonies, registered sex offenders, repeat DUI offenders, domestic violence convictions, and valid
• Violence convictions and valid judicial warrants, while ensuring that our state and local law enforcement
• process moving forward, and I wanted to share that some other proofs of age that could be used are a valid

Keywords: 1064, all

Transcript Highlights:

• A Groundhog Day green vote is validating the goat of gerrymandering.
• A Groundhog Day green vote is validating the goat of gerrymandering.
• A Groundhog Day green vote is validating the goat of gerrymandering.
• A Groundhog Day green vote is validating the goat of gerrymandering.
• A Groundhog Day green vote is validating the goat of gerrymandering.

Keywords: House streaming session for Friday, March 27, 2026, 957, house, all

Summary: The House opened with a prayer, quorum call, and recognition of two House resolutions honoring student achievements. One resolution congratulated the Henry E. Lackey High School boys basketball team for winning the Southern Maryland Athletic Conference title and the Maryland State Championship; the other recognized Charles County spelling bee champion Ethan Ntanga, who will represent Maryland at the Scripps National Spelling Bee. The chamber also received Governor Moore’s Supplemental Budget Number Two for fiscal 2027, which was referred to Appropriations. On third reading, the House passed House Bill 843, relating to Washington County tax sale notice changes, by 125-0, and House Bill 888, relating to eligibility for a Washington County property tax credit for disabled veterans, by 124-1. The House then took up Senate Bill 5, as amended, concerning special elections to fill legislative vacancies and related constitutional questions. Members debated whether the bill’s amendments violated the single-subject rule and whether it advanced voter control or, conversely, represented a partisan power grab and a threat to minority representation. Several members explained green or red votes on those grounds. Senate Bill 5 passed the House 93-33. The House and Senate then exchanged messages on the fiscal 2027 budget bills, Senate Bill 282 and Senate Bill 284, after each chamber declined to recede from its amendments and agreed to conference committees. The House appointed conferees for both measures. The session concluded with committee and personal announcements, including upcoming committee meetings, a Jewish Caucus and Women’s Caucus lunch event, a disabilities art show reception, recognition of the doctor of the day, and a motion to recess until Monday, March 30 at 8:00 p.m.

Transcript Highlights:

• The operator must be at least 16 years old and hold a valid driver's license.
• old<00:06:18.720> and<00:06:19.039> hold<00:06:19.199> a<00:06:19.360> valid
• <00:06:19.680> driver's years old and hold a valid driver's years old and hold a valid driver's
• So first, direct your attention to line 58 on page three: the following, the validity of the invisible

Bills: HB461, HB465, HB469, HB473, SB94, SB303, HB461, HB465, HB469, HB473, SB94, SB303

Keywords: fundraising, Alabama Educational Television, state authority, public broadcasting, legislation influence, emergency management, public funds, educational materials, promotional materials, state agency, ambulance services, balance billing, health insurance, emergency transportation, reimbursement rates, water recreation, public access, water bodies, recreational use, water commissions

Transcript Highlights:

• That's a valid point, but it just extends it another 30 days to handle that.
• That's a valid point, but it just extends it another 30 days to handle that.
• That's<00:13:21.279> a<00:13:21.519> valid<00:13:21.920> point,<00:13:22.160>
• but<00:13:22.399> it<00:13:22.720> just That's a valid point, but it just That's a
• valid point, but it just extends<00:13:23.360> it<00:13:23.600> another<00:13:24.079><

Keywords: Meeting start: 00:00 Roll call: 00:24 SB 52 discussion: 01:28 SB 52 voting: 25:08, 958, all

Summary: The Senate Standing Committee on Economic Development, Tourism, and Labor met with a quorum and adopted a committee substitute for Senate Bill 52. The sponsors, Senators Rawlings and Elkins, explained that the substitute narrowed the bill to state public agencies, exempted cities and counties, extended the basic decision deadline from 30 to 60 days, added an additional extension for safety, health, and public welfare concerns, removed an earlier jury-trial provision, and exempted Kentucky State Police exams. They said the bill is intended to require clear permit criteria, timely agency decisions, and meaningful appeal rights for permits tied to constitutionally protected activity, without eliminating existing licensing or permitting requirements. Senators supporting the bill described long agency delays and uncertainty in permitting as costly for contractors, schools, landfill projects, and energy development. Senator Elkins gave a detailed example of a landfill permit process that took years, and other members said agencies should be held to timelines or at least provide reasons for delay. Senator Boswell and Senator Clemens raised concerns that the safety/health/welfare extension could remain subjective and that hard deadlines might pressure agencies and risk public safety. Senator Thomas also said he supported the goal but was voting no because he wanted a safer middle ground. Audrey Ernsburger of the Kentucky Resources Council testified in a neutral-to-cautious position, saying the group agreed that complete applications should be reviewed in a timely and predictable way, but objected to the default-approval mechanism and some burden-shifting provisions in the original language. She warned that deadlines could begin before an application is complete, that deficiencies might not toll the clock, that automatic approval could create public-health risks in some licensing contexts, and that KRS Chapter 13B already governs administrative hearings and judicial review. She said KRC would prefer a statutory process without a hard deadline. After discussion, the committee voted 9-2 to report Senate Bill 52 favorably, as amended.

Transcript Highlights:

• But does screening everybody mean you have, on A in screening, used valid, reliable, and current testing
• That means they're going to have to screen everybody with a valid test, and I'm not sure that's necessary
• , because for everybody it may not be valid.
• The way that I look at the identification is those tests are reliable and valid, and no test is perfect
• “I look at the identification as those tests are reliable and valid, and no test is perfect.

Keywords: 959, house, all

Transcript Highlights:

• new technology in the form of drone unmanned aerial systems and new radar technology to be able to validate
• And how do you determine it in the past, in the absence of solid technology to validate and show the
• from a spherical object to an oblong-shaped object, an ice crystal, and what that means is we can validate
• only company that is deploying our operations with drone technology, coupled with the radar-based validation
• And because we can validate and know volumetrically how much we're getting additionally over the course

Bills: HB2024, HB2053, HB2097, HB2116, HB2117

Keywords: stormwater, recharge mapping, water resources, groundwater, appropriation, Arizona, irrigation, non-expansion areas, water management, agriculture, HB2116, Colorado River, litigation fund, water rights, Arizona water law, general fund appropriation, state budget, interstate water compact, Colorado River Compact, water litigation

Summary: The committee began with member and staff introductions, then heard House Bill 2024, which would expand the Water Infrastructure Finance Authority’s water supply development definition to include snowpack augmentation and related planning and facility work. Supporters argued cloud seeding and drone-based silver iodide deployment could increase snowpack and water supply at relatively low cost, while opponents raised concerns about weather modification, uncertainty in the science, and possible environmental or health effects. After debate, the committee approved HB 2024 on a 6-4 vote, with some members expressing reservations and requesting more information before floor consideration. The committee next considered House Bill 2053, which would direct the Arizona Department of Water Resources to update stormwater recharge mapping statewide and provide $100,000 for the work. The sponsor and ADWR said the bill would expand on prior state-land mapping and help identify recharge opportunities on private land; ADWR was neutral and said it could do the technical mapping but could not make legal determinations about appropriable surface water rights. Salt River Project opposed the bill’s language on surface-water rights, arguing that determinations about unappropriated water belong to the courts and that site-specific recharge projects could affect downstream rights. The committee adopted the Griffin amendment and then passed HB 2053 as amended on a 6-4 vote. Chelsea McGuire of WIFA then gave a broad presentation on the agency’s revolving funds, conservation grants, and long-term augmentation efforts, describing past investments, current grant awards, and seven potential augmentation projects under development. She said WIFA’s current budget ask was essentially for no additional cuts, while members asked about costs, project qualifications, and public-private structure. The committee then took up House Bill 2097, which would impose a six acre-feet-per-acre groundwater pumping cap in irrigation non-expansion areas, add reporting and well-measurement requirements, and set a $150 penalty for violations. ADWR said the bill could require additional staffing and that the cap and substitution provisions had technical concerns; environmental groups argued the cap was too high and could still encourage overpumping, while supporters said it would finally place a limit on INA pumping. HB 2097 passed 6-4. Finally, the committee heard House Bill 2116, which would appropriate $1 million to the Colorado River Litigation Fund; the sponsor described it as a contingency for ongoing Colorado River negotiations, and the committee moved the bill forward after brief discussion.

Transcript Highlights:

• Currently, the department does not have the resources to validate, analyze, or support the expansive
• industries, there usually exists a kind of quality assurance body that does the kind of testing and validation
• within Washington State, if you have really high-quality data, how can that data be used to train and validate
• They have a choice of different companies that they can go to to validate and train their AI or even
• We think that there is not enough resources to do proper validation and training and monitoring.

Summary: The committee heard a JLARC presentation on the Department of Health’s oversight of hospital inspections, complaints, and reporting. JLARC said DOH was late on 72% of acute care hospital inspections as of December 2024, had not verified that third-party accrediting standards were substantially equivalent to state standards, did not consistently require proof of those inspections, did not review adverse health event corrective plans, and could make hospital data more accessible. JLARC also raised a possible language-access barrier in the complaint system. Members asked about complaint filing by staff, the meaning of adverse health events, inspection outcomes, and whether the audit compared DOH to other agencies. JLARC said it had not reviewed inspection results or cross-agency comparisons, but noted inspectors were dedicated and working long hours. DOH later said it concurred with the recommendations and outlined a strategic plan with target dates for improving timeliness, verifying accreditation standards, expanding language access, reviewing adverse event laws, and improving public data access, with annual reporting to the Legislature expected. The committee then heard a Department of Health presentation on certificate of need modernization. DOH described the current certificate of need process, which reviews need, financial feasibility, quality, and cost containment for certain facility changes and new services, and said the program has not been modernized since the 1980s. DOH proposed 10 statutory modernization recommendations, including clarifying the program’s purpose, creating a planning entity, adding flexibility, reducing legal costs, updating access-to-care standards, expanding oversight to freestanding emergency departments and urgent care, addressing equity, improving cost control coordination, strengthening long-term funding, and using better data systems. Members asked about oversight of freestanding urgent care and EDs, funding sources, and whether the process could be streamlined or made more responsive to complaints or other triggers. A third panel discussed artificial intelligence in health care. Lucy O’Rourke of the Coalition for Health AI described CHAI’s work on responsible AI principles, technical standards, model cards or “nutrition labels,” testing and governance tools, and educational resources for providers. She said the group is focused on trust, transparency, fairness, safety, security, and privacy, and noted Washington’s AI-related policy work as among the more progressive in the country. No questions were asked. The final portion focused on the financial impact of federal and state health care policy changes. The Washington State Hospital Association said hospitals are facing low or negative operating margins, service reductions, layoffs, and closures, and that state cuts and taxes enacted in 2025, combined with federal HR1 changes, will significantly worsen finances. Providence Swedish leaders described staffing reductions, service cuts, delayed capital investments, and pressure from denials, tariffs, and reimbursement changes, while emphasizing that frontline staffing cuts are tied to service reductions rather than nurse-to-patient ratio changes. The Washington Health Benefit Exchange then began a presentation on expiring federal ACA premium tax credits, state Cascade Care Savings assistance, and eligibility changes affecting lawfully present non-citizens, with examples showing large premium increases for customers if federal subsidies expire.

Transcript Highlights:

• much as possible, trying to set up structures at our state level that are things that we can do to validate
• we're really just trying to minimize the burden on the customer, using the data connections and validation
• The data connections and validation that we already have in place today suggest that we may be able to
• end of the day really just trying to minimize the burden on the customer the data connections and validation
• that we already have in place today so The data connections and validation that we already have in place

Summary: The committee met to hear introductory briefings from the Department of Health and the Health Care Authority on agency priorities, federal changes, and implementation challenges. Secretary of Health Dennis Worsham said his department’s listening tour is focused on strengthening governmental public health, improving health care quality and access, and responding to federal funding disruptions and the shutdown’s effects on programs such as WIC. HCA Director Ryan Moran said the agency is prioritizing coverage preservation, oversight of major contracts, affordability, behavioral health integration, rural health transformation, and internal agency operations. Members asked about licensure delays; Worsham said the backlog had been reduced from about four months to six weeks and should be caught up by January 1, with possible further process changes if needed. A major portion of the meeting focused on H.R. 1 and its Medicaid-related implementation. Governor’s health policy advisor Caitlin Stafford, HCA staff, and interim Medicaid Director Trinity Wilson said the state is working with DSHS, the Health Benefit Exchange, tribes, and other partners to prepare for eligibility changes, work requirements, and six-month redeterminations. They said the state expects up to 30,000 Apple Health enrollees could lose coverage under the law’s non-citizen eligibility changes, and that the work requirement/redetermination provisions could affect about 620,000 adults, with roughly 80,000 also enrolled in SNAP. HCA said it hopes to automate most verification, but about 15% to 20% of cases may require manual review, with technology costs estimated at up to $30 million. Staff also said they are trying to keep H.R. 1 implementation mostly in budget language rather than statute, and that communication and navigator support will be important to minimize confusion and coverage loss. The committee also received an update on the Rural Health Transformation Program created in H.R. 1. HCA said Washington submitted its application to CMS on November 5 after extensive stakeholder engagement, including more than 310 written comments, webinars, and tribal consultation. The application centers on six initiatives: rural hospital innovation, community care and prevention, tribal investments, technology and data, workforce development, and rural behavioral health. HCA said the state is likely to receive less than the full $200 million annual amount assumed in the federal program, and that an advisory committee may be created to help guide spending over the five-year program. Members asked about palliative care, small business impacts, and communication with enrollees; HCA said it expects to share outreach toolkits and that no 2026 statutory changes are currently anticipated, though that could change. The final panels covered organ donation and transplant services. Department of Health staff explained the 2023 “Lights and Sirens” law for organ transport vehicles, including licensing, driver qualifications, insurance requirements, and use of emergency lanes and traffic preemption; the department said one company is currently licensed and there have been no complaints. LifeCenter Northwest described the organ procurement process, the legal framework under the Uniform Anatomical Gift Act, and the rarity and complexity of deceased donation, noting Washington has seen strong growth in donation and transplants over the past decade. University of Washington Medical Center staff then outlined its transplant programs for kidney, liver, heart, lung, pancreas, and multi-organ transplants, describing the multidisciplinary evaluation and waitlist process and the coordination required with donor organizations and hospitals.

Transcript Highlights:

• The town established a, quote, GV2 cost account, and records did not demonstrate a valid public purpose
• P-card purchases: there were some questionable purchases that may not have had a valid public purpose
• P-card purchases, we had some questionable purchases that may not have sort of valid purpose, travel
• Severance is only valid for 20 weeks, and this contract was approved and somehow blessed by somebody
• didn't you notice that you had basically a contract material, substantive contract term that's not valid

Summary: The committee first took up a long-running audit finding involving the City of Daytona Beach’s unexpended building permit fund balance, which has exceeded the statutory cap for several years and was reported at $10.8 million in the latest audit. Mayor Derek Henry and city staff said the city had analyzed the fund, adopted a corrective action plan, waived more than $5.5 million in permit and inspection fees, used some excess funds for a training facility rehabilitation, and is pursuing a $9.4 million City Hall expansion that they say is allowed under a November 2024 Attorney General opinion permitting construction of a building to house the building code enforcement function. Committee members repeatedly questioned whether the city was simply trying to spend down the money, whether the proposed uses were truly lawful, why the balance kept growing despite fee waivers, and where the interest earnings were going. The mayor and deputy city manager said the city’s growth and staffing needs justified the plan, but several members expressed frustration and skepticism. A public commenter also urged accountability and raised concerns about the city’s spending plans and the size of the remaining balance. The committee then received an Auditor General presentation on the Town of Greenville, which found 31 operational audit findings and described pervasive control failures, possible fraud, waste, and abuse. The findings included election paperwork problems that left a council seat vacant, conflicts of interest, late financial disclosure filings, related-party transactions, inadequate meeting notices and minutes, quorum and voting documentation problems, council members’ involvement in day-to-day operations, missing ethics training, budget adoption and monitoring deficiencies, inaccurate accounting records and bank reconciliations, utility billing and rate issues, grant compliance problems tied to an unfinished grocery store project, weak personnel and contracting controls, improper severance and compensation issues, late vendor payments, weak procurement and P-card controls, vehicle-use and property-control weaknesses, poor public records access, and IT access and fraud-policy gaps. Greenville’s mayor and staff said the audit largely reflected the prior administration and that the current council and staff are taking corrective action. They said the town terminated the former manager, adopted seven new policies since the audit began, and is working with the Auditor General to improve procurement, financial controls, inventory management, grant oversight, and ethics compliance. The town attorney said he had alerted federal authorities earlier about concerns, and committee members noted that FDLE has received a criminal referral and is investigating. Several members praised the new leadership’s cooperation but also suggested the town consider consolidation or dissolution if problems persist.

Transcript Highlights:

• Ensures that there are test security procedures to have valid and reliable year-to-year measures.
• I also have to always kind of furrow my eyebrows when I think about how these results are valid and reliable
• So we know that, I had shared with you, About 6,000 valid scores because of attrition or maybe the student
• rates, I mean, there have been different reporting entities resulting in these discrepancies, what validation
• We only include those students that had a valid test score.

Transcript Highlights:

• These reports are submitted each January by TNCs and then validated and prepared for analysis by CPUC
• In recent years, CPUC staff have improved the data submission and validation process for these reports
• , including by refining the data dictionary,... ...data submission and validation process for these reports
• by implementing an online submission portal that performs an initial compliance check and data validation
• If the legal analysis determines confidentiality claims are not valid and the information should be released

Summary: The hearing focused on transportation network companies in California, with the chair framing it as an informational hearing on the history, regulation, safety, climate, accessibility, and data issues surrounding Uber, Lyft, and smaller or autonomous TNC services. The CPUC described its decade-long regulatory role, including safety rules, background checks, insurance requirements, reporting obligations, and two major legislative programs from 2018: the Clean Miles Standard and the Access for All program. Members asked about complaint trends, data collection and disclosure, program implementation, and how the CPUC uses annual reports for policymaking, compliance, and program oversight. Uber and Lyft said the statewide framework has supported growth while providing safety and access benefits, but both companies emphasized that insurance is a major cost driver and argued that California’s UM/UIM requirement is unusually high compared with other vehicles. They said the Clean Miles Standard is pushing electrification but faces headwinds from EV affordability and charging infrastructure, while Access for All has expanded wheelchair-accessible service but still needs continued support. They also discussed transit partnerships, wildfire response, and the potential role of autonomous vehicles, with both companies saying human drivers will remain important and that future regulation should account for new technology. The final panel, including the San Francisco County Transportation Authority and UC Berkeley researchers, presented evidence that TNCs have increased congestion and reduced transit ridership, especially in dense urban areas. They described prior research showing TNCs contributed to congestion growth in San Francisco and noted that this work helped spur local taxes on ride-hailing trips to fund safety and transit improvements. The panel also discussed the CPUC’s evolving data-disclosure decisions, arguing that public access to TNC trip data is important for understanding transportation impacts and informing local policy.

Transcript Highlights:

• high quality examination, it has been. and vetted for concordance and has been proven both viable, valid
• I know how difficult it can be. to construct a valid test and it was important to me to thoroughly vet
• So do you currently have any evidence of predictive validity?
• So, you said there is no, I just want to be clear, you said there is no evidence of predictive validity
• Well, I think it would, the question I would ask is what do we mean by predictive validity?

Keywords: 1184, house, all

Transcript Highlights:

• guidelines. ...guidelines, and finally, a description of the issuer or the agent's oversight and validation
• That determination is made internally within DFPS and is not subject to third-party validation before
• Once a valid request is submitted, DFPS must hold a hearing within 60 days.
• This determination is made internally within DFPS and is not subject to third-party validation before
• the opportunity to contest findings that may unjustly affect their lives. subject to third-party validation

Bills: SB397, SB481, SB596, SB760, SB855, SB1195, SB1196, SB1233, SB1257, SB1318, SB1368, SB1388, SB1398, SB1524, SB1558, SB1589, SB1677, SB1792, SB2034

Keywords: SB 397, telemedicine, telehealth, teledentistry, remote care, virtual care, consent documentation, patient consent, data collection, data sharing, audio-only telehealth, in-person examination, irreversible medical procedure, health professional regulation, Occupations Code, Texas Health and Human Services, medical records, provider compliance, data privacy, consumer rights

Transcript Highlights:

• checking a box in that general election return ballot that said, please keep my vote-by-mail request valid
• Request valid, then we could have continued to send them their vote-by-mail ballot for the special election
• whether or not the signatures that are coming in for a petition for a constitutional amendment are valid
• We scan it into their record, and that becomes the point of comparison for validation.
• last four, and their driver's license number on there, you can feel fairly confident that that's a valid

Summary: The committee heard a presentation from several county supervisors of elections and the Florida Supervisors of Elections Association on the 2024 election cycle and priorities for the 2025 session. They described very high turnout in the presidential election, major operational planning needs, and the heavy reliance on seasonal workers, list maintenance, ballot-on-demand systems, and secure chain-of-custody procedures. They also discussed the impact of recent legislative changes on voter-roll maintenance, including inactive voter removal, and said Florida’s election administration has improved to what they called a “platinum standard.” The supervisors outlined several legislative requests: allowing more than one non-government “wild card” early voting site to improve access and emergency flexibility; requiring newly naturalized citizens to update driver’s license information so voter records match DHSMV data; exempting home addresses of certain election workers and ballot transporters from public records to improve safety and recruitment; restoring a checkbox on vote-by-mail return envelopes so voters can stay on the vote-by-mail list for the next cycle; aligning base salaries for supervisors, property appraisers, and clerks with other constitutional officers; and reducing ballot length by removing precinct committee races from the ballot. They also said they expect a committee bill to carry some of these proposals. Members questioned the panel about ballot transport security, signature verification, vote-by-mail expiration, public records transparency, and the petition process for constitutional amendments. The supervisors said ballots are transported under detailed county plans with tamper-evident seals, chain-of-custody logs, trained workers, and in some cases two-person transport teams. On petitions, they said the process is labor-intensive and expensive, that fraud has occurred in some cases, and that they favor reforms such as requiring more personal identifying information and having initiative sponsors mail petitions to voters rather than making supervisors handle the mailing. They also said signature mismatches can be cured within 72 hours after Election Day and that voters are notified when possible. After the supervisors’ presentation, the committee also heard brief public testimony from Kathleen Griffiths, who urged adoption of commercial-style risk management standards in election systems and referenced several election-related bills her group supports.

Transcript Highlights:

• What we would like to see is that in-home training is more of a competency validation, going into the
• home and validating that these families, as you can see... ...validation, going into the home and validating
• But as a home health agency, we do understand the importance of validating that these parents are able

Summary: The subcommittee held its first meeting of the 2025-2026 term, took attendance, confirmed a quorum, and heard introductory remarks from members and staff. Chair Anderson outlined the subcommittee’s jurisdiction over access and affordability issues, including health facility regulation, insurance, Medicaid, CHIP, and state employee health coverage. The main agenda item was an update on implementation of HB 391, which created a family home health aide program for medically fragile children. Representative Tramont, the bill sponsor, explained that the law was intended to let trained family caregivers be paid through Medicaid to care for their children, reduce reliance on private duty nursing, and relieve families. He and several members expressed frustration that implementation had taken nearly two years and that families still faced barriers. Deputy Secretary Brian Meyer of AHCA and Bridget Royce of DCF said the program was implemented October 1, 2024, with billing available, but no home health agencies had yet launched the required 80-hour training program and no claims had been paid. They described the program’s requirements, including agency employment, background screening, training, a $25-per-hour Medicaid rate paid to the agency, and an annual assessment report. A major issue discussed was that income earned by family caregivers counts toward Medicaid eligibility and could cause families to lose coverage. AHCA and DCF outlined two possible fixes that would require CMS approval: disregarding the income for eligibility purposes or treating the child as a family of one. Members and public witnesses strongly urged changes to avoid forcing families to choose between income and coverage. Several providers said they had begun preparing training programs, but asked for clearer approval processes and more patient-specific training requirements. The committee then heard extensive public testimony from parents and caregivers of medically fragile children, who described the financial, emotional, and logistical strain of caring for children with severe disabilities and argued that the bill should be expanded to include Florida KidCare families and others in the coverage gap. They also raised concerns about the eight-hour-per-day limit, low pay, and the need for simpler rules and direct support. Home health providers and associations supported the concept but asked for modifications, including more targeted training and clearer implementation guidance. The meeting then shifted to a second agenda item on the Andrew John Anderson Rapid Whole Genome Sequencing Program, which was funded in the 2023 budget. Deputy Secretary Meyer said the program has been implemented since January 1, 2024, but utilization has been lower than expected, with only about 60 claims paid and many denials occurring through managed care. Public testimony from a lab, a hospital, and a pediatric rare disease expert said the program is clinically valuable and cost-saving, but managed care billing barriers, prior authorization issues, and DRG-related denials are limiting access; they urged direct billing to Medicaid and possible expansion to all newborns.

Transcript Highlights:

• Breckinridge County Fiscal Court, addressing the validity of Breckinridge County's ordinance imposing
• Fiscal Court, Breenidge County Fiscal Court, addressing<00:04:05.439> the<00:04:05.599> valid
• <00:04:06.159> validity<00:04:06.640> of addressing the valid validity of addressing
• the valid validity of Breenidge<00:04:07.360> County's<00:04:07.680> ordinance<00:04:08.159

Keywords: 958, all

Transcript Highlights:

• And with that, we can look at our autonomous control validation with digital twins and looking at the
• So your point is completely valid.
• If we're trying to... 25 years from now, so your point is completely valid.
• We have deep expertise with bench scale and research going to pilot scale validation of industry systems
• Enabling activities include validation of technical performance, techno-economic analysis to evaluate

Keywords: 908, all