Transcript Highlights:

• 12.040> of<00:16:12.120> the<00:16:12.360> most For 100 years, and most of the algorithms

Keywords: 918, senate, all

Summary: The committee took up H.F. 4188, the Commerce and Consumer Protection Policy Omnibus, and moved through a series of agreed-upon motions to adopt various House and Senate language articles and sections. The adopted provisions covered a wide range of topics, including residential mortgage loan servicing standards, student loan borrower protections, rental home marketplace guarantees, group coverage cancellation, limited lines travel insurance, insurance lead generators, collection agency and credit services organization definitions, proof of identification requirements, scrap metal copper licensing, technical changes to ASTM references and report filings, securities-related provisions, unclaimed property issues involving virtual currency and funeral prepayment funds, repeal of the prescription drug affordability advisory council, reinsurance program changes, and health insurance reporting and oversight provisions. Most motions were adopted without opposition after brief staff explanations and member encouragements to vote yes. In the health-related sections, the committee adopted language requiring insurers and nonprofit health service plan corporations to notify the Commissioner of Commerce about significant enrollment increases, expanding access to all-payer claims data for oversight, and requiring the sharing of PBM annual transparency reports with the Commissioner of Health. The committee also adopted language on artificial intelligence in utilization review, initially defining AI and prohibiting exclusive reliance on AI for adverse coverage determinations. Representative Elkins then offered an amendment to remove the specific AI definition and replace it with broader language referring to automated processing, arguing that technology-neutral drafting is more durable and that a human must remain in the loop for coverage denials; the amendment was adopted. After the agreed-upon items were completed, members indicated the chairs would huddle to work on the remaining issues and return after recess. The meeting then recessed to the call of the chair.

Transcript Highlights:

• And our algorithms, which is how we distribute services to our clients and how we build their budgets

Summary: The Committee on Children, Families, and Elder Affairs heard and advanced several bills and confirmations. SB 1016, on medical assistance eligibility for working persons with disabilities, was amended to remove automatic enrollment and to improve information sharing between AHCA and DCF; supporters said the bill codifies an existing program that helps developmentally disabled adults work without losing Medicaid coverage, and the committee reported the bill favorably. SB 1002, on temporary custody of minor children, was amended to focus on substance abuse as a pathway for court intervention when parental drug abuse creates ongoing risk to a child, and it was also reported favorably. SB 1594, on veteran benefit payments for minor clients in foster care, would ensure military benefits accessed for foster youth are preserved for post-secondary education or aftercare rather than used as reimbursement to agencies; it passed favorably without amendment. The committee also considered SB 1630 on aging and disability services, a broad modernization bill covering long-term care screening, emergency continuity of care, area agency oversight, Alzheimer’s services, home care, and guardianship reforms. Two amendments were adopted, including one on competitive procurement and another allowing area agencies on aging to directly provide core services during emergencies with department approval. Supporters emphasized caregiver navigation, dementia training, and service continuity, and the bill was reported favorably. SB 1030 on substance abuse services/recovery residences was taken up with a substitute amendment that narrowed transfer definitions, required faster licensure action for existing providers adding levels of care, and limited credentialing entities’ access to resident medical records; stakeholders said further work was needed, but the committee still reported the bill favorably. The committee also heard the nomination of Robert Astellos to lead the Agency for Persons with Disabilities. He outlined priorities including reducing the pre-enrollment list, improving transparency and family involvement, strengthening customer service, and streamlining agency processes. Several disability and provider organizations appeared in support, and the committee voted to recommend his confirmation. The committee then recommended confirmation of the appointees on tabs 7 through 10 by a single favorable vote, and adjourned at the end of the meeting.

Transcript Highlights:

• So with the algorithms, I thought I saw something in looking at a summary about the bill.
• Are you doing anything where you're trying to deal with the algorithms through, I think, ACCA, when it
• There's problems in the algorithm, There's problems in the algorithm with our system.
• than I wanted to with looking at what these providers should be getting financially and what the algorithm

Summary: The Florida Senate opened with prayer, the Pledge of Allegiance, and several recognitions, including interns, Denim Day awareness for sexual assault survivors, a resolution honoring Vietnam veterans exposed to Agent Orange, and a memorial proclamation for former Senator Karen Johnson Gendron. The chamber then moved to special-order bills, with senators also briefly discussing the session’s pace and thanking staff and colleagues for their work. The first major bill, on driving and boating offenses, was amended and passed 37-0. As amended, it increases penalties for repeat DUI/BUI manslaughter and vehicular homicide/vessel homicide offenses, and adds notice requirements and misdemeanor penalties for refusing lawful breath or urine tests. Senators also passed SB 306 on Medicaid providers 37-0, requiring Medicaid managed care plans to offer more after-hours and holiday access and ensuring more primary care appointment availability outside regular business hours. The Senate then passed a major condominium and cooperative associations bill, also 37-0, after extensive debate and multiple amendments. The measure extends deadlines for structural integrity reserve studies, adds flexibility for reserve funding and budgeting, tightens rules for managers and inspectors, limits certain requirements to buildings of three or more habitable stories, and extends the rescission period for condo purchases. Senators from both parties praised the bill’s sponsors for years of work responding to post-Surfside safety and affordability concerns. The longest and most contentious item was SB 7016/HB 1205 on constitutional amendment petition procedures. Sponsors said the bill responds to fraud and abuse in the citizen initiative process by tightening circulator rules, requiring faster submission of signed petitions, adding voter notification, increasing penalties, and shifting costs to sponsors. Opponents argued it would burden volunteers and make it harder for citizens to qualify initiatives. The chamber adopted a series of amendments, including changes to the petition-circulator threshold, volunteer protections, submission timing, invalid-signature investigation thresholds, and notice/cure provisions, while debate continued over whether the overall package would protect election integrity or suppress citizen-led amendments.

Transcript Highlights:

• So with the algorithms, I thought I saw something in looking at a summary about the bill.
• Are you doing anything where you're trying to deal with the algorithms through, I think, ACCA, when it
• There's problems in the algorithm, There's problems in the algorithm with our system.
• than I wanted to with looking at what these providers should be getting financially and what the algorithm

Summary: The Senate opened with prayer, the Pledge of Allegiance, and several recognitions, including interns, Denim Day awareness, a resolution honoring Vietnam veterans exposed to Agent Orange, and a remembrance of former Senator Karen Johnson Gendron. The chamber then moved to special order bills. CS/HB 687 on transportation offenses involving death was substituted for SB 138, amended to add warnings and penalties for refusal of breath or urine tests, and passed 37-0. CS/SB 306 on Medicaid providers, requiring broader after-hours access and network availability for Medicaid enrollees, also passed 37-0. The Senate then took up CS/CS/HB 913 on condominium associations, a major post-Surfside reform bill. Senator Bradley explained that the measure was intended to provide financial relief and flexibility while preserving safety and accountability. The bill was substituted for SB 1742, amended several times to limit milestone inspections and structural integrity reserve studies to buildings three habitable stories or more, and then passed 37-0 after extensive debate. Senators from both parties praised Bradley, Pizzo, Garcia, and staff for years of work on condo safety and affordability, with several members describing the bill as a balance between protecting residents and avoiding financial hardship. The final major item was CS/HB 1205, the bill on amendments to the state constitution and citizen petition drives. Sponsors Gates and Grohl argued the bill was needed to combat fraud, identity theft, and misuse in the petition process, citing a lengthy Office of Election Crimes and Security report. The House bill was substituted for SB 7016, and the chamber considered a long series of amendments and substitute amendments addressing petition circulator registration, volunteer participation, submission deadlines, invalid-signature thresholds, voter notification, and fiscal impact statements. Several amendments were adopted, while others were debated over whether they would protect access to the citizen initiative process or strengthen election integrity. The transcript ends during debate on the main substitute amendment, before final disposition on the bill is shown.

Transcript Highlights:

• So with the algorithms, I thought I saw something in looking at a summary about the bill.
• Are you doing anything where you're trying to deal with the algorithms through, I think, ACCA, when it
• There's problems in the algorithm, There's problems in the algorithm with our system.
• than I wanted to with looking at what these providers should be getting financially and what the algorithm

Summary: The Senate began with opening prayer, the Pledge of Allegiance, and several recognitions, including interns, Denim Day awareness, and a resolution honoring Vietnam veterans exposed to Agent Orange on the 50th anniversary of the fall of Saigon. The chamber also observed a moment of silence for former Senator Karen Johnson Gendron. After routine business, the Senate took up several special-order bills. The first major bill, transportation offenses involving death, increased penalties for repeat DUI/BUI manslaughter and vehicular homicide offenses. An amendment added penalties for refusal to submit to breath or urine testing and required law enforcement to notify suspects of those penalties. The bill passed 37-0. The Senate then passed SB 306 on Medicaid providers, requiring broader after-hours and holiday access to care and setting network standards for Medicaid managed care plans, also by a 37-0 vote. The chamber next considered a major condominium and cooperative associations bill responding to post-Surfside safety and financial concerns. Senators described the measure as balancing building safety with financial relief, extending reserve-study deadlines, allowing temporary reserve relief after inspections, tightening oversight of managers and inspectors, and adjusting voting, resale, and reserve rules. After extensive debate and praise from members for the bill’s sponsors and staff, the bill passed 37-0. The longest discussion centered on a constitutional amendments/petition process bill aimed at curbing fraud in citizen initiative petitions. Sponsors argued that the 2024 petition process was plagued by fraud and identity theft and proposed tighter rules for circulators, faster submission deadlines, voter notification, penalties, and limits on petition handling. Senators offered and adopted multiple amendments, including changes to petition-circulator definitions, invalid-signature thresholds, and voter notification procedures. After a substitute amendment was withdrawn, the Senate continued debating the underlying amended bill, with members split between concerns about election integrity and worries that the bill would burden volunteers and make it harder for citizen initiatives to qualify.

Transcript Highlights:

• It removes the provision addressing algorithms, automated decision-making systems, and data-driven models
• the amendment removes the language that expressly identified lending, underwriting, appraisal, algorithms

Summary: The House received a series of Senate communications and committee reports, then took up a long consent calendar and several individual measures. Early actions included passing consent calendar items, recognizing Freedom of Speech Week and Juneteenth, and hearing numerous introductions and tributes, including remarks honoring House fellows, Father’s Day, and Representative Mara Gorman. The chamber also adopted several procedural motions and recesses, with roll calls recorded throughout. Among the bills considered, the House passed House Bill 134 on animal cruelty, increasing penalties for repeat offenses; House Bill 131 with Senate Amendment 1 on pet stores and animal welfare; House Substitute 1 for House Bill 320 on technical corrections to the Delaware Constitution; House Substitute 1 for House Bill 407 on technical updates to the Hazardous Substance Control Act; House Substitute 1 for House Bill 425 on salary supplements for certain school employees; House Substitute 1 for House Bill 450, the Road Delaware Act, on land use and permitting reform; House Bill 459 on restricting energy drink sales in schools; House Substitute 1 for House Bill 439 on electric moped and motorcycle disclosures; and House Bill 444, the Delaware John Lewis Voting Rights Act, after amendment delaying its effective date to July 1, 2027. House Amendment 1 to House Bill 459 was adopted, and House Amendment 1 to House Bill 444 was adopted before final passage. The House also rejected House Amendment 1 to House Substitute 1 for House Bill 425 after debate over salary supplement policy for school-related certifications, then passed the substitute bill itself. House Bill 407 prompted questions about the increase in civil penalties, which DENREC said was intended to update outdated fines and align the penalty structure with other laws. House Bill 444 drew floor speeches emphasizing voting rights protections and concerns about voter suppression and dilution. The session ended with the House moving to recess after continuing consideration of House Bill 355, the Speaker Truth Act, which had just adopted an amendment changing damages language to attorney’s fees and costs.

Transcript Highlights:

• AI is rapidly changing the world, and when combined with social media algorithms, is creating societal
• AI is rapidly changing the world, and when combined with social media algorithms, is creating societal

Summary: The Senate convened with a quorum, opening prayer, Pledge of Allegiance, and several introductions, including guests from the press, Florida State women’s soccer, and former Senator Janet Cruz. Members also announced there would be no conference that weekend. The chamber then moved to the special order calendar and began taking up a series of bills, often substituting House companions and proceeding quickly to third reading and final passage. Among the measures approved were bills modernizing trust settlement and trustee discharge procedures; revising military affairs laws, including leave protections, retirement eligibility, and assistance programs; creating uniform cash-rounding rules as Florida prepares for the end of the penny; refining podiatric medicine rules on cellular/tissue-based products and informed consent; expanding veterans’ court access statewide; clarifying RV park special assessments; establishing concurrent state-federal jurisdiction for juveniles on military installations; reauthorizing alcoholic beverage loss deductions; and revising bail bond and pretrial release laws, including training, electronic notices, forfeiture timing, and related procedures. Members also passed bills on eyewear insurance licensing, expanding the Linking Industry to Nursing Education Fund into health science education, streamlining recovery residence regulation, enhancing felony battery penalties, and updating child welfare rules to reduce repeated background checks, make the Step Into Success program permanent, and create a best-practices program. Several bills drew brief supportive remarks, especially those affecting veterans, the National Guard, foster youth, and military families. One bail bond bill prompted questions about charitable bail bonds, with the sponsor stating the current statute would remain unchanged. Most bills passed unanimously or near-unanimously; the bail bond measure passed 36-1, while the others noted here passed with no or minimal opposition. The Senate also adopted an amendment to the military affairs bill and a delete-all amendment to the military-installation jurisdiction bill before final passage. A major portion of the meeting was devoted to honoring Senate Democratic Leader Lori Berman on her farewell. Members from both parties offered extended remarks praising her leadership, preparation, collegiality, advocacy on issues such as voting rights, women’s rights, Israel, anti-Semitism, breast cancer, school safety, and family law, and her effectiveness in committee and on the floor. Berman delivered an extended farewell speech reflecting on her 16 years in the Legislature, her family, her district, and her legislative priorities, and the Senate ordered her remarks spread upon the journal before recessing and later returning to continue the calendar.

Transcript Highlights:

• PROSECUTING SOMEBODY WHO DESTROYS EVIDENCE WILL BE PUT AWAY BUT SOCIAL MEDIA COMPANIES THROUGH THEIR ALGORITHMS
• THEY SAY THEY CAN'T, EVERYTHING IS INCLUDED, EVERYTHING YOU SEE IN TERMS OF ALGORITHMS AND SOFTWARE TO

Keywords: 999, senate, all

Transcript Highlights:

• We have issues with algorithms when we're talking about the dollars and cents that our folks should be
• We have issues with algorithms when we're talking about the dollars and cents that our folks should be

Summary: The committee met with a quorum and took up a series of health and human services bills, beginning with CS/SB 1602, which would require hospital emergency departments to have evidence-based pediatric care protocols, staff training, child-sized equipment and medications, a pediatric care coordinator, and participation in a national pediatric readiness assessment. The bill was reported favorably after no public opposition. CS/SB 1224, aligning Florida law with federal requirements for paramedics to administer controlled substances under physician or nurse practitioner direction, also drew supportive testimony from the Florida Fire Chiefs Association and was reported favorably. CS/SB 1182, requiring coverage of continuous glucose monitors under both pharmacy and durable medical equipment benefits, was likewise reported favorably after brief support from AARP. The committee then considered CS/SB 890, the Emily Adkins Family Protection Act, which addresses venous thromboembolism by defining certain conditions as chronic diseases, creating a statewide registry, and requiring screening and training in hospitals, surgical centers, nursing homes, and assisted living facilities. Family members and blood clot advocates strongly supported the bill, but assisted living representatives objected to being included, arguing the bill would impose unrealistic medical expectations and liability on residential care facilities. Senators also raised concerns about the assisted living provisions, but the bill was reported favorably after the sponsor said more changes were likely later. CS/CS/SB 954, dealing with recovery residences and treatment centers, was amended to reduce the number of active patients from 500 to 300 and then reported favorably after extensive debate over zoning, clustering, neighborhood impacts, and access to recovery housing. CS/SB 1050, which expands the developmental disabilities pilot program and creates an adult pathways waiver option, generated the most extensive testimony. Supporters said it would help reduce the long APD waitlist and expand services, while many families and advocates warned against managed care, citing provider shortages, weak oversight, and the importance of consumer-directed care. Committee members emphasized that participation is voluntary and that people can disenroll, and the bill was reported favorably. CS/SB 614, requiring a public educational webpage about background screening and level-two screening requirements, and CS/SB 1578, expanding breast cancer screening coverage, were both reported favorably with little opposition. CS/SB 1060 created a joint legislative oversight committee for Medicaid financing and operations; after an amendment expanding the committee from three to five members, it was reported favorably. CS/CS/SB 1240, updating DCF substance abuse and mental health procedures including 988, methadone assessment, forensic evaluators, and Baker Act transfer timing, was amended and reported favorably after debate over transfer deadlines and facility responsibilities. Finally, the committee began hearing CS/SB 526, a major nursing education bill aimed at improving Florida’s low NCLEX passage rates by tightening program standards, requiring exit exams and remediation, mandating reporting and inspections, and limiting accreditation extensions. A strike-all amendment was introduced that would also require certain low-performing programs to offer a three-month graduate preceptorship. The transcript cuts off before the bill’s full debate and final action are completed.

Transcript Highlights:

• We have issues with algorithms when we're talking about the dollars and cents that our folks should be
• We have issues with algorithms when we're talking about the dollars and cents that our folks should be

Summary: The committee took up a series of health and human services bills, beginning with CS/SB 1602, which would require emergency departments to have evidence-based pediatric care protocols, training, appropriate child-sized equipment and medications, a designated care coordinator, and participation in a pediatric readiness assessment. It was reported favorably. CS/SB 1224 followed, aligning Florida law with federal requirements so paramedics may administer controlled substances in the field under physician or nurse practitioner protocols; it also passed favorably after supportive testimony from fire chiefs. The committee then adopted a strike-all for SB 890, the Emily Adkins Family Protection Act, which addresses venous thromboembolism by creating a statewide registry, requiring screening and training in hospitals and long-term care settings, and adding assisted living facility response requirements. Assisted living representatives objected to the ALF provisions as unrealistic and potentially harmful, while supporters argued the bill would save lives; the bill was reported favorably. CS/SB 1182, requiring continuous glucose monitors to be covered as both durable medical equipment and a pharmacy benefit, also passed favorably with support from AARP. The committee next considered CS/SB 12, a claim bill for a child severely injured after a DCF home visit allegedly failed to meet standards, and it was reported favorably without opposition. CS/CS/SB 954, dealing with substance abuse treatment centers and recovery residences, drew substantial debate. The bill would limit local zoning restrictions on treatment facilities and allow larger recovery residences if staffing ratios are increased; a late-filed amendment reduced the maximum active patients from 500 to 300. Municipal and county representatives warned that the bill could override local reasonable-accommodation efforts and create institutional-scale facilities, while supporters said housing is essential to recovery and that clustering concerns are overstated. The committee ultimately reported the bill favorably. CS/SB 1050, expanding the developmental disabilities pilot program statewide and creating a statewide family care council, also passed after extensive testimony from families and advocates. Supporters emphasized the long waitlist and the need for more services, while some speakers opposed managed care and warned about provider shortages and loss of individualized supports. Later, CS/SB 614, requiring a public educational webpage about background screening clearinghouse and level two screening requirements, was reported favorably. CS/SB 1578, which would require coverage for mammograms and supplemental breast cancer screening in certain circumstances, was also reported favorably. CS/SB 1060 created a joint legislative oversight committee to review Medicaid operations and financing; members discussed the need for stronger oversight of large midyear spending adjustments, and the bill passed favorably. CS/SB 1240, a Department of Children and Families substance abuse and mental health bill, was amended to clarify Baker Act transfer timing and notification requirements after debate over whether facilities could hold patients too long; it was then reported favorably. Finally, Senator Harrell presented CS/SB 526, a major nursing education bill aimed at Florida’s low NCLEX passage rates. The bill would require nursing programs to use exit exams, remediation, reporting, and stricter oversight, and the strike-all would add graduate preceptorships for low-performing programs and temporary provisional licenses for graduates pending NCLEX passage. The transcript ended while that bill was still being explained, before final action was taken.

Transcript Highlights:

• If medical algorithms and decision making tools are based on sex assigned at birth, then transgender
• bill risks the safety of trans and intersex patients with no demonstrated benefit, um, requiring algorithms

Bills: HB 45, HB 755, HB 1232, HB 1555, HB 2460, HB 2702, HB 2973, HB 3120, HB 3225, HB 3314, HB 3356, HB 3371, HB 3634, HB 3638, HB 4247, HB 4283, HB 4290, HB 4302, HB 4503, HB 4511, HB 4565, HB 4581, HB 4627, HB 4632, HB 4660, HB 4668, HB 4960, HB 5042

Keywords: housing, affordable housing, rent control, landlord-tenant laws, housing rights, lobbying, public entities, expenditures, government code, transparency, Texas Ethics Commission, government regulation, lobbying restrictions, government accountability, taxpayer money, HB 1232, whistleblower, whistleblower protection, public employee, retaliation

Transcript Highlights:

• Uh, I'm actually best known as the lead author of a book called *Introduction to Algorithms*.
• Uh, it was more in algorithms and systems.
• Uh, it was more in algorithms and systems.
• And several years ago, many years ago, there was an algorithm that came out.
• there was an algorithm that came out. there was an algorithm that came out.

Keywords: 1189, house, all

Transcript Highlights:

• I am not surprised, because like I said earlier, bears in the Southeast usually are able to feed longer
• usually<01:34:00.840> are<01:34:00.920> able<01:34:01.160> to<01:34:01.280> feed
• <01:34:02.360> Uh<01:34:02.480> we usually are able to feed longer.
• Uh we usually are able to feed longer.
• there I am not surprised, because like I said earlier, bears in the Southeast usually are able to feed

Keywords: MS Senate Floor - 10 February, 2026; 10:00 AM, 925, all

Summary: The Senate convened with a quorum present, received an invocation from Dr. Denise Pope, and led the pledge of allegiance. The body then dispensed with the reading of the journal, committee reports, and bill titles. Several guests were introduced, including the doctor of the day, student pages, Carthage Christian Academy, Mississippi Valley State University visitors, the University of Southern Mississippi’s DuBard School and related programs, and members of the Mississippi Association of Nurse Anesthetists. The Senate took up Senate Bill 2896, which revises the Department of Public Safety salary schedule for MHP and MBN officers. Senator Hopson explained it as the vehicle for possible pay raises for troopers, NBI, and MBN officers, and the chamber adopted the committee substitute and passed the bill by morning roll call. The Senate also passed Senate Bill 2917, a recurring appropriations cleanup measure; its main change would allow Mississippi Valley State University to use previously designated dormitory funds for repair and renovation instead. A reverse repealer amendment was adopted before final passage by morning roll call. Senate Bill 2825, the Mississippi Health Care Industry Zone Act, was then considered. Senator Harkins said the bill extends the repealer for the health care industry zone incentive program to 2028 and noted the program has generated significant investment and jobs statewide. An amendment requested by the Mississippi Development Authority was adopted to revise eligibility language, including replacing a CON requirement with a requirement that a hospital have at least 25 acute care beds and deleting a section under current law. The bill then passed by morning roll call. Finally, the Senate considered Senate Bill 2894 on local improvement projects and the return of unexpended funds and earned interest. Senator Harkins explained that the bill would require older local improvement project funds to be returned if projects were not moving forward, require reporting to DFA and the Legislative Budget Office, allow audits, and permit limited extensions, while also withholding a portion of other state distributions for noncompliance. Senators raised concerns about projects that are already obligated or delayed by workforce and engineering constraints, and Harkins said the bill would be refined with a reverse repealer to work with LBO and avoid disrupting active projects. The bill was discussed but not finally disposed of in the portion of the transcript provided.

Transcript Highlights:

• And as mentioned, there is going to be a quality-driven auto algorithm that we've noticed all the plans

Transcript Highlights:

• transfer process, where the executive director of the ambulance and myself are kind of the top of the algorithm
• the<00:54:15.400> top<00:54:15.599> of<00:54:15.720> the<00:54:15.799> algorithm
• the kind of the top of the algorithm the kind of the top of the algorithm where<00:54:16.760>

Keywords: 1183, house

Summary: The Health Finance and Policy Committee heard testimony from the Minnesota Hospital Association and several hospital leaders about the financial strain facing hospitals across Minnesota. The association’s CEO said hospitals are essential 24/7 safety-net providers, but rising labor, supply, technology, and drug costs are outpacing reimbursement from Medicaid, Medicare, and commercial payers. He warned that many not-for-profit hospitals are struggling, that workforce shortages remain significant, and that the committee should consider help on Medicaid rates, discharge/boarding problems, mental health services, workforce development, protecting the 340B drug discount program, and avoiding new mandates that add costs. Relle Schultz of Winona Health described a community hospital with a 49-bed facility and long-term care services that has faced years of losses, including a $17 million loss in 2023 and $12 million in losses the following year. She said government payers now make up about 65% of the hospital’s mix, and each 1% increase in that mix costs about $1 million. She highlighted the difficulty of sustaining services such as dialysis, which was nearly closed until a local donor provided $3 million to keep it open for three years, and she emphasized the importance of 340B savings and the need for higher Medicaid payments. Carrie Mulski of Riverview Health in Crookston said critical access hospitals are also under pressure despite their federal designation. She explained that federal support has eroded, that Medicaid and other public programs do not cover full costs, and that her hospital’s 340B savings help keep the doors open. She said Riverview opened a new hospital in 2020 but was hit by the pandemic and inflation, leading to annual losses of $5 million to $6 million and a negative operating margin of 9% to 10%. She also described bond covenant problems, low cash on hand, the prior closure of the nursing home, and the need for rapid state action to stabilize rural hospitals and preserve access to care.

Transcript Highlights:

• I was notified that the witness mics are not going through the feed. Is someone watching the feed?
• Thousands also came to feed the hungry and To give shelter to those who lost their homes and to help
• Just say your name before you talk for the live feed. Thank you. Frank.
• Texas and feeding in America.
• also directly feed into the regional offices.

Keywords: 997, house, all

Transcript Highlights:

• do it for the money, but if you have a 15-year-old and we're paying you $600 a month, that doesn't feed
• You'll have a case manager, you'll have some assistant directors, and they will use the algorithm to

Keywords: 1182, all

Summary: The committee met for a presentation-only hearing on the Arizona Department of Child Safety, with no bills on the agenda. Chair Blackman opened by emphasizing that the hearing was intended to be data-focused and respectful, and that personal attacks or false accusations would not be tolerated. Director Catherine Patak then presented DCS data on hotline volume, investigations, reunifications, adoptions, guardianships, foster care entries and exits, kinship placement, congregate care, missing youth, and extended foster care. She said the department investigated more than 43,000 cases in 2025, kept the out-of-home care population relatively steady, and had reunified about 3,000 children with parents, while also noting that older youth and behavioral-health-driven removals are creating a mismatch with available foster homes. She also described kinship supports, foster parent recruitment, and the impact of Family First on funding, saying DCS lost federal drawdown for congregate care while waiting on approval for prevention programs. Members questioned the director about kinship caregivers, behavioral health access, reunification services, parental rights terminations, notice and documentation practices, and the effect of increased reimbursement rates. Patak said unlicensed kin can receive support through the kinship supports contract, that behavioral health assessments are done quickly at the welcome center or within 24 hours for kin placements, and that provider capacity remains a major constraint outside DCS control. She explained reunification conditions and services, said the department is working on documentation and notice issues flagged by the Auditor General, and noted that kinship reimbursement increases have helped some families step forward. She also said DCS procurement for group homes is handled internally through an RFP process and that about 10% of kinship caregivers become licensed. Representative Gillette then delivered a lengthy presentation arguing that the child welfare, Medicaid, and disability systems are structurally intertwined and that procurement and funding rules create incentives for volume and congregate care use. He criticized DCS, DES, and AHCCCS/Access oversight structures, argued that the system diffuses accountability, and said the committee’s work and related materials would be referred to special counsel. He also raised concerns about documentation, placement decisions, and the cost of congregate care, while asserting that the system over-relies on large providers and that reforms should focus on structural and financial incentives. Vice Chair Fink followed with a brief slide noting that congregate care costs far more per child than foster or kinship care, reinforcing the committee’s concern about placement costs and the need to shift children toward family-based care when possible.

Transcript Highlights:

• IT'S LOOKING AT US REVISING THE ALGORITHM, IS LOOKING AT US GOING TO THE EYE CONNECT PROGRAM AND FIXING

Transcript Highlights:

• That there are these algorithmic biases that are taken into consideration to avoid problems.

Transcript Highlights:

• Don't we have to wrap up this bill in time for the Governor's 1:30 press conference to feed the media
• Because if you're a single mom and that algorithm knows you have the profile of being a single mom, you
• I was more shocked to learn that PFOS pesticides are present on the fruits and vegetables that we feed
• our families. to learn that PFOS pesticides are present on the fruits and vegetables that we feed our
• host of adverse health impacts for children, women, and farm workers working tirelessly every day to feed

Keywords: 988, house, all

Summary: The Assembly convened, first dealing with quorum and routine procedural matters before moving through a series of third-reading bills, many focused on immigration enforcement, worker protections, child care, and school or voting-site safety. Early measures included AB 2393, AB 1994, AB 1929, AB 1633, AB 1650, AB 1655, AB 1851, AB 1896, and AB 2230, with authors and supporters arguing these bills would provide accountability, protect immigrant communities, preserve access to benefits and services, and limit intimidation by immigration enforcement. Opponents repeatedly argued the bills were anti-law-enforcement, unconstitutional, or based on exaggerated or nonexistent threats. Several bills passed by recorded vote, including AB 2393 (41-15), AB 1994 (58-0), AB 1929 (41-17), AB 1650 (44-19), AB 1655 (50-14), AB 1851 (56-0), AB 1896 (41-19), and AB 2230 (42-15). AB 1633, a 54-vote bill imposing a tax on for-profit detention facilities, was debated at length but the roll was not completed in the excerpt and the item was moved on from temporarily. After a caucus break, the House returned and took up additional bills. AB 2379 would require child care providers to be informed of constitutional protections and receive multilingual training regarding immigration enforcement; it passed 59-10 on both the urgency and the measure. AB 2460 would direct the education department to update referral protocols so schools can better respond to students affected by immigration enforcement trauma and family deportation; it passed 52-8. AB 2495 would expand prohibitions on unfair immigration-related practices by employers, making immigration-related threats unlawful in workplace disputes; it passed 50-15. Throughout the day, debate was highly partisan and often heated, with repeated exchanges over whether the bills addressed real harms or were political messaging, but the Assembly ultimately advanced the measures that came to a vote.