Transcript Highlights:

• code for a medical cannabis CMS code for a medical cannabis evaluation<01:05:06.160> so<01:05
• We also want to ensure that the reporting noted in this bill aligns with current CMS regulations that
• We also want to ensure that the reporting noted in this bill aligns with current CMS regulations that
• We also want to ensure that the reporting noted in this bill aligns with current CMS regulations that
• CMS requirements being<02:27:57.359> implemented<02:27:57.960> already<02:27:58.439>

Keywords: 910, house, all

Summary: The committee first took up SB 1494 on hearing aids. Testimony was generally supportive of expanding hearing-aid coverage, with the Insurance Division raising concern about possible federal defrayment issues, SHPDA supporting the goal of hearing augmentation, DCAB strongly supporting the bill as an important access issue, and health plans and insurers asking for amendments. Kaiser Permanente and the Hawaii Association of Health Plans requested changes to add a medical-necessity standard and clarify annual notice language, while HMSA suggested the proposal should be studied by the auditor. The chair noted concerns about federal preemption and the lack of an audit, and deferred the bill in favor of a related resolution calling for a study. The committee then heard SB 1448, an emergency appropriation for the Hawaii State Hospital. DAGS and the Department of Health supported the measure, with the hospital administrator saying the funding would improve the environment of care, support cleaning, and allow a third-party review of the building. Committee members questioned the size of the request and the status of litigation against the design-builder. Administration witnesses said they were pursuing a comprehensive study involving destructive testing, had made a demand on the design-builder to fund the study, and were using different processes than before. They also said the roof work would be handled through a separate CIP request. No final action was taken in the portion provided. The committee next heard SB 1432, relating to the future responsibilities of the Department of Health and land issues at Kalaupapa after the last patient dies. DOH supported the bill in part but said its long-term role would be limited mainly to environmental cleanup, with operations expected to continue under the National Park Service and land-use decisions left to DHHL and beneficiary consultation. DHHL asked that the measure reflect that any land-use or zoning changes on homeland lands require commission approval and beneficiary consultation. Testifiers from Kalaupapa and Maui County, including Degra Vanderbilt-Papa and Council Member Keani Rollins-Fernandez, supported deferring the bill, saying there had been no meaningful community discussion about provisions affecting Kalaupapa’s future management and possible transfer of responsibilities to Maui County. The committee also read into the record written testimony from Gloria Marks emphasizing that Kalaupapa stakeholders must be included in future discussions. Finally, the committee heard SB 955 on fitness-to-proceed examinations. The Judiciary and the Public Defender’s Office both supported raising pay and standardizing expectations for private examiners, but opposed reducing felony fitness evaluations from three examiners to one and opposed expanding use of expedited reports. They argued that a single examiner would reduce reliability, create a more adversarial process, and likely increase costs and contested hearings, while expedited reports do not contain enough information for a proper fitness determination. The Department of Health also supported the bill’s intent but asked to preserve a three-examiner framework and said the goal was to reduce the number of people sent to the State Hospital, where admissions have reportedly risen about 20% year over year since Act 26. The bill remained under discussion in the excerpt, with no final vote shown.

Transcript Highlights:

• Florida has been designated and certified by CMS at the federal level as the place where these claims
• Self-insured ERISA claims state in the federal system, but Florida has been designated and certified by CMS

Summary: The Senate Committee on Banking and Insurance met with a quorum present and heard a full agenda of bills, most of which were reported favorably. Early in the meeting, SB 1000 on trust fund interest for attorney trust accounts was explained as setting a floor and ceiling tied to the Wall Street Journal prime rate and passed without objection after supportive testimony from banking and credit union groups. The committee then took up CS/SB 1082 on a statewide provider and health plan claim dispute resolution program; the sponsor described it as a way to move emergency out-of-network payment disputes away from costly litigation and into an independent dispute resolution process modeled on the federal No Surprises Act. A proposed amendment drew significant questions from senators and concerns from the Florida Insurance Council about confusion over state versus federal eligibility and possible effects on contracted rates, and the sponsor ultimately withdrew the amendment. The underlying bill was then supported by health care and insurance stakeholders and reported favorably. SB 684 on electronic signatures for total loss vehicles and vessels also passed, with Progressive Insurance waiving in support. The committee next approved CS/SB 158 on pet insurance, which requires continuing education for agents, clearer consumer disclosures, and annual reporting to OIR; the amendment was technical and adopted. SB 1494 on breast cancer screening coverage was presented as expanding required coverage for mammograms and supplemental screenings for certain insurance products, and it passed with support from cancer and radiology groups. CS/SB 314 on digital asset issuers was amended to create a Florida framework for payment stablecoin issuers consistent with the federal GENIUS Act, allowing state-level regulation as an alternative to federal supervision, and was reported favorably. SB 1500 on uncontested probate proceedings, including higher small-estate thresholds and clearer authority for personal representatives, also passed after a banking-related amendment requiring letters of administration for safe deposit box access was adopted. Later, the committee approved CS/SB 618 on workers’ compensation insurance, which raises the consent-to-rate cap for workers’ comp policies from 10% to 20% and adjusts the Florida Workers’ Compensation Guarantee Association board membership; a carrier representative testified that the change would help keep more high-risk accounts in the voluntary market. CS/SB 1568 on a Florida Stable Coin Pilot Program was amended to remove authority for DFS to create a Florida coin, limit the pilot to existing stablecoins with at least $1 billion market capitalization, and require qualified public deposit handling; it then passed. CS/SB 838 on electronic payments for retail installment contracts clarified that convenience fees for electronic payments are permissible while preserving a fee-free option, and it was reported favorably after questions about consumer access to free payment methods. SB 1452, the Department of Financial Services agency bill, made a wide range of administrative changes affecting My Safe Florida Home, unclaimed property, licensing, bail bonds, and other DFS functions; a late-filed amendment on title insurer appointments was adopted, and the bill passed. The committee also approved SB 1706 on the My Safe Florida Condominium Pilot Program, targeting condo hardening assistance to owner-occupied units meeting income and occupancy criteria, and SB 990 on protected cell captive insurance companies, which the sponsor and industry witnesses said would modernize Florida law and promote insurance competition and economic activity. The meeting ended with all bills on the agenda reported favorably and the committee adjourning without objection.

Transcript Highlights:

• practice viability disappears due to increasing medical malpractice costs, decreasing payments from CMS
• It was a ruling that was done by CMS under the Biden administration, and it's caused a lot of financial

Summary: The Judiciary Committee met to consider HB 6003, a bill to repeal Florida’s “free kill” law that limits certain survivors’ ability to recover non-economic damages in medical negligence wrongful death cases. The sponsor, Rep. Trabulsy, said the bill would restore access to the courts for a small class of families and noted the measure passed both chambers last year before being vetoed by the governor. She and supporters framed the bill as a fairness and constitutional issue, while opponents argued repeal would increase malpractice exposure, insurance costs, and pressure on physician access, especially in high-risk specialties and rural areas. Public testimony was sharply divided. Supporters included family members who described deaths they said were caused by medical negligence and who argued the current law denies accountability and equal treatment based on marital status or whether a decedent had minor children. Opponents included the Florida Hospital Association, Florida Medical Association, Florida Chamber, U.S. Chamber, Florida Insurance Council, and other health care and business groups, who warned that repeal could worsen already high malpractice premiums, contribute to physician shortages, and destabilize access to care. Several speakers on both sides discussed possible caps on non-economic damages as a compromise, though the bill itself was presented as a clean repealer with no amendments. During debate, several members spoke in support, emphasizing equal access to the courts and rejecting the idea that the law should treat some families differently from others. Opponents of the bill argued that the current system helps preserve market stability and that liability concerns, not the free kill law, are driving provider departures. After closing remarks from the sponsor, the committee voted 15 yeas and 1 nay to report HB 6003 favorably.

Transcript Highlights:

• In 2021, Congress and CMS recognized this disparity, and they fixed this on the Medicare side.
• So there are health care facilities that are CMS-funded that we are beholden to rules from the federal
• Or, respectfully, I probably have to disagree with the hospitals because it would jeopardize CMS funding

Keywords: 974, senate, all

Summary: The Senate Committee on Health and Welfare met on May 13 with a quorum present and approved the prior meeting minutes. The committee first heard HB 971, which would equalize Medicaid reimbursement rates between independent clinics and hospital-owned rural health clinics; supporters said independent clinics are disadvantaged by a large payment disparity, and the bill was reported favorable without objection. The committee also recognized visiting Alpha Phi Alpha members and other guests during personal privilege remarks. Members then considered HB 414, which would bar hiring certain health care workers and direct support professionals with serious disqualifying convictions from other states and address background-check issues for therapeutic group homes. After adopting three amendment sets, the bill was reported as amended. HB 740, creating an independent review process for Medicaid behavioral health claim disputes in the coordinated system of care, was amended to clarify applicability and CSOC definitions and then reported as amended. HB 288, which would place the term “miscarriage” alongside “spontaneous abortion” in medical documentation, drew emotional testimony from affected parents and advocates; the committee reported it favorable. The committee also advanced several more bills: HB 405, updating the name of the national acupuncture certifying body, was reported favorable; HB 786, prohibiting extrapolation in certain managed-care claims recoupments, was reported favorable; HB 1095, allowing alternative backup power sources for nursing homes, was reported favorable; HB 403, raising the cottage food gross-sales cap, was amended from $50,000 to $150,000 and then reported favorable; HB 930, modernizing cosmetic-product regulation and creating a small-producer exemption, was reported favorable; HB 557, defining long-term pharmacies for policy purposes, was reported favorable; HB 779, on expedited partner therapy for sexually transmitted diseases, was reported favorable; HB 915, setting utilization-management timelines and standards, was reported favorable; HB 546, expanding criteria for peace officers to take someone into protective custody during a mental health crisis, was reported favorable; HB 796, creating a chiropractic preceptorship program, was reported favorable; and HB 933, authorizing commemorative birth certificates, was reported favorable. The final major item was HB 1041, a “no-mandate” bill barring discrimination based on medical intervention status. The sponsor and Surgeon General said it was aimed at healthy, asymptomatic individuals and not at public health quarantine powers, but Senator Boudreaux objected to exemptions for schools and hospitals and offered an amendment to restore broader coverage. That amendment failed on a roll-call vote, and the bill remained under discussion as the transcript ended, with no final committee disposition shown in the excerpt.

Transcript Highlights:

• In 2021, Congress and CMS recognized this disparity, and they fixed this on the Medicare side.
• So there are health care facilities that are CMS-funded that we are beholden to rules from the federal
• Or, respectfully, I probably have to disagree with the hospitals because it would jeopardize CMS funding

Summary: The Senate Committee on Health and Welfare met on May 13 and approved the minutes from the prior week before taking up a series of House bills, many of them with testimony from sponsors, agency officials, and stakeholders. Early action included HB 971, which would direct LDH to equalize Medicaid reimbursement rates between independent rural health clinics and hospital-owned rural health clinics; the sponsor described a significant payment disparity and the committee reported the bill favorably. The committee also deferred HB 1030 and HB 796 until the following week before moving to other items on the agenda. Several bills dealing with Medicaid and provider regulation were advanced. HB 414, as amended, closes a loophole so health care providers cannot hire unlicensed workers with certain serious out-of-state convictions; amendments addressed effective dates, FBI background-check issues for therapeutic group homes, and delays for direct support professional applicants caused by minor record issues. HB 740, as amended, creates an independent review process for Medicaid claims disputes in the coordinated system of care for behavioral health providers, with amendments clarifying applicability dates and program definitions. HB 786, which prohibits extrapolation in managed care claims recoupments and requires recovery to be based on actual overpayments or underpayments, was also reported favorably. HB 915 set timelines and accountability standards for prior authorization and utilization management in Medicaid managed care and was reported favorably after testimony about delays in care. The committee also heard and passed several bills affecting health professions and facilities. HB 405 simply updates the name of the national acupuncture certification body. HB 1095 allows nursing homes to use alternative power sources while keeping existing generator and fuel requirements. HB 557 defines long-term care pharmacies for policy purposes. HB 779 authorizes expedited partner therapy prescriptions for certain sexually transmitted diseases. HB 933 creates an optional commemorative birth certificate, with part of the fee going to the Office of Women’s Health. HB 796, carried by another representative for the author, establishes a chiropractic preceptorship program with on-site supervision requirements and was reported favorably after questions about student training and patient safety. The committee also heard emotionally charged testimony on HB 288, which would place the term “miscarriage” alongside “spontaneous abortion” in medical documentation and patient communication. Several witnesses described the distress caused by current coding language, and supporters said the change would make records more compassionate and understandable; the bill was reported favorably. HB 403 increased the cottage food gross-sales cap, and after testimony from small producers and the committee’s discussion of other states’ higher limits, an amendment raised the cap to $150,000 before the bill was reported favorably. HB 930 modernizes cosmetic-product regulation and creates a small home-based producer exemption under a wholesale-sales threshold; it was also reported favorably. Finally, HB 1041, a no-mandate bill restricting discrimination based on medical intervention status, prompted extended debate over exemptions for schools, hospitals, and other entities, with one amendment failing on a roll-call vote and the discussion continuing over the scope of the bill and federal funding concerns.

Transcript Highlights:

• This is a relatively simple process, especially considering CMS.
• But as I mentioned before, in 2018, this is when it was approved through CMS. CMS.

Transcript Highlights:

• into New Mexico hospitals over the next five years, and how this works is that it takes advantage of a CMS
• So what happens is that hospitals submit send 1/4 of the $1.3 billion to CMS.
• CMS then sends 3 times that amount plus the original back, and the Healthcare Authority determines how

Transcript Highlights:

• Federally, there was some new guidance that came down also from the federal government, CMS, and so we
• Federally, there was some new guidance that came down also from the federal government, CMS, and so we
• 18:52.560> the<01:18:52.719> federal<01:18:53.120> government<01:18:53.520> CMS
• <01:18:54.239> and the um uh the federal government CMS and the um uh the federal government
• CMS and so<01:18:55.679> we<01:18:55.920> are<01:18:56.080> just<01:18:56.560><

Keywords: 910, house, all

Summary: The committee on Education met on March 19 and moved through several bills under time pressure, hearing mostly brief testimony. SB 2024 SD2 and SB 896 SD2, both concerning public-private partnerships for charter school facilities, drew support from the Department of Education, the Charter School Commission, White Kids Can, and Hawaii Technology Academy. DOE said any P3 model should apply only to charter schools on private land and not affect public schools on DOE land. Supporters argued the approach could speed construction, reduce costs, and keep public money in public assets, while UPW and HGA raised concerns about privatization. In response, SFA said the intent was to mirror the existing conversion charter school model, with public ownership of assets and unionized staff, and noted some regions have waited years for schools. SB 2613 SD1 on TMK transfers was heard next. DOE said the bill had originally been supported as part of the governor’s package but was amended to require DOE to convey lands for 13 libraries on DOE property, which DOE said would create “donut holes” in campuses and was unnecessary because existing agreements already govern library use. The State Public Library System supported the bill, saying it has long coexisted with DOE but needs clearer separation and more reliable control over its sites. The Attorney General’s office said the library system currently lacks express statutory authority to own real property and flagged implementation issues because some of the affected parcels are not currently owned by DOE. Committee members questioned both sides about current agreements, communication, and how the bill would change operations. SB 494 SD2, concerning charter school audits, received comments from the Charter School Commission, which said the bill was redundant because charter schools already undergo annual audits during the term of their contracts. The Office of the Auditor was also present. SB 2391 SD2, relating to automatic pay increases for teachers, drew strong opposition from the Office of Collective Bargaining, which said step movement and longevity increases are negotiated in each contract and do not automatically carry over when a contract expires; it warned the bill could affect upcoming negotiations with HSTA. HSTA and several other supporters argued the bill would standardize annual step movement, improve retention, and reflect existing contract language. No votes or final actions were taken in the portion of the meeting provided.

Transcript Highlights:

• And in terms of cost, I want you to know that the CMS does have a trauma activation charge profile that's
• Emergency Physicians that says they acknowledge that there are currently workforce limitations in specific CMS-designated
• currently workforce limitations in are currently workforce limitations in specific<01:03:19.760> CMS
• <01:03:20.319> designated<01:03:20.799> facility<01:03:21.280> types, specific CMS
• designated facility types, specific CMS designated facility types, meaning<01:03:22.400> critical

Keywords: 958, all

Summary: The committee first handled several referred administrative regulations, including a package from the Board of Respiratory Care described as a substantive housekeeping update to its regulations and incorporated materials. There were no questions from members, and the committee also heard from the Kentucky Board of Medical Licensure, which was present in case questions arose but did not require action. Members then took up an amendment to the state health plan for facilities and services, specifically 900 KAR 5:02. Wesley Duke explained that a previously proposed criteria related to mega-voltage requirements, originally suggested by the Kentucky Hospital Association, was now being removed because the association no longer considered it necessary. The committee moved to accept the agency amendment, with a motion and second, and approved it without opposition. The committee next considered Senate Joint Resolution 23, a “food is medicine” resolution sponsored by Senator Shelley Funke Frommeyer. Supporters from the Kentucky Department of Agriculture and the Kentucky Hospital Association described the initiative as a voluntary, statewide effort already adopted by 52 hospitals, aimed at improving patient health while supporting Kentucky farmers and local food systems. Members discussed access to healthy food, grocery-store availability, school nutrition, and the need to reduce barriers to local procurement; the resolution was adopted unanimously after a roll call vote, with one senator briefly explaining a late vote due to weather. Finally, the committee began hearing Senate Bill 12, which would allow mid-level practitioners to serve as the leader of a Level IV trauma center under physician direction. The sponsor and witnesses from Appalachian Regional Healthcare argued the change would help address rural trauma-care shortages, align with national standards, and improve access without changing scope of practice or other trauma-center requirements. Several members raised questions and comments about rural access, liability, costs, and the broader health impacts, but no vote on the bill was taken in the portion of the meeting provided.

Transcript Highlights:

• CMS noted the transformational impact care stations can play and cited us in the notice of funding for
• The CMS is requiring states to apply through a competitive process.
• CMS released the application instructions in September of this past year, and our application was due
• CMS did award Texas more than any other state. That's true.
• Trey said within 14 days of CMS approval, these things were out fast, and actually that was a concern

Keywords: 1184, house, all

Transcript Highlights:

• And then October 1, '29, you see CMS established verification system.
• So what we will do is just we will now do it with the established CMS system.
• And then also in '29 the CMS PERM audit allowances will be reduced.
• <02:40:18.000> established 1 29 you see CMS established 1 29 you see CMS established verification
• And then the established CMS system.

Keywords: 924, joint, all

Transcript Highlights:

• We would go on to say that we understand that, you know, CMS has changed the rules.
• We would go on to say that we understand that, you know, CMS has changed the rules.
• That CMS has changed the rules, federal government has changed the rules on us, but other states have
• That CMS has changed the rules, federal government has changed the rules on us, but other states have

Keywords: 988, house, all

Summary: The Assembly Budget Committee met to consider the 2026 Budget Act, which leaders described as the compromise budget expected to move to the floor later that evening. Opening remarks emphasized that the plan balances the budget over two years, reduces the structural deficit, and builds reserves, while also protecting core programs from federal cuts. Jason Sisney outlined the legislative budget plan, saying it uses higher-than-expected revenues and reserve balances to reject some proposed reductions and fund temporary restorations and new spending in areas such as education, child care, health care, housing, homelessness, and public safety. Department of Finance representatives said the administration appreciated the two-year balanced framework and the effort to address out-year deficits, while noting the plan includes additional spending and revenue changes. Sisney also previewed floor bills including AB 109, SB 110, SB 122, and SB 125, with SB 122 described as a modification to the tax credit proposal and SB 125 as the managed care organization tax proposal. Subcommittee chairs then described the major policy choices in their areas. Health chair Addis said the budget responds to federal health care rollbacks by protecting Medi-Cal, clinics, hospitals, dental care, and other safety-net services, while also supporting reproductive care, gender-affirming care, and county health systems. Education chair Alvarez highlighted increased school funding, expanded learning, special education, teacher support, community colleges, and a change to Cal Grant eligibility for older community college students. Other chairs emphasized child care expansions, homelessness and housing funding, prison closure and criminal justice savings, wildfire mitigation, county support for Medi-Cal and CalFresh administration, and accountability measures tied to homelessness and corrections spending. Several members also raised concerns or priorities, including the impact of the MCO tax on providers, the need for more support for local journalism, transit and climate funding, biotech and R&D incentives, and continued work on Prop 98 and long-term revenue solutions. No formal votes were taken in the portion provided, but members broadly expressed support for the budget framework and the need to continue negotiations with the administration before final passage. The committee discussion repeatedly framed the budget as a response to federal policy changes and a choice to protect vulnerable Californians while maintaining fiscal responsibility. The vice chair, citing LAO warnings about future volatility and limited reserves, pressed Finance on whether the budget represented a record-sized state budget and whether revenues were also at record levels, underscoring concerns about the state’s preparedness for a downturn.

Transcript Highlights:

• How did we get there to a number that is not even in the options in the guidance that we are given by CMS
• And the determination of whether that will stand really, we were looking into CMS whether they will permit
• And the determination of whether that will stand really, we were looking into CMS whether they will permit
• And the determination of whether that will stand really, we were looking into CMS whether they will permit

Keywords: 1183, house

Transcript Highlights:

• I mean, we're going to be engaged in the implementation of the CMS system for several years.
• I mean, we're going to be engaged in the implementation of the CMS system for several years.
• I mean, we're going to be engaged in the implementation of the CMS system for several years.
• I mean, we're going to be engaged in the implementation of the CMS system for several years.

Keywords: 00:10 Call to order and Roll Call 01:06 Information Items and Introduction of Kentucky Court of Justice 03:02 Discussion of Interpreter State and National Contractor Rates 06:35 Discussion of Certifications 08:44 Discussion of AI use in Interpretation 13:56 Software Service Initiatives 16:47 Data Security and AV system Upgrades 24:38 Drug Court Issues 28:43 Discussion of Jefferson County Record Storage 35:33 Boyle County Courthouse Construction 39.26 KY State Police Driver Testing 45:22 Adjournment, 958, all

Summary: The subcommittee heard a budget overview from the Kentucky Court of Justice focused on mandated services and several growth items in the judicial branch budget. Court officials said the requests were driven by legal and contractual obligations, including higher contractor rates for court interpreters and IT support, annual software-as-a-service costs, and upgrades to the court’s audiovisual record system (JAVS). They also discussed local facilities needs tied to Jefferson County lease space and the Boyle County Courthouse, though the bulk of the presentation centered on the court’s technology and service-delivery costs. Members asked detailed questions about interpreter services, including whether services are provided in person, by phone, or by Zoom, and whether Kentucky could train and certify more local interpreters instead of relying on contractors from around the country. Court officials said the certification process is rigorous, that the branch is working with the National Center for State Courts on an apprenticeship program, and that they believe Kentucky may have flexibility to develop state-level certification if it meets court needs. They also said they are exploring technology and AI tools for translation, but have not found a solution that reliably handles complex courtroom context. Representative Sharp asked whether cases had been delayed for lack of interpreters; officials said they could provide aggregated data later. The court also described its major IT modernization effort, including a statewide case management system, e-filing, and maintenance of many legacy applications. Officials said contractor rates need to be raised to compete for skilled labor during the implementation phase, but that those costs should decline once the new systems are fully built and only maintained. They explained that part of the request covers three SaaS initiatives: ongoing subscription costs for existing systems, annual fees for the CaseWorks system used in pretrial and specialty courts after federal grant funding ends, and adoption of DocuSign to streamline invoicing, procurement, and contract execution. In response to questions from Representative KC Carney, they said cybersecurity is taken seriously, that they recently conducted a tabletop exercise, and that some risk shifts to cloud vendors under contract, though no separate cybersecurity line item was included. A substantial portion of the discussion focused on the JAVS audiovisual court-record system. Court officials said not all courtrooms are on the same version, and they want funding to bring all locations up to the current version and prepare for version 9, which they said would standardize the system statewide and support the official court record. When asked about costs, they said each upgrade can cost about $70,000 to $80,000 per system, that they aim to upgrade about 50 per year, and that the request reflects the need to keep pace with a four-year refresh cycle. No votes or formal actions were taken during the meeting.

Transcript Highlights:

• You have to get FDA approval and, once you're approved, then you have to go through CMS to get reimbursement
• you're approved then you have to go once you're approved then you have to go through<00:46:32.000> CMS
• <00:46:33.760> So<00:46:33.920> the through CMS to get reimbursement.
• So the through CMS to get reimbursement.

Keywords: 928, house, all

Summary: The committee met to review tax expenditures, elect a chair and clerk, and hear updates on two credits due for periodic review: the career and technical education (CTE) center tax credit and the research and development (R&D) tax credit. Members first organized the meeting, then heard from Jennifer Ramsey of DRA, who explained the purpose of the tax expenditure review process and summarized the CTE and R&D credits. She said the CTE credit allows donations to CTE centers for a credit against business profits tax, is capped at 25% of a taxpayer’s liability, has a $500,000 aggregate limit, and was extended in SB 98 to fiscal year 2031. She also noted DRA could not provide detailed financial data because of statistical disclosure limits when too few taxpayers claim the credit. Committee members pressed for more historical and aggregate information, arguing they needed numbers to judge whether the credit is effective and worth continuing. The committee then heard from Chrissy Vanderhook of the Department of Education on the CTE credit. She described New Hampshire’s CTE system as serving 26 secondary centers and seven post-secondary centers, with industry partners providing internships, work-based learning, equipment, employee time, and other in-kind support that can qualify for the credit. She said the department reports annually to legislative leaders and that fiscal year 2025 credit activity was down about 48% from FY24, partly due to staffing changes and outreach issues. Members asked whether the program extends to community college-level programs, and she said it can, though she was not sure how broadly it is used that way. The committee also discussed a new Granite Patron of the Arts credit, which DRA said went into effect July 1 and is included in the tax expenditure report even though it is not yet listed in the statute. For the R&D credit, Ramsey explained that it offsets business profits tax and can carry forward to business enterprise tax, is based on incremental research spending, and currently has a $7 million annual aggregate cap. She said the cap has not yet been reached but could require proration as early as fiscal year 2026 if not increased. She noted there were 271 taxpayers claiming the credit in fiscal 2024 and that a proposal last session to raise the cap to $10 million and increase the per-company limit did not advance. Mark Liberty of BEA said the credit is an important recruitment and retention tool, especially for life sciences, aerospace, defense, and advanced manufacturing, but acknowledged BEA does not track direct revenue return. Andrea Hchvaria of New Hampshire Life Sciences argued the R&D credit is critical for startups and cited growth in applicants from 71 in 2008 to 248 in 2024, with qualified wages rising substantially over that period. Committee members repeatedly asked for more objective economic-impact data, but DRA said it only tracks who claimed the credit and the amount claimed, not broader business outcomes.

Transcript Highlights:

• If that bid price is acceptable, we can turn that CM into the general contractor.
• turn<00:08:33.240> that<00:08:33.440> gen<00:08:33.719> that<00:08:33.839> cm
• acceptable we can turn that gen that cm acceptable we can turn that gen that cm into<00:08:34.440

Keywords: 912, senate, all

Summary: The committee took up House Bill 422, relating to school impact fees. The Education Committee recommended passage with amendments, and Ways and Means concurred. The amendments would repeal the construction fee component of the school impact fee while retaining the land impact fee and in-lieu fee requirements, remove related statutory language, exempt certain developments from school impact fees, raise the unit threshold for satisfying the land component to 100 units, require the School Facilities Authority to adopt rules and policies, and require a report to the Legislature on the effect of repealing the construction portion of the fee. The measure was also given a sunset date of June 30, 2029, with the committee report to note that the changes are intended to test the efficiency and efficacy of the fee structure and could be made permanent if the report supports that outcome. The committees adopted the recommendation, with one senator initially voting no and then changing to yes after the amendments were explained. The meeting also included a separate hearing on House Bill 1155, concerning procurement for Department of Transportation projects and construction manager/general contractor procurement. DOT testified that it supported the concept but wanted to narrow the bill, saying the current language was too broad and that the goal was to allow more innovative procurement while preserving selection safeguards. The State Procurement Office said it supported the bill’s language but was willing to work with DOT on alternative wording. Several construction-related organizations, including subcontractors, iron workers, elevator constructors, and building trades representatives, opposed the bill, arguing that exemptions from the procurement code would weaken protections such as retainage, equality, and prompt payment and could invite favoritism or corruption. In response to those concerns, the chair proposed amendments limiting the exemption to DOT, narrowing the qualifying contracts, adding a two-year sunset, requiring a report after the first year, and clarifying that project management could not be procured under the section. The amended recommendation passed, though several members voted with reservations. A separate item, House Bill 476, was briefly called up at the end of the agenda, with a recommendation to pass with amendments to increase a rate from 7.25% to 8%, but discussion was not completed in the portion of the transcript provided.

Transcript Highlights:

• And I think staff are talking to CMS because there's some rules about monitoring and verification.
• And I think staff are talking to CMS because there's some rules about monitoring and verification.

Summary: The Virginia Disability Commission held its first meeting of the year on June 18, established a quorum, and introduced members. Senator Barbara Favola was elected chair and Delegate Amy Laufer was elected vice chair, both unanimously. The commission also reviewed and unanimously approved its electronic/remote participation policy, which mirrors last year’s policy and allows limited remote participation under Virginia FOIA rules. Staff then reviewed a package of 14 disability-related bills that passed last session and were signed into law. Topics included disabled veterans’ vehicle registration fee exemptions, open captioning requirements for movie theaters, guardianship/conservatorship order forwarding, service dog team definitions, education and transition planning for students with disabilities, Blue Envelope and driver communication training for law enforcement and driver education, deferred disposition and jury service protections, voting rights in guardianship cases, expansion of the Virginia Human Rights Act, continuation of a DD waiver eligibility change, and DMAS training authority for autism competency checklists. Members discussed implementation concerns, especially making the Blue Envelope/driver communication program more visible and considering a follow-up letter and DMV presentation. The commission then adopted its interim work plan unanimously, with discussion of possible presentations on DMAS and Medicaid waivers, DBHDS telehealth training implementation, SCHEV and VDOE transition planning, transition from institutions to community settings, criminal justice reform, transportation and parking accessibility, adult-sized changing tables, and school accessibility. Members also suggested adding EVV concerns, seclusion and restraint, rare disease issues, and insurance coverage problems for needed medications. Public commenters urged the commission to address burdensome EVV requirements for family caregivers, improve accessibility for local government meetings and documents, and explore a standardized credential/career pathway for direct support professionals. The chair said follow-up work would be assigned on EVV and implementation issues, and the meeting location would move to the Senate side of the Capitol going forward.

Transcript Highlights:

• That is a CMS condition of participation. If we don't meet that, we don't get Medicaid or Medicare.
• That's a CMS condition of participation. If we don't meet that, we don't get Medicaid or Medicare.

Summary: The Appropriations Committee on Health and Human Services met with a quorum present and took up several health-related bills. CS/SB 1110, covering Medicaid and insurance coverage for medically necessary orthotics and prosthetics, including activity-specific devices without lifetime or continuous-use caps, received emotional testimony from families and athletes describing high costs and the importance of access for children and adults with disabilities. Members voiced strong support, and the bill was reported favorably. The committee also heard SB 1574, which would add biliary atresia screening to the newborn screening program using the existing birth blood specimen. The sponsor and a parent testified that earlier detection could prevent severe liver damage, transplants, and deaths, and the bill was reported favorably. CS/SB 794, dealing with background screening for employees at residential facilities and day training programs for people with developmental disabilities and a review of waiver support coordination, was amended to align with the House companion and then reported favorably after testimony emphasizing the importance of strong support coordinators for APD waiver families. Members then considered SB 162, requiring hospitals and ambulatory surgical centers to adopt policies for smoke evacuation systems during procedures that generate surgical smoke. Nurses and other supporters described surgical smoke as a serious occupational hazard, while the Florida Hospital Association said hospitals are already regulated in this area and the bill was somewhat prescriptive; an amendment was adopted and the bill was reported favorably. CS/SB 254, which tightens oversight of nursing education programs, adds preceptorship and provisional licensure pathways for graduates awaiting NCLEX results, and increases transparency and accountability for low-performing programs, drew support from nursing advocates and opposition from private nursing schools concerned about workforce impacts; after amendment, it was reported favorably. Finally, SB 688 to reestablish licensure and regulation of naturopathic doctors in Florida was heard with testimony both supporting expanded health care choices and opposing the bill over safety and scope concerns, and it too was reported favorably. The committee then adjourned.

Transcript Highlights:

• at the last hearing, there were issues with transitioning to Kid Care and other transitions leaving CMS
• at the last hearing, there were issues with transitioning to kid care and other transitions leaving CMS

Summary: The Health Care Facilities and Systems Subcommittee met with a quorum present and took up five bills. The first, CS/HB 1119 on pediatric readiness in hospital emergency departments, would require hospitals with ERs to adopt evidence-based pediatric care policies, train staff, designate a pediatric emergency care coordinator, complete the National Pediatric Readiness Assessment, and meet minimum equipment and planning standards. Members discussed transport to the closest appropriate facility and implementation concerns, but the bill passed 16-0. The committee then approved HB 677, which would add standard fertility preservation services to the state group insurance program for employees undergoing chemotherapy, and CSHB 497, which would authorize nonprofit agricultural organization medical benefit plans for Florida Farm Bureau members, aimed at improving affordable coverage for farmers and ranchers. HB 677 passed 16-0, and CSHB 497 passed 18-0 after questions about membership, regulation, disclosures, and how the plan would compare with ACA coverage. The subcommittee also approved PCS/HB 791 on surrendered newborn infants, allowing infant safety devices at hospitals, EMS stations, and fire stations as an alternative safe-haven option. Members discussed alarms, unmanned stations, and whether churches should be included; the bill passed 18-0. Finally, HB 1529 on home health aides for medically fragile children was amended and passed 18-0. The bill seeks a federal waiver so compensation for parents serving as home health aides does not count against Medicaid eligibility, and the amendments added reporting of adverse incidents, set work-hour limits, and protected certain other benefits. The chair closed by emphasizing the committee’s role in implementation oversight and fixing problems after enactment.

Transcript Highlights:

• those is related to actions taken by the Centers for Medicare and Medicaid Services, also known as CMS
• On January 6th, CMS indicated their intent to withhold $515 million per calendar quarter from the state's
• Also, earlier this month or last month, we received additional notice from CMS that they would defer

Keywords: 1187, senate, all