Transcript Highlights:

• In terms of identifying if those funds have been used appropriately, this is a matter of monitoring,
• subrecipient monitoring, and then subsequent monitoring by DonorsChoose.
• So it's just really a matter of digging further into the subrecipient monitoring.
• We didn't actually monitor... Marilyn Dondero-Loop, for the record: I'm sorry, I'll jump in here.
• The section being referenced is a program to actually monitor the data of who is coming in.

Bills: AB568, SB90, SB133, SB147, SB229, SB233, SB240, SB245, SB280, SB378, SB393, SB417, SB434, SB494, SB495

Keywords: higher education, Nevada System of Higher Education, operational expenses, instructional expenses, public funding, education funding, teacher grants, classroom supplies, instructional support, specialized personnel, civics education, Nevada Center for Civic Engagement, funding, youth programs, civic involvement, Southern Nevada, Clark County, Las Vegas Valley, regional planning, economic resiliency

Transcript Highlights:

• > types<00:23:47.360> of<00:23:47.520> monitoring<00:23:47.919> as<00:23:
• 48.039> if<00:23:48.200> the exact same types of monitoring as if the exact same types
• of monitoring as if the patient<00:23:48.679> is<00:23:48.880> in<00:23:49.400> a
• We have PBMs that are monitoring. We have electronic medical records on your end of things.
• we have pbms that are monitoring we have pbms that are monitoring<01:10:28.760> that<01:10:29.040

Keywords: 1191, senate, all

Transcript Highlights:

• We also recommend the legislature consider continuing to monitor EBT security.
• In this case, CalFresh, and monitoring the federal developments and keeping note. Mr.
• But I wanted to bring to the LAO one of the comments for us to monitor and watch.
• So as we are monitoring LA, I want us to monitor the other areas as well to make sure that they too are
• As we're monitoring, let's continue to monitor everywhere. If I may, Mr.

Keywords: 988, house, all

Transcript Highlights:

• My constituents believe that the state is not monitoring and controlling their emissions.
• We will not issue a permit if it is not, and I have the best air monitoring staff. ...in the country.
• Another thought: we have monitoring air quality around our cement batch plants, quarries, and things
• When talking about monitoring air quality around a quarry, for example, we also need what the quarry
• Where the monitors are scientifically placed so that it can truly measure the air quality.

Keywords: 1185, senate, all

Transcript Highlights:

• These technologies include lane departure warning systems, video-based onboard safety monitoring systems
• Take on-board video monitoring systems as an example; that records incidents that are triggered by sudden
• So looking at the issue, monitoring and training of drivers is fine if they're employee drivers.
• Take on-board video monitoring systems as an example; that records incidents that are triggered by sudden
• So looking at the issue, monitoring and training of drivers is fine if they're employee drivers.

Summary: The Senate Committee on Transportation heard several bills, mostly local memorial highway designations and transportation-related regulatory measures. Senator Hinojosa presented SB 1351 to designate part of US 281 in Hidalgo County as the Jose Rodriguez Lua Memorial Highway in honor of a Border Patrol processing coordinator killed by a drunk driver; a family member testified emotionally in support, and the bill was left pending. The committee also heard and left pending SB 2245 on bonded titles for vehicles when a lienholder has gone out of business, SB 1568 on animal-friendly specialty license plates with a second “spay, neuter, adopt” plate, SB 2589 on handling closed county roads in Webb County, SB 1104 on allowing large retailers to use one fingerprinted employee of record across multiple Texas locations, SB 1423 naming the Bill Stout Parkway in Longview, and SB 1931 naming part of US 83 the Rodolfo Valdez Memorial Highway. Most of these bills drew supportive testimony or were presented as local measures with no opposition. The committee also took up broader policy bills. SB 215 would create a digital identification program for Texas driver’s licenses and certain other licenses, but the sponsor said he was mainly laying the bill out for discussion and study; testimony was limited and the bill was left pending. SB 2707 would clarify that government entities such as TxDOT and the military remain exempt from fees on oversized/overweight permit authority, though a county commissioner raised questions about road-use impacts and fee revenue. SB 2807 drew the most discussion: it would prevent a motor carrier’s use of safety technology, training, and related practices from being used as evidence that an independent contractor is actually an employee. Supporters said the bill would encourage adoption of safety tools like cameras and braking systems without increasing misclassification risk, while opponents from the trial lawyers’ side warned the wording could conflict with existing labor-code definitions and create litigation. The sponsor and committee members discussed possible clarifying floor amendments. After public testimony, the committee voted on the pending bills. All measures were reported favorably on 6-0 votes, with committee substitutes adopted where applicable. SB 1351, SB 1423, SB 1568, SB 1931, SB 2245, SB 2589, SB 2707, SB 2807, and SB 2841 were all sent to the full Senate, and several were recommended for the local and uncontested calendar. The committee recessed subject to the call of the chair after completing the votes.

Transcript Highlights:

• requirements, discussing safety practices, and monitoring side effects.
• They don't ensure patients follow through with lab monitoring.
• Monitoring of birth defects and related health...
• Current law limits what local health departments can monitor.
• Current law limits what local health departments can monitor.

Summary: The Assembly Health Committee heard a long agenda of health bills focused on access to preventive care, behavioral health, hospital services, and patient safety. Early items included AB 554, which would expand and protect access to HIV prevention drugs like PrEP, including injectable forms and coverage protections; supporters said it would shore up access amid federal threats, while insurers opposed it as a costly benefit mandate. AB 577 would limit insurer and PBM practices that steer medications away from physician offices and require more transparency and patient consent; doctors and patient advocates supported it, while health plans and insurers warned it could raise drug costs and disrupt specialty pharmacy networks. AB 546 would require coverage for portable HEPA purifiers for vulnerable enrollees during declared emergencies, especially wildfire smoke events, with support from air quality and public health groups and opposition from insurers concerned about benefit expansion and cost. The committee also heard AB 224, which would codify California’s updated essential health benefits benchmark plan after a public review process, adding infertility treatment, hearing aids, and durable medical equipment if approved by CMS for the 2027 plan year. DMHC said the state had completed the review and needed legislation to meet federal timing, and the measure drew broad support. AB 1032 would require plans and insurers to reimburse up to 12 additional behavioral health visits for enrollees in wildfire-affected counties for a limited period after an emergency; supporters argued it would fill gaps in trauma care after disasters, while insurers said existing parity and continuity-of-care rules already address the issue and that the bill could create inequities. AB 849 would require trained chaperones for sensitive ultrasound exams and training on how to observe and intervene; it was backed by a survivor and patient advocates, with hospitals and health districts raising staffing concerns. Later, AB 1196 would direct the Department of Public Health to update outdated rules requiring three surgeons for certain heart surgeries using cardiopulmonary bypass; supporters said the rule no longer reflects modern practice and strains staffing, while cardiology representatives had no formal opposition but wanted to review amendments. AB 1113 would codify a right to wear a mask for health reasons in public spaces, with support from disability and public health groups. AB 1386 sought to add perinatal care to the list of basic hospital services, prompting testimony about maternity ward closures, workforce shortages, and rural access; the author said the bill would be amended further and that the committee would need to revisit timelines and implementation details. The committee also heard AB 1429, which would address Kaiser’s repeated mental health parity violations and improve access to behavioral health care, though the transcript cuts off before any action on that bill is shown. Several bills were moved with motions and seconds, but many were held for quorum; AB 1196, AB 1113, and AB 1386 were among the measures advanced to a roll call or held on call, and the committee repeatedly noted that final votes would occur when quorum was available.

Transcript Highlights:

• So there's no air quality monitoring data that we can pull?
• To my knowledge, they don't have an air quality monitor in Fort Bend County. vans that monitor air quality
• monitoring station serving over 25 million Texans statewide.
• So TCEQ doesn't have any air quality monitor in Fort Bend County.
• .. to continue to monitor that.

Bills: SB1, HB500, SB1, HB1400, HB 1094, HB365, HB 1109, HB647, HB500

Keywords: appropriations, budget, state funding, education, healthcare, infrastructure, state budget, mental health funding, education funding, infrastructure improvements, public safety, groundwater, water conservation, financial assistance, Texas Water Development Board, innovation fund, local conservation districts, transportation protection agreement, funeral services, insurance exemption

Transcript Highlights:

• In addition, by connecting this whole home, we also reduce the need for us to keep monitoring in the
• We're continuing to monitor in that area. It's going to depend on a few pieces of information.
• to monitor in that area<01:00:55.440> it's<01:00:55.720> going<01:00:55.799> to
• we've been monitoring that.
• Zone and we've to call the monitoring Zone and we've been<01:04:51.760> monitoring<01:04:52.359

Keywords: 1187, senate, all

Transcript Highlights:

• manufacturers or vendors install these cameras, which in turn then they would maintain, they would monitor
• manufacturers or vendors install these cameras, which in turn then they would maintain, they would monitor
• manufacturers or vendors install these cameras, which in turn then they would maintain, they would monitor
• manufacturers or vendors install these cameras, which in turn then they would maintain, they would monitor
• He said the bill would extend the program to four-gas monitors, AEDs, and other equipment.

Keywords: 958, all

Transcript Highlights:

• We'll be strengthening our monitoring of the health plans, focused on addressing concerns raised by you
• So yes, in January of this year, we revamped our monitoring process to begin looking at websites as well
• So as a part of our routine monitoring, we do intend to get samples of those to make sure that...
• Routine monitoring, we do intend to get samples of those to make sure those four structural items that
• It is something that we're monitoring in other states to be sure that we are not replicating bad policy

Summary: The committee met to consider a large slate of appointments, with the main discussion centered on the confirmation of Chavon Harris as Secretary of the Agency for Health Care Administration (AHCA). Harris testified about her background in state service and outlined agency priorities including Medicaid financial accountability, transparency, managed care oversight, behavioral health redesign, rural health access, workforce recruitment, and use of technology and AI. Senators questioned her extensively about the Hope Florida/Medicaid settlement controversy, opioid settlement-funded advertising campaigns tied to marijuana prevention and the 2024 Amendment 3 election, public records compliance, abortion reporting and enforcement under the Heartbeat Protection Act, managed care denials, value-based purchasing, and Medicaid funding pressures. After debate, the committee voted to recommend her confirmation, with Senator Polsky voting no. The committee then considered Anna Ortega and Robert Payne for the Florida Public Service Commission. Ortega, a current PSC commissioner and former staff advisor, discussed utility regulation, data center load issues, ratepayer protections, transparency in PSC decisions, and lessons from other states. Payne, a former legislator and longtime utility co-op employee, emphasized his technical background and the need to balance utility returns with consumer affordability. Both nominees were confirmed by unanimous or near-unanimous votes and recommended favorably to the full Senate. Next, the committee heard from Jeffrey Aaron for reappointment to the Public Employees Relations Commission. Aaron described PERC’s role in public-sector labor disputes and said his work had been upheld in appellate courts without reversal. Senators questioned him about his law firm’s state contracts, his role as chairman of Attorney General James Uthmeier’s PAC, and his connection to the Hope Florida Foundation matter; he declined to discuss the pending investigation. Public testimony included opposition from Florida Voice for the Unborn. The committee nevertheless recommended his confirmation, with several no votes. Finally, the committee approved the remaining appointees on tabs 5 through 46 in a single vote, postponing Dr. John Littell and DCF Secretary Hatch, and then adjourned.

Transcript Highlights:

• the bill and also staffing in order to do these enforcement activities for the hemp, including monitoring
• <00:11:11.839> testing<00:11:13.279> um monitoring testing um monitoring testing um And
• We also monitor the hemp buffer growing buffer zones.
• They are doing the testing, monitoring, and all this uh um that is being put forward in this bill. >>
• They are doing the testing, monitoring, and all this uh um that is being put forward in this bill. >>

Bills: SB2178

Keywords: industrial hemp, Hawaii, agriculture, sustainability, Native Hawaiian practices, regulation, cultural stewardship, economic development, 912, senate, all

Summary: The committee heard testimony on SP 2178, which would create an industrial hemp program in the Department of Agriculture and Biosecurity, establish an advisory board, support research through the University of Hawaii, and promote hemp-based materials and partnerships with Native Hawaiian practitioners and cooperatives. Testimony was generally supportive from industry, Native Hawaiian advocates, the Hawaii Farm Bureau, and the department, with supporters emphasizing economic opportunity, community-based development, and potential uses such as hempcrete and fiber products. The Department of Agriculture and Biosecurity also said it supported the intent, but its representative explained that the bill would require additional staffing and resources for education, monitoring, testing, and enforcement. Members raised concerns about overlapping regulation with USDA hemp licensing and the cost of new positions; the department estimated three additional positions at about $80,000 each and noted current federal licensing does not charge fees. The committee recommended passage with amendments, including removing state licensing requirements to avoid duplication with USDA authority, making technical changes, and blanking the appropriation amount for later consideration, and the recommendation was adopted unanimously. The committee also heard and later took action on several other measures. SB 2702, relating to Hawaiian Homes and an irrigation system inventory, drew support but was postponed for decision-making until February 5 so additional amendments could be prepared. SB 2785, relating to economic development, received mixed testimony but was recommended and adopted for passage without amendments. SB 2790, relating to the Department of Hawaiian Home Lands and the Mākai irrigation system, received strong support and was also passed unamended. SB 2314, relating to the Hawaiian language and the legal effect of Hawaiian versions of laws, drew support from the Hawaii Civil Rights Commission and others, while the Attorney General’s office raised concerns about the wording; the committee adopted amendments incorporating language from the judiciary, clarifying that English and Hawaiian are official languages and that priority goes to the version consistent with legislative intent when there is a material difference, and then passed the bill with amendments. All final votes reported were in favor, with no recorded opposition.

Transcript Highlights:

• But we're still going to have to hook up, like with remote patient monitoring, in order to get the best
• Let's talk tech just for a minute: remote patient monitoring.
• We can monitor that patient from the rural health care facility, and then we can even connect them with
• So there's a lot of money for home health monitoring, and this could be terrific for all sorts of entities
• Let's talk tech just for a minute, remote patient monitoring.

Bills: HB1623

Keywords: HB 1623, North Dakota, rural health, rural health transformation program, medical facility infrastructure loan fund, medical facility infrastructure loan program, rural health loan program, Bank of North Dakota, Department of Health and Human Services, HHS, federal grant, health care infrastructure, rural hospitals, critical access hospitals, nonprofit health care providers, gap financing, loan fund, public health funding, healthcare financing, Medicaid

Summary: The committee heard House Bill 1623, the appropriations bill tied to North Dakota’s Rural Health Transformation Program, which is funded through a new federal rural health care grant. Senator Bekkedahl explained the bill’s background, the interim committee process that developed it, and the federal conditions attached to the award, including spending deadlines, administrative cost limits, and restrictions on uses such as new construction, supplanting existing funding, and certain other costs. Legislative staff then walked through the seven sections of the bill, including appropriation authority, transfer authority, contingent appropriations for pass-through grants, procurement and public improvement exemptions, recipient reporting, legislative reporting, and immediate effective date. Commissioner Traynor and HHS staff described how the department plans to implement the program, emphasizing that the funding is intended to improve rural access, workforce recruitment and retention, technology and data connectivity, and community health initiatives. They said the department will rely on local applications, technical assistance, templates, listening sessions, and partnerships with providers, schools, public health units, tribal entities, and other community groups. Members asked about reimbursement timing, upfront costs, administrative expenses, sustainability after the five-year grant period, and whether CTE centers, public health units, gyms, grocery stores, and other community partners could participate; the department said yes, within program rules and with a focus on measurable outcomes and sustainability. Several supporters testified in favor. Mental Health America of North Dakota and the Mental Health Advocacy Network supported the bill and urged investment in community-based mental health, crisis response, children’s services, peer support, and mobile crisis teams. HIA Health described the grant as a chance to expand home-based and hospice care, noting that rural providers already have workable models but need funding to scale them. A cybersecurity representative also supported the bill, warning that the large amount of health data and AI-related tools will require strong data protection and professional support. The hearing was closed with no opposition testimony, and the committee announced it would return later in the day for further work on the bill and other measures.

Transcript Highlights:

• If we don't pay attention, maybe we do need to monitor it every year to see how it's affected our people
• I think we need to be aware of monitoring it every year to see the cause and the effect.
• maybe every year we look do a monitor maybe every year we look and<00:18:42.880> see<00:18:43.080
• <00:19:26.159> it<00:19:26.360> every need to be aware of monitoring it every need
• to be aware of monitoring it every year<00:19:26.720> to<00:19:26.840> see<00:19:27.080

Keywords: Meeting Start 00:00 Attendance Roll Call 00:12 Introduction of Guests 01:09 HB 88 Discussion 01:46 HB 88 Roll Call Vote 03:24 HB 346 Discussion 04:20 HB 346 Roll Call Vote 21:58 Chair Comments 24:31, 958, all

Summary: The committee met with a quorum and first considered House Bill 88, which was described as a short bill to clarify procedures for Waste Management boards, including term limits, appointments, and making sure consolidated governments actively recruit community members and make openings easier to find. The sponsor said the bill was intended to resolve confusion about members staying on after terms expire. The bill received no opposition, passed the committee unanimously, and was reported favorably for the floor. The committee then took up House Bill 346, as amended by a committee substitute. The sponsor explained that the bill responds to a dispute over air emission fees, especially for emergency generators and backup generators used for worker safety and limited non-emergency testing. The bill would exempt emergency generators and backup generators operating 100 hours or less for maintenance/testing from fees, while also removing an existing 4,000-ton cap so the per-ton fee would drop for most permitted sources. Members discussed the possible impact on utilities and ratepayers, with concerns raised that costs could be passed through to consumers and affect coal-dependent areas. The sponsor and another member argued the change would generally reduce fees for most sources and incentivize emissions reductions; the cabinet was described as neutral, and the affected utilities were identified as TVA, LG&E, East Kentucky Power, and Big Rivers, with only TVA having raised comments. The committee substitute was adopted, and the bill passed the committee with a favorable recommendation, though one member voted no and several members explained yes votes while expressing ongoing concerns about future rate impacts. At the end of the meeting, members briefly discussed broader concerns about utility surcharges and the need to monitor the effects of legislation on ratepayers, but those comments were not part of the bill under consideration. The chair noted that future meetings may include more bills and could start earlier if needed, and the committee then adjourned.

Transcript Highlights:

• Like this person's job will be not just to monitor but to actually direct whether or not grants that
• Like this person's job will be not just to monitor but to actually direct whether or not grants that
• the commission and monitor all of the agencies and create investigations on their own.
• Representative Anderson, um, I'll just—we'll take a look at that. monitor all of the agencies and monitor
• monitor all of the agencies and monitor everything<00:29:07.360> and<00:29:07.840> and

Bills: HF25, HF1, HF428

Keywords: pregnancy support, women's health, maternity homes, nonprofit organizations, grant funding, abortion, family services, Office of Inspector General, inspector general, legislative audit, fraud prevention, waste and abuse, public funds, grant oversight, state grants, grant management, whistleblower protection, retaliation, subpoena power, data practices

Transcript Highlights:

• In the bill, I have some strong feelings about the monitoring visits.
• In the bill, I have some strong feelings about the monitoring visits.
• Monitoring visit, thank you. Thank you, Mr. Chair.
• Monitoring visits, you know, so I do think that there should be something more here. Thank you.
• He also said he wants to note the difference between site visits and a monitored visit.

Bills: HF1, HF779, HF1034

Keywords: Office of Inspector General, inspector general, legislative audit, fraud prevention, waste and abuse, public funds, grant oversight, state grants, grant management, whistleblower protection, retaliation, subpoena power, data practices, government transparency, accountability, law enforcement referrals, sanctions, debarment, payment withholding, public assistance fraud

Transcript Highlights:

• Senator Fateh said he wanted to ask questions about section 18 on the integrity monitoring, so he had
• So one of the questions I had was, one, the independent integrity monitoring provider.
• He said that when you go to line 27.5, it talks about an independent integrity monitoring provider.
• Senator Klein responded that the actual structure of an independent integrity monitoring provider is
• and if you're um willing I monitoring and if you're um willing I can<00:52:38.920> work<00:52

Keywords: 1187, senate, all

Transcript Highlights:

• How often in your legislative careers have an industry come to you and said, "We need help monitoring
• Give us the teeth us monitor ourselves.
• It is self-monitored through a code of ethics and a board of ethics, but they have some teeth behind
• It is self-monitored<00:23:00.720> through<00:23:00.880> a<00:23:01.039> code<00
• :23:01.280> of<00:23:01.440> ethics self-monitored through a code of ethics self-monitored

Keywords: 1189, house, all

Transcript Highlights:

• Beyond that, we will continue to implement the plan as we go, monitor performance, and provide updates
• Beyond that, we will continue to implement the plan as we go, monitor performance, and provide updates
• And the monitoring of AI in health care.
• We think that there is not enough resources to do proper validation and training and monitoring.
• So the other important key financial metric that we monitor is looking at the number of days cash on

Summary: The committee heard a JLARC presentation on the Department of Health’s oversight of hospital inspections, complaints, and reporting. JLARC said DOH was late on 72% of acute care hospital inspections as of December 2024, had not verified that third-party accrediting standards were substantially equivalent to state standards, did not consistently require proof of those inspections, did not review adverse health event corrective plans, and could make hospital data more accessible. JLARC also raised a possible language-access barrier in the complaint system. Members asked about complaint filing by staff, the meaning of adverse health events, inspection outcomes, and whether the audit compared DOH to other agencies. JLARC said it had not reviewed inspection results or cross-agency comparisons, but noted inspectors were dedicated and working long hours. DOH later said it concurred with the recommendations and outlined a strategic plan with target dates for improving timeliness, verifying accreditation standards, expanding language access, reviewing adverse event laws, and improving public data access, with annual reporting to the Legislature expected. The committee then heard a Department of Health presentation on certificate of need modernization. DOH described the current certificate of need process, which reviews need, financial feasibility, quality, and cost containment for certain facility changes and new services, and said the program has not been modernized since the 1980s. DOH proposed 10 statutory modernization recommendations, including clarifying the program’s purpose, creating a planning entity, adding flexibility, reducing legal costs, updating access-to-care standards, expanding oversight to freestanding emergency departments and urgent care, addressing equity, improving cost control coordination, strengthening long-term funding, and using better data systems. Members asked about oversight of freestanding urgent care and EDs, funding sources, and whether the process could be streamlined or made more responsive to complaints or other triggers. A third panel discussed artificial intelligence in health care. Lucy O’Rourke of the Coalition for Health AI described CHAI’s work on responsible AI principles, technical standards, model cards or “nutrition labels,” testing and governance tools, and educational resources for providers. She said the group is focused on trust, transparency, fairness, safety, security, and privacy, and noted Washington’s AI-related policy work as among the more progressive in the country. No questions were asked. The final portion focused on the financial impact of federal and state health care policy changes. The Washington State Hospital Association said hospitals are facing low or negative operating margins, service reductions, layoffs, and closures, and that state cuts and taxes enacted in 2025, combined with federal HR1 changes, will significantly worsen finances. Providence Swedish leaders described staffing reductions, service cuts, delayed capital investments, and pressure from denials, tariffs, and reimbursement changes, while emphasizing that frontline staffing cuts are tied to service reductions rather than nurse-to-patient ratio changes. The Washington Health Benefit Exchange then began a presentation on expiring federal ACA premium tax credits, state Cascade Care Savings assistance, and eligibility changes affecting lawfully present non-citizens, with examples showing large premium increases for customers if federal subsidies expire.

Transcript Highlights:

• Of course, the Federal Reserve, who's monitoring the economy closely, has been concerned about inflation
• We are continuing to monitor the impacts of tariffs and federal employment funding, other conflicts,
• monitoring stream flow aquifer recharge assumptions.
• There's also remote monitoring for the new domestic wells.
• There's also remote monitoring for the new domestic wells.

Summary: The Ways and Means Committee held a work session covering the state revenue outlook, caseload forecasts, wildfire costs, budget balance, tort liability, water supply, and pension policy. The Economic and Revenue Forecast Council reported modest near-term U.S. growth, no near-term Washington employment growth in 2026, continued personal income growth, and elevated inflation, with tariffs and federal policy cited as major risks. Revenue forecasts were slightly improved for the current biennium by about $105 million but down about $185 million for the next biennium. Members asked about income inequality and housing permits; staff said personal income is an aggregate measure and housing production remains below long-term needs. The Caseload Forecast Council then reported that most forecasts were unchanged or only slightly changed, but several programs increased, including Washington College Grant, Working Connections, aged/blind/disabled cash grants, nursing homes, home and community services, and developmental disabilities personal care. The largest policy-driven change was in Medicaid low-income adult caseloads, where federal H.R. 1 was projected to reduce coverage substantially through narrower eligibility, community engagement requirements, and shorter eligibility periods. The committee also heard a wildfire funding update and a 2025 fire season review. Staff explained that the state budgets $93 million annually for suppression and uses supplemental appropriations for costs above that level, with an estimated state supplemental need of about $139 million for the current year. Department of Natural Resources officials said 2025 fire activity remained below the 10-year average in acres burned, but fires were more complex and closer to communities, contributing to higher residence loss. They described expanded use of aircraft, firefighters from other states, corrections crews, and the Arcadia 20 hand crew, and said the state did not need National Guard ground support this year. A budget preview then showed that the near general fund outlook had worsened after vetoes, lapses, and forecast changes, and that maintenance-level costs alone would leave a projected negative balance by fiscal year 2027 and about $4.3 billion by fiscal year 2029, before any policy decisions. Jason Seams, the state risk manager, reported a sharp rise in tort claim costs, with indemnity expenses nearly doubling from fiscal year 2023 to 2025 and DCYF accounting for most of the increase. He said the state self-insurance liability account has run deficits for four straight biennia and is now facing nearly $600 million in deficits, driven largely by a surge in DCYF claims, especially juvenile rehabilitation and long-running sex abuse cases. Members asked about the role of old claims, comparisons with other states, excess insurance, and whether more Attorney General staff could reduce special assistant attorney general costs. The committee then shifted to water policy, hearing from tribal leaders, Ecology, and the Washington Water Trust. Tribal witnesses emphasized overappropriation, declining flows, climate impacts, and the need for legislative oversight and tribal participation in water policy. Ecology described major projects in the Odessa sub-area, Yakima Basin, and Dungeness, along with the need for storage, recharge, conservation, and policy changes to support water supply development. The Washington Water Trust argued that climate change is reducing summer flows and that the state needs more funding, enforcement, and long-term commitment to restore instream flows. The final item was a pension update on LEOFF 1 surplus assets; staff reviewed two 2025 bills that would have merged or restructured the plan and used surplus assets, but neither passed, and instead the budget directed the Select Committee on Pension Policy to study the issue and report back.

Transcript Highlights:

• So this is used for financial monitoring. It's submitted quarterly and annually.
• So this is used for, this report is used for financial monitoring.
• This report is used for financial monitoring.
• But it enables us to monitor and track basically PMPMs at the rate group level.
• I had just two questions about the consequences as you're doing, as ACA is doing the data monitoring

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.