Transcript Highlights:

• I've known Judge Carnaroli for probably a couple of decades, actually, since I started practicing law
• And I think he went on the bench as a magistrate judge shortly after I started practicing.
• And when I found the man in the women’s locker room, I assessed the situation, made sure that there were
• And when I found the man in the women’s locker room, I assessed the situation, made sure that there were
• What I do want is to live in a world where men can control themselves, practice restraint, and confront

Keywords: 989, all

Transcript Highlights:

• The committee reviewed several practical clarifications and revisions to the documents.
• And the recommended best practices are to document that behavior and provide that documentation to legislative
• You can see on the first page, about two-thirds of the way down, the workload funding assessment.
• And then a bill draft to expand the scope of practice for pharmacists relating to laboratory testing
• issue, but I know in rural areas our EMTs and our local volunteer departments like that have to put assessments

Keywords: 908, all

Summary: Legislative Management met with a quorum, approved the July 11, 2025 minutes, and then considered recommendations from the Legislative Procedures and Arrangements Committee. Beth Dittes explained proposed special session rule changes, which largely mirror prior special session rules and are intended to speed floor action. The changes would allow faster second readings and transmission between chambers, replace regular standing committees with two joint committees for the special session—Joint Appropriations and Joint Policy—and limit bill introduction methods. The package also included delayed-effective-date changes for the next regular session, such as moving the agency and Supreme Court prefile deadline earlier and advancing several resolution deadlines. Liz Fordall then reviewed revisions to the legislative workplace harassment policy, including clarified definitions, longer intake and review deadlines, an option for informal resolution before a review panel, and clearer disclosure rules. The committee adopted the report and forwarded the rules and policy changes. The committee also approved tentative first-day special session agendas for both chambers, with a Speaker-requested revision to allow time to swear in new House members. Megan Gordon outlined the schedule: early Rules Committee meetings, morning floor sessions, a joint session for the governor’s State of the State, then meetings of the joint appropriations and policy committees, with optional later floor and committee time. Members discussed how the joint committees would handle bills and confirmed the process would mirror the prior special session. The agendas were adopted. Chairman Bekkedahl then reported for the Rural Health Transformation Committee, which had completed its work and recommended five bill drafts for the special session: a Presidential Physical Fitness Test requirement for schools, a nutrition component for physician continuing education, joining a physician assistant licensure compact, expanding pharmacist scope for lab testing and prescribing, and a two-year appropriations bill to cover the program through the next regular session. He explained the federal rural health transformation grant, the state’s application, funding restrictions, and the need to keep the bills aligned with CMS requirements to avoid funding reductions or clawbacks. DHS officials said the department would measure outcomes through required metrics, use templates for awards, and set up an Office of Health Transformation to track long-term impacts. The committee adopted the rural health report and forwarded the bills. Finally, members discussed special-session logistics. Legislative staff said employment committees would approve a limited number of staff, Legislative Management would serve as the delayed-bills committee, and a letter would be sent to legislators explaining the process and a suggested Friday noon drafting deadline for bills to be considered at the January 20 meeting. The committee also discussed how many bills might be introduced and how to assign the rural health bills to the House or Senate for origin. No formal vote was taken on those logistics, and the meeting adjourned with plans to reconvene on January 20.

Transcript Highlights:

• made by the House, because the House added penalties for telemarketers under the deceptive trade practice
• supervision for felony fentanyl possession cases up to five years, while recognizing the board's practice
• During the biennium ending in August of 2029, specifically, Sunset will assess whether TDLR has sufficient
• It updated the criteria for for assessing civil and administrative penalties against chemical dependency
• A hearing instrument should, whenever practicable, be conducted by an ear specialist.

Bills: SJR27, SB7, SB27, SB57, SB66, SB140, SB293, SB413, SB437, SB467, SB506, SB510, SB512, SB571, SB710, SB785, SB800, SB850, SB863, SB865, SB904, SB905, SB973, SB974, SB1191, SB1281, SB1300, SB1362, SB1494, SB1504, SB1522, SB1567, SB1579, SB1580, SB1723, SB1760, SB1838, SB1923, SB1946, SB1957, SB1964, SB2121, SB2167, SB2221, SB2321, SB2368, SB2373, SB2407, SB2431, SB2477, SB2587, SB2615, SB2807, SB2965, SB2986, SB3039, SB3047, SB3070, SB1, SB8, SB12, SB13, SB15, SB17, SB21, SB30, SB37, SB260, SB268, SB331, SB379, SB441, SB447, SB457, SB509, SB568, SB650, SB763, SB1198, SB1405, SB1506, SB1540, SB1566, SB1610, SB1637, SB1660, SB1833, SB2018, SB2024, SB2155, SB2217, SB2308, SB2337, SB2601, SB2753, SB2778, SB2878, SB2900, SB2972, SB3059, HB4, HB145, HB300, HB493, HB2011, HB2067, HB2516, HB2525, HB2885, HB2974, HB3071, HB3372, HB3556, HB3595, HB5138, HB5246, HB40, HB46, HB119, HB705, HB1545, HB2017, HB2963, HB3642, HB3909, SJR36, SJR50, SJR63, SCR12, SCR39, SB2023, SB62, SB666, SB847, SB284, SB854, SB810, SB1505, SB583, SB507, SB1434, SB1772, SB2016, SB1122, SB731, SB397, SB508, SB1436, SB287, SB1882, SB393, SB1791, SB209, SB2429, SB1085, SB1975, SB2717, SB1262, SB636, SB2056, SB884, SB1200, SB1845, SB2458, SB801, SB3014, SB3013, SB758, SB2797, SB2076, SB2876, SB1640, SB1449, SB1181, SB1234, SB2926, SB2841, SB1528, SB1854, SB317, SB1250, SB2082, SB1237, SB2819, SB629, SB2608, SB1602, SB2009, SB867, SB640, SB1698, SB2680, SB913, SB1071, SB1086, SB1087, SB1483, SB1444, SB1553, SB1556, SB1703, SB2133, SB2297, SB2298, SB2622, SB2955, SB2334, SB1367, SB2044, SB2363, SB2565, SB1888, SB3036, SB3057, SB3043, SB3063, SB3035, SB203, SB2688, SB2522, SB2459, SB2655, SB2251, SB1884, SB2928, SB2566, SB2549, SB2553, SB2919, SB1944, SB1232, SB1798, SB2603, SB2607, SB2683, SB1319, SB3045, SB3071, HB796, HB1523, HB5294, HB748, HB3395, HB180, HB3171, HB146, HB5596, HB5694, HB1135, HB3225, HB186, HB1449, HB3793, HB112, HB104, HB3336, HB3520, HB3320, HB5663, HB2399, HB111, HB3483, HB4580, HB3748, HB632, HB4730, HB5690, HB5689, HB3385, HB4359, HB5381, HB123, HB5606, HB1057, HB3664, HCR141, HCR40, HCR59, SR695, SCR54, HCR153, HCR166, HCR168, SJR27, SB7, SB57, SB66, SB140, SB293, SB413, SB437, SB467, SB506, SB510, SB512, SB571, SB710, SB785, SB800, SB850, SB863, SB865, SB904, SB905, SB973, SB974, SB1191, SB1281, SB1300, SB1362, SB1504, SB1522, SB1567, SB1579, SB1580, SB1723, SB1760, SB1838, SB1923, SB1946, SB1957, SB1964, SB2167, SB2221, SB2321, SB2368, SB2407, SB2477, SB2587, SB2615, SB2807, SB2965, SB2986, SB3039, SB3047, SB3070, HB40, HB119, HB705, HB1545, HB2017, HB2963, HB3642, HB3909, SB17, SB21, SB509, SB1198, SB1506, SB1833, SB2155, SB2601, SB2778, HB300, HB2011

Keywords: judicial conduct, state commission, judicial misconduct, commission membership, constitutional amendment, water infrastructure, financial assistance, Texas Water Development Board, water supply, environmental sustainability, school safety, emergency operations plan, multihazard plan, mandatory drill, disaster preparedness, emergency response, students with disabilities, impairments, special education, Section 504

Transcript Highlights:

• will require licensed RCFEs to calculate and disclose their daily staffing levels and industry best practice
• families oftentimes have no reliable information as to the levels in their facilities, which makes assessing
• The staff testimonies under oath revealed that the facility could not maintain basic care practices.
• There was no time for creating care plans, conducting assessments, completing trainings, or keeping logs
• This brain trust working group must develop recommendations and report back best practices on how to

Summary: The Assembly Aging and Long-Term Care Committee met on April 22, established a quorum, and adopted its 2023-24 committee rules. The hearing then considered five bills focused on aging, long-term care, immigrant seniors, nutrition, and emergency preparedness. AB 450 would create a task force to study the needs of undocumented Californians age 55 and older; supporters from CHIRLA and other advocates described barriers to housing, health care, retirement, and digital access, while members raised questions about eligibility and process. The bill was approved on a due pass motion and re-referred to the Committee on Human Services. AB 508 would require residential care facilities for the elderly to disclose staffing information upon request at admission and when rates increase. The author and supporters argued that staffing levels are closely tied to quality of care and that families need transparency to make informed choices; a witness described her father’s death in an understaffed facility. Assisted living industry representatives opposed the bill as burdensome but said they were continuing discussions with the author. The committee adopted amendments and passed the bill to Appropriations. AB 1476 would allow senior congregate meal programs to continue offering to-go meals, a practice expanded during the pandemic. Supporters said the option improved access for homebound and food-insecure seniors and helped bring people into senior centers; there was no opposition, and the bill passed to Appropriations. AB 1068 would create a working group on evacuation and sheltering needs for older adults and people with disabilities in long-term care during disasters, and AB 1069 would ensure area agencies on aging and aging/disability resource programs have access to emergency shelters to provide services. Both measures drew broad support from aging, disability, and advocacy groups, with testimony citing recent fires and evacuations, and both were approved and re-referred to the Committee on Emergency Management. The committee also left rolls open for additional members to add votes before adjournment.

Transcript Highlights:

• Technology, science, and best practices are essential to mitigate such safety risks and to develop sensible
• It's being championed and assessed by the United Nations and various NGOs, but to me...
• A desire that's been around for decades but is only now becoming practical.
• Chairman Darby's HB 2847 from the 88th session that created the Hydrogen Council and was passed practically
• components to include PFAs and norm, and characterizing this effluent in the soil conditions frequently to assess

Bills: HB1647, HB2612, HB3125, HB3158, HB3240, HB3506, HB3516, HB3707

Keywords: carbon sequestration, environmental policy, Texas, energy, climate change, regulatory council, geothermal energy, workforce development, education and training, energy industry, apprenticeship, energy production, energy policy, renewable energy, state council, administrative law, public information, transparency, government accountability, judicial process

Transcript Highlights:

• The standards appear to be similar to current best practices that are already recommended by USPS, which
• Best practices that are already recommended by USPS include the use of intelligent mail barcodes for
• So that is best practice and standard practice in many places.
• That's a nonprofit, essentially sharing security best practices and security information.
• How can we better assess those requests as they're coming in?

Keywords: 904, all

Transcript Highlights:

• They are expected to de-escalate, assess risk, and protect the public often when law enforcement arrives
• In other words, we're practicing occupational segregation when we aren't looking at what are the actual
• Last year, I authored SB 579, which would have created a working group to assess the ways in which AI
• is used in mental health treatment and to establish a set of best practices.
• Practicing therapy without a license is already illegal.

Summary: The Assembly Business and Professions Committee heard several Senate bills, with most of the discussion focused on worker training, public safety, and consumer protection. SB 1203 by Senator Smallwood-Cuevas would expand training and de-escalation requirements for private security officers. Supporters, including security workers and labor groups, said the bill would better prepare officers who often respond first to mental health crises and violent incidents. Opponents, including security industry representatives and business groups, argued it would impose major costs, create training bottlenecks, and could reduce licensed security coverage. The committee ultimately voted the bill out on a due pass recommendation to Labor and Employment, with some members noting future amendments to address training capacity and employer-provided training. The committee also approved SB 936 by Senator Blakespear, which would restrict retail sales of nitrous oxide canisters larger than 8 grams while preserving legitimate medical, dental, culinary, and automotive uses. Support came from county officials, public health groups, waste management organizations, law enforcement, and local governments, who described rising misuse, impaired driving, and recycling hazards. No opposition testimony was presented, and the bill passed to Public Safety. SB 1271 by Senator Reyes, aimed at strengthening California’s midwifery training pipeline by requiring data collection on licensed midwife preceptor capacity, also passed unanimously to Health. Supporters said the bill would help address shortages in rural birth care and improve access to training for aspiring midwives. SB 903 by Senator Padilla, which would place guardrails on the use of AI in mental health and psychotherapy settings and prohibit AI from being marketed as a therapist, drew emotional testimony from a mother whose son died by suicide after extensive chatbot interactions. Health and behavioral health groups supported the measure, while several industry and health organizations were opposed unless amended; the committee nevertheless sent it to Privacy and Consumer Protection on a unanimous vote. The committee also approved SB 1165 on consent and then adjourned.

Transcript Highlights:

• And it won't taste good if they don't do those sanitary practices.
• There's several organizations that publish, like, best practice guidelines, like the Weston A.
• There's several organizations that publish, like, best practice guidelines... Thank you, Mr.
• Or how does that practice all work?
• So assessments and certifications become a major portion of what we're talking about.

Summary: The committee first approved the minutes from its October 27 meeting and then heard testimony from Clinton Ballard of Milk and Honey Hill Farm about the impact of Act 698 on raw dairy producers. Ballard said the law allowed his farm to expand from one cow to 12, serve about 150 families, increase sales by roughly $50,000, and sell about $10,000 in raw cheese and other products through retail outlets. He argued the law improved farm income, food security, and local supply, and he asked for an optional state inspection/certification path for raw milk producers so they could access USDA grants and other opportunities available to licensed dairies. Committee members asked about herd management, safety practices, bee production, market channels, and whether such certification should remain voluntary; Ballard said he follows Grade A-style sanitation, chills milk quickly, removes sick cows from production, and supports optional training or inspection but not mandatory regulation. Members also raised food safety concerns, especially for children and pregnant women, and Ballard responded that raw milk producers rely on cleanliness, rapid cooling, consumer feedback, and truth in labeling. He said the health department currently inspects commercial dairies but not raw milk producers who do not sell through a cooperative, and he believed state inspection would help producers distinguish themselves and qualify for funding without changing interstate rules. Several members discussed the balance between consumer choice, safety, and possible “mission creep” if the state created a certification system. The committee then heard a lengthy presentation from Terence Bolden of TLB Enterprises on hydroponic and container farming as a response to food insecurity and food deserts. Bolden described a three-year workforce and career-technical program built around retrofitted shipping containers, drones, robotics, agribusiness, and AI, with partnerships involving schools, universities, Farm Bureau, UAPB, the Little Rock School District, and other entities. He said the model could create year-round local food production, support school cafeterias and community markets, and generate jobs and economic impact, estimating at least four jobs per container and potentially significant regional economic benefits. Members asked about costs, target communities, energy needs, crop types, and implementation timelines; Bolden said the first containers for school sites could be in place by late summer or early fall, with pilot projects already underway in Arkansas and Orlando. The meeting adjourned after no further business.

Transcript Highlights:

• I speak on behalf of the bill for some really practical reasons.
• My question is more along the lines of the practical implementation.
• I have a question around current practice, current law.
• And I would have to agree with the assessment that if there is—thank you. Children.
• I can remember helping in— Having that meditation and mindfulness practices.

Keywords: 989, all

Transcript Highlights:

• I am told that the current practice is a county party that is clever and on the mark will nominate without
• As soon as practicable, these agencies must begin partnering with WOTEC to move toward a one-front-door
• She urged a yes vote on House Bill 2572, saying it codifies practices that county auditors are already
• It's practically a technical amendment. Thank you, Madam Chair. We're also yes on the amendment.
• It's practically a technical amendment, but it includes something that clearly was meant to be there

Bills: HB2356, HB2574, HB2572, HB2460, HJR4212, HB2631, HB2333, HB2462, HB2419, HB2176, HB2491

Keywords: homicide, public records, transparency, law enforcement, victim rights, election, ballot, candidates, deceased, voting law, voting access, military voters, overseas voters, Native American voters, disabled voters, election reform, accessibility, ballot measures, vacancies, elected offices

Transcript Highlights:

• At the same time, poor land management practices, failure to implement basic mitigation strategies, misguided
• What's not working, and how we can move forward with practical, effective solutions.
• Because as we failed to practice resilience, we needed insurers to raise prices, to send signals that
• for forestry management, for tributary clearing within environmental norms, whatever a best practice
• Beyond administration of the program, private insurers also handle claims processing. risk assessment

Keywords: homeowners insurance, natural disasters, insurance costs, climate change, disaster preparedness, federal policies, bipartisan solutions

Summary: The meeting reviewed critical issues surrounding the rising costs and accessibility of homeowners insurance across the United States, particularly in light of increasing natural disasters linked to climate change. Members engaged in extensive discussions regarding the implications for families and the economy, citing significant increases in premiums and decreasing availability of policies in high-risk areas. Supervisor Peysko highlighted the direct impact of federal policies on local communities, emphasizing the growing burden on homeowners as they face skyrocketing insurance costs amidst a backdrop of environmental challenges and regulatory constraints. The committee expressed a unified call to action for bipartisan solutions, focusing on improving building codes and enhancing disaster preparedness measures.

Transcript Highlights:

• Representative, I have a really practical question of how it would apply.
• The Dust Bowl was in large part because of bad agricultural practices.
• It was in large part because of bad agricultural practices, where we just wiped off the topsoil and then
• Can you explain to me what sporting traditional or cultural practices are?
• and cultural practices are? Mr.

Transcript Highlights:

• mentioned one of these technologies that's being worked on that's referred to as bioluminescent assessment
• .the Florida public hurricane loss model, which gives the State of Florida an independent way of assessing
• their pedagogy, that includes their content knowledge, because that in turn changes their classroom practice
• You can also think about the practices that are engaged in at home, the practices of adults that are
• You can also think about the practices that are engaged on at home, the practices of adults that are

Summary: The Education Postsecondary Committee held its first meeting and focused on state university centers and institutes, with an overview from the Board of Governors on how the more than 500 centers and institutes across Florida’s public universities are categorized, overseen, and reported. The Board described three categories: state-level centers, legislatively established centers, and university-established centers. Members were told universities must maintain policies, notify the Board of changes, publish public inventories, and submit annual reports and compliance certifications. Senator Harrell asked about funding sources and whether underperforming centers are reviewed for elimination; the response was that funding varies by center and that universities decide whether to maintain or disband centers under their own policies, with annual reporting and audit findings shared with the Board. Four university presentations followed. Florida Atlantic University highlighted its Center of Excellence in Biomedical and Marine Biotechnology, describing research in marine-derived drug discovery, genomics, imaging, cancer, neurodegenerative disease, and ocean sustainability, along with spin-off institutes and partnerships that have generated significant grant and contract support. FIU presented its Center of Excellence for Hurricane Damage Mitigation and Product Development, emphasizing the Wall of Wind facility, hurricane and water intrusion testing, code and product innovation, insurance modeling, and future expansion toward higher wind speeds and flood simulation. Florida State University’s High-Performance Materials Institute described work in advanced materials, aerospace composites, sensors, nanocomposites, and AI-enabled materials development, along with patents, industry partnerships, and new facilities tied to economic development. The University of Florida’s Lastinger Center for Learning outlined its work on teacher professional learning, literacy, New Worlds Reading, tutoring, and mathematics supports, including microcredentials, statewide book distribution, and early results showing improved reading confidence and growth. Members generally praised the centers for their research, commercialization, workforce development, and education impacts. Senator Jones and Senator Harrell commended the Lastinger Center’s literacy work and the broader return on investment from these programs, while Senator Berman noted the value of the synergies across institutions. The chair emphasized that future funding requests should clearly show measurable success, commercialization, and statewide impact. The committee then adjourned without any formal votes on legislation.

Transcript Highlights:

• Thirty years ago, I made an assessment.
• . assessment. assessment.
• When I started practicing law 43 plans.
• It would be assessed to the calculated.
• Uh but some uh exceptions are practices.

Keywords: 1187, senate, all

Transcript Highlights:

• That was 37 facilities that we assessed at that time.
• Uh, we had an outside architect do this assessment.
• Uh, we had an outside architect do this assessment.
• Uh, we had an outside architect do this assessment.
• If you'all have any questions, a structural assessment that was done of a structural assessment that

Keywords: 958, all

Summary: The Interim Joint Budget Review Subcommittee on Justice and Judiciary met without a quorum and heard an update from the Administrative Office of the Courts on the judicial branch budget. AOC Director Zach Ramsey and budget director Carol Henderson outlined the branch’s current funding structure, noting that fiscal year 2026 general fund support is about 2.77% of the state general fund, below the National Center for State Courts’ typical 2% to 4% range. They emphasized Kentucky’s unusual responsibility for courthouse facilities, with the judicial branch directly involved in construction, maintenance, and operations across 229 facilities in all 120 counties. AOC said nearly 91% of its general fund is spent on personnel and other non-discretionary costs, and that the branch has long relied on agency revenue, restricted fund carryforwards, and vacancy credits to balance court operations. Members were told that Senate Bill 25 required a $34.5 million transfer into a reserve account, part of which was used to purchase the Chamberlain Avenue building in Frankfort. AOC reported that only $11.9 million remains in restricted funds, while it projects needing about $13.5 million to cover fiscal year 2026 obligations, not including roughly $9 million in flood-related remediation costs for Hardin and Franklin counties, much of which it expects to recover through insurance and FEMA. Looking ahead to the next biennium, AOC said it will seek full funding of court operations at $341 million annually, a $13.5 million increase to bring current services into the base appropriation rather than relying on reserves. It also previewed additional requests, including a 15% across-the-board pay parity plan for Kentucky Court of Justice personnel, replacement of declining master commissioner fee revenue tied to 141 deputy circuit court clerk positions, funding for technology subscription and case management system costs, JAV audiovisual system upgrades, AEDs and medical kits for courthouses, and other staffing and operational needs. Senator Funky Frommeyer asked whether the 15% salary proposal was included in the $13.5 million increase; AOC said it was not, and that it would be an additional request. No votes or formal actions were taken.

Transcript Highlights:

• This proposal is critical as we assess the state of Minnesota’s nursing facilities coming out of a pandemic
• This proposal is critical as we assess the state of Minnesota’s nursing facilities coming out of a pandemic
• This proposal is critical as we assess the state of Minnesota’s nursing facilities coming out of a pandemic
• This proposal is critical as we assess the state of Minnesota’s nursing facilities coming out of a pandemic
• I am a practical nurse at Southshore Care Center in Worthington.

Bills: HF500, HF718, HF1096, HF1246, HF1469

Keywords: nursing home, employment standards, worker rights, Minnesota Statutes, labor compensation, workforce development, job training, economic stability, low-income, career pathways, education funding, Summit Academy, employment, STEM programming, GED preparation, Neighborhood Development Center, NDC, small business, entrepreneurship, business training

Transcript Highlights:

• So if they had assets related to their practice, their business... ...assets.
• So if they had assets related to their practice, their business, other businesses that they, you know
• I love a good practical bill. So thank you for bringing this forward.
• But I do appreciate your practical approach to this issue.
• So I'm looking at the practical aspect of the actuarial review.

Keywords: 996, all

Transcript Highlights:

• So if they had assets related to their practice, their business... ...other businesses that they are
• Sponsor: That is a disputed assessment.
• I love a good practical bill. So thank you for bringing this forward.
• But I do appreciate your practical approach to this issue.
• So I'm looking at the practical aspect of the actuarial review.

Summary: The committee first took up HB 195, as amended by committee substitute, which would protect the personal assets of individual medical providers from medical malpractice judgments when they carry appropriate insurance or participate in the Patient Compensation Fund. The sponsor said the bill was intended to address providers’ fear of losing homes and other personal property, while opponents argued it could exempt a class of people from civil justice. Supporters said it was a reasonable compromise that preserved patient access to justice while helping recruit and retain providers. The committee adopted the substitute and advanced it on a do pass vote. The committee then heard HB 295, a revised version of the Accessibility Act, which would create a centralized office for accessibility reporting, technical assistance, and annual reporting on barriers in state buildings and websites. Supporters said the bill would improve coordination, data collection, and compliance with existing ADA requirements; opponents argued it duplicated existing law and would create another government office without enforcement power. Members debated whether the Governor’s Commission on Disability should handle the work instead, but the sponsors said the commission lacked capacity and the Department of Health was a better fit. The committee adopted the substitute and advanced it 8-1. Next, HB 296 proposed doubling the working families tax credit. The sponsor and supporters described it as an anti-poverty measure that would benefit more than 200,000 families and strengthen work incentives, while committee members asked about the fiscal impact, administration, and interaction with other tax credits. The bill was quickly advanced on a do pass vote. The committee then heard HB 338, which would extend the gross receipts tax deduction for health care providers through 2031 and add co-insurance payments. Health care advocates supported it, but city and municipal representatives warned it would reduce local revenue unless a full hold harmless was added. After extended discussion, the committee rejected a motion to table and instead advanced the bill 9-0 with no recommendation, with several members saying they would not support it on the floor unless local governments were made whole. Finally, the committee heard HB 259, which would create an optional actuarial review process for proposed health insurance legislation through the Legislative Finance Committee. Supporters said it would give lawmakers better data on premium, utilization, and spending impacts before voting on coverage mandates; opponents and some members raised concerns about cost, staffing, data access, and whether the process would be too limited to be useful. After discussion, the committee advanced the bill on a do pass vote. HB 279 was rolled at the sponsor’s request, and the committee adjourned after reminding members about the evening dinner.

Transcript Highlights:

• I think of the Russian River watershed as a place where there is a supply-demand assessment that we’ve
• How do we continue to ensure... ...to try to assess and understand what does the regime look like?
• Do the permittees have to reassess that water availability assessment?
• We heard of the standard permit being available based on the water availability assessment.
• Potentially, depending on who agrees to the water availability assessment there. I'm just going.

Keywords: 988, house, all

Transcript Highlights:

• It directed the agency to conduct an annual assessment of the new program, and it required the agency
• to submit a report of the annual assessment findings to the governor and legislature in 2025.
• The report of the annual assessment findings... ...services.
• In terms of the annual assessment report, the agency issued the assessment in October 2024, and responses
• The assessment was completed by 1,752 licensed home health agencies.

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.