Video & Transcript : 'APD' :

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FL

Florida 2025 Regular Session

January 15, 2025 - 01:00 PM

Transcript Highlights:
  • Additional major cost drivers are the KidCare program, the iBudget waiver program at APD, and the child
  • Additionally, APD is working with our partner, the Agency for Health Care Administration, to implement
  • And that is the amount of iBudget waiver recipients that are served by APD. It is staggering.
  • We have been sharing files with APD to make sure that we can flag when these individuals are coming up
  • And through these conversations that we are having both with APD and with the provider stakeholders,
Summary: The Health Care Budget Subcommittee met to organize the new term, take roll, and hear introductory presentations from the six agencies under its jurisdiction: the Agency for Health Care Administration, Agency for Persons with Disabilities, Department of Children and Families, Department of Elder Affairs, Department of Health, and Department of Veterans’ Affairs. The chair outlined the committee process, including assigning members to review agencies and make budget recommendations. Each agency head gave a high-level overview of their budget, staffing, major programs, and priorities, with recurring themes including Medicaid, long-term care, disability services, child welfare, mental health, aging services, public health, and veterans’ health care. Several agency leaders highlighted recent initiatives and funding priorities. AHCA emphasized Medicaid managed care, provider regulation, Hope Florida, hospital-at-home, and cancer-related efforts; APD discussed iBudget services, Hope Florida, a managed-care pilot, online applications, and forensic care costs; DCF focused on child protection, foster care, adult protective services, food/cash/medical assistance, mental health, and opioid treatment; Elder Affairs highlighted Alzheimer’s services, community-based senior care, guardianship, ombudsman services, and disaster outreach; DOH covered cancer innovation, maternal telehealth, cybersecurity, HIV/hepatitis/syphilis screening, and school nursing; and Veterans Affairs described benefits and health care access for veterans, long-term care, and federal reimbursement. Several speakers also raised concerns about rising costs, provider rates, disaster response, and access to services. The committee heard two public comments from disability advocates about Medicaid redeterminations affecting iBudget waiver recipients and provider payment delays. In response, AHCA and APD said they were coordinating on data sharing, early outreach, escalation processes, and efforts to reduce disenrollments and make recertification smoother. Members then asked questions about provider rates, opioid settlement spending, managed care quality measures, pediatric rare disease grants, group home transparency, senior outreach, ABA services moving into managed care, annual Medicaid recertification, veterans’ service utilization, waiting lists for elder services, and prevention spending. No formal votes were taken during the meeting.
FL

Florida 2025 Regular Session

February 19, 2025 - 01:00 PM

Transcript Highlights:
  • Then we'll go to APD. Representative Anderson and Tramont. Thank you, Madam Chair.
  • Representative Tramont and I did a deep dive into the FTE positions that were not filled for APD and
  • With all the presentations that we have had with APD and talking about the wait list...
  • With all the presentations that we have had with APD and talking about the wait list, I currently have
  • These have all been great points, and it appears that the APD crisis wait list needs to be looked at
Summary: The Health Care Budget Subcommittee met to review agency budgets, vacant positions, and possible efficiencies across several health and human services agencies. Members were asked to identify savings and potential areas for increased funding, and the discussion repeatedly focused on whether long-vacant FTEs, reversion of funds, and staffing shortages reflect true operational needs or broader budgeting and recruitment problems. The chair and members emphasized that the exercise was intended to help the committee make more informed budget decisions and to identify structural issues that may require legislative action. For the Agency for Persons with Disabilities, members highlighted a large waiting list, including individuals in crisis and children, and discussed whether vacant positions and unspent funds could be redirected to services. Several members raised concerns about delays in crisis applications, the use of paper applications, and whether the issue is staffing, process, or both. For the Department of Children and Families, the presenters discussed vacant positions, the use of staff augmentation in state hospitals, support for expanding behavioral qualified residential treatment program beds, and concerns raised by audits of the managing entities, which showed procurement and financial management problems. They recommended continued oversight, reporting requirements on Medicaid enrollees receiving mental health services through managing entities, and support for the governor’s proposed funding items. Other agencies reviewed included Elder Affairs, where members questioned the need for multiple divisions, CARES assessments, and supervisory overhead; the Department of Health, where vacancies, turnover, pay gaps, and units of rate were discussed as barriers to recruitment and retention; and the Department of Veterans’ Affairs, where the presenters said vacancies were tied to new nursing homes and recommended shifting a major priority into general revenue rather than trust funds. Throughout the meeting, members generally agreed that the vacancy review was eye-opening and suggested deeper, possibly separate, reviews of agency staffing, pay parity, and fund reversion practices. No formal votes were taken during the transcript.
FL

Florida 2025 Regular Session

Appropriations Apr 22nd, 2025

Transcript Highlights:
  • The bill expands the itd pilot program to all individuals on the APD PRE enrollment list statewide by
  • The bill clarifies the roles of APD and can emphasizes that AHCA managers, the pilot program.
  • It also now requires APD to give a list of all regionally qualified organizations to enrollees within
  • The bill also increases chair transparency for data on the APD website.
  • It requires APD to post his current waitlist numbers and its quarterly reconciliation reports on its
FL

Florida 2025 Regular Session

Appropriations Apr 22nd, 2025

Appropriations

Transcript Highlights:
  • with disabilities on the APD wait list, the pre-enrollment list, some for a decade or more.
  • The bill expands the IDD pilot program to all individuals on the APD pre-enrollment list statewide by
  • The bill clarifies the roles of APD and ACCA and emphasizes that ACCA manages the pilot program.
  • The bill also increases transparency for data on the APD website.
  • APD must also publish the number of individuals in each priority category by county of residence.
Summary: The Appropriations Committee met with a quorum and considered a series of bills, most of them receiving favorable reports. SB 132, as amended, would require the Department of Financial Services to contract for a study on whether Florida should recognize gold and silver as legal tender; an amendment advanced the report deadline to December 1, 2025, and the bill was reported favorably. SB 1050, also amended, expands the intellectual and developmental disabilities managed care pilot program statewide, emphasizes that enrollment is voluntary, adds transparency and reporting requirements for APD, creates a statewide family care council, and requires related studies and coordination; it was reported favorably after supportive testimony about reducing the APD wait list. SB 820 codifies the Office of Faith and Community in the Governor’s office, and the bill drew extended debate over church-state separation and concerns about political activity by the office; despite opposition from several senators, it was reported favorably. SB 1060 creates a joint legislative oversight committee for Medicaid financing and operations, with supporters citing the size of the program and the need for stronger legislative review; it passed favorably. SB 7032 presumes Medicaid eligibility for permanently disabled individuals receiving certain long-term services during redetermination, to prevent gaps in care, and was reported favorably with broad support. SB 12, a claim bill for a minor injured in a DCF-related case, was also reported favorably without opposition. The committee also approved several infrastructure and tax-related measures. SJR 318 proposes an ad valorem exemption for certain tangible personal property used in agriculture or agritourism, such as equipment and tractors, and was reported favorably with support from agricultural and business groups. SB 818, as amended, revises utility relocation funding for public road and rail projects, shifting the financing structure after constitutional concerns were raised and adding a $50 million grant program; it passed after discussion of the impact on local governments and utilities. SB 1348 modernizes DMV services through tax collectors, adds a distracted driving course option, bans appointment scalping, and extends certain disabled parking permit terms; it was reported favorably. SB 1664 requires voter reapproval of local taxes, including tourist development taxes and local option sales taxes, when they expire, with special rules for taxes tied to revenue bonds; it drew significant debate over impacts on tourism-dependent counties and was reported favorably despite opposition from some members and local government groups. SB 1050, SB 820, SB 1060, SB 7032, SB 12, SJR 318, SB 818, SB 1348, and SB 1664 all received favorable committee votes, and the meeting ended with final missed-vote requests and adjournment.
KY
Transcript Highlights:
  • Those are those are what we call APDS.
  • And so we do plan to incorporate an APD for that.
  • And so we do plan to incorporate an APD for that. We do get 90/10 funding. Uh, that's the APDS.
  • And so we do plan to incorporate an APD for that. We do get 90/10 funding. Uh, that's the APDS.
  • </c> incorporate uh an APD for that. incorporate uh an APD for that.
Summary: The House Budget Review Subcommittee on Health and Family Services met for an overview of the Department for Medicaid Services budget. Commissioner Lisa Lee and CFO Steve Beal described Kentucky Medicaid enrollment at about 1.4 million members, including more than 600,000 children, and said the agency’s 2025 total budget was $20.6 billion. They reviewed enrollment trends before, during, and after the COVID-19 public health emergency, noting that redeterminations begun in 2023 reduced enrollment from its peak but that total membership remains above pre-COVID levels. They also explained the difference between the fee-for-service population, which includes long-term care and waiver members, and managed care members, and gave examples of the kinds of services and diagnoses seen in each group. A major focus was the governor’s recommended Medicaid budget and the department’s forecast process. Lee said the budget is split into benefits and administration, with benefits covering fee-for-service services, managed care capitation, transportation, and Medicare premiums, while administration covers contracts, personnel, operating costs, and IT-related advanced planning documents. She said the department uses a consensus forecasting group and actuary input, and that its forecasts have been within 1% of actual spending in recent years. The department also said the governor’s budget includes new waiver slots to address waiting lists, a 2% staff COLA, and a 10% phase-down on state-directed payments beginning in January 2028. Much of the discussion centered on House Resolution 1 and the funding needed to implement its Medicaid-related provisions, including community engagement requirements, six-month redeterminations, and future cost sharing. Lee said the department requested about $35 million in total funds for fiscal 2027, including about $8.2 million in general funds for system changes to the integrated eligibility system, claims processing, notices, and monitoring; and about $11 million in fiscal 2028 for ongoing maintenance, with about $1.6 million in general funds. She said the department expects to seek federal APD matching funds for the IT work. In response to questions, she explained that community engagement would apply to Medicaid expansion members, with qualifying activities including work, school, volunteering, or equivalent income, and that certain groups such as pregnant women, children, caretaker relatives, and some people with chronic disease or substance use disorder would be excluded. She said the department identified roughly 70,000 expansion members who could be subject to the requirement. No votes or formal actions were taken.
FL

Florida 2026 4th Special Session

February 3, 2026 - 11:00 AM

Transcript Highlights:
  • convicted of a felony and are court-ordered into a developmental disability defendant program in the APD
  • Persons are securely housed in the APD program and provided competency training to return to court to
  • Persons are securely housed in the APD program and provided competency training to return to court to
  • HB 569 proposes to change how they serve people in the APD system to clinical outcomes rather than legal
  • HB 569 is expected to have a determinant positive fiscal impact on APD due to the reduction in duplication
Summary: The Health and Human Services Committee heard and advanced four member bills. CS/HB 303 would require nurses to complete the existing two-hour human trafficking prevention course before initial licensure, rather than waiting until renewal; the sponsor said this closes a gap for new nurses, and supporters from the Florida Nurses Association and other groups said it would improve early identification and reporting of trafficking victims. Members asked whether the bill changed reporting duties, and the sponsor said it did not. The bill passed unanimously, 24-0. PCS/HB 1069 would treat independent sanctioning authorities as qualified entities for background screening purposes and allow an unscreened athletic coach to work only if directly supervised by a screened coach. The sponsor said the measure is intended to help families and youth sports organizations while keeping children safe, and members discussed how it would apply to Little League and whether disqualifying offenses would still bar work with children. The bill received support from several organizations and passed 25-0. HB 491 would allow batterers intervention programs to offer voluntary faith-based content alongside required cognitive behavioral therapy, without mandating participation. Supporters argued the bill restores options for clients seeking faith-based counseling and said it does not use taxpayer funds or impose religion; members emphasized the voluntary nature of the program. The bill passed 24-0. HB 569 would change how the Agency for Persons with Disabilities organizes forensic client services by grouping clients based on clinical needs rather than legal charges, which the sponsor said would improve efficiency and reduce duplication. The agency and Florida Smart Justice Alliance supported the bill, and it also passed unanimously, 24-0. The committee then adjourned.
FL

Florida 2025 Regular Session

Children, Families, and Elder Affairs Feb 4th, 2025

Children, Families, and Elder Affairs

Transcript Highlights:
  • And I have worked closely with APD, and I hear on a regular basis from those who are support coordinators
  • and whatever that this has become a real issue for them in APD.
  • What is your role in that lack of interoperability with APD and the difficulty that support coordinators
  • Well, what I could say is we do have several file exchanges with APD currently, and on our side, from
  • challenges that have potentially come up about why those specific issues might have come up on the APD
Summary: The Committee on Children, Families, and Elder Affairs received a Department of Children and Families update from CIO Cole Sousa on three major technology modernization efforts: ACCESS, CWIS, and FASMS. For ACCESS, he described the six-year, $205 million project to replace the aging eligibility system used for SNAP, TANF, and Medicaid applications, noting completed releases such as the MyACCESS portal, document management, partner portal, workload management, and client registration modules. He said the system now supports mobile applications, multi-factor authentication, and bot detection, and that the next budget request is $36.625 million to continue moving workers off the mainframe, modernize notices, and complete more worker-portal functions. Members asked about performance data, interoperability with other systems, and the relationship to the FX project and APD; Sousa said API-based real-time exchanges are the goal and that current average case processing time is about 30 days, though he would provide a more exact figure later. The committee then heard about CWIS, a four-year, $75 million child welfare modernization project. Sousa said phase one is complete, including hotline intake, investigations, mandatory reporter, youth, parent, and mobile portals, along with mobile field tools, e-signatures, and customizable dashboards. Current work is focused on case management, assessment and safety planning, licensure, and placement modules, with collaboration from community-based care providers through advisory sessions. For the next fiscal year, DCF is requesting $28 million and expects to finish development by summer and launch in September, while continuing change management and training. Senators pressed on interoperability with ACCESS, FX, and FASMS, the use of a single unique identifier, and whether CBCs would be required to use the statewide system; Sousa said the department’s goal is one statewide system, with licensing costs absorbed by the state and no plan for dual systems after go-live. Finally, Sousa gave a brief update on FASMS, the financial and services accountability system used by managing entities. He said it remains in maintenance mode while DCF prioritizes ACCESS and CWIS, and that modernization of FASMS is still being planned with partner agencies. He estimated current maintenance costs at about $1.3 million and suggested a future modernization could cost roughly $5 million to $7 million, though no firm timeline has been set. The committee expressed support for using data and interoperable systems to improve decision-making, and the meeting adjourned without any votes or formal actions beyond adjournment.
FL

Florida 2025 Regular Session

Children, Families, and Elder Affairs Feb 11th, 2025

Children, Families, and Elder Affairs

Transcript Highlights:
  • expanded to include representatives from the statewide guardian ad litem office, lead agencies, and APD
  • Through these staffings, the department collaborates closely with DJJ and APD to identify and eliminate
  • The department certainly collaborates with DJJ and APD as closely as possible to allow for children to
  • youth prior to a removal in a stabilization in short-term setting, but we do collaborate with DJJ and APD
  • But we do collaborate with DJJ and APD when possible to have those services prior to children entering
Summary: The committee heard three presentations focused on child welfare workforce development and the needs of children in Florida’s dependency system. First, the Florida Institute for Child Welfare described its Grow Center and related initiatives, including academic curriculum enhancements, simulations, virtual reality training, coaching, on-demand learning, advanced certifications, and the planned Tallahassee learning lab opening in January 2026. Members asked about conflict resolution, domestic violence, addiction, and microcredentials; the presenter said the institute is expanding training in those areas and is working with DCF to align advanced certifications with the department’s career ladder. The Department of Children and Families then presented on the Continue the Mission initiative, which recruits veterans, military spouses, and former law enforcement officers into CPI, API, and case management roles. DCF said it has held more than 240 hiring events and hired 372 such workers since launch, while also improving recruitment and retention through higher starting pay, streamlined hiring, rebranding, wellness supports, and enhanced pre-service training. Senators asked about PTSD concerns, staffing levels, caseloads, hotline vacancies, and salaries; DCF said it had not seen direct PTSD issues from the hiring effort and provided figures including a $50,000 starting salary for CPIs, $37,000 for APIs, and average caseloads of 12 to 15 investigations for CPIs and about 10 for APIs. Finally, DCF discussed the increased acuity of children in the dependency system, explaining that fewer children are entering care overall but those who do often have more complex behavioral, mental health, developmental, or medical needs. The department highlighted a new Behavioral Qualified Residential Treatment Program (BQRTP) designed for youth who need more intensive support than traditional foster or group home settings but do not require inpatient psychiatric treatment; one facility is licensed with 12 of 14 beds filled, and DCF said it is seeking funding for placement for 230 youth total. Members pressed for details on licensure timelines, standards, funding, and the handling of crossover youth and lockouts, and DCF said it uses braided funding and works with DJJ, APD, and lead agencies through local and state review teams. A representative of the Florida Coalition for Children also testified, saying the issue is complex and multi-year, and that the coalition is working on possible legislative and programmatic solutions. The committee took no formal votes and adjourned after the presentations and discussion.
FL

Florida 2025 Regular Session

October 8, 2025 - 01:00 PM

Transcript Highlights:
  • FOLLOWING THE PRESENTATION WE WILL INVITE UP SECRETARY BOB FROM APD TO GIVE A SECOND PRESENTATION TODAY
  • THE AGENCY STATE SHARE FROM APD HAS BEEN IMPLEMENTED TO. IT IS ALREADY IN PROCESS.
  • HERE TO PRESENT IS THE VERY NEWLY APPOINTED DIRECTOR FOR APD, DIR. BOB.
  • INTRODUCE YOURSELF AND LET THE SUBCOMMITTEE MEMBERS KNOW ABOUT YOU AND YOUR GOALS AND WHAT YOU PLAN FOR APD
  • ON THE FIRST OR ON ONE OF THE SLIDES YOU SAID THAT APD SERVICES 60,000 PEOPLE OF WHICH 36,000 ARE ENROLLED
NM

New Mexico 2026 Regular Session

Senate - Rules Feb 4th, 2026 at 09:26 am

Senate Rules

Transcript Highlights:
  • We work closely with APD and their crime lab.
  • So my understanding is that we meet regularly with APD and the APD Crime Lab, and then the Department
  • My understanding is that APD has its own crime lab, and so those cases in Albuquerque go there.
Bills: SB132 , SM16 , SM17 , SB132 , SM16 , SM17
FL
Transcript Highlights:
  • with multi-agency involvement, and serving youth with multi-agency involvement, including Djj Djj and APD
  • expanded to include representatives from the statewide guardian ad litem office and lead agencies and APD
  • The steps staffing the department collaborate closely with Djj and APD to identify and eliminate there
  • The department certainly collaborate with Djj in APD. >> As closely as possible to allow for children
  • But we do collaborate with the J J and APD when possible to have the services prior to children entering
NM

New Mexico 2025 Regular Session

IC - Science, Technology and Telecommunications Sep 23rd, 2025

Science, Technology & Telecommunications Committee

Transcript Highlights:
  • This is what's bringing all the data together for BCSO, APD, or the different.
  • APD has all of their data on APD's website. BCSO has all theirs on theirs.
  • If you look up Troy Wiesler, State Police has dealt with him three times, APD has dealt with him twice
  • You know, Albuquerque, for example, APD has one vendor of license plate readers.
  • And I did a ride-along with APD; that officer had to enter things twice, and then one of our financing
FL

Florida 2025 Regular Session

Senate in Session Apr 9th, 2025

Florida Senate Floor Meeting

Transcript Highlights:
  • The current APD pre-enrollment wait list category is 21,127 people. Thank you. Senator Berman.
  • So as it relates to APD, not directly related to your question, but something that's important to my
  • ... $50 million, I believe, to help APD be able to bring in more personal support staff to serve that
  • APD does not have a leader right now, so this $50 million is really important.
  • APD does not have a leader right now, so this 50 million is really important.
Summary: The Senate opened with prayer, the Pledge of Allegiance, doctor and guest introductions, and then took up Committee Substitute for Senate Bill 168, the Tristan Murphy Act, on mental health. Senator Bradley described the bill as a major criminal justice and behavioral health reform measure that would expand pretrial mental health diversion, strengthen treatment-based probation conditions, broaden grant uses for mental health and substance abuse programs, add Hillsborough County to a forensic hospital diversion pilot, require certain DOC mental health evaluations, and create a Florida Behavioral Health Data Repository. Senators from both parties spoke in strong support, emphasizing treatment over incarceration, public safety, data collection, and the Murphy family’s role in advancing the bill. The Senate passed the bill 37-0 and then approved 37 co-sponsors. The chamber then received the Senate’s 2025-26 General Appropriations Bill, SB 2500, with Chair Hooper outlining a $117.4 billion budget that he said reduces spending, preserves reserves, and includes major investments in water quality, transportation, education infrastructure, and reporting requirements. Committee chairs summarized their portions: K-12 funding at $34.7 billion with increases for FEFP, scholarships, VPK, school hardening, and school safety; higher education at $11.5 billion with workforce, nursing, reading, autism, and student aid investments; health and human services with a $1.8 billion increase for Medicaid, mental health, opioid response, disability services, and veterans programs; criminal and civil justice at $7.6 billion for corrections, juvenile justice, law enforcement, courts, and judgeships; transportation/tourism/economic development at about $18 billion including roads, housing, Visit Florida, and cultural grants; and agriculture/environment/general government with major Everglades, water quality, citrus, food bank, and agency IT funding. Members then questioned several budget items, especially education funding formulas, the shift of scholarship dollars below the line, the impact on public school districts, AP/IB and other accelerated program funding, the APD wait list, opioid settlement spending, arts grants, and the My Safe Florida Home and condo pilot programs. Chairs generally said scholarship and accelerated-program dollars were being restructured for transparency and flexibility rather than cut, that school districts would still receive funding based on enrollment, and that APD and other human services issues would continue to be worked out in conference. The budget discussion concluded with remarks praising staff and noting a 4% across-the-board pay raise for state employees and targeted increases for law enforcement and firefighters, followed by a recognition for FAMU Day at the Capitol.
NM

New Mexico 2026 Regular Session

Senate - Rules Feb 4th, 2026

House Rules & Order Of Business

Transcript Highlights:
  • We work closely with APD and their crime lab. And so the issue is not an unknown issue.
  • So my understanding, and we meet regularly with—and we've met recently with APD and the APD crime lab
  • and then the Department of Safety lab—my understanding is that APD has its own crime lab, and so those
Bills: SB132 , SM16 , SM17
Summary: The committee first heard Senate Bill 132, a Department of Information Technology modernization measure sponsored by Senator Padilla. The bill would update state IT statutes to explicitly include software and cloud-based services alongside hardware and equipment, with the goal of improving planning, procurement, security, and efficiency. Secretary Manny Budettas said the change would help modernize secure services, reduce emergency fixes, and better align state purchasing with current software-as-a-service models. Members asked about centralized integration across branches of government, cybersecurity protections, the revolving fund, and agency billing; the bill was reported out with a do pass on the committee substitute. The committee then considered Senate Memorial 16, which asks Higher Education to convene a task force on parenting students in New Mexico’s higher education system. Senator Harmeo and witnesses described barriers such as child care, transportation, flexible scheduling, and financial hardship, and said the memorial would gather data and recommendations rather than create a new program. Members discussed how the survey would be administered, whether it would include full-time and part-time students, and how online or out-of-state students would be handled; the memorial was approved with a do pass. Finally, the committee heard Senate Memorial 17, sponsored by Senator Lopez, directing DPS and the New Mexico Coalition of Sexual Assault Programs to study the current state of sexual assault examination kits. Witnesses reviewed the 2016 task force that addressed a backlog of more than 5,000 untested kits and said a new backlog of 1,419 kits is now beyond the 180-day testing target. Members expressed strong concern about the delays, asked about lab capacity, possible use of private or additional labs, and the lack of penalties for missing the deadline. The memorial passed with a do pass, and the committee then recessed.
FL

Florida 2025 Regular Session

March 19, 2025 - 01:00 PM

Transcript Highlights:
  • This is APD. No, the other. Both individuals here are from APD. No, ma'am. Thank you.
  • Then through Senate Bill 1758, the legislature directed APD to extend enrollment offers to everyone who
  • the legislative intent to say only those in crisis in that category would qualify for attention from APD
  • What percentage of the total budget and services are outsourced within APD versus in-house?
  • We have it in ACA, we have it in APD all over.
Summary: The Health Care Budget Subcommittee took up two bills and then continued oversight discussions with APD and AHCA. CS/HB 27, the Social Work Licensure Interstate Compact, was presented as a way to let Florida social workers practice in other compact states and vice versa; AARP, the Florida Chamber, and NASW Florida supported it, and the bill passed favorably. HB 1127, a child welfare bill, would create a treatment foster care pilot for children with high behavioral needs, improve DCF data collection on commercially sexually exploited children, and expand recruitment for protective investigators and case managers; the bill also passed favorably after brief supportive testimony. The committee then questioned APD at length about the iBudget waiver waitlist, enrollment pace, spending projections, and provider capacity. APD said it had sent more than 1,100 interest letters in categories 3, 4, and 5, enrolled 1,124 people so far this year, and expects to spend about 96.4% of its waiver appropriation, leaving roughly $82 million unspent. Members pressed APD on why prior discussions suggested more reserve was needed, how long the SANS process takes, whether category 6 could be expanded, and whether the agency has enough waiver support coordinators and direct support providers. APD said it has about 1,061 waiver support coordinators statewide, adequate capacity for current enrollees, but would need further analysis if the legislature directed a much larger enrollment increase. Members also asked about outreach, annual maintenance of the waitlist, portability for military families, and whether communication efforts should be privatized. Finally, AHCA walked the committee through the 2023 Achieved Savings Rebate (ASR) report for Aetna and explained how the report is used for financial monitoring, rebate calculations, and transparency. AHCA said the ASR is separate from the medical loss ratio (MLR) calculation, though both are reviewed, and that Florida uses the ASR mechanism rather than an MLR remittance requirement to recover funds from plans. Members asked about related-party disclosures, CVS/Caremark relationships, expanded benefits, encounter data, network adequacy penalties, denials and appeals reporting, interest earned on capitation payments, and whether rate increases were reaching providers. AHCA and the outside auditors said they review the plans’ reported data, reconcile it to underlying records, and can assess liquidated damages for network adequacy violations; several members requested follow-up data on rebates, interest, provider capacity, and related-party reporting.
FL

Florida 2026 4th Special Session

February 16, 2026 - 01:30 PM

Transcript Highlights:
  • . - It authorizes the transfer of funds between AHCA and APD for the movement of members. between the
  • I'm looking at the language, as you can imagine, on the Medicaid managed—excuse me—the APD part of the
  • My question is, will this apply to the APD clients?
FL

Florida 2026 4th Special Session

February 4, 2026 - 09:00 AM

Transcript Highlights:
  • Anyone will do, and that already makes me uncomfortable because what APD is basically saying is before
  • If APD wants families to rely on volunteers, then APD should at least pay for background checks.
NM

New Mexico 2026 Regular Session

House - Judiciary Feb 11th, 2026 at 05:05 pm

House Judiciary

Transcript Highlights:
  • I've met with APD and the APD lab, Madam Chair, know that they have a different chain of command.
  • I've met with APD and the APD lab, Madam Chair, know that they have a different chain of command.
  • I've met with APD and the APD lab, Madam Chair, know that they have a different chain of command.
  • I've met with APD and the APD lab, Madam Chair, know that they have a different chain of command.
Bills: HB99 , HJR5 , HM39 , HB206 , HB213 , SB41 , SB153 , SB165 , SB261 , SB264
FL
Transcript Highlights:
  • sacred population of Floridians serving as the director for the agency for Persons with Disabilities or APD
  • And I just want to say that having worked with you in APD and and work with you closely when the pilot
  • passed a from senators on and as you go into this and look forward to it, the experience you bring from APD
NM

New Mexico 2025 Regular Session

IC - Courts, Corrections and Justice May 27th, 2025

Courts, Corrections & Justice Committee

Transcript Highlights:
  • Um, Albuquerque has a standalone crime lab through APD for their APD cases. Um.
  • We have APD lab as well, so that's helpful for us, um, so it depends on the situation, um, and we don't
  • I was, um, Um, 34 years ago when I was with the Albuquerque City Council, I worked with the um With APD
  • Uh, termination of the APD consent decree and elimination of qualified immunity, all good topics for
  • I would really like to see a presentation from APD as to how that unit has grown, because that whole,