Transcript Highlights:

• Hospitals and ascs are subject to the same $1000 per day. Fine.

Transcript Highlights:

• Society of Pediatric Surgeons and the American Society of Civil Engineers Texas Section, known as ASCE
• ASCE Texas represents about 11,000 professional civil engineers, some of whom plan and design drinking
• Last year, ASCE Texas released the 2025 update to the Texas Infrastructure Report Card.
• ASCE Texas recognizes the true costs of providing reliable, safe drinking water and wastewater treatment

Summary: During the meeting, legislative members discussed the practice of municipalities diverting water and sewer revenues to their general funds, which impacts infrastructure maintenance and project delays. Vice Chair Sparks proposed limiting public testimony to two minutes, which was adopted without objection. The committee heard from various witnesses, including Perry Fowler from the Texas Water Infrastructure Network, who emphasized that utility revenues should primarily support water services and that transfers should be transparent and justified. He noted that many utilities face financial pressures that could hinder infrastructure projects. Larry French from the Texas Public Policy Foundation highlighted the significant financial impact of water loss and general fund transfers, estimating the annual loss at $1.5 billion. He argued that these transfers can create disincentives for municipalities to address water loss issues. Brian Butcher, Assistant City Manager of Sugar Land, defended the city's cost allocation model for general fund transfers, asserting that they are necessary for equitable service provision and operational efficiency. The committee also discussed the implications of rising construction costs and the need for better procurement processes to ensure effective use of taxpayer dollars. The second part of the meeting focused on the New World Screwworm and the state's preparedness to manage potential infestations. Dudley Hoskins from the USDA outlined the federal response efforts and the importance of collaboration with state agencies. He emphasized the need for ongoing surveillance and the production of sterile flies to combat the pest. Dr. Philip Kaufman from Texas A&M discussed the historical context of the screwworm and the challenges posed by its potential reintroduction, urging proactive management strategies among livestock producers. The committee acknowledged the need for increased resources and research to effectively address the threat of the screwworm.

Keywords: 920, all

Summary: The meeting included a Senate recognition ceremony honoring the Winona High School boys basketball team for winning the 2026 Alabama High School Athletic Association 5A state championship. A resolution was read commending the team for its 101-40 victory over Silicag, noting the team’s record-setting performance, Brendan Davis’s MVP honor, the contributions of other players, and Coach Cedric Lane’s leadership. Senators and the lieutenant governor praised the players’ sportsmanship, the school community, and the team’s historic season, and copies of the resolution were presented to the team, coaches, and administrators. Several guests and school representatives also spoke briefly, including the coach and principal, who thanked the Senate and noted the team’s success and the principal’s retirement after 35 years. After the recognition, the Senate returned to session and adopted the Committee on Rules report setting the special order calendar. The calendar included Senate Bill 99 on the Ten Commandments, Senate Bill 298 on Class 3 municipalities, House Bill 381 on camp safety, Senate Bill 370 on tax increment districts, Senate Bill 363 on the Department of Economic and Community Affairs, House Bill 466 on firefighters, House Bill 95 on elections, House Bill 259 on stablecoin, and Senate Bill 342 on education. The chamber then took up SB 99, sponsored by Senators Kelly and Sessions. Senator Kelly described the bill as requiring local school boards to display the Ten Commandments, together with founding documents such as the Declaration of Independence, Constitution, Bill of Rights, and Alabama Constitution preamble, in certain history classrooms and common areas for grades five through 12, using donated displays and funds when available. He said the bill was intended as a historical and educational measure, not religious instruction, and emphasized the inclusion of a disclaimer stating Alabama is not establishing a religion. After extended debate and a petition to close debate from the Rules Committee, the Senate voted on the bill by long roll and passed SB 99, with the recorded vote announced as 30 yeas and 4 nays.

Transcript Highlights:

• The rates we got back in the RFP, if we're just looking at ASC, for example, The Medicare Advantage rate

Summary: The committee received an update from Grant Wallace on the rebid and possible decoupling of the state’s Medicare Advantage retiree coverage. He said the state is exploring splitting medical and pharmacy benefits for post-65 retirees, with UnitedHealthcare as the incumbent vendor, and that preliminary estimates suggested savings of about $100 to $200 per participant per month. He outlined the expected timeline for final CMS rate announcements in April 2026, with contract amendments likely to come before the committee in May or June after review by the EBD Advisory Commission and State Board of Finance. Representatives from Segal Consulting then reviewed the history and current structure of the Medicare Advantage prescription drug plan, explaining that the plan was adopted after a 2021 recommendation and launched in 2023 alongside the existing Med-Sup option. They said the Medicare Advantage option has produced substantial savings, including a lower monthly rate than the Med-Sup plan and about $40 million in savings from initial enrollment, while also restoring pharmacy benefits for some retirees. The presenters then explained recent federal changes under the Inflation Reduction Act, including major changes to Part D funding, the direct subsidy, and risk-score methodology, which they said have made risk adjustment much more important and are driving interest in separating medical and pharmacy contracts. In response to questions from senators, the presenters said the Medicare Advantage plan covers post-65 teacher and state employee retirees, including retirees from state agencies and K-12 public schools. They also explained that the new Part D structure has reduced out-of-pocket costs for members, with a $2,000 annual cap and lower average member spending to reach it, while shifting more cost to the plan. No votes were taken and no formal action was reported; the committee simply received the update and was told to expect further information after the April rate notice. The meeting adjourned with the committee scheduled to return on May 13.

Transcript Highlights:

• In the latest ASC report card, our state's infrastructure received an average C-grade.
• In the latest ASC report card, our state's infrastructure received an average C-grade.
• <01:54:56.560> In<01:54:56.800> the<01:54:57.040> latest<01:54:57.440> ASC
• In the latest ASC treatment plants, etc.
• In the latest ASC report<01:54:58.480> card,<01:54:58.800> our<01:54:58.960> state's

Keywords: 1187, senate, all

Transcript Highlights:

• you look at, say, a Klonopin, Medicare will pay about $600 if that Klonopin is done in an independent ASC
• The private insurance price for that colonoscopy done in an independent ASC is about $1,500, and it's
• This is not the same as charging a facility fee for operating room time in the hospital versus the ASC
• And the fact that you see so many of these surgeon-owned and physician-owned ASCs and hospitals and independent

Keywords: 1184, house, all

Transcript Highlights:

• think it's important for us to note I really appreciated that information and I know as a member of ASCE
• that information and I know as a member that information and I know as a member of<01:15:38.800> ASCE
• c> American<01:15:40.000> Society<01:15:40.320> of<01:15:40.480> Civil of ASCE
• , American Society of Civil of ASCE, American Society of Civil Engineers,<01:15:41.520> we've<

Keywords: 919, house, all

Summary: The meeting was the first session of the Minnesota Department of Transportation’s Electricity as a Vehicle Fuel Working Group. Commissioner Nancy Doenberger opened with introductions from members representing state agencies, legislators, utilities, local governments, industry groups, advocacy organizations, and others. The group then elected its leadership: Senator Anne Johnson Stewart was nominated and unanimously elected chair, and Representative Steve Elkins was nominated and unanimously elected vice chair. Senator Johnson Stewart said she would ensure all viewpoints are heard and asked MnDOT to continue running the meeting for practical reasons. Austin Turman of the Legislative Coordinating Commission reviewed the authorizing legislation. He explained that the working group must analyze electricity used as vehicle fuel infrastructure opportunities and barriers, develop a roadmap with policy and funding recommendations for sustainable transportation funding consistent with the Minnesota Constitution, and study other states’ approaches to equitable fuel assessment methods for electric vehicles. The group’s report is due February 13 and will go to the governor and legislative transportation leaders. Turman also briefly reviewed open meeting law requirements, noting the group must operate publicly when a quorum discusses official business, though public comment is not required. Members then discussed the purpose of the group and the need to find a fair replacement or supplement for declining gas tax revenue as EVs increase. Senator Johnson Stewart emphasized balancing system funding needs with user-based fairness, including differences in vehicle weight and road use. Representative Murphy stressed the need to consider rural Minnesota, taxpayer impacts, and current science, including climate and CO2 issues. Drive Electric Minnesota said EV drivers should pay their fair share and not be overburdened, while the Department of Revenue said it wants to administer the new EV charging-station tax fairly. A trucking representative highlighted that passenger vehicles and freight vehicles have very different operating and charging needs, suggesting the group consider those differences in any fee structure.

Transcript Highlights:

• litigated death penalty cases since 1988 in Ohio and Arizona and I teach a course on the death penalty at ASC
• law I respectfully urge you to oppose Senate ASC law.

Bills: SB1071, SB1315, SB1317, SB1416, SB1493, SB1537, SB1542, SB1584, SB1626, SB1740, SB1751, SB1804, SCR1047, SCR1049

Keywords: Arizona Rangers, statutory repeal, security, state law, regulatory changes, school safety, interoperable communications, law enforcement, emergency response, funding, reentry programs, criminal justice, grants, recidivism, attorney general, missing children, kidnapping, reporting requirements, child safety, training

Summary: The committee first took up SB 1071, which would repeal the statutory framework for the Arizona Rangers. The sponsor argued the bill was about accountability and transparency, citing concerns about missing training and firearms qualification records; Arizona Rangers representatives and several sheriffs opposed the bill, saying the Rangers provide valuable volunteer support and that the real issue was adding oversight rather than eliminating protections. After discussion, the committee voted 4-3 to give SB 1071 a do pass recommendation, with members noting they expected amendments later. The committee then heard SB 1315, requiring school districts and charter schools to maintain interoperable emergency communications with law enforcement and to submit annual affidavits confirming testing and compliance. Testimony from school safety officials and sheriffs emphasized the value of real-time communication during emergencies and the need for secure sharing of campus maps and floor plans; concerns about cost and information security were addressed by supporters. The bill passed unanimously, 7-0. The committee also advanced SB 1317, which appropriates opioid settlement funds for county reentry planning programs; sheriffs and association representatives supported it, citing reduced recidivism and jail populations, and it passed 7-0. Several public safety and missing-children measures were considered next. SB 1416, as amended, revises missing child reporting requirements, adds runaway children back into reporting, requires faster photo and information sharing, and expands training requirements; advocates for missing children and law enforcement supported the compromise language, and the bill passed 7-0. SB 1740, which updates Turquoise Alert training and procedures, was also advanced 7-0 after discussion about statewide versus geographically targeted alerts and the need to keep alerts effective. Later, SB 1493, a strike-everything amendment affecting police officer termination appeals and fee shifting when an employer rejects a favorable administrative ruling, passed 5-2 despite opposition from chiefs’ representatives. SB 1537, renaming the Peace Officer Training Equipment Fund and repealing its advisory commission, passed 5-2. The committee also approved SB 1751 and SCR 1049, which expand execution methods to include lethal gas and firing squad and make firing squad mandatory in certain cases involving the murder of a law enforcement officer; opponents raised constitutional, ethical, and practical concerns, while supporters framed the measures as aligning Arizona with other states and providing additional options. Both measures passed 4-3. Finally, SB 1542, which would create a framework and funding for MDMA research and treatment for PTSD in first responders and peace officers contingent on FDA approval, was heard with testimony describing promising clinical trial results and the need for Arizona research; the bill was then moved forward, though the transcript cuts off before the final roll call result is fully shown.

Transcript Highlights:

• I'm here representing the American Society of Civil Engineers, Texas Section, known as ASCE Texas.
• ASCE Texas represents about 11,000 professional civil engineers, some of whom plan and design drinking
• Last year, ASCE Texas released the 2025 update to the Texas Infrastructure Report Card.
• ASCE Texas recognizes the true costs of providing reliable, safe drinking water and wastewater treatment

Keywords: 1185, senate, all

Transcript Highlights:

• It could encourage the relocation of ASCs, or ambulatory surgery centers, toward commercially attractive
• implementing site-of-service policies that encourage or require certain procedures to be performed in ASCs

Keywords: 1146, all

Transcript Highlights:

• what smoke evacuation system means and defines surgical smoke, as well as required for hospitals and ASCs

Keywords: 999, senate, all

Transcript Highlights:

• So I'm looking at GED class or ASC enrollments.
• So I'm looking at GED class or ASC enrollments as a percentage of the high school-eligible population
• Their enrollment in ASC classes is fairly low.

Keywords: 995, all

Summary: The commission on correctional consolidation and collaboration heard testimony focused on how Massachusetts uses custody levels, staffing, programming, and medical release tools, with Prisoners’ Legal Services arguing that the system is overusing expensive high-security settings and underusing step-down options. Dave Rainey said the incarcerated population has dropped substantially over the last several years, but spending and staffing have not fallen in proportion. He argued that DOC overclassifies people into medium and maximum security, relies too heavily on behavioral assessment units that function like segregation, and keeps people in restrictive settings such as Souza-Baranowski and Shattuck Hospital longer than necessary. He also said medical parole is underused and that many people with serious chronic illness or advanced age pose little public-safety risk and should be released through existing legal pathways. Sheriffs and other commission members pushed back on some of those points, emphasizing that staffing needs are driven by the acuity of the current population, that corrections is not overstaffed, and that classification decisions involve serious public-safety judgments. They also stressed that some high-cost medical placements are necessary because people remain under sentence and require care, and that furloughs and other release tools can create security risks if contraband or substance use is involved. The discussion also covered the role of county sheriffs versus DOC in reentry, with several members saying county systems tend to do more day-to-day step-down and release planning, while DOC has more difficulty moving people through lower-security settings before release. Ben Foreman of MassINC offered a more systemwide, data-focused perspective, praising the state’s transparency and arguing that Massachusetts has made major progress in reducing incarceration and increasing public safety. He said the state still has an opportunity to improve by right-sizing facilities, investing in community-based mental health treatment, and using the commission to better understand the capital and operating costs of the current system. In response to questions, he said he was aware of DOC studies on programs like furlough but had not reviewed recent ones, and he noted that total-control facilities like Souza-Baranowski have long been criticized in the research literature for poor outcomes. Nora Wassel of the Women and Incarceration Project then testified that the commission should issue an interim report and scrutinize the planned new women’s prison, which she said is not justified by current population trends or available data. She argued that women are overclassified under DOC’s own tools, that reentry beds and minimum-security placements are underused, and that the system may be failing to account for women’s distinct medical and reentry needs. The meeting ended with continued discussion of reentry, furloughs, day reporting, and whether consolidation should mean fewer facilities, better step-down pathways, or both.

Transcript Highlights:

• They're saying, "We'll hire young people who have their ASC Certification; they only need the first one

Transcript Highlights:

• talk specifically about Blue Oval<00:37:48.960> SK<00:37:49.359> and<00:37:49.960> ASC
• > and<00:37:51.119> and<00:37:51.520> there's<00:37:51.760> no Oval SK and ASC
• and and and there's no Oval SK and ASC and and and there's no way<00:37:52.000> other<00:37:52.240

Keywords: Meeting start 00:00:00 Discussion of Nickels and School Facility Funding 00:02:13 Economic Development Projects in Elizabethtown and Hopkinsville 00:29:33 Correspondence and Reports Received 01:09:25, 958, all

Summary: The committee received an informational presentation from the Kentucky Department of Education and the School Facilities Construction Commission on school facilities funding. Staff explained the main funding sources used for school construction and renovation, including the mandatory “nickel” property tax levy, growth and equalized growth nickels, the equalized facility funding nickel, the Fort Knox/BRAC-related nickel for Hardin County, and the recallable nickel that districts can adopt locally. They also described the state equalization formula, noting that local construction costs have risen and that state support is formula-driven rather than a dollar-for-dollar match. The SFCC outlined how unmet facility need is calculated through district facility plans, which are developed locally with community, staff, and board input and then reviewed by KDE staff for consistency and reasonableness. The commission said it will update the statewide unmet need report this fall, adopt it in December, and provide the figure to the committee in January 2026. It reported that the statewide unmet facility need was about $7 billion in 2023, with about $951 million in local revenue available, and said its offers of assistance are paid as debt service over eight years. The commission also said the most recent legislative offer of assistance was its smallest since SFCC’s creation in 1985, and requested an additional $60 million for the next biennium. Members asked about how districts use nickel tax levies, who determines facility need, whether the process includes physical inspections, and how bonding capacity affects offers of assistance. Staff said nickel levies are generally adopted with regular tax rates, that facility need is locally developed but reviewed by KDE, and that KDE project managers and district-hired architects review plans on paper rather than through in-person inspections. They also explained that bonding capacity can affect a district’s ability to use or receive assistance. Questions were also raised about federal funds tied to earlier KIX grants and about districts with zero remaining offers of assistance; staff said most grant-funded projects are underway or complete, and that a zero balance means a district has spent its available assistance. No votes or formal actions were taken.

Transcript Highlights:

• The bill requires hospitals and ambulatory surgical centers, ASCs, to implement policies requiring the

Summary: The Senate Health Policy Committee met with a quorum and considered several health-related bills, most of them focused on drowning prevention and public safety. SB 428, by Senator Yarborough, would expand Florida’s swim lesson voucher program from children ages 0-4 to ages 1-7. The sponsor and supporting testimony from a pediatric emergency physician and YMCA representatives emphasized Florida’s high drowning rates, especially among very young children, and argued that swim lessons can significantly reduce risk. Senator Harrell noted the need to revisit the funding allocation as eligibility expands. The bill was reported favorably. The committee also heard SB 606, by Senator Smith, which adds drowning prevention and safe bathing practices to postpartum education provided by hospitals, birthing centers, and, after amendment, no longer requires home birth providers to maintain proof of compliance. A parent who lost a child to drowning and Senator Berman spoke in strong support, stressing that the bill would educate new parents at a critical time. The committee adopted the amendment and reported the bill favorably as a committee substitute. SB 162, by Senator Davis, would require hospitals and ambulatory surgical centers to adopt policies using smoke evacuation systems during procedures that generate surgical smoke. The sponsor said the equipment is relatively low-cost and already used in many facilities, while several witnesses supported the bill as a worker-safety measure. Other senators raised concerns about the lack of data, possible rural hospital impacts, and whether the mandate could add costs without clear evidence of harm. Despite those concerns, the bill was reported favorably. The committee also passed SB 340, by Senator Harrell, requiring nursing students to complete a two-hour human trafficking course before licensure, after amending the bill to shift the requirement from nursing programs to the students themselves. Testimony from a trafficking survivor and nursing advocates supported the measure, and it was reported favorably as a committee substitute. Finally, SB 192, presented by Senator Trumbull on behalf of Senator Martin, removed the $1,500 cap on advances chiropractic physicians may collect for examinations or treatment; chiropractic industry representatives supported the change, and the bill was reported favorably.

Transcript Highlights:

• The bill, SB 162, requires hospitals and ambulatory surgical centers, ASCs, to implement policies to

Bills: S0428, S0606, S0192, S0162, S0340

Keywords: drowning prevention, water safety, swimming lessons, swim vouchers, child drowning, infant safety, toddler safety, pool safety, bath safety, safe bathing practices, postpartum education, newborn care, childbirth education, birth centers, home birth providers, Department of Health, public health, water competency, swim instruction, infant supervision

Summary: The Senate Health Policy Committee met with a quorum and took up several health-related bills, with a strong focus on drowning prevention and patient safety. SB 428 by Senator Yarborough would expand Florida’s swim lesson voucher program from children ages 0-4 to ages 1-7. Supporters, including a pediatric emergency physician and YMCA leadership, cited Florida’s high child drowning rates and argued that swim lessons reduce risk and should be available to more children. Senator Harrell noted the need to consider increasing the program’s funding as eligibility expands. The bill was reported favorably. The committee also heard SB 606 by Senator Smith, which adds drowning prevention and safe bathing education to postpartum materials provided by hospitals, birthing centers, and, after amendment, no longer home birth providers. A parent who lost a child to drowning testified in support, and senators emphasized the preventability of such deaths. The bill, as amended, was reported favorably as a committee substitute. SB 340 by Senator Harrell would require nursing students to complete a two-hour human trafficking course before licensure; after a strike-all amendment shifted the requirement from nursing programs to the students themselves, the bill received support from advocates and was reported favorably as a committee substitute. The committee also considered SB 162 by Senator Davis, which would require hospitals and ambulatory surgical centers to adopt policies for using smoke evacuation systems during procedures that generate surgical smoke. The sponsor said the equipment is relatively inexpensive and already common in many facilities, while opponents and some senators questioned the medical evidence, enforcement, and possible impacts on rural and smaller facilities. Despite those concerns, the bill was reported favorably, with some members voting no. SB 192, presented by Senator Trumbull on behalf of Senator Martin, would remove the $1,500 cap on advances chiropractic physicians may collect for examinations or treatment; the Florida Chiropractic Society supported the change as pro-small-business, and the bill was reported favorably. The committee also received an OPAGA presentation comparing Florida’s health care practitioner regulation system with other states, focusing on board autonomy, rulemaking oversight, board composition, appointments, term limits, and funding mechanisms.

Transcript Highlights:

• And so now there's no ASC in that region of the Delta.
• And so now there's no ASC in that region of the Delta.
• And so now there's no ASC in that region of the Delta.

Keywords: Public Health and Welfare - Room 216, 3 February, 2026; 3:00 PM, 925, all

Summary: The committee met with a quorum and first took up several bills described as vehicles to keep options open for pending rural health issues, especially the rural health transformation fund and the Greenwood Hospital situation. The chair explained that Greenwood Hospital is struggling financially and operationally, including a Medicaid overpayment dispute in which Medicaid planned to recoup $2 million from a December payment, threatening payroll and continued operation. The committee discussed a proposed committee substitute that would delay recoupment until May 1 and preserve legislative flexibility to help Greenwood if a workable plan emerges. The committee adopted motions for title sufficiency and due pass on the block of bills, including the committee substitute and reverse repealer provisions. The committee then turned to two certificate-of-need bills. One bill, 2474, was presented as a rural hospitals measure that would let certain rural hospitals obtain certificates of need for services such as outpatient dialysis units, ambulatory surgical facilities, and geriatric psychiatric units, with definitions aimed largely at Delta and other rural counties. The chair also included a provision making the state health officer’s licensing decision final and not subject to judicial review, with only a short reconsideration process available. Senator Hill objected, arguing the bill concentrated too much power in the health department, eliminated meaningful court review, and unfairly picked winners and losers instead of letting the market work. The chair responded that the goal was to reduce costly, repetitive litigation and preserve access to care in areas where hospitals struggle financially. The committee then considered Senator Blackwell’s broader CO bill, which would address appeals and litigation more generally by shifting costs to the losing party in CO disputes. A reverse repealer was adopted first, and the chair explained that the bill was intended to reduce endless and expensive appeals while still allowing a limited opportunity for reconsideration. Senators Hill and others raised concerns about limiting judicial review and expanding health department power, while the chair said many states have no judicial review in this area and that the committee was exploring the issue further. The chair said he had asked several members to study the matter and contact the National Council of State Legislatures. The committee ultimately adopted the motions on the bills and amendments by voice vote, with the ayes prevailing each time.

Transcript Highlights:

• It also defines surgical smoke, as well as require the hospitals and ASCs to adopt and implement the

Bills: S0162, S0254, S0688, S0794, S1110, S1574

Keywords: surgical smoke, health standards, hospital safety, patient protection, medical regulations, nursing education, licensure, remedial courses, temporary license, graduate nursing preceptorship, Agency for Persons with Disabilities, background screening, support coordination services, developmental disabilities, Tatton-Brown-Rahman syndrome, public hearings, orthotics, prosthetics, healthcare, Medicaid

Summary: The Appropriations Committee on Health and Human Services met with a quorum present and took up several health-related bills. CS/SB 1110 on Medicaid and insurance coverage for orthotics and prosthetics was heard first. The bill would require coverage for medically necessary orthotics and prosthetics without lifetime or continuous-use caps, direct AHCA to seek federal approval and update contracts, and require annual reporting. Testimony from a child using prosthetic “gymnastics blades,” his mother, and another young person with a prosthetic leg emphasized the high cost of activity-specific devices and the impact on children’s mobility, sports participation, and quality of life. Senators voiced strong support, and the bill was reported favorably. The committee then approved SB 1574, “Maddie’s Law,” which adds newborn screening for biliary atresia using the existing blood specimen collected at birth. The sponsor and the child’s father described the condition as time-sensitive and potentially fatal without early detection, and argued the screening could prevent transplants and save money. The bill was reported favorably. The committee also considered CS/SB 794 on background screening for employees of residential facilities and day training programs for people with developmental disabilities, plus a review of waiver support coordination quality, training, and access issues. Parents and a support coordinator testified that strong support coordination is essential for families and that the bill would help standardize expectations and improve services. An amendment aligning the bill with the House companion was adopted, and the bill was reported favorably. Members next heard SB 162, which requires hospitals and ambulatory surgical centers to adopt policies using smoke evacuation systems during procedures that generate surgical smoke. Supporters, including nurses and the Florida Nurses Association, described surgical smoke as a workplace hazard with toxic chemicals and potential cancer risks; hospital representatives said they support the intent but argued existing federal and state standards already regulate the issue and the bill is too prescriptive. A late-filed amendment clarifying the smoke must be “effectively captured and filtered” was adopted, and the bill passed favorably. The committee also approved CS/SB 254, a major nursing education bill that tightens oversight of low-performing nursing programs, creates a temporary provisional license and preceptorship pathway for graduates awaiting NCLEX results, requires remediation for delayed testing, and increases transparency by posting passage rates. Nursing groups supported stronger standards, while private nursing schools warned the bill could reduce capacity and discourage program directors; the amended bill was reported favorably. Finally, the committee heard SB 688, which would reestablish licensure and regulation of naturopathic doctors in Florida, create a board of naturopathic medicine, set licensure and renewal requirements, and define the scope of practice while excluding most prescription authority. Supporters said it would expand health care choices and allow naturopathic doctors to practice openly, while opponents from the medical community warned the bill could authorize diagnosis and treatment without sufficient training and rely on unproven therapies. The bill was reported favorably. The committee then adjourned after members thanked staff for their work.

Transcript Highlights:

• I've been doing ASC for about four years.

Transcript Highlights:

• It also defines surgical smoke, as well as requires hospitals and ASCs to adopt and implement the required

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