Transcript Highlights:

• THEY WERE LOOKING AT TWO OF THE MEDICATIONS I THINK IT WAS FOR CYSTIC FIBROSIS AND ANOTHER ONE FOR HIV
• HEARD THEY'RE NOT GOING TO STACK THE MEDICINE, WHAT ABOUT PHARMACIES WHO PURCHASE THINGS REGIONALLY, HIV

Transcript Highlights:

• When I started doing this, we weren't doing any blood testing on any of the competitors.
• With three years of leg work, we were able to get testing required for Hep B, Hep C, and HIV on all competitors

Bills: HB4322 , HB4202 , HB4203 , HB4457 , HB3983 , HB3660 , HB3802 , HB2933 , HB2955 , HB2956 , HB3781 , HB3521 , HB3794 , HB3796 , HB3800

Committee: Senate Business and Insurance

Keywords: funeral services licensing, funeral director, embalmer, funeral director in charge, dual licensure, mortuary science, Oklahoma Funeral Board, funeral establishment, commercial embalming establishment, crematory, cremation, alkaline hydrolysis, apprenticeship, licensing requirements, professional regulation, undertaker, mortician, burial services, death care industry, workers' compensation

Transcript Highlights:

• After his three-month hospitalization, we were able to do testing and imaging, echocardiograms for him
• reproductive health care services, patients may access service one time to obtain birth control or get testing
• We have several patients who are immunocompromised, whether they're living with HIV/AIDS, going through
• I think, you know, for contraception, for example, STI testing and treatment, now we have at-home test
• You can do your testing at home, then you can receive treatment if you need treatment for your STI.

Summary: The committee held an outcomes review hearing on AB 744 and AB 32, two telehealth bills authored by Majority Leader Aguiar-Curry. Members and witnesses discussed how AB 744 established payment parity for telehealth in the commercial market and how AB 32 expanded Medi-Cal access to audio-only telehealth in appropriate circumstances, especially for patients facing broadband, transportation, language, and other access barriers. The hearing framed telehealth as a permanent part of California’s health care system rather than a temporary pandemic measure, while noting that disparities and implementation gaps remain. First-panel testimony from the California Health Care Foundation and the Center for Connected Health Policy reviewed telehealth trends, evidence of patient satisfaction, and the effectiveness of telehealth for behavioral health, chronic care, and e-consults. Witnesses said audio-only care remains important for patients without reliable internet, but Medi-Cal still has gaps in asynchronous care, FQHC/RHC billing, and remote-only provider participation. Committee members asked about reimbursement, data collection, clinical safeguards, broadband access, language access, and whether telehealth is being used to speed up appointments or reduce disparities. A second panel of providers and advocates described how telehealth has changed practice. A family physician said parity allowed his health system to invest in staffing and scheduling, and that virtual visits help seniors, working patients, and those with mobility or transportation barriers, while still allowing escalation to in-person care or emergency services when needed. Planned Parenthood said telehealth is essential for sensitive sexual and reproductive health services and urged broader Medi-Cal coverage for asynchronous care. A behavioral health clinician from Shasta County said telehealth has been critical for rural patients, though broadband and affordability remain barriers. Public comment from hospital, telemedicine, and consumer groups generally supported telehealth expansion while urging fixes to remaining Medi-Cal gaps and continued access to in-person care.

Transcript Highlights:

• You just got to pass a test.
• , a physical skills test, and hours documented before being able to test.
• You just got to pass a test.
• a physical skills test, and hours documented before being able to test.
• This national test.

Bills: HR115 , HR116 , HR117 , HR118 , HR112 , HR113 , HR114 , HCR51 , HCR52 , SCR18 , SCR20 , SB14 , SB76 , SB118 , SB142 , SB156 , SB170 , SB197 , SB234 , SB258 , SB287 , SB288 , SB313 , SB315 , SB393 , SB396 , SB426 , SB427 , HCR7 , HB76 , HB84 , HB132 , HB181 , HB210 , HB250 , HB265 , HB275 , HB291 , HB322 , HB342 , HB457 , HB475 , HB477 , HB486 , HB616 , HB635 , HB639 , HB690 , HB740 , HB757 , HB761 , HB766 , HB774 , HB808 , HB855 , HB866 , HB872 , HB883 , HB886 , HB903 , HB949 , HB962 , HB996 , HB1003 , HB1036 , HB1054 , HB1071 , HB1076 , HB1078 , HB1113 , HB1132 , HB1146 , HB1232 , HB1233 , HR15 , HR20 , HCR14 , HCR6 , HCR19 , HCR10 , HR74 , HCR26 , HCR35 , HB98 , HB108 , HB131 , HB151 , HB161 , HB288 , HB294 , HB305 , HB310 , HB320 , HB336 , HB380 , HB392 , HB403 , HB420 , HB459 , HB476 , HB540 , HB615 , HB631 , HB637 , HB648 , HB665 , HB682 , HB789 , HB813 , HB815 , HB835 , HB870 , HB905 , HB915 , HB933 , HB938 , HB987 , HB1040 , HB51 , HB82 , HB143 , HB145 , HB160 , HB180 , HB192 , HB393 , HB430 , HB445 , HB506 , HB515 , HB521 , HB565 , HB590 , HB614 , HB638 , HB670 , HB672 , HB685 , HB692 , HB752 , HB773 , HB781 , HB799 , HB860 , HB874 , HB887 , HB917 , HB937 , HB956 , HB965 , HB972 , HB977 , HB982 , HB1006 , HB1010 , HB1044 , HB1072 , HB1088 , HB1179 , HB1200 , HB81 , HB400 , HB154 , HB410 , HB463 , HB827 , HB868 , HB952 , HB953 , HB140 , HB750 , HB911 , HB52 , HB961 , HB399 , HB401 , HB901 , HB9 , HB58 , HB193 , HB284 , HB570 , HB577 , HB582 , HB605 , HB733

Keywords: Kappa Alpha Psi, fraternity, Louisiana, commemoration, community engagement, recognition, state championship, basketball, sports achievement, school commendation, commendation, athletics, team sports, youth, community recognition, water utility, tax credit, excessive rates, residential service, subcommittee

Transcript Highlights:

• offer culturally centered health care and harm reduction services, including naloxone distribution, HIV
• and hepatitis C testing, and treatment for substance use disorders.
• Law enforcement forensic science is one of those areas that we can bridge the gap by testing evidence
• gets turned over once every hour because of the chemicals and different solvents that are in the testing
• is being done currently by Testing is being done currently by relocating<00:59:18.280><c> staff</c><

Committee: House Public Safety Finance and Policy

Transcript Highlights:

• Specifically, that's in HIV because they're able to access 340B drugs through our HIV program, which
• This is due to the removal of the non-recurring Phenomune pilot testing kits and the transfer of the
• It's going to test my knowledge here.
• You failed a test. Your boyfriend broke up with you.
• And so that’s a partnership of testing and inspectors.” “In the state.

Committee: House Appropriations

Summary: The committee first heard a budget presentation on LSU Health Care Services Division and Lallie Kemp Medical Center. Staff reviewed HCSD’s roughly $74.7 million budget, much of it tied to legacy obligations for former LSU hospital systems and support for Lallie Kemp. Committee members asked about prisoner care, risk management costs, declining admissions and emergency visits, and the hospital’s 340B drug program. Lallie Kemp officials explained that prisoner care serves multiple state and local facilities, that lower admissions largely reflect more patients being placed in observation status, and that the in-house 340B program provides major savings to patients and the prison system. Members also asked about care for unhoused patients and the hospital’s discharge practices, and the hospital said social services works to find placement when possible. The committee then moved to the Louisiana Department of Health budget, which was presented as just under $23.5 billion, with Medicaid making up more than 90 percent of the total. The presentation covered the Office of the Secretary, Office of Public Health, Office of Behavioral Health, Office for Citizens with Developmental Disabilities, and Medicaid. Major items included the new Rural Health Transformation Program, the transfer of several functions from DCFS to LDH under the One Door initiative, changes to SNAP administration, and large Medicaid adjustments driven by enrollment, utilization, and federal policy changes. Testimony also highlighted the statewide crisis hub and 988, the commodity food program for seniors, women’s health and maternal outcomes, and the department’s efforts to modernize technology and reorganize services. Members questioned LDH officials on a wide range of budget and policy issues, including the rural health grant, crisis services, Medicaid redeterminations, provider taxes, physician and hospital supplemental payments, nursing home rates, HCBS funding, and the impact of the federal One Big Beautiful Bill Act. LDH said the rural health grant would support workforce, technology, and care-delivery improvements; that the crisis hub and mobile crisis units are being expanded to improve access and reduce emergency room use; and that the department is working to keep the SNAP error rate below 6 percent to avoid a projected state cost increase. Officials also said they expect to return next year with additional funding requests for HCBS and other programs, while emphasizing that current budget changes are largely meant to realign funding with actual expenditures and new federal requirements. No votes or formal actions were taken in the portion provided.

Transcript Highlights:

• You have your own test. If you'd like to testify on your own behalf, you may.
• under clinical study over the last five years and appear to affect the immune system in similar ways to HIV
• It is a great failure to the... ...years and appear to affect the immune system in similar ways to HIV

Committee: Joint Joint Committee on Municipalities and Regional Government

Summary: The committee held a lengthy hybrid hearing of the Joint Committee on Municipalities and Regional Government, with testimony spanning local board training, animal welfare and enforcement, municipal charters, water district dissolution, and other home rule matters. Chairs Rausch and Lewis set strict time limits because of the large number of speakers and explained that written testimony would also be accepted. Members heard from local officials, advocates, municipal employees, and residents, with many bills receiving broad support from municipal and advocacy witnesses. Several speakers supported bills requiring or expanding training for local boards and commissions, including pre-service training for planning, zoning, and other land use boards. Supporters said training would help volunteers understand complex laws, improve consistency, reduce legal challenges, and speed up housing and development decisions. Related testimony also backed a bill to modernize historic district commissions and another to allow associate planning board members to serve more broadly when needed to maintain quorums. A major portion of the hearing focused on animal legislation. Witnesses supported bills to expand citations for cruel conditions beyond dogs, update dangerous dog procedures, improve animal health inspections and breeder oversight, strengthen tethering rules, and protect pet consumers. Animal control officers, humane organizations, and some victims of dog attacks described enforcement gaps and the need for clearer standards, while several dog trainers and the American Kennel Club opposed parts of the dangerous dog bill and tethering restrictions, arguing they would limit humane training tools and professional discretion. The committee also heard strong support for a bill to create a statewide pet shop and consumer protection framework. The committee also heard testimony on several local home rule petitions. Medford officials and residents strongly supported a new city charter that would replace the current at-large council with ward-based representation and periodic charter review. Wayland representatives supported a bill to preserve the library’s Millennium Fund as intended, Cambridge officials backed creation of an employment and job training trust, and Carver officials supported dissolving the North Carver Water District due to compliance and financial problems. No votes were taken during the hearing, and the chair repeatedly invited written testimony and follow-up materials.

Transcript Highlights:

• you to take a breath test, and you can decline to take that test.
• that test.
• I'm sure there are multiple being worked on and tested and pushing through the system.
• I'm sure there are multiple being worked on and tested and pushing through the system.
• Maybe I have, you know, HIV records, other things of sensitive nature.

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:

• Violence and rape lead to lasting trauma and expose people to diseases, including HIV.
• to these dangers, which is precisely what this bill would do. diseases including diseases including HIV
• :33.400><c> have</c><00:21:33.559><c> been</c><00:21:33.799><c> clear</c><00:21:34.240><c> that</c> HIV
• the courts have been clear that HIV the courts have been clear that subjecting<00:21:34.960><c> people

Transcript Highlights:

• individuals will make it more difficult for folks who have complex medical needs, including cancer, HIV
• individuals, will make it more difficult for folks who have complex medical needs, including cancer, HIV
• , and other chronic cancer. for folks who have complex medical needs, including cancer, HIV, and other

Summary: The Senate Health and Long-Term Care Committee met on July 30, 2026, to hear two main briefings. The first, from the Health Care Authority, focused on implementation of federal H.R. 1 Medicaid changes and Washington’s rural health transformation funding. HCA said the state is preparing for major eligibility changes, including the October 1 loss of Medicaid coverage for about 14,000 lawfully present non-citizens and January 1, 2027 work requirements, six-month renewals, and reduced retroactive coverage for roughly 600,000 Medicaid expansion adults. Officials described outreach efforts, new automated verification systems, a verification hub, and plans to use available data sources to reduce manual paperwork, while noting that about one-third of the affected population may still need manual processing. They also said H.R. 1 will limit state-directed payments over time, with an estimated long-term impact of up to $1.5 billion in hospital reimbursements. On rural health transformation, HCA said it is moving quickly to obligate its $181 million federal award through contracts and competitive grants for rural hospitals, workforce, behavioral health, technology, and tribal and community partners. Committee members asked about the impact on rural providers, community service as a work-requirement pathway, emergency Medicaid, tribal and federal reimbursement issues, and whether the state would submit comments on the federal work-requirement rule. HCA said it would file comments, that emergency Medicaid coverage for certain services remains available, and that it is working with tribes and other agencies to avoid erroneous terminations and to move eligible people into other coverage where possible. Members also raised concerns about the administrative burden on families and providers and the need for congressional attention on issues such as TRICARE reimbursement. The second briefing addressed maternal health and the Department of Health’s Maternal Mortality Review Panel report. DOH said maternal mortality in Washington increased for the first time in the report series, but most pregnancy-related deaths remain preventable. Nearly half were linked to behavioral health conditions, especially overdose deaths, with suicide, cardiovascular disease, and COVID-19 also significant causes; most deaths occurred postpartum rather than during delivery. The report found higher mortality rates among American Indian and Alaska Native, Black, Native Hawaiian, Pacific Islander, multiracial, rural, and Medicaid-covered populations, and identified lack of access to care, financial hardship, housing instability, discrimination, bias, and systemic inequities as major contributors. DOH highlighted existing state actions such as one-year postpartum coverage, doula reimbursement, inpatient substance use treatment coverage for birthing people, and vaccine coverage requirements, and offered 12 legislative recommendations focused on affordable and high-quality care, basic needs and community supports, and equitable, culturally responsive services. Presenters from the Suquamish Tribe and Kitsap OBGYN described how the tribe acquired and stabilized a threatened OB-GYN practice to preserve regional access amid provider shortages and hospital service losses. They said rural obstetric care is difficult to sustain because of thin margins, workforce shortages, long travel distances, and higher-risk patients, and emphasized that tribal health systems can offer stronger reimbursement and integrated family-centered care. The Foundation for Healthcare Quality and the Bree Collaborative then outlined statewide maternity-care quality efforts, including work on perinatal behavioral health, care coordination, postpartum screening, doula support, and better-aligned payment models. They said Washington has strengths in innovation but still needs more OB-GYN capacity, better transitions of care, and more culturally responsive, trauma-informed maternal and Native health services.

Transcript Highlights:

• for making sure that we are responding to the very real ADAP crisis of Florida patients living with HIV
• . ...patients living with HIV who are facing deep cuts from the Department of Health.
• who are on ADAP right now, which pays for their life-saving medications, folks who are living with HIV

Summary: The Senate took up the 2026-2027 budget package, beginning with an overview of the $115 billion General Appropriations Bill (SB 2500/HB 500). Appropriations Chair Hooper said the budget is smaller than last year’s, maintains strong reserves, and includes a 3% pay raise for all state employees and 5% raises for state law enforcement, firefighters, correctional officers, and park rangers. Committee chairs then highlighted major spending in their areas, including $34.9 billion for Pre-K-12 education, $11.9 billion for higher education, a $2.1 billion-plus increase in health and human services, $7.9 billion for criminal and civil justice, $16.8 billion for transportation/tourism/economic development, and major environmental and regulatory investments such as Everglades restoration, water quality, and land acquisition. Members asked detailed questions about several items. Topics included the Emergency Management Trust Fund, arts and cultural grants, Florida Forever land acquisition versus conservation easements, teacher salaries and charter school funding, New College funding, ADAP/HIV drug assistance, Medicaid rate reductions for non-critical access hospitals, DOC operational deficits and inmate health/food costs, judicial staffing, and school enrollment supplements. Chairs explained that some reductions reflected shifts in how scholarship and categorical funds are tracked, that the ADAP appropriation would take effect immediately upon enactment but would only cover part of the year, and that hospital reductions were tied to a broader DPP funding increase. Questions also covered lottery staffing, concealed carry licensing workload, and whether vacant positions were being eliminated as part of budget right-sizing. After the budget discussion, the Senate substituted House bills for the Senate budget bills and adopted amendments placing the Senate language onto the House vehicles. The chamber then passed HB 500, HB 503, and HB 5201, and agreed to conference on each. It also passed SB 7028/HB 5205 on retirement, SB 2506 on fuel taxes, SB 2508 on the state agency law enforcement radio system, SB 2510/HB 5401 on court trust funds, SB 2512 on judgeships, SB 2514 on K-12 education, SB 2516 on higher education, and SB 2518 on health, with each bill passing by unanimous or near-unanimous votes and then being sent to conference or requested of the House for concurrence.

Transcript Highlights:

• for making sure that we are responding to the very real ADAP crisis of Florida patients living with HIV
• Real ADAP crisis of Florida patients living with HIV who are facing deep cuts from the Department of
• who are on ADAP right now, which pays for their life-saving medications, folks who are living with HIV

Summary: The Senate took up the 2026-2027 budget and related implementing bills. Appropriations Chair Hooper presented a $115 billion General Appropriations Bill, saying it reduces overall spending from the prior year, preserves reserves, and includes a 3% raise for state employees and 5% raises for state law enforcement, firefighters, correctional officers, and park rangers. Committee chairs then outlined major budget areas, including K-12 education, higher education, health and human services, criminal and civil justice, transportation/tourism/economic development, and environmental/agricultural agencies. Highlights included increased funding for school safety, teacher and scholarship funding, workforce education, Medicaid and kid care, corrections operations, judgeships, affordable housing, hurricane recovery, Everglades and water quality projects, and arts and cultural grants. Members asked detailed questions about several items. Senators discussed the Emergency Management Trust Fund, cultural arts grant allocations, Florida Forever land acquisition versus conservation easements, teacher salary support, charter school capital outlay funding, Bright Futures and EASE funding, New College funding, DOC deficits and inmate health care/food service costs, the ADAP HIV drug program, Medicaid reductions for non-critical access hospitals, and the use of opioid settlement and COVID relief funds. Chairs explained that some apparent reductions reflected shifts below the line or reclassification, that the ADAP appropriation would only cover about six months, and that some vacant positions were being removed as part of a right-sizing effort. Questions also covered lottery staffing, concealed weapons permit processing, elections security funding, and arts grant selection and proviso language. The Senate then substituted House bills for the Senate budget and implementing measures, amended them into the Senate posture, and passed them. HB 5001 (the appropriations bill), HB 503 (implementing bill), HB 5201 (collective bargaining), and HB 5205 (retirement) all passed 36-0 and were sent to conference. Other budget-related bills also passed, including SB 2506 on fuel taxes, SB 2508 on the state agency law enforcement radio system surcharge, SB 2510 on court trust funds, SB 2512 creating 13 circuit and 12 county judgeships, SB 2514 on K-12 education, SB 2516 on higher education, and SB 2518 on health. Most of these passed unanimously, with the Senate requesting the House either pass the Senate versions or include them in budget conference.

Transcript Highlights:

• for making sure that we are responding to the very real ADAP crisis of Florida patients living with HIV
• Florida patients living with HIV who are facing deep cuts from the Department of Health.
• who are on ADAP right now, which pays for their life-saving medications, folks who are living with HIV

Summary: The Senate took up the 2026-2027 budget package, beginning with an overview of the $115 billion General Appropriations Bill (SB 2500). Appropriations Chair Hooper said the budget reduces overall spending from the prior year, preserves reserves, and includes a 3% pay raise for state employees and 5% raises for law enforcement, firefighters, correctional officers, and park rangers. Committee chairs then highlighted major spending in their areas, including K-12 education, higher education, health and human services, criminal and civil justice, transportation/economic development, and environmental/agricultural programs. Major items discussed included school funding increases, workforce and university investments, Medicaid and child welfare funding, corrections operating deficits, housing and hurricane recovery, Everglades and water quality projects, and state employee compensation. Members asked detailed questions about several budget items. In education, senators discussed teacher salaries, declining enrollment supplements, scholarship funding growth, and charter school capital outlay. In higher education, they asked about Bright Futures, New College funding, and the EASE grant program. In health and human services, senators focused on the iBudget waiver, Medicaid hospital rate reductions, the ADAP HIV drug program, and the use of opioid settlement funds. In criminal justice, questions centered on DOC deficits, inmate health care and food service costs, public defender and state attorney funding, and whether the budget would prevent the need for National Guard support. In environmental and state agency budgets, senators discussed Florida Forever land acquisition, conservation easements, cultural grants, the Emergency Management Trust Fund, and election security funding. After the budget presentations and questions, the Senate substituted House bills for the Senate budget bills and adopted amendments to place Senate language onto the House vehicles for conference. The chamber passed HB 5001, the appropriations bill, by a 36-0 vote and agreed to conference. It also passed the implementing bill, collective bargaining and state employee bills, retirement legislation, fuel tax and SLERS bills, the court trust fund bill, judicial certification bill, K-12 and higher education conforming bills, and other related measures, generally by unanimous votes. Several motions were adopted to request the House to pass the Senate versions or include them in budget conference.

Transcript Highlights:

• This includes women's health screenings, HIV screenings, STI screenings, cancer screenings, and multiple
• right to have certain information not disclosed, such as their mental health, substance abuse history, HIV
• mandated steps to ensure that highly sensitive records like behavioral health, domestic violence, and HIV

Bills: HB1496 , HB2182 , HB2196 , HB2242

Committee: House Health Care & Wellness

Keywords: patients' rights, healthcare information, medical confidentiality, health data security, healthcare access, abortion, medications, reproductive health, access, healthcare, PANDA, PANS, treatment access, mental health, legislation, preventive services, state authority, definitions clarification, public health

Transcript Highlights:

• And finally, House Bill 159 aims to expand access to HIV infection prevention drugs by allowing certified
• pharmacists to order and dispense HIV post-exposure prophylaxis drugs under a written collaborative
• I wanted to ask about the HIV prevention infection drugs legislation, and I can't talk about that without

Summary: The committee met to receive implementation updates on recently enacted health care laws from AHCA and the Department of Health. AHCA reported on rural emergency hospitals, explaining the new Class 4 hospital designation, rule changes completed June 1, 2025, and that no Florida hospitals have yet converted, though one North Walton/DeFuniak Springs-area hospital has expressed interest. AHCA also reviewed the non-emergent care access plan requirement for hospitals with emergency departments, saying 83 plans had been received since July 1 and 63 approved, with plans emphasizing patient education, referrals to primary care or urgent care, and coordination for Medicaid managed care enrollees through the Florida HIE/ENS system. Members asked about HIE capacity, data collection, and whether the plans would identify shortages or trigger accountability measures; AHCA said it had moved to a new HIE vendor and would continue gathering data. AHCA also updated the committee on the TEACH workforce program, reporting $6.8 million in FY 2024-25 spending across 59 parent organizations and 229 facilities, with more than 1,800 students and nearly 380,000 clinical hours reimbursed, and said a federal 1115 workforce waiver was unlikely to move forward under CMS. On KidCare, AHCA said House Bill 121’s expansion to 300% of the federal poverty level remains blocked by federal litigation and CMS action tied to premium nonpayment rules, and members and public witnesses urged prompt implementation and asked for enrollment/disenrollment data and the rural health transformation funding outlook. Public testimony largely supported the NCAP and TEACH programs and pressed for action on KidCare. Representatives from health centers said NCAP has strengthened hospital-health center relationships and improved care coordination, including reduced recidivism in some hospitals. A Bond Community Health Center physician said TEACH is helping offset the burden of training students and could help address workforce shortages, especially in rural and underserved areas. Advocacy groups urged the committee to push for implementation of the KidCare expansion, citing children in the coverage gap and rising uninsured rates. The Department of Health then presented on several programs from the 2024-25 session. It reported on the Florida Reimbursement Assistance for Medical Education (FRAME) program, including 78 dentists and 15 dental hygienists funded under the dental track and nearly 1,300 medical professionals funded overall, with 123 dental applications and 71 funded dentists in the most recent cycle. DOH also updated the Screening and Services Grant Program, the Health Care Innovation Revolving Loan Program, the statewide telehealth maternity care program, and the swimming lesson voucher program, noting strong participation and outcomes such as reduced ER visits and improved postpartum follow-up in the maternity program. Finally, DOH said implementation of the HIV prevention drug/pharmacist dispensing law is underway, with three certification courses approved and five certifications issued. Members asked about barriers to wider use of HIV prevention drugs, more detailed maternal outcome data, and the dental workforce program report; DOH said more detailed reports would follow.

Transcript Highlights:

• And finally, House Bill 159 aims to expand access to HIV infection prevention drugs by allowing certified
• pharmacists to order and dispense HIV post-exposure prophylaxis drugs under a written collaborative
• I wanted to ask on the HIV prevention infection drugs legislation, and I can't talk about that without

Committee: Senate Health Policy

Summary: The committee opened with roll call, welcomed members back for the first committee weeks, and heard brief personal updates from several senators before moving into agency implementation updates on recently enacted health care laws. The Agency for Health Care Administration reported on Senate Bill 64 creating rural emergency hospitals, explaining that AHCA adopted the required rules effective June 1, 2025, but that no hospitals have yet been designated. Members asked about possible hospital conversions, accreditation and survey responsibilities, and whether Florida would apply for federal rural health transformation funding; AHCA said it intends to apply and has already been working on the issue with federal officials. AHCA also reviewed the non-emergent care access plan requirement under Senate Bill 7016. The agency said hospitals with emergency departments must submit plans that help redirect non-emergent patients to appropriate care settings while complying with EMTALA, and that 83 plans had been received and 63 approved as of September 30. Members asked about data collection, managed care coordination, and the state’s health information exchange; AHCA said it has moved to a new HIE vendor and will continue monitoring implementation and possible care gaps. AHCA then updated the committee on the TEACH program, saying $6.8 million was spent in 2024-25 across 59 parent organizations and 229 facilities, with more than 1,800 students and nearly 380,000 clinical hours reimbursed. The agency said rulemaking is nearly complete, a new nursing student category and expanded facility eligibility were added, and a federal 1115 workforce waiver remains stalled after CMS signaled it will not approve new workforce demonstrations. AHCA also reviewed House Bill 121 on KidCare eligibility, explaining that implementation of the 300% poverty-level expansion remains blocked by federal litigation and waiver issues tied to premium nonpayment rules; members and public speakers urged action to close the coverage gap. Public testimony on AHCA’s presentation came from representatives of health centers and advocacy groups, who said the non-emergent care access plan has improved hospital-health center coordination and reduced repeat emergency use, and who urged implementation of KidCare expansion for children in the coverage gap. The Department of Health then presented updates on FRAM, the Sanadi screening grant program, the Health Care Innovation Revolving Loan Program, telehealth maternity care, swimming lesson vouchers, and House Bill 159 on pharmacist dispensing of HIV post-exposure prophylaxis. DOH reported strong participation in FRAM and the telehealth maternity program, 24 Sanadi grant awards in 42 counties, 4,945 swimming lesson vouchers issued last year and 2,371 so far this year, and three approved certification courses with five pharmacist certifications issued under HB 159. Committee members asked about recruitment of dentists and other providers, telehealth maternity outcomes, and why participation in the maternity program remains below expected levels; DOH said outreach and regional referral networks are expanding and more detailed outcome data will be included in the upcoming legislative report.

Transcript Highlights:

• , in order for an owner to be able to take down a fence, the release site must not have a positive test
• , in order for an owner to be able to take down a fence, the release site must not have a positive test
• Members, for testing, as I said, three things here.
• It shortens the time period for testing from five to three years.
• “HIV-positive patients are immunocompromised, correct?” “I believe so.

Bills: SCR46 , SB31 , SB39 , SB227 , SB330 , SB401 , SB407 , SB467 , SB482 , SB500 , SB506 , SB512 , SB527 , SB584 , SB619 , SB636 , SB646 , SB647 , SB648 , SB659 , SB663 , SB715 , SB732 , SB758 , SB801 , SB816 , SB847 , SB870 , SB884 , SB1020 , SB1055 , SB1065 , SB1137 , SB1169 , SB1181 , SB1283 , SB1383 , SB1395 , SB1410 , SB1433 , SB1490 , SB1558 , SB1574 , SB1626 , SB1666 , SB1718 , SB1727 , SB1756 , SB1757 , SB1845 , SB1924 , SB1964 , SB1972 , SB2018 , SB2031 , SB2075 , SB2076 , SB2080 , SB2111 , SB2117 , SB2154 , SB2161 , SB2173 , SB2206 , SB2225 , SB2253 , SB2268 , SB2314 , SB2322 , SB2351 , SB2371 , SB2476 , SB2533 , SB2540 , SB2570 , SB2589 , SB2623 , SB2658 , SB2660 , SB2692 , SB2693 , SB2717 , SB2722 , SB2753 , SB2779 , SB2877 , SB2880 , SB2900 , SB2920 , SB3031 , HJR4 , SB5 , SB260 , SB1786 , SJR3 , SJR18 , SB1 , SJR36 , SJR50 , SJR63 , SJR84 , SJR59 , SCR12 , SCR39 , SCR46 , SCR48 , SCR19 , SB2023 , SB62 , SB666 , SB847 , SB284 , SB854 , SB1073 , SB810 , SB1505 , SB583 , SB1502 , SB507 , SB1026 , SB1433 , SB1434 , SB1376 , SB1585 , SB1772 , SB2016 , SB1163 , SB619 , SB1122 , SB732 , SB731 , SB397 , SB508 , SB1436 , SB287 , SB261 , SB1882 , SB393 , SB1791 , SB529 , SB209 , SB2429 , SB1999 , SB511 , SB2309 , SB510 , SB1924 , SB2253 , SB2018 , SB2206 , SB584 , SB1085 , SB1490 , SB2314 , SB2046 , SB1975 , SB2717 , SB1262 , SB1524 , SB1137 , SB636 , SB2056 , SB1558 , SB884 , SB227 , SB517 , SB1200 , SB1410 , SB1626 , SB1845 , SB1863 , SB2681 , SB2200 , SB2199 , SB1757 , SB2050 , SB2458 , SB2201 , SB1055 , SB2660 , SB2662 , SB1065 , SB801 , SB2533 , SB3014 , SB3013 , SB758 , SB648 , SB647 , SB512 , SB1721 , SB2268 , SB2366 , SB1013 , SB2692 , SB2570 , SB2797 , SB2111 , SB2371 , SB2383 , SB646 , SB1169 , SB1754 , SB1718 , SB2779 , SB2004 , SB1756 , SB2119 , SB527 , SB2322 , SB2448 , SB1777 , SB1283 , SB407 , SB2392 , SB2076 , SB2786 , SB3031 , SB2877 , SB2876 , SB2284 , SB2225 , SB1540 , SB2920 , SB2929 , SB1395 , SB1972 , SB2540 , SB2742 , SB2595 , SB2217 , SB2117 , SB715 , SB2330 , SB1964 , SB1383 , SB500 , SB1640 , SB2001 , SB2080 , SB2722 , SB506 , SB2514 , SB2623 , SB2658 , SB1574 , SB2900 , SB2753 , SB2398 , SB401 , SB1241 , SB2927 , SB2173 , SB2538 , SB898 , SB467 , SB1449 , SB2529 , SB1531 , SB2846 , SB2476 , SB2031 , SB986 , SB1181 , SB2075 , SB2154 , SB2864 , SB31 , SB2880 , SB1359 , SB2386 , SB771 , SB2844 , SB2550 , SB1351 , SB1423 , SB1931 , SB2245 , SB2589 , SB2707 , SB2807 , SB2351 , SB410 , SB659 , SB816 , SB2776 , SB2693 , SB2580 , SB1980 , SB1886 , SB1234 , SB739 , SB482 , SB456 , SB127 , SB1666 , SB2843 , SB2801 , SB800 , SB2055 , SB784 , SB2986 , SB735 , SB1012 , SB324 , SB2926 , SB2938 , SB2007 , SB2138 , SB1242 , HJR4 , HB135 , HB 1109 , SCR30 , SCR3 , SB2615 , SB1049 , SB2310 , SB1224 , SB2972 , SB1568 , SB2841 , SB2885 , SB3016 , SB2858 , SB2610 , SB2139 , SB1856 , SB2035 , SB2308 , SB2306 , SB2041 , SB1528 , SB1681 , SB1141 , SB2401 , SB2530 , SB2375 , SB547 , SB1266 , SB1373 , SB1467 , SB2069 , SB2269 , SB2480 , SB2544 , SB672 , SB904 , SB2695 , SB2891 , SB2422 , SB2543 , SB1854 , SB317 , SB2539 , SB2532 , SB2925 , SB1250 , SB2082 , SB2203 , SB457 , SB2357 , HCR35 , HCR64

Summary: The Senate first adopted a motion to move the intent calendar deadline to 4 p.m. and then took up several bills by suspending the regular order of business. Senate Bill 2031, concerning removal of high fences around breeder deer release sites, passed after an amendment shortened the testing period from five years to three, tied visible identification requirements to the date Parks and Wildlife began requiring them, and made the bill effective immediately. Senate Bill 1490, a cleanup to adult charter high school funding, and Committee Substitute Senate Bill 2227, creating a process for delayed birth certificates and renamed the Charles E. Barton Act, both passed unanimously after floor amendments. Committee Substitute Senate Bill 1964, regulating artificial intelligence systems used by state agencies, also passed unanimously after the author described guardrails for high-risk AI and disclosure requirements. The Senate then considered Senate Bill 2877, which increases penalties for election fraud and related attempts; after debate over whether existing law already covers some conduct and whether the bill was necessary given the small number of convictions, it passed to engrossment and later final passage on a 21-10 vote. Committee Substitute Senate Bill 2658, on brackish groundwater production and study, passed after four amendments, including one giving water districts authority to stop production if monitoring shows harm to freshwater supplies or subsidence and another returning a portion of transported water revenue to districts. Committee Substitute Senate Bill 648, strengthening recording requirements for real property instruments to help prevent deed theft, also passed on a 26-4 vote. Other measures approved included Committee Substitute Senate Bill 401, making it easier for homeschool students to participate in UIL activities through local district opt-in/nearest-district participation rules; Committee Substitute Senate Bill 407, requiring health care facilities to honor conscience or religious vaccine exemptions for employees, despite extensive questioning about patient safety and immunocompromised patients; Committee Substitute Senate Bill 2117, creating a Texas Committee on Foreign Investment to review risky foreign acquisitions; Senate Bill 1718, adding the NRA annual meeting to the major events reimbursement program after a failed amendment seeking equal space for gun-control advocacy; Committee Substitute Senate Bill 1626, clarifying limits on censorship and interference with digital expression by social media platforms; and Senate Bill 2206, updating the state R&D franchise tax credit and related sales tax treatment, which passed 31-0. The chamber also debated Senate Bill 1395 on school health advisory councils. An initial amendment to restore voting seats for teachers and school employees failed, but a later amendment by Senator West added students back in an advisory, non-voting capacity. The Senate then handled routine motions, committee scheduling, first-reading referrals, and adjourned until April 29, with the session ending in memory of two constituents.

Transcript Highlights:

• WE TRIED THIS AND TESTED IT OUT AND IT FAILED.
• THIS CONDITION COULD'VE HAVE BEEN CAUSED BY SURGICAL SMOKE HE SAID IT IS POSSIBLE BUT THERE IS NO TEST
• SURGICAL SMOKE CONTAINS OVER 150 HAZARDOUS CHEMICALS AND CARRIES VIRUSES SUCH AS HPV, HIV, HPV, AND BACTERIA
• IT IS A SCIENTIFICALLY TESTED QUESTION THAT WILL BE USED IN THE SURVEY AND IT HAS STANDARDIZED MEASURES

Transcript Highlights:

• over many years now, a series of infection prevention programs that really initially started as an HIV
• funded over many years now a series of infection prevention programs that really initially started as an HIV

Summary: The Working Group on Outreach and Treatment of the Special Commission on Xylazine held its first meeting, chaired by Gabe Adams-Cain in Senator John Villis’s absence. Members introduced themselves and described priorities such as improving education about xylazine, expanding first responder and clinical training, and ensuring patients and providers know how to respond to xylazine-related wounds and complications. Several participants emphasized that outreach should reach both people who have not been exposed and those already affected, and that stigma is a major barrier for patients and families. Discussion focused on the main challenges to treatment and outreach, including limited awareness, inconsistent wound care access, gaps in geographic coverage, cost of supplies, and the need for better training in both outpatient and inpatient settings. Dr. Kimmel noted that harm reduction and outreach programs are already providing much of the care, but often lack specialized staff, sufficient supplies, and standardized protocols. He also said xylazine can complicate withdrawal and make it harder for people to engage in substance use treatment. Members discussed the value of non-stigmatizing, consensus messaging, family support organizations, and existing resources such as PARI, StreetCheck, and state-funded syringe service and naloxone networks. The group also reviewed the commission timeline and next steps. Staff said materials for the December 11 full commission meeting should be submitted by December 2, with draft presentation materials to be shared by December 4 and reviewed by December 9. Members agreed to do additional follow-up research on topics including the cost-effectiveness and contents of self-care wound kits, outreach to family and recovery organizations, incarcerated populations, and geographic access gaps. The meeting ended with agreement to use a PowerPoint-style presentation and to continue compiling research through a shared folder, followed by adjournment at 9:55 a.m.

Transcript Highlights:

• If you fail this test, you die.
• tests.
• tests.
• Who in Massachusetts will be making the decision on what we test here and what we don’t?”
• Who in Massachusetts will be making the decision on what we test here and what we don't?

Committee: Joint Joint Committee on Mental Health, Substance Use and Recovery

Summary: The Joint Committee on Mental Health, Substance Use and Recovery opened its first public hearing of the 2025–26 session with remarks from the Senate and House chairs outlining the committee’s priorities. They noted recent work on addiction and recovery legislation, the ongoing youth behavioral health crisis, and that members might need to leave periodically for floor votes. The chairs explained hearing procedures, including three-minute testimony limits, written testimony deadlines, and reporting deadlines for Senate and House bills. The hearing then focused on several bills related to youth mental health, overdose prevention, and psychedelic treatment research. A major portion of the hearing centered on bills to improve youth crisis response and overdose prevention. Testimony strongly supported bills to print the 988 Suicide and Crisis Lifeline on student ID cards, with speakers from mental health organizations, crisis centers, and individuals sharing personal stories of depression, suicide attempts, and the importance of making 988 as familiar as 911. Another set of bills would require schools to stock naloxone and provide overdose prevention education. Physicians, harm reduction advocates, students, and grieving family members testified that school-based Narcan access and education could save lives, reduce stigma, and help students recognize overdoses and understand Good Samaritan protections. Senator O’Connor and Tamika Perry also testified for a bill to strengthen substance use prevention education and reduce overdose abandonment, emphasizing the need to teach students about overdose risks and the legal protections for calling 911. The committee also heard testimony on a bill to authorize a pilot program for psychedelic treatment in licensed facilities. Senator Friedman and several medical and behavioral health professionals argued the proposal was a narrow, research-based approach distinct from the broader ballot question rejected in 2024. They said the bill would allow only a small number of supervised clinics to use psychedelics for conditions such as depression, PTSD, anxiety, and substance use disorders, with data reporting and Department of Public Health oversight. Supporters described it as a cautious way to study promising treatments while avoiding unsupervised or commercialized use. Finally, the committee heard support for a bill to create a special commission and five-year strategic plan for children’s behavioral health services, with testimony that the current system is fragmented, difficult for families to navigate, and strained by workforce and funding challenges. No votes or final actions were taken during the hearing; the committee primarily received testimony and questions on the bills.