Transcript Highlights:

• county nursing homes only with another 60 to 70 million and private nursing homes with, um, the equip
• Then that leaves<00:24:21.760><c> nursing</c><00:24:22.159><c> homes,</c> leaves nursing homes, leaves
• c> um</c><00:24:30.960><c> the</c> and private nursing homes with um the and private nursing homes with
• However, for the county nursing homes, it's not a low risk.
• ><c> an</c> in nursing home utilization and an in nursing home utilization and an increase<00:35:19.599

Summary: The committee approved the previous meeting minutes and then reviewed a draft preliminary report on long-term managed care. The chair explained the report is intended to frame issues and outline legislative options, not make a final recommendation, especially given unresolved questions about the federal One Big Beautiful Bill (OB3). The report’s key issues included the current financing of county and private nursing homes through Medicaid rates, ProShare, MQUIP, and related funding mechanisms, and the concern that those payments could be affected or eliminated under a managed care model. Members also discussed managed care organizations’ role in Medicaid and cited other states’ experiences, noting examples of savings in Florida and Tennessee but higher costs in California. One member raised Indiana as another important comparison, and the committee agreed to add it to the report’s state examples. The committee also reviewed sections on dual eligibility, D-SNP, PACE, and CFI waivers. The chair raised concerns about whether OB3 creates incentives for states to move toward D-SNP and whether federal changes could affect provider taxes, state-directed payments, and intergovernmental transfers. Henry Litman, the state Medicaid director, said he would confirm details on D-SNP incentives and explained that ProShare is based on certified public expenditure rather than an IGT, while county cap financing is the relevant intergovernmental transfer issue. He said IGTs are not going away and that the main risk is whether current financing mechanisms could be preserved if the state later changed course. Members discussed the possibility of a waiver not being granted or renewed and the high fiscal impact that could have on counties and property taxes. The committee then discussed the population that any long-term managed care model should cover. Members agreed that there is no appetite to move developmental disability or acquired brain disorder populations into long-term managed care at this time, and the chair changed the report’s terminology from “elderly” to “aging population.” The chair also noted that the status quo option should reflect the recent shift toward home and community-based services and reduced nursing home utilization since earlier county reports. The report’s four policy options were summarized as: maintain the status quo; pursue D-SNP for dual eligibles, with DHHS potentially submitting an application as early as 2027; adopt an HCBS carveout; or move fully to managed care for the aging population. No final policy recommendation was made, and the committee discussed making edits to the draft before circulation, including adding Indiana, clarifying OB3-related issues, and changing the report title from “final” to “preliminary” or “interim.”

Transcript Highlights:

• That is up to the Board of Nursing.
• all nursing schools.
• The Florida Nurses Association supports the Board of Nursing in its critical role of ensuring nursing
• of the nursing profession.
• 52 percent of nurses.

Committee: Senate Appropriations Committee on Health and Human Services

Transcript Highlights:

• Our posthospitalization capacity planning and innovation, our nursing home bed restrictions, really need
• I'm a registered nurse by background.
• For those who might need a higher level of care, they're working with nursing care and nursing home systems
• Medicaid does offer a limited service for skilled nursing as well as home health services, but even with
• Next, we recommend extended private duty nursing hours.

Committee: House Public Health

Summary: The meeting focused on hospital “avoidable days” and the difficulty of discharging medically stable patients who still need post-acute placement or social services. Presenters from Saint Anthony Hospital Midtown, the Oklahoma Hospital Association, City Care, and OU Health described common barriers including lack of skilled nursing, rehab, long-term care, behavioral health, and hospice placements; insurance prior authorization delays; Medicaid and Social Security eligibility delays; guardianship and Adult Protective Services bottlenecks; limited home health and private duty nursing; and the challenge of placing unhoused, uninsured, or medically complex patients. Several speakers emphasized that these delays reduce bed availability, increase emergency department boarding, contribute to staff burnout, and expose patients to hospital-acquired conditions and other harms. The testimony included multiple examples of patients remaining in acute care for days, weeks, or even months after being medically ready for discharge, including patients awaiting guardianship, disability determinations, or placement in facilities willing to accept them. Speakers also highlighted special populations such as patients with behavioral health or substance use disorders, medically fragile children, patients with criminal histories, and unhoused individuals who need respite or hospice care. City Care described its planned 40-bed medical respite facility, set to open in 2027, as a way to provide clinical support and housing navigation for patients too sick to recover on the street or in shelters. Witnesses recommended policy and system changes such as standardizing preauthorization protocols, expanding rural swing-bed and home-based services, increasing public guardianship resources, improving data collection on homelessness, expanding private duty nursing hours, and creating more placement options for complex patients. They also suggested better coordination between hospitals, DHS, APS, the Health Department, and post-acute facilities, including a database of facility services to improve discharge planning and keep patients closer to home. No votes or formal committee actions were taken in the transcript, but the chair indicated the issue would require collaboration across multiple agencies and partners.

Transcript Highlights:

• So what happens if, like for Bedford Nursing Home or Hillsborough Nursing Home, they like the nurse,
• Bedford um nursing home a Hillsboro Bedford um nursing home a Hillsboro nursing<01:07:43.559><c> home
• </c><01:07:46.680><c> she</c> nursing home um they like the nurse she nursing home um they like the nurse
• </c> in a home or a hospital or a nursing in a home or a hospital or a nursing home<01:48:10.599><c>
• , prison, nursing home.

Committee: House Labor, Industrial and Rehabilitative Services

Transcript Highlights:

• These are not a nursing home setting. These are much lower care settings.
• </c> these are not a nursing home setting. these are not a nursing home setting.
• </c> residents really do not meet nursing residents really do not meet nursing home<00:05:29.520><c>
• nursing homes, or the homeless shelters, nursing homes, or the jail<00:09:41.040><c> system.
• </c> the person's coming from a nursing home. the person's coming from a nursing home.

Summary: The Budget Review Subcommittee on Health and Family Services heard a presentation on Kentucky personal care homes from representatives of the Kentucky Association of Healthcare Facilities, Management Systems of Kentucky, and Elder Care Partners. Witnesses described personal care homes as a lower-cost, 24/7 residential option for adults with serious mental illness who do not qualify for nursing home care but need structured support, medication assistance, meals, housekeeping, transportation, and supervision. They said the homes are regulated by the Cabinet for Health and Family Services, are not Medicaid-funded, and rely on a state supplementation rate of about $50.70 per day, which they argued no longer covers operating costs because of rising food, labor, insurance, and maintenance expenses. The presenters said the sector has shrunk significantly over time, citing a drop from 64 homes in 2002 to 34 today among the homes serving this population, with 30 closures over 23 years and two more closures since August. They argued that the closures have contributed to homelessness, hospital overcrowding, and longer stays in psychiatric hospitals, and they gave examples of residents who had spent many months in hospitals before stabilizing in a personal care home. One provider also described spending more than $800,000 on capital improvements after acquiring Kentucky facilities and said reimbursement is too low to sustain safe operations. They asked for an incremental reimbursement increase over two years and said they have also proposed an assisted-living model for people with mental illness. Members asked about staffing, reimbursement, and the number of people still needing placement. The presenters said there is no requirement for licensed or certified staff in these facilities, though some homes use medication technicians and occasional LPNs. They estimated they are currently serving about 2,000 residents and said they receive roughly 30 referrals for every one person admitted, with many referrals involving people whose needs exceed the personal care home level. Senator Meredith and Representative Fleming said any funding request would need documentation of savings and corresponding budget offsets, while Representative Duval expressed support and asked about possible staffing and program improvements. The witnesses also compared Kentucky’s flat-rate reimbursement to a more individualized reimbursement model in Minnesota, saying a needs-based system would better match staffing and reduce hospitalizations.

Transcript Highlights:

• You all have a lot of nursing homes there.
• I've had a lot of conversations with the people in the nursing homes and with the nursing home administration
• I've had a lot of conversations with the people in the nursing homes and with the nursing home administration
• I built a brand new nursing home in Greensburg in 1984.
• homes south of I-10, but every nursing home in the state.

Bills: HR84 , HR85 , HR86 , HR87 , HR88 , HR89 , HR90 , HCR42 , HCR43 , HB1087 , HB1088 , HB1089 , HB1090 , HB1091 , HB1092 , HB1093 , HB1094 , HB1095 , HB1096 , HB1097 , HB1098 , HB1099 , HB1100 , HB1101 , HB1102 , HB1103 , HB1104 , HB1105 , HB1106 , HB1107 , HB1108 , HB1109 , HB1110 , HB1111 , HB1112 , HB1113 , HB1114 , HB1115 , HB1116 , HB1117 , HB1118 , HB1119 , HB1120 , HB1121 , HB1122 , HB1123 , HB1124 , HB1125 , HB1126 , HB1127 , HB1128 , HB1129 , HB1130 , HB1131 , HB1132 , HB1133 , HB1134 , HB1135 , HB1136 , HB1137 , HB1138 , HB1139 , HB1140 , HB1141 , HB1142 , HB1143 , HB1144 , HB1145 , HB1146 , HB1147 , HB1148 , HB1149 , HB1150 , HB1151 , HB1153 , HB1154 , HB1155 , HB1156 , HB1157 , HB1158 , HB1159 , HB1160 , HB1161 , HB1162 , HB1163 , HB1164 , HB1165 , HB1166 , HB1167 , HB1169 , HB1170 , HB1171 , HB1172 , HB1173 , HB1174 , HB1175 , HB1176 , HB1177 , HB1178 , HB1179 , HB1180 , HB1181 , HB1182 , HB1183 , HB1184 , HB1185 , HB1186 , HB1187 , HB1188 , HB1189 , HB1190 , HB1192 , HB1193 , HB1194 , HB1195 , HB1196 , HB1197 , HB1198 , HB1199 , HB1200 , HB1201 , HB1202 , HB1203 , HB1204 , HB1205 , HB1206 , HB1207 , HB1208 , HB1209 , HB1210 , HB1211 , HB1212 , HB1213 , HB1214 , HB1215 , HB1216 , HB1217 , HB1218 , HB1219 , HB1220 , HB1221 , HB1222 , HB1223 , HB1224 , HB1225 , HB1226 , HB1227 , HB1228 , HB1229 , HB1230 , HB1231 , HR73 , HR74 , HR75 , HR77 , HR78 , HR79 , HR80 , HR81 , HR83 , HCR36 , HCR37 , HCR38 , HCR39 , HCR40 , HCR41 , HB368 , HB433 , HB1017 , HB1018 , HB1019 , HB1020 , HB1021 , HB1022 , HB1023 , HB1024 , HB1025 , HB1026 , HB1027 , HB1028 , HB1029 , HB1030 , HB1031 , HB1032 , HB1033 , HB1034 , HB1035 , HB1036 , HB1037 , HB1038 , HB1039 , HB1040 , HB1041 , HB1042 , HB1043 , HB1044 , HB1045 , HB1046 , HB1047 , HB1048 , HB1049 , HB1050 , HB1051 , HB1052 , HB1053 , HB1054 , HB1055 , HB1056 , HB1057 , HB1058 , HB1059 , HB1060 , HB1061 , HB1062 , HB1063 , HB1064 , HB1065 , HB1066 , HB1067 , HB1068 , HB1069 , HB1070 , HB1071 , HB1072 , HB1073 , HB1074 , HB1075 , HB1076 , HB1077 , HB1078 , HB1079 , HB1080 , HB1081 , HB1082 , HB1083 , HB1084 , SB111 , SB122 , SB195 , SB221 , SB404 , HR1 , HCR6 , HCR19 , HB27 , HB81 , HB134 , HB154 , HB163 , HB170 , HB194 , HB214 , HB217 , HB220 , HB254 , HB259 , HB290 , HB308 , HB311 , HB360 , HB382 , HB401 , HB410 , HB417 , HB463 , HB514 , HB575 , HB592 , HB718 , HB723 , HB750 , HB755 , HB776 , HB812 , HB830 , HB838 , HB844 , HB882 , HB885 , HB888 , HB950 , HB961 , HB966 , HB980 , HR15 , HR20 , HCR14 , HB58 , HB69 , HB93 , HB166 , HB199 , HB201 , HB202 , HB218 , HB223 , HB224 , HB231 , HB235 , HB246 , HB338 , HB349 , HB352 , HB379 , HB405 , HB429 , HB535 , HB547 , HB577 , HB588 , HB626 , HB636 , HB652 , HB653 , HB669 , HB688 , HB691 , HB721 , HB738 , HB806 , HB851 , HB857 , HB861 , HB889 , HB904 , HB907 , HB908 , HB929 , HB1009 , HB13 , HB23 , HB25 , HB32 , HB41 , HB90 , HB120 , HB121 , HB122 , HB127 , HB138 , HB139 , HB141 , HB179 , HB187 , HB213 , HB247 , HB286 , HB332 , HB344 , HB357

Summary: The House convened with a quorum, opened with a prayer, pledge, and national anthem, and spent much of the early portion of the day on recognitions and personal privileges. Members welcomed Reverend Dr. D. Edward Cheney, the Louisiana School Board Association, Southern University visitors for S.U. Day at the Capitol, former Representative Shirley Bowler, the mother of Caleb Wilson, a West Jefferson High School JAG group, the Louisiana Federation of Republican Women, and a Jeff Davis Parish delegation. The chamber also adopted a resolution honoring women legislators for Women’s History Month and observed a moment of silence for Caleb Wilson. The House received a large batch of Senate bills and referred them to committees, including measures on human trafficking, sexual assault kit reporting, bail schedules, environmental notice procedures, DOTD authority, judicial removal, school-zone and shoulder driving rules, workers’ compensation, kidney disease reporting, contractor licensing, public records exemptions, career-alignment dashboards, student health centers, sports wagering exclusions, gaming background checks, soybean promotion, and accessories-after-the-fact sentencing. Members also introduced numerous House resolutions and House bills, including measures on airport TSA loan assistance, Physical Therapy Day, Landscape Architecture Month, condolences, coastal protection, succession and paternity studies, and a long list of new bills covering taxes, education, health care, criminal justice, transportation, public records, and state operations. Several bills were debated and acted on. House Bill 69, concerning ignition interlock devices and penalties when used as a bail or probation condition, passed 82-18. House Bill 93, transferring Lincoln Parish jury commission functions to the clerk of court, passed 96-0. House Bill 199, extending the nursing home moratorium, drew substantial debate over nursing home capacity, competition, and patient care; an amendment requiring LDH to track occupancy and rejection reasons was adopted, and the bill passed 88-11. House Bill 201 creating a state seal of fine arts passed 98-0, and House Bill 202 requiring state civil service applicants to be notified when vacancies are filled or they are not selected also passed 98-0 after amendment. House Bill 218, requiring student questionnaires to include food insecurity questions, was introduced and amended technically, with debate beginning as the transcript ended.

Transcript Highlights:

• Maura Gibney, California Advocates for Nursing Home Reform, in support.
• With me today is Maura Gibney from California Advocates for Nursing Home Reform. Thank you.
• Medi-Cal managed care plans cover more than 60% of nursing home residents in California.
• County, for example, there are three different Medi-Cal plans and over 360 nursing homes.
• He was ready to be discharged to a nursing home for a long-term stay, requiring Medi-Cal coverage, but

Committee: House Health

Summary: The Assembly Health Committee heard several Senate bills focused on health care access, privacy, and public health data. SB 81 by Senator Arreguín would require health care facilities to create nonpublic areas and restrict immigration enforcement access without a judicial warrant, while also protecting immigration-related information in medical records; the bill drew broad support from health, labor, immigrant-rights, and hospital groups, with no opposition testimony. Committee members discussed implementation and enforcement, and the bill was moved out on a do pass to Privacy and Consumer Protection vote, with one no vote recorded from Sanchez. SB 250 by Senator Ochoa Bogh would add skilled nursing facilities to DHCS’s managed care provider directory so Medi-Cal beneficiaries can more easily identify covered facilities. Supporters said the change would help seniors, people with disabilities, and families navigating urgent discharge decisions, and there was no opposition. The committee voted the bill out to Appropriations. SB 717 by Senator Richardson would codify the relationship between the California Cancer Registry and its three regional registries to protect federal SEER funding and preserve cancer surveillance data; supporters emphasized the importance of accurate cancer tracking and the risk of losing more than $15 million annually in federal funds. The bill passed out to Appropriations. SB 504 by Senator Laird would allow health care providers to disclose personally identifying information about previously reported HIV infections to state or local health officials when needed for disease control or care coordination. The author described the measure as a modernization of public health reporting that balances privacy with effective response, and the bill had support from the California Medical Association and Planned Parenthood Affiliates of California. It was moved out as amended to Privacy and Consumer Protection. The committee also approved a consent calendar earlier in the hearing, including SB 329, SB 520, and SB 862, and several votes were held open briefly before being completed.

Transcript Highlights:

• Further discussion on the A27. home home health care home home health care um um um nursing<00:02:28.880
• Not nursing home care, home care. There we go. Insurance.
• Not nursing home care, home care. There we go. Insurance.
• </c> short-term, long-term nursing home care. short-term, long-term nursing home care.
• </c><00:07:35.960><c> There</c> Not nursing home care, home care.

Summary: The committee took up a series of amendments to the bill. Representative Keagle’s A21 amendment, which would have prohibited online sweepstakes games, raised the paddle wheel prize value, and added Hessian pepper as a social skill game, was discussed with support cited from a broad coalition of organizations, but it failed on a roll call vote. The A27 amendment, directing the Department of Commerce to perform a 62J evaluation of home care nursing services, was then adopted after members described it as a temporary step toward a longer-term solution for disability home care issues. Senator French’s A11 amendment, which raises the cap on deposits into the consumer protection restitution account and changes how those funds are distributed to eligible consumers, was also adopted. Representative O’Driscoll then offered the H.F. 4188 A22 amendment, described by counsel as incorporating language from House File 4333 on short-term and long-term home care insurance; members supported it as a way to expand private insurance options, and it was adopted. Finally, Representative Keagle moved Article 3, Section 11, a provision to reimburse clinical trainees providing mental health services at full rates, and that motion was adopted as well. Afterward, the committee authorized nonpartisan staff to make technical or necessary corrections to the bill, noted that the bill would not be wrapped up that day, and then adjourned.

Transcript Highlights:

• And so we would take in more surcharges from the nursing homes.
• And then we had a corresponding add-on rate for the nursing homes that would net even to the nursing
• And so we would take in more surcharges from the nursing homes.
• And then we had a corresponding add-on rate for the nursing homes that would net even to the nursing
• So, unfortunately, there are a number of individual nursing homes who are going to effectively see a

Committee: House Human Services Finance and Policy

Transcript Highlights:

• Texas has the second most number of nurses... homes in the United States, and unfortunately, we rank
• In 2022, we already knew that 99% of nursing homes... have a generator on site.
• This occurred in 2017 at a Dallas nursing... home when a constable illegally assisted mail-in voters,
• You know, this is a problem that we have really across the state in nursing homes.
• The nursing home facilitators are required by the code to help assist them in applying for a ballot.

Bills: SB397 , SB481 , SB596 , SB760 , SB855 , SB1195 , SB1196 , SB1233 , SB1257 , SB1318 , SB1368 , SB1388 , SB1398 , SB1524 , SB1558 , SB1589 , SB1677 , SB1792 , SB2034

Committee: Senate Health & Human Services

Transcript Highlights:

• Some were nurse practitioners. Thank you.
• We want for patients to have access at home in their home care. Absolutely. Right.
• We want for patients to have access at home, in their home communities.
• It took both of my nurse practitioners.
• The idea is that we want patients to have access to care at home, in their home.

Bills: SB2 , SJR36 , SB2 , SB2 , SR29 , SB2

Transcript Highlights:

• We own and operate home health agencies, provide home delivery, We own and operate home health agencies
• For people that reside in an ALF or a nursing home, the health plans pay for services that they receive
• Florida Community Care works with our nursing home Florida Community Care works with our nursing home
• When a nursing home provider partner helps us transition our members safely into the community, we pay
• For us, it's been starting our nursing program and advancing our nursing programs.

Summary: The committee held a panel discussion focused on how Florida health care organizations are working to improve access, quality, and affordability. Panelists from Florida Community Care/Independent Living Systems, Sunshine Health, AdventHealth, UF Health, and Nemours described their approaches, including Medicaid managed care, value-based contracting, community partnerships, mobile screening units, smart-room technology, telehealth, and specialized programs for maternal health, children, and complex chronic conditions. Several speakers emphasized that managed care and coordinated care can improve outcomes while reducing unnecessary utilization and costs. Members asked about the impact of Medicare’s V28 changes, mobile cancer screening, urgent care versus emergency room billing, pediatric specialty access, complaint resolution, Black maternal mortality, provider shortages, network adequacy, and the use of AI in prior authorization. Witnesses said V28 has affected providers and revenue, UF Health’s mobile screening program is expanding beyond a few cancer types, and its urgent care model bills patients at the appropriate level rather than both urgent care and ER rates. Nemours said it reduced specialty wait times through scheduling changes, telemedicine, and registry tools, while AdventHealth described postpartum coordination and maternal heart programs to reduce maternal complications and mortality. On complaints and access problems, panelists said their organizations use patient/member advocates, care managers, call centers, and escalation processes to resolve issues, and Sunshine Health specifically discussed a transportation complaint that was addressed with its vendor and the family. Sunshine Health also said it is not using AI for prior authorization, though it is exploring responsible uses elsewhere, and Florida Community Care said it is not using AI in utilization management. In closing, panelists identified workforce shortages, provider burnout, and high-cost drugs as the biggest ongoing challenges. The meeting ended with thanks to the panel and adjournment after Representative Brackett moved to rise, without objection.

Transcript Highlights:

• home eligibility is required nursing home eligibility is required 94%<00:09:12.120><c> of</c><00:09:
• </c><00:10:04.600><c> home</c> required in a similar nursing home required in a similar nursing home
• The intent was for it to be for a hospital, nursing home, assisted living, or disability home.
• </c> like a nursing home or an assisted like a nursing home or an assisted living<00:34:41.520><c> facility
• reduces</c><01:09:25.120><c> Rel</c> nursing home placements and reduces Rel nursing home placements

Bills: HF1937 , HF2407 , HF1678 , HF1477 , HF2040 , HF1840 , HF257

Committee: House Human Services Finance and Policy

Transcript Highlights:

• Helen Haltersson with California Advocates for Nursing Home Reform in support. Thank you.
• Nursing homes provide vital housing and care to some of our state's most vulnerable population.
• Nursing homes provide vital housing and care to some of our state's most vulnerable population.
• CANHR receives calls daily from consumers facing issues related to nursing home evictions.
• California's nursing home residents deserve better.

Summary: The committee heard several health-related bills. AB 1825 by Krell would clarify California’s offenders with mental health disorders program by tightening the standard for determining “substantial danger of physical harm,” improving exit planning, and expanding Medi-Cal access for people released after a successful challenge. Supporters, including psychiatrists, prosecutors, and medical groups, said the bill would close gaps in care and protect public safety; county behavioral health directors and Disability Rights California registered concerns. AB 1696 by Stephanie would state that nurse midwives do not need physician supervision when providing care within their existing scope, including EMTALA-related evaluation in labor and delivery settings. Nurse midwives and nursing groups supported the bill, while emergency physicians opposed it unless amended, arguing emergency department screening should remain under physician supervision; the author said she would keep working on the issue. AB 1949 by Lee would make acupuncture a separate Medi-Cal benefit and allow up to 24 visits per year. The author and supporters from acupuncture, health access, and integrative medicine groups said the current monthly cap is too restrictive and that acupuncture is an effective, cost-saving alternative for pain management and other conditions. There was no opposition. AB 2330 by Patterson would create a distinct regulatory category for cold spas, with standards for construction, operation, and disinfection. Fitness and wellness groups supported the bill, environmental health administrators had no formal position but thanked the author for amendments, and a committee member raised concerns about local officials interpreting the bill to require separate enclosures from saunas; the author said she would continue working on the language. AB 2000 by Aguirre-Curry would limit mid-year changes to prescription drug formularies and add notice, exceptions, reporting, and enforcement provisions. Family physicians, chronic care advocates, nurses, pharmacists, and patient groups supported the bill, citing non-medical switching and treatment disruptions; health plans and insurers opposed it, warning of higher costs, reduced flexibility, and premium increases. AB 1929 by Ortega would require health plans to disclose investments, including in private prisons and immigrant detention centers. Supporters framed it as a transparency measure tied to patient premiums and public values, while opponents argued the bill was duplicative, burdensome, and potentially harmful to investment confidentiality. AB 2746 by Schiavo would classify medical credit card debt as medical debt so it would not appear on credit reports. Consumer advocates and legal aid groups supported the bill, describing abusive marketing and housing harms; banks, debt collectors, and industry groups opposed it as unworkable and privacy-invasive. The committee took roll on AB 2746 and passed it on a due pass motion to Banking and Finance, with several members voting aye and a few no votes recorded.

Transcript Highlights:

• homes, including the expansion of the dementia unit at the nursing home in Land O' Lakes.
• homes from the Florida Nursing Home Uniform Reporting System requirements.
• It also requires AHCA to impose a $10,000 fine against a nursing home or home office of a nursing home
• homes and the for-profit nursing homes alike?
• Nonprofit nursing homes and the for-profit nursing homes alike? It's going to cover both.

Committee: Senate Appropriations

Summary: The Appropriations Committee heard presentations on the Senate’s proposed 2025-2026 budget, SPB 25-200, totaling $117.4 billion. Chair Hooper and committee chairs highlighted major spending priorities including a 4% raise for state employees, continued health insurance contributions, investments in water quality, transportation, education infrastructure, and workforce development, along with reductions tied to long-vacant positions. Education funding was a major focus, with increases for K-12 public schools and scholarships, higher education workforce programs, nursing initiatives, tutoring, and university performance funding. Health and human services, criminal and civil justice, transportation/economic development, and agriculture/environment budgets were also outlined, including Medicaid, mental health, corrections staffing, affordable housing, beach restoration, citrus recovery, and water projects. Members then questioned several budget choices, especially K-12 funding. Senators Polsky and Smith raised concerns that the Senate’s AP and dual enrollment funding changes could disadvantage public schools, while Burgess argued the budget preserves the money in the FEFP and gives districts more flexibility rather than reducing support. Questions also addressed voucher availability, school stabilization funding, and the My Safe Florida Home program. The committee adopted 171 consent amendments and three late-file amendments, then approved SPB 2500 as a committee bill. It also favorably reported implementing and conforming bills for state employees, retirement, natural resources, judgeships, K-12 education, higher education, and health and human services, along with SB 7022 on Florida Retirement System contribution rates and elected-officer DROP options, CS/SB 1320 on the Resilient Florida Trust Fund, SB 7014 ending the Mediation and Arbitration Trust Fund, SB 7028 on cancer research, CS/CS/SB 170 on nursing home quality and oversight, CS/SB 168 on mental health diversion and behavioral health data, SB 114 creating an insurance and risk management research center at FSU, and SB 180 on emergency preparedness and post-storm recovery. Most bills were reported favorably with little or no opposition, though SB 180 drew discussion about local-government authority after storms and the need to balance recovery speed with local safety and planning concerns.

Transcript Highlights:

• A nurse that we know of, who is from Albuquerque, actually went to work in Australia and came back home
• I'm still a true nurse practitioner, past president of the New Mexico Nursing Association, Nurse Practitioner
• However, it also goes home with you as well. These nurses are overworked. They're underappreciated.
• AFSCME represents nurses and techs in the TRC Veterans Home, Fort Bear Medical Center, Las Vegas Behavioral
• As for the future nurses, we can't keep losing nurses.

Committee: House House Health & Human Services

Transcript Highlights:

• It pays for half of all nursing home beds.
• Do you believe in a nursing home there should be a registered nurse?
• homes without nurses?
• We need a nurse in a nursing home. Not too complicated.
• I actually think we need a nurse who will work in a nursing home.

Committee: Senate Finance Committee

Keywords: Michael Falkender, Deputy Secretary of the Treasury, IRS, taxpayer privacy, nomination process, committee hearing

Summary: The committee convened to discuss critical issues surrounding the nomination of Michael Falkender for the position of Deputy Secretary of the Treasury. This meeting included a series of remarks from committee members who expressed divergent views on Falkender's qualifications and the implications of his appointment. Senator Wyden voiced strong opposition, arguing that Falkender represents harmful policies expected to be perpetuated under the current administration, especially concerning taxpayer privacy and IRS tactics. Meanwhile, other members defended Falkender, noting his extensive experience, including a commitment to transparency in government operations if confirmed.

Transcript Highlights:

• facility and home criteria for nursing facility and home and<01:04:43.000><c> communitybased</c><01:
• They're ending up placed in nursing homes. They thrive in their homes.
• and I've been told I have more homes and I've been told I have more nursing<02:16:28.239><c> homes</
• homes in my district than any nursing homes in my district than any other<02:16:29.840><c> District<
• ><c> not</c> the nursing home communities they're not the nursing home communities they're not fooling

Committee: Senate Health and Human Services

Transcript Highlights:

• Aaron Ballas, Board of Nurse Association, waiving in support.
• It just says for the Association of Nurse Anesthesiology, waiving in support.
• Properly educating our nurses about use of the title.
• They want to build careers, buy homes, and plan for their futures.
• I'm a nursing student. So the health care arena for me is just the same.

Bills: S0006 , S0036 , S0560 , S0778 , S0844 , S0864 , S1002 , S1016 , S1022 , S1030 , S1630

Committee: Senate Appropriations Committee on Health and Human Services

Summary: The Appropriations Committee on Health and Human Services heard and advanced a series of health, child welfare, aging, disability, and public records bills. CS/SB 1002, on child welfare and parental substance abuse, was described as clarifying that acute or chronic parental drug abuse can constitute harm or neglect when it creates an ongoing risk to a child; it passed after limited questions and supportive testimony from Florida Smart Justice Alliance. CS/SB 1630, a broad aging and long-term care modernization bill, would streamline eligibility screenings, allow temporary DOEA services during emergencies or lead agency failures, tighten oversight of area agencies on aging, permanently establish the Florida Alzheimer’s Care Center of Excellence, and expand guardianship training and enforcement tools; it drew support from AARP, area agencies, and the Alzheimer’s Association and was reported favorably. The committee also approved SB 1022 to add Bay County and Pompano to the Florida Children’s Initiatives, and CS/SB 1030, via strike-all amendment, to streamline regulation of substance abuse and behavioral health providers and clarify background screening and privacy rules. Several bills focused on health care practice and patient access. CS/SB 36, with an amendment, allows nurses with doctoral degrees to use appropriate titles while requiring clear identification as nurses and making misuse grounds for discipline; nursing organizations supported it and it passed. CS/SB 844 requires physicians and nurses to complete a one-time, board-approved continuing education course on sickle cell disease care management, with multiple patients and advocates testifying about delayed care, bias, and the need for better provider education; the bill was reported favorably after an amendment aligning it with the House version. CS/SB 560 streamlines procedures for psychotropic medication for children in DCF custody by reducing duplicative reports, clarifying evaluator qualifications, limiting repeated background checks, and simplifying consent documentation; an amendment removed postsecondary education language, and the bill passed. The committee also approved a public records exemption bill for a uterine fibroids research database (CS/SB 864). The committee also advanced measures affecting disability services and forensic care. SB 6, a claims bill, would pay $3.8 million to a trust for a child who suffered severe abuse-related injuries after DCF involvement; it passed without opposition. SB 778 updates the definition of forensic clients so certain individuals with intellectual disabilities or autism found incompetent to proceed can be housed in the same secure forensic setting, reducing duplicative staffing and space needs; it was reported favorably. CS/SB 1016 codifies the Working People with Disabilities Program, allowing eligible developmentally disabled adults to work while retaining Medicaid waiver benefits and requiring notice to enrollees; advocates described the bill as essential to employment and independence, and it passed. Throughout the meeting, most bills received supportive public testimony, few questions, and unanimous or near-unanimous favorable votes.

Transcript Highlights:

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Summary: The Interim Joint Committee on Families and Children opened its first meeting with roll call and a reminder about the number of children in out-of-home care with active placements, which the chair said was 8,641 as of June 1, 2025. The committee then heard a presentation from the Center for Courageous Kids, a donor-funded camp in Scottville that serves children with lifelong illnesses and disabilities at no charge. Representatives described the camp’s year-round family retreats and summer sessions, its medically safe and inclusive model, and examples of campers gaining confidence and independence. They said the camp has served more than 43,000 campers from Kentucky, other states, and other countries, and that it is seeking legislative support for two capital projects: a new art barn and a medical lodge, with a combined request of $3.2 million. Members praised the program and asked about awareness, staffing, volunteer recruitment, accreditation, and how the projects would expand capacity; the camp said the medical lodge would help increase volunteer housing and allow future growth beyond its current summer cap of 128 campers per session. The committee then moved to adult protective services and state guardianship programs. Jessica Wayne, director of the Division of Guardianship, and Cliff Bryant of DCBS explained the legal framework for guardianship and conservatorship, including state guardianship as a last-resort option when no family member or private entity is available or appropriate. They outlined the court petition process, emergency appointments, and the distinction between full and limited guardianship or conservatorship. They emphasized that guardianship is based on legal incapacity to make decisions, not simply on a medical disability diagnosis, and noted that state guardianship can be arranged for some 17-year-olds aging out of youth services. The presenters said the state currently serves 4,645 individuals under guardianship, with most cases involving developmental intellectual disabilities, supported community living waiver participants, and people in nursing homes or long-term care facilities. They also described the division’s three branches: field services, which handles visits and day-to-day decisions in all 120 counties; a benefits branch that applies for public benefits; and a fiduciary branch that manages funds and pays bills. They reported 89 field workers statewide, an average caseload of 52, and said the agency is hiring to reduce that load. No votes or formal committee actions were taken during the meeting.