Transcript Highlights:

• At present, coverage for Medicaid recipients. It coverage for Medicaid recipients.
• <01:15:34.320> I Medicaid coverage. Um but thank you. I Medicaid coverage.
• I see because the coverage has ended.
• And by moving 20 coverage in the past.
• Today, I ask you to support coverage.

Keywords: 958, all

Summary: The Medicaid Oversight Advisory Board met with a quorum, approved the November 12 minutes by voice vote, and then heard a presentation from former Governor Ernie Fletcher and Dave Johnson on Medicaid reimbursement for substance use disorder (SUD) treatment. Fletcher argued that addiction should be treated as a chronic disease requiring a longer continuum of care, not just short residential stays, and said recovery should combine clinical treatment with social supports such as housing, transportation, employment, peer coaching, and recovery housing. He cited data on overdose trends, low treatment rates, and high costs for people with SUD, and said current reimbursement models create poor incentives and do not adequately support long-term recovery or measure outcomes well. Fletcher proposed a “carve through” model administered at the MCO level with standardized metrics, data sharing, and an independent recovery coordinator that would assess patients, coordinate care, and connect them to clinical and social recovery services. He suggested using bundled payments, shared savings, and partial risk arrangements, with recovery housing reimbursed on a PMPM or weekly basis and funded in part through existing Medicaid spending and other sources such as opioid abatement funds. He also emphasized peer support, telemedicine, criminal justice coordination, workforce and education supports, and the use of technology, including text messaging and possibly AI, to maintain long-term follow-up and identify relapse risk. Members questioned how the model would work in practice, especially the education and staffing requirements for recovery coordinators, reimbursement levels, and how many patients each coordinator or peer would serve. Fletcher said peers could be certified and would need additional training in assessments such as ASAM and recovery residence standards, but he did not give a precise salary figure, saying the market and bundled rates would determine that. He also said follow-up should continue for years, noting relapse risk over the first 18 to 24 months and that meaningful employment and ongoing peer contact help sustain recovery. No formal vote or action was taken on the substance use presentation.

Bills: HB199, HB222, HB223, HB224, HB235, HB246, HB405, HB535, HB554, HB907, SCR3, SB43, SB52, SB54, SB113, SB168, SB219, SB222, SB270, SB311, SB359

Keywords: nursing facilities, moratorium, healthcare, patient care, data collection, Medicaid, dental coverage, healthcare access, medical necessity, Louisiana Department of Health, Department of Children and Family Services, sunset law, statutory entities, regulatory authority, re-creation, termination dates, child welfare, foster care, children's rights, legal guardianship

Transcript Highlights:

• Minnesota's state statute mandates that counties, cities, and tribal entities maintain emergency management

Bills: HF1354, HF1901, HF2124, HF2130, HF2260, HF2099, HF104, HF134, HF1769

Keywords: public safety, school safety, active shooter, active shooter drill, violence prevention, threat reporting, anonymous tip line, See It, Say It, Send It, Minnesota Fusion Center, Bureau of Criminal Apprehension, BCA, officer-involved death, missing person, endangered missing person, criminal background check, national background check, FBI fingerprint check, adult entertainment license, massage license, correctional facilities

Transcript Highlights:

• Minnesota statute mandates that counties, cities, and tribal entities maintain emergency management agencies

Bills: HF1354, HF1901, HF2124, HF2130, HF2260, HF2099, HF104, HF134, HF1769

Keywords: public safety, school safety, active shooter, active shooter drill, violence prevention, threat reporting, anonymous tip line, See It, Say It, Send It, Minnesota Fusion Center, Bureau of Criminal Apprehension, BCA, officer-involved death, missing person, endangered missing person, criminal background check, national background check, FBI fingerprint check, adult entertainment license, massage license, correctional facilities

Bills: HB186, HB185, HB184, HB183, HB181, HB312, HB405, HB182, HB460

Keywords: Alabama budget, general fund appropriations, fiscal year 2026, state budget, appropriations act, HB186, executive branch funding, legislative branch funding, judicial branch funding, debt service, capital outlay, corrections, Medicaid, public health, mental health, transportation, education, law enforcement, tourism, veterans affairs

Transcript Highlights:

• Contract transparency by requiring adjusters to clearly state the claims and coverages they're handling
• This action, I have to say, just to let you know, is mandated by law.
• The Fair Plan serves as the... ...is mandated by law.
• But this is why we engaged ag industry because the farmers were losing their coverage.
• Because the farmers were losing their coverage.

Summary: The committee first heard AB 597, a bill to strengthen consumer protections for disaster survivors who use public adjusters. The author and the Department of Insurance said the measure would cap public adjuster fees at 15% for claims tied to declared disasters, require clearer contracts, prohibit solicitation during emergency conditions, and allow consumers to rescind contracts that were solicited during prohibited periods. Insurance industry groups supported the bill, while public adjuster representatives opposed it as written but said they were willing to work on revisions. The committee approved the bill and re-referred it to Appropriations; the roll call was ultimately recorded as 16-0. The committee then held its fourth oversight hearing on the Department of Insurance’s Sustainable Insurance Strategy, with Commissioner Ricardo Lara giving an extensive update on wildfire-related market reforms and consumer protections. He said the recent Southern California wildfires had not derailed the strategy and described actions including advance claim payments, a one-year moratorium on residential non-renewals in affected areas, a new fraud strike team, smoke-damage claim guidance, additional living expense protections, and a consumer claims tracker. He reported more than $12.1 billion in claims paid, over 37,000 claims filed, and more than 7,000 survivors assisted directly. He also discussed related bills and reforms, including AB 597, SB 495, SB 547, SB 429, SB 616, AB 888, and AB 2026. Members questioned the commissioner about the Fair Plan’s growing exposure, the $1 billion assessment, rate increases, non-renewals, underinsurance, and whether the reforms would actually stabilize the market. Lara said the assessment was already approved, that policyholders would not be hit with one large bill because insurers have two years to recover costs, and that the department was pushing insurers to use catastrophe modeling and reinsurance tools in exchange for commitments to write more policies in wildfire-distressed areas. He said the department expects to see market stabilization by 2026, though he emphasized the timeline depends on insurer participation, implementation of the new regulations, and future disaster activity. Members generally expressed support for the goals of the strategy while pressing for clearer expectations for consumers and faster action on mitigation and market reform.

Transcript Highlights:

• program delivers comprehensive coverage through preferred provider organizations, also known as PPO,
• Our dental program offers out-of-state coverage, just like our health plans.
• We have approximately 450 individuals enrolled and using out-of-state coverage.
• MetLife will offer two plans moving forward that will have out-of-state coverage as well.
• Of the dentist, my dentist has always said, wow, you have really good coverage, until this year when

Summary: The Joint Legislative Audit Committee met to hear new audit requests and receive a status update from the State Auditor. The auditor reported 10 JALAC audits in progress, noted that all 2025-approved audits are underway, said the first 2026 audit is focused on DMV license revocations, and described several statutory and high-risk audits already in progress. The committee also approved a consent calendar of four audit requests: UC library resources, law enforcement information sharing, EDD unemployment insurance claims, and Housing and Community Development housing development monitoring. The committee then considered Assembly Member DeMaio’s audit request on SANDAG road project management. DeMaio argued the audit was needed to examine whether transportation funds, including voter-approved and restricted revenues, were used for allowable purposes and whether past management failures warranted outside review. SANDAG’s CEO and CFO said the agency already undergoes extensive oversight and audits, that funds are tracked by multiple “colors of money,” and that internal controls have improved. Several members questioned whether the issues were already addressed in public records or existing audits, and the request failed on a roll call vote. Next, Senator Valadares presented an audit of the Board of State and Community Corrections’ Proposition 47 grant administration, arguing that more transparency is needed on outcomes, recidivism data, and oversight of grantees. The BSCC said it already has oversight mechanisms, that the State Controller conducts biennial audits, and that program data shows positive outcomes. The committee approved the audit unanimously. Senator Cortese then presented an audit of CalHR’s dental benefits procurement and Delta Dental contract, citing long-standing benefit caps, provider network concerns, and retiree out-of-pocket costs. CalHR said its network remains strong, that it recently completed an RFP adding MetLife as a second carrier starting in 2027, and that contracts include performance guarantees. Members from both parties expressed concern about access and competition, and the audit was approved unanimously. The committee then completed add-on votes on the consent calendar and adjourned.

Transcript Highlights:

• with some share of the cost of that coverage borne by an individual.
• I.e., if a person is paying something before the full coverage is available, with no restraints, they
• To be clear, Senate Bill 17 is not a coverage mandate and does not require insurance companies to cover
• <01:55:01.719> require coverage mandate and does not require coverage mandate and does not
• We don't have a problem with extending it to a full coverage year.

Keywords: 1191, senate, all

Transcript Highlights:

• They're stuck in the coverage gap.
• In H.R. 1, that bill specifically mandate.
• Yesterday marked 30 years of their gavel-to-gavel coverage of our Florida Legislature.
• Next, it repeals the sunset of the mRNA mandate prohibition.
• annual reporting on orthotics and prosthetics coverage and payments.

Summary: The Senate convened with a quorum, opened with prayer and the Pledge of Allegiance, and recognized several introductions and memorials, including a resolution designating August 9, 2026, as Bob Graham Day and a moment of silence for firefighter Roger Timmy Miley. The chamber then moved through a long special-order calendar, with several bills substituted with House companions and adopted by voice vote or recorded vote. Early measures included a tax conformity bill tied to federal Internal Revenue Code changes, which passed 34-0, and a Medicaid/public assistance bill that drew extensive debate over work requirements, fraud reduction, behavioral health services, and SNAP/EBT reforms. Amendments offered by Senators Berman and Osgood to condition or soften the work and photo-ID provisions were rejected, and the underlying bill was placed on the third-reading calendar after lengthy questioning about implementation, exemptions, and eligibility effects. The Senate also passed bills on computer science education and AI instruction, a Parkinson’s disease registry public-records exemption and registry update, designation of the SS American Victory as Florida’s official state flagship, electronic payments for local governments, repeal of the legal-tender sunset for gold and silver, public-records protections for gold/silver custodians and stablecoin-related entities, a Florida stablecoin pilot program, and local government budget transparency/spending measures. Most of these measures were adopted after minor amendments or technical substitutions, with votes generally ranging from 31-3 to 34-0. The chamber also recognized the Florida Channel’s 30 years of legislative coverage. Later, the Senate approved a digital voyeurism bill expanding the reasonable-expectation-of-privacy definition to include private fenced yards, and an insurance customer representative licensing bill allowing high school students to complete insurance/personal finance coursework and later qualify for licensure. The final major item was a medical freedom bill that would expand parental vaccine information requirements, add a conscience-based exemption to immunization mandates, allow behind-the-counter ivermectin for adults, and repeal the sunset on the mRNA mandate prohibition; two amendments clarifying anti-kickback rules and requiring vaccine information to include risks, benefits, safety, and efficacy were adopted, while questions from Senators Smith and Massullo focused on public-health impacts and the content of the required materials. The transcript ends during discussion of that bill, with no final vote shown in the excerpt.

Transcript Highlights:

• , who previously did not have coverage.
• departments as mandated by AB 102.
• The local public authorities have legally mandated functions.
• Regions with no to little coverage.
• Empowered Aging is a state-mandated ombudsman program for three Bay Area counties.

Summary: The joint Assembly Budget Subcommittee hearing focused first on long-term services and supports for older adults, especially the “forgotten/overlooked middle” who earn too much for Medi-Cal but cannot afford private long-term care. Administration witnesses from DHCS, the Department of Aging, and Social Services described Medicare’s limited long-term care coverage, Medi-Cal’s role, the elimination of the Medi-Cal asset test, and ongoing state studies and listening sessions on financing options. Testimony from advocates and researchers emphasized rising homelessness among older adults, the need for better navigation and coordination across health, aging, housing, and social service systems, and short-term policy steps such as share-of-cost reform, housing stability supports, and protecting home- and community-based services. Members highlighted the need for a coordinated, no-wrong-door approach and asked for the most impactful budget investments to address affordability and homelessness risk. The second major topic was the Community-Based Adult Services (CBAS) program. CDA reported that CBAS helps participants remain in the community, that 304 centers operate statewide serving about 42,000 people, and that demand is stable but access gaps remain in some regions. DHCS explained that a 2024 rate increase authorized by SB 159 became inoperative after Proposition 35, and that a separate 10% rate change on the fee schedule was the result of a DHCS system error; the department said it would not require recoupment, though managed care plans may act under their contracts. CBAS providers and advocates warned that reimbursement rates have not kept pace with costs, that several centers have closed, and that clawbacks could trigger more closures. They requested $74.8 million ongoing General Fund to close part of the rate gap and preserve the program, while members expressed concern about closures and the cost savings of keeping people out of more expensive institutional care. The hearing then moved to In-Home Supportive Services (IHSS) and statewide collective bargaining. CDSS reviewed provider recruitment and retention efforts, including electronic timesheets, direct deposit, and the now-completed IHSS Career Pathways program, which trained more than 59,000 providers. CDSS also summarized its AB 102 workgroup report on statewide versus regional bargaining, saying the final report would be sent to the Legislature soon and that statewide bargaining appeared more viable than regional bargaining, though it would require clear statutory scope and major fiscal changes. The department estimated that each $1 per hour statewide wage increase would cost at least $1.3 billion to $1.5 billion annually. Labor advocates argued that IHSS wages, benefits, and training are too inconsistent across counties and called for statewide bargaining, consumer participation, and ongoing state funding. County representatives supported stronger wages but cautioned that counties need protection from new costs and administrative burdens, and consumer advocates warned that moving bargaining to the state could weaken local consumer control and the program’s consumer-driven structure.

Transcript Highlights:

• Uh, we've been very fortunate with General Assembly support to be uh provided some extra premium coverage
• uh the additional coverage. uh the additional coverage.
• Chairman, if there would be consideration, is to increase the line item of this mandated program.
• increase the line item of this mandated increase the line item of this mandated program.<00:13:40.160
• Chairman, that is a little bit about our Craft mandated program.

Keywords: 958, all

Summary: The House Budget Review Subcommittee on Postsecondary Education met to hear from Morehead State University President Jay Morgan, who outlined the university’s budget and capital priorities. He described Morehead as a Kentucky-serving, largely low-income student institution with an aging campus, and said the university’s long-term plan is to renovate existing facilities, decommission older buildings, and replace outdated space with more efficient construction. He thanked the General Assembly for prior support, especially asset preservation funding, fire and tornado insurance premium support, and a prior university inflationary adjustment. On the operating side, Morgan asked that insurance premium support continue, that the earlier inflationary adjustment roll forward, and that the Kentucky Council on Postsecondary Education’s request for a minimum distribution in the performance funding formula be supported. He noted Morehead has received little or no performance funding in recent years and said that if no additional formula funds are added, the university would prefer a line-item appropriation. On the capital side, he requested continued asset preservation funding and outlined several construction priorities: a new applied science building, a new agriculture science building, a new space science technology building, and a cost-share replacement for the aging Maze Hall residence hall, with the state covering $10 million of a $20 million project and Morehead matching the rest. Morgan also discussed the Craft Academy, saying the current appropriation supports 200 students and that the university would like to increase the line item to expand enrollment by about 20 students. In response to questions from Chairman Tipton, he said Morehead had previously explored but ultimately rejected a public-private partnership model for housing, preferring to own and control its residence halls to keep housing costs manageable for students. He also explained that the land surveying courses in the applied science proposal are a popular part of related programs and that Morehead’s space science program is a major research-and-contracts-driven operation with about 250 students, federal and private research ties, and graduates working both in Kentucky and elsewhere. The committee then approved the prior meeting minutes and discussed that upcoming postsecondary budget meetings would continue over the next several weeks to gather input on the new budget process.

Transcript Highlights:

• and the quality of that coverage.
• and the quality of that coverage.
• Because when I realized that my health care coverage was...
• She suffered lapses in coverage when he did too much overtime.
• After a final lapse in coverage, Her health deteriorated irreversibly.

Keywords: 995, all

Summary: The Joint Committee on Health Care Financing held a public hearing on 16 bills, with the chairs noting a busy legislative day and asking speakers to keep testimony brief. The committee first heard testimony on Senate 860/House 1405, the Medicare for All bill, with Sen. Jamie Eldridge and many advocates, clinicians, municipal officials, and patients arguing that a single-payer system would make care a right, reduce administrative waste, lower costs, and protect residents from rising premiums, medical debt, and hospital closures. Several speakers cited the Steward hospital crisis, affordability problems, and polling or ballot questions showing public support for single-payer coverage. No vote was taken during the hearing. The committee then took testimony on S. 863, a bill on non-opioid options for chronic pain. Pain specialists, patients, and advocates said the bill would improve care coordination for MassHealth members, expand access to non-opioid medications, require provider education, and collect data on chronic pain. Testifiers described long delays in diagnosis and treatment, stigma toward pain patients, and the need for multidisciplinary care and transportation support. Again, the committee heard testimony only and took no action. A large portion of the hearing focused on H. 1360/S. 869, which would prevent discrimination against people with disabilities in health care. Disability advocates, clinicians, and patients described being denied or delayed care, pressured into DNR orders, or treated based on assumptions about quality of life rather than medical facts. Speakers referenced COVID-era crisis standards of care, discriminatory metrics, and personal stories involving canceled procedures, inadequate accommodations, and poor treatment in hospitals. Committee members thanked speakers for their testimony and said they would review the bill and its implications, but no vote was announced. The committee also heard testimony on H. 1399, an individual Medicare marketplace option for municipal retirees, where supporters said it would give cities and towns a lower-cost alternative for retiree health benefits through HRAs and individual Medicare plans. The hearing then returned to Medicare for All testimony, with additional supporters repeating arguments about cost, access, municipal budget pressure, and the need for global budgeting and universal coverage. The transcript ends with continued testimony and no recorded committee vote or final action on any bill.

Transcript Highlights:

• 219 has come about because I started last session hearing reports about there being gaps in our coverage
• being<00:03:04.239> gaps<00:03:04.560> in<00:03:04.720> our<00:03:05.040> coverage
• The response was that this is a volunteer program; they are not mandated to do it, but if they want to
• <00:13:50.839> to<00:13:51.000> do<00:13:51.199> it program they're not mandated
• to do it program they're not mandated to do it but<00:13:51.680> they<00:13:51.800> if

Keywords: 00:00 Call to Order/Roll Call 01:23 Discussion of 25RS HB 219 06:40 Roll Call Vote on 25RS HB 219 07:44 Discussion of 25RS HCR 20 09:36 Roll Call Vote on 25RS HCR 20 10:58 Discussion of 25RS HB 303 17:02 Roll Call Vote on 25RS HB 303 18:38 Consideration of Referred Administrative Regulations 21:46 Adjournment, 958, all

Summary: The House Standing Committee on Health Services met with a quorum and first considered House Bill 219, sponsored by Representative Rebecca Raymer. The bill requires emergency services to provide mandatory training for emergency medical staff on sexual assault emergency response requirements, with the training developed in collaboration with the Sexual Assault Response Team advisory committee. Testimony from Jenna Cassidy of the Kentucky Association of Sexual Assault Programs and WN Stevens of Children’s Advocacy Centers of Kentucky explained that the training would help emergency department staff properly respond to sexual assault patients, preserve evidence, and connect patients to needed resources; the committee also clarified that the bill is training-focused and not a certification requirement. HB 219 received favorable expression and was reported to the House floor. The committee then heard House Concurrent Resolution 20, also from Representative Raymer, which directs the Legislative Research Commission to study gaps in sexual assault nurse examiner coverage, why those gaps exist, and what hospitals do when no SANE nurse is available. Raymer said the study was intended to gather data for future legislation, and members noted the importance of documenting current practices and supporting efforts to expand SANE coverage. The resolution was adopted with 16 favorable votes and recommended for passage on the House floor. Next, the committee took up House Bill 303, sponsored by Representative Steve Bratcher, which creates a pathway for military medical personnel to translate their training into civilian Kentucky credentials through colleges and universities. The committee substitute broadened participation beyond KCTCS to any Kentucky institution with accredited programs, and Bratcher explained that schools would evaluate military experience, award applicable credit, identify gaps, and still require the relevant licensure exam. Members asked about university participation, credentialing standards, and how prior military radiology training would transfer; Bratcher said the program is voluntary for institutions and works with existing SkillBridge and veterans’ programs. HB 303, as amended by committee substitute, passed unanimously and was recommended for passage. At the end of the meeting, the committee briefly reviewed administrative regulations. Representative Fleming asked about a behavioral regulation that had previously been found sufficient, and staff indicated it had been deferred, later found deficient again in the Senate Health Services Committee, and may be addressed through Senate Bill 65. The chair then allowed members to record additional votes before adjourning and announced the next Health Services meeting would be February 20 at noon in Room 149.

Transcript Highlights:

• So we talked a little bit about this being, you know, clinical coverage or clinical therapy.
• Is there a reason why you guys don't try to access insurance coverage for this?
• when you need it um quite right coverage when you need it um quite often often often uh<00:17:59.880
• <00:18:35.679> for<00:18:36.039> this access uh insurance coverage for this access
• <00:21:32.640> to sponsor 501c3 who would had a mandate to sponsor 501c3 who would had a mandate

Keywords: 1183, house

Transcript Highlights:

• Assembly Bill 1906 by Assembly Member Aguiar-Curry and act relating to health care coverage.
• Assembly Bill 1906 by Assembly Member Aguiar-Curry and relating to health care coverage.
• No one should have to wait to access coverage during such a critical time.
• Before we vote on new energy mandates, let's make sure that we have the facts.
• Insurance coverage is important because, for housing projects, each component is expected to have coverage

Summary: The Assembly met on May 7, 2026, after an initial delay caused by the absence of a quorum, then proceeded with prayer, a moment of silence for victims of a hate-motivated attack at the Islamic Center in San Diego, and the Pledge of Allegiance. The Speaker pro tempore then moved through the daily file, repeatedly urging members to be on time and at their desks as the House of Origin deadline approached. Procedural actions included dispensing with the journal, deferring some items, and moving AB 1667 to the inactive file. The bulk of the session was devoted to floor consideration of many bills, most of which passed with little or no opposition. Measures approved included bills on artificial intelligence provenance information (AB 2713), community college trustee compensation (AB 2528), transit camera enforcement and privacy (AB 1837), excess proceeds claims in taxation (AB 2705), HOA technical cleanup (AB 1892), hepatitis C treatment access (AB 1843), child care planning in local general plans (AB 1914), greenhouse energy code flexibility (AB 2200), rent-now-pay-later consumer protections (AB 2350), housing cleanup and density bonus measures (including AB 2390, AB 2480, AB 1567, AB 1751, and others), spay/neuter access (AB 2010), workforce housing financing tools (AB 2110), supportive housing and homelessness-related changes (AB 2146), mental health and health plan notification measures (AB 1598, AB 2613), student aid and education bills (AB 1534, AB 1636, AB 1669, AB 1728, AB 1784, AB 1871), public safety and criminal justice bills (AB 1546, AB 1572, AB 1872, AB 1877, AB 1932), and several health and social services measures (AB 1602, AB 1628, AB 1680, AB 1825, AB 1845, AB 1906, AB 1907, AB 1925). Most bills were described as support measures, often with bipartisan backing and no opposition, and passed by wide margins. A few bills drew more discussion, especially AB 1751, a housing/townhome bill that sparked extended debate over wages, prevailing wage, stakeholder engagement, and whether the measure could depress pay for construction trades; despite concerns and an opposition speech, it ultimately passed 44-0. AB 1793, which would allow symmetrical rounding of cash transactions to the nearest nickel in light of the penny’s phaseout, also drew light debate and passed 47-1. AB 1932, an urgency measure expanding community-based crisis response, passed with one no vote on both the urgency and the bill. Several urgency or 54-vote bills, including AB 1534 and AB 1932, required later roll calls or calls to be lifted, but all measures described in the transcript were ultimately approved.

Transcript Highlights:

• and operate mail-order and specialty pharmacies for more than 275 million Americans with health coverage
• and operate mail-order and specialty pharmacies for more than 275 million Americans with health coverage
• and operate mail-order and specialty pharmacies for more than 275 million Americans with health coverage
• Folks will not have coverage. They'll come in more acute, more sick.
• One of the most common reasons that people call us for help is to enroll in health insurance coverage

Keywords: 995, all

Summary: The committee held a lengthy hearing on a large docket of pharmacy and drug-pricing bills, with most testimony focused on PBM reform, 340B drug discount program protections, specialty medication access, and medication adherence. Chair James Murphy and Senator Paul Feeney opened the hearing and took testimony from legislators, patient advocates, pharmacists, health center leaders, industry representatives, and policy groups. Several speakers described delays, denials, high out-of-pocket costs, and pharmacy closures tied to PBM practices, while others emphasized the importance of community health centers and independent pharmacies in serving patients. On the 340B program, supporters including Senator Eldridge, Senator Payano, Community Care Cooperative, Fenway Health, the Massachusetts League of Community Health Centers, and several community health center leaders argued that bills such as H. 1107 and S. 819 would stop discriminatory PBM and manufacturer practices, preserve contract pharmacy access, and protect safety-net providers that say they reinvest savings into care, pharmacy expansion, interpreter services, behavioral health, and other services. Opponents including PhRMA, the Community Liver Alliance, and a public policy analyst argued the program lacks transparency and accountability, has grown beyond its original purpose, and may benefit large hospitals and for-profit entities more than low-income patients. They urged more reporting and oversight rather than expanding protections. On PBM reform, testimony supported bills including H. 1157, H. 1234, S. 724, S. 831, and related measures that would require rebate pass-through, ban spread pricing, limit steering to PBM-owned pharmacies, and improve reimbursement for community pharmacies. Independent pharmacists and patients said current PBM practices raise costs, create administrative burdens, and threaten access to local pharmacies. PCMA, representing PBMs, opposed the reforms, arguing PBMs lower costs, that plan sponsors choose to contract with them, and that the Health Policy Commission and CHIA should complete their ongoing study before new mandates are adopted. The committee also heard support for H. 1322 and S. 734 on specialty medications, and for H. 781 and H. 1305 on medication synchronization to improve adherence. No votes or formal actions were taken during the hearing.

Transcript Highlights:

• Existing state parity coverage laws apply to the T.D.
• And it is incredibly difficult to get in-person coverage, particularly on weekends after hours.
• facility directly to the psychiatric facility and the end of the facility doesn't have physician coverage
• I mean, there are practical realities to arranging for physician coverage, and the fact is that there's
• My concern is sort of mandating it in this way is not proven out.

Bills: SB437, SB528, SB626, SB636, SB884, SB968, SB1044, SB1608, SB2336

Keywords: healthcare, training, abuse, neglect, penalties, chemical dependency, safety, regulation, inpatient competency restoration, competency restoration, forensic mental health, mental health law, criminal competency, incompetent to stand trial, Chapter 46B, HHSC, Health and Human Services Commission, state hospital, behavioral health, local mental health authority

Transcript Highlights:

• They're stuck in the coverage gap.
• Yesterday marked 30 years of their gavel-to-gavel coverage of our Florida Legislature.
• Next, it repeals the sunset of the mRNA mandate prohibition.
• That law included vaccines created with mRNA technology and the prohibition against mandates.
• annual reporting on orthotics and prosthetics coverage and payments.

Summary: The Senate convened with a quorum, opening with prayer, the Pledge of Allegiance, and several introductions, including recognition of the day’s doctor of the day, an intern, and a resolution honoring the late Bob Graham and firefighter Roger Timmy Miley. The chamber also adopted a resolution designating August 9, 2026, as Bob Graham Day. After routine announcements, the Senate moved to the special order calendar and took up a series of bills, many of them with House companion bills substituted in place of Senate versions. The first major floor action was passage of a tax-related bill conforming Florida’s Internal Revenue Code to federal changes while excluding certain provisions from H.R. 1; it passed 34-0. The Senate then considered CS/SB 1758 on public assistance and Medicaid, which proposed stronger fraud enforcement, a Medicaid work requirement for able-bodied adults, expanded behavioral health services, pharmacy and drug rebate reforms, and SNAP fraud reduction measures. A Berman amendment to require Medicaid expansion before work requirements was rejected, as was an Osgood amendment to add photo-ID protections and exemptions for certain SNAP users. The bill remained on the calendar for third reading after extensive debate and questioning about implementation, exemptions, and potential impacts on beneficiaries. The chamber also passed bills on technology education and AI instruction, a Parkinson’s disease registry and related public records exemption, designation of the SS American Victory as Florida’s official flagship, electronic payments for local governments, repeal of the sunset on gold and silver legal tender, public records exemptions for financial institutions and custodians, a Florida stablecoin pilot program, local government finance transparency, digital voyeurism, and insurance customer representative licensing. Most of these measures were adopted after brief explanation, minor amendments, or substitution of House companions, with votes generally in favor and several passing unanimously or by wide margins. Later, the Senate took up CS/SB 1756 on medical freedom, which would expand parental vaccine information requirements, add a conscience-based exemption, allow behind-the-counter ivermectin access, and repeal the sunset on the mRNA mandate prohibition. The bill’s first amendments clarified anti-kickback rules for vaccine manufacturers and required informational materials to address risks, benefits, safety, and efficacy; the transcript ends during consideration of this bill, before final passage is shown.

Transcript Highlights:

• We don't want them to lose their Medicaid coverage because they are actually doing the nursing care for
• This really solves a problem that we have with not having adequate coverage for these medically fragile
• It mandates annual agency assessments of the Home Health Aid Program to evaluate caregiver satisfaction
• What is really crazy about this bill is it requires, it mandates that each third party have access.
• The bill is it requires, it mandates that each third party have access to the patient portal.

Summary: The committee met to consider a large agenda of health and human services bills, moving quickly because of a two-hour time limit. Early measures reported favorably included SB 976 on challenges to court-appointed psychologists in family law cases, SB 306 on Medicaid provider network access and after-hours availability, and SB 584 on housing supports for college students and youth in extended foster care. SB 1412 on home health regulation modernization also passed, with one support appearance from the Home Care Association. Members then approved several bills focused on research and care delivery, including SB 1800 creating a Parkinson’s disease research consortium at USF with an adopted amendment adding academic medical centers, SB 524 adding Duchenne muscular dystrophy to newborn screening, SB 1156 revising a Medicaid home health aide program for medically fragile children, and SB 1490 transferring and redesigning the managed care program for critically ill children. SB 1174 on foster home licensure transfers, SB 1620 implementing mental health and substance use commission recommendations, SB 1568 revising e-prescribing exemptions, and SB 788 on veterans nursing home beds were also reported favorably. The committee had more extensive debate on SB 1270, the Department of Health agency package, which included provisions on vaccination status, medical marijuana background screening, licensing and compact issues, and sovereign immunity for volunteer dental workers; it passed after an amendment and several members voiced concerns about patient treatment and “voting power” language. SB 1606 on patient access to records drew strong opposition from providers and health information professionals over privacy, HIPAA, and administrative burdens; it was initially reported unfavorably, then reconsidered and ultimately passed after a motion to reconsider. Other bills reported favorably included SB 1736 on insulin administration by direct support professionals and relatives, SB 1808 on patient refunds from providers, SB 1842 on referral disclosure of network status, SB 1354 on behavioral health managing entity oversight, SB 1768 on stem cell therapies with informed consent requirements, and SPB 7032 on presumptive Medicaid eligibility for permanently disabled individuals, which was submitted and reported as a committee bill. The meeting ended after all agenda items were handled and the committee adjourned.

Transcript Highlights:

• Instead of mandating that students submit the SAT or ACT to the College Board, they apply to.
• . costs, and reduces overall expenses, allowing the same option for student coverage. will help lower
• Still quite a few do not have insurance or their coverage is minimal.
• Requiring insurance coverage allows students to focus on their studies. and graduate and not have to
• The plan expenses such as premium taxes and state-mandated coverage these costs can add up to 20% to

Bills: SB530, SB757, SB769, SB1085, SB1241, SB1242, SB1409, SB1878, SB2138, SB2314, SB2231, SB2361, SB2431, SJR59

Keywords: accreditation, postsecondary education, Texas Higher Education Coordinating Board, baccalaureate degrees, junior colleges, program delivery, faculty recruitment, higher education, performance standards, student loan debt, degree programs, funding, students with disabilities, accessibility, enrollment, report, SB 1085, Sul Ross State University, Rio Grande College, Del Rio